code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries
CDT,D0120,HC I&D PILONIDAL CYST COMP,2265.09,792.79,747.0,3603.0,9
CDT,D0120,HC ORAL EXAM PERIODIC,47.12,16.5,15.13,35.1,5
CDT,D0140,HC DEBRIDE SKIN AT FX SITE,1497.44,524.11,513.62,3603.0,10
CDT,D0140,"HC ORAL EXAM,LMTD-PROBLEM FOCUSED",69.62,24.37,22.35,51.87,5
CDT,D0145,HC DEB SKIN BONE AT FX SITE,5434.5,1902.08,1864.03,12001.0,10
CDT,D0145,HC ORAL EVALUATION <3YRS OLD,62.12,21.75,21.31,46.28,4
CDT,D0150,comprehensive oral evaluation - new or established patient,,,46.62,46.62,1
CDT,D0160,"detailed and extensive oral evaluation - problem focused, by report",,,86.53,86.53,1
CDT,D0170,HC DEB MUSC/FASCIA 20 SQ CM/<,1333.43,466.71,457.37,3500.0,10
CDT,D0170,HC RE-EVAL LMTD/PROB FOCUSED/ESTB,64.26,22.5,20.63,47.87,5
CDT,D0171,re-evaluation – post-operative office visit,,,22.94,22.94,1
CDT,D0180,HC DEBRIDE BONE 20 SQ CM<,3509.45,1228.31,1203.74,4524.0,10
CDT,D0180,HC PERIODONTAL EXAM-COMP/NEW-ESTB,86.75,30.37,27.85,64.63,5
CDT,D0190,HC REPAIR NAIL BED,1270.17,444.56,435.67,3500.0,9
CDT,D0190,HC SCREENING OF A PATIENT,55.69,19.5,19.1,41.49,4
CDT,D0191,assessment of a patient,,,15.74,15.74,1
CDT,D0210,HC REP LAC SIM SNAETE 0-2.5CM,412.17,144.26,141.37,3500.0,9
CDT,D0210,"HC XRAY, INTRAORAL, COMPLETE",123.17,43.11,39.54,91.76,5
CDT,D0220,HC REP LAC SIM SNAETE 2.6-7.5CM,452.13,158.25,155.08,5428.0,9
CDT,D0220,"HC XRAY, PA, SINGLE",26.78,9.38,8.6,19.95,5
CDT,D0230,HC REP LAC SIM SNAETE 7.6-12.5CM,513.34,179.67,176.08,3500.0,9
CDT,D0230,"HC XRAY, PA, EA ADD",22.49,7.88,7.71,16.76,4
CDT,D0330,HC REP LAC SIM SNAETE 12.6-20.0CM,848.66,297.04,291.09,3500.0,10
CDT,D0330,"HC XRAY, PANORAMIC",104.96,36.74,33.69,78.2,5
CDT,D0350,HC ORAL/FACIAL PHOTOGRAPHIC IMAGE,66.4,23.24,21.31,49.47,5
CDT,D0350,HC REP LAC SIM SNAETE 20.1-30.0CM,747.97,261.79,256.55,3500.0,10
CDT,D0372,intraoral tomosynthesis – comprehensive series of radiographic images,,,112.33,112.33,1
CDT,D0373,intraoral tomosynthesis – bitewing radiographic image,,,44.84,44.84,1
CDT,D0374,intraoral tomosynthesis – periapical radiographic image,,,44.84,44.84,1
CDT,D0387,intraoral tomosynthesis – comprehensive series of radiographic images – image capture only,,,90.31,90.31,1
CDT,D0388,intraoral tomosynthesis – bitewing radiographic image – image capture only,,,22.66,22.66,1
CDT,D0389,intraoral tomosynthesis – periapical radiographic image – image capture only,,,22.66,22.66,1
CDT,D0411,HbA1c in-office point of service testing,,,16.95,16.95,1
CDT,D0412,blood glucose level test – in-office using a glucose meter,,,16.95,16.95,1
CDT,D0414,"laboratory processing of microbial specimen to include culture and sensitivity studies, preparation and transmission of written report",,,51.48,51.48,1
CDT,D0415,collection of microorganisms for culture and sensitivity,,,89.79,89.79,1
CDT,D0416,viral culture,,,92.0,92.0,1
CDT,D0417,collection and preparation of saliva sample for laboratory analysis,,,26.37,26.37,1
CDT,D0418,analysis of saliva sample - laboratory,,,92.3,92.3,1
CDT,D0419,assessment of salivary flow by measurement,,,96.07,96.07,1
CDT,D0422,collection and preparation of genetic sample material for laboratory analysis and report,,,16.95,16.95,1
CDT,D0425,caries susceptibility tests,,,50.86,50.86,1
CDT,D0431,"adjunctive pre-diagnostic test that aids in detection of mucosal abnormalities including premalignant and malignant lesions, not to include cytology or biopsy procedures",,,50.36,50.36,1
CDT,D0460,pulp vitality tests,,,37.04,37.04,1
CDT,D0470,HC DIAGNOSTIC CASTS,99.6,34.86,34.16,74.2,4
CDT,D0470,HC REP LAC SIM SNAETE >30 CM,747.97,261.79,211.65,3500.0,10
CDT,D0472,"accession of tissue, gross examination, preparation and transmission of written report",,,64.67,64.67,1
CDT,D0473,"accession of tissue, gross and microscopic examination, preparation and transmission of written report",,,96.07,96.07,1
CDT,D0474,"accession of tissue, gross and microscopic examination, including assessment of surgical margins for presence of disease, preparation and transmission of written report",,,120.86,120.86,1
CDT,D0476,special stains for microorganisms,,,190.01,190.01,1
CDT,D0477,"special stains, not for microorganisms",,,196.73,196.73,1
CDT,D0479,"tissue in-situ hybridization, including interpretation",,,153.75,153.75,1
CDT,D0482,direct immunofluorescence,,,69.15,69.15,1
CDT,D0483,indirect immunofluorescence,,,83.93,83.93,1
CDT,D0486,"laboratory accession of transepithelial cytologic sample, microscopic examination, preparation and transmission of written report",,,94.8,94.8,1
CDT,D0502,"other oral pathology procedures, by report",,,92.92,92.92,1
CDT,D0601,HC CARIES RISK ASSESS LOW RISK,4.28,1.5,1.47,10.03,4
CDT,D0601,HC REP LAC SIM FEENLM 0-2.5CM,350.59,122.71,120.25,5428.0,9
CDT,D0602,HC CARIES RISK ASSESS MOD RISK,4.28,1.5,1.47,10.03,4
CDT,D0602,HC REP LAC SIM FEENLM 2.6-5.0CM,350.86,122.81,120.34,5428.0,9
CDT,D0603,HC CARIES RISK ASSESS HIGH RISK,4.28,1.5,1.47,10.03,4
CDT,D0603,HC REP LAC SIM FEENLM 5.1-7.5CM,421.42,147.5,144.55,3500.0,9
CDT,D0604,"antigen testing for a public health related pathogen, including coronavirus",,,92.3,92.3,1
CDT,D0606,"molecular testing for a public health related pathogen, including coronavirus",,,182.15,182.15,1
CDT,D0801,3D intraoral surface scan – direct,,,45.38,45.38,1
CDT,D0802,3D dental surface scan – indirect,,,45.38,45.38,1
CDT,D0803,3D facial surface scan – direct,,,36.68,36.68,1
CDT,D0804,3D facial surface scan – indirect,,,36.68,36.68,1
CDT,D1110,"HC DENTAL PROPHY, ADULT",85.68,29.99,27.5,70.03,5
CDT,D1110,HC REP LAC SIM FEENLM 7.6-12.5CM,637.01,222.96,211.65,3500.0,9
CDT,D1120,"HC DENTAL PROPHY, CHILD",63.19,22.12,21.67,47.25,4
CDT,D1120,HC REP LAC SIM FEENLM 12.6-20CM,848.66,297.04,291.09,3500.0,10
CDT,D1206,topical application of fluoride varnish,,,31.92,31.92,1
CDT,D1208,HC REP LAC SIM FEENLM 20.1-30CM,646.4,226.24,221.72,3500.0,10
CDT,D1208,"HC TOPICAL FLUORIDE, APF",32.13,11.25,11.02,23.94,4
CDT,D1310,nutritional counseling for control of dental disease,,,50.97,50.97,1
CDT,D1320,tobacco counseling for the control and prevention of oral disease,,,47.87,47.87,1
CDT,D1321,"counseling for the control and prevention of adverse oral, behavioral, and systemic health effects associated with high-risk substance use",,,52.21,52.21,1
CDT,D1330,HC CATHETERIZE FOR URINE SPEC,29.7,10.4,3.0,3000.0,10
CDT,D1330,HC ORAL HYGIENE INSTRUCTION,50.34,17.62,17.27,37.5,4
CDT,D1330,HC ORAL HYGIENE INSTRUCTIONS,48.2,16.87,16.53,16.53,2
CDT,D1330,HC REP LAC SIM FEENLM >30 CM,740.67,259.24,211.65,3500.0,10
CDT,D1351,HC INTMD RPR S/A/T/EXT 2.5 CM/<,677.95,237.29,232.54,3500.0,9
CDT,D1351,HC TOPICAL SEALANT PER TOOTH,52.48,18.37,15.03,2133.0,6
CDT,D1351,HC TOPICAL SEALANTS PER TOOTH,52.48,18.37,18.0,39.1,4
CDT,D1352,Other Outpatient Services - CDT,,,43.53,43.53,1
CDT,D1353,sealant repair – per tooth,,,29.43,29.43,1
CDT,D1354,application of caries arresting medicament – per tooth,,,119.13,119.13,1
CDT,D1355,caries preventive medicament application – per tooth,,,142.53,142.53,1
CDT,D1510,"space maintainer - fixed, unilateral – per quadrant",,,200.16,200.16,1
CDT,D1516,"space maintainer - fixed - bilateral, maxillary",,,221.68,221.68,1
CDT,D1517,"space maintainer - fixed - bilateral, mandibular",,,221.68,221.68,1
CDT,D1520,"space maintainer - removable, unilateral - per quadrant",,,241.35,241.35,1
CDT,D1526,"space maintainer - removable - bilateral, maxillary",,,259.17,259.17,1
CDT,D1527,"space maintainer - removable - bilateral, mandibular",,,259.17,259.17,1
CDT,D1551,re-cement or re-bond bilateral space maintainer - maxillary,,,44.17,44.17,1
CDT,D1552,re-cement or re-bond bilateral space maintainer - mandibular,,,44.17,44.17,1
CDT,D1553,re-cement or re-bond unilateral space maintainer - per quadrant,,,44.17,44.17,1
CDT,D1556,removal of fixed unilateral space maintainer - per quadrant,,,39.96,39.96,1
CDT,D1557,removal of fixed bilateral space maintainer - maxillary,,,39.96,39.96,1
CDT,D1558,removal of fixed bilateral space maintainer - mandibular,,,39.96,39.96,1
CDT,D1575,"distal shoe space maintainer - fixed, unilateral - per quadrant",,,148.56,148.56,1
CDT,D1701,Pfizer-BioNTech Covid-19 vaccine administration – first dose,,,71.24,71.24,1
CDT,D1702,Pfizer-BioNTech Covid-19 vaccine administration – second dose,,,71.24,71.24,1
CDT,D1703,Moderna Covid-19 vaccine administration – first dose,,,71.24,71.24,1
CDT,D1704,Moderna Covid-19 vaccine administration – second dose,,,71.24,71.24,1
CDT,D1705,Other Outpatient Services - CDT,,,71.24,71.24,1
CDT,D1706,Other Outpatient Services - CDT,,,71.24,71.24,1
CDT,D1707,Other Outpatient Services - CDT,,,71.24,71.24,1
CDT,D1708,Pfizer-BioNTech Covid-19 vaccine administration – third dose,,,71.24,71.24,1
CDT,D1709,Pfizer-BioNTech Covid-19 vaccine administration – booster dose,,,71.24,71.24,1
CDT,D1710,Moderna Covid-19 vaccine administration – third dose,,,71.24,71.24,1
CDT,D1711,Moderna Covid-19 vaccine administration – booster dose,,,71.24,71.24,1
CDT,D1712,Other Outpatient Services - CDT,,,71.24,71.24,1
CDT,D1713,Pfizer-BioNTech Covid-19 vaccine administration tris-sucrose pediatric – first dose,,,71.24,71.24,1
CDT,D1714,Pfizer-BioNTech Covid-19 vaccine administration tris-sucrose pediatric – second dose,,,71.24,71.24,1
CDT,D1781,vaccine administration – human papillomavirus – Dose 1,,,93.26,93.26,1
CDT,D1782,vaccine administration – human papillomavirus – Dose 2,,,93.26,93.26,1
CDT,D1783,vaccine administration – human papillomavirus – Dose 3,,,93.26,93.26,1
CDT,D2140,"HC AMAL, ONE SURF, PERM",129.59,45.36,41.6,96.54,5
CDT,D2140,HC INTMD RPR S/A/T/EXT 2.6-7.5,711.85,249.15,244.16,3500.0,9
CDT,D2150,"HC AMAL, TWO SURF, PERM",164.93,57.73,52.94,122.87,5
CDT,D2150,HC INTMD RPR S/TR/EXT 7.6-12.5,745.75,261.02,255.79,3500.0,10
CDT,D2160,"HC AMAL, THREE SURF, PERM",200.28,70.1,64.29,149.21,5
CDT,D2160,HC INTMD RPR S/A/T/EXT 12.6-20,779.64,272.88,267.42,3500.0,10
CDT,D2161,"HC AMAL, FOUR+ SURF, PERM",236.69,82.85,75.98,176.33,5
CDT,D2161,HC INTMD RPR S/A/T/EXT 20.1-30,1336.7,467.85,458.49,3500.0,10
CDT,D2330,HC INTMD RPR N-HF/GENIT 2.5CM/<,848.66,297.04,291.09,3500.0,9
CDT,D2330,"HC RESTOR, COMPOS ONE SURF",152.08,53.23,48.82,113.3,5
CDT,D2331,HC LAC LAYR(NHFG) 2.6-7.5 CM,677.94,237.28,232.53,3500.0,9
CDT,D2331,"HC RESTOR, COMPOS TWO SURF",188.5,65.98,60.51,140.43,5
CDT,D2332,HC LAC LAYR(NHFG) 7.6-12.5 CM,1336.7,467.85,458.49,3500.0,10
CDT,D2332,"HC RESTOR, COMPOS THREE SURF",230.27,80.6,73.92,171.55,5
CDT,D2335,HC LAC LAYR FEENLM 2.5CM OR LESS,848.66,297.04,291.09,3500.0,9
CDT,D2335,HC RESTOR COMPOS INCL INCTS,290.24,101.59,93.17,216.23,5
CDT,D2390,"resin-based composite crown, anterior",,,261.82,261.82,1
CDT,D2391,HC COMPOSITE POSTERIOR 1 SURFACE,166.01,58.11,53.29,123.68,5
CDT,D2391,HC LAC LAYR FEENLM 2.6-5.0 CM,848.66,297.04,291.09,3500.0,9
CDT,D2392,HC COMPOSITE POSTERIOR 2 SURFACE,217.41,76.1,69.79,162.08,5
CDT,D2392,HC LAC LAYR FEENLM 5.1-7.5 CM,649.69,227.4,222.84,3500.0,9
CDT,D2393,HC COMPOSITE POSTERIOR 3 SURFACE,269.89,94.47,86.63,213.78,5
CDT,D2393,HC LAC LAYR FEENLM 7.6-12.5 CM,679.21,237.73,232.97,3500.0,10
CDT,D2394,"resin-based composite - four or more surfaces, posterior",,,233.01,233.01,1
CDT,D2410,gold foil - one surface,,,301.38,301.38,1
CDT,D2420,gold foil - two surfaces,,,381.88,381.88,1
CDT,D2430,gold foil - three surfaces,,,515.18,515.18,1
CDT,D2510,inlay - metallic - one surface,,,490.54,490.54,1
CDT,D2520,inlay - metallic - two surfaces,,,554.88,554.88,1
CDT,D2530,inlay - metallic - three or more surfaces,,,581.21,581.21,1
CDT,D2542,onlay - metallic - two surfaces,,,634.15,634.15,1
CDT,D2543,onlay - metallic - three surfaces,,,664.16,664.16,1
CDT,D2544,onlay - metallic - four or more surfaces,,,718.82,718.82,1
CDT,D2610,inlay - porcelain/ceramic - one surface,,,548.24,548.24,1
CDT,D2620,inlay - porcelain/ceramic - two surfaces,,,572.28,572.28,1
CDT,D2630,inlay - porcelain/ceramic - three or more surfaces,,,709.72,709.72,1
CDT,D2642,onlay - porcelain/ceramic - two surfaces,,,609.51,609.51,1
CDT,D2643,onlay - porcelain/ceramic - three surfaces,,,685.7,685.7,1
CDT,D2644,onlay - porcelain/ceramic - four or more surfaces,,,775.75,775.75,1
CDT,D2650,inlay - resin-based composite - one surface,,,462.98,462.98,1
CDT,D2651,inlay - resin-based composite - two surfaces,,,530.25,530.25,1
CDT,D2652,inlay - resin-based composite - three or more surfaces,,,662.31,662.31,1
CDT,D2662,onlay - resin-based composite - two surfaces,,,518.86,518.86,1
CDT,D2663,onlay - resin-based composite - three surfaces,,,632.9,632.9,1
CDT,D2664,onlay - resin-based composite - four or more surfaces,,,674.3,674.3,1
CDT,D2710,crown - resin-based composite (indirect),,,393.28,393.28,1
CDT,D2712,crown - ¾ resin-based composite (indirect),,,534.41,534.41,1
CDT,D2720,crown - resin with high noble metal,,,822.08,822.08,1
CDT,D2721,crown - resin with predominantly base metal,,,653.39,653.39,1
CDT,D2722,crown - resin with noble metal,,,719.4,719.4,1
CDT,D2740,"HC CROWN, PORCELAIN",551.57,193.05,177.05,827.46,5
CDT,D2740,HC LAC LAYR FEENLM 12.6-20CM,738.29,258.41,253.23,3500.0,10
CDT,D2750,"HC CROWN, PORC FULSED TO HNM",536.57,187.8,172.24,888.11,5
CDT,D2750,HC RPR COMP LAC TRUNK 1.1-2.5CM,1098.03,384.32,376.62,3500.0,10
CDT,D2751,crown - porcelain fused to predominantly base metal,,,685.7,685.7,1
CDT,D2752,HC CROWN PORC W/SP METAL,674.73,236.16,216.59,753.59,5
CDT,D2752,"HC REP COMP LAC S,A,L 1.1-2.5CM",1336.7,467.85,428.83,3500.0,10
CDT,D2753,crown - porcelain fused to titanium and titanium alloys,,,545.19,545.19,1
CDT,D2780,crown - 3/4 cast high noble metal,,,754.19,754.19,1
CDT,D2781,crown - 3/4 cast predominantly base metal,,,586.11,586.11,1
CDT,D2782,crown - 3/4 cast noble metal,,,655.06,655.06,1
CDT,D2783,crown - 3/4 porcelain/ceramic,,,791.46,791.46,1
CDT,D2790,crown - full cast high noble metal,,,787.13,787.13,1
CDT,D2791,"HC CROWN,FULL CAST NP METAL",641.53,224.54,205.93,619.67,5
CDT,D2791,"HC REP COMP LAC S,A,L 2.6-7.5CM",1336.7,467.85,428.83,5583.0,10
CDT,D2792,HC CMPLX RPR S/A/L ADDL 5 CM/>,549.02,192.16,132.05,5567.63,9
CDT,D2792,"HC CROWN, FULL CAST NM",674.73,236.16,216.59,685.7,5
CDT,D2794,crown - titanium and titanium alloys,,,685.11,685.11,1
CDT,D2799,interim crown – further treatment or completion of diagnosis necessary prior to final impression,,,261.21,261.21,1
CDT,D2910,"re-cement or re-bond inlay, onlay, veneer or partial coverage restoration",,,63.11,63.11,1
CDT,D2915,re-cement or re-bond indirectly fabricated or prefabricated post and core,,,66.03,66.03,1
CDT,D2920,HC RE COM LAC FCCMNAGHR 1.1-2.5CM,833.73,291.81,285.97,3500.0,10
CDT,D2920,HC RECEMENT CROWN,101.75,35.62,32.66,75.8,5
CDT,D2921,"reattachment of tooth fragment, incisal edge or cusp",,,60.64,60.64,1
CDT,D2928,prefabricated porcelain/ceramic crown – permanent tooth,,,335.69,335.69,1
CDT,D2929,prefabricated porcelain/ceramic crown – primary tooth,,,181.94,181.94,1
CDT,D2930,HC PREFAB STAINLESS STL CRN PRIMA,257.04,89.97,82.51,191.49,5
CDT,D2930,HC RE COM LAC FCCMNAGHR 2.6-7.5CM,1060.49,371.18,363.75,5583.0,10
CDT,D2931,HC PREFAB SS CROWN PERM TOOTH,307.38,107.59,98.67,238.41,5
CDT,D2931,HC RE COM LAC FCCMNAGHR ADDL=<5CM,731.94,256.18,172.49,8418.81,9
CDT,D2932,prefabricated resin crown,,,204.11,204.11,1
CDT,D2933,HC CMPLX RPR E/N/E/L 1.1-2.5 CM,1098.03,384.32,376.62,5583.0,10
CDT,D2933,HC PREFAB SS CRN W/RESIN WIND,341.65,119.58,109.67,254.53,5
CDT,D2934,prefabricated esthetic coated stainless steel crown - primary tooth,,,230.56,230.56,1
CDT,D2940,HC FILLINGS (SEDATIVE),107.1,37.49,34.38,79.79,5
CDT,D2940,HC REP COMP LAC ENEL 2.6-7.5 CM,1098.03,384.32,376.62,5583.0,10
CDT,D2941,Other Outpatient Services - CDT,,,63.11,63.11,1
CDT,D2949,restorative foundation for an indirect restoration,,,106.36,106.36,1
CDT,D2950,HC CROWN BUILDUP INC ANY PINS,260.25,91.09,83.54,193.89,5
CDT,D2950,HC REP COMP LAS ENEL ADDL =<5CM,1122.23,392.79,193.72,9206.12,10
CDT,D2951,"pin retention - per tooth, in addition to restoration",,,40.79,40.79,1
CDT,D2952,"post and core in addition to crown, indirectly fabricated",,,317.68,317.68,1
CDT,D2953,each additional indirectly fabricated post - same tooth,,,237.82,237.82,1
CDT,D2954,HC BURN-DRESS/DEBRIDE SM W/O ANES,374.86,131.21,128.58,3500.0,10
CDT,D2954,HC PREFAB P&C (IN ADD TO CRN),321.3,112.46,103.14,239.37,5
CDT,D2955,post removal,,,166.98,166.98,1
CDT,D2956,removal of an indirect restoration on a natural tooth,,,4344.0,4344.0,1
CDT,D2957,each additional prefabricated post - same tooth,,,137.45,137.45,1
CDT,D2960,labial veneer (resin laminate) - direct,,,316.47,316.47,1
CDT,D2961,labial veneer (resin laminate) - indirect,,,460.53,460.53,1
CDT,D2962,labial veneer (porcelain laminate) - indirect,,,611.23,611.23,1
CDT,D2971,HC BURN DRESS/DEBRIDE MED,426.09,149.14,146.15,3500.0,10
CDT,D2971,HC TEMPORARY CROWN FX TOOTH,107.1,37.49,34.38,102.05,5
CDT,D2975,coping,,,341.09,341.09,1
CDT,D2980,crown repair necessitated by restorative material failure,,,124.37,124.37,1
CDT,D2981,inlay repair necessitated by restorative material failure,,,155.94,155.94,1
CDT,D2982,onlay repair necessitated by restorative material failure,,,185.72,185.72,1
CDT,D2983,veneer repair necessitated by restorative material failure,,,179.35,179.35,1
CDT,D2989,excavation of a tooth resulting in the determination of non-restorability,,,4137.0,4137.0,1
CDT,D2990,resin infiltration of incipient smooth surface lesions,,,30.02,30.02,1
CDT,D3110,HC EXPLORE WOUND CHEST,3776.62,1321.82,1295.38,5513.0,10
CDT,D3110,"HC PULP CAP-DIRECT, EXCL RESTORTN",78.18,27.37,25.1,60.03,5
CDT,D3120,"HC EXPLORE WOUND, EXTREMITY",3450.65,1207.73,1183.57,3603.0,10
CDT,D3120,HC PULP CAP-INDIRECT EXCL RESTRN,77.11,26.99,24.75,57.45,5
CDT,D3220,"HC PULPOTOMY VITAL, EXCL RESTRTN",187.43,65.61,60.17,139.92,5
CDT,D3220,HC REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE,3507.43,1227.61,1203.05,4524.0,10
CDT,D3221,HC INTERDENTAL FIXATION,2660.56,931.2,912.57,5513.0,10
CDT,D3221,HC PULPAL DEBRIDEMENT PRIMARY,208.85,73.1,67.04,180.08,5
CDT,D3222,partial pulpotomy for apexogenesis - permanent tooth with incomplete root development,,,147.74,147.74,1
CDT,D3230,"pulpal therapy (resorbable filling) - anterior, primary tooth (excluding final restoration)",,,152.52,152.52,1
CDT,D3240,"pulpal therapy (resorbable filling) - posterior, primary tooth (excluding final restoration)",,,174.09,174.09,1
CDT,D3310,HC NASAL BONE FRCT W/O STABLZ,3306.86,1157.41,1134.25,5513.0,10
CDT,D3310,"HC ROOT CANAL, ANT EXCL RESTRTN",696.15,243.66,223.46,518.63,5
CDT,D3320,"HC CLSD RED NASAL BONE FX, W/STAB",6254.35,2189.03,2133.0,5694.51,10
CDT,D3320,"HC ROOT CANAL, BIC EXCL RESTRTN",811.82,284.14,260.59,604.81,5
CDT,D3330,"HC ROOT CANAL, MOLAR EXCL RESTRTN",978.89,342.62,314.22,729.27,5
CDT,D3330,HC TREAT MOUTH ROOF FRACTURE,7941.88,2779.66,2133.0,6479.0,10
CDT,D3331,treatment of root canal obstruction; non-surgical access,,,423.3,423.3,1
CDT,D3332,"incomplete endodontic therapy; inoperable, unrestorable or fractured tooth",,,286.44,286.44,1
CDT,D3333,internal root repair of perforation defects,,,189.16,189.16,1
CDT,D3346,HC RETREAT ROOT CANAL ANTERIOR,785.04,274.77,252.0,584.85,5
CDT,D3346,HC TREAT LOWER JAW FRACTURE,1171.03,409.87,401.66,5583.0,10
CDT,D3347,HC CLSD TRMT FX MANDIB INTERDEN,12463.9,4362.37,4236.0,18067.0,10
CDT,D3347,HC RETREAT ROOT CANAL BICUSPID,910.35,318.63,292.22,680.31,5
CDT,D3348,HC CLSD TX TMJ DISLOCATION,501.9,175.67,172.15,3500.0,10
CDT,D3348,HC RETREAT ROOT CANAL MOLAR,1074.21,375.98,344.82,838.86,5
CDT,D3351,"apexification/recalcification – initial visit (apical closure / calcific repair of perforations, root resorption, etc.)",,,251.65,251.65,1
CDT,D3352,apexification/recalcification – interim medication replacement,,,171.15,171.15,1
CDT,D3353,"apexification/recalcification - final visit (includes completed root canal therapy - apical closure/calcific repair of perforations, root resorption, etc.)",,,389.11,389.11,1
CDT,D3355,pulpal regeneration - initial visit,,,242.58,242.58,1
CDT,D3356,pulpal regeneration - interim medication replacement,,,174.09,174.09,1
CDT,D3357,pulpal regeneration - completion of treatment,,,174.09,174.09,1
CDT,D3410,HC APICOECTOMY SEP PROC EA ROOT,640.46,224.17,205.59,477.14,5
CDT,D3410,HC CLOSED TREATMENT TEMPOMANDIBULAR DISLOCATION COMPLICATED,3600.49,1260.18,1234.97,5513.0,10
CDT,D3421,apicoectomy - premolar (first root),,,535.63,535.63,1
CDT,D3425,apicoectomy - molar (first root),,,600.45,600.45,1
CDT,D3426,apicoectomy (each additional root),,,242.58,242.58,1
CDT,D3428,"bone graft in conjunction with periradicular surgery – per tooth, single site",,,219.17,219.17,1
CDT,D3429,bone graft in conjunction with periradicular surgery – each additional contiguous tooth in the same surgical site,,,213.78,213.78,1
CDT,D3430,retrograde filling - per root,,,152.52,152.52,1
CDT,D3431,biologic materials to aid in soft and osseous tissue regeneration in conjunction with periradicular surgery,,,530.25,530.25,1
CDT,D3432,"guided tissue regeneration, resorbable barrier, per site, in conjunction with periradicular surgery",,,647.24,647.24,1
CDT,D3450,root amputation - per root,,,271.37,271.37,1
CDT,D3460,endodontic endosseous implant,,,892.26,892.26,1
CDT,D3470,intentional reimplantation (including necessary splinting),,,534.41,534.41,1
CDT,D3471,surgical repair of root resorption - anterior,,,708.02,4137.0,2
CDT,D3472,surgical repair of root resorption – premolar,,,708.02,4137.0,2
CDT,D3473,surgical repair of root resorption – molar,,,708.02,4137.0,2
CDT,D3501,surgical exposure of root surface without apicoectomy or repair of root resorption – anterior,,,708.02,4137.0,2
CDT,D3502,surgical exposure of root surface without apicoectomy or repair of root resorption – premolar,,,708.02,4137.0,2
CDT,D3503,surgical exposure of root surface without apicoectomy or repair of root resorption – molar,,,708.02,4137.0,2
CDT,D3910,surgical procedure for isolation of tooth with rubber dam,,,119.44,119.44,1
CDT,D3920,"hemisection (including any root removal), not including root canal therapy",,,299.69,299.69,1
CDT,D3921,Decoronation or Submergence of An Erupted Tooth,,,247.98,4137.0,2
CDT,D3950,canal preparation and fitting of preformed dowel or post,,,141.13,141.13,1
CDT,D4210,HC GINGIVECTOMY PLASTY/QUAD,589.05,206.17,189.09,438.84,5
CDT,D4210,"HC INTERDENTAL WIRING, FOR CONDITION OTHER THAN FRACTURE",2660.75,931.27,912.64,5513.0,10
CDT,D4211,HC CLSD TRMT STERNUM FX,501.9,175.67,172.15,3500.0,10
CDT,D4211,HC GINGIVECTOMY PLAS PER TOOTH,239.9,83.97,77.01,178.73,5
CDT,D4212,"gingivectomy or gingivoplasty to allow access for restorative procedure, per tooth",,,99.73,99.73,1
CDT,D4230,anatomical crown exposure – four or more contiguous teeth or tooth bounded spaces per quadrant,,,419.73,419.73,1
CDT,D4231,anatomical crown exposure – one to three teeth or tooth bounded spaces per quadrant,,,312.3,312.3,1
CDT,D4240,HC CLOSED TX VERT FX W/O MANJ,418.0,146.3,143.37,3500.0,10
CDT,D4240,HC GINGIVAL FLAP W/ ROOT PLANING,685.44,239.91,220.03,510.65,5
CDT,D4241,"gingival flap procedure, including root planing - one to three contiguous teeth or tooth bounded spaces per quadrant",,,341.09,341.09,1
CDT,D4245,apically positioned flap,,,486.37,486.37,1
CDT,D4249,clinical crown lengthening – hard tissue,,,448.5,448.5,1
CDT,D4260,osseous surgery (including elevation of a full thickness flap and closure) – four or more contiguous teeth or tooth bounded spaces per quadrant,,,697.71,697.71,1
CDT,D4261,osseous surgery (including elevation of a full thickness flap and closure) – one to three contiguous teeth or tooth bounded spaces per quadrant,,,490.54,490.54,1
CDT,D4263,bone replacement graft – retained natural tooth – first site in quadrant,,,364.48,364.48,1
CDT,D4264,bone replacement graft – retained natural tooth – each additional site in quadrant,,,301.38,301.38,1
CDT,D4265,"biologic materials to aid in soft and osseous tissue regeneration, per site",,,188.57,188.57,1
CDT,D4266,"guided tissue regeneration, natural teeth – resorbable barrier, per site",,,500.23,500.23,1
CDT,D4267,"guided tissue regeneration, natural teeth – non-resorbable barrier, per site",,,586.59,586.59,1
CDT,D4268,"surgical revision procedure, per tooth",,,380.03,380.03,1
CDT,D4270,pedicle soft tissue graft procedure,,,520.56,520.56,1
CDT,D4273,"autogenous connective tissue graft procedure (including donor and recipient surgical sites) first tooth, implant, or edentulous tooth position in graft",,,685.11,685.11,1
CDT,D4274,HC CLSD TX FX CLAVICLE W/O MANIP,454.08,158.93,155.75,3500.0,10
CDT,D4274,HC DIS/PROX WEDGE PROC,625.46,218.92,200.77,465.97,5
CDT,D4275,"non-autogenous connective tissue graft (including recipient site and donor material) first tooth, implant, or edentulous tooth position in graft",,,569.19,569.19,1
CDT,D4276,"combined connective tissue and pedicle graft, per tooth",,,691.72,691.72,1
CDT,D4277,"free soft tissue graft procedure (including recipient and donor surgical sites) first tooth, implant or edentulous tooth position in graft",,,858.1,858.1,1
CDT,D4278,"free soft tissue graft procedure (including recipient and donor surgical sites) each additional contiguous tooth, implant or edentulous tooth position in same graft site",,,285.83,285.83,1
CDT,D4283,"autogenous connective tissue graft procedure (including donor and recipient surgical sites) – each additional contiguous tooth, implant or edentulous tooth position in same graft site",,,237.18,237.18,1
CDT,D4285,"non-autogenous connective tissue graft procedure (including recipient surgical site and donor material) – each additional contiguous tooth, implant or edentulous tooth position in same graft site",,,202.39,202.39,1
CDT,D4286,removal of non-resorbable barrier,,,120.7,4137.0,2
CDT,D4322,Splint – Intra-Coronal; Natural Teeth or Prosthetic Crowns,,,333.61,333.61,1
CDT,D4323,Splint – Extra-Coronal; Natural Teeth or Prosthetic Crowns,,,173.59,173.59,1
CDT,D4341,HC CLSD TX CLAVICLE DISLOCATION,418.0,146.3,143.37,3500.0,10
CDT,D4341,"HC SCALE, ROOT PLANE PER QUAD",240.98,84.35,77.35,194.56,5
CDT,D4342,HC AC SEPARATION,966.09,338.14,260.21,3500.0,10
CDT,D4342,HC PERIODONTAL SCALING 1-3TEETH,166.01,58.11,53.29,123.68,5
CDT,D4346,"scaling in presence of generalized moderate or severe gingival inflammation – full mouth, after oral evaluation",,,257.65,257.65,1
CDT,D4355,full mouth debridement to enable a comprehensive periodontal evaluation and diagnosis on a subsequent visit,,,105.13,105.13,1
CDT,D4381,"localized delivery of antimicrobial agents via a controlled release vehicle into diseased crevicular tissue, per tooth",,,97.28,97.28,1
CDT,D4910,HC PERIODONTAL MAINTENANCE PROC,129.59,45.36,41.6,96.54,5
CDT,D4910,HC TX SHOULDER BLADE FX W/O MANIP,521.52,182.54,178.88,3500.0,10
CDT,D4920,unscheduled dressing change (by someone other than treating dentist or their staff),,,58.82,58.82,1
CDT,D4921,gingival irrigation with a medicinal agent – per quadrant,,,28.79,28.79,1
CDT,D5110,"HC DENTURES, COMPLETE UPPER",562.28,196.8,192.86,1211.19,4
CDT,D5110,HC TREAT SHOULDER BLADE FX,3042.92,1065.03,1043.72,4524.0,10
CDT,D5120,HC CLSD TX PROX HUM FX W/O MANIP,418.0,146.3,143.37,3500.0,10
CDT,D5120,"HC DENTURES, COMPLETE LOWER",562.28,196.8,192.86,1211.19,4
CDT,D5130,"HC DENTURES, IMMEDIATE UPPER",562.28,196.8,192.86,1330.63,4
CDT,D5130,"HC TX PROX HUM FX W/MANIP, CLSD",3531.45,1236.01,1211.29,6090.0,10
CDT,D5140,HC CLSD HUMERUS FX W/O MANIP,420.85,147.3,144.35,3500.0,10
CDT,D5140,"HC DENTURES, IMMEDIATE LOWER",562.28,196.8,192.86,1330.63,4
CDT,D5211,HC CLSD TX DIS SHOULDER W/MANIP,418.0,146.3,143.37,3500.0,10
CDT,D5211,"HC UPPER PARTIAL, ACRYL BASE",562.28,196.8,192.86,863.48,4
CDT,D5212,HC CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES,2781.89,973.67,954.19,5513.0,10
CDT,D5212,"HC LOWER PARTIAL, ACRYL BASE",562.28,196.8,192.86,923.53,4
CDT,D5213,"HC PART DENT, UPPER, CAST BASE",562.28,196.8,192.86,1430.36,4
CDT,D5213,HC TX DISL SHLDR FX HUMER MAN,3155.55,1104.45,1082.35,4524.0,10
CDT,D5214,HC CLSD TREAT DSLOC/FX SHOULDER,3155.55,1104.45,1082.35,4524.0,10
CDT,D5214,"HC PART DENT, LOWER, CAST BASE",562.28,196.8,192.86,1430.36,4
CDT,D5221,"immediate maxillary partial denture - resin base (including retentive/clasping materials, rests and teeth)",,,722.34,722.34,1
CDT,D5222,"immediate mandibular partial denture - resin base (including retentive/clasping materials, rests and teeth)",,,751.11,751.11,1
CDT,D5223,"immediate maxillary partial denture - cast metal framework with resin denture bases (including retentive/clasping materials, rests and teeth)",,,1273.06,1273.06,1
CDT,D5224,"immediate mandibular partial denture - cast metal framework with resin denture bases (including retentive/clasping materials, rests and teeth)",,,1273.06,1273.06,1
CDT,D5225,"maxillary partial denture - flexible base (including retentive/clasping materials, rests, and teeth)",,,1029.87,1029.87,1
CDT,D5226,"mandibular partial denture - flexible base (including retentive/clasping materials, rests, and teeth)",,,1063.41,1063.41,1
CDT,D5227,"Immediate Maxillary Partial Denture - Flexible Base (Including Any Clasps, Rests and Teeth)",,,766.46,766.46,1
CDT,D5228,"Immediate Mandibular Partial Denture - Flexible Base (Including Any Clasps, Rests and Teeth)",,,766.46,766.46,1
CDT,D5282,"removable unilateral partial denture – one piece cast metal (including retentive/clasping materials, rests, and teeth), maxillary",,,568.58,568.58,1
CDT,D5283,"removable unilateral partial denture – one piece cast metal (including rententive/clasping materias, rests, and teeth), mandibular",,,568.58,568.58,1
CDT,D5284,"removable unilateral partial denture – one piece flexible base (including retentive/clasping materials, rests, and teeth) – per quadrant",,,568.58,568.58,1
CDT,D5286,"removable unilateral partial denture – one piece resin (including retentive/clasping materials, rests, and teeth) – per quadrant",,,568.58,568.58,1
CDT,D5410,"HC ADJUST, COMPLETE DENTURE UPR",83.54,29.24,28.65,62.24,4
CDT,D5410,HC I&D ELBOW BURSA,3354.6,1174.11,1150.63,5513.0,10
CDT,D5411,"HC ADJUST, COMPLETE DENTURE LWR",83.54,29.24,28.65,62.24,4
CDT,D5411,HC FX REDUCTION CLOSED HUMERUS,418.0,146.3,143.37,3500.0,10
CDT,D5421,"HC ADJUST, PARTIAL DENT, UPR",83.54,29.24,28.65,62.24,4
CDT,D5421,"HC TX HUM SHAFT FX W/MANIP, CLSD",3155.55,1104.45,1082.35,4524.0,10
CDT,D5422,"HC ADJUST, PARTIAL DENT, LWR",83.54,29.24,28.65,62.24,4
CDT,D5422,HC CLSD TX HUMERAL FX WO MANIP,418.0,146.3,143.37,3500.0,10
CDT,D5511,"repair broken complete denture base, mandibular",,,127.29,127.29,1
CDT,D5512,"repair broken complete denture base, maxillary",,,127.29,127.29,1
CDT,D5520,HC CLSD TX SUP/TRAN FX W/MANIP,3155.55,1104.45,1082.35,4524.0,10
CDT,D5520,HC REPLACE TEETH DENT EA TOOTH,176.72,61.86,60.61,131.66,4
CDT,D5611,"repair resin partial denture base, mandibular",,,127.29,127.29,1
CDT,D5612,"repair resin partial denture base, maxillary",,,127.29,127.29,1
CDT,D5621,"repair cast partial framework, mandibular",,,174.09,174.09,1
CDT,D5622,"repair cast partial framework, maxillary",,,174.09,174.09,1
CDT,D5630,repair or replace broken retentive clasping materials – per tooth,,,180.72,180.72,1
CDT,D5640,HC CLSD TRT HUMERUS FX W/O MANIP,501.9,175.67,172.15,3500.0,10
CDT,D5640,"HC REPLACE TEETH, PER TOOTH",175.64,61.48,60.24,140.53,4
CDT,D5650,add tooth to existing partial denture - per tooth,,,149.45,149.45,1
CDT,D5660,add clasp to existing partial denture - per tooth,,,233.01,233.01,1
CDT,D5670,replace all teeth and acrylic on cast metal framework (maxillary),,,674.94,674.94,1
CDT,D5671,replace all teeth and acrylic on cast metal framework (mandibular),,,674.94,674.94,1
CDT,D5710,HC CLSD TX HUMERAL FX W MANIP,3155.55,1104.45,1082.35,4524.0,10
CDT,D5710,HC REBASE COMPLETE UPR DENTURE,281.67,98.59,96.61,486.37,4
CDT,D5711,rebase complete mandibular denture,,,480.99,480.99,1
CDT,D5720,rebase maxillary partial denture,,,402.95,402.95,1
CDT,D5721,rebase mandibular partial denture,,,402.95,402.95,1
CDT,D5725,Rebase Hybrid Prosthesis,,,425.06,425.06,1
CDT,D5730,reline complete maxillary denture (direct),,,287.66,287.66,1
CDT,D5731,reline complete mandibular denture (direct),,,287.66,287.66,1
CDT,D5740,reline maxillary partial denture (direct),,,243.79,243.79,1
CDT,D5741,reline mandibular partial denture (direct),,,243.79,243.79,1
CDT,D5750,HC CLSD FX HUM CONDYLAR W/O MANIP,418.0,146.3,143.37,3500.0,10
CDT,D5750,"HC DENT RELINE, FULL LAB",227.05,79.47,77.88,383.71,4
CDT,D5751,HC CLSD TX HUMERUS CONDYLAR FX,3042.92,1065.03,1043.72,4524.0,10
CDT,D5751,HC RELINE LWR DENTURE LAB,227.05,79.47,77.88,383.71,4
CDT,D5760,reline maxillary partial denture (indirect),,,383.11,383.11,1
CDT,D5761,HC CLSD TX DIS ELBOW W/O ANES,472.54,165.39,162.08,3500.0,10
CDT,D5761,HC RELINE LWR PART DENTURE LAB,224.91,78.72,77.14,383.11,4
CDT,D5810,interim complete denture (maxillary),,,582.42,582.42,1
CDT,D5811,interim complete denture (mandibular),,,590.88,590.88,1
CDT,D5820,HC CLSD ELBOW DISLOCAT W/ANES,2781.89,973.67,954.19,5513.0,10
CDT,D5820,HC INTERIM PARTIAL DENTURE UPR,320.23,112.09,109.84,478.54,4
CDT,D5821,HC CLSD MONTEGGIA ELBOW FX,3420.66,1197.24,1173.29,5513.0,10
CDT,D5821,HC INTERIM PARTIAL DENTURE LWR,323.44,113.21,110.94,483.92,4
CDT,D5850,HC TISSUE CONDITIONING UPR,191.71,67.1,65.76,142.82,4
CDT,D5850,HC TREAT RADIUS FRACTURE W/O MANI,418.0,146.3,143.37,3500.0,10
CDT,D5851,"tissue conditioning, mandibular",,,123.14,123.14,1
CDT,D5862,"precision attachment, by report",,,377.71,377.71,1
CDT,D5863,overdenture – complete maxillary – natural tooth borne<br>,,,1124.69,1124.69,1
CDT,D5864,overdenture – partial maxillary – natural tooth borne,,,1145.62,1145.62,1
CDT,D5865,overdenture – complete mandibular – natural tooth borne,,,1124.69,1124.69,1
CDT,D5866,overdenture – partial mandibular – natural tooth borne,,,1145.62,1145.62,1
CDT,D5867,"replacement of replaceable part of semi-precision or precision attachment of natural tooth borne prosthesis, per attachment",,,162.08,162.08,1
CDT,D5875,modification of removable prosthesis following implant surgery,,,207.81,207.81,1
CDT,D5876,add metal substructure to acrylic complete denture – per arch,,,144.07,144.07,1
CDT,D5911,facial moulage (sectional),,,216.73,216.73,1
CDT,D5912,facial moulage (complete),,,294.29,294.29,1
CDT,D5913,nasal prosthesis,,,5169.98,5169.98,1
CDT,D5914,auricular prosthesis,,,5169.98,5169.98,1
CDT,D5915,orbital prosthesis,,,6984.06,6984.06,1
CDT,D5916,ocular prosthesis,,,5891.84,5891.84,1
CDT,D5922,nasal septal prosthesis,,,2759.14,2759.14,1
CDT,D5923,"ocular prosthesis, interim",,,3395.61,3395.61,1
CDT,D5924,cranial prosthesis,,,1146.47,1146.47,1
CDT,D5925,facial augmentation implant prosthesis,,,1789.67,1789.67,1
CDT,D5926,"nasal prosthesis, replacement",,,2122.07,2122.07,1
CDT,D5927,"auricular prosthesis, replacement",,,2122.07,2122.07,1
CDT,D5928,"orbital prosthesis, replacement",,,2864.88,2864.88,1
CDT,D5931,"obturator prosthesis, surgical",,,1937.69,1937.69,1
CDT,D5932,"obturator prosthesis, definitive",,,4211.06,4211.06,1
CDT,D5933,"obturator prosthesis, modification",,,636.45,636.45,1
CDT,D5934,mandibular guidance prosthesis with guide flange,,,4095.78,4095.78,1
CDT,D5935,mandibular guidance prosthesis without guide flange,,,3939.68,3939.68,1
CDT,D5936,"obturator prosthesis, interim",,,2228.29,2228.29,1
CDT,D5937,trismus appliance (not for TMD treatment),,,498.4,498.4,1
CDT,D5951,feeding aid,,,1352.32,1352.32,1
CDT,D5952,"speech aid prosthesis, pediatric",,,1779.13,1779.13,1
CDT,D5953,"speech aid prosthesis, adult",,,2333.41,2333.41,1
CDT,D5954,palatal augmentation prosthesis,,,4340.17,4340.17,1
CDT,D5955,"palatal lift prosthesis, definitive",,,3522.26,3522.26,1
CDT,D5958,"palatal lift prosthesis, interim",,,1612.9,1612.9,1
CDT,D5959,"palatal lift prosthesis, modification",,,509.78,509.78,1
CDT,D5960,"speech aid prosthesis, modification",,,339.86,339.86,1
CDT,D5982,surgical stent for soft tissue healing,,,307.37,307.37,1
CDT,D5983,radiation carrier,,,885.03,885.03,1
CDT,D5984,radiation shield,,,885.03,885.03,1
CDT,D5985,radiation cone locator,,,1305.99,1305.99,1
CDT,D5986,fluoride gel carrier,,,138.09,138.09,1
CDT,D5987,commissure splint,,,719.4,719.4,1
CDT,D5988,HC CLSD TREAT RADIUS FX W/MANIP,3155.55,1104.45,1082.35,4524.0,10
CDT,D5988,HC SURGICAL SPLINT,706.86,247.41,226.9,526.61,5
CDT,D5991,vesiculobullous disease medicament carrier,,,129.75,129.75,1
CDT,D5992,"adjust maxillofacial prosthetic appliance, by report",,,182.55,182.55,1
CDT,D5993,"maintenance and cleaning of a maxillofacial prosthesis (extra- or intra-oral) other than required adjustments, by report",,,322.44,322.44,1
CDT,D5995,periodontal medicament carrier with peripheral seal – laboratory processed – maxillary,,,124.37,4137.0,2
CDT,D5996,periodontal medicament carrier with peripheral seal – laboratory processed – mandibular,,,124.37,4137.0,2
CDT,D6010,HC CLSD ULNAR FX W/O MANIP,501.9,175.67,172.15,3500.0,10
CDT,D6010,HC SURG PLCMT.IMPL:ENDOSTEAL IMPL,969.26,339.25,332.46,1436.99,4
CDT,D6011,surgical access to an implant body (second stage implant surgery),,,155.46,155.46,1
CDT,D6012,surgical placement of interim implant body for transitional prosthesis: endosteal implant,,,5428.0,5428.0,1
CDT,D6013,surgical placement of mini implant,,,754.82,754.82,1
CDT,D6040,surgical placement: eposteal implant,,,5113.64,5113.64,1
CDT,D6050,surgical placement: transosteal implant,,,4009.28,4009.28,1
CDT,D6051,placement of interim implant abutment<br>,,,169.94,169.94,1
CDT,D6055,connecting bar – implant supported or abutment supported,,,1293.99,1293.99,1
CDT,D6056,prefabricated abutment – includes modification and placement,,,414.96,414.96,1
CDT,D6057,custom fabricated abutment – includes placement,,,566.89,566.89,1
CDT,D6058,abutment supported porcelain/ceramic crown,,,861.66,861.66,1
CDT,D6059,abutment supported porcelain fused to metal crown (high noble metal),,,843.01,843.01,1
CDT,D6060,abutment supported porcelain fused to metal crown (predominantly base metal),,,782.96,782.96,1
CDT,D6061,HC ABUTMENT SUPPRT PORCE/NOBLE,1285.2,449.82,440.82,957.47,4
CDT,D6061,HC CLOSED TX ULNAR FX; W/ MANIP,3155.55,1104.45,1082.35,4524.0,10
CDT,D6062,abutment supported cast metal crown (high noble metal),,,808.84,808.84,1
CDT,D6063,abutment supported cast metal crown (predominantly base metal),,,739.73,739.73,1
CDT,D6064,abutment supported cast metal crown (noble metal),,,776.99,776.99,1
CDT,D6065,HC IMPLANT SUPPORTED CROWN,1416.93,495.93,486.01,1055.61,4
CDT,D6065,HC REPAIR FOREARM TENDON/MUSCLE,5587.29,1955.56,1916.44,12001.0,10
CDT,D6066,HC FX REDUCTION CLOSED RADIUS,545.53,190.94,187.12,3500.0,10
CDT,D6066,HC IMPLANT SUPPORTED PFM CROWN,1410.51,493.68,483.8,1050.83,4
CDT,D6067,"implant supported metal crown (titanium, titanium alloy, high noble metal)",,,998.63,998.63,1
CDT,D6068,abutment supported retainer for porcelain/ceramic FPD,,,787.77,787.77,1
CDT,D6069,abutment supported retainer for porcelain fused to metal FPD (high noble metal),,,839.47,839.47,1
CDT,D6070,abutment supported retainer for porcelain fused to metal FPD (predominantly base metal),,,770.99,770.99,1
CDT,D6071,HC ABUTMENT SUPPRT RETAIN POR/NOB,1285.2,449.82,440.82,957.47,4
CDT,D6071,"HC TX RAD SHAFT FX W/MANIP, CLSD",3155.55,1104.45,1082.35,4524.0,10
CDT,D6072,abutment supported retainer for cast metal FPD (high noble metal),,,834.08,834.08,1
CDT,D6073,abutment supported retainer for cast metal FPD (predominantly base metal),,,733.12,733.12,1
CDT,D6074,abutment supported retainer for cast metal FPD (noble metal),,,752.36,752.36,1
CDT,D6075,implant supported retainer for ceramic FPD,,,861.02,861.02,1
CDT,D6076,HC CLSD TX RAD SHAFT FX,3155.55,1104.45,1082.35,4524.0,10
CDT,D6076,HC IMPLNT SUPPRT RETAIN PORC/HIGH,1481.19,518.42,508.05,1103.49,4
CDT,D6077,implant supported retainer for metal FPD - high noble alloys,,,898.89,898.89,1
CDT,D6080,HC CLSD TX ULNAR FX W/O MANIP,521.52,182.54,178.88,3500.0,10
CDT,D6080,HC IMPLNT MAINTENANCE PROCEDURES,267.75,93.72,91.84,199.47,4
CDT,D6081,"scaling and debridement of a single implant in the presence of mucositis, including inflammation, bleeding upon probing and increased pocket depths; includes cleaning of the implant surfaces, without ",,,149.45,149.45,1
CDT,D6082,implant supported crown - porcelain fused to predominantly base alloys,,,658.77,658.77,1
CDT,D6083,implant supported crown - porcelain fused to noble alloys,,,748.19,748.19,1
CDT,D6084,implant supported crown - porcelain fused to titanium and titanium alloys,,,748.19,748.19,1
CDT,D6085,interim implant crown,,,179.47,179.47,1
CDT,D6086,implant supported crown - predominantly base alloys,,,509.78,509.78,1
CDT,D6087,implant supported crown - noble alloys,,,599.2,599.2,1
CDT,D6088,implant supported crown - titanium and titanium alloys,,,569.19,569.19,1
CDT,D6089,accessing and retorquing loose implant screw - per screw,,,4137.0,4137.0,1
CDT,D6090,repair of implant/abutment supported prosthesis,,,335.69,335.69,1
CDT,D6091,"replacement of replaceable part of semi-precision or precision attachment of implant/abutment supported prosthesis, per attachment",,,366.93,366.93,1
CDT,D6092,re-cement or re-bond implant/abutment supported crown,,,90.05,90.05,1
CDT,D6093,re-cement or re-bond implant/abutment supported fixed partial denture,,,106.36,106.36,1
CDT,D6094,abutment supported crown - titanium and titanium alloys,,,710.96,710.96,1
CDT,D6095,Other Outpatient Services - CDT,,,363.25,363.25,1
CDT,D6096,remove broken implant retaining screw,,,442.53,442.53,1
CDT,D6097,abutment supported crown - porcelain fused to titanium and titanium alloys,,,566.26,566.26,1
CDT,D6098,implant supported retainer - porcelain fused to predominantly base alloys,,,1593.66,1593.66,1
CDT,D6099,implant supported retainer for FPD - porcelain fused to noble alloys,,,1629.07,1629.07,1
CDT,D6100,HC REMOVE IMPLANT BY REPORT,688.65,241.03,236.21,513.04,4
CDT,D6100,"HC TX ULNA SHAFT FX W/MANIP, CLSD",538.41,188.45,184.67,3500.0,10
CDT,D6101,"debridement of a peri-implant defect or defects surrounding a single implant, and surface cleaning of the exposed implant surfaces, including flap entry and closure",,,192.1,192.1,1
CDT,D6102,"debridement and osseous contouring of a peri-implant defect or defects surrounding a single implant and includes surface cleaning of the exposed implant surfaces, including flap entry and closure",,,335.69,335.69,1
CDT,D6103,bone graft for repair of peri-implant defect – does not include flap entry and closure,,,224.57,224.57,1
CDT,D6104,bone graft at time of implant placement,,,302.61,302.61,1
CDT,D6105,removal of implant body not requiring bone removal or flap elevation,,,144.47,4137.0,2
CDT,D6106,"guided tissue regeneration – resorbable barrier, per implant",,,573.81,4137.0,2
CDT,D6107,"guided tissue regeneration – non-resorbable barrier, per implant",,,659.94,4137.0,2
CDT,D6110,implant /abutment supported removable denture for edentulous arch – maxillary,,,1129.45,1129.45,1
CDT,D6111,implant /abutment supported removable denture for edentulous arch – mandibular,,,1129.45,1129.45,1
CDT,D6112,implant /abutment supported removable denture for partially edentulous arch – maxillary,,,1120.52,1120.52,1
CDT,D6113,implant /abutment supported removable denture for partially edentulous arch – mandibular,,,1120.52,1120.52,1
CDT,D6114,implant /abutment supported fixed denture for edentulous arch – maxillary,,,1964.76,1964.76,1
CDT,D6115,implant /abutment supported fixed denture for edentulous arch – mandibular,,,1964.76,1964.76,1
CDT,D6116,implant /abutment supported fixed denture for partially edentulous arch – maxillary,,,1507.18,1507.18,1
CDT,D6117,implant /abutment supported fixed denture for partially edentulous arch – mandibular,,,1507.18,1507.18,1
CDT,D6118,implant/abutment supported interim fixed denture for edentulous arch – mandibular,,,1754.08,1754.08,1
CDT,D6119,implant/abutment supported interim fixed denture for edentulous arch – maxillary,,,1754.08,1754.08,1
CDT,D6120,implant supported retainer – porcelain fused to titanium and titanium alloys,,,1672.93,1672.93,1
CDT,D6121,implant supported retainer for metal FPD – predominantly base alloys,,,1593.66,1593.66,1
CDT,D6122,implant supported retainer for metal FPD – noble alloys,,,1637.53,1637.53,1
CDT,D6123,implant supported retainer for metal FPD – titanium and titanium alloys,,,1681.85,1681.85,1
CDT,D6190,"radiographic/surgical implant index, by report",,,163.93,163.93,1
CDT,D6191,semi-precision abutment – placement,,,4137.0,4137.0,1
CDT,D6192,semi-precision attachment – placement,,,4137.0,4137.0,1
CDT,D6193,replacement of an implant screw,,,4344.0,4344.0,1
CDT,D6194,abutment supported retainer crown for FPD – titanium and titanium alloys,,,819.62,819.62,1
CDT,D6195,abutment supported retainer - porcelain fused to titanium and titanium alloys,,,665.39,665.39,1
CDT,D6197,"replacement of restorative material used to close an access opening of a screw-retained implant supported prosthesis, per implant",,,206.35,4137.0,2
CDT,D6198,Remove Interim Implant Component,,,206.35,4137.0,2
CDT,D6205,pontic - indirect resin based composite,,,568.11,568.11,1
CDT,D6210,HC CLOSED TREATMENT RADIAL AND ULNAR FRACTURES W/O MANIPULATION,714.95,250.24,245.23,3500.0,10
CDT,D6210,HC PONTIC-CAST HNM,1048.51,366.98,359.64,801.61,4
CDT,D6211,pontic - cast predominantly base metal,,,602.3,602.3,1
CDT,D6212,pontic - cast noble metal,,,671.85,671.85,1
CDT,D6214,pontic - titanium and titanium alloys,,,661.71,661.71,1
CDT,D6240,pontic - porcelain fused to high noble metal,,,861.02,861.02,1
CDT,D6241,pontic - porcelain fused to predominantly base metal,,,722.97,722.97,1
CDT,D6242,HC PONTIC-PORC FUSED TO NM,509.8,178.43,174.86,794.99,4
CDT,D6242,"HC TX RAD/ULN SHFT FX W/MANIP,CLS",3155.55,1104.45,1082.35,4524.0,10
CDT,D6243,pontic - porcelain fused to titanium and titanium alloys,,,569.19,569.19,1
CDT,D6245,HC BRIDGE PORCELAIN/CERAMIC,1067.79,373.73,366.25,795.5,4
CDT,D6245,HC TREAT FRACTURE RADIUS/ULNA,418.0,146.3,143.37,3500.0,10
CDT,D6250,pontic - resin with high noble metal,,,796.22,796.22,1
CDT,D6251,pontic - resin with predominantly base metal,,,595.67,595.67,1
CDT,D6252,pontic - resin with noble metal,,,726.03,726.03,1
CDT,D6253,interim pontic - further treatment or completion of diagnosis necessary prior to final  impression,,,405.88,405.88,1
CDT,D6545,retainer - cast metal for resin bonded fixed prosthesis,,,369.87,369.87,1
CDT,D6548,retainer - porcelain/ceramic for resin bonded fixed prosthesis,,,508.55,508.55,1
CDT,D6549,retainer – for resin bonded fixed prosthesis,,,284.62,284.62,1
CDT,D6600,"retainer inlay - porcelain/ceramic, two surfaces",,,592.11,592.11,1
CDT,D6601,"retainer inlay - porcelain/ceramic, three or more surfaces",,,632.9,632.9,1
CDT,D6602,"retainer inlay - cast high noble metal, two surfaces",,,614.27,614.27,1
CDT,D6603,"retainer inlay - cast high noble metal, three or more surfaces",,,639.53,639.53,1
CDT,D6604,"retainer inlay - cast predominantly base metal, two surfaces",,,589.65,589.65,1
CDT,D6605,"retainer inlay - cast predominantly base metal, three or more surfaces",,,632.9,632.9,1
CDT,D6606,"retainer inlay - cast noble metal, two surfaces",,,593.2,593.2,1
CDT,D6607,"retainer inlay - cast noble metal, three or more surfaces",,,643.7,643.7,1
CDT,D6608,"retainer onlay - porcelain/ceramic, two surfaces",,,641.83,641.83,1
CDT,D6609,"retainer onlay - porcelain/ceramic, three or more surfaces",,,683.4,683.4,1
CDT,D6610,"retainer onlay - cast high noble metal, two surfaces",,,664.16,664.16,1
CDT,D6611,"retainer onlay - cast high noble metal, three or more surfaces",,,708.02,708.02,1
CDT,D6612,"retainer onlay - cast predominantly base metal, two surfaces",,,638.3,638.3,1
CDT,D6613,"retainer onlay - cast predominantly base metal, three or more surfaces",,,689.39,689.39,1
CDT,D6614,"retainer onlay - cast noble metal, two surfaces",,,656.31,656.31,1
CDT,D6615,"retainer onlay - cast noble metal, three or more surfaces",,,697.71,697.71,1
CDT,D6624,retainer inlay - titanium,,,652.14,652.14,1
CDT,D6634,retainer onlay - titanium,,,678.47,678.47,1
CDT,D6710,retainer crown - indirect resin based composite,,,637.68,637.68,1
CDT,D6720,retainer crown - resin with high noble metal,,,819.62,819.62,1
CDT,D6721,retainer crown - resin with predominantly base metal,,,652.14,652.14,1
CDT,D6722,retainer crown - resin with noble metal,,,718.17,718.17,1
CDT,D6740,HC CROWN PORCELAIN/CERAMIC,1094.56,383.1,375.43,815.45,4
CDT,D6740,"HC TX DIST RAD FX W/MANIP, CLSD",3155.55,1104.45,1082.35,5583.0,10
CDT,D6750,HC CLSD WRIST BONE FX W/O MANIP,418.0,146.3,143.37,5428.0,10
CDT,D6750,"HC CROWN, PORCELAIN FUSED HNM",539.78,188.93,185.14,948.73,4
CDT,D6751,retainer crown - porcelain fused to predominantly base metal,,,685.11,685.11,1
CDT,D6752,HC CLSD WRIST BONE FX W/O MANIP,418.0,146.3,143.37,3500.0,10
CDT,D6752,"HC CROWN, PORCELAIN FUSED NM",674.73,236.16,231.43,814.86,4
CDT,D6753,retainer crown - porcelain fused to titanium and titanium alloys,,,569.19,569.19,1
CDT,D6780,retainer crown - 3/4 cast high noble metal,,,780.68,780.68,1
CDT,D6781,retainer crown - 3/4 cast predominantly base metal,,,674.3,674.3,1
CDT,D6782,retainer crown - 3/4 cast noble metal,,,664.75,664.75,1
CDT,D6783,retainer crown - 3/4 porcelain/ceramic,,,686.33,686.33,1
CDT,D6784,retainer crown ¾ - titanium and titanium alloys,,,470.21,470.21,1
CDT,D6790,retainer crown - full cast high noble metal,,,785.44,785.44,1
CDT,D6791,retainer crown - full cast predominantly base metal,,,619.08,619.08,1
CDT,D6792,"HC CROWN, FULL CAST NM",1002.46,350.87,343.84,746.83,4
CDT,D6792,HC TREAT WRIST BONE FRACTURE,3042.92,1065.03,1043.72,4524.0,10
CDT,D6793,interim retainer crown - further treatment or completion of diagnosis necessary prior to final impression,,,375.25,375.25,1
CDT,D6794,retainer crown - titanium and titanium alloys,,,619.67,619.67,1
CDT,D6920,connector bar,,,458.81,458.81,1
CDT,D6930,re-cement or re-bond fixed partial denture,,,85.88,85.88,1
CDT,D6940,stress breaker,,,208.4,208.4,1
CDT,D6950,precision attachment,,,351.86,351.86,1
CDT,D6980,fixed partial denture repair necessitated by restorative material failure,,,155.46,155.46,1
CDT,D6985,"pediatric partial denture, fixed",,,510.37,510.37,1
CDT,D7111,"extraction, coronal remnants – primary tooth",,,101.45,101.45,1
CDT,D7140,"HC EXTRACTION, SINGLE",160.65,56.23,46.01,2133.0,7
CDT,D7210,"extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation of mucoperiosteal flap if indicated",,,208.4,208.4,1
CDT,D7220,removal of impacted tooth - soft tissue,,,243.79,243.79,1
CDT,D7230,removal of impacted tooth - partially bony,,,5428.0,5428.0,1
CDT,D7240,removal of impacted tooth - completely bony,,,5428.0,5428.0,1
CDT,D7241,"removal of impacted tooth - completely bony, with unusual surgical complications",,,5428.0,5428.0,1
CDT,D7250,removal of residual tooth roots (cutting procedure),,,211.34,211.34,1
CDT,D7251,HC CLSD TX WRIST BONE FX,501.9,175.67,172.15,5428.0,11
CDT,D7251,HC CORONECTOMY,372.71,130.45,119.64,5428.0,5
CDT,D7252,partial extraction for immediate implant placement,,,4344.0,4344.0,1
CDT,D7259,nerve dissection,,,4344.0,4344.0,1
CDT,D7260,oroantral fistula closure,,,762.65,762.65,1
CDT,D7261,primary closure of a sinus perforation,,,545.19,545.19,1
CDT,D7270,HC TOOTH REPLANT,516.22,180.68,147.85,5428.0,7
CDT,D7272,tooth transplantation (includes reimplantation from one site to another and splinting and/or stabilization),,,524.85,524.85,1
CDT,D7280,HC CLSD TX DIS RADIO-CAR/ITERCAR,732.73,256.46,251.33,5428.0,11
CDT,D7280,"HC SURG EXPOS TOOTH, ORTHO",454.1,158.94,145.77,5428.0,5
CDT,D7282,mobilization of erupted or malpositioned tooth to aid eruption,,,341.09,341.09,1
CDT,D7283,HC CLOSED TREATMENT OF DISTAL RADIOULNAR DISLOCATION W/ MANIPULATION,539.28,188.75,184.97,3500.0,10
CDT,D7283,HC PLACE DEVICE IMPACTED TOOTH,469.1,164.19,160.9,349.48,4
CDT,D7284,excisional biopsy of minor salivary glands,,,4137.0,4137.0,1
CDT,D7285,"HC BIOPSY, ORAL HARD TISSUE",371.64,130.08,127.47,5428.0,4
CDT,D7285,HC TREAT WRIST FX CLSD W MANIP,463.54,162.24,158.99,5428.0,11
CDT,D7286,"HC BIOPSY, ORAL, SOFT TISSUE",289.17,101.21,99.19,5428.0,4
CDT,D7286,HC CLSD TREAT WRIST DISLOCATION,3420.66,1197.24,1173.29,5513.0,11
CDT,D7287,exfoliative cytological sample collection,,,5428.0,5428.0,1
CDT,D7288,brush biopsy - transepithelial sample collection,,,129.75,129.75,1
CDT,D7290,surgical repositioning of teeth,,,335.69,335.69,1
CDT,D7291,"transseptal fiberotomy/supra crestal fiberotomy, by report",,,5428.0,5428.0,1
CDT,D7292,placement of temporary anchorage device [screw retained plate] requiring flap,,,5428.0,5428.0,1
CDT,D7293,placement of temporary anchorage device requiring flap,,,5428.0,5428.0,1
CDT,D7294,placement of temporary anchorage device without flap,,,5428.0,5428.0,1
CDT,D7295,harvest of bone for use in autogenous grafting procedure,,,5428.0,5428.0,1
CDT,D7296,"corticotomy – one to three teeth or tooth spaces, per quadrant",,,340.46,340.46,1
CDT,D7297,"corticotomy – four or more teeth or tooth spaces, per quadrant",,,235.28,235.28,1
CDT,D7298,"Removal of Temporary Anchorage Device [Screw Retained Plate], Requiring Flap",,,4137.0,4137.0,1
CDT,D7299,"Removal of Temporary Anchorage Device, Requiring Flap",,,4137.0,4137.0,1
CDT,D7300,Removal of Temporary Anchorage Device Without Flap,,,4137.0,4137.0,1
CDT,D7310,HC ALVEOPLAT/QUAD W/EXTR,277.39,97.09,89.04,217.95,5
CDT,D7310,HC ARTHROTOMY W/ EXPLORATION INTERPHALANGEAL JOINT EACH,3147.88,1101.76,1079.72,6479.0,10
CDT,D7311,"alveoloplasty in conjunction with extractions - one to three teeth or tooth spaces, per quadrant",,,257.65,257.65,1
CDT,D7320,"HC ALVEOPLAS/QUAD, NO EXTR",403.77,141.32,129.61,300.81,5
CDT,D7320,HC PARTIAL REMOVAL FINGER BONE,2909.17,1018.21,997.85,5583.0,10
CDT,D7321,"alveoloplasty not in conjunction with extractions - one to three teeth or tooth spaces, per quadrant",,,379.54,379.54,1
CDT,D7340,vestibuloplasty - ridge extension (secondary epithelialization),,,801.61,801.61,1
CDT,D7350,"vestibuloplasty - ridge extension (including soft tissue grafts, muscle reattachment, revision of soft tissue attachment and management of hypertrophied and hyperplastic tissue)",,,2044.05,2044.05,1
CDT,D7410,HC RAD EXC LESION UP TO 1.25 CM,374.85,131.2,120.33,5428.0,5
CDT,D7410,HC REMOVE IMPLANT FINGER/HAND,2883.83,1009.35,989.15,5513.0,11
CDT,D7411,HC EXCISION BENIGN >1.25C,571.91,200.17,183.58,5428.0,5
CDT,D7411,HC TENDON REPAIR FLEXOR,6889.09,2411.19,2133.0,12001.0,11
CDT,D7412,"excision of benign lesion, complicated",,,5428.0,5428.0,1
CDT,D7413,excision of malignant lesion up to 1.25 cm,,,5428.0,5428.0,1
CDT,D7414,excision of malignant lesion greater than 1.25 cm,,,5428.0,5428.0,1
CDT,D7415,"excision of malignant lesion, complicated",,,5428.0,5428.0,1
CDT,D7440,excision of malignant tumor - lesion diameter up to 1.25 cm,,,5428.0,5428.0,1
CDT,D7441,excision of malignant tumor - lesion diameter greater than 1.25 cm,,,5428.0,5428.0,1
CDT,D7450,removal of benign odontogenic cyst or tumor - lesion diameter up to 1.25 cm,,,5428.0,5428.0,1
CDT,D7451,removal of benign odontogenic cyst or tumor - lesion diameter greater than 1.25 cm,,,5428.0,5428.0,1
CDT,D7460,removal of benign nonodontogenic cyst or tumor - lesion diameter up to 1.25 cm,,,5428.0,5428.0,1
CDT,D7461,removal of benign nonodontogenic cyst or tumor - lesion diameter greater than 1.25 cm,,,5428.0,5428.0,1
CDT,D7465,"destruction of lesion(s) by physical or chemical method, by report",,,5428.0,5428.0,1
CDT,D7471,removal of lateral exostosis (maxilla or mandible),,,516.39,516.39,1
CDT,D7472,removal of torus palatinus,,,630.46,630.46,1
CDT,D7473,HC REMOVAL OF TORUS MANDIVULARIS,680.09,238.04,218.31,506.67,5
CDT,D7473,HC TENDON REPAIR EXTENSOR,3013.62,1054.77,1033.67,5583.0,10
CDT,D7485,reduction of osseous tuberosity,,,491.15,491.15,1
CDT,D7490,radical resection of maxilla or mandible,,,5428.0,5428.0,1
CDT,D7509,marsupialization of odontogenic cyst,,,409.66,4137.0,2
CDT,D7510,"HC I&D ABCESS, INTRAORAL",214.2,74.97,68.76,5428.0,5
CDT,D7510,HC REPAIR FINGER TENDON,3013.62,1054.77,1033.67,6479.0,11
CDT,D7511,incision and drainage of abscess - intraoral soft tissue - complicated (includes drainage of multiple fascial spaces),,,253.96,253.96,1
CDT,D7520,HC CLSD TX METACARP FX W/O MANIP,426.61,149.32,146.33,5428.0,11
CDT,D7520,"HC I&D ABCESS, EXTRAORAL",368.42,128.95,118.26,5428.0,5
CDT,D7521,incision and drainage of abscess - extraoral soft tissue - complicated (includes drainage of multiple fascial spaces),,,559.62,559.62,1
CDT,D7530,"HC REMOVAL FB - SKIN, ETC",332.01,116.21,106.58,5428.0,5
CDT,D7530,"HC TX METACARP FX W/MANIP, CLSD",485.52,169.94,166.53,5428.0,11
CDT,D7540,"removal of reaction producing foreign bodies, musculoskeletal system",,,5428.0,5428.0,1
CDT,D7550,HC SEQUESTRECTOMY FOR OSTEO,488.38,170.94,156.77,5428.0,5
CDT,D7550,HC TX THUMB DISLOC W MANIP,418.0,146.3,143.37,5428.0,11
CDT,D7560,maxillary sinusotomy for removal of tooth fragment or foreign body,,,5428.0,5428.0,1
CDT,D7610,HC MAX OPEN REDUCT,4017.32,1406.07,1377.94,5428.0,4
CDT,D7610,HC TREAT THUMB FRACTURE,3155.55,1104.45,1082.35,5428.0,11
CDT,D7620,HC CLSD HAND DISLOCAT W/MANIP,591.66,207.09,202.94,5428.0,11
CDT,D7620,HC MAX CLOSED REDUCT,3204.43,1121.56,1099.12,5428.0,4
CDT,D7630,"mandible - open reduction (teeth immobilized, if present)",,,5428.0,5428.0,1
CDT,D7640,HC CLSD KNUCKLE DISL W/MANIP,418.0,146.3,143.37,5428.0,11
CDT,D7640,HC MAND CLOSED REDUCT,3172.3,1110.31,1088.1,5428.0,4
CDT,D7650,malar and/or zygomatic arch - open reduction,,,5428.0,5428.0,1
CDT,D7660,malar and/or zygomatic arch - closed reduction,,,5428.0,5428.0,1
CDT,D7670,"alveolus - closed reduction, may include stabilization of teeth",,,5428.0,5428.0,1
CDT,D7671,"alveolus - open reduction, may include stabilization of teeth",,,5428.0,5428.0,1
CDT,D7680,HC CLSD TX FINGER FX W/O MANIP,383.33,134.17,131.48,5428.0,11
CDT,D7680,HC FACIAL BONE COMPLICATED REDUCT,6099.35,2134.78,2092.08,5428.0,4
CDT,D7710,maxilla - open reduction,,,5428.0,5428.0,1
CDT,D7720,maxilla - closed reduction,,,5428.0,5428.0,1
CDT,D7730,mandible - open reduction,,,5428.0,5428.0,1
CDT,D7740,mandible - closed reduction,,,5428.0,5428.0,1
CDT,D7750,malar and/or zygomatic arch - open reduction,,,5428.0,5428.0,1
CDT,D7760,malar and/or zygomatic arch - closed reduction,,,5428.0,5428.0,1
CDT,D7770,alveolus - open reduction stabilization of teeth,,,5428.0,5428.0,1
CDT,D7771,"alveolus, closed reduction stabilization of teeth",,,5428.0,5428.0,1
CDT,D7780,facial bones - complicated reduction with fixation and multiple approaches,,,5428.0,5428.0,1
CDT,D7810,open reduction of dislocation,,,5428.0,5428.0,1
CDT,D7820,closed reduction of dislocation,,,5428.0,5428.0,1
CDT,D7830,manipulation under anesthesia,,,5428.0,5428.0,1
CDT,D7840,condylectomy,,,5428.0,5428.0,1
CDT,D7850,"surgical discectomy, with/without implant",,,5428.0,5428.0,1
CDT,D7852,disc repair,,,5428.0,5428.0,1
CDT,D7854,synovectomy,,,5428.0,5428.0,1
CDT,D7856,myotomy,,,5428.0,5428.0,1
CDT,D7858,joint reconstruction,,,5428.0,5428.0,1
CDT,D7860,arthrotomy,,,5428.0,5428.0,1
CDT,D7865,arthroplasty,,,5428.0,5428.0,1
CDT,D7870,arthrocentesis,,,5428.0,5428.0,1
CDT,D7871,non-arthroscopic lysis and lavage,,,5428.0,5428.0,1
CDT,D7872,"arthroscopy - diagnosis, with or without biopsy",,,5428.0,5428.0,1
CDT,D7873,arthroscopy: lavage and lysis of adhesions,,,5428.0,5428.0,1
CDT,D7874,arthroscopy: disc repositioning and stabilization,,,5428.0,5428.0,1
CDT,D7875,arthroscopy: synovectomy,,,5428.0,5428.0,1
CDT,D7876,arthroscopy: discectomy,,,5428.0,5428.0,1
CDT,D7877,arthroscopy: debridement,,,5428.0,5428.0,1
CDT,D7880,"occlusal orthotic device, by report",,,709.72,709.72,1
CDT,D7881,occlusal orthotic device adjustment,,,211.34,211.34,1
CDT,D7910,HC SUTURE WOUND < 5CM,283.82,99.34,81.29,5428.0,6
CDT,D7911,complicated suture - up to 5 cm,,,5428.0,5428.0,1
CDT,D7912,complicated suture - greater than 5 cm,,,5428.0,5428.0,1
CDT,D7920,"skin graft (identify defect covered, location and type of graft)",,,5428.0,5428.0,1
CDT,D7921,collection and application of autologous blood concentrate product,,,163.93,163.93,1
CDT,D7922,"placement of intra-socket biological dressing to aid in hemostasis or clot stabilization, per site",,,187.32,187.32,1
CDT,D7939,indexing for osteotomy using dynamic robotic assisted or dynamic navigation,,,4137.0,4137.0,1
CDT,D7940,osteoplasty - for orthognathic deformities,,,5428.0,5428.0,1
CDT,D7941,osteotomy - mandibular rami,,,5428.0,5428.0,1
CDT,D7943,osteotomy - mandibular rami with bone graft; includes obtaining the graft,,,5428.0,5428.0,1
CDT,D7944,osteotomy - segmented or subapical,,,5428.0,5428.0,1
CDT,D7945,osteotomy - body of mandible,,,5428.0,5428.0,1
CDT,D7946,LeFort I (maxilla - total),,,5428.0,5428.0,1
CDT,D7947,LeFort I (maxilla - segmented),,,5428.0,5428.0,1
CDT,D7948,LeFort II or LeFort III (osteoplasty of facial bones for midface hypoplasia or retrusion) - without bone graft,,,5428.0,5428.0,1
CDT,D7949,LeFort II or LeFort III - with bone graft,,,5428.0,5428.0,1
CDT,D7950,HC SINUS LIFT PROCEDURE,2484.72,869.66,797.6,5428.0,5
CDT,D7950,"HC TREAT FINGER FRACTURE, EACH",418.0,146.3,143.37,5428.0,11
CDT,D7951,sinus augmentation with bone or bone substitutes via a lateral open approach,,,5428.0,5428.0,1
CDT,D7952,sinus augmentation via a vertical approach,,,1499.32,1499.32,1
CDT,D7953,HC BONE REPLACEMENT GRAFT,481.95,168.69,165.31,823.79,4
CDT,D7953,HC CLSD TRMT FINGER FX W/MANIP EA,3155.55,1104.45,1082.35,4524.0,10
CDT,D7955,repair of maxillofacial soft and/or hard tissue defect,,,5428.0,5428.0,1
CDT,D7956,"guided tissue regeneration, edentulous area – resorbable barrier, per site",,,759.9,4137.0,2
CDT,D7957,"guided tissue regeneration, edentulous area – non-resorbable barrier, per site",,,874.69,4137.0,2
CDT,D7961,buccal / labial frenectomy (frenulectomy),,,332.0,4137.0,2
CDT,D7962,lingual frenectomy (frenulectomy),,,386.64,4137.0,2
CDT,D7963,frenuloplasty,,,393.28,393.28,1
CDT,D7970,excision of hyperplastic tissue - per arch,,,419.73,419.73,1
CDT,D7971,excision of pericoronal gingiva,,,5428.0,5428.0,1
CDT,D7972,surgical reduction of fibrous tuberosity,,,549.95,549.95,1
CDT,D7979,non – surgical sialolithotomy,,,192.1,192.1,1
CDT,D7980,surgical sialolithotomy,,,5428.0,5428.0,1
CDT,D7981,"excision of salivary gland, by report",,,5428.0,5428.0,1
CDT,D7982,sialodochoplasty,,,5428.0,5428.0,1
CDT,D7983,closure of salivary fistula,,,5428.0,5428.0,1
CDT,D7990,emergency tracheotomy,,,5428.0,5428.0,1
CDT,D7991,coronoidectomy,,,5428.0,5428.0,1
CDT,D7993,surgical placement of craniofacial implant – extra oral,,,3034.82,4137.0,2
CDT,D7994,surgical placement: zygomatic implant,,,3034.82,4137.0,2
CDT,D7995,"synthetic graft - mandible or facial bones, by report",,,5428.0,5428.0,1
CDT,D7996,"implant-mandible for augmentation purposes (excluding alveolar ridge), by report",,,5428.0,5428.0,1
CDT,D7997,HC APPLIANCE REMOVAL,281.67,98.59,96.61,5428.0,4
CDT,D7997,HC CLSD TX FX DIST PHAL W/O MANIP,501.9,175.67,172.15,5428.0,11
CDT,D7998,intraoral placement of a fixation device not in conjunction with a fracture,,,1426.68,1426.68,1
CDT,D8010,limited orthodontic treatment of the primary dentition,,,906.54,906.54,1
CDT,D8020,limited orthodontic treatment of the transitional dentition,,,1071.08,1071.08,1
CDT,D8030,limited orthodontic treatment of the adolescent dentition,,,1441.47,1441.47,1
CDT,D8040,limited orthodontic treatment of the adult dentition,,,1400.26,1400.26,1
CDT,D8070,comprehensive orthodontic treatment of the transitional dentition,,,4490.65,4490.65,1
CDT,D8080,comprehensive orthodontic treatment of the adolescent dentition,,,3748.13,3748.13,1
CDT,D8090,comprehensive orthodontic treatment of the adult dentition,,,3913.4,3913.4,1
CDT,D8210,removable appliance therapy,,,490.14,490.14,1
CDT,D8220,fixed appliance therapy,,,588.37,588.37,1
CDT,D8660,pre-orthodontic treatment examination to monitor growth and development,,,148.56,148.56,1
CDT,D8670,periodic orthodontic treatment visit,,,110.6,110.6,1
CDT,D8680,HC CLSD FINGER FX W/MANIP,418.0,146.3,143.37,5428.0,10
CDT,D8680,HC ORTHODONTIC RETENTION,481.95,168.69,165.31,359.05,4
CDT,D8681,removable orthodontic retainer adjustment,,,134.46,134.46,1
CDT,D8695,removal of fixed orthodontic appliances for reasons other than completion of treatment,,,164.52,164.52,1
CDT,D8696,repair of orthodontic appliance – maxillary,,,134.46,134.46,1
CDT,D8697,repair of orthodontic appliance – mandibular,,,134.46,134.46,1
CDT,D8698,re-cement or re-bond fixed retainer – maxillary,,,140.04,140.04,1
CDT,D8699,re-cement or re-bond fixed retainer – mandibular,,,140.04,140.04,1
CDT,D8701,"repair of fixed retainer, includes reattachment – maxillary",,,205.71,205.71,1
CDT,D8702,"repair of fixed retainer, includes reattachment – mandibular",,,205.71,205.71,1
CDT,D8703,replacement of lost or broken retainer – maxillary,,,210.06,210.06,1
CDT,D8704,replacement of lost or broken retainer – mandibular,,,210.06,210.06,1
CDT,D9110,HC OPEN DISTL PHALNGL FX INC INTRNL FIX EACH,6889.09,2411.19,2133.0,12001.0,10
CDT,D9110,HC PALLIATIVE TREATMENT,113.53,39.74,38.94,84.58,4
CDT,D9120,fixed partial denture sectioning,,,109.98,109.98,1
CDT,D9130,temporomandibular joint dysfunction – non-invasive physical therapies,,,12.25,12.25,1
CDT,D9210,HC ANESTHESIA LOCAL,66.4,23.24,22.78,49.47,4
CDT,D9210,HC CLS RED INTERPHALAN DIS W/MAN,480.73,168.26,164.89,5428.0,10
CDT,D9211,HC CLSD TX ACETABULUM FX W/O MANI,953.04,333.57,260.21,5428.0,10
CDT,D9211,HC REGIONAL BLOCK DENTAL,92.11,32.24,26.38,2133.0,8
CDT,D9211,HC REMOVE CONTRACEPTIVE CAPSULES,1497.44,524.11,513.62,1216.26,6
CDT,D9212,trigeminal division block anesthesia,,,108.75,108.75,1
CDT,D9215,local anesthesia in conjunction with operative or surgical procedures,,,25.24,25.24,1
CDT,D9219,"evaluation for moderate sedation, deep sedation or general anesthesia",,,81.66,81.66,1
CDT,D9222,"administration of deep sedation/general anesthesia – first 15 minute increment, or any portion thereof",,,121.1,121.1,1
CDT,D9223,"administration of deep sedation/general anesthesia – each subsequent 15 minute increment, or any portion thereof",,,121.1,121.1,1
CDT,D9230,"HC CLSD TX OF INTERPHALANGEAL JOINT DISLOCATION, SINGLE, W/MANIPULATION, REQUIRING ANESTHESIA",1428.96,500.14,295.04,5428.0,10
CDT,D9230,HC NITROUS OXIDE,63.19,22.12,21.67,47.08,4
CDT,D9239,"administration of moderate sedation – intravenous – first 15 minute increment, or any portion thereof",,,121.1,121.1,1
CDT,D9243,"administration of moderate sedation – intravenous – each subsequent 15 minute increment, or any portion thereof",,,121.1,121.1,1
CDT,D9248,HC AMPUTATION OF FINGER/THUMB,6183.36,2164.18,2120.89,12001.0,10
CDT,D9248,HC NONINTRAVEN CONSCIOUS SEDATION,284.89,99.72,97.72,212.24,4
CDT,D9310,consultation - diagnostic service provided by dentist or physician other than requesting dentist or physician,,,76.83,76.83,1
CDT,D9311,consultation with a medical health care professional,,,36.87,36.87,1
CDT,D9410,house/extended care facility call,,,119.13,119.13,1
CDT,D9420,hospital or ambulatory surgical center call,,,144.39,144.39,1
CDT,D9430,office visit for observation (during regularly scheduled hours) - no other services performed,,,24.01,24.01,1
CDT,D9440,office visit - after regularly scheduled hours,,,74.34,74.34,1
CDT,D9450,"case presentation, subsequent to detailed and extensive treatment planning",,,59.65,59.65,1
CDT,D9610,"therapeutic parenteral drug, single administration",,,20.29,20.29,1
CDT,D9612,"therapeutic parenteral drugs, two or more administrations, different medications",,,50.97,50.97,1
CDT,D9613,"infiltration of sustained release therapeutic drug, per quadrant",,,16.59,16.59,1
CDT,D9630,drugs or medicaments dispensed in the office for home use,,,10.4,10.4,1
CDT,D9910,HC AMPUTATION FINGER OR THUMB WITH LOCAL ADVANCEMENT FLAP,6183.8,2164.33,2121.04,12001.0,10
CDT,D9910,HC DENT APPL DESENSITIZING MED,54.62,19.12,18.73,40.69,4
CDT,D9911,"application of desensitizing resin for cervical and/or root surface, per tooth",,,39.36,39.36,1
CDT,D9912,Pre-Visit Patient Screening,,,13.36,13.36,1
CDT,D9920,"behavior management, by report",,,32.54,32.54,1
CDT,D9930,"treatment of complications (post-surgical) - unusual circumstances, by report",,,35.02,35.02,1
CDT,D9932,"cleaning and inspection of removable complete denture, maxillary",,,16.59,16.59,1
CDT,D9933,"cleaning and inspection of removable complete denture, mandibular",,,16.59,16.59,1
CDT,D9934,"cleaning and inspection of removable partial denture, maxillary",,,16.59,16.59,1
CDT,D9935,"cleaning and inspection of removable partial denture, mandibular",,,16.59,16.59,1
CDT,D9941,fabrication of athletic mouthguard,,,97.61,97.61,1
CDT,D9942,repair and/or reline of occlusal guard,,,114.79,114.79,1
CDT,D9943,occlusal guard adjustment,,,65.07,65.07,1
CDT,D9944,"occlusal guard – hard appliance, full arch",,,175.66,175.66,1
CDT,D9945,"occlusal guard – soft appliance, full arch",,,144.39,144.39,1
CDT,D9946,"occlusal guard – hard appliance, partial arch",,,132.6,132.6,1
CDT,D9947,Custom Sleep Apnea Appliance Fabrication and Placement,,,170.89,170.89,1
CDT,D9948,Adjustment of Custom Sleep Apnea Appliance,,,85.15,85.15,1
CDT,D9949,Repair of Custom Sleep Apnea Appliance,,,4137.0,4137.0,1
CDT,D9950,occlusion analysis - mounted case,,,158.49,158.49,1
CDT,D9951,occlusal adjustment - limited,,,79.16,79.16,1
CDT,D9952,occlusal adjustment - complete,,,297.28,297.28,1
CDT,D9953,reline custom sleep apnea appliance (indirect),,,85.15,85.15,1
CDT,D9961,duplicate/copy patient's records,,,39.96,39.96,1
CDT,D9970,HC CLSD TX PELVIC RING FX W/O MANIPULATION,466.02,163.11,159.84,3500.0,10
CDT,D9970,HC ENAMEL MICROABRASION,188.5,65.98,64.66,140.43,4
CDT,D9971,odontoplasty - per tooth,,,82.88,82.88,1
CDT,D9972,external bleaching - per arch - performed in office,,,189.76,189.76,1
CDT,D9973,external bleaching - per tooth,,,100.69,100.69,1
CDT,D9974,HC CLSD TX PELVIC RING FX W/MANIPULATION W/ANES,466.02,163.11,159.84,3500.0,10
CDT,D9974,HC INTL BLEACHI PER TOOTH,267.75,93.72,91.84,199.47,4
CDT,D9975,"external bleaching for home application, per arch; includes materials and fabrication of custom trays",,,98.83,98.83,1
CDT,D9990,certified translation or sign-language services – per visit,,,20.29,20.29,1
CDT,D9991,dental case management - addressing appointment compliance barriers,,,10.4,10.4,1
CDT,D9992,dental case management - care coordination,,,20.29,20.29,1
CDT,D9993,dental case management - motivational interviewing,,,10.4,10.4,1
CDT,D9994,dental case management - patient education to improve oral health literacy,,,10.4,10.4,1
CDT,D9995,teledentistry – synchronous; real-time encounter,,,34.05,34.05,1
CDT,D9996,teledentistry – asynchronous; information stored and forwarded to dentist for subsequent review,,,27.32,27.32,1
CDT,D9997,dental case management - patients with special health care needs,,,34.05,34.05,1
CPT,0001F,HEART FAILURE COMPOSITE,,,0.02,0.02,1
CPT,0001U,HC ARC XHEA LICENSED RBC PANEL,1201.2,420.42,412.01,2517.77,9
CPT,0001U,HC RED BLOOD CELL ANTIGEN GENOTYPING ARUP 3001053,768.0,268.8,263.42,2517.77,9
CPT,0002M,LIVER DIS 10 ASSAYS W/ASH,,,503.4,1760.34,6
CPT,0002U,ONC CLRCT 3 UR METAB ALG PLP,,,25.0,87.42,7
CPT,0003M,LIVER DIS 10 ASSAYS W/NASH,,,503.4,1760.34,6
CPT,0003U,ONC OVAR 5 PRTN SER ALG SCOR,,,950.0,3322.06,7
CPT,0004M,SCOLIOSIS DNA ALYS,,,79.0,276.26,6
CPT,0005F,OSTEOARTHRITIS COMPOSITE,,,0.02,0.02,1
CPT,0005U,ONCO PRST8 3 GENE UR ALG,,,760.0,2657.64,7
CPT,0006M,ONC HEP GENE RISK CLASSIFIER,,,150.0,524.54,6
CPT,0007M,ONC GASTRO 51 GENE NOMOGRAM,,,375.0,1311.34,6
CPT,0007U,RX TEST PRSMV UR W/DEF CONF,,,114.43,400.14,7
CPT,0008U,HPYLORI DETCJ ABX RSTNC DNA,,,597.91,2090.83,7
CPT,0009U,ONC BRST CA ERBB2 AMP/NONAMP,,,107.0,374.17,7
CPT,0010U,NFCT DS STRN TYP WHL GEN SEQ,,,427.26,1494.09,7
CPT,0011M,ONC PRST8 CA MRNA 12 GEN ALG,,,760.0,2657.64,7
CPT,0011U,RX MNTR LC-MS/MS ORAL FLUID,,,114.43,400.14,7
CPT,0012F,CAP BACTERIAL ASSESS,,,0.02,0.02,1
CPT,0012M,ONC MRNA 5 GEN RSK URTHL CA,,,760.0,2657.64,7
CPT,0013M,ONC MRNA 5 GEN RECR URTHL CA,,,760.0,2657.64,7
CPT,0014F,COMP PREOP ASSESS CAT SURG,,,0.02,0.02,1
CPT,0014M,Laboratory,,,616.13,616.13,1
CPT,0014M,Outpatient Services,,,176.19,286.87,4
CPT,0015F,MELAN FOLLOW-UP COMPLETE,,,0.02,0.02,1
CPT,0015M,ADRNL CORTCL TUM BCHM ASY 25,,,1305.37,4564.74,7
CPT,0016M,ONC BLADDER MRNA 219 GEN ALG,,,3489.63,12202.89,7
CPT,0016U,ONC HMTLMF NEO RNA BCR/ABL1,,,163.96,573.36,7
CPT,0017M,ONC DLBCL MRNA 20 GENES ALG,,,2510.21,8777.95,7
CPT,0017U,ONC HMTLMF NEO JAK2 MUT DNA,,,91.66,320.52,7
CPT,0018M,TRNSPLJ RNL MEAS CD154+CLL,,,640.73,2240.58,7
CPT,0018U,ONC THYR 10 MICRORNA SEQ ALG,,,3002.09,10498.01,7
CPT,0019M,CV DS PLASMA ALYS PRTN BMRK,,,712.4,1159.93,4
CPT,0019U,ONC RNA TISS PREDICT ALG,,,3675.0,12851.11,7
CPT,0020M,ONC CNS ALYS 30000 DNA LOCI,,,2500.0,4070.5,4
CPT,0021U,ONC PRST8 DETCJ 8 AUTOANTB,,,760.0,2657.64,7
CPT,0022U,TGSAP NSM LUNG NEO DNA&RNA23,,,1950.0,3174.99,5
CPT,0023U,ONC AML DNA DETCJ/NONDETCJ,,,248.51,869.01,7
CPT,0024U,GLYCA NUC MR SPECTRSC QUAN,,,34.19,119.57,7
CPT,0025U,TENOFOVIR LIQ CHROM UR QUAN,,,85.77,299.93,7
CPT,0026U,ONC THYR DNA&MRNA 112 GENES,,,3600.0,12588.84,7
CPT,0027U,JAK2 GENE TRGT SEQ ALYS,,,121.91,426.3,7
CPT,0029U,RX METAB ADVRS TRGT SEQ ALYS,,,742.27,2595.63,7
CPT,0030U,RX METAB WARF TRGT SEQ ALYS,,,134.13,469.03,7
CPT,0031A,Outpatient Services,,,42.87,69.8,4
CPT,0031U,CYP1A2 GENE,,,174.81,611.28,7
CPT,0032U,COMT GENE,,,174.81,611.28,7
CPT,0033U,Laboratory,,,349.62,1222.59,2
CPT,0033U,Other Outpatient Services - CPT/HCPCS,,,500.84,500.84,1
CPT,0033U,Outpatient Services,,,349.62,569.25,4
CPT,0034A,Outpatient Services,,,42.87,69.8,4
CPT,0034U,TPMT NUDT15 GENES,,,466.17,1630.15,7
CPT,0035U,"HC REFLEX PRION MARKERS, RT-QUIC BILL ARUP 3019868",1843.17,645.11,540.99,1891.79,10
CPT,0036U,XOME TUM & NML SPEC SEQ ALYS,,,4780.0,16715.18,7
CPT,0037U,TRGT GEN SEQ DNA 324 GENES,,,3500.0,12239.15,7
CPT,0038U,VITAMIN D SRM MICROSAMP QUAN,,,29.6,103.5,7
CPT,0039U,DNA ANTB 2STRAND HI AVIDITY,,,13.74,48.04,7
CPT,0040U,BCR/ABL1 GENE MAJOR BP QUAN,,,409.9,1433.37,7
CPT,0041U,B BRGDRFERI ANTB 5 PRTN IGM,,,17.21,60.18,7
CPT,0042T,HC CT BRAIN W IV CONTST PERFUSION,2377.57,832.15,278.55,1813.0,6
CPT,0042U,B BRGDRFERI ANTB 12 PRTN IGG,,,17.21,60.18,7
CPT,0043U,TBRF B GRP ANTB 4 PRTN IGM,,,14.86,51.97,7
CPT,0044U,TBRF B GRP ANTB 4 PRTN IGG,,,14.86,51.97,7
CPT,0045U,ONC BRST DUX CARC IS 12 GENE,,,3873.0,13543.49,7
CPT,0046U,FLT3 GENE ITD VARIANTS QUAN,,,407.43,1424.73,7
CPT,0047U,ONC PRST8 MRNA 17 GENE ALG,,,3873.0,13543.49,7
CPT,0048U,ONC SLD ORG NEO DNA 468 GENE,,,2919.6,10209.55,7
CPT,0049U,NPM1 GENE ANALYSIS QUAN,,,407.43,1424.73,7
CPT,0050U,TRGT GEN SEQ DNA 194 GENES,,,2916.6,10199.05,7
CPT,0051U,RX MNTR LC-MS/MS UR/BLD 31,,,193.71,677.39,7
CPT,0052U,LPOPRTN BLD W/5 MAJ CLASSES,,,33.86,118.41,7
CPT,0054T,BONE SRGRY CMPTR FLUOR IMAGE,,,2444.0,3000.0,2
CPT,0054U,RX MNTR 14+ DRUGS & SBSTS,,,148.96,520.91,7
CPT,0055T,BONE SRGRY CMPTR CT/MRI IMAG,,,2444.0,3000.0,2
CPT,0055U,CARD HRT TRNSPL 96 DNA SEQ,,,3240.0,11329.96,7
CPT,0058U,HC ANTI MERKEL CELL PANEL ARUP TO WASH MED CTR AMERK,1891.89,662.17,322.96,1129.37,10
CPT,0059U,ONC MERKEL CLL CARC SRM +/-,,,322.96,1129.37,7
CPT,0060U,TWN ZYG GEN SEQ ALYS CHRMS2,,,759.05,2654.32,7
CPT,0061U,TC MEAS 5 BMRK SFDI M-S ALYS,,,25.1,87.78,7
CPT,0062U,AI SLE IGG&IGM ALYS 80 BMRK,,,380.72,1331.35,7
CPT,0063U,NEURO AUTISM 32 AMINES ALG,,,750.0,2622.68,7
CPT,0064U,ANTB TP TOTAL&RPR IA QUAL,,,31.33,109.56,7
CPT,0065U,SYFLS TST NONTREPONEMAL ANTB,,,18.09,63.26,7
CPT,0066U,Laboratory,,,53.46,53.46,1
CPT,0066U,Outpatient Services,,,15.29,24.9,4
CPT,0067U,ONC BRST IMHCHEM PRFL 4 BMRK,,,1897.0,6633.62,7
CPT,0068U,CANDIDA SPECIES PNL AMP PRB,,,142.63,498.77,7
CPT,0069U,ONC CLRCT MICRORNA MIR-31-3P,,,380.0,1328.82,7
CPT,0070U,CYP2D6 GEN COM&SLCT RAR VRNT,,,676.37,2365.19,7
CPT,0071T,US LEIOMYOMATA ABLATE <200,,,3414.79,21649.0,7
CPT,0071U,CYP2D6 FULL GENE SEQUENCE,,,600.0,2098.14,7
CPT,0072T,FCSD US ABLTJ LEIOMYOM>=200,,,3414.79,21649.0,7
CPT,0072U,CYP2D6 GEN CYP2D6-2D7 HYBRID,,,450.91,1576.78,7
CPT,0073U,CYP2D6 GEN CYP2D7-2D6 HYBRID,,,450.91,1576.78,7
CPT,0074U,CYP2D6 NONDUPLICATED GENE,,,450.91,1576.78,7
CPT,0075T,PERQ STENT/CHEST VERT ART,,,4344.0,12001.0,3
CPT,0075U,CYP2D6 5' GENE DUP/MLT,,,450.91,1576.78,7
CPT,0076T,S&I STENT/CHEST VERT ART,,,4344.0,12001.0,3
CPT,0076U,CYP2D6 3' GENE DUP/MLT,,,450.91,1576.78,7
CPT,0077U,IG PARAPROTEIN QUAL BLD/UR,,,43.43,151.86,7
CPT,0078U,Laboratory,,,450.91,1576.78,2
CPT,0078U,Other Outpatient Services - CPT/HCPCS,,,645.92,645.92,1
CPT,0078U,Outpatient Services,,,450.91,734.17,4
CPT,0080U,ONC LNG 5 CLIN RSK FACTR ALG,,,3520.0,12309.09,7
CPT,0082U,RX TEST DEF 90+ RX/SBSTS UR,,,246.92,863.45,7
CPT,0083U,ONC RSPSE CHEMO CNTRST TOMOG,,,167.35,585.2,7
CPT,0084U,RBC DNA GNOTYP 10 BLD GROUPS,,,720.0,2517.77,7
CPT,0086U,NFCT DS BACT&FNG ORG ID 6+,,,200.0,699.38,7
CPT,0087U,CRD HRT TRNSPL MRNA 1283 GEN,,,3159.42,11048.18,7
CPT,0088U,TRNSPLJ KDN ALGRFT REJ 1494,,,3159.42,11048.18,7
CPT,0089U,ONC MLNMA PRAME & LINC00518,,,760.0,2657.64,7
CPT,0090U,ONC CUTAN MLNMA MRNA 23 GENE,,,1950.0,6137.06,7
CPT,0092U,ONC LNG 3 PRTN BMRK PLSM ALG,,,2488.0,8700.29,7
CPT,0093U,RX MNTR 65 COM DRUGS URINE,,,62.14,217.29,7
CPT,0094U,GENOME RAPID SEQUENCE ALYS,,,7582.2,26514.19,7
CPT,0095T,RMVL ARTIFIC DISC ADDL CRVCL,,,3000.0,22625.0,2
CPT,0095U,EE 2 PRTN BMRK MBP ELISA EST,,,771.98,2699.53,7
CPT,0096U,HPV HI RISK TYPES MALE URINE,,,35.09,122.71,7
CPT,0098T,REV ARTIFIC DISC ADDL,,,3000.0,22625.0,2
CPT,0100T,PROSTH RETINA RECEIVE&GEN,,,11244.0,52872.0,4
CPT,0101T,ESW MUSCSKEL SYS NOS,,,260.21,21649.0,8
CPT,0101U,HERED COLON CA DO 15 GENES,,,1743.95,6098.43,7
CPT,0102T,ESW PHY ANES LAT HMRL EPCNDL,,,3451.58,21649.0,8
CPT,0102U,HERED BRST CA RLTD DO 17 GEN,,,1303.95,4559.79,7
CPT,0103U,HERED OVA CA PNL 24 GENES,,,1743.95,6098.43,7
CPT,0105U,NEPH CKD MULT ECLIA TUM NEC,,,950.0,3322.06,7
CPT,0106T,TOUCH QUANT SENSORY TEST,,,39.4,71.48,5
CPT,0106U,GSTR EMPTG 7 TIMED BRTH SPEC,,,874.49,3058.01,7
CPT,0107T,VIBRATE QUANT SENSORY TEST,,,39.4,64.15,5
CPT,0107U,C DIFF TOX AG DETCJ IA STOOL,,,16.0,55.95,7
CPT,0108T,COOL QUANT SENSORY TEST,,,57.97,101.32,5
CPT,0108U,GI BARRETT ESOPH 9 PRTN BMRK,,,2513.25,17309.66,7
CPT,0109T,HEAT QUANT SENSORY TEST,,,39.4,64.15,5
CPT,0109U,ID ASPERGILLUS DNA 4 SPECIES,,,142.63,498.77,7
CPT,0110T,NOS QUANT SENSORY TEST,,,71.48,228.52,5
CPT,0110U,RX MNTR 1+ORAL ONC RX&SBSTS,,,27.11,94.81,7
CPT,0111U,ONC COLON CA KRAS&NRAS ALYS,,,682.29,2385.9,7
CPT,0112U,IADI 16S&18S RRNA GENES,,,356.13,1245.35,7
CPT,0113U,ONC PRST8 PCA3&TMPRSS2-ERG,,,760.0,2657.64,7
CPT,0114U,GI BARRETTS ESOPH VIM&CCNA1,,,1938.01,6777.03,7
CPT,0115U,RESPIR IADNA 18 VIRAL&2 BACT,,,275.35,962.86,7
CPT,0116U,RX MNTR NZM IA 35+ORAL FLU,,,246.92,863.45,7
CPT,0117U,PAIN MGMT 11 ENDOGENOUS ANAL,,,840.65,2939.68,7
CPT,0118U,TRNSPLJ DON-DRV CLL-FR DNA,,,2753.25,9627.84,7
CPT,0119U,CRD CERAMIDES LIQ CHROM PLSM,,,83.76,292.9,7
CPT,0120U,ONC B CLL LYMPHM MRNA 58 GEN,,,2510.21,8777.95,7
CPT,0121U,SC DIS VCAM-1 WHOLE BLOOD,,,509.2,1780.61,7
CPT,0122U,SC DIS P-SELECTIN WHL BLOOD,,,526.23,1840.17,7
CPT,0123U,MCHNL FRAGILITY RBC PRFLG,,,357.63,1250.6,7
CPT,0129U,HERED BRST CA RLTD DO PANEL,,,1303.95,4559.79,7
CPT,0130U,HERED COLON CA DO MRNA PNL,,,584.9,2045.33,7
CPT,0131U,Laboratory,,,710.0,2482.8,2
CPT,0131U,Other Outpatient Services - CPT/HCPCS,,,1017.07,1017.07,1
CPT,0131U,Outpatient Services,,,710.0,1156.02,4
CPT,0132U,Laboratory,,,741.64,2593.45,2
CPT,0132U,Other Outpatient Services - CPT/HCPCS,,,1062.4,1062.4,1
CPT,0132U,Outpatient Services,,,741.64,1207.54,4
CPT,0133U,HERED PRST8 CA RLTD DO 11,,,690.29,2413.87,7
CPT,0134U,HERED PAN CA MRNA PNL 18 GEN,,,748.39,2617.05,7
CPT,0135U,Laboratory,,,700.56,2449.79,2
CPT,0135U,Other Outpatient Services - CPT/HCPCS,,,1003.55,1003.55,1
CPT,0135U,Outpatient Services,,,700.56,1140.65,4
CPT,0136U,ATM MRNA SEQ ALYS,,,407.43,1424.73,7
CPT,0137U,PALB2 MRNA SEQ ALYS,,,282.88,989.21,7
CPT,0138U,BRCA1 BRCA2 MRNA SEQ ALYS,,,468.33,1637.71,7
CPT,0140U,NFCT DS FUNGI DNA 15 TRGT,,,156.75,548.13,7
CPT,0141U,NFCT DS BACT&FNG GRAM POS,,,156.75,548.13,7
CPT,0142U,NFCT DS BACT&FNG GRAM NEG,,,156.75,548.13,7
CPT,0152U,NFCT DS DNA UNTRGT NGNRJ SEQ,,,2126.2,7435.1,7
CPT,0153U,ONC BREAST MRNA 101 GENES,,,3159.42,11048.18,7
CPT,0154U,HC FGFR MUTATION/FUSION ANALYSIS TUMOR MAYO CLINICAL LABORATORIES TFGFR,3049.2,1067.22,482.14,1707.55,10
CPT,0155U,HC ONC BRST CA DNA PIK3CA GENE LYS BRST TUM TISS ARUP TO LABCORP SLC 485113,1293.6,452.76,274.83,961.05,10
CPT,0156U,COPY NUMBER SEQUENCE ALYS,,,1740.0,6084.61,7
CPT,0157U,APC MRNA SEQ ALYS,,,282.88,989.21,7
CPT,0158U,MLH1 MRNA SEQ ALYS,,,282.88,989.21,7
CPT,0159U,MSH2 MRNA SEQ ALYS,,,282.88,989.21,7
CPT,0160U,MSH6 MRNA SEQ ALYS,,,282.88,989.21,7
CPT,0161U,PMS2 MRNA SEQ ALYS,,,282.88,989.21,7
CPT,0162U,HERED COLON CA TRGT MRNA PNL,,,486.54,1701.38,7
CPT,0163U,ONC CLRCT SCR 3 PRTN ALG,,,390.75,1366.41,7
CPT,0164T,REMOVE LUMB ARTIF DISC ADDL,,,2444.0,22625.0,3
CPT,0164U,GI IBS IA ANTI-CDTB&VINCULIN,,,112.02,391.73,7
CPT,0165T,REVISE LUMB ARTIF DISC ADDL,,,2444.0,22625.0,3
CPT,0165U,PEANUT ALLG ASMT EPI PRB ALL,,,463.76,1621.72,7
CPT,0166U,LIVER DS 10 BIOCHEM ASY SRM,,,503.4,1760.34,7
CPT,0167U,Laboratory,,,7.52,26.29,2
CPT,0167U,Other Outpatient Services - CPT/HCPCS,,,10.77,10.77,1
CPT,0167U,Outpatient Services,,,7.52,12.24,4
CPT,0169U,NUDT15&TPMT GENE COM VRNT,,,466.17,1630.15,7
CPT,0170U,NEURO ASD RNA NEXT GEN SEQ,,,1755.0,6137.06,7
CPT,0171U,TRGT GEN SEQ ALYS PNL DNA 23,,,1519.06,5312.0,7
CPT,0172U,HC MYCHOICE HRD ARUP TO MYRIAD GENETIC LABORATORIES 7/2020,13998.6,4899.51,3030.0,10595.61,10
CPT,0173U,PSYC GEN ALYS PANEL 14 GENES,,,466.17,1630.15,7
CPT,0174T,CAD CXR WITH INTERP,,,50.95,50.95,1
CPT,0174U,ONC SOLID TUMOR 30 PRTN TRGT,,,1305.37,4564.74,7
CPT,0175T,CAD CXR REMOTE,,,24.58,24.58,1
CPT,0175U,PSYC GEN ALYS PANEL 15 GENES,,,1336.09,4672.18,7
CPT,0176U,CDTB&VINCULIN IGG ANTB IA,,,64.19,224.47,7
CPT,0177U,ONC BRST CA DNA PIK3CA 11,,,274.83,961.05,7
CPT,0178U,PEANUT ALLG ASMT EPI CLIN RX,,,459.86,1608.09,7
CPT,0179U,ONC NONSM CLL LNG CA ALYS 23,,,1943.21,6795.21,7
CPT,0180U,ABO GNOTYP ABO 7 EXONS,,,274.83,961.05,7
CPT,0181U,CO GNOTYP AQP1 EXON 1,,,185.2,647.62,7
CPT,0182U,CROM GNOTYP CD55 EXONS 1-10,,,301.35,1053.78,7
CPT,0183U,DI GNOTYP SLC4A1 EXON 19,,,185.2,647.62,7
CPT,0184T,EXC RECTAL TUMOR ENDOSCOPIC,,,5583.0,18067.0,7
CPT,0184U,DO GNOTYP ART4 EXON 2,,,185.2,647.62,7
CPT,0185U,FUT1 GNOTYP FUT1 EXON 4,,,185.2,647.62,7
CPT,0186U,FUT2 GNOTYP FUT2 EXON 2,,,185.2,647.62,7
CPT,0187U,FY GNOTYP ACKR1 EXONS 1-2,,,274.83,961.05,7
CPT,0188U,GE GNOTYP GYPC EXONS 1-4,,,274.83,961.05,7
CPT,0189U,GYPA GNOTYP NTRNS 1 5 EXON 2,,,274.83,961.05,7
CPT,0190U,GYPB GNOTYP NTRNS 1 5 SEUX 3,,,274.83,961.05,7
CPT,0191U,IN GNOTYP CD44 EXONS 2 3 6,,,274.83,961.05,7
CPT,0192U,JK GNOTYP SLC14A1 EXON 9,,,274.83,961.05,7
CPT,0193U,JR GNOTYP ABCG2 EXONS 2-26,,,282.88,989.21,7
CPT,0194U,KEL GNOTYP KEL EXON 8,,,185.2,647.62,7
CPT,0195U,KLF1 TARGETED SEQUENCING,,,375.25,1312.22,7
CPT,0196U,LU GNOTYP BCAM EXON 3,,,185.2,647.62,7
CPT,0197U,LW GNOTYP ICAM4 EXON 1,,,185.2,647.62,7
CPT,0198T,OCULAR BLOOD FLOW MEASURE,,,140.35,992.78,5
CPT,0198U,RHD&RHCE GNTYP RHD1-10&RHCE5,,,282.88,989.21,7
CPT,01996,HC MGMT CNT DRUG ADM,96.5,33.78,27.64,71.89,5
CPT,0199U,SC GNOTYP ERMAP EXONS 4 12,,,274.83,961.05,7
CPT,0200T,"HC PERCUTANEOUS SACRAL AUGMENTATION, UNILATERAL INJECTION(S), W/ GUIDANCE",23094.32,8083.02,5428.0,22625.0,10
CPT,0200U,XK GNOTYP XK EXONS 1-3,,,274.83,961.05,7
CPT,0201T,PERQ SACRAL AUGMT BILAT INJ,,,5428.0,22625.0,8
CPT,0201U,YT GNOTYP ACHE EXON 2,,,185.2,647.62,7
CPT,0202T,POST VERT ARTHRPLST 1 LUMBAR,,,11057.0,22051.23,7
CPT,0202U,HC RESPIRATORY MULTIPLEX PCR,1996.02,698.61,416.78,1457.44,9
CPT,0203U,AI IBD MRNA XPRSN PRFL 17,,,760.0,2657.64,7
CPT,0204U,Laboratory,,,2919.6,10209.55,2
CPT,0204U,Other Outpatient Services - CPT/HCPCS,,,4182.33,4182.33,1
CPT,0204U,Outpatient Services,,,2919.6,4753.69,4
CPT,0205U,OPH AMD ALYS 3 GENE VARIANTS,,,47.0,164.35,7
CPT,0206U,NEURO ALZHEIMER CELL AGGREGJ,,,2215.4,7747.04,7
CPT,0207T,CLEAR EYELID GLAND W/HEAT,,,140.35,3500.0,7
CPT,0207U,NEURO ALZHEIMER QUAN IMAGING,,,511.2,1787.61,7
CPT,0208T,AUDIOMETRY AIR ONLY,,,39.4,64.15,5
CPT,0209T,AUDIOMETRY AIR & BONE,,,39.4,75.32,5
CPT,0209U,CYTOG CONST ALYS INTERROG,,,787.15,2752.58,7
CPT,0210T,SPEECH AUDIOMETRY THRESHOLD,,,39.4,64.15,5
CPT,0210U,SYPHILIS TST ANTB IA QUAN,,,18.63,65.15,7
CPT,0211T,SPEECH AUDIOM THRESH & RECOG,,,39.4,68.66,5
CPT,0211U,ONC PAN-TUM DNA&RNA GNRJ SEQ,,,8455.0,29566.29,7
CPT,0212T,COMPRE AUDIOMETRY EVALUATION,,,70.48,221.0,5
CPT,0212U,RARE DS GEN DNA ALYS PROBAND,,,5475.2,19146.22,7
CPT,0213T,NJX PARAVERT W/US CER/THOR,,,933.02,5428.0,8
CPT,0213U,RARE DS GEN DNA ALYS EA COMP,,,2709.95,9476.43,7
CPT,0214T,NJX PARAVERT W/US CER/THOR,,,2444.0,5428.0,2
CPT,0214U,RARE DS XOM DNA ALYS PROBAND,,,5224.6,18269.9,7
CPT,0215T,NJX PARAVERT W/US CER/THOR,,,2444.0,5428.0,2
CPT,0215U,RARE DS XOM DNA ALYS EA COMP,,,2574.65,9003.3,7
CPT,0216T,NJX PARAVERT W/US LUMB/SAC,,,933.02,3603.0,8
CPT,0216U,NEURO INH ATAXIA DNA 12 COM,,,1537.02,5374.81,7
CPT,0217T,NJX PARAVERT W/US LUMB/SAC,,,2444.0,3000.0,2
CPT,0217U,NEURO INH ATAXIA DNA 51 GENE,,,2198.35,7687.4,7
CPT,0218T,NJX PARAVERT W/US LUMB/SAC,,,2444.0,3000.0,2
CPT,0218U,NEURO MUSC DYS DMD SEQ ALYS,,,2279.0,7969.44,7
CPT,0219T,PLMT POST FACET IMPLT CERV,,,9611.0,22625.0,7
CPT,0219U,NFCT AGT HIV GNRJ SEQ ALYS,,,725.0,2535.25,7
CPT,0220T,PLMT POST FACET IMPLT THOR,,,9611.0,22625.0,7
CPT,0220U,ONC BRST CA AI ASSMT 12 FEAT,,,706.25,2469.69,7
CPT,0221T,PLMT POST FACET IMPLT LUMB,,,6987.0,22625.0,8
CPT,0221U,ABO GNOTYP NEXT GNRJ SEQ ABO,,,274.83,961.05,7
CPT,0222T,PLMT POST FACET IMPLT ADDL,,,2444.0,3000.0,2
CPT,0222U,RHD&RHCE GNTYP NEXT GNRJ SEQ,,,282.88,989.21,7
CPT,0223U,NFCT DS 22 TRGT SARS-COV-2,,,416.78,1457.44,7
CPT,0224U,ANTIBODY SARS-COV-2 TITER(S),,,42.22,179.84,7
CPT,0225U,NFCT DS DNA&RNA 21 SARSCOV2,,,416.78,1457.44,7
CPT,0226U,SVNT SARSCOV2 ELISA PLSM SRM,,,42.22,147.84,7
CPT,0227U,RX ASY PRSMV 30+RX/METABLT,,,62.14,217.29,7
CPT,0228U,ONC PRST8 MA MOLEC PRFL ALG,,,173.03,605.08,7
CPT,0229U,BCAT1&IKZF1 PRMTR MTHLN ALYS,,,192.0,1342.81,7
CPT,0230U,AR FULL SEQUENCE ANALYSIS,,,301.35,1053.78,7
CPT,0231U,CACNA1A FULL GENE ANALYSIS,,,846.27,2959.31,7
CPT,0232T,NJX PLATELET PLASMA,,,471.24,3500.0,7
CPT,0232U,CSTB FULL GENE ANALYSIS,,,274.83,961.05,7
CPT,0233U,FXN GENE ANALYSIS,,,274.83,961.05,7
CPT,0234T,TRLUML PERIP ATHRC RENAL ART,,,5583.0,30380.0,7
CPT,0234U,MECP2 FULL GENE ANALYSIS,,,527.87,1845.91,7
CPT,0235T,TRLUML PERIP ATHRC VISCERAL,,,4344.0,30380.0,3
CPT,0235U,PTEN FULL GENE ANALYSIS,,,600.0,2098.14,7
CPT,0236T,TRLUML PERIP ATHRC ABD AORTA,,,5583.0,30380.0,7
CPT,0236U,SMN1&SMN2 FULL GENE ANALYSIS,,,602.7,2107.58,7
CPT,0237T,"HC TRANSLUMINAL PERIPHERAL ATHERECTOMY, BRACHIOCEPHALIC TRUNK, EACH VESSEL",35121.27,12292.45,5583.0,30380.0,10
CPT,0237U,CAR ION CHNLPTHY GEN SEQ PNL,,,584.9,2045.33,7
CPT,0238T,"HC TRANSLUMINAL PERIPHERAL ATHERECTOMY, ILIAC ARTERY, EACH VESSEL",39595.3,13858.36,11244.0,52872.0,9
CPT,0238U,ONC LNCH SYN GEN DNA SEQ ALY,,,584.9,2045.33,7
CPT,0239U,TRGT GEN SEQ ALYS PNL 311+,,,3500.0,12239.15,7
CPT,0240U,Laboratory,,,142.63,498.77,2
CPT,0240U,Other Outpatient Services - CPT/HCPCS,,,272.42,272.42,1
CPT,0240U,Outpatient Services,,,142.63,232.23,4
CPT,0241U,Laboratory,,,142.63,498.77,2
CPT,0241U,Other Outpatient Services - CPT/HCPCS,,,272.42,272.42,1
CPT,0241U,Outpatient Services,,,142.63,232.23,4
CPT,0242U,TRGT GEN SEQ ALYS PNL 55-74,,,5000.0,17484.5,7
CPT,0243U,OB PE BIOCHEM ASSAY PGF ALG,,,64.41,225.24,7
CPT,0244U,ONC SOLID ORGN DNA 257 GENES,,,3500.0,12239.15,7
CPT,0245U,ONC THYR MUT ALYS 10 GEN&37,,,1266.07,4427.32,7
CPT,0246U,RBC DNA GNOTYP 16 BLD GROUPS,,,720.0,2517.77,7
CPT,0247U,OB PRTRM BRTH IBP4 SHBG MEAS,,,750.0,2622.68,7
CPT,0248U,ONC SPHRD CELL CUL 12 RX PNL,,,3033.86,10609.11,7
CPT,0249U,ONC BRST ALYS 32 PHSPRTN ALG,,,2219.13,7760.07,7
CPT,0250U,ONC SLD ORG NEO DNA 505 GENE,,,2919.6,10209.55,7
CPT,0251U,HC HEPCIDIN IDX ARUP TO INTRINSICDX,665.28,232.85,17.27,372.56,10
CPT,0252U,FTL ANEUPLOIDY STR ALYS DNA,,,759.05,2654.32,7
CPT,0253T,INSERT AQUEOUS DRAIN DEVICE,,,4360.28,21649.0,8
CPT,0253U,RPRDTVE MED RNA GEN PRFL 238,,,3159.42,11048.18,7
CPT,0254U,REPRDTVE MED ALYS 24 CHRMSM,,,759.05,2654.32,7
CPT,0255U,ANDROLOGY INFERTILITY ASSMT,,,31.6,110.5,7
CPT,0256U,TMA/TMAO PRFL LCMS/MS UR ALG,,,159.95,559.34,7
CPT,0257U,VLCAD LEUK NZM ACTV WHL BLD,,,712.47,2491.44,7
CPT,0258U,AI PSOR MRNA 50-100 GEN ALG,,,3675.0,12851.11,7
CPT,0259U,NEPH CKD NUC MRS MEAS GFR,,,52.71,184.33,7
CPT,0260U,RARE DS ID OPT GENOME MAPG,,,1263.53,4418.44,7
CPT,0261U,ONC CLRCT CA IMG ALYS W/AI,,,2513.25,17309.66,7
CPT,0262U,ONC SLD TUM RT-PCR 7 GEN,,,3200.0,11190.08,7
CPT,0263T,IM B1 MRW CEL THER CMPL,,,4594.55,18067.0,7
CPT,0263U,NEURO ASD MEAS 16 C METBLT,,,750.0,2622.68,7
CPT,0264T,IM B1 MRW CEL THER XCL HRVST,,,4594.55,18067.0,7
CPT,0264U,RARE DS ID OPT GENOME MAPG,,,1263.53,4418.44,7
CPT,0265T,IM B1 MRW CEL THER HRVST ONL,,,4594.55,18067.0,7
CPT,0265U,RAR DO WHL GN&MTCDRL DNA ALS,,,5475.8,19148.33,7
CPT,0266T,Ambulatory Surgery Groups,,,5428.0,52872.0,2
CPT,0266T,Ambulatory Surgery Groups - CPT/HCPCS,,,25745.0,25745.0,1
CPT,0266U,UNXPL CNST HRTBL DO GN XPRSN,,,3200.0,11190.08,7
CPT,0267T,Ambulatory Surgery Groups,,,5428.0,12001.0,2
CPT,0267T,Ambulatory Surgery Groups - CPT/HCPCS,,,6987.0,6987.0,1
CPT,0267U,RARE DO ID OPT GEN MAPG&SEQ,,,6739.33,23566.77,7
CPT,0268T,Ambulatory Surgery Groups,,,5428.0,52872.0,2
CPT,0268T,Ambulatory Surgery Groups - CPT/HCPCS,,,25745.0,25745.0,1
CPT,0268U,HEM AHUS GEN SEQ ALYS 15 GEN,,,608.17,2126.71,7
CPT,0269T,Ambulatory Surgery Groups,,,5428.0,18067.0,2
CPT,0269T,Ambulatory Surgery Groups - CPT/HCPCS,,,12664.0,12664.0,1
CPT,0269U,HEM AUT DM CGEN TRMBCTPNA 22,,,608.17,2126.71,7
CPT,0270T,Ambulatory Surgery Groups,,,5428.0,12001.0,2
CPT,0270T,Ambulatory Surgery Groups - CPT/HCPCS,,,6987.0,6987.0,1
CPT,0270U,HEM CGEN COAGJ DO 20 GENES,,,608.17,2126.71,7
CPT,0271T,Ambulatory Surgery Groups,,,5428.0,12001.0,2
CPT,0271T,Ambulatory Surgery Groups - CPT/HCPCS,,,6987.0,6987.0,1
CPT,0271U,HEM CGEN NEUTROPENIA 24 GEN,,,608.17,2126.71,7
CPT,0272T,Ambulatory Surgery Groups,,,3500.0,3500.0,1
CPT,0272T,Other Outpatient Services - CPT/HCPCS,,,92.12,92.12,1
CPT,0272U,HEM GENETIC BLD DO 60 GENES,,,608.17,2126.71,7
CPT,0273T,Ambulatory Surgery Groups,,,3500.0,3500.0,1
CPT,0273T,Other Outpatient Services - CPT/HCPCS,,,11005.45,11005.45,1
CPT,0273U,HEM GEN HYPRFIBRNLYSIS 9 GEN,,,608.17,2126.71,7
CPT,0274T,PRQ LAMOT/LAM DCMPR CRV/THRC,,,5428.0,22625.0,8
CPT,0274U,HEM GEN PLTLT DO 62 GENES,,,608.17,2126.71,7
CPT,0275T,Ambulatory Surgery Groups,,,5428.0,22625.0,3
CPT,0275T,Ambulatory Surgery Groups - CPT/HCPCS,,,12664.0,12664.0,1
CPT,0275U,HEM HEPRN NDUC TRMBCTPNA SRM,,,18.37,64.23,7
CPT,0276U,HEM INH THROMBOCYTOPENIA 42,,,2448.56,8562.37,7
CPT,0277U,HEM GEN PLTLT FUNCJ DO 40,,,608.17,2126.71,7
CPT,0278T,TEMPR,,,25.97,3500.0,7
CPT,0278U,HEM GEN THROMBOSIS 14 GENES,,,608.17,2126.71,7
CPT,0279U,HEM VW FACTOR&CLGN III BNDG,,,11.53,40.32,7
CPT,0280U,HEM VW FACTOR&CLGN IV BNDG,,,17.27,60.38,7
CPT,0281U,HEM VWD PROPEPTIDE AG LVL,,,17.27,60.38,7
CPT,0282U,RBC DNA GNTYP 12 BLD GRP GEN,,,720.0,2517.77,7
CPT,0283U,VW FACTOR TYPE 2B EVAL PLSM,,,18.4,64.35,7
CPT,0284U,VW FACTOR TYPE 2N EVAL PLSM,,,17.27,60.38,7
CPT,0285U,ONC DS PROG&RSPSE MNTR RADJ,,,443.31,721.8,5
CPT,0286U,CEP72 NUDT15&TPMT GENE ALYS,,,134.13,469.03,7
CPT,0287U,ONC THYR DNA&MRNA 112 GENES,,,3600.0,12588.84,7
CPT,0288U,ONC LUNG MRNA QUAN PCR 11&3,,,3873.0,13543.49,7
CPT,0289U,NEURO ALZHEIMER MRNA 24 GEN,,,760.0,2657.64,7
CPT,0290U,PAIN MGMT MRNA GEN XPRSN 36,,,760.0,2657.64,7
CPT,0291U,PSYC MOOD DO MRNA 144 GENES,,,1755.0,2857.49,5
CPT,0292U,PSYC STRS DO MRNA 72 GENES,,,1755.0,2857.49,5
CPT,0293U,PSYC SUICIDAL IDEA MRNA 54,,,760.0,2657.64,7
CPT,0294U,LNGVTY&MRTLTY RSK MRNA 18GEN,,,760.0,2657.64,7
CPT,0295U,ONC BRST DUX CARC 7 PROTEINS,,,1897.0,19005.65,7
CPT,0296U,ONC ORL&/OROP CA 20 MLC FEAT,,,1755.0,6137.06,7
CPT,0297U,ONC PAN TUM WHL GEN SEQ DNA,,,2919.6,4753.69,5
CPT,0298U,ONC PAN TUM WHL TRNS SEQ RNA,,,2919.6,10209.55,7
CPT,0299U,ONC PAN TUM WHL GEN OPT MAPG,,,1863.22,3033.69,5
CPT,0300U,ONC PAN TUM WHL GEN SEQ&OPT,,,4183.13,6810.97,5
CPT,0301U,IADNA BARTONELLA DDPCR,,,262.72,427.76,5
CPT,0302U,IADNA BRTNLA DDPCR FLWG LIQ,,,361.37,588.38,5
CPT,0303U,HEM RBC ADS WHL BLD HYPOXIC,,,2201.62,3584.68,5
CPT,0304U,HEM RBC ADS WHL BLD NORMOXIC,,,2075.8,3379.82,5
CPT,0305U,HEM RBC FNCLTY&DFRM SHR STRS,,,662.58,1078.81,5
CPT,0306U,ONC MRD NXT-GNRJ ALYS 1ST,,,3878.45,6314.89,5
CPT,0307U,ONC MRD NXT-GNRJ ALYS SBSQ,,,794.49,1293.59,5
CPT,0308T,INSJ OCULAR TELESCOPE PROSTH,,,3200.0,52872.0,8
CPT,0308U,CRD CAD ALYS 3 PRTN 3 PARAM,,,390.75,1366.41,7
CPT,0309U,CRD CV DS ALY 4 PRTN PLM ALG,,,390.75,1366.41,7
CPT,0310U,PED VSCLTS KD ALYS 3 BMRKS,,,390.75,1366.41,7
CPT,0311U,NFCT DS BCT QUAN ANTMCRB SC,,,8.08,28.26,7
CPT,0312U,AI DS SLE ALYS 8 IGG AUTOANT,,,840.65,2939.68,7
CPT,0313U,ONC PNCRS DNA&MRNA SEQ 74,,,3600.0,12588.84,7
CPT,0314U,ONC CUTAN MLNMA MRNA 35 GENE,,,1950.0,3174.99,5
CPT,0315U,ONC CUTAN SQ CLL CA MRNA 40,,,8500.0,13839.7,5
CPT,0316U,B BRGDRFERI LYME DS OSPA EVL,,,18.66,65.24,7
CPT,0317U,ONC LUNG CA 4-PRB FISH ASSAY,,,2030.0,7098.71,7
CPT,0318U,PED WHL GEN MTHYLTN ALYS 50+,,,1770.48,2882.7,5
CPT,0319U,NEPH RNA PRETRNSPL PERPH BLD,,,2650.0,4314.73,5
CPT,0320U,NEPH RNA PSTTRNSPL PERPH BLD,,,2650.0,4314.73,5
CPT,0321U,IADNA GU PTHGN 20BCT&FNG ORG,,,634.84,2219.97,7
CPT,0322U,NEURO ASD MEAS 14 ACYL CARN,,,750.0,2622.68,7
CPT,0323U,IADNA CNS PTHGN NEXT GEN SEQ,,,2126.2,7435.1,7
CPT,0326U,TRGT GEN SEQ ALYS PNL 83+,,,5000.0,8141.0,5
CPT,0327U,FTL ANEUPLOIDY TRSMY DNA SEQ,,,795.0,2780.04,7
CPT,0328U,DRUG ASSAY 120+ RX&METABLT,,,114.43,400.14,7
CPT,0329T,"Monitoring of intraocular pressure for 24 hours or longer, unilateral or bilateral, with interpretation and report",,,1489.1,1489.1,1
CPT,0329U,ONC NEO XOME&TRNS SEQ ALYS,,,3437.98,5597.72,5
CPT,0330T,"Tear film imaging, unilateral or bilateral, with interpretation and report",,,39.4,64.15,5
CPT,0330U,IADNA VAG PTHGN PANEL 27 ORG,,,416.78,1457.44,7
CPT,0331T,HEART SYMP IMAGE PLNR,,,332.61,2223.64,5
CPT,0331U,ONC HL NEO OPT GEN MAPPING,,,1863.22,3033.69,5
CPT,0332T,"Myocardial sympathetic innervation imaging, planar qualitative and quantitative assessment; with tomographic SPECT",,,371.47,2223.64,5
CPT,0332U,ONC PAN TUM GEN PRFLG 8 DNA,,,1142.06,1859.5,5
CPT,0333T,VISUAL EP SCR ACUITY AUTO,,,108.4,108.4,1
CPT,0333U,ONC LVR SURVEILANC HCC CFDNA,,,662.32,1078.39,5
CPT,0334U,ONC SLD ORGN TGSA DNA 84/+,,,2919.6,10209.55,7
CPT,0335T,INSJ SINUS TARSI IMPLANT,,,5583.0,22625.0,8
CPT,0335U,RARE DS WHL GEN SEQ FETAL,,,5224.6,18269.9,7
CPT,0336U,RARE DS WHL GEN SEQ BLD/SLV,,,2574.65,9003.3,7
CPT,0337U,ONC PLSM CELL DO&MYELOMA ID,,,2435.0,3964.67,5
CPT,0338T,TRNSCTH RENAL SYMP DENRV UNL,,,6003.94,22133.0,8
CPT,0338U,ONC SLD TUM CRCG TUM CL SLCT,,,2435.0,3964.67,5
CPT,0339T,TRNSCTH RENAL SYMP DENRV BIL,,,6003.94,22133.0,8
CPT,0339U,ONC PRST8 MRNA HOXC6 & DLX1,,,760.0,2657.64,7
CPT,0340U,ONC PAN CA ALYS MRD PLASMA,,,3590.0,13707.85,7
CPT,0341U,FTL ANEUP DNA SEQ CMPR ALYS,,,1900.2,3093.91,5
CPT,0342T,Therapeutic apheresis with selective HDL delipidation and plasma reinfusion,,,4594.55,18067.0,7
CPT,0342U,ONC PNCRTC CA MULT IA ECLIA,,,897.0,3136.72,7
CPT,0343U,ONC PRST8 XOM ALY 442 SNCRNA,,,760.0,2657.64,7
CPT,0344U,HEP NAFLD SEMIQ EVL 28 LIPID,,,792.17,1289.81,5
CPT,0345T,Transcatheter mitral valve repair percutaneous approach via the coronary sinus,,,4344.0,30380.0,3
CPT,0345U,PSYC GENOM ALYS PNL 15 GEN,,,1336.09,4672.18,7
CPT,0346U,Laboratory,,,93.26,93.26,1
CPT,0346U,Outpatient Services,,,93.26,151.85,4
CPT,0347T,INS BONE DEVICE FOR RSA,,,62.23,3500.0,7
CPT,0347U,RX METAB/PCX DNA 16 GEN ALYS,,,1336.09,4672.18,7
CPT,0348T,RSA SPINE EXAM,,,68.39,179.56,5
CPT,0348U,RX METAB/PCX DNA 25 GEN ALYS,,,742.27,2595.63,7
CPT,0349T,RSA UPPER EXTR EXAM,,,110.28,293.88,5
CPT,0349U,RX METAB/PCX DNA 27GEN RX IA,,,742.27,2595.63,7
CPT,0350T,RSA LOWER EXTR EXAM,,,91.8,255.56,5
CPT,0350U,RX METAB/PCX DNA 27 GEN ALYS,,,1336.09,4672.18,7
CPT,0351T,INTRAOP OCT BRST/NODE SPEC,,,637.45,637.45,1
CPT,0351U,NFCT DS BCT/VIRAL TRAIL IP10,,,260.5,910.95,7
CPT,0352T,OCT BRST/NODE I&R PER SPEC,,,637.45,637.45,1
CPT,0352U,Laboratory,,,142.63,498.77,2
CPT,0352U,Other Outpatient Services - CPT/HCPCS,,,185.06,185.06,1
CPT,0352U,Outpatient Services,,,142.63,232.23,4
CPT,0353T,INTRAOP OCT BREAST CAVITY,,,246.23,246.23,1
CPT,0353U,Laboratory,,,70.18,245.42,2
CPT,0353U,Other Outpatient Services - CPT/HCPCS,,,91.07,91.07,1
CPT,0353U,Outpatient Services,,,70.18,114.27,4
CPT,0354T,OCT BREAST SURG CAVITY I&R,,,637.45,637.45,1
CPT,0354U,Laboratory,,,35.09,122.71,2
CPT,0354U,Outpatient Services,,,35.09,57.13,4
CPT,0355U,APOL1 RISK VARIANTS,,,137.0,223.06,5
CPT,0356U,ONC OROP/ANAL 17 DNA DDPCR,,,1800.0,2930.76,4
CPT,0358T,BIA WHOLE BODY,,,30.51,49.68,5
CPT,0358U,NEURO ALYS ß-AMYL 1-42&1-40,,,260.5,424.15,5
CPT,0359U,ONC PRST8 CA ALYS ALL PSA,,,760.0,1237.43,5
CPT,0360U,ONC LUNG ELISA 7 AUTOANT ALG,,,840.65,1368.75,5
CPT,0361U,Outpatient Services,,,116.23,189.25,4
CPT,0362T,BHV ID SUPRT ASSMT EA 15 MIN,,,39.52,240.66,5
CPT,0362U,ONC PAP THYR CA RNA 82&10,,,3600.0,5861.52,5
CPT,0363U,ONC URTHL MRNA 5 GEN ALG,,,760.0,1237.43,5
CPT,0364U,ONC HL NEO GEN SEQ ALYS ALG,,,2007.25,3268.2,4
CPT,0365U,ONC BLDR 10 UR HRBR URTHL CA,,,897.0,1460.5,5
CPT,0366U,ONC BLDR 10 PRB RECR BLDR CA,,,897.0,1460.5,5
CPT,0367U,ONC BLDR 10 FLWG TRURL RESCJ,,,902.18,1468.93,5
CPT,0368U,ONC CLRCT CA MUT&MTHYLTN MRK,,,416.78,678.6,4
CPT,0369U,Laboratory,,,416.78,416.78,1
CPT,0369U,Outpatient Services,,,416.78,678.6,4
CPT,0370U,Laboratory,,,416.78,416.78,1
CPT,0370U,Outpatient Services,,,416.78,678.6,4
CPT,0371U,IADNA GU PTHGN SEMIQ DNA16&1,,,416.78,678.6,5
CPT,0372U,NFCT DS GU PTHGN ARG DETCJ,,,416.78,678.6,5
CPT,0373T,ADAPT BHV TX EA 15 MIN,,,10.14,64.35,5
CPT,0373U,Laboratory,,,416.78,416.78,1
CPT,0373U,Outpatient Services,,,416.78,678.6,4
CPT,0374U,Laboratory,,,416.78,416.78,1
CPT,0374U,Outpatient Services,,,416.78,678.6,4
CPT,0375U,ONC OVRN BCHM ASY 7 PRTN ALG,,,897.0,1460.5,5
CPT,0376U,ONC PRST8 CA IMG ALYS 128,,,706.25,1149.92,5
CPT,0377U,CV DS QUAN ADVSRM/PLSM LPRTN,,,47.58,77.47,5
CPT,0378T,VISUAL FIELD ASSMNT REV/RPRT,,,48.23,48.23,1
CPT,0378U,RFC1 REPEAT XPNSJ VRNT ALYS,,,137.0,223.06,5
CPT,0379T,VIS FIELD ASSMNT TECH SUPPT,,,39.4,732.66,5
CPT,0379U,HC SOLID TUMOR EXPANDED PANEL QUEST 93233,9999.74,3499.91,2863.93,7449.81,9
CPT,0380U,Laboratory,,,416.78,416.78,1
CPT,0380U,Outpatient Services,,,416.78,678.6,4
CPT,0381U,MAPLE SYRUP UR DS MNTR QUAN,,,44.12,71.84,4
CPT,0382U,HYPRPHENYLALNINMIA MNTR QUAN,,,51.64,84.08,4
CPT,0383U,TYROSINEMIA TYP I MNTR QUAN,,,52.05,84.75,4
CPT,0384U,NEPH CKD RSK HI STG KDN DS,,,750.0,1221.15,5
CPT,0385U,NEPH CKD ALG RSK DBTC KDN DS,,,390.75,636.22,5
CPT,0387U,ONC MLNMA AMBRA1&AMLO,,,948.5,1544.35,5
CPT,0388U,ONC NONSM CLL LNG CA 37 GEN,,,3500.0,5698.7,4
CPT,0389U,PED FBRL KD IFI27&MCEMP1 RNA,,,70.2,114.3,4
CPT,0390U,OB PE KDR ENG&RBP4 IA ALG,,,64.41,104.87,5
CPT,0391U,ONC SLD TUM DNA&RNA 437 GEN,,,3600.0,5861.52,5
CPT,0392U,RX METAB GEN-RX IA 16 GENES,,,1336.09,2175.42,5
CPT,0393U,NEU PRKSN MSFL a-SYNCLN PRTN,,,540.99,880.84,5
CPT,0394T,Other Outpatient Services - CPT/HCPCS,,,314.62,314.62,1
CPT,0394T,Radiation Therapy,,,1505.0,1505.0,1
CPT,0394U,PFAS 16 PFAS COMPND LC MS/MS,,,198.74,323.59,5
CPT,0395T,HDR ELCTR NTRST/NTRCV BRCHTX,,,734.7,1505.0,6
CPT,0395U,ONC LNG MULTIOMICS PLSM ALG,,,797.45,1298.41,4
CPT,0397T,ERCP W/OPTICAL ENDOMICROSCPY,,,2444.0,3478.0,3
CPT,0398T,Ambulatory Surgery Groups,,,30380.0,30380.0,1
CPT,0398T,Other Outpatient Services - CPT/HCPCS,,,2922.77,2922.77,1
CPT,0398U,GI BARET ESPH DNA MTHYLN ALY,,,1755.0,2857.49,4
CPT,0399U,NEURO CERE FOLATE DEFNCY SRM,,,300.0,488.46,4
CPT,0400U,OB XPND CAR SCR 145 GENES,,,1456.88,2372.09,4
CPT,0401U,CRD C HRT DS 9 GEN 12 VRNTS,,,489.68,797.3,4
CPT,0402T,COLGN CRS-LINK CRN&PACHYMTRY,,,2507.97,6090.0,8
CPT,0402U,NFCT AGT STI MULT AMP PRB TQ,,,142.63,232.23,5
CPT,0403T,DIABETES PREV STANDARD CURR,,,50.43,50.43,1
CPT,0403U,ONC PRST8 MRNA 18 GEN 1ST UR,,,760.0,1237.43,5
CPT,0404T,Ambulatory Surgery Groups,,,30380.0,30380.0,1
CPT,0404U,ONC BRST SEMIQ MEAS THYM KN,,,322.96,525.84,5
CPT,0405U,ONC PNCRTC 59 MTHLTN BLK MRK,,,1770.48,2882.7,5
CPT,0406U,ONC LUNG FLOW CYTMTRY 5 MRK,,,760.0,1237.43,5
CPT,0407U,NEPH DBTC CKD MULT ECLIA ALG,,,950.0,1546.79,5
CPT,0408T,INSJ/RPLC CARDIAC MODULJ SYS,,,8110.0,53912.32,7
CPT,0408U,IAAD BLK AC WV BSNSR SARSCV2,,,14.13,23.01,4
CPT,0409T,INSJ/RPLC CAR MODULJ PLS GN,,,11244.0,52872.0,7
CPT,0409U,ONC SLD TUM DNA 80 & RNA 36,,,2919.6,4753.69,5
CPT,0410T,INSJ/RPLC CAR MODULJ ATR ELT,,,8110.0,30380.0,7
CPT,0410U,ONC PNCRTC DNA WHL GN SEQ 5-,,,1160.0,1888.71,5
CPT,0411T,INSJ/RPLC CAR MODULJ VNT ELT,,,8110.0,30380.0,7
CPT,0411U,PSYC GENOM ALYS PNL 15 GEN,,,1336.09,2175.42,5
CPT,0412T,RMVL CARDIAC MODULJ PLS GEN,,,3942.06,21649.0,8
CPT,0412U,BETA AMYLOID Aß42/40 IMPRCIP,,,750.0,1221.15,4
CPT,0413T,RMVL CAR MODULJ TRANVNS ELT,,,3942.06,21649.0,8
CPT,0413U,ONC HL NEO OPT GEN MAPG DNA,,,1263.53,2057.28,5
CPT,0414T,RMVL & RPL CAR MODULJ PLS GN,,,11244.0,52872.0,7
CPT,0414U,ONC LNG AUG ALG ALY WHL SLD8,,,706.25,1149.92,5
CPT,0415T,REPOS CAR MODULJ TRANVNS ELT,,,661.73,8110.0,8
CPT,0415U,CV DS ACS BLD ALG 5 YR SCORE,,,390.75,636.22,5
CPT,0416T,RELOC SKIN POCKET PLS GEN,,,2176.52,10856.0,8
CPT,0416U,Laboratory,,,416.78,416.78,1
CPT,0416U,Outpatient Services,,,416.78,678.6,4
CPT,0417T,PRGRMG EVAL CARDIAC MODULJ,,,39.37,120.84,5
CPT,0417U,RARE DS ALYS 335 NUC GENES,,,2842.53,4628.21,4
CPT,0418T,INTERRO EVAL CARDIAC MODULJ,,,39.37,80.79,5
CPT,0418U,ONC BRST AUG ALG ALY WHL SL8,,,706.25,1149.92,5
CPT,0419T,DSTRJ NEUROFIBROMA XTNSV,,,779.64,3500.0,8
CPT,0419U,NRPSYC GEN SEQ VRNT ALY 13,,,1336.09,2175.42,5
CPT,0420T,DSTRJ NEUROFIBROMA XTNSV,,,779.64,3500.0,8
CPT,0420U,ONC URTHL MRNA XPRSN 6 SNP,,,1328.32,2162.77,4
CPT,0421T,Ambulatory Surgery Groups,,,3200.0,18067.0,2
CPT,0421T,Ambulatory Surgery Groups - CPT/HCPCS,,,9658.0,9658.0,1
CPT,0421U,ONC CLRCT SCR SGL AMP 8 RNA,,,508.87,828.54,4
CPT,0422T,TACTILE BREAST IMG UNI/BI,,,91.8,177.27,5
CPT,0422U,ONC PAN SOLID TUM ALYS DNA,,,1943.21,3163.93,4
CPT,0423U,PSYC GENOMIC ALYS PNL 26 GEN,,,416.78,678.6,4
CPT,0424T,Ambulatory Surgery Groups,,,52872.0,52872.0,1
CPT,0424U,ONC PRST8 XOM ALYS 53 SNCRNA,,,760.0,1237.43,4
CPT,0425T,Ambulatory Surgery Groups,,,30380.0,30380.0,1
CPT,0425U,GENOM RPD SEQ ALYS EA CMPRTR,,,4094.39,6666.49,4
CPT,0426T,Ambulatory Surgery Groups,,,52872.0,52872.0,1
CPT,0426U,GENOME ULTRA-RAPID SEQ ALYS,,,7582.2,12345.34,4
CPT,0427T,Ambulatory Surgery Groups,,,52872.0,52872.0,1
CPT,0427U,MONOCYTE DSTRBJ WDTH WHL BLD,,,4.48,7.29,4
CPT,0428T,Ambulatory Surgery Groups,,,12001.0,12001.0,1
CPT,0429T,Ambulatory Surgery Groups,,,12001.0,12001.0,1
CPT,0429U,HPV OROP SWAB 14 HI-RISK TYP,,,35.09,57.13,4
CPT,0430T,Ambulatory Surgery Groups,,,12001.0,12001.0,1
CPT,0430U,GI MALABS AAT CALPRO PNCRTC,,,61.54,100.2,4
CPT,0431T,Ambulatory Surgery Groups,,,52872.0,52872.0,1
CPT,0431U,HC GLYCINE RECEPTOR ALPHA1 IGG SERUM/CSF LCBA QUAL ARUP TO MAYO SPPS,504.9,176.72,36.57,376.15,9
CPT,0432T,Ambulatory Surgery Groups,,,12001.0,12001.0,1
CPT,0432U,KLHL11 ANTB SR/CSF ASY QUAL,,,36.57,59.54,4
CPT,0433T,Ambulatory Surgery Groups,,,12001.0,12001.0,1
CPT,0433U,ONC PRST8 5 DNA REG MRK PCR,,,760.0,1237.43,4
CPT,0434U,RX METAB ADVRS VRNT ALYS 25,,,416.78,678.6,4
CPT,0435U,ONC CHEMO RX CYTOX CSC 14 RX,,,3033.86,4939.73,4
CPT,0436U,ONC LNG PLSM ALYS 388 PRTN,,,1504.24,2449.2,4
CPT,0437T,IMPLTJ SYNTH RNFCMT ABDL WAL,,,2444.0,3000.0,2
CPT,0437U,PSYC ANXIETY DO MRNA 15 BMRK,,,760.0,1237.43,4
CPT,0438U,RX METAB ADVRS VRNT ALYS 33,,,416.78,678.6,4
CPT,0439T,MYOCRD CONTRAST PRFUJ ECHO,,,152.27,152.27,1
CPT,0439U,CRD CHD DNA ALYS 5 SNP 3 DNA,,,854.0,1390.48,4
CPT,0440T,ABLTJ PERC UXTR/PERPH NRV,,,2059.9,18067.0,7
CPT,0440U,CRD CHD DNA ALYS 10 SNP 6DNA,,,854.0,1390.48,4
CPT,0441T,ABLTJ PERC LXTR/PERPH NRV,,,2059.9,18067.0,7
CPT,0441U,NFCT DS BCT FNGL/VIRAL SEMIQ,,,444.08,723.05,4
CPT,0442T,ABLTJ PERC PLEX/TRNCL NRV,,,3200.0,18067.0,7
CPT,0442U,NFCT DS RESPIR NFCTJ MXA&CRP,,,41.38,67.37,4
CPT,0443T,R-T SPCTRL ALYS PRST8 TISS,,,45.59,2444.0,2
CPT,0443U,HC NEUROFILAMENT LIGHT CHAIN ULTRSENS IA SERUM/CSF ARUP TO WASHINGTON UNIV NEUROMUSCULAR CLINICAL LAB,153.81,53.84,44.05,189.25,9
CPT,0444T,1ST PLMT DRUG ELUT OC INS,,,2444.0,5583.0,2
CPT,0444U,ONC SLD ORGN NEO TGSAP 361,,,2919.6,4753.69,4
CPT,0445T,SBSQT PLMT DRUG ELUT OC INS,,,2444.0,5583.0,2
CPT,0445U,ABETA42 & PTAU181 ECLIA CSF,,,260.5,424.15,4
CPT,0446T,HC CREATION OF SKIN POCKET & INSERTION OF GLUCOSE SENSOR SYS TRAIN,9191.7,3217.1,2444.0,7145.72,10
CPT,0446U,AI DS SLE ALYS 10 CYTOKINE,,,840.65,1368.75,4
CPT,0447T,RMVL IMPLTBL GLUCOSE SENSOR,,,211.65,3500.0,7
CPT,0447U,AI DS SLE ALYS 11 CYTOKINE,,,840.65,1368.75,4
CPT,0448T,HC REMOVAL OF GLUCOSE SENSOR FROM SKIN POCKET W CREATION OF NEW SKIN POCKET & INSERTION NEW GLUCOSE,9191.7,3217.1,2444.0,7145.72,10
CPT,0449T,INSJ AQUEOUS DRAIN DEV 1ST,,,5583.0,18067.0,7
CPT,0449U,CAR SCR SEV INH COND 5 GENES,,,1824.88,2971.27,4
CPT,0450T,INSJ AQUEOUS DRAIN DEV EACH,,,2444.0,3000.0,2
CPT,0450U,Outpatient Services,,,43.43,70.71,4
CPT,0451U,Outpatient Services,,,43.43,70.71,4
CPT,0452U,ONC BLDR MTHYL PENK LTE-QMSP,,,192.0,312.61,4
CPT,0453U,ONC CLRCT CA CFDNA QPCR ASY,,,192.0,312.61,4
CPT,0454U,RARE DS ID OPT GENOME MAPG,,,1263.53,2057.28,4
CPT,0455U,NFCT AGT STI MULT AMP PRB UR,,,142.63,232.23,4
CPT,0457U,PFAS 9 CMPND LC-MS/MS PLS/SR,,,198.74,323.59,4
CPT,0458U,ONC BRST CA S100 A8&A9 ELISA,,,260.5,424.15,4
CPT,0459U,ABETA42 & TTAU ECLIA CSF,,,260.5,424.15,4
CPT,0460U,ONC WHL BLD/BUCC RTPCR 24GEN,,,917.08,1493.19,4
CPT,0461U,ONC RXGENOM ALYS RTPCR 24GEN,,,917.08,1493.19,4
CPT,0462U,MELATONIN LVL TST SLP STD7/9,,,17.27,28.12,4
CPT,0463U,ONC CRVX MRNA GENXPRSN 14BMK,,,760.0,1237.43,4
CPT,0464T,VISUAL EP TEST FOR GLAUCOMA,,,109.47,221.0,5
CPT,0464U,ONC CLRCT SCR QRTSA DNA MRK,,,591.92,963.76,4
CPT,0465T,Ambulatory Surgery Groups,,,3500.0,3500.0,1
CPT,0465U,ONC URTHL CARC DNA QMSP 2GEN,,,1938.01,3155.47,4
CPT,0466U,CRD CAD DNA GWAS 564856 SNP,,,345.43,562.43,4
CPT,0467U,ONC BLDR DNA NGS 60GEN&ANEUP,,,1519.06,2473.33,4
CPT,0468U,HEP NASH MIR-34A5P A2M YKL40,,,251.7,409.82,4
CPT,0469U,RARE DS WHL GEN SEQ FTL SAMP,,,1197.94,1950.49,4
CPT,0470U,ONC OROP DETCJ MRD 8 DNA HPV,,,597.91,973.52,4
CPT,0471U,ONC CLRC CA 35 VRN KRAS&NRAS,,,760.0,1237.43,4
CPT,0472T,PRGRMG IO RTA ELTRD RA,,,171.27,527.53,5
CPT,0472U,CA VI PSP&SP1 ANTB SJÖGREN,,,27.9,45.43,4
CPT,0473T,REPRGRMG IO RTA ELTRD RA,,,100.29,163.29,5
CPT,0473U,ONC SLD TUM BLD/SLV 648 GENE,,,4500.0,7326.9,4
CPT,0474T,INSJ AQUEOUS DRG DEV IO RSVR,,,5583.0,18067.0,3
CPT,0474U,HERED PAN CA GSAP 88GENE NGS,,,1303.95,2123.09,4
CPT,0475U,HERED PRST8 CA GSAP 23 GENES,,,1303.95,2123.09,4
CPT,0476U,RX METAB PSYC 14GEN&CYP2D6,,,416.78,678.6,4
CPT,0477U,RX METAB PSY 14&CYP2D6 GN-RX,,,416.78,678.6,4
CPT,0478U,ONC NSCLC DNA&RNA DPCR 9GENS,,,552.99,900.38,4
CPT,0479T,FXJL ABL LSR 1ST 100 SQ CM,,,779.64,3603.0,8
CPT,0479U,TAU PHOSPHORYLATED PTAU217,,,17.27,28.12,4
CPT,0480T,FXJL ABL LSR EA ADDL 100SQCM,,,2444.0,3000.0,2
CPT,0480U,NFCT DS CSF METAG NGS ALYS,,,2126.2,3461.88,4
CPT,0481T,NJX AUTOL WBC CONCENTRATE,,,471.24,3500.0,8
CPT,0481U,IDH1 IDH2&TERT PROMOTER NGS,,,674.24,1097.8,4
CPT,0482U,OB PE BIOCHEM ASY SFLT1&PLGF,,,128.82,209.74,4
CPT,0483T,TMVI PERCUTANEOUS APPROACH,,,4344.0,30380.0,3
CPT,0483U,NFCT DS NG GYRA S91F PT MUT,,,35.09,57.13,4
CPT,0484T,TMVI TRANSTHORACIC EXPOSURE,,,4344.0,19925.0,3
CPT,0484U,NFCT DS MGEN 23S RRNA PT MUT,,,35.09,57.13,4
CPT,0485T,OCT MID EAR I&R UNILATERAL,,,27.58,64.15,5
CPT,0485U,ONC SOL TUM CFDNA&RNA NGS GM,,,3649.48,5942.08,4
CPT,0486T,OCT MID EAR I&R BILATERAL,,,39.4,93.35,5
CPT,0486U,ONC PAN SOL TUM NGS CFCTDNA,,,1644.25,2677.17,4
CPT,0487U,ONC SOL TUM CFCDNA TGSAP 84,,,2919.6,4753.69,4
CPT,0488T,DIABETES PREV ONLINE/ELEC,,,92.12,92.12,1
CPT,0488U,OB FETAL AG NIPT CFDNA ALYS,,,759.05,1235.89,4
CPT,0489T,REGN CELL TX SCLDR HANDS,,,3000.0,12001.0,3
CPT,0489U,OB SGNIPT CFDNA SEQ ALYS 1+,,,1153.62,1878.32,4
CPT,0490T,REGN CELL TX SCLDR H MLT INJ,,,3000.0,4344.0,3
CPT,0490U,ONC CUTAN/UVEAL MLNMA CD146,,,2435.0,3964.67,4
CPT,0491U,ONC SOL TUM CTC SLCT ER PRTN,,,2435.0,3964.67,4
CPT,0492U,ONC SOL TUM CTC SLCTN PD-L1,,,2435.0,3964.67,4
CPT,0493U,TRNSPL MED QUAN DD-CFDNA NGS,,,2753.25,4482.84,4
CPT,0494T,PREP & CANNULJ CDVR DON LUNG,,,4344.0,19925.0,3
CPT,0494U,RBC AG FTL RHD GENE ALYS NGS,,,759.05,1235.89,4
CPT,0495T,MNTR CDVR DON LNG 1ST 2 HRS,,,4344.0,12001.0,3
CPT,0495U,ONC PRST8 ALYS CRCG PLSM PRT,,,760.0,1237.43,4
CPT,0496T,MNTR CDVR DON LNG EA ADDL HR,,,4344.0,12001.0,3
CPT,0496U,ONC CLRCT CFDNA 8/7 GENES,,,485.86,791.08,4
CPT,0497U,ONC PRST8 MRNA RT-PCR 6GENES,,,3873.0,6306.02,4
CPT,0498U,ONC CLRCT NGS MUT DETC 43GEN,,,1345.31,2190.43,4
CPT,0499T,Ambulatory Surgery Groups,,,3478.0,4524.0,2
CPT,0499U,ONC CLRCT&LNG DNA NGS 8GENES,,,597.91,973.52,4
CPT,0500F,INITIAL PRENATAL CARE VISIT,,,0.02,0.02,1
CPT,0500T,Other Outpatient Services - CPT/HCPCS,,,48.9,48.9,1
CPT,0500U,AUTOINFLAM DS VEXAS SYND DNA,,,175.4,285.59,4
CPT,0501F,PRENATAL FLOW SHEET,,,0.02,0.02,1
CPT,0501U,ONC CLRC BLD QUAN MEAS CFDNA,,,192.0,312.61,4
CPT,0502F,SUBSEQUENT PRENATAL CARE,,,0.02,0.02,1
CPT,0502U,HPV E6/E7 MRK HI-RSK TYP CRV,,,35.09,57.13,4
CPT,0503F,POSTPARTUM CARE VISIT,,,0.02,0.02,1
CPT,0503T,Mammogram,,,63366.92,63366.92,1
CPT,0503U,NEURO ALZ DS ßAMYL&TAU PRTN,,,750.0,1221.15,4
CPT,0504U,NFCT DS UTI ID 17 PATH ORGS,,,416.78,678.6,4
CPT,0505F,HEMODIALYSIS PLAN DOCD,,,0.02,0.02,1
CPT,0505T,EV FEMPOP ARTL REVSC,,,6479.0,30380.0,7
CPT,0505U,NFCT DS VAG INFCTJ ID 32ORGS,,,679.77,1106.8,4
CPT,0506T,MAC PGMT OPT DNS MEAS HFP,,,62.23,101.32,5
CPT,0506U,GI BARRETTS ESOPHGL CELL 89,,,1938.01,3155.47,4
CPT,0507F,PERITON DIALYSIS PLAN DOCD,,,0.02,0.02,1
CPT,0507T,NEAR IFR 2IMG MIBMN GLND I&R,,,36.28,101.32,5
CPT,0507U,ONC OVR DNA WHOLE GEN W/5HMC,,,1160.0,1888.71,4
CPT,0509F,URINE INCON PLAN DOCD,,,0.02,0.02,1
CPT,0509T,PATTERN ERG W/I&R,,,90.17,3880.43,6
CPT,0510T,RMVL SINUS TARSI IMPLANT,,,3451.58,12001.0,7
CPT,0510U,ONC PNCRTC CA ALG ALYS 16GEN,,,473.91,771.62,4
CPT,0511T,RMVL&RINSJ SINUS TARSI IMPLT,,,5583.0,22625.0,7
CPT,0511U,ONC SOL TUM 3DMICROENVIR 36+,,,3033.86,4939.73,4
CPT,0512T,HC ESW INTEG WND HLG 1ST WND,727.69,254.7,211.65,6806.0,11
CPT,0512T,Surgical Services - Rev Code,727.69,254.7,6852.0,6852.0,1
CPT,0512U,ONC PRST8 ALYS DGTZ IMG MSI,,,706.25,1149.92,4
CPT,0513F,ELEV BP PLAN OF CARE DOCD,,,0.02,0.02,1
CPT,0513T,HC ESW INTEG WND HLG EA ADDL,363.85,127.35,104.21,6806.0,6
CPT,0513T,Surgical Services - Rev Code,363.85,127.35,6852.0,6852.0,1
CPT,0513U,ONC PRST8 ALG ALYS MSI&HRD,,,706.25,1149.92,4
CPT,0514F,CARE PLAN HGB DOCD ESA PT,,,0.02,0.02,1
CPT,0514U,GI IBD IA QUAN DETER ADL LVL,,,38.57,62.8,4
CPT,0515T,HC INSJ WCS LV COMPL SYS,50964.27,17837.5,6479.0,52872.0,10
CPT,0515U,GI IBD IA QUAN DETER IFX LVL,,,38.57,62.8,4
CPT,0516F,ANEMIA PLAN OF CARE DOCD,,,0.02,0.02,1
CPT,0516T,HC INSJ WCS LV ELTRD ONLY,17154.8,6004.18,5884.1,30380.0,10
CPT,0516U,RX METAB RXGENOMIC GNOTYP 40,,,416.78,678.6,4
CPT,0517F,GLAUCOMA PLAN OF CARE DOCD,,,0.02,0.02,1
CPT,0517T,HC INSJ WCS LV PG COMPNT,17154.8,6004.18,5884.1,30380.0,10
CPT,0517U,THER RX MNTR 80+ PSYACTIV RX,,,246.92,402.04,4
CPT,0518F,FALL PLAN OF CARE DOCD,,,0.02,0.02,1
CPT,0518T,HC RMVL PG COMPNT WCS,7253.21,2538.63,2487.85,12001.0,10
CPT,0518U,THER RX MNTR 90+ PN&MTL HLTH,,,246.92,402.04,4
CPT,0519F,PLAND CHEMO DOCD B/4 TXMNT,,,0.02,0.02,1
CPT,0519T,HC RMVL & RPLCMT PG COMPNT WCS,34090.44,11931.66,6479.0,17951.95,10
CPT,0519U,THER RX MNTR MEDS P/D/A 110+,,,246.92,402.04,4
CPT,0520F,RAD DOS LIMTS B/4 3D RAD,,,0.02,0.02,1
CPT,0520T,HC RMVL&RPLCMT PG WCS NEW ELTRD,50964.27,17837.5,6479.0,52872.0,10
CPT,0520U,THER RX MNTR 200+ RX/SBSTS,,,246.92,402.04,4
CPT,0521F,PLAN OF CARE 4 PAIN DOCD,,,0.02,0.02,1
CPT,0521T,HC INTERROG DEV EVAL WCS IP,63.38,22.19,18.15,49.68,9
CPT,0521U,RF IGA&IGM CCP ANTB SR-A IA,,,51.8,84.34,4
CPT,0522T,HC PRGRMG DEV EVAL WCS IP,86.1,30.14,24.66,64.14,9
CPT,0522U,CA VI PSP&SP1 ANTB CL SEMIQL,,,260.5,424.15,4
CPT,0523T,HC NTRAPX C FFR W/3D FUNCJL MAP,3255.76,1139.52,189.18,7740.0,6
CPT,0523U,ONC SOLTUM DNA NGS SNV 22GEN,,,1352.09,2201.47,4
CPT,0524T,EV CATH DIR CHEM ABLTJ W/IMG,,,3330.78,12001.0,7
CPT,0524U,OB PE SFLT-1/PLGF IA SRM/PLS,,,128.82,209.74,4
CPT,0525F,INITIAL VISIT FOR EPISODE,,,0.02,0.02,1
CPT,0525T,HC INSJ/RPLCMT COMPL IIMS,22889.75,8011.42,7740.0,33083.15,10
CPT,0525U,ONC SPHRD CELL CUL 11-RX PNL,,,3033.86,4939.73,4
CPT,0526F,SUBS VISIT FOR EPISODE,,,0.02,0.02,1
CPT,0526T,HC INSJ/RPLCMT IIMS ELTRD ONLY,17154.8,6004.18,5884.1,30380.0,10
CPT,0527T,HC INSJ/RPLCMT IIMS IMPLT MNTR,17154.8,6004.18,5884.1,30380.0,10
CPT,0527U,HSV 1&2 VZV AMP PRB TQ PTHGN,,,142.63,232.23,4
CPT,0528F,RCMND FLW-UP 10 YRS DOCD,,,0.02,0.02,1
CPT,0528T,HC PRGRMG DEV EVAL IIMS IP,86.1,30.14,24.66,7740.0,10
CPT,0528U,LRT IAD 18BCT/8VIR&7ARG RNA,,,634.84,1033.65,4
CPT,0529F,INTRVL 3/>YR PTS CLNSCP DOCD,,,0.02,0.02,1
CPT,0529T,HC INTERROG DEV EVAL IIMS IP,86.1,30.14,24.66,7740.0,10
CPT,0530T,HC REMOVAL COMPLETE IIMS,7253.21,2538.63,2487.85,12001.0,10
CPT,0530U,ONC PAN-SOL TUM CTDNA 77 GEN,,,2919.6,4753.69,4
CPT,0531T,HC REMOVAL IIMS ELECTRODE ONLY,7253.21,2538.63,2487.85,12001.0,10
CPT,0532T,HC REMOVAL IIMS IMPLT MNTR ONLY,7253.21,2538.63,2487.85,12001.0,10
CPT,0532U,RARE DS WHLGEN&MITOCHDRL DNA,,,5031.2,8191.8,4
CPT,0533U,RX METAB ADVRS GNOTYP 16GENS,,,416.78,678.6,4
CPT,0535F,DYSPNEA MNGMNT PLAN DOCD,,,0.02,0.02,1
CPT,0535U,PFAS LC-MS/MS PLSM/SRM QUAN,,,62.14,101.18,4
CPT,0536U,RBCAG FTL RHD PCR ALYS EXON4,,,192.0,312.61,4
CPT,0537T,Ambulatory Surgery Groups,,,3500.0,3500.0,1
CPT,0537T,Other Outpatient Services - CPT/HCPCS,,,672.92,672.92,1
CPT,0537U,ONC CLRCT CA CFDNA >2500 DMR,,,1495.0,2434.16,4
CPT,0538T,Ambulatory Surgery Groups,,,3500.0,3500.0,1
CPT,0538T,Other Outpatient Services - CPT/HCPCS,,,141.17,141.17,1
CPT,0538U,ONC SOL TUM NGTS FFPE 600GEN,,,2989.55,4867.59,4
CPT,0539T,Ambulatory Surgery Groups,,,3500.0,3500.0,1
CPT,0539T,Other Outpatient Services - CPT/HCPCS,,,71.28,71.28,1
CPT,0539U,ONC SOL TUMOR CFCTDNA 152GEN,,,3288.51,5354.35,4
CPT,0540F,GLUCO MNGMNT PLAN DOCD,,,0.02,0.02,1
CPT,0540T,Ambulatory Surgery Groups,,,3500.0,3500.0,1
CPT,0540T,Other Outpatient Services - CPT/HCPCS,,,274.21,274.21,1
CPT,0540U,TRNSPLJ MED QUAN DD-CFDNA,,,2753.25,4482.84,4
CPT,0541T,MYOCARDIAL IMAGING MCG,,,393.64,640.92,5
CPT,0542T,MYOCARDIAL IMAGING MCG I&R,,,26.33,26.33,1
CPT,0543T,TA MV RPR W/ARTIF CHORD TEND,,,4344.0,30380.0,3
CPT,0543U,ONC SOL TUM NGS DNA 517 GENS,,,2989.55,4867.59,4
CPT,0544T,TCAT MV ANNULUS RCNSTJ,,,4344.0,30380.0,3
CPT,0545F,FOLLOW UP CARE PLAN MDD DOCD,,,0.02,0.02,1
CPT,0545T,TCAT TV ANNULUS RCNSTJ,,,4344.0,30380.0,3
CPT,0545U,ACHR ANTB ID IMFLUOR LIVECLL,,,37.73,61.43,4
CPT,0546T,RF SPECTRSC NTRAOP MRGN ASMT,,,5428.0,5428.0,1
CPT,0546U,LDNS LRP4 ANTB IMFLR LIVECLL,,,37.73,61.43,4
CPT,0547T,B1 MATRL QUAL TST MCRIND TIB,,,3000.0,12001.0,2
CPT,0547U,NEURFLMNT LT CHN CLEIA PLSM,,,116.23,189.25,4
CPT,0548U,GFAP CLEIA PLASMA,,,116.23,189.25,4
CPT,0549U,ONC URTHL DNA MTHYLTD RT PCR,,,760.0,1237.43,4
CPT,0550F,CYTOPATH REPORT NONGYN SPCMN,,,0.02,0.02,1
CPT,0551F,CYTOPATH REPORT NON ROUTINE,,,0.02,0.02,1
CPT,0552T,LOW-LEVEL LASER THERAPY,,,2983.0,5428.0,2
CPT,0553T,Ambulatory Surgery Groups,,,30380.0,30380.0,1
CPT,0553T,Other Outpatient Services - CPT/HCPCS,,,2502.84,2502.84,1
CPT,0553U,REPR MED PGA EMBRY TE STRUX,,,759.05,1235.89,4
CPT,0554T,B1 STR & FX RSK ANALYSIS,,,71.48,71.48,1
CPT,0554U,REPR MED PGA 24CHRM TE BX QC,,,759.05,1235.89,4
CPT,0555F,SYMPTOM MGMNT PLAN CARE DOCD,,,0.02,0.02,1
CPT,0555T,B1 STR&FX RSK TRANSMIS DATA,,,28.16,49.68,5
CPT,0555U,REPR MED PGA EMBRYONIC TE QC,,,759.05,1235.89,4
CPT,0556F,PLAN CARE LIPID CONTROL DOCD,,,0.02,0.02,1
CPT,0556T,B1 STR & FX RSK ASSESSMENT,,,55.78,409.81,5
CPT,0556U,NFCT DS P-S DNA&RNA 12 TRGTS,,,142.63,232.23,4
CPT,0557F,PLAN CAREMNG ANGNL SYMPTDOCD,,,0.02,0.02,1
CPT,0557T,B1 STR & FX RSK I&R,,,28.16,28.16,1
CPT,0557U,NFCT DS BV DNA MRK VAG FLUID,,,262.99,428.2,4
CPT,0558T,CT SCAN F/BIOMCHN CT ALYS,,,91.8,387.1,5
CPT,0558U,ONC CLRCT ELISA BF7 AG SERUM,,,20.81,33.88,4
CPT,0559T,ANTMC MDL 3D PRINT 1ST CMPNT,,,23.25,228.52,5
CPT,0559U,ONC BRS QUAN ELISA BF9AG SRM,,,20.81,33.88,4
CPT,0560T,ANTMC MDL 3D PRINT EA ADDL,,,17.37,17.37,1
CPT,0560U,ONC MRD GSA CFDNA BASELINE,,,3878.45,6314.89,4
CPT,0561T,ANTMC GUIDE 3D PRINT 1ST GD,,,111.67,228.52,5
CPT,0561U,ONC MRD GSA CFDNA SUBSEQUENT,,,794.49,1293.59,4
CPT,0562T,ANTMC GUIDE 3D PRINT EA ADDL,,,31.43,31.43,1
CPT,0562U,ONC SOL TUM TGSA 33GENS SNVS,,,597.91,973.52,4
CPT,0563T,EVAC MEIBOMIAN GLND HEAT BI,,,62.23,3500.0,7
CPT,0563U,NFCT DS PTHGN-SNA 11VIR&4BCT,,,416.78,678.6,4
CPT,0564T,Laboratory,,,50.75,50.75,1
CPT,0564T,Other Outpatient Services - CPT/HCPCS,,,56.29,56.29,1
CPT,0564U,NFCT DS PTHGN-SNA 10VIR&4BCT,,,416.78,678.6,4
CPT,0565T,HC AUTOL CELL IMPLT ADPS TISS HRVG CELL IMPLT CRTJ,141.61,49.57,48.57,5583.0,5
CPT,0565U,ONC HCC NGS DETC 6626EPIGALT,,,1160.0,1888.71,4
CPT,0566T,HC AUTOL CELL IMPLT ADPS TISS NJX IMPLT KNEE UNI,673.79,235.83,231.11,3500.0,6
CPT,0566U,ONC LNG QPCR-BSD ALYS 13DMRS,,,416.78,678.6,4
CPT,0567T,Ambulatory Surgery Groups,,,18067.0,18067.0,1
CPT,0567T,Other Outpatient Services - CPT/HCPCS,,,416.95,416.95,1
CPT,0567U,RARE DS WHL GEN SEQ SRS&LRS,,,5031.2,8191.8,4
CPT,0568T,Ambulatory Surgery Groups,,,2983.0,12001.0,2
CPT,0568T,Other Outpatient Services - CPT/HCPCS,,,158.61,158.61,1
CPT,0568U,NEUROL DEMENTIA BAMYL PTAU,,,897.0,1460.5,4
CPT,0569T,TTVR PERQ APPR 1ST PROSTH,,,4344.0,30380.0,3
CPT,0570T,TTVR PERQ EA ADDL PROSTH,,,4344.0,30380.0,3
CPT,0570U,NEUROL TBI ALYS GFAP&UCH-L1,,,260.5,424.15,4
CPT,0571T,INSJ/RPLCMT ICDS SS ELTRD,,,11244.0,53912.32,7
CPT,0571U,ONC SOL TUM DNA80&RNA10G NGS,,,2919.6,4753.69,4
CPT,0572T,INSERTION SS DFB ELECTRODE,,,5583.0,30380.0,7
CPT,0573T,REMOVAL SS DFB ELECTRODE,,,3942.06,30380.0,7
CPT,0574T,REPOS PREV SS IMPL DFB ELTRD,,,3942.06,30380.0,7
CPT,0575F,HIV RNA PLAN CARE DOCD,,,0.02,0.02,1
CPT,0575T,HC PROGRAMMING DEV EVAL ICDS W/SS ELTRD IN PERSON,84.92,29.73,24.32,108.4,9
CPT,0575U,TRNSPLJ MED LAR RTPCR 4GENES,,,380.0,618.72,4
CPT,0576T,HC INTERROGATION DEV EVAL ICDS W/SS ELTRD IN PERSON,84.92,29.73,24.32,99.65,9
CPT,0576U,TRNSPLJ MED LAR QUAN DDCFDNA,,,3240.0,5275.37,4
CPT,0577T,HC ELECTROPHYSIOLOGICAL EVAL ICDS W/SS ELECTRODE,2543.38,890.19,728.42,5428.0,9
CPT,0577U,ONC OVR SERUM ALYS 39 GPS,,,246.92,402.04,4
CPT,0578T,REM INTERROG DEV ICDS PHYS,,,55.78,55.78,1
CPT,0578U,ONC CUTAN MLN RNA QPCR 10GEN,,,3873.0,6306.02,4
CPT,0579T,HC REM INTERROG DEV EVAL SS LD ICDS < 90D TECH,84.92,29.73,24.32,64.1,9
CPT,0579U,NFRO DBTC CKD ELISA APOA4,,,390.75,636.22,4
CPT,0580F,MULTIDISCIPLINARY CARE PLAN,,,0.02,0.02,1
CPT,0580T,RMVL SS IMPL DFB PG ONLY,,,3942.06,30380.0,7
CPT,0580U,BBRGDRFERI LD ANTB DETCJ 31,,,17.21,28.02,4
CPT,0581F,PT TRNSFRD FROM ANESTH TO CC,,,0.02,0.02,1
CPT,0581T,ABLTJ MAL BRST TUM PERQ CRTX,,,4130.33,12001.0,7
CPT,0581U,TRNSPL MED ANTB NOHLA 39TRGT,,,325.8,530.47,4
CPT,0582F,NO TRNSFR FROM ANESTH TO CC,,,0.02,0.02,1
CPT,0582T,TRURL ABLTJ MAL PRST8 TISS,,,3200.0,22660.58,7
CPT,0582U,RARE DS RPD WHLGEN DNA VRNTS,,,7582.2,12345.34,4
CPT,0583F,TRANSFER CARE CHECKLIST USED,,,0.02,0.02,1
CPT,0583T,TMPST AUTO TUBE DLVR SYS,,,1636.74,5583.0,8
CPT,0583U,RARE DS RPD WHLGEN CMPTR DNA,,,3791.1,6172.67,4
CPT,0584F,NO TRANSFERCARE CHKLIST USED,,,0.02,0.02,1
CPT,0584T,PERQ ISLET CELL TRANSPLANT,,,4344.0,52872.0,3
CPT,0584U,NEURO CSF PRION PRTN QUAL,,,540.99,880.84,4
CPT,0585T,LAPS ISLET CELL TRANSPLANT,,,4344.0,52872.0,3
CPT,0585U,TGSAP SO NEO CFDNA 521 GENES,,,2919.6,4753.69,4
CPT,0586T,OPEN ISLET CELL TRANSPLANT,,,4344.0,52872.0,3
CPT,0586U,ONC MRNA GEN XPRSN 216 GENES,,,2919.6,4753.69,4
CPT,0587T,PERQ IMPLTJ/RPLCMT ISDNS PTN,,,2983.0,10946.01,8
CPT,0587U,THER RX MNTR 60-150RX&METABL,,,114.43,186.31,4
CPT,0588T,REVISION/REMOVAL ISDNS PTN,,,3000.0,6987.0,7
CPT,0588U,NFCT DS BCT/VIR 32GENES MRNA,,,760.0,1237.43,4
CPT,0589T,ELEC ALYS SMPL PRGRMG IINS,,,100.29,163.29,5
CPT,0589U,PFAS24CMPND HI-PERF LC-MS/MS,,,198.74,323.59,4
CPT,0590T,ELEC ALYS CPLX PRGRMG IINS,,,86.12,163.29,5
CPT,0591T,HLTH&WB COACHING INDIV 1ST,,,167.45,167.45,1
CPT,0591U,ONC PRST8 CA 3PRTNS PLSM SRM,,,760.0,1237.43,4
CPT,0592T,HLTH&WB COACHING INDIV F-UP,,,167.45,167.45,1
CPT,0592U,ONC HL NEO DNA TGS 417 GENES,,,2919.6,4753.69,4
CPT,0593T,HLTH&WB COACHING GROUP,,,167.45,167.45,1
CPT,0593U,NFCT DS GU PTHGN DNA 46TRGT,,,634.84,1033.65,4
CPT,0594T,OSTEOT HUM XTRNL LNGTH DEV,,,6479.0,22625.0,7
CPT,0595U,NFCT DS TFP VCTRBRN&ZOONOTIC,,,262.99,428.2,4
CPT,0596T,TEMP FML IU VLV-PMP 1ST INSJ,,,735.57,3603.0,8
CPT,0597T,TEMP FML IU VALVE-PMP RPLCMT,,,735.57,3603.0,8
CPT,0598T,R-T FLUOR WOUND IMG 1ST SITE,,,73.68,370.86,5
CPT,0598U,GI IBS IGG ANTB 18FOOD ITEMS,,,300.0,488.46,4
CPT,0599T,R-T FLUOR WOUND IMG EA ADDL,,,51.0,51.0,1
CPT,0599U,ONC PNCRTC CA MULT IA SERUM,,,897.0,1460.5,4
CPT,0600T,ABLT IRE 1+ O/T LV/PRST8 PRQ,,,6479.0,19925.0,7
CPT,0601T,ABLTJ IRE 1+TUMORS OPEN,,,9611.0,19925.0,7
CPT,0602T,TRANSDERMAL GFR MEASUREMENTS,,,312.73,312.73,1
CPT,0603T,TRANSDERMAL GFR MONITORING,,,789.5,789.5,1
CPT,0604T,REM OCT RTA DEV SETUP&EDUCAJ,,,29.81,29.81,1
CPT,0605T,REM OCT RTA TECHL SPRT MIN 8,,,270.38,1313.01,5
CPT,0606T,REM OCT RTA PHYS/QHP EA 30D,,,44.96,44.96,1
CPT,0607T,REM MNTR PULM FLU MNTR SETUP,,,40.05,40.05,1
CPT,0608T,REM MNTR PULM FLU MNTR ALYS,,,400.51,400.51,1
CPT,0609T,MRS DISC PAIN ACQUISJ DATA,,,251.7,409.81,5
CPT,0610T,MRS DISC PAIN TRANSMIS DATA,,,269.15,269.15,1
CPT,0611T,MRS DISC PAIN ALG ALYS DATA,,,63.46,409.81,5
CPT,0612T,MRS DISCOGENIC PAIN I&R,,,54.67,54.67,1
CPT,0613T,PERQ TCAT INTRATRL SEPTL SHT,,,4344.0,30380.0,3
CPT,0614T,RMVL&RPLCMT SS IMPL DFB PG,,,11057.0,38204.72,7
CPT,0615T,AUTO ALYS BINOCULAR EYE MVMT,,,140.35,228.52,5
CPT,0616T,Ambulatory Surgery Groups,,,4524.0,15192.0,2
CPT,0616T,Other Outpatient Services - CPT/HCPCS,,,1089.35,1089.35,1
CPT,0617T,Ambulatory Surgery Groups,,,15192.0,18067.0,2
CPT,0617T,Other Outpatient Services - CPT/HCPCS,,,968.47,968.47,1
CPT,0618T,Ambulatory Surgery Groups,,,15192.0,18067.0,2
CPT,0618T,Other Outpatient Services - CPT/HCPCS,,,1283.82,1283.82,1
CPT,0619T,Ambulatory Surgery Groups,,,5583.0,21649.0,3
CPT,0619T,Ambulatory Surgery Groups - CPT/HCPCS,,,6090.0,6090.0,1
CPT,0620T,EVASC VEN ARTLZ TIBL/PRNL VN,,,6479.0,75652.55,7
CPT,0621T,TRABECULOSTOMY INTERNO LASER,,,4360.28,9658.0,7
CPT,0622T,TRABECULOSTOMY INT LSR W/SCP,,,4344.0,6479.0,3
CPT,0623T,Other Outpatient Services - CPT/HCPCS,,,261.47,261.47,1
CPT,0624T,Other Outpatient Services - CPT/HCPCS,,,94.61,94.61,1
CPT,0625T,Other Outpatient Services - CPT/HCPCS,,,49.86,49.86,1
CPT,0626T,Other Outpatient Services - CPT/HCPCS,,,117.69,117.69,1
CPT,0627T,PERQ NJX ALGC FLUOR LMBR 1ST,,,3000.0,30380.0,7
CPT,0628T,PERQ NJX ALGC FLUOR LMBR EA,,,2444.0,3000.0,2
CPT,0629T,PERQ NJX ALGC CT LMBR 1ST,,,3000.0,30380.0,7
CPT,0630T,PERQ NJX ALGC CT LMBR EA,,,2444.0,3000.0,2
CPT,0631T,Other Outpatient Services - CPT/HCPCS,,,130.55,130.55,1
CPT,0632T,PERQ TCAT US ABLTJ NRV P-ART,,,8110.0,31485.72,7
CPT,0633T,CT BREAST W/3D UNI C-,,,110.28,597.0,5
CPT,0634T,CT BREAST W/3D UNI C+,,,185.03,597.0,5
CPT,0635T,CT BREAST W/3D UNI C-/C+,,,185.03,597.0,5
CPT,0636T,CT BREAST W/3D BI C-,,,251.7,597.0,5
CPT,0637T,CT BREAST W/3D BI C+,,,368.02,599.21,5
CPT,0638T,CT BREAST W/3D BI C-/C+,,,368.02,599.21,5
CPT,0639T,WRLS SKN SNR ANISOTROPY MEAS,,,3000.0,3000.0,1
CPT,0640T,NCNTC IFR SPCTRSC O/T PAD 1,,,39.4,101.29,5
CPT,0643T,TCAT L VENTR RSTRJ DEV IMPLT,,,4344.0,22133.0,3
CPT,0644T,TCAT RMVL/DBLK ICAR MAS PERQ,,,6003.94,22133.0,7
CPT,0645T,TCAT IMPLTJ C SINS RDCTJ DEV,,,12858.0,31485.72,7
CPT,0646T,TTVI/RPLCMT W/PRSTC VLV PERQ,,,4344.0,30380.0,3
CPT,0647T,INSJ GTUBE PERQ MAG GASTRPXY,,,2024.22,10856.0,8
CPT,0648T,QUAN MR TIS WO MRI 1ORGN,,,981.41,1721.73,5
CPT,0649T,QUAN MR TISS W/MRI 1ORGN,,,981.41,1726.51,5
CPT,0650T,PRGRMG DEV EVAL SCRMS REMOTE,,,34.63,64.1,5
CPT,0651T,MAG CTRLD CAPSULE ENDOSCOPY,,,396.12,6177.0,7
CPT,0652T,EGD FLX TRANSNASAL DX BR/WA,,,2024.22,6177.0,8
CPT,0653T,EGD FLX TRANSNASAL BX 1/MLT,,,2024.22,6177.0,8
CPT,0654T,EGD FLX TRANSNASAL TUBE/CATH,,,3200.0,10856.0,8
CPT,0655T,TPRNL FOCAL ABLTJ MAL PRST8,,,3200.0,21649.0,8
CPT,0656T,ANT LMBR VRT BDY TETH <7 SEG,,,4344.0,30115.41,7
CPT,0657T,ANT LMBR VRT BDY TETH 8+ SEG,,,4344.0,30115.41,7
CPT,0658T,ELEC IMPD SPECTRSC 1+SKN LES,,,42.25,101.32,5
CPT,0659T,TCAT INTRA-C NFS SUPERSAT O2,,,4344.0,30380.0,3
CPT,0660T,IMPLT ANT SGM IO NBIO RX SYS,,,4360.28,18067.0,8
CPT,0661T,RMVL&RIMPLTJ ANT SGM IMPLT,,,4360.28,18067.0,8
CPT,0664T,DON HYSTERECTOMY OPEN CDVR,,,4344.0,12001.0,3
CPT,0665T,DON HYSTERECTOMY OPEN LIV,,,4344.0,12001.0,3
CPT,0666T,DON HYSTERECTOMY LAPS LIV,,,4344.0,12001.0,3
CPT,0667T,DON HYSTERECTOMY RCP UTER,,,4344.0,12001.0,3
CPT,0668T,BKBENCH PREP DON UTER ALGRFT,,,4344.0,12001.0,3
CPT,0669T,BKBENCH RCNSTJ DON UTER VEN,,,4344.0,12001.0,3
CPT,0670T,BKBENCH RCNSTJ DON UTER ARTL,,,4344.0,12001.0,3
CPT,0671T,INSJ ANT SGM AQ DRG DEV 1+,,,4524.0,21649.0,8
CPT,0672T,NDOVAG CRYG RF REMDL TISS,,,4344.0,18067.0,3
CPT,0673T,ABLTJ B9 THYR NDUL PERQ LASR,,,1742.24,10856.0,8
CPT,0674T,LAPS INSJ NW/RPCMT PRM ISDSS,,,5583.0,53000.01,7
CPT,0675T,LAPS INSJ NW/RPCMT ISDSS 1LD,,,5583.0,19138.27,7
CPT,0676T,LAPS INSJ NW/RPCMT ISDSS EA,,,2444.0,12001.0,3
CPT,0677T,LAPS REPOS LEAD ISDSS 1ST LD,,,3200.0,18257.4,7
CPT,0678T,LAPS REPOS LEAD ISDSS EA ADD,,,2444.0,12001.0,3
CPT,0679T,LAPS RMVL LEAD ISDSS,,,3200.0,18257.4,7
CPT,0680T,INSJ/RPLCMT PG ONLY ISDSS,,,5583.0,33320.9,7
CPT,0681T,RLCJ PULSE GEN ONLY ISDSS,,,3200.0,12001.0,7
CPT,0682T,REMOVAL PULSE GEN ONLY ISDSS,,,3200.0,12001.0,7
CPT,0683T,PRGRMG DEV EVAL ISDSS IP,,,39.37,64.1,4
CPT,0685T,INTERROG DEV EVAL ISDSS IP,,,39.37,64.1,4
CPT,0686T,HISTOTRIPSY MAL HEPATCEL TIS,,,6479.0,29420.95,6
CPT,0689T,QUAN US TIS CHARAC W/O DX US,,,91.8,157.43,5
CPT,0690T,QUAN US TIS CHARAC W/DX US,,,82.19,82.19,1
CPT,0691T,AUTO ALYS XST CT STD VRT FX,,,13.74,13.74,1
CPT,0692T,THERAPEUTIC ULTRAFILTRATION,,,1642.9,2674.98,4
CPT,0693T,COMPRE FUL BDY 3D MTN ALYS,,,142.03,589.24,5
CPT,0694T,3D VOL IMG&RCNSTJ BRST/AX,,,51.81,51.81,1
CPT,0695T,BDY SRF MPG PM/CVDFB TM IMPL,,,242.75,242.75,1
CPT,0696T,BDY SURF MAPG PM/CVDFB F/UP,,,39.37,64.51,5
CPT,0697T,QUAN MR TIS WO MRI MLT ORGN,,,981.41,1597.93,4
CPT,0698T,QUAN MR TISS W/MRI MLT ORGN,,,163.57,1597.93,5
CPT,0699T,NJX PST CHMBR EYE MEDICATION,,,2434.49,21649.0,8
CPT,0700T,MOLEC FLUOR IMG SUS NEV 1ST,,,63.2,63.2,1
CPT,0701T,MOLEC FLUOR IMG SUS NEV EA,,,18.67,18.67,1
CPT,0707T,NJX B1 SUB MTRL SBCHDRL DFCT,,,3200.0,21649.0,8
CPT,0708T,ID CA IMMNTX PREP & 1ST NJX,,,131.08,4344.0,2
CPT,0709T,ID CA IMMNTX EACH ADDL NJX,,,38.98,4344.0,2
CPT,0712T,N-NVS ARTL PLAQ ALYS QUAN,,,227.77,370.86,4
CPT,0714T,TPLA B9 PRST8 HYPRPLSA<50ML,,,3200.0,18067.0,7
CPT,0716T,CAR ACOUS WAVFRM REC CAD RSK,,,62.23,2444.0,5
CPT,0717T,ADRC THER PRTL RC TEAR,,,3738.22,12001.0,7
CPT,0718T,ADRC THER PRTL RC TEAR NJX,,,3000.0,6987.0,7
CPT,0719T,PST VRT JT RPLCMT LMBR 1 SGM,,,4344.0,12001.0,3
CPT,0720T,Ambulatory Surgery Groups,,,3500.0,5428.0,2
CPT,0720T,Ambulatory Surgery Groups - CPT/HCPCS,,,5513.0,5513.0,1
CPT,0721T,QUAN CT TISS CHARAC W/O CT,,,671.65,1093.59,4
CPT,0722T,QUAN CT TISS CHARAC W/CT,,,671.65,1093.59,4
CPT,0723T,QMRCP W/O DX MRI SM ANAT SES,,,981.41,1597.93,4
CPT,0724T,QMRCP W/DX MRI SAME ANATOMY,,,981.41,1597.93,4
CPT,0725T,VESTIBULAR DEV IMPLTJ UNI,,,4344.0,18067.0,3
CPT,0726T,RMVL IMPLT VSTIBULAR DEV UNI,,,4344.0,18067.0,3
CPT,0727T,RMVL&RPLCMT IMPLT VSTBLR DEV,,,4344.0,18067.0,3
CPT,0730T,TRABECULOTOMY LSR W/OCT GDN,,,4344.0,6479.0,3
CPT,0731T,AUGMNT AI-BASED FCL PHNT A/R,,,62.23,101.32,4
CPT,0732T,IMMNTX ADMN ELECTROPORATN IM,,,327.0,4344.0,2
CPT,0733T,REM R-T MTN NREHAB THER SPLY,,,361.9,589.24,4
CPT,0735T,PREP TUM CAV IORT PRIM CRNOT,,,2444.0,3000.0,2
CPT,0736T,COLONIC LAVAGE 35+L WATER,,,135.74,3500.0,7
CPT,0737T,XENOGRAFT IMPLTJ ARTCLR SURF,,,3200.0,22625.0,7
CPT,0738T,TX PLN MAG FLD ABLTJ PRST8,,,124.04,124.04,1
CPT,0739T,ABLTJ MAL PRST8 MAG FLD NDCT,,,3200.0,4344.0,2
CPT,0740T,REM AUTON ALG NSLN CAL SETUP,,,33.11,101.32,5
CPT,0741T,REM AUTON ALG NSLN DATA COLL,,,39.37,84.89,5
CPT,0742T,AQMBF SPECT XERS/STRS & REST,,,163.57,163.57,1
CPT,0743T,B1 STR & FX RSK VRT FX ASSMT,,,251.7,409.81,4
CPT,0744T,INSJ BIOPROSTC VLV FEM VN,,,5869.89,18067.0,7
CPT,0745T,CAR ABLT RAD ARR N-INVAS LOC,,,438.36,4344.0,2
CPT,0746T,CAR ABLT RAD ARR CNV LOC MAP,,,392.74,4344.0,2
CPT,0747T,CAR ABLT RAD ARRHYT DLVR RAD,,,1735.02,4344.0,2
CPT,0748T,NJX STM CL PRDCT ANL SFT TIS,,,3000.0,4344.0,2
CPT,0764T,ASSTV ALG ECG RSK ASMT CNCRT,,,7.28,228.52,5
CPT,0765T,ASSTV ALG ECG RSK ASMT PREV,,,13.82,228.52,5
CPT,0766T,TC MAG STIMJ PN 1ST NERVE,,,227.77,370.86,4
CPT,0771T,VR PX DISSOC SVC SM PHY 1ST,,,46.93,46.93,1
CPT,0772T,VR PX DISSOC SVC SM PHY EA,,,46.93,46.93,1
CPT,0773T,VR PX DISSOC SVC OTH PHY 1ST,,,39.18,39.18,1
CPT,0774T,VR PX DISSOC SVC OTH PHY EA,,,39.18,39.18,1
CPT,0775T,Ambulatory Surgery Groups,,,52872.0,52872.0,1
CPT,0777T,R-T PRS SENSING EDRL GDN SYS,,,3000.0,3000.0,1
CPT,0778T,SMMG CNCRNT APPL IMU SNR,,,135.74,221.0,4
CPT,0779T,GI MYOELECTRICAL ACTV STUDY,,,393.64,761.06,5
CPT,0780T,INSTLJ FECAL MICROBIOTA SSP,,,140.35,3500.0,7
CPT,0781T,BRNCHSC RF DSTRJ PULM NRV BI,,,4344.0,22133.0,4
CPT,0782T,BRNCHSC RF DSTRJ PLM NRV UNI,,,4344.0,22133.0,4
CPT,0783T,TC AURICULR NEUROSTIMULATION,,,21.73,221.0,5
CPT,0784T,INS/RPLMT ELTRD RA SPI NSTIM,,,5583.0,19138.27,6
CPT,0785T,REVJ/RMVL NEA SPI W/NSTIM,,,3000.0,6987.0,6
CPT,0786T,INSJ/RPLCMT PRQ RA SAC NSTIM,,,5583.0,19138.27,6
CPT,0787T,REVJ/RMVL NEA SAC W/NSTIM,,,3000.0,6987.0,6
CPT,0788T,ELEC ALY SMP IINS SP/SAC NRV,,,100.29,163.29,4
CPT,0789T,ELEC ALY CPX IINS SP/SAC NRV,,,100.29,163.29,4
CPT,0790T,REVJ RPLCMT/RMVL VRT TETHRG,,,4344.0,30115.41,6
CPT,0793T,PRQ TCAT THRM ABLT NRV P-ART,,,11244.0,52872.0,7
CPT,0794T,PT SPEC ALG RX-ONC TX OPTION,,,62.23,2444.0,5
CPT,0795T,TCAT INS 2CHMBR LDLS PM CMPL,,,11057.0,52872.0,7
CPT,0796T,TCAT INS 2CHMBR LDLS PM RA,,,6479.0,52872.0,7
CPT,0797T,TCAT INS 2CHMBR LDLS PM RV,,,6479.0,52872.0,7
CPT,0798T,TCAT RMV 2CHMBR LDLS PM CMPL,,,3330.78,12001.0,7
CPT,0799T,TCAT RMVL 2CHMBR LDLS PM RA,,,3330.78,12001.0,7
CPT,0800T,TCAT RMVL 2CHMBR LDLS PM RV,,,3330.78,12001.0,7
CPT,0801T,TCAT RMV&RPL 2CHMBR LDLS PM,,,11244.0,52872.0,7
CPT,0802T,TCAT RMV&RPL2CHMB LDLS PM RA,,,9611.0,52872.0,7
CPT,0803T,TCAT RMV&RPL2CHMB LDLS PM RV,,,9611.0,52872.0,7
CPT,0804T,PRGRMG EVL LDLS PM 2CHMBR IP,,,39.37,64.1,4
CPT,0805T,TCAT S&IVC PRSTC VL IMPL PRQ,,,4344.0,30380.0,3
CPT,0806T,TCAT S&IVC PRSTC VL IMPL OPN,,,4344.0,30380.0,3
CPT,0807T,PULM TISS VNTJ ALYS PREV CT,,,227.77,370.86,4
CPT,0808T,PULM TISS VNTJ ALYS W/CT,,,227.77,370.86,4
CPT,0809T,Ambulatory Surgery Groups,,,52872.0,52872.0,1
CPT,0810T,SUBRTA NJX RX AGT W/VTRC,,,3500.0,9658.0,7
CPT,0811T,REM MLT DAY UROFLOW SETUP,,,140.44,228.67,4
CPT,0812T,REM MLT DAY UROFLOW DEV SPLY,,,135.74,221.0,4
CPT,0813T,EGD VOL ADJMT BARIATRIC BALO,,,956.76,5513.0,6
CPT,0814T,PRQ NJX BIOD OSTEO MATRL FEM,,,3000.0,4344.0,2
CPT,0816T,OPN INSJ/RPLCMT INS PTN SUBQ,,,3200.0,33320.9,6
CPT,0817T,OPN INSJ/RPLCMT INS PTN SUBF,,,3200.0,33320.9,6
CPT,0818T,REVJ/RMVL INS PTN SUBQ,,,3000.0,6987.0,6
CPT,0819T,REVJ/RMVL INS PTN SUBF,,,3000.0,6987.0,6
CPT,0823T,TCAT INS 1CHMBR LDLS PM RA,,,11057.0,38204.72,6
CPT,0824T,TCAT RMV 1CHMBR LDLS PM RA,,,3330.78,6987.0,6
CPT,0825T,TCAT RMV&RPL1CHMB LDLS PM RA,,,11057.0,33083.15,6
CPT,0826T,PRGRMG EVL LDLS PM 1CHMBR IP,,,39.37,64.1,4
CPT,0857T,OPTO-ACOUSTIC IMG BREAST UNI,,,110.28,179.56,4
CPT,0861T,RMVL PG WCS LV BOTH COMPNT,,,3942.06,6987.0,6
CPT,0862T,RLCJ PG WCS LV BATTERY ONLY,,,2176.52,5513.0,6
CPT,0863T,RLCJ PG WCS LV TRNSMTR ONLY,,,2176.52,5513.0,6
CPT,0864T,LOW NTSTY ESWT CORPUS CVRNSM,,,263.56,3000.0,5
CPT,0865T,QUAN MRI ALYS BRN W/O DX MRI,,,251.7,409.81,4
CPT,0866T,QUAN MRI ALYS BRN W/DX MRI,,,251.7,409.81,4
CPT,0867T,TPLA B9 PRST8 HYPRPLSA>=50ML,,,3200.0,9209.22,6
CPT,0868T,HI-RES GASTRIC EP MAPPING,,,393.64,640.92,4
CPT,0869T,NJX B1 SUB MTRL HW FIXJ AUG,,,3200.0,6987.0,6
CPT,0870T,IMP SUBQ PRTL ASCTS PMP SYS,,,3200.0,58841.06,6
CPT,0871T,RPLCMT SUBQ PRTL ASCITES PMP,,,3200.0,46232.44,6
CPT,0872T,RPLCMT NDWLLG BLDR&PRTL CATH,,,3200.0,6149.56,6
CPT,0873T,REVJ SUBQ PRTL ASCT PMP SYS,,,3200.0,6149.56,6
CPT,0874T,RMVL PERTL ASCITES PMP SYS,,,3000.0,6149.56,6
CPT,0875T,PRGRM SUBQ PRTL ASCT PMP SYS,,,39.37,64.1,4
CPT,0877T,AUGMNT ALYS CH CT ILD W/O CT,,,671.65,1093.59,4
CPT,0878T,AUGMNT ALYS CH CT ILD W/CT,,,671.65,1093.59,4
CPT,0881T,CRYOTHERAPY ORAL CAVITY,,,471.24,767.28,4
CPT,0882T,INTRAOP THER ESTIM PN UE 1ST,,,2444.0,3000.0,2
CPT,0883T,INTRAOP THER ESTIM PN UE EA,,,2444.0,3000.0,2
CPT,0884T,ESPHGSC FLX 1ST TNDSC DILAT,,,5583.0,10427.14,6
CPT,0885T,COLSC FLX 1ST TNDSC DILAT,,,5583.0,10427.14,6
CPT,0886T,SGMDSC FLX 1ST TNDSC DILAT,,,3200.0,10427.14,6
CPT,0888T,HISTOTRIPSY MAL RENAL TISSUE,,,6479.0,29420.95,5
CPT,0889T,PRSNLZ TRGT DVL ARHFCMRIGTBS,,,981.41,1597.93,4
CPT,0890T,ARHFCMRIGTBS 1ST TX DAY,,,3872.47,6305.15,4
CPT,0891T,ARHFCMRIGTBS SBSQ TX DAY,,,3872.47,6305.15,4
CPT,0892T,ARHFCMRIGTBS SBSQ PER TX DAY,,,3872.47,6305.15,4
CPT,0893T,N-INVAS ASSMT BLD OXYGNATION,,,140.35,228.52,4
CPT,0894T,CANNULATION LIVER ALLOGRAFT,,,4344.0,4344.0,1
CPT,0897T,N-INVAS AUGMNT ARRHYT ALYS,,,905.87,1474.94,4
CPT,0898T,N-INVAS PRST8 CANCER EST MAP,,,905.87,1474.94,4
CPT,0901T,PLMT BONE MARROW SMPLG PORT,,,3000.0,4344.0,2
CPT,0902T,QTC NTRVL AUGMNT ALG ALY ECG,,,140.35,228.52,4
CPT,0904T,ECG ALG 12 LD RDCD TRCG ONLY,,,62.23,101.32,4
CPT,0906T,COMS THER 1ST APPL<=50 SQ CM,,,211.65,344.6,4
CPT,0908T,OPN IMP INT NSTM SYS VGS NRV,,,3200.0,53000.01,6
CPT,0909T,RPLCMT INT NSTIM SYS VGS NRV,,,3200.0,53000.01,6
CPT,0910T,RMVL INT NSTIM SYS VAGUS NRV,,,3000.0,6004.78,6
CPT,0911T,ELEC ALY NSTM SYS VGS NRV WO,,,62.23,101.32,4
CPT,0912T,ELEC ALYS NSTIM SYS VGS SMPL,,,100.29,163.29,4
CPT,0913T,PRQ TCAT THER RX NTRAC BALO1,,,11244.0,19827.86,6
CPT,0914T,PRQ TCAT THR RX NTRC BAL SEP,,,2444.0,3000.0,2
CPT,0915T,INSJ PERM CCM-D SYS PG&ELTRD,,,11244.0,53912.32,6
CPT,0916T,INSJ PERM CCM-D SYS PG ONLY,,,5583.0,38204.72,6
CPT,0917T,INSJ PERM CCM-D SYS 1 LEAD,,,6479.0,14213.49,6
CPT,0918T,INSJ PERM CCM-D SYS DUAL LD,,,6479.0,14213.49,6
CPT,0919T,RMVL PERM CCM-D SYS PG ONLY,,,3942.06,6987.0,6
CPT,0920T,RMVL PERM CCM-D SYS 1 PAC LD,,,3942.06,6987.0,6
CPT,0921T,RMVL PERM CCM-D SYS 1 DFB LD,,,3942.06,6987.0,6
CPT,0922T,RMVL PERM CCM-D SYS DUAL LD,,,3942.06,6987.0,6
CPT,0923T,RMVL&RPLCMT PERM CCM-D PG,,,5583.0,38204.72,6
CPT,0924T,RPOS PRV CCM-D TRNSVNS ELTRD,,,661.73,3603.0,6
CPT,0925T,RLCJ SKIN POCKET CCM-D PG,,,2176.52,5513.0,6
CPT,0926T,PRGRMG DEV EVAL CCM-D IP,,,39.37,64.1,4
CPT,0927T,INTERROG DEV EVAL CCM-D IP,,,39.37,64.1,4
CPT,0929T,REM INTERROG DEV CCM-D TECH,,,39.37,64.1,4
CPT,0930T,EPHYS EVAL CCM-D LD 1ST IMPL,,,1284.36,5513.0,6
CPT,0931T,EPHYS EVAL CCM-D LD SEPARATE,,,1284.36,5513.0,6
CPT,0932T,N-INVS DET HRT FAIL AUG ECHO,,,323.99,527.53,4
CPT,0933T,TCAT IMPL WRLS L ATR PRS SNR,,,3419.86,11244.0,6
CPT,0935T,CYSTO W/RNL PEL SYMP DNRVTJ,,,4344.0,5583.0,2
CPT,0941T,CYSTO FLX INS&XPNS URTL SCAF,,,4344.0,16259.23,6
CPT,0942T,CYSTO FLX RMV&RPLC URTL SCAF,,,4344.0,16259.23,6
CPT,0943T,CYSTO FLX RMVL URTL SCAFFOLD,,,2205.11,4344.0,6
CPT,0944T,3D CNTR SIMULA TRGT LVR LES,,,251.7,409.81,4
CPT,0945T,INTRAOP ASSMT ABNL TUM TISS,,,3000.0,4344.0,2
CPT,0946T,ORTHO IMPL MVMT ALYS PAIR CT,,,110.28,179.56,4
CPT,0947T,MRGFUS STRTCTC BL-BR DISRPJ,,,5583.0,5583.0,1
CPT,0949T,REM INTERROG DEV CCM TECH,,,39.37,64.1,4
CPT,0950T,ABLTJ B9 PRST8 TISSUE HIFU,,,9986.02,16259.23,4
CPT,0956T,PRT CRN CH CR&TUN ELT S-SCLP,,,28623.24,46604.36,4
CPT,0957T,REV S-SCLP ELTR RA RCVR&TLMT,,,1696.24,2761.83,4
CPT,0958T,RMV S-SCLP ELTR RA RCVR&TLMT,,,3451.58,5619.86,4
CPT,0959T,RMV/RPLC MAGNET COIL ASSEM,,,1742.24,2836.72,4
CPT,0960T,RPL S-SCLP ELTR RA RCVR&TLMT,,,28623.24,46604.36,4
CPT,0962T,ASSTV ALG ALYS ACOUS&ECG REC,,,140.35,228.52,4
CPT,0963T,ANOSC SBMCSL NJX BULKING AGT,,,1262.32,2055.31,4
CPT,0964T,I&CUST PREP JAW XPNSJ 1ARCH,,,3497.42,5694.51,4
CPT,0965T,I&CST PRP JW XPN DL ARCH NON,,,3497.42,5694.51,4
CPT,0966T,I&CST PRP JW XPN DL ARCH FXD,,,3497.42,5694.51,4
CPT,0967T,TRANAL INS TMP CLRC ANST DEV,,,1262.32,2055.31,4
CPT,0970T,ABLT B9 BRST TUM PERQ LSR EA,,,4130.33,6725.0,4
CPT,0971T,ABLT MAL BRST TUM PQ LSR UNI,,,4130.33,6725.0,4
CPT,0973T,SLCTV NZMTC DBRDMT T/A/L 1ST,,,428.83,698.21,4
CPT,0975T,SLCTV NZMTC DBRDMT S/N/HF 1,,,428.83,698.21,4
CPT,0977T,UPR GI BLD DETCJ SNR CAPSULE,,,956.76,1557.8,4
CPT,0981T,TCAT IMPL WRLS IVC SNR,,,19337.75,31485.72,4
CPT,0982T,REM MNTR IMPL IVC SNR SET-UP,,,140.44,228.67,4
CPT,0983T,REM MNTR IMPL IVC SNR PHYS,,,39.37,64.1,4
CPT,0989T,REVJ/RMVL INS PTN SUBQ&SUBF,,,3687.99,6004.78,4
CPT,0991T,CYSTO LO-NRG LITHTRP&MCRSPHR,,,9986.02,16259.23,4
CPT,0992T,N-INVAS ASSMT CAR RSK W/O CT,,,251.7,409.81,4
CPT,0993T,N-INVAS ASSMT CAR RSK W/CT,,,251.7,409.81,4
CPT,0996T,INS&SCLR FIX CAPS BAG PROSTH,,,2434.49,3963.83,4
CPT,10000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10004,HC FNA BX W/O IMG GDN EA ADDL,404.97,141.74,53.92,3000.0,9
CPT,10005,HC FNA BX W/US GDN 1ST LES,1493.97,522.89,512.43,3603.0,10
CPT,10006,HC FNA BX W/US GDN EA ADDL,746.99,261.45,61.23,3369.12,9
CPT,10007,HC FNA BX W/FLUOR GDN 1ST LES,1493.97,522.89,512.43,3603.0,10
CPT,10008,HC FNA BX W/FLUOR GDN EA ADDL,746.99,261.45,146.91,3477.04,9
CPT,10009,HC FNA BX W/CT GDN 1ST LES,1493.97,522.89,512.43,3603.0,10
CPT,1000F,TOBACCO USE ASSESSED,,,0.02,0.02,1
CPT,10010,HC FNA BX W/CT GDN EA ADDL,746.99,261.45,245.41,4777.01,9
CPT,10011,HC FNA BX W/MR GDN 1ST LES,1493.97,522.89,512.43,3603.0,10
CPT,10012,HC FNA BX W/MR GDN EA ADDL,746.99,261.45,213.94,3000.0,5
CPT,10013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10021,HC FNA W/O IMAGING GUIDANCE,998.84,349.6,342.6,3500.0,9
CPT,10022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10022,Mammogram,,,4277.7,4277.7,1
CPT,10023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1002F,ASSESS ANGINAL SYMPTOM/LEVEL,,,0.02,0.02,1
CPT,1002T,AIR DISPLACMNT PLETHYSMOGRAP,,,30.51,49.68,4
CPT,10030,HC GUIDE CATHET FLUID DRAINAGE,1490.38,521.64,511.2,3603.0,9
CPT,10031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10035,HC PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE,1399.87,489.96,480.16,3603.0,10
CPT,10036,HC PERQ SFT TISS LOC DEVICE PLMT ADD LES W/GDNCE,796.81,278.89,273.31,3000.0,9
CPT,10037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1003F,LEVEL OF ACTIVITY ASSESS,,,0.02,0.02,1
CPT,1003T,ARTHRP 1ST CRP/MTCRPL PROSTC,,,13543.32,22051.23,4
CPT,10040,HC ACNE SURGERY,426.09,149.14,146.15,344.6,6
CPT,10041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1004F,CLIN SYMP VOL OVRLD ASSESS,,,0.02,0.02,1
CPT,1004T,ELEC ALYS S-SCL EEG WO PRGRM,,,140.35,228.52,4
CPT,10050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1005F,ASTHMA SYMPTOMS EVALUATE,,,0.02,0.02,1
CPT,1005T,ELEC ALYS S-SCL EEG PRGR 1ST,,,100.29,163.29,4
CPT,10060,HC I&D ABSCESS SIMPLE / SINGLE,428.21,149.88,146.88,3500.0,9
CPT,10061,HC I&D ABSCESS MULT/COMPLEX,848.66,297.04,291.09,3500.0,10
CPT,10062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1006F,OSTEOARTHRITIS ASSESS,,,0.02,0.02,1
CPT,10070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1007F,ANTI-INFLM/ANLGSC OTC ASSESS,,,0.02,0.02,1
CPT,10080,HC I&D PILONIDAL CYST SIMPLE,1490.38,521.64,511.2,3603.0,9
CPT,10081,HC I&D PILONIDAL CYST COMP,2265.09,792.79,747.0,3603.0,9
CPT,10082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1008F,GI/RENAL RISK ASSESS,,,0.02,0.02,1
CPT,1008T,REM MNTR S-SCL EEG SYS SETUP,,,140.44,228.67,4
CPT,10090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10100,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1010F,SEVERITY ANGINA BY ACTVTY,,,0.02,0.02,1
CPT,1010T,CPTR OPH ALYS MONOC EYE MVMT,,,140.35,228.52,4
CPT,10110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1011F,ANGINA PRESENT,,,0.02,0.02,1
CPT,10120,HC REMOVAL FB SQ-SIMPLE,773.88,270.86,265.44,3500.0,9
CPT,10121,HC REMOVAL FB SQ COMPLICATED,3410.39,1193.64,1169.76,5513.0,10
CPT,10122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1012F,ANGINA ABSENT,,,0.02,0.02,1
CPT,1012T,MTRZ AB NTRNO TRPH SCL/TR MW,,,4360.28,7099.41,4
CPT,10130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10140,HC I&D HEMATOMA/SEROMA,3450.65,1207.73,1183.57,5513.0,9
CPT,10141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1015F,COPD SYMPTOMS ASSESS,,,0.02,0.02,1
CPT,10160,HC PUNCTURE ASP ABSCS/CYST/HEM,848.66,297.04,291.09,3500.0,9
CPT,10161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10180,HC I&D COMPLEX POSTOP INFECTION,6047.66,2116.69,2074.35,12001.0,10
CPT,10181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1018F,ASSESS DYSPNEA NOT PRESENT,,,0.02,0.02,1
CPT,10190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1019F,ASSESS DYSPNEA PRESENT,,,0.02,0.02,1
CPT,1019T,LYMPHOVENOUS BYPASS PER XTR,,,7004.61,11404.9,4
CPT,10200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1020T,RAMAN SPECTROSCOPY 1+SKN LES,,,62.23,101.32,4
CPT,10210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1021T,ACTIVE THRC IRRIGATION SPX,,,661.73,1077.43,4
CPT,10220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1022F,PNEUMO IMM STATUS ASSESS,,,0.02,0.02,1
CPT,10230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1025T,ALT ELEC FLD DOS&DLV SIM MDL,,,141.79,230.86,4
CPT,10260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1026F,CO-MORBID CONDITION ASSESS,,,0.02,0.02,1
CPT,10270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1030F,INFLUENZA IMM STATUS ASSESS,,,0.02,0.02,1
CPT,10310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1031F,SMOKING & 2ND HAND ASSESSED,,,0.02,0.02,1
CPT,10320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1032F,SMOKER/EXPOSED 2ND HND SMOKE,,,0.02,0.02,1
CPT,10330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1033F,TOBACCO NONSMOKER NOR 2NDHND,,,0.02,0.02,1
CPT,10340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1034F,CURRENT TOBACCO SMOKER,,,0.02,0.02,1
CPT,10350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1035F,SMOKELESS TOBACCO USER,,,0.02,0.02,1
CPT,10360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1036F,TOBACCO NON-USER,,,0.02,0.02,1
CPT,10370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1038F,PERSISTENT ASTHMA,,,0.02,0.02,1
CPT,10390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1039F,INTERMITTENT ASTHMA,,,0.02,0.02,1
CPT,10400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1040F,DSM-5 INFO MDD DOCD,,,0.02,0.02,1
CPT,10410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1050F,HISTORY OF MOLE CHANGES,,,0.02,0.02,1
CPT,10510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1052F,TYPE LOCATION ACTIVITYASSESS,,,0.02,0.02,1
CPT,10530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1055F,VISUAL FUNCT STATUS ASSESS,,,0.02,0.02,1
CPT,10560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1060F,DOC PERM/CONT/PAROX ATR FIB,,,0.02,0.02,1
CPT,10610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1061F,DOC LACK PERM&CONT&PAROX FIB,,,0.02,0.02,1
CPT,10620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1065F,ISCHM STROKE SYMP LT3 HRSB/4,,,0.02,0.02,1
CPT,10660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1066F,ISCHM STROKE SX ONSET>=3HR,,,0.02,0.02,1
CPT,10670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1070F,ALARM SYMP ASSESSED-ABSENT,,,0.02,0.02,1
CPT,10710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1071F,ALARM SYMP ASSESSED-1+ PRSNT,,,0.02,0.02,1
CPT,10720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1090F,PRES/ABSN URINE INCON ASSESS,,,0.02,0.02,1
CPT,10910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1091F,URINE INCON CHARACTERIZED,,,0.02,0.02,1
CPT,10920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,10999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11000,HC DBRDMT EXTENSV ECZEMA/INFECT SKN UP 10% BDY SURF,1245.26,435.85,427.12,3500.0,9
CPT,11001,DBRDMT ECZ/INFCT SKN EA ADDL,,,28.0,3000.0,7
CPT,11002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11004,DBRDMT SKIN XTRNL GENT&PER,,,498.66,5428.0,7
CPT,11005,DBRDMT SKIN ABDOMINAL WALL,,,680.35,5428.0,7
CPT,11006,DBRDMT SKIN XTRNL GENT PER,,,615.02,5428.0,7
CPT,11007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11008,RMV PRSTC MTRL/MESH ABD WALL,,,239.85,6987.0,7
CPT,11009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1100F,PTFALLS ASSESS-DOCD GE2>/YR,,,0.02,0.02,1
CPT,11010,HC DEBRIDE SKIN AT FX SITE,1497.44,524.11,513.62,3603.0,10
CPT,11011,DEBRIDE SKIN MUSC AT FX SITE,,,747.0,3603.0,8
CPT,11012,HC DEB SKIN BONE AT FX SITE,5434.5,1902.08,1864.03,12001.0,10
CPT,11013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1101F,PT FALLS ASSESS-DOCD LE1/YR,,,0.02,0.02,1
CPT,11020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11040,Mammogram,,,1600.83,1600.83,1
CPT,11041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11041,Mammogram,,,1966.0,1966.0,1
CPT,11042,HC DEB SUBQ TISSUE < 20 SQ CM,737.04,257.97,252.8,3500.0,10
CPT,11043,HC DEB MUSC/FASCIA 20 SQ CM/<,1333.43,466.71,457.37,3500.0,10
CPT,11044,HC DEBRIDE BONE 20 SQ CM<,3509.45,1228.31,1203.74,4524.0,10
CPT,11045,HC DEB SUBQ TISSUE ADD-ON,586.7,205.35,42.91,3000.0,9
CPT,11046,HC DEBRIDEMENT MUSCLE OR FASCIA (INCLUDES SKIN & SUBQ)EA ADD'L 20 SQ CM,668.35,233.93,77.85,3647.93,9
CPT,11047,HC DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM,1753.72,613.81,130.46,6457.47,9
CPT,11048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11055,HC TRIM SKIN LESION SINGLE,455.03,159.27,156.08,3500.0,9
CPT,11056,HC TRIM SKIN LESION 2 TO 4,455.03,159.27,156.08,3500.0,9
CPT,11057,HC TRIM SKIN LESIONS OVER 4,426.09,149.14,146.15,3500.0,9
CPT,11058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11100,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11100,Mammogram,,,3215.75,3215.75,1
CPT,11101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11101,Mammogram,,,1640.4,1640.4,1
CPT,11102,HC TANGNTL BX SKIN SINGLE LES,455.03,159.27,156.08,3500.0,9
CPT,11103,HC TANGNTL BX SKIN EA SEP/ADDL,227.51,79.63,50.87,3000.0,9
CPT,11104,HC PUNCH BX SKIN SINGLE LESION,848.66,297.04,291.09,3500.0,9
CPT,11105,HC PUNCH BX SKIN EA SEP/ADDL,227.51,79.63,62.9,3000.0,9
CPT,11106,HC INCAL BX SKN SINGLE LES,1336.7,467.85,458.49,3603.0,10
CPT,11107,HC INCAL BX SKN EA SEP/ADDL,404.97,141.74,73.85,3000.0,9
CPT,11108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1110F,PT LFT INPT FAC W/IN 60 DAYS,,,0.02,0.02,1
CPT,11110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1111F,DSCHRG MED/CURRENT MED MERGE,,,0.02,0.02,1
CPT,11120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1116F,AURIC/PERI PAIN ASSESSED,,,0.02,0.02,1
CPT,11170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1118F,GERD SYMPS ASSESSED 12 MONTH,,,0.02,0.02,1
CPT,11190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1119F,INIT EVAL FOR CONDITION,,,0.02,0.02,1
CPT,11200,HC REMOVAL SKIN TAGS UP TO 15,426.09,149.14,146.15,3500.0,9
CPT,11201,HC REMOVAL SKIN TAGS ADDL 10,192.86,67.51,18.78,5428.0,9
CPT,11202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1121F,SUBS EVAL FOR CONDITION,,,0.02,0.02,1
CPT,11220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1123F,ACP DISCUSS/DSCN MKR DOCD,,,0.02,0.02,1
CPT,11240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1124F,ACP DISCUSS-NO DSCNMKR DOCD,,,0.02,0.02,1
CPT,11250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1125F,AMNT PAIN NOTED PAIN PRSNT,,,0.02,0.02,1
CPT,11260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1126F,AMNT PAIN NOTED NONE PRSNT,,,0.02,0.02,1
CPT,11270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1127F,NEW EPISODE FOR CONDITION,,,0.02,0.02,1
CPT,11280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1128F,SUBS EPISODE FOR CONDITION,,,0.02,0.02,1
CPT,11290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11300,"HC EIP/DERM SHV LES T,A,L=<0.5CM",848.66,297.04,291.09,5428.0,9
CPT,11301,"HC EIP/DERM SHV LES T,A,L.6-1.0CM",439.55,153.85,150.77,5428.0,9
CPT,11302,"HC EIP/DERM SHV LES T,A,L 1.1-2.0CM",454.43,159.06,155.87,5428.0,9
CPT,11303,"HC EIP/DERM SHV LES T,A,L>2.1CM",808.6,283.01,277.35,5428.0,9
CPT,11304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11305,"HC EPI/DERM SHV S,N,H,F,G 0-0.5CM",439.55,153.85,150.77,5428.0,9
CPT,11306,"HC EPI/DERM SHV S,N,H,F,G .6-1CM",439.55,153.85,150.77,5428.0,9
CPT,11307,"HC EPI/ERM SHV S,N,H,F,G 1.1-2CM",426.09,149.14,146.15,5428.0,9
CPT,11308,"HC EPI/DERM SHV S,N,H,F,G >2.0CM",808.6,283.01,277.35,5428.0,9
CPT,11309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1130F,BK PAIN & FXN ASSESSED,,,0.02,0.02,1
CPT,11310,HC EPI/DERM SHV FEENLM 0-0.5CM,439.55,153.85,150.77,5428.0,9
CPT,11311,HC EPI/DERM SHV FEENLM .6-1.0CM,455.03,159.27,156.08,5428.0,9
CPT,11312,HC EPI/DERM SHV FEENLM 1.1-2.0CM,809.94,283.48,277.81,5428.0,9
CPT,11313,HC EPI/DERM SHV FEENLM >2.0CM,808.6,283.01,277.35,5428.0,9
CPT,11314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1134F,EPSD BK PAIN FOR 6 WKS/<,,,0.02,0.02,1
CPT,11350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1135F,EPSD BK PAIN FOR >6 WKS,,,0.02,0.02,1
CPT,11360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1136F,EPSD BK PAIN FOR 12 WKS/<,,,0.02,0.02,1
CPT,11370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1137F,EPSD BK PAIN FOR >12 WKS,,,0.02,0.02,1
CPT,11380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11400,"HC EXC BENIGN LES T,A,L 0-0.5CM",1497.44,524.11,513.62,3603.0,10
CPT,11401,"HC EXC BENIGN LES T,A,L 0.6-1.0CM",1078.48,377.47,369.92,3500.0,10
CPT,11402,"HC EXC BENIGN LES T,A,L 1.1-2.0CM",1174.07,410.93,402.71,3603.0,10
CPT,11403,"HC EXC BENIGN LES T,A,L 2.1-3.0CM",1602.14,560.75,549.53,3603.0,10
CPT,11404,"HC EXC BENIGN LES T,A,L 3.1-4.0CM",3237.98,1133.3,1110.63,5513.0,10
CPT,11405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11406,"HC EXC BENIGN LES T,A,L >4.0CM",3170.6,1109.71,1087.52,5513.0,10
CPT,11407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11420,HC EXC H-F-NK-SP B9+MARG 0.5/<,3507.19,1227.52,1202.97,4524.0,10
CPT,11421,HC EXC H-F-NK-SP B9+MARG 0.6-1,1804.86,631.71,619.07,3603.0,10
CPT,11422,HC EXC H-F-NK-SP B9+MARG 1.1-2,3450.65,1207.73,1183.57,4524.0,10
CPT,11423,"HC EXC BEN LES S,N,H,F,G 2.1-3CM",3410.39,1193.64,1169.76,5513.0,10
CPT,11424,"HC EXC BEN LES S,N,H,F,G 3.1-4CM",3410.39,1193.64,1169.76,5513.0,10
CPT,11425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11426,"HC EXC BEN LES S,N,H,F,G > 4CM",6047.66,2116.69,2074.35,12001.0,10
CPT,11427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11440,HC EXC BEN LES FEENLM 0-0.5CM,1800.5,630.18,617.57,3603.0,10
CPT,11441,HC EXC BEN LES FEENLM 0.6-1.0CM,1836.0,642.6,629.75,3603.0,10
CPT,11442,HC EXC BEN LES FEENLM 1.1-2.0CM,1573.31,550.66,539.65,3603.0,10
CPT,11443,HC EXC BEN LES FEENLM 2.1-3.0CM,3068.0,1073.8,1052.32,4524.0,10
CPT,11444,HC EXC BEN LES FEENLM 3.1-4.0CM,3552.5,1243.38,1218.51,4524.0,10
CPT,11445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11446,HC EXC BEN LES FEENLM>4.0 CM,4897.24,1714.04,1679.75,12001.0,10
CPT,11447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11450,"HC EXCISION OF SKIN & SUBCUTANEOUS TISSUE FOR HIDRADENITIS, AXILLARY; W/ SIMPLE OR INTERMEDIATE REPAIR",14381.52,5033.54,3064.14,12001.0,10
CPT,11451,"EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, AXILLARY; WITH COMPLEX REPAIR",14669.15,5134.21,3064.14,12001.0,10
CPT,11452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11462,"HC EXCISION OF SKIN & SUBCUTANEOUS TISSUE FOR HIDRADENITIS, INGUINAL; W/ SIMPLE OR INTERMEDIATE REPAIR",14381.52,5033.54,3064.14,12001.0,10
CPT,11463,"HC EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, INGUINAL; WITH COMPLEX REPAIR",14669.15,5134.21,3064.14,12001.0,10
CPT,11464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11470,HC EXCISION OF SKIN & SUBCUT TISSUE FOR HIDRADENITIS PERIANAL PERINEAL OR UMBILICAL W SIMP OR INTERM REPAIR,14381.52,5033.54,3064.14,12001.0,10
CPT,11471,HC EXCISION OF SKIN & SUBCUTANEOUS TISSUE FOR HIDRADENITIS PERIANAL PERINEAL OR UMBILICAL W COMPLEX REPAIR,14669.15,5134.21,3064.14,12001.0,10
CPT,11472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1150F,DOC PT RSK DEATH W/IN 1YR,,,0.02,0.02,1
CPT,11510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1151F,DOC NO PT RSK DEATH W/IN 1YR,,,0.02,0.02,1
CPT,11520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1152F,DOC ADVNCD DIS COMFORT 1ST,,,0.02,0.02,1
CPT,11530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1153F,DOC ADVNCD DIS CMFRT NOT 1ST,,,0.02,0.02,1
CPT,11540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1157F,ADVNC CARE PLAN IN RCRD,,,0.02,0.02,1
CPT,11580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1158F,ADVNC CARE PLAN TLK DOCD,,,0.02,0.02,1
CPT,11590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1159F,MED LIST DOCD IN RCRD,,,0.02,0.02,1
CPT,11600,"HC EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 0.5 CM OR LESS",3535.45,1237.41,747.0,3603.0,10
CPT,11601,"HC EXC MAL LES T,A,L .6-1.0 CM",1497.44,524.11,513.62,3603.0,10
CPT,11602,HC EXC MAL LES T A L 1.1-2CM,1069.85,374.45,366.96,3500.0,10
CPT,11603,HC EXC MAL LES T A L 2.1-3.0 CM,1718.93,601.63,589.59,3603.0,10
CPT,11604,"HC EXC MAL LES T,A,L 3.1-4.0 CM",1668.87,584.11,572.42,3603.0,10
CPT,11605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11606,"HC EXC MAL LES T,A,L >4.0CM",3175.24,1111.34,1089.11,5513.0,10
CPT,11607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1160F,RVW MEDS BY RX/DR IN RCRD,,,0.02,0.02,1
CPT,11610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11620,"HC EXC MAL LES S,N,H,F,G 0-.5 CM",3507.19,1227.52,1202.97,4524.0,10
CPT,11621,HC EXCISION MALIGNANT LESION INCLUDING MARGINS SCALP NECK HANDS FEET GENITALIA EXCISED DIAM 0.6 TO 1.0 CM,3535.45,1237.41,747.0,3603.0,10
CPT,11622,"HC EXC MAL LES S,N,H,F,G 1.1-2CM",1602.14,560.75,549.53,3603.0,10
CPT,11623,"HC EXC MAL LES S,N,H,F,G 2.1-3 CM",3450.65,1207.73,1183.57,4524.0,9
CPT,11624,"HC EXCISION, MALIGNANT INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, GENITALIA 3.1 TO 4.0 CM",4687.28,1640.55,1607.74,5513.0,10
CPT,11625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11626,"HC EXC MAL LES S,N,H,F,G > 4.0 CM",4657.37,1630.08,1597.48,12001.0,10
CPT,11627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11640,HC EXC MAL LES FEENLM 0-.5 CM,1497.44,524.11,513.62,3603.0,10
CPT,11641,HC EXC MAL LES FEENLM .6-1.0 CM,1497.44,524.11,513.62,3603.0,10
CPT,11642,HC EXC MAL LES FACE 1.1-2.0 CM,3058.77,1070.57,747.0,3603.0,10
CPT,11643,HC EXC MAL LES FACE 2.1-3.0 CM,3758.09,1315.34,1289.02,4524.0,10
CPT,11644,HC EXC MAL LES FACE 3.1-4.0 CM,4191.2,1466.92,1437.58,5513.0,10
CPT,11645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11646,HC EXCISION MALIGNANT LESION F/E/N/L OVER 4.0 CM,6278.45,2197.46,2153.51,12001.0,10
CPT,11647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1170F,FXNL STATUS ASSESSED,,,0.02,0.02,1
CPT,11710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11719,HC TRIM NONDYSTROPHY NAIL,106.04,37.12,36.37,5428.0,9
CPT,11720,HC DEBRIDEMENT OF NAILS 1-5,192.86,67.51,62.23,3500.0,9
CPT,11721,HC DEBRIDE NAIL 6 OR MORE,192.86,67.51,62.23,3500.0,9
CPT,11722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11730,HC REMOVAL OF NAIL PLATE,426.09,149.14,146.15,3500.0,9
CPT,11731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11732,HC REMOVE NAIL PLATE ADD-ON,192.86,67.51,33.55,3000.0,9
CPT,11733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11740,HC DRAIN BLOOD FROM UNDER NAIL,284.79,99.68,97.68,3500.0,9
CPT,11741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11750,HC EXCISE NAIL & MATRIX,906.82,317.39,311.04,3500.0,10
CPT,11751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11752,Mammogram,,,17299.33,17299.33,1
CPT,11753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11755,HC BIOPSY NAIL UNIT,1497.44,524.11,513.62,3603.0,10
CPT,11756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1175F,FUNCTION STAT ASSESSED RVWD,,,0.02,0.02,1
CPT,11760,HC REPAIR NAIL BED,1270.17,444.56,435.67,3500.0,9
CPT,11761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11762,RECONSTRUCTION OF NAIL BED,,,2176.52,5513.0,7
CPT,11763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11765,HC WEDGE EXCISION OF NAIL FOLD,808.6,283.01,277.35,3500.0,9
CPT,11766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11770,EXC PILONIDAL CYST SIMPLE,,,3064.14,12001.0,8
CPT,11771,EXC PILONIDAL CYST XTNSV,,,3064.14,12001.0,8
CPT,11772,EXC PILONIDAL CYST COMP,,,3064.14,12001.0,8
CPT,11773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1180F,THROMBOEMB RISK ASSESSED,,,0.02,0.02,1
CPT,11810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1181F,NEUROPSYCHIA SYMPTS ASSESSED,,,0.02,0.02,1
CPT,11820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1182F,NEUROPSYCHI SYMPT 1+PRESENT,,,0.02,0.02,1
CPT,11830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1183F,NEUROPSYCHIATRIC SYMP ABSENT,,,0.02,0.02,1
CPT,11840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11900,HC INTERLESIONAL INJ (1-7),439.55,153.85,150.77,3500.0,9
CPT,11901,HC INTRALESIONAL INJ (8 +),439.55,153.85,150.77,3500.0,9
CPT,11902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11920,CORRECT SKIN COLOR 6.0 CM/<,,,779.64,3500.0,7
CPT,11921,CORRECT SKN COLOR 6.1-20.0CM,,,779.64,3500.0,7
CPT,11922,CORRECT SKIN COLOR EA 20.0CM,,,68.78,3000.0,7
CPT,11923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11950,HC FILL CONTOUR DEFCT <1CC,455.03,159.27,156.08,5428.0,9
CPT,11951,HC COLLAGEN INJECTION 1.1-5 CC,1336.7,467.85,458.49,5428.0,9
CPT,11952,HC COLLAGEN INJECTION 5.1-10 CC,1336.7,467.85,458.49,5428.0,9
CPT,11953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11954,HC COLLAGEN INJECTION >10 CC,1336.7,467.85,458.49,5428.0,9
CPT,11955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11960,"HC INSERTION OF TISSUE EXPANDER(S) FOR OTHER THAN BREAST, INCLUDING SUBSEQUENT EXPANSION",7133.14,2496.6,2446.67,12001.0,10
CPT,11961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11970,RPLCMT TISS XPNDR PERM IMPLT,,,4236.0,22625.0,8
CPT,11971,HC REMOVE TISSUE EXPANDER,5577.56,1952.15,1913.1,12001.0,10
CPT,11972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11975,Mammogram,,,5084.49,5084.49,1
CPT,11976,HC REMOVE CONTRACEPTIVE CAPSULES,1497.44,524.11,513.62,1216.26,6
CPT,11977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11977,Mammogram,,,11374.49,11374.49,1
CPT,11978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11980,HC IMPLANT HORMONE PELLET(S),858.59,300.51,294.5,3500.0,9
CPT,11981,HC INSERT DRUG IMPLANT DEVICE,265.55,92.95,91.08,3500.0,9
CPT,11982,HC REMOVE DRUG IMPLANT DEVICE,858.59,300.51,294.5,3500.0,9
CPT,11983,HC REMOVE/INSERT DRUG IMPLANT,858.59,300.51,294.5,3500.0,9
CPT,11984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,11999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12001,HC REP LAC SIM SNAETE 0-2.5CM,412.17,144.26,141.37,3500.0,9
CPT,12002,HC REP LAC SIM SNAETE 2.6-7.5CM,452.13,158.25,155.08,5428.0,9
CPT,12003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12004,HC REP LAC SIM SNAETE 7.6-12.5CM,513.34,179.67,176.08,3500.0,9
CPT,12005,HC REP LAC SIM SNAETE 12.6-20.0CM,848.66,297.04,291.09,3500.0,10
CPT,12006,HC REP LAC SIM SNAETE 20.1-30.0CM,747.97,261.79,256.55,3500.0,10
CPT,12007,HC REP LAC SIM SNAETE >30 CM,747.97,261.79,211.65,3500.0,10
CPT,12008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1200F,SEIZURE TYPE& FREQU DOCD,,,0.02,0.02,1
CPT,12010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12011,HC REP LAC SIM FEENLM 0-2.5CM,350.59,122.71,120.25,5428.0,9
CPT,12012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12013,HC REP LAC SIM FEENLM 2.6-5.0CM,350.86,122.81,120.34,5428.0,9
CPT,12014,HC REP LAC SIM FEENLM 5.1-7.5CM,421.42,147.5,144.55,3500.0,9
CPT,12015,HC REP LAC SIM FEENLM 7.6-12.5CM,637.01,222.96,211.65,3500.0,9
CPT,12016,HC REP LAC SIM FEENLM 12.6-20CM,848.66,297.04,291.09,3500.0,10
CPT,12017,HC REP LAC SIM FEENLM 20.1-30CM,646.4,226.24,221.72,3500.0,10
CPT,12018,HC REP LAC SIM FEENLM >30 CM,740.67,259.24,211.65,3500.0,10
CPT,12019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12020,HC TX SPLT WOUND SIMPLE CLOSE,1060.49,371.18,363.75,3500.0,10
CPT,12021,HC TX SPLIT WOUND W/PACKING,677.94,237.28,232.53,3500.0,10
CPT,12022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12031,HC INTMD RPR S/A/T/EXT 2.5 CM/<,677.95,237.29,232.54,3500.0,9
CPT,12032,HC INTMD RPR S/A/T/EXT 2.6-7.5,711.85,249.15,244.16,3500.0,9
CPT,12033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12034,HC INTMD RPR S/TR/EXT 7.6-12.5,745.75,261.02,255.79,3500.0,10
CPT,12035,HC INTMD RPR S/A/T/EXT 12.6-20,779.64,272.88,267.42,3500.0,10
CPT,12036,HC INTMD RPR S/A/T/EXT 20.1-30,1336.7,467.85,458.49,3500.0,10
CPT,12037,"HC RPR INTMD WOUNDS OF SCALP AXILLAE, TRUNK AND/OR EXTREMITIES OVER 30 CM",3994.39,1398.04,1370.08,5513.0,10
CPT,12038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12041,HC INTMD RPR N-HF/GENIT 2.5CM/<,848.66,297.04,291.09,3500.0,9
CPT,12042,HC LAC LAYR(NHFG) 2.6-7.5 CM,677.94,237.28,232.53,3500.0,9
CPT,12043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12044,HC LAC LAYR(NHFG) 7.6-12.5 CM,1336.7,467.85,458.49,3500.0,10
CPT,12045,HC REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM,2005.05,701.77,687.73,3500.0,10
CPT,12046,"HC REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 20.1 CM TO 30.0 CM",3075.9,1076.57,779.64,3603.0,10
CPT,12047,"HC REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; OVER 30.0 CM",9191.7,3217.1,2176.52,5513.0,10
CPT,12048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12051,HC LAC LAYR FEENLM 2.5CM OR LESS,848.66,297.04,291.09,3500.0,9
CPT,12052,HC LAC LAYR FEENLM 2.6-5.0 CM,848.66,297.04,291.09,3500.0,9
CPT,12053,HC LAC LAYR FEENLM 5.1-7.5 CM,649.69,227.4,222.84,3500.0,9
CPT,12054,HC LAC LAYR FEENLM 7.6-12.5 CM,679.21,237.73,232.97,3500.0,10
CPT,12055,HC LAC LAYR FEENLM 12.6-20CM,738.29,258.41,253.23,3500.0,10
CPT,12056,HC INTMD RPR FACE/MM 20.1-30.0,848.66,297.04,291.09,3500.0,10
CPT,12057,HC INTMD RPR FACE/MM >30.0 CM,848.66,297.04,291.09,3500.0,10
CPT,12058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1205F,EPI ETIOL SYND RVWD AND DOCD,,,0.02,0.02,1
CPT,12060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12100,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1220F,PT SCREENED FOR DEPRESSION,,,0.02,0.02,1
CPT,12210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,12999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13100,HC RPR COMP LAC TRUNK 1.1-2.5CM,1098.03,384.32,376.62,3500.0,10
CPT,13101,HC REP COMP LAC TRUNK 2.6-7.5CM,1098.03,384.32,376.62,5583.0,10
CPT,13102,HC CMPLX RPR TRUNK ADDL 5CM/<,677.95,237.29,123.95,4818.54,9
CPT,13103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13120,"HC REP COMP LAC S,A,L 1.1-2.5CM",1336.7,467.85,428.83,3500.0,10
CPT,13121,"HC REP COMP LAC S,A,L 2.6-7.5CM",1336.7,467.85,428.83,5583.0,10
CPT,13122,HC CMPLX RPR S/A/L ADDL 5 CM/>,549.02,192.16,132.05,5567.63,9
CPT,13123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13131,HC RE COM LAC FCCMNAGHR 1.1-2.5CM,833.73,291.81,285.97,3500.0,10
CPT,13132,HC RE COM LAC FCCMNAGHR 2.6-7.5CM,1060.49,371.18,363.75,5583.0,10
CPT,13133,HC RE COM LAC FCCMNAGHR ADDL=<5CM,731.94,256.18,172.49,8418.81,9
CPT,13134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13150,Mammogram,,,15114.17,15114.17,1
CPT,13151,HC CMPLX RPR E/N/E/L 1.1-2.5 CM,1098.03,384.32,376.62,5583.0,10
CPT,13152,HC REP COMP LAC ENEL 2.6-7.5 CM,1098.03,384.32,376.62,5583.0,10
CPT,13153,HC REP COMP LAS ENEL ADDL =<5CM,1122.23,392.79,193.72,9206.12,10
CPT,13154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13160,HC SECONDARY CLOSURE SURG WOUND/DEHSN EXTSV/COMPLIC,4404.97,1541.74,1510.9,6086.57,10
CPT,13161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,13999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14000,"HC ADJACENT TISSUE TRANSFER,TRUNK; DEFECT 10 SQ CM OR LESS",4080.58,1428.21,1399.64,5513.0,10
CPT,14001,TIS TRNFR TRUNK 10.1-30SQCM,,,2176.52,5583.0,8
CPT,14002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1400F,PRKNS DIAG RVIEWED,,,0.02,0.02,1
CPT,14010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14020,"HC ADJACENT TISSUE TRANSFER OR REARRANGEMENT, SCALP, ARMS, AND/OR LEGS 10 SQ CM OR LESS",7593.39,2657.69,2176.52,5583.0,10
CPT,14021,"HC ADJACENT TISSUE TRANSFER OR REARRANGEMENT, SCALP, ARMS AND/OR LEGS: DEFECT 10.1SQ CM TO 30.0 SQ C",7992.75,2797.47,2176.52,5583.0,10
CPT,14022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14040,HC TISS REARRANGE 10 SQ CM OR LESS,3707.4,1297.59,1271.64,5513.0,10
CPT,14041,HC TISS REARRANGE 10.1 TO 30 SQ CM,3894.32,1363.02,1335.75,5583.0,10
CPT,14042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14060,"HC TIS TRANS E,N,E,L <=10 SQ CM",3677.52,1287.14,1261.39,5583.0,10
CPT,14061,HC TISSUE TRANSFER 10.1-30 SQ CM,3861.41,1351.5,1324.46,5583.0,10
CPT,14062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14100,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14300,Mammogram,,,55200.09,55200.09,1
CPT,14301,"HC ADJACENT TISSUE TRANSFER, ANY AREA, 30.1 TO 60 SQ CM",9148.34,3201.92,3137.88,21649.0,10
CPT,14302,HC ADJACENTT TISSUE TRANSFER/REARRANGEMENT DEFECT EA ADDL 30 SQ CM OR PART THEREOF,3679.2,1287.72,223.77,14499.1,9
CPT,14303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14350,FILLETED FINGER/TOE FLAP,,,2176.52,5583.0,8
CPT,14351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1450F,SYMPTOMS IMPROVED/CONSIST,,,0.02,0.02,1
CPT,14510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1451F,SYMPT SHOW CLIN IMPORT DROP,,,0.02,0.02,1
CPT,14520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1460F,QUAL CARD DIAG PRIOR 12 MONS,,,0.02,0.02,1
CPT,14610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1461F,NO QUAL CARD DIAG PRIOR12MON,,,0.02,0.02,1
CPT,14620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1490F,DEM SEVERITY CLASSIFIED MILD,,,0.02,0.02,1
CPT,14910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1491F,DEM SEVERITY CLASSIFIED MOD,,,0.02,0.02,1
CPT,14920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1493F,DEM SEVERITY CLASS SEVERE,,,0.02,0.02,1
CPT,14940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1494F,COGNIT ASSESSED AND REVIEWED,,,0.02,0.02,1
CPT,14950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,14999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15000,Mammogram,,,15303.8,15303.8,1
CPT,15001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15001,Mammogram,,,3513.18,3513.18,1
CPT,15002,HC SURGICAL PREPARATION OF RECIPIENTS SITE BY EXCISION OF OPEN WOUNDS,4395.15,1538.31,779.64,5513.0,10
CPT,15003,WOUND PREP ADDL 100 CM,,,76.55,3009.95,7
CPT,15004,"HC SURGICAL PREP OR CREATION OF RCPT. SITE BY EXC. FIRST 100SQ CM OR 1% CHILD HEAD,NECK, HDS, FT,  F",4008.5,1402.98,428.83,3500.0,10
CPT,15005,WND PREP F/N/HF/G ADDL CM,,,126.64,5976.41,7
CPT,15006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1500F,SYMPTOM&SIGN SYMM POLYNEURO,,,0.02,0.02,1
CPT,15010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15011,HRV SKN CLL SSP AGRFT 1ST 25,,,2176.52,5513.0,6
CPT,15012,HRV SKN CLL SSP AGRFT EA ADD,,,2444.0,3000.0,2
CPT,15013,PREPJ SKN CLL SSP AGRFT 1ST,,,7486.29,12664.0,5
CPT,15014,PREPJ SKN CLL SSP AGRFT EA,,,2444.0,2444.0,1
CPT,15015,APP SKN CL SSP AGRFT T/A/L 1,,,2176.52,5513.0,6
CPT,15016,APP SKN CL SSP AGRF T/A/L EA,,,2444.0,3000.0,2
CPT,15017,APP SKN CLL SSP F/N/G/HF 1ST,,,2176.52,5513.0,6
CPT,15018,APP SKN CLL SSP F/N/G/HF EA,,,2444.0,3000.0,2
CPT,15019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1501F,NOT INITIAL EVAL FOR COND,,,0.02,0.02,1
CPT,15020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1502F,PT QUERIED PAIN FXN W/ INSTR,,,0.02,0.02,1
CPT,15030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1503F,PT QUERIED SYMP RESP INSUFF,,,0.02,0.02,1
CPT,15040,HARVEST CULTURED SKIN GRAFT,,,2176.52,5513.0,8
CPT,15041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1504F,PT HAS RESP INSUFFICIENCY,,,0.02,0.02,1
CPT,15050,PINCH GRAFT UP TO 2 CM DIAM,,,779.64,3500.0,8
CPT,15051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,1505F,PT HAS NO RESP INSUFFICIENCY,,,0.02,0.02,1
CPT,15060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15100,SPLT AGRFT T/A/L 1ST 100SQCM,,,2176.52,5513.0,8
CPT,15101,SPLT AGRFT T/A/L EA ADDL 100,,,207.79,7461.23,7
CPT,15102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15110,EPIDRM AGRFT T/A/L 1ST 100,,,2176.52,5513.0,8
CPT,15111,EPIDRM AGRFT T/A/L EA ADDL,,,122.26,6799.98,7
CPT,15112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15115,EPDRM AGRFT F/S/N/H/F/G/M 1,,,2176.52,5513.0,8
CPT,15116,EPDRM AGRFT F/S/N/H/F/G/M EA,,,165.67,9299.34,7
CPT,15117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15120,HC SPLT THCK AUTOGFT FACE LIDS SCALP EARS GENITALIA HANDS FEET DIGITS 1ST 100 SQ CM OR LESS,9148.34,3201.92,3137.88,12001.0,10
CPT,15121,SPLT AGRFT F/S/N/H/F/G/M EA,,,227.91,9031.31,7
CPT,15122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15130,DRM AGRFT T/A/L 1ST 100 SQCM,,,2176.52,6090.0,8
CPT,15131,DRM AGRFT T/A/L EA ADDL,,,104.82,6033.37,7
CPT,15132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15135,DRM AGRFT F/S/N/H/F/G/M 1ST,,,3200.0,12001.0,8
CPT,15136,DRM AGRFT F/S/N/H/F/G/M EA,,,103.04,6033.37,7
CPT,15137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15150,TIS CLTR SKN AGRFT T/A/L 1ST,,,2176.52,5513.0,8
CPT,15151,TIS CLTR SKN AGRFT T/A/L ADD,,,125.16,7251.51,7
CPT,15152,TIS CLTR SKN AGRFT T/A/L EA,,,153.9,9441.32,7
CPT,15153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15155,TIS CLTR AGRFT F/S/N/H/F/G 1,,,3200.0,12001.0,8
CPT,15156,TIS CLT AGRFT F/S/N/H/F/G AD,,,168.1,9932.55,7
CPT,15157,TIS CLT AGRFT F/S/N/H/F/G EA,,,188.59,10849.83,7
CPT,15158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15170,Mammogram,,,24702.37,24702.37,1
CPT,15171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15171,Mammogram,,,5886.62,5886.62,1
CPT,15172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15175,Mammogram,,,30552.73,30552.73,1
CPT,15176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15176,Mammogram,,,9110.33,9110.33,1
CPT,15177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15200,FTH/GFT FR TRNK 20 SQ CM/<,,,2176.52,6090.0,8
CPT,15201,FTH/GFT FR TRNK EACH ADDL,,,153.38,5133.49,7
CPT,15202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15220,"HC FULL THICKNESS GRAFT, FREE, SCALP, ARMS, AND/OR LEGS, 20 SQ CMS OR LESS",6025.67,2108.99,2066.8,5513.0,10
CPT,15221,"HC FULL THICKNESS GRAFT, FREE, SCALP, ARMS, AND/OR LEGS; EACH ADD'L 20 SQ CMS",2008.56,703.0,138.6,4627.56,9
CPT,15222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15240,HC FULL THKNS SKIN GFT TO FHD CKS CHIN MOUTH NECK AXIL GENIT 20 SQ CM OR LESS,6025.67,2108.99,2066.8,5583.0,10
CPT,15241,FTH/GFT F/C/C/M/N/A/G/H/F EA,,,185.31,7081.97,7
CPT,15242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15260,"HC FULL THICKNESS GRAFT, NOSE, EARS EYELIDS AND/OR LIPS 20 SQ CMS OR LESS",6025.67,2108.99,2066.8,5513.0,10
CPT,15261,FTH/GFT FR N/E/E/L EACH ADDL,,,214.45,9178.68,7
CPT,15262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15271,HC APP SKN SUB GRFT T/A/L AREA/100SQ CM /<1ST 25,4080.87,1428.31,779.64,5513.0,10
CPT,15272,HC APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC,687.5,240.63,26.34,3000.0,9
CPT,15273,HC APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM,7052.36,2468.33,2176.52,12001.0,10
CPT,15274,HC APP SKN SUB GRFT T/A/L AREA/>100SCM ADL 100SCM,3526.18,1234.17,89.44,3000.0,9
CPT,15275,HC SUB GRFT F/S/N/H/F/G/M/D <100SQ CM 1ST 25 SQ CM,4080.87,1428.31,779.64,5513.0,10
CPT,15276,HC SUB GRFT F/S/N/H/F/G/M/D<100SQ CM EA ADDL25SQ CM,2040.43,714.16,34.38,3000.0,9
CPT,15277,HC SUB GRFT F/S/N/H/F/G/M/D >/= 100SCM 1ST 100SQ CM,4080.87,1428.31,1399.74,5513.0,10
CPT,15278,HC SUB GRFT F/S/N/H/F/G/M/D >/= 100SCM ADL 100SQ CM,2040.43,714.16,104.09,3722.9,9
CPT,15279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15300,Mammogram,,,19439.53,19439.53,1
CPT,15301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15301,Mammogram,,,3788.56,3788.56,1
CPT,15302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15320,Mammogram,,,20872.16,20872.16,1
CPT,15321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15321,Mammogram,,,5753.95,5753.95,1
CPT,15322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15330,Mammogram,,,17776.47,17776.47,1
CPT,15331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15331,Mammogram,,,3907.87,3907.87,1
CPT,15332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15335,Mammogram,,,17611.58,17611.58,1
CPT,15336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15336,Mammogram,,,5351.9,5351.9,1
CPT,15337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15340,Mammogram,,,17788.47,17788.47,1
CPT,15341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15341,Mammogram,,,1744.89,1744.89,1
CPT,15342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15360,Mammogram,,,20297.27,20297.27,1
CPT,15361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15361,Mammogram,,,3940.09,3940.09,1
CPT,15362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15365,Mammogram,,,19615.07,19615.07,1
CPT,15366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15366,Mammogram,,,4886.16,4886.16,1
CPT,15367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15400,Mammogram,,,23894.85,23894.85,1
CPT,15401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15401,Mammogram,,,3800.69,3800.69,1
CPT,15402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15420,Mammogram,,,25952.73,25952.73,1
CPT,15421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15421,Mammogram,,,5730.43,5730.43,1
CPT,15422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15430,Mammogram,,,34693.84,34693.84,1
CPT,15431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15570,SKIN PEDICLE FLAP TRUNK,,,2176.52,5583.0,8
CPT,15571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15572,SKIN PEDICLE FLAP ARMS/LEGS,,,3738.22,12001.0,8
CPT,15573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15574,PEDCLE FH/CH/CH/M/N/AX/G/H/F,,,2176.52,5583.0,8
CPT,15575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15576,PEDICLE E/N/E/L/NTRORAL,,,2176.52,5583.0,8
CPT,15577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15600,DELAY FLAP TRUNK,,,3738.22,12001.0,8
CPT,15601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15610,DELAY FLAP ARMS/LEGS,,,2176.52,6090.0,8
CPT,15611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15620,DELAY FLAP F/C/C/N/AX/G/H/F,,,2176.52,6479.0,8
CPT,15621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15630,"HC DELAY OF FLAP OR SECTIONING OF FLAP (DIVISION & INSET), AT EYELIDS, NOSE, EARS, OR LIPS",8623.45,3018.21,2176.52,5583.0,10
CPT,15631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15650,TRANSFER SKIN PEDICLE FLAP,,,2176.52,9611.0,8
CPT,15651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15730,HC MDFC FLAP W/PRSRV VASC PEDCL,7051.88,2468.16,2418.79,21649.0,10
CPT,15731,HC FOREHEAD FLAP W/PRESERVATION OF VASCULAR PEDICLE,10662.86,3732.01,3657.36,12001.0,10
CPT,15732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15732,Mammogram,,,73423.44,73423.44,1
CPT,15733,HC MUSC MYOQ/FSCQ FLP H&N PEDCL,7051.88,2468.16,2418.79,21649.0,10
CPT,15734,MUSCLE-SKIN GRAFT TRUNK,,,3738.22,12001.0,8
CPT,15735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15736,MUSCLE-SKIN GRAFT ARM,,,2176.52,5583.0,8
CPT,15737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15738,MUSCLE-SKIN GRAFT LEG,,,3738.22,12001.0,8
CPT,15739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15740,HC FLAP ISLAND PEDICLE REQUIRING ID & DISSECTION OF AN ANATOMICALLY NAMED AXIAL VESSEL,6025.67,2108.99,2066.8,5513.0,10
CPT,15741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15750,NEUROVASCULAR PEDICLE FLAP,,,3200.0,12001.0,8
CPT,15751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15756,FREE MYO/SKIN FLAP MICROVASC,,,1969.3,12001.0,7
CPT,15757,FREE SKIN FLAP MICROVASC,,,1953.24,12001.0,7
CPT,15758,FREE FASCIAL FLAP MICROVASC,,,1948.85,12001.0,7
CPT,15759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15760,COMPOSITE SKIN GRAFT,,,2176.52,5513.0,8
CPT,15761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15769,GRFG AUTOL SOFT TISS DIR EXC,,,3738.22,21649.0,8
CPT,15770,DERMA-FAT-FASCIA GRAFT,,,3738.22,12001.0,8
CPT,15771,GRFG AUTOL FAT LIPO 50 CC/<,,,3738.22,21649.0,8
CPT,15772,GRFG AUTOL FAT LIPO EA ADDL,,,210.43,9982.16,7
CPT,15773,GRFG AUTOL FAT LIPO 25 CC/<,,,2176.52,21649.0,8
CPT,15774,GFRG AUTOL FAT LIPO EA ADDL,,,205.44,9705.31,7
CPT,15775,HAIR TRNSPL 1-15 PUNCH GRFTS,,,428.83,5583.0,8
CPT,15776,HAIR TRNSPL >15 PUNCH GRAFTS,,,428.83,5583.0,8
CPT,15777,ACELLULAR DERM MATRIX IMPLT,,,225.95,14418.01,7
CPT,15778,IMPL ABSRB MSH/PRSTH DLY CLS,,,348.0,30380.0,7
CPT,15779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15780,DERMABRASION TOTAL FACE,,,3064.14,12001.0,7
CPT,15781,DERMABRASION SEGMENTAL FACE,,,747.0,5428.0,8
CPT,15782,DERMABRASION OTHER THAN FACE,,,2983.0,5428.0,8
CPT,15783,DERMABRASION SUPRFL ANY SITE,,,428.83,5428.0,8
CPT,15784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15786,ABRASION LESION SINGLE,,,211.65,5428.0,7
CPT,15787,ABRASION LESIONS ADD-ON,,,32.66,5428.0,7
CPT,15788,CHEMICAL PEEL FACIAL EPIDRM,,,428.83,5428.0,7
CPT,15789,CHEMICAL PEEL FACIAL DERMAL,,,779.64,5428.0,7
CPT,15790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15792,CHEM PEEL NONFACIAL EPIDRM,,,779.64,5428.0,7
CPT,15793,CHEMICAL PEEL NONFACIAL DRM,,,428.83,5428.0,7
CPT,15794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15819,Ambulatory Surgery Groups,,,2983.0,4524.0,2
CPT,15819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15819,Other Outpatient Services - CPT/HCPCS,,,1401.35,1401.35,1
CPT,15820,BLEPHAROPLASTY LOWER EYELID,,,2176.52,5583.0,8
CPT,15821,BLEPHARP LWR EYELID FAT PAD,,,2176.52,5583.0,8
CPT,15822,HC REVSION OF UPPER EYELID,4357.3,1525.06,1494.55,5583.0,10
CPT,15823,HC REVISION OF UPPER EYELID,3738.46,1308.47,1282.29,9611.0,10
CPT,15824,RHYTIDECTOMY FOREHEAD,,,2176.52,5583.0,8
CPT,15825,RHYTDCT NCK PLTYSML TGHTG,,,3738.22,12001.0,8
CPT,15826,RHYTIDECTOMY GLBLR FRN LINES,,,3738.22,12001.0,8
CPT,15827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15828,RHYTIDECTOMY CHEEK CHN & NCK,,,3738.22,12001.0,8
CPT,15829,RHYTIDECTOMY SMAS FLAP,,,3738.22,12001.0,8
CPT,15830,EXC EXCESSIVE SKIN ABDOMEN,,,4236.0,22133.0,8
CPT,15831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15831,Mammogram,,,50921.66,50921.66,1
CPT,15832,EXC EXCESSIVE SKIN THIGH,,,3064.14,12001.0,8
CPT,15833,EXC EXCESSIVE SKIN LEG,,,3064.14,12001.0,8
CPT,15834,EXC EXCESSIVE SKIN HIP,,,3064.14,12001.0,8
CPT,15835,EXC EXCESSIVE SKIN BUTTOCK,,,3064.14,12001.0,8
CPT,15836,EXC EXCESSIVE SKIN ARM,,,3064.14,12001.0,8
CPT,15837,EXC EXCSV SKIN FOREARM/HAND,,,3064.14,12001.0,7
CPT,15838,EXC EXCSV SUBMENTAL FAT PAD,,,3064.14,12001.0,7
CPT,15839,EXC EXCESSIVE SKN OTHER AREA,,,3064.14,12001.0,8
CPT,15840,NERVE PALSY FASCIAL GRAFT,,,3738.22,12001.0,8
CPT,15841,NERVE PALSY MUSCLE GRAFT,,,3738.22,12001.0,8
CPT,15842,NERVE PALSY MICROSURG GRAFT,,,2176.52,6479.0,8
CPT,15843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15845,SKIN AND MUSCLE REPAIR FACE,,,3738.22,12001.0,8
CPT,15846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15847,EXC SKIN ABD ADD-ON,,,2444.0,5583.0,2
CPT,15848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15850,Ambulatory Surgery Groups,,,3500.0,3500.0,1
CPT,15850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15851,REMOVAL SUTR/STAPLE REQ ANES,,,2176.52,5513.0,8
CPT,15852,DRESSING CHANGE NOT FOR BURN,,,779.64,3500.0,7
CPT,15853,HC REMOVAL SUTURES OR STAPLES NOT REQUIRING ANESTHESIA,140.66,49.24,14.12,3000.0,9
CPT,15854,HC REMOVAL OF BOTH SUTURES & STAPLES NOT REQUIRING ANESTHESIA,140.66,49.24,18.74,3000.0,9
CPT,15855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15860,IV NJX TST VASC FLO FLAP/GRF,,,471.24,3500.0,7
CPT,15861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15876,SUCTION LIPECTOMY HEAD&NECK,,,3738.22,12001.0,8
CPT,15877,SUCTION LIPECTOMY TRUNK,,,3738.22,12001.0,8
CPT,15878,SUCTION LIPECTOMY UPR EXTREM,,,2176.52,5583.0,8
CPT,15879,SUCTION LIPECTOMY LWR EXTREM,,,3738.22,12001.0,8
CPT,15880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15920,EXC COCCYGL PR ULC PRIM SUTR,,,3064.14,12001.0,8
CPT,15921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15922,EXC COCCYGL PR ULC FLAP CLSR,,,3738.22,12001.0,8
CPT,15923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15931,EXC SACRAL PR ULC PRIM SUTR,,,3064.14,6090.0,8
CPT,15932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15933,EXC SAC PR ULC PRIM STR OSTC,,,3064.14,12001.0,8
CPT,15934,EXC SACRAL PR ULC SKN FLAP,,,3738.22,12001.0,8
CPT,15935,EXC SAC PR ULC SKN FLP OSTC,,,3738.22,12001.0,8
CPT,15936,EXC SAC PR ULC PREP MUS FLAP,,,2176.52,6479.0,8
CPT,15937,EXC SAC PR ULC PREP MUS OSTC,,,2176.52,6479.0,8
CPT,15938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15940,EXC ISCHIAL PR ULC PRIM SUTR,,,3064.14,12001.0,8
CPT,15941,EXC ISCH PR ULC PRM SUT OSTC,,,3064.14,12001.0,8
CPT,15942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15944,EXC ISCH PR ULC SKN FLP CLSR,,,3738.22,12001.0,8
CPT,15945,EXC ISCH PR ULC SKN FLP OSTC,,,2176.52,6479.0,8
CPT,15946,EXC ISCH PR ULC PREP MUS FLP,,,2176.52,6479.0,8
CPT,15947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15950,EXC TRCHNTR PR ULC PRIM SUTR,,,1742.24,6090.0,8
CPT,15951,EXC TRCHNTR PR ULC OSTC,,,3064.14,12001.0,8
CPT,15952,EXC TRCHNTR PR ULC FLP CLSR,,,2176.52,6090.0,8
CPT,15953,EXC TRCHNTR PR ULC FLP OSTC,,,3738.22,12001.0,8
CPT,15954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15956,EXC TRCHNTR PR ULC PREP FLAP,,,2176.52,5583.0,8
CPT,15957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15958,EXC TRCHNTR PR ULC PREP OSTC,,,3738.22,12001.0,8
CPT,15959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,15999,UNLISTED PX EXC PRESSURE ULC,,,747.0,5428.0,7
CPT,16000,HC BURN 1ST DEGREE TREATMENT,639.14,223.7,211.65,2444.0,9
CPT,16001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16020,HC BURN-DRESS/DEBRIDE SM W/O ANES,374.86,131.21,128.58,3500.0,10
CPT,16021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16025,HC BURN DRESS/DEBRIDE MED,426.09,149.14,146.15,3500.0,10
CPT,16026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16030,"HC DRS&/DBRDMT PARTIAL THKNS BURNS 1ST/SUBSEQUENT, LARGE > 1 EXTREMITY OR >10%TOTAL BURN SURFACE",2007.6,702.66,428.83,3500.0,10
CPT,16031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16035,ESCHAROTOMY 1ST INCISION,,,428.83,3500.0,7
CPT,16036,ESCHAROTOMY EA ADDL INCISION,,,72.25,5513.0,7
CPT,16037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16100,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,16999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17000,"HC DEST BENIGN LESION, 1ST",426.09,149.14,146.15,3500.0,9
CPT,17001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17003,"HC DEST BEN/PREMALIG LES, 2-14",26.95,9.44,6.68,3000.0,9
CPT,17004,"HC DEST BEN/PREMA LES, 15 OR MORE",1105.31,386.86,379.12,3500.0,10
CPT,17005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17100,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17106,"HC DESTRUCTION OF CUTANEOUS VASCULAR PROLIFERATIVE LESIONS, < 10 SQ CM",809.92,283.48,277.8,3500.0,10
CPT,17107,"HC DESTRUCTION OF CUTANEOUS VASCULAR PROLIFERATIVE LESIONS (EG, LASER TECHNIQUE); 10.0 TO 50.0 SQ CM",3075.9,1076.57,779.64,3500.0,10
CPT,17108,"HC DESTRUCTION OF CUTANEOUS VASCULAR PROLIFERATIVE LESIONS (EG, LASER TECHNIQUE); OVER 50.0 SQ CM",9191.7,3217.1,2176.52,5513.0,10
CPT,17109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17110,HC WART(S) REMOVAL (UP TO 14),455.03,159.27,156.08,3500.0,9
CPT,17111,HC DESTRUCT LESION 15 OR MORE,426.09,149.14,146.15,3500.0,9
CPT,17112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17250,HC CHEMICAL CAUTERY,374.86,131.21,128.58,3500.0,9
CPT,17251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17260,"HC DESTRUCT MAL LES T,A,L 0-.5",395.3,138.36,135.59,3500.0,9
CPT,17261,"HC DESTRUCT MAL LES T,A,L .6-1",415.05,145.27,142.36,3500.0,9
CPT,17262,"HC DEST MAL LES T,A,L 1.1-2.0",434.81,152.19,149.14,3500.0,9
CPT,17263,"HC DEST MAL LES T, A, L 2.1-3.0",454.59,159.11,155.92,3500.0,9
CPT,17264,HC DESTRUCTION MALIGNANT LESION DIAMETER 3.1 TO 4.0 CM,808.67,283.04,277.37,3500.0,9
CPT,17265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17266,"HC DESTR MALIG TRUNK,EXTREM >4.0 CM",850.41,297.65,291.69,3500.0,10
CPT,17267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17270,"HC DEST MAL LES S,N,H,F,G 0-5",426.09,149.14,146.15,3500.0,9
CPT,17271,"HC DEST MAL LES S,N,H,F,G 6-1",399.34,139.77,136.97,3500.0,9
CPT,17272,"HC DEST MAL LES S,N,H,F,G 1.1-2",574.77,201.17,197.15,3500.0,9
CPT,17273,"HC DESTR MALIG SCAL,NCK,HAND 2.1-3 CM",810.44,283.66,277.98,3500.0,9
CPT,17274,DSTR MAL LES S/N/H/F/G 3.1-4,,,428.83,3500.0,8
CPT,17275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17276,HC DEST MAL SKIN LES >4,737.04,257.97,252.8,3500.0,10
CPT,17277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17280,HC DEST MAL LES FEENLM 0-5 CM,574.77,201.17,197.15,3500.0,9
CPT,17281,HC DEST MAL LES FEENLUM 6-1.0 CM,848.66,297.04,211.65,3500.0,9
CPT,17282,HC DEST MAL LES FEENLM 1.1-2.0CM,688.79,241.08,211.65,3500.0,9
CPT,17283,"HC DESTR MALIG FACE,NOSE,LIP 2.1-3 CM",1240.5,434.18,425.49,3500.0,9
CPT,17284,DSTR MAL LS F/E/E/N/L/M3.1-4,,,779.64,3500.0,8
CPT,17285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17286,DSTR MAL LS F/E/E/N/L/M>4.0,,,779.64,3500.0,7
CPT,17287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17304,Mammogram,,,26375.48,26375.48,1
CPT,17305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17305,Mammogram,,,9897.63,9897.63,1
CPT,17306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17306,Mammogram,,,9921.77,9921.77,1
CPT,17307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17307,Mammogram,,,9945.29,9945.29,1
CPT,17308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17310,Mammogram,,,3318.89,3318.89,1
CPT,17311,MOHS 1 STAGE H/N/HF/G,,,779.64,3500.0,8
CPT,17312,MOHS ADDL STAGE,,,419.88,12813.13,7
CPT,17313,MOHS 1 STAGE T/A/L,,,779.64,3500.0,8
CPT,17314,MOHS ADDL STAGE T/A/L,,,402.2,11841.59,7
CPT,17315,MOHS SURG ADDL BLOCK,,,82.09,3405.99,7
CPT,17316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17340,CRYOTHERAPY FOR ACNE,,,62.23,5428.0,7
CPT,17341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17360,CHEMICAL EXFOLIATION ACNE,,,211.65,5428.0,7
CPT,17361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17380,HC HAIR REMOVAL ELECTROLYSIS EACH 1/2 HR,1270.25,444.59,435.7,5428.0,9
CPT,17381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,17999,HC FAT PAD BIOPSY [MOST LIKE 20206],8141.55,2849.55,211.65,3500.0,9
CPT,17999,HC MICROPIGMENTATION OF BREAST NODULE EDGES,460.74,161.26,158.03,3500.0,9
CPT,17999,HC RECONSTRUCTION OF NAIL BED,3707.4,1297.59,211.65,3500.0,9
CPT,18000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18100,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,18999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19000,HC ASP CYST BREAST,1497.44,524.11,513.62,3603.0,10
CPT,19001,HC ASP CYST BREAST ADD,330.56,115.7,26.89,3000.0,9
CPT,19002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19020,HC I&D ABSCESS BREAST,3556.11,1244.64,1219.75,6090.0,10
CPT,19021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19030,HC INJ MAMMARY DUCTOGRAM,482.58,168.91,165.51,5134.1,9
CPT,19031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19081,HC BX BREAST 1ST LESION STRTCTC,3450.65,1207.73,1183.57,5513.0,10
CPT,19082,HC BX BREAST ADD LESION STRTCTC,941.49,329.53,322.93,5521.44,9
CPT,19083,HC BX BREAST 1ST LESION US IMAG,3450.65,1207.73,1183.57,5513.0,10
CPT,19084,HC BX BREAST ADD LESION US IMAG,941.49,329.53,322.93,5203.8,9
CPT,19085,HC BX BREAST W DEVICE 1ST LESION MAGNETIC RES GUIDE,3450.65,1207.73,1183.57,5583.0,10
CPT,19086,HC EACH ADDITIONAL LESION INCL MAGNETIC RESONANCE GUIDANCE,1773.54,620.74,583.84,6034.72,9
CPT,19087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19100,HC BIOPSY BREAST EXCISION,3507.19,1227.52,1202.97,5513.0,10
CPT,19101,BIOPSY OF BREAST OPEN,,,3200.0,12001.0,8
CPT,19102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19102,Mammogram,,,6702.71,6702.71,1
CPT,19103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19103,Mammogram,,,12531.75,12531.75,1
CPT,19104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19105,"HC ABLATION, CRYOSURGICAL, FIBROADENOMA, INCLUDING ULTRASOUND, EACH",8291.57,2902.05,2844.01,21649.0,10
CPT,19106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19110,NIPPLE EXPLORATION,,,3200.0,12001.0,8
CPT,19111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19112,EXCISE BREAST DUCT FISTULA,,,4130.33,12001.0,8
CPT,19113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19120,"HC EXCISION,OPEN,BREAST",6487.48,2270.62,2225.21,12001.0,10
CPT,19121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19125,EXCISION BREAST LESION,,,4130.33,12001.0,8
CPT,19126,EXCISION ADDL BREAST LESION,,,141.3,10611.93,7
CPT,19127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19140,Mammogram,,,21061.79,21061.79,1
CPT,19141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19160,Mammogram,,,23254.3,23254.3,1
CPT,19161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19162,Mammogram,,,49209.6,49209.6,1
CPT,19163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19180,Mammogram,,,34187.18,34187.18,1
CPT,19181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19182,Mammogram,,,30848.2,30848.2,1
CPT,19183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19200,Mammogram,,,57804.08,57804.08,1
CPT,19201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19220,Mammogram,,,59244.06,59244.06,1
CPT,19221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19240,Mammogram,,,59902.01,59902.01,1
CPT,19241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19260,Mammogram,,,77679.09,77679.09,1
CPT,19261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19271,Mammogram,,,104829.25,104829.25,1
CPT,19272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19272,Mammogram,,,114282.58,114282.58,1
CPT,19273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19281,HC PERQ DEVICE BREAST 1ST IMAG,5235.54,1832.44,1742.24,5513.0,10
CPT,19282,HC PERQ DEVICE BREAST EA IMAG,131.76,46.12,45.19,3344.99,9
CPT,19283,HC PERQ DEV BREAST 1ST STRTCTC,1490.38,521.64,511.2,3603.0,10
CPT,19284,"HC EACH ADDITIONAL LESION, INCLUDING STEREOTACTIC GUIDANCE",796.81,278.89,190.59,3339.6,9
CPT,19285,HC PERQ DEV BREAST 1ST US IMAG,2606.89,912.42,747.0,3603.0,10
CPT,19286,"HC PLACEMENT BREAST LOCALIZATION DEVICES, EA ADD LESION",826.94,289.43,283.64,3000.0,9
CPT,19287,HC PERQ BREAST LOC DEVICE PLACEMT 1ST LESION MRI GUIDE,2980.48,1043.17,747.0,5583.0,10
CPT,19288,PERQ DEV BREAST ADD MR GUIDE,,,482.86,4240.95,7
CPT,19289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19290,Mammogram,,,4212.04,4212.04,1
CPT,19291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19291,Mammogram,,,2076.62,2076.62,1
CPT,19292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19294,PREPJ TUM CAV IORT PRTL MAST,,,145.16,10879.35,7
CPT,19295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19295,Mammogram,,,6694.01,6694.01,1
CPT,19296,PLACE PO BREAST CATH FOR RAD,,,8621.98,30380.0,8
CPT,19297,PLACE BREAST CATH FOR RAD,,,81.7,17119.0,7
CPT,19298,PLACE BREAST RAD TUBE/CATHS,,,11057.0,23669.64,8
CPT,19299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19300,MASTECTOMY FOR GYNECOMASTIA,,,4130.33,12001.0,8
CPT,19301,PARTIAL MASTECTOMY,,,4130.33,12001.0,8
CPT,19302,P-MASTECTOMY W/LN REMOVAL,,,7004.61,22133.0,8
CPT,19303,MAST SIMPLE COMPLETE,,,4883.0,22133.0,8
CPT,19304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19304,Mammogram,,,38221.1,38221.1,1
CPT,19305,MAST RADICAL,,,1095.67,22133.0,7
CPT,19306,MAST RAD URBAN TYPE,,,1176.96,22133.0,7
CPT,19307,MAST MOD RAD,,,7004.61,22133.0,8
CPT,19308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19316,HC MASTOPEXY,11475.75,4016.52,3936.18,22133.0,10
CPT,19317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19318,BREAST REDUCTION,,,4883.0,22133.0,8
CPT,19319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19324,Mammogram,,,35351.17,35351.17,1
CPT,19325,BREAST AUGMENTATION W/IMPLT,,,8621.98,30380.0,8
CPT,19326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19328,RMVL INTACT BREAST IMPLANT,,,2983.0,12001.0,8
CPT,19329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19330,HC REMOVAL RUPTUREED BREAST IMPLANT W/IMPLANTS CONTENTS,8112.65,2839.43,2782.64,12001.0,10
CPT,19331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19340,INSJ BREAST IMPLT SM D MAST,,,3200.0,22133.0,8
CPT,19341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19342,INSJ/RPLCMT BRST IMPLT SEP D,,,4236.0,30380.0,8
CPT,19343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19350,HC NIPPLE/AREOLA RECONSTRUCTION,7097.02,2483.96,2434.28,12001.0,10
CPT,19351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19355,CORRECT INVERTED NIPPLE(S),,,4130.33,12001.0,8
CPT,19356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19357,TISS XPNDR PLMT BRST RCNSTJ,,,6177.0,30380.0,8
CPT,19358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19361,BRST RCNSTJ LATSMS DRSI FLAP,,,1390.47,22133.0,7
CPT,19362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19364,BRST RCNSTJ FREE FLAP,,,2374.03,22133.0,7
CPT,19365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19366,Mammogram,,,91619.34,91619.34,1
CPT,19367,BRST RCNSTJ 1 PDCL TRAM FLAP,,,1567.71,22133.0,7
CPT,19368,BRST RCNSTJ 1PDCL TRAM ANAST,,,1891.68,22133.0,7
CPT,19369,BRST RCNSTJ 2 PDCL TRAM FLAP,,,1761.55,22133.0,7
CPT,19370,REVJ PERI-IMPLT CAPSULE BRST,,,4130.33,12001.0,8
CPT,19371,PERI-IMPLT CAPSLC BRST COMPL,,,4130.33,12001.0,8
CPT,19372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19380,REVJ RECONSTRUCTED BREAST,,,6177.0,22133.0,8
CPT,19381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19396,DESIGN CUSTOM BREAST IMPLANT,,,4130.33,12001.0,7
CPT,19397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19499,HC INJECTION BRST TISSUE EXPANDER,8112.65,2839.43,2782.64,6725.0,9
CPT,19500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,19999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20000,Mammogram,,,9200.12,9200.12,1
CPT,20001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20005,Mammogram,,,15465.99,15465.99,1
CPT,20006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2000F,BLOOD PRESSURE MEASURE,,,0.02,0.02,1
CPT,20010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2001F,WEIGHT RECORD,,,0.02,0.02,1
CPT,20020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2002F,CLIN SIGN VOL OVRLD ASSESS,,,0.02,0.02,1
CPT,20030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2004F,INITIAL EXAM INVOLVED JOINTS,,,0.02,0.02,1
CPT,20050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20100,EXPL PENTRG WOUND NECK,,,568.93,5428.0,8
CPT,20101,HC EXPLORE WOUND CHEST,3776.62,1321.82,1295.38,5513.0,10
CPT,20102,HC EXPLORE WOUND ABDOMEN,3738.46,1308.47,1282.29,5513.0,9
CPT,20103,"HC EXPLORE WOUND, EXTREMITY",3450.65,1207.73,1183.57,3603.0,10
CPT,20104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2010F,VITAL SIGNS RECORDED,,,0.02,0.02,1
CPT,20110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2014F,MENTAL STATUS ASSESS,,,0.02,0.02,1
CPT,20150,EXCISION EPIPHYSEAL BAR,,,3451.58,12001.0,7
CPT,20151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2015F,ASTHMA IMPAIRMENT ASSESSED,,,0.02,0.02,1
CPT,20160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2016F,ASTHMA RISK ASSESSED,,,0.02,0.02,1
CPT,20170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2018F,HYDRATION STATUS ASSESS,,,0.02,0.02,1
CPT,20190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2019F,DILATED MACUL EXAM DONE,,,0.02,0.02,1
CPT,20200,"HC BIOPSY, MUSCLE; SUPERFICIAL",3235.13,1132.3,1109.65,5513.0,10
CPT,20201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20205,DEEP MUSCLE BIOPSY,,,3064.14,12001.0,8
CPT,20206,HC  BIOPSY MUSCLE PERCUTANEOUS NEEDLE,3507.19,1227.52,1202.97,5513.0,10
CPT,20207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2020F,DILATED FUNDUS EVAL DONE,,,0.02,0.02,1
CPT,20210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2021F,DILAT MACULAR EXAM DONE,,,0.02,0.02,1
CPT,20220,HC BX BONE TROC/NDL SUPFCL,3507.19,1227.52,1202.97,4524.0,10
CPT,20221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20225,HC BX BONE DEEP,3115.7,1090.5,1068.69,5513.0,10
CPT,20226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2022F,DILAT RTA XM EVC RTNOPTHY,,,0.02,0.02,1
CPT,20230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2023F,DILAT RTA XM W/O RTNOPTHY,,,0.02,0.02,1
CPT,20240,"HC BIOPSY BONE, OPEN, SUPERFICIAL (STERNUM, RIB, PATELLA, TARSAL,METATARSAL,PHALANX,METACARPAL,CAR)",6132.98,2146.55,2103.61,12001.0,10
CPT,20241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20245,BONE BIOPSY OPEN DEEP,,,3064.14,12001.0,8
CPT,20246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2024F,7 FLD RTA PHOTO EVC RTNOPTHY,,,0.02,0.02,1
CPT,20250,BIOPSY VRT BDY OPEN THORACIC,,,3451.58,12001.0,8
CPT,20251,BIOPSY VRT BDY OPEN LMBR/CRV,,,4236.0,22625.0,8
CPT,20252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2025F,7 FLD RTA PHOTO W/O RTNOPTHY,,,0.02,0.02,1
CPT,20260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2026F,EYE IMG VALID EVC RTNOPTHY,,,0.02,0.02,1
CPT,20270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2027F,OPTIC NERVE HEAD EVAL DONE,,,0.02,0.02,1
CPT,20280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2028F,FOOT EXAM PERFORMED,,,0.02,0.02,1
CPT,20290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2029F,COMPLETE PHYS SKIN EXAM DONE,,,0.02,0.02,1
CPT,20300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2030F,H2O STAT DOCD NORMAL,,,0.02,0.02,1
CPT,20310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2031F,H2O STAT DOCD DEHYDRATED,,,0.02,0.02,1
CPT,20320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2033F,EYE IMG VALID W/O RTNOPTHY,,,0.02,0.02,1
CPT,20340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2035F,TYMP MEMB MOTION EXAMD,,,0.02,0.02,1
CPT,20360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2040F,BK PN XM ON INIT VISIT DATE,,,0.02,0.02,1
CPT,20410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2044F,DOC MNTL TST B/4 BK TRXMNT,,,0.02,0.02,1
CPT,20450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20500,HC INJECTION OF SINUS TRACT; THERAPEUTIC,3298.47,1154.47,1131.38,5513.0,9
CPT,20501,HC DIAGNOSTIC SINOGRAM,173.93,60.88,59.66,3000.0,9
CPT,20502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2050F,WOUND CHAR SIZE ETC DOCD,,,0.02,0.02,1
CPT,20510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20520,HC REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE,3507.43,1227.61,1203.05,4524.0,10
CPT,20521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20525,RMVL FB MUSC/TDN DEEP/COMP,,,3064.14,12001.0,8
CPT,20526,HC INJECTION CARP TUNNEL THERAPY,542.32,189.82,186.02,3500.0,10
CPT,20527,HC INJECTION ENZYME PALMAR FASCIAL CORD,599.83,209.95,205.74,3500.0,9
CPT,20528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20550,HC INJ TENDON SHEATH/LIGAMENT,542.33,189.82,186.02,3500.0,10
CPT,20551,HC INJECT TENDON ORIGIN/INSERT,503.35,176.18,172.65,3500.0,10
CPT,20552,HC TRIGGER POINT INJ(S) 1-2 MUSCL,542.33,189.82,186.02,3500.0,10
CPT,20553,"HC TRIGGER POINT INJ(S),3+ MUSCLE",542.33,189.82,186.02,3500.0,10
CPT,20554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20555,PLACE NDL MUSC/TIS FOR RT,,,3000.0,21649.0,8
CPT,20556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20560,HC NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES,63.38,22.19,21.74,3500.0,10
CPT,20561,HC NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES,59.28,20.75,20.33,3500.0,10
CPT,20562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20600,HC ARTHROCENTESIS/INJ BURSA SM JT,542.33,189.82,186.02,3500.0,10
CPT,20601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20604,HC DRAIN/INJ SM JOINT/BURSA W/US,567.01,198.46,194.48,3500.0,9
CPT,20605,HC ARTHROCENTESIS/INJ BURSA MD JT,542.33,189.82,186.02,3500.0,10
CPT,20606,HC DRAIN/INJ MID JOINT/BURSA W/US,1413.72,494.81,484.91,3603.0,9
CPT,20607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,2060F,PT INTRVWD ON/BEFORE DX MDD,,,0.02,0.02,1
CPT,20610,"HC DRAIN/INJECT, JOINT/BURSA",542.33,189.82,186.02,3500.0,10
CPT,20611,HC DRAIN/INJ MAJ JOINT/BURSA W/US,623.69,218.3,213.93,3500.0,9
CPT,20612,HC ASPIRATION GANGLION CYST,542.32,189.82,186.02,3500.0,10
CPT,20613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20615,TREATMENT OF BONE CYST,,,747.0,3603.0,7
CPT,20616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20650,HC INSERTION OF WIRE OR PIN WITH APPLICATION OF SKELETAL TRACTION,10333.62,3616.77,3451.58,12001.0,10
CPT,20651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20660,APPLY REM FIXATION DEVICE,,,1696.24,5513.0,7
CPT,20661,APPLICATION HALO CRANIAL,,,1696.24,5583.0,7
CPT,20662,APPLICATION HALO PELVIC,,,1696.24,6090.0,8
CPT,20663,APPLICATION HALO FEMORAL,,,3451.58,12001.0,8
CPT,20664,APPL HALO CRANIAL 6+PINS,,,1696.24,5583.0,7
CPT,20665,RMVL TONGS/HALO ANTHR INDIV,,,471.24,3500.0,7
CPT,20666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20670,HC REMOVAL IMPLANT SUPERFICIAL,3237.98,1133.3,1110.63,5513.0,10
CPT,20671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20680,HC REMOVAL IMPLANT (DEEP),6047.66,2116.69,2074.35,12001.0,10
CPT,20681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20690,APPL UNIPLN UNI EXT FIXJ SYS,,,3200.0,22625.0,8
CPT,20691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20692,APPL MLTPLN UNI EXT FIXJ SYS,,,4236.0,30380.0,8
CPT,20693,ADJMT/REVJ EXT FIXJ SYS ANES,,,4236.0,22625.0,8
CPT,20694,RMVL EXT FIXJ SYS UNDER ANES,,,1696.24,5513.0,8
CPT,20695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20696,APP MLTPLN UNI XTRNL FIX 1ST,,,5583.0,52872.0,8
CPT,20697,APP MLTPLN UNI XTRNL FIX XCH,,,1696.24,10856.0,8
CPT,20698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20700,MNL PREP&INSJ DP RX DLVR DEV,,,85.27,5676.16,7
CPT,20701,RMVL DEEP RX DELIVERY DEVICE,,,66.12,4336.01,7
CPT,20702,MNL PREP&INSJ IMED RX DEV,,,148.57,9548.63,7
CPT,20703,RMVL IMED RX DELIVERY DEVICE,,,108.85,6887.07,7
CPT,20704,MNL PREP&INSJ I-ARTIC RX DEV,,,156.38,9848.14,7
CPT,20705,RMVL I-ARTIC RX DELIVERY DEV,,,128.76,8355.11,7
CPT,20706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20802,REPLANTATION ARM COMPLETE,,,5428.0,30115.41,7
CPT,20803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20805,REPLANT FOREARM COMPLETE,,,5428.0,30115.41,7
CPT,20806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20808,REPLANTATION HAND COMPLETE,,,5428.0,30115.41,7
CPT,20809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20816,REPLANTATION DIGIT COMPLETE,,,1696.24,22625.0,7
CPT,20817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20822,REPLANTATION DIGIT COMPLETE,,,1696.24,6090.0,8
CPT,20823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20824,REPLANTATION THUMB COMPLETE,,,1696.24,22625.0,7
CPT,20825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20827,REPLANTATION THUMB COMPLETE,,,1696.24,22625.0,7
CPT,20828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20838,REPLANTATION FOOT COMPLETE,,,5428.0,30115.41,7
CPT,20839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20900,REMOVAL OF BONE FOR GRAFT,,,4236.0,22625.0,8
CPT,20901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20902,REMOVAL OF BONE FOR GRAFT,,,4883.0,22625.0,8
CPT,20903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20910,REMOVE CARTILAGE FOR GRAFT,,,779.64,5583.0,8
CPT,20911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20912,REMOVE CARTILAGE FOR GRAFT,,,3738.22,12001.0,8
CPT,20913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20920,REMOVAL OF FASCIA FOR GRAFT,,,2176.52,6479.0,8
CPT,20921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20922,REMOVAL OF FASCIA FOR GRAFT,,,2176.52,6090.0,8
CPT,20923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20924,REMOVAL OF TENDON FOR GRAFT,,,4883.0,22625.0,8
CPT,20925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20926,Mammogram,,,27634.53,27634.53,1
CPT,20927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20930,SP BONE ALGRFT MORSEL ADD-ON,,,2444.0,3000.0,2
CPT,20931,SP BONE ALGRFT STRUCT ADD-ON,,,95.85,7325.99,7
CPT,20932,OSTEOART ALGRFT W/SURF & B1,,,642.61,50519.0,7
CPT,20933,HEMICRT INTRCLRY ALGRFT PRTL,,,589.99,46391.36,7
CPT,20934,INTERCALARY ALGRFT COMPL,,,642.61,50496.22,7
CPT,20935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20936,SP BONE AGRFT LOCAL ADD-ON,,,3000.0,6987.0,2
CPT,20937,SP BONE AGRFT MORSEL ADD-ON,,,144.53,11116.51,7
CPT,20938,SP BONE AGRFT STRUCT ADD-ON,,,159.6,12133.01,7
CPT,20939,BONE MARROW ASPIR BONE GRFG,,,60.21,4669.09,7
CPT,20940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20950,HC MONITORING OF INTERSTITIAL FLUID PRESSURE IN DETECTION OF COMPARTMENT SYNDROME INCLUDES INSERTION,1593.63,557.78,546.62,3603.0,10
CPT,20951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20955,FIBULA BONE GRAFT MICROVASC,,,6479.0,22625.0,7
CPT,20956,ILIAC BONE GRAFT MICROVASC,,,6479.0,22625.0,7
CPT,20957,MT BONE GRAFT MICROVASC,,,6479.0,22625.0,7
CPT,20958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20962,OTHER BONE GRAFT MICROVASC,,,6479.0,22625.0,7
CPT,20963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20969,BONE/SKIN GRAFT MICROVASC,,,6479.0,22625.0,7
CPT,20970,BONE/SKIN GRAFT ILIAC CREST,,,6479.0,22625.0,7
CPT,20971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20972,BONE/SKIN GRAFT METATARSAL,,,4883.0,22625.0,8
CPT,20973,BONE/SKIN GRAFT GREAT TOE,,,4883.0,22625.0,8
CPT,20974,ESTIM AID BONE HEALG N-INVAS,,,98.73,3500.0,7
CPT,20975,ESTIM AID BONE HEALG INVASIV,,,167.97,11806.67,7
CPT,20976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20979,LW NTSTY US STIMJ BONE HEALG,,,30.51,3500.0,7
CPT,20980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20982,HC ABLATE THERAPY FR REDUCT 1 + BONE TUMOR,42017.02,14705.96,3000.0,30115.41,9
CPT,20983,HC ABLATION THERAPY REDUCTION/ERADICATION BONE TUMORS; CRYOABLATION,16273.33,5695.67,3200.0,22625.0,9
CPT,20984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20985,CPTR-ASST DIR MS PX,,,122.88,9704.08,7
CPT,20986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,20999,HC DRY NEEDLING,84.18,29.47,28.87,3500.0,9
CPT,21000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21010,INCISION OF JAW JOINT,,,3200.0,6090.0,8
CPT,21011,"HC EXC,SUBQ,FACE/SCALP,< 2 CM",3450.65,1207.73,1183.57,4524.0,9
CPT,21012,"HC EXC,TUMOR,SOFT TISS FACE/SCALP,> 2 CM",3746.6,1311.31,1285.08,4524.0,10
CPT,21013,HC EXC FACE TUM DEEP < 2 CM,3547.07,1241.48,1216.65,4524.0,10
CPT,21014,EXC FACE TUM DEEP 2 CM/>,,,3000.0,12001.0,8
CPT,21015,RESECT FACE/SCALP TUM < 2 CM,,,3064.14,12001.0,8
CPT,21016,RESECT FACE/SCALP TUM 2 CM/>,,,3064.14,21649.0,8
CPT,21017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21025,EXCISION OF BONE LOWER JAW,,,3200.0,18067.0,8
CPT,21026,EXCISION OF FACIAL BONE(S),,,3200.0,18067.0,8
CPT,21027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21029,CONTOUR OF FACE BONE LESION,,,3200.0,6090.0,8
CPT,21030,EXCISE MAX/ZYGOMA B9 TUMOR,,,3200.0,18067.0,7
CPT,21031,REMOVE EXOSTOSIS MANDIBLE,,,3000.0,6090.0,7
CPT,21032,REMOVE EXOSTOSIS MAXILLA,,,3000.0,6090.0,7
CPT,21033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21034,EXCISE MAX/ZYGOMA MAL TUMOR,,,4236.0,18067.0,8
CPT,21035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21040,EXCISE MANDIBLE LESION,,,3200.0,6090.0,8
CPT,21041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21044,REMOVAL OF JAW BONE LESION,,,3478.0,18067.0,8
CPT,21045,EXTENSIVE JAW SURGERY,,,6244.73,18067.0,7
CPT,21046,REMOVE MANDIBLE CYST COMPLEX,,,3200.0,18067.0,8
CPT,21047,EXCISE LWR JAW CYST W/REPAIR,,,3200.0,18067.0,8
CPT,21048,REMOVE MAXILLA CYST COMPLEX,,,3200.0,18067.0,8
CPT,21049,EXCIS UPPR JAW CYST W/REPAIR,,,3200.0,18067.0,8
CPT,21050,REMOVAL OF JAW JOINT,,,4236.0,18067.0,8
CPT,21051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21060,REMOVE JAW JOINT CARTILAGE,,,3200.0,18067.0,8
CPT,21061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21070,REMOVE CORONOID PROCESS,,,4236.0,18067.0,8
CPT,21071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21073,MNPJ OF TMJ W/ANESTH,,,1636.74,5513.0,7
CPT,21074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21076,IMPRES&PREP SURG OBT PROSTH,,,1495.6,5513.0,7
CPT,21077,IMPRES&PREP ORBITAL PROSTH,,,3663.5,18067.0,7
CPT,21078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21079,IMPRES&PREP INTRM OBT PROSTH,,,2510.14,9658.0,7
CPT,21080,IMPRES&PREP DEF OBT PROSTH,,,2890.03,9658.0,7
CPT,21081,IMPRES&PREP MNDBL RES PROSTH,,,2665.77,18067.0,7
CPT,21082,IMPRES&PREP PALTL AUG PROSTH,,,2462.6,9658.0,7
CPT,21083,IMPRES&PREP PALTL LFT PROSTH,,,2353.91,9658.0,7
CPT,21084,IMPRES&PREP SP AID PROSTH,,,2684.49,9658.0,7
CPT,21085,IMPRES&PREP ORAL SURG SPLINT,,,249.85,5428.0,7
CPT,21086,IMPRES&PREP AURICULAR PROSTH,,,2725.93,9658.0,7
CPT,21087,IMPRES&PREP NASAL PROSTH,,,2725.93,18067.0,7
CPT,21088,IMPRES&PREP FACIAL PROSTH,,,3497.42,9658.0,7
CPT,21089,UNLISTED MAXLFCL PROSTH PX,,,249.85,3500.0,6
CPT,21090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21100,MAXILLOFACIAL FIXATION,,,3200.0,18067.0,8
CPT,21101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21110,HC INTERDENTAL FIXATION,2660.56,931.2,912.57,5513.0,10
CPT,21111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21116,INJECTION JAW JOINT X-RAY,,,234.18,3042.17,7
CPT,21117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21120,GENIOPLASTY AUGMENTATION,,,6090.0,18067.0,8
CPT,21121,GENIOP SLDG OSTEOT 1,,,3497.42,11244.0,8
CPT,21122,GENIOP SLDG OSTEOT 2/>,,,6090.0,18067.0,8
CPT,21123,GENIOP SLDG AUGMENTATION,,,3497.42,11244.0,8
CPT,21124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21125,AUGMENTATION MNDBLR PROSTC,,,6090.0,18067.0,8
CPT,21126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21127,AUGMENTATION MNDBLR B1 GRF,,,6244.73,21649.0,8
CPT,21128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21137,RDCTJ FOREHEAD CNTRG ONLY,,,3497.42,6090.0,7
CPT,21138,RDCTJ FOREHEAD CNTRG&PROSTC,,,5583.0,18067.0,7
CPT,21139,RDCTJ FOREHEAD CNTRG&SETBACK,,,5428.0,18067.0,7
CPT,21140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21141,RCNSTJ MIDFACE LEFORT I 1PC,,,6244.73,18067.0,7
CPT,21142,RCNSTJ MIDFACE LEFORT I 2PCS,,,6244.73,18067.0,7
CPT,21143,RCNSTJ MDFACE LEFORT I 3/>PC,,,6244.73,18067.0,7
CPT,21144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21145,RCNSTJ MDFC LEFORT I 1 W/GRF,,,6244.73,18067.0,7
CPT,21146,RCNSTJ MDFC LEFORT I 2 W/GRF,,,6244.73,18067.0,7
CPT,21147,RCNSTJ MDFC LEFORT I 3/>GRF,,,6244.73,18067.0,7
CPT,21148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21150,RCNSTJ MDFC LEFRTII ANT NTRU,,,6244.73,18067.0,7
CPT,21151,RCNSTJ MDFC LEFRTII W/B1 GRF,,,6244.73,18067.0,7
CPT,21152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21154,RCNSTJ MDFC LEFORT III W/O I,,,6244.73,18067.0,7
CPT,21155,RCNSTJ MDFC LEFORT III W/I,,,6244.73,18067.0,7
CPT,21156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21159,RCNST MDFC LFRTIII ADVM WO I,,,6244.73,18067.0,7
CPT,21160,RCNST MDFC LFRTIII ADVM W/I,,,6244.73,18067.0,7
CPT,21161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21172,RCNST SUPR-LAT ORB RM&LW FHD,,,6244.73,18067.0,7
CPT,21173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21175,RCNST BFRNT SP ORB RM&LW FHD,,,6244.73,18067.0,7
CPT,21176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21179,RCNSTJ FOREHEAD WITH GRAFTS,,,6244.73,18067.0,7
CPT,21180,RCNSTJ FOREHEAD W/AUTOGRAFT,,,6244.73,18067.0,7
CPT,21181,RCNST CNTRG B9 TUM CRNL XTRC,,,6090.0,18067.0,8
CPT,21182,RECONSTRUCT CRANIAL BONE,,,6244.73,18067.0,7
CPT,21183,RECONSTRUCT CRANIAL BONE,,,6244.73,18067.0,7
CPT,21184,RECONSTRUCT CRANIAL BONE,,,6244.73,18067.0,7
CPT,21185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21188,RECONSTRUCTION OF MIDFACE,,,6244.73,18067.0,7
CPT,21189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21193,RECONST LWR JAW W/O GRAFT,,,6244.73,18067.0,7
CPT,21194,RECONST LWR JAW W/GRAFT,,,6244.73,18067.0,7
CPT,21195,RECONST LWR JAW W/O FIXATION,,,6244.73,18067.0,7
CPT,21196,RECONST LWR JAW W/FIXATION,,,6244.73,18067.0,7
CPT,21197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21198,RECONSTR LWR JAW SEGMENT,,,5583.0,18067.0,7
CPT,21199,RECONSTR LWR JAW W/ADVANCE,,,3500.0,10167.67,7
CPT,21200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21206,RECONSTRUCT UPPER JAW BONE,,,6177.0,18067.0,8
CPT,21207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21208,AUGMENTATION OF FACIAL BONES,,,6244.73,18067.0,8
CPT,21209,REDUCTION OF FACIAL BONES,,,6177.0,18067.0,8
CPT,21210,FACE BONE GRAFT,,,6244.73,18067.0,8
CPT,21211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21215,LOWER JAW BONE GRAFT,,,6244.73,18067.0,8
CPT,21216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21230,RIB CARTILAGE GRAFT,,,6244.73,18067.0,8
CPT,21231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21235,EAR CARTILAGE GRAFT,,,5513.0,18067.0,8
CPT,21236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21240,RECONSTRUCTION OF JAW JOINT,,,4883.0,18067.0,8
CPT,21241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21242,RECONSTRUCTION OF JAW JOINT,,,6177.0,18067.0,8
CPT,21243,RECONSTRUCTION OF JAW JOINT,,,6177.0,52872.0,8
CPT,21244,RECONSTRUCTION OF LOWER JAW,,,6244.73,18067.0,8
CPT,21245,RECONSTRUCTION OF JAW,,,6244.73,18067.0,8
CPT,21246,RECONSTRUCTION OF JAW,,,6244.73,18067.0,8
CPT,21247,RECONSTRUCT LOWER JAW BONE,,,6244.73,18067.0,7
CPT,21248,RECONSTRUCTION OF JAW,,,6244.73,18067.0,8
CPT,21249,RECONSTRUCTION OF JAW,,,6244.73,18067.0,8
CPT,21250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21255,RECONSTRUCT LOWER JAW BONE,,,6244.73,18067.0,7
CPT,21256,RECONSTRUCTION OF ORBIT,,,5428.0,18067.0,7
CPT,21257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21260,REVISE EYE SOCKETS,,,5428.0,18067.0,7
CPT,21261,REVISE EYE SOCKETS,,,5428.0,18067.0,7
CPT,21262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21263,REVISE EYE SOCKETS,,,5428.0,18067.0,7
CPT,21264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21267,REVISE EYE SOCKETS,,,6244.73,18067.0,8
CPT,21268,REVISE EYE SOCKETS,,,6244.73,18067.0,7
CPT,21269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21270,AUGMENTATION CHEEK BONE,,,6177.0,18067.0,8
CPT,21271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21275,REVISION ORBITOFACIAL BONES,,,6244.73,18067.0,8
CPT,21276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21280,MEDIAL CANTHOPEXY,,,3497.42,9658.0,8
CPT,21281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21282,HC LATERAL CANTHOPEXY,9460.14,3311.05,3244.83,9611.0,10
CPT,21283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21295,REVISION OF JAW MUSCLE/BONE,,,1636.74,5513.0,8
CPT,21296,REVISION OF JAW MUSCLE/BONE,,,2983.0,6090.0,8
CPT,21297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21299,HC CLOSED TREATMENT ZYGOMATIC FRACTURE,5644.29,1975.51,249.85,5428.0,9
CPT,21299,HC EXCISION OF OSTEOMA,10726.54,3754.29,249.85,5428.0,9
CPT,21299,HC REPLACEMENT FOR IMF SCREWS AND WIRE FOR MMF,16303.85,5706.35,249.85,5592.22,9
CPT,21300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21300,Mammogram,,,2498.02,2498.02,1
CPT,21301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21310,Mammogram,,,1821.21,1821.21,1
CPT,21311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21315,HC NASAL BONE FRCT W/O STABLZ,3306.86,1157.41,1134.25,5513.0,10
CPT,21316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21320,"HC CLSD RED NASAL BONE FX,W/STAB",6961.1,2436.39,2387.66,5694.51,10
CPT,21321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21325,OPEN TX NOSE FX UNCOMPLICATD,,,3497.42,6479.0,8
CPT,21326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21330,OPEN TX NOSE FX W/SKELE FIXJ,,,6090.0,18067.0,8
CPT,21331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21335,OPEN TX NOSE & SEPTAL FX,,,3497.42,11244.0,8
CPT,21336,OPEN TX SEPTAL FX W/WO STABJ,,,3451.58,12001.0,8
CPT,21337,"HC CLSD RED NASAL BONE FX, W/STAB",6254.35,2189.03,2133.0,5694.51,10
CPT,21338,OPEN NASOETHMOID FX W/O FIXJ,,,4883.0,18067.0,8
CPT,21339,OPEN NASOETHMOID FX W/ FIXJ,,,6090.0,18067.0,8
CPT,21340,PERQ TX NASOETHMOID FX,,,3497.42,9658.0,8
CPT,21341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21343,OPEN TX DPRSD FRONT SINUS FX,,,6244.73,18067.0,7
CPT,21344,OPEN TX COMPL FRONT SINUS FX,,,6244.73,18067.0,7
CPT,21345,CLOSED TX NOSE/JAW FX,,,1636.74,11244.0,8
CPT,21346,OPN TX NASOMAX FX W/FIXJ,,,6090.0,18067.0,7
CPT,21347,OPN TX NASOMAX FX MULTPLE,,,6244.73,18067.0,7
CPT,21348,OPN TX NASOMAX FX W/GRAFT,,,6244.73,18067.0,7
CPT,21349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21355,PERQ TX MALAR FRACTURE,,,3497.42,9658.0,8
CPT,21356,"HC OPEN TX OF DEPRESSED ZYGOMATIC ARCH FRACTURE (EG, GILLIES APPROACH)",13031.68,4561.09,4236.0,18067.0,10
CPT,21357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21360,OPN TX DPRSD MALAR FRACTURE,,,6090.0,18067.0,8
CPT,21361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21365,OPN TX COMPLX MALAR FX,,,6244.73,18067.0,8
CPT,21366,OPN TX COMPLX MALAR W/GRFT,,,6244.73,18067.0,7
CPT,21367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21385,OPN TX ORBIT FX TRANSANTRAL,,,6244.73,21649.0,8
CPT,21386,OPN TX ORBIT FX PERIORBITAL,,,6244.73,18067.0,7
CPT,21387,OPN TX ORBIT FX COMBINED,,,6244.73,18067.0,7
CPT,21388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21390,OPN TX ORBIT PERIORBTL IMPLT,,,6244.73,18067.0,8
CPT,21391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21395,OPN TX ORBIT PERIORBT W/GRFT,,,6244.73,18067.0,7
CPT,21396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21400,CLOSED TX ORBIT W/O MANIPULJ,,,568.93,3500.0,8
CPT,21401,CLOSED TX ORBIT W/MANIPULJ,,,1636.74,5583.0,8
CPT,21402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21406,OPN TX ORBIT FX W/O IMPLANT,,,4883.0,18067.0,8
CPT,21407,OPN TX ORBIT FX W/IMPLANT,,,6177.0,18067.0,8
CPT,21408,OPN TX ORBIT FX W/BONE GRFT,,,5428.0,18067.0,8
CPT,21409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21421,HC TREAT MOUTH ROOF FRACTURE,7941.88,2779.66,2133.0,6479.0,10
CPT,21422,OPTX PALATAL/MAX FRACTURE,,,6244.73,18067.0,7
CPT,21423,OPTX PALATAL/MAX FX COMP,,,6244.73,18067.0,7
CPT,21424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21431,CLTX CRANIOFACIAL SEPARATION,,,6244.73,12001.0,7
CPT,21432,OPTX CRANFCL SEP W/WIRING,,,6244.73,18067.0,7
CPT,21433,OPTX CRANFCL SEP COMP MLT,,,6244.73,18067.0,7
CPT,21434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21435,OPTX CRNFC SEP COMP INT&/XTR,,,6244.73,18067.0,7
CPT,21436,OPTX CRNFCL SEP COMP MLT INT,,,6244.73,18067.0,7
CPT,21437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21440,HC CLOSED TX ALVEOLAR RIDGE FRACTURE,5644.29,1975.51,1935.99,6090.0,10
CPT,21441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21445,OPTX MNDBLR/MAX ALV RIDGE FX,,,4883.0,18067.0,8
CPT,21446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21450,HC TREAT LOWER JAW FRACTURE,1171.03,409.87,401.66,5583.0,10
CPT,21451,HC TX MAND FRATURE W/ MANIPULATION,2696.73,943.86,924.98,6479.0,10
CPT,21452,PERQ TX MNDBLR FX XTRNL FIXJ,,,3200.0,18067.0,8
CPT,21453,HC CLSD TRMT FX MANDIB INTERDEN,12463.9,4362.37,4236.0,18067.0,10
CPT,21454,OPTX MNDBLR FX XTRNL FIXJ,,,6090.0,18067.0,8
CPT,21455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21461,OPTX MNDBLR FX WO NTRDNTL,,,4883.0,18067.0,8
CPT,21462,OPTX MNDBLR FX W/NTRDNTL,,,6177.0,18067.0,8
CPT,21463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21465,OPTX MNDBLR CNDYLR FX,,,4883.0,18067.0,8
CPT,21466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21470,OPTX COMPLICATED MNDBLR FX,,,6177.0,18067.0,8
CPT,21471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21480,HC CLSD TX TMJ DISLOCATION,501.9,175.67,172.15,3500.0,10
CPT,21481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21485,HC CLOSED TREATMENT TEMPOMANDIBULAR DISLOCATION COMPLICATED,3600.49,1260.18,1234.97,5513.0,10
CPT,21486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21490,OPTX TMPRMAND DISLOCATION,,,3497.42,9658.0,8
CPT,21491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21495,Mammogram,,,47357.52,47357.52,1
CPT,21496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21497,"HC INTERDENTAL WIRING, FOR CONDITION OTHER THAN FRACTURE",2660.75,931.27,912.64,5513.0,10
CPT,21498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21499,HC UNLISTED MSK PROCEDURE HEAD DRAINAGE OF A PSEUDOMENINGOCELE IN SUBGALEAL MOST LIKE 10160,912.71,319.45,249.85,5428.0,9
CPT,21500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21501,I&D DP ABSC/HMTMA SFT TS NCK,,,3064.14,12001.0,8
CPT,21502,I&D DP ABS/HMTM NCK RIB OSTC,,,3200.0,12001.0,8
CPT,21503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21510,INC DEEP OPNG B1 CRTX THORAX,,,3451.58,12001.0,7
CPT,21511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21550,HC BIOPSY SOFT TISSUE NECK/THRX,3024.04,1058.42,1037.25,5513.0,10
CPT,21551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21552,HC EXCISION TUMOR SOFT TISSUE OF NECK OR ANTERIOR THORAX SUBCUTANEOUS; 3 CM OR GREATER,5968.64,2089.03,2047.24,21649.0,10
CPT,21553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21554,EXC NECK TUM DEEP 5 CM/>,,,3064.14,21649.0,8
CPT,21555,"HC EXC TUMOR SOFT TISSUE NECK/ANT THORAX, SUBCUTANEOUS, <3 CM",6226.18,2179.17,1742.24,5513.0,10
CPT,21556,EXC NECK TUM DEEP < 5 CM,,,3064.14,12001.0,8
CPT,21557,RESECT NECK THORAX TUMOR<5CM,,,3064.14,12001.0,7
CPT,21558,RESECT NECK TUMOR 5 CM/>,,,3064.14,21649.0,8
CPT,21559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21600,PARTIAL REMOVAL OF RIB,,,3200.0,22625.0,8
CPT,21601,EXC CHEST WALL TUMOR W/RIBS,,,3064.14,12001.0,7
CPT,21602,EXC CH WAL TUM W/O LYMPHADEC,,,7654.46,22133.0,7
CPT,21603,EXC CH WAL TUM W/LYMPHADEC,,,7654.46,22133.0,7
CPT,21604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21610,COSTOTRANSVERSECTOMY,,,3200.0,12001.0,8
CPT,21611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21615,EXCISION 1ST &/CERVICAL RIB,,,7654.46,12664.0,7
CPT,21616,EXC 1ST&/CRV RIB W/SYMPTH,,,7654.46,12664.0,7
CPT,21617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21620,OSTECTOMY STERNUM PARTIAL,,,3451.58,12001.0,7
CPT,21621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21627,STERNAL DEBRIDEMENT,,,3451.58,12664.0,7
CPT,21628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21630,RADICAL RESECTION STERNUM,,,7654.46,12664.0,7
CPT,21631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21632,Ambulatory Surgery Groups,,,12001.0,12001.0,1
CPT,21632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21632,Other Outpatient Services - CPT/HCPCS,,,2053.73,2053.73,1
CPT,21633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21685,HYOID MYOTOMY & SUSPENSION,,,2983.0,18067.0,8
CPT,21686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21700,REVISION OF NECK MUSCLE,,,3200.0,12463.0,8
CPT,21701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21705,REVISION OF NECK MUSCLE/RIB,,,4524.0,12664.0,7
CPT,21706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21720,REVISION OF NECK MUSCLE,,,3451.58,12001.0,8
CPT,21721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21725,REVISION OF NECK MUSCLE,,,747.0,5583.0,8
CPT,21726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21740,RECONSTRUCTION OF STERNUM,,,6479.0,12664.0,7
CPT,21741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21742,REPAIR STERN/NUSS W/O SCOPE,,,3451.58,12001.0,8
CPT,21743,REPAIR STERNUM/NUSS W/SCOPE,,,3451.58,12001.0,8
CPT,21744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21750,REPAIR OF STERNUM SEPARATION,,,6479.0,12664.0,7
CPT,21751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21800,Mammogram,,,7643.51,7643.51,1
CPT,21801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21805,Mammogram,,,17964.75,17964.75,1
CPT,21806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21810,Mammogram,,,33290.72,33290.72,1
CPT,21811,OPTX OF RIB FX W/FIXJ SCOPE,,,5583.0,21649.0,8
CPT,21812,TREATMENT OF RIB FRACTURE,,,5583.0,21649.0,8
CPT,21813,TREATMENT OF RIB FRACTURE,,,1696.24,21649.0,8
CPT,21814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21820,HC CLSD TRMT STERNUM FX,501.9,175.67,172.15,3500.0,10
CPT,21821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21825,TREAT STERNUM FRACTURE,,,6479.0,12664.0,7
CPT,21826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21899,UNLISTED PX NECK/THORAX,,,249.85,5428.0,7
CPT,21900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21920,BIOPSY SOFT TISSUE OF BACK,,,1742.24,4524.0,8
CPT,21921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21925,BIOPSY SOFT TISSUE OF BACK,,,1742.24,6090.0,8
CPT,21926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21930,HC EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM,3507.43,1227.61,1203.05,5513.0,10
CPT,21931,HC EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ >3 CM,4046.14,1416.15,1387.83,21649.0,10
CPT,21932,EXC BACK TUM DEEP < 5 CM,,,3064.14,12001.0,8
CPT,21933,"HC EXCISION, TUMOR, BACK/FLANK, SUBFASCIAL; 5 CM OR GREATER",8612.96,3014.54,2954.25,21649.0,10
CPT,21934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21935,RESECT BACK TUM < 5 CM,,,3064.14,12001.0,8
CPT,21936,RESECT BACK TUM 5 CM/>,,,3064.14,21649.0,8
CPT,21937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,21999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22010,I&D P-SPINE C/T/CERV-THOR,,,4524.0,12664.0,7
CPT,22011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22015,I&D ABSCESS P-SPINE L/S/LS,,,4524.0,12664.0,7
CPT,22016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22100,REMOVE PART OF NECK VERTEBRA,,,5583.0,22625.0,8
CPT,22101,REMOVE PART THORAX VERTEBRA,,,5583.0,21649.0,8
CPT,22102,REMOVE PART LUMBAR VERTEBRA,,,5583.0,22625.0,8
CPT,22103,REMOVE EXTRA SPINE SEGMENT,,,114.63,21649.0,8
CPT,22104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22110,REMOVE PART OF NECK VERTEBRA,,,7654.46,12664.0,7
CPT,22111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22112,REMOVE PART THORAX VERTEBRA,,,7654.46,12664.0,7
CPT,22113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22114,REMOVE PART LUMBAR VERTEBRA,,,7654.46,12664.0,7
CPT,22115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22116,REMOVE EXTRA SPINE SEGMENT,,,122.87,12001.0,7
CPT,22117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22206,INCIS SPINE 3 COLUMN THORAC,,,7654.46,22625.0,7
CPT,22207,INCIS SPINE 3 COLUMN LUMBAR,,,7654.46,22625.0,7
CPT,22208,INCIS SPINE 3 COLUMN ADL SEG,,,515.26,22625.0,7
CPT,22209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22210,INCIS 1 VERTEBRAL SEG CERV,,,7654.46,12664.0,7
CPT,22211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22212,INCIS 1 VERTEBRAL SEG THORAC,,,7654.46,12664.0,7
CPT,22213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22214,INCIS 1 VERTEBRAL SEG LUMBAR,,,7654.46,12664.0,7
CPT,22215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22216,INCIS ADDL SPINE SEGMENT,,,314.23,12001.0,7
CPT,22217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22220,OSTEOT DSC ANT 1 VRT SGM CRV,,,7654.46,12664.0,7
CPT,22221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22222,OSTEOT DSC ANT 1VRT SGM THRC,,,7654.46,12664.0,7
CPT,22223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22224,OSTEOT DSC ANT 1VRT SGM LMBR,,,7654.46,12664.0,7
CPT,22225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22226,OSTEOT DSC ANT 1VRT SGM EA,,,313.26,30380.0,7
CPT,22227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22305,Mammogram,,,11378.54,11378.54,1
CPT,22306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22310,HC CLOSED TX VERT FX W/O MANJ,418.0,146.3,143.37,3500.0,10
CPT,22311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22315,CLOSED TX VERT FX W/MANJ,,,3200.0,12001.0,8
CPT,22316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22318,TREAT ODONTOID FX W/O GRAFT,,,11057.0,22051.23,7
CPT,22319,TREAT ODONTOID FX W/GRAFT,,,11057.0,22051.23,7
CPT,22320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22325,TREAT SPINE FRACTURE,,,11057.0,22051.23,7
CPT,22326,TREAT NECK SPINE FRACTURE,,,11057.0,22051.23,7
CPT,22327,TREAT THORAX SPINE FRACTURE,,,11057.0,22051.23,7
CPT,22328,TREAT EACH ADD SPINE FX,,,246.13,12001.0,7
CPT,22329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22505,MANIPULATION OF SPINE,,,1696.24,5513.0,8
CPT,22506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22510,HC PERQ CERVICOTHORACIC INJECT,6985.3,2444.86,2395.96,21649.0,10
CPT,22511,HC PERQ LUMBOSACRAL INJECTION,6985.3,2444.86,2395.96,21649.0,10
CPT,22512,VERTEBROPLASTY ADDL INJECT,,,773.6,21649.0,8
CPT,22513,HC PERC VERTEBRAL AUGMENT 1 VERT BODY,14484.42,5069.55,4968.16,22625.0,9
CPT,22514,"HC PERCUTANEOUS VERTEBRAL AUGMENTATION, LUMBAR",14431.2,5050.92,4949.9,22625.0,9
CPT,22515,"HC PERC VERTEBRAL AUGMENTATION, EACH ADD''L THORACIC OR LUMBAR BODY",7348.76,2572.07,2444.0,14539.28,9
CPT,22516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22520,Mammogram,,,33287.29,33287.29,1
CPT,22521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22521,Mammogram,,,31747.47,31747.47,1
CPT,22522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22522,Mammogram,,,14711.52,14711.52,1
CPT,22523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22523,Mammogram,,,36509.66,36509.66,1
CPT,22524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22524,Mammogram,,,34681.1,34681.1,1
CPT,22525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22525,Mammogram,,,16544.85,16544.85,1
CPT,22526,IDET SINGLE LEVEL,,,2047.8,21649.0,8
CPT,22527,IDET 1 OR MORE LEVELS,,,1689.79,21649.0,8
CPT,22528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22532,ARTHRD LAT XTRCVTRY TQ THRC,,,11057.0,22625.0,7
CPT,22533,ARTHRD LAT XTRCVTRY TQ LMBR,,,11057.0,30115.41,7
CPT,22534,ARTHRD LAT XTRCVTRY TQ EA AD,,,316.17,22625.0,7
CPT,22535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22548,ARTHRD ANT TORAL/XORAL C1-C2,,,11057.0,22051.23,7
CPT,22549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22551,ARTHRD ANT NTRBDY CERVICAL,,,11057.0,30380.0,7
CPT,22552,ARTHRD ANT NTRBD CERVICAL EA,,,344.78,26275.03,7
CPT,22553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22554,ARTHRD ANT NTRBD MIN DSC CRV,,,11057.0,30380.0,7
CPT,22555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22556,ARTHRD ANT NTRBD MIN DSC THC,,,11057.0,30115.41,7
CPT,22557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22558,ARTHRD ANT NTRBD MIN DSC LUM,,,11057.0,46604.36,7
CPT,22559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22585,ARTHRD ANT NTRBD MIN DSC EA,,,281.42,21601.9,7
CPT,22586,ARTHRD PRE-SAC NTRBDY L5-S1,,,11057.0,30380.0,7
CPT,22587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22590,ARTHRD PST TQ CRANIOCERVICAL,,,11057.0,22051.23,7
CPT,22591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22595,ARTHRD PST TQ ATLAS-AXIS,,,11057.0,22051.23,7
CPT,22596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22600,ARTHRD PST TQ 1NTRSPC CRV,,,11057.0,30380.0,7
CPT,22601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22610,ARTHRD PST TQ 1NTRSPC THRC,,,11057.0,30380.0,7
CPT,22611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22612,ARTHRD PST TQ 1NTRSPC LUMBAR,,,11057.0,30380.0,7
CPT,22613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22614,ARTHRD PST TQ 1NTRSPC EA ADD,,,341.18,25940.6,7
CPT,22615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22630,ARTHRD PST TQ 1NTRSPC LUM,,,11057.0,46604.36,7
CPT,22631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22632,ARTHRD PST TQ 1NTRSPC LM EA,,,280.23,30380.0,7
CPT,22633,ARTHRD CMBN 1NTRSPC LUMBAR,,,11057.0,46604.36,7
CPT,22634,ARTHRD CMBN 1NTRSPC EA ADDL,,,422.36,32130.77,7
CPT,22635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22800,ARTHRD PST DFRM<6 VRT SGM,,,11057.0,30115.41,7
CPT,22801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22802,ARTHRD PST DFRM 7-12 VRT SGM,,,11057.0,30115.41,7
CPT,22803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22804,ARTHRD PST DFRM 13+ VRT SGM,,,11057.0,30115.41,7
CPT,22805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22808,ARTHRD ANT DFRM 2-3 VRT SGM,,,11057.0,30115.41,7
CPT,22809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22810,ARTHRD ANT DFRM 4-7 VRT SGM,,,11057.0,30115.41,7
CPT,22811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22812,ARTHRD ANT DFRM 8+ VRT SGM,,,11057.0,30115.41,7
CPT,22813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22818,KYPHECTOMY 1-2 SEGMENTS,,,11057.0,30115.41,7
CPT,22819,KYPHECTOMY 3 OR MORE,,,11057.0,30115.41,7
CPT,22820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22830,EXPLORATION OF SPINAL FUSION,,,6479.0,12664.0,7
CPT,22831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22836,ANT THRC VRT BODY TETHRG <7,,,4344.0,30115.41,6
CPT,22837,ANT THRC VRT BODY TETHRG 8+,,,4344.0,30115.41,6
CPT,22838,REV RPLC/RMV THRC VRT TETHRG,,,4344.0,30115.41,6
CPT,22839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22840,INSERT SPINE FIXATION DEVICE,,,654.38,50313.2,7
CPT,22841,INSERT SPINE FIXATION DEVICE,,,2444.0,4524.0,3
CPT,22842,INSERT SPINE FIXATION DEVICE,,,664.38,50645.67,7
CPT,22843,INSERT SPINE FIXATION DEVICE,,,711.6,4524.0,7
CPT,22844,INSERT SPINE FIXATION DEVICE,,,857.27,4524.0,7
CPT,22845,INSERT SPINE FIXATION DEVICE,,,632.48,48203.14,7
CPT,22846,INSERT SPINE FIXATION DEVICE,,,657.55,12664.0,7
CPT,22847,INSERT SPINE FIXATION DEVICE,,,681.01,12664.0,7
CPT,22848,INSERT PELV FIXATION DEVICE,,,311.38,4524.0,7
CPT,22849,REINSERT SPINAL FIXATION,,,4524.0,22051.23,7
CPT,22850,REMOVE SPINE FIXATION DEVICE,,,4524.0,12664.0,7
CPT,22851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22851,Mammogram,,,26646.2,26646.2,1
CPT,22852,REMOVE SPINE FIXATION DEVICE,,,4524.0,12664.0,7
CPT,22853,INSJ BIOMECHANICAL DEVICE,,,223.68,17123.79,7
CPT,22854,INSJ BIOMECHANICAL DEVICE,,,293.15,22239.75,7
CPT,22855,REMOVAL ANTERIOR INSTRMJ,,,4524.0,12664.0,7
CPT,22856,TOT DISC ARTHRP 1NTRSPC CRV,,,11057.0,52872.0,7
CPT,22857,TOT DISC ARTHRP 1NTRSPC LMBR,,,11057.0,30115.41,7
CPT,22858,TOT DISC ARTHRP 2ND LVL CRV,,,439.76,33635.07,7
CPT,22859,INSJ BIOMECHANICAL DEVICE,,,292.98,22106.47,7
CPT,22860,TOT DISC ARTHRP 2NTRSPC LMBR,,,338.87,52872.0,7
CPT,22861,REV RPLCM ARTHRP 1NTRSPC CRV,,,11057.0,30115.41,7
CPT,22862,REV RPLCM RTHRP 1NTRSPC LMBR,,,11057.0,30115.41,7
CPT,22863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22864,RMVL TOT ARTHRP 1NTRSPC CRV,,,7654.46,22625.0,7
CPT,22865,RMVL TOT ARTHRP 1NTRSPC LMBR,,,7654.46,22625.0,7
CPT,22866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22867,INSJ STABLJ DEV W/DCMPRN,,,9611.0,52872.0,7
CPT,22868,INSJ STABLJ DEV W/DCMPRN,,,210.21,16165.59,7
CPT,22869,INSJ STABLJ DEV W/O DCMPRN,,,3200.0,52872.0,7
CPT,22870,INSJ STABLJ DEV W/O DCMPRN,,,101.38,7955.76,7
CPT,22871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22899,HC NEUROSACRAL INJECTION THERAPY,949.27,332.25,260.21,3500.0,9
CPT,22900,"HC EXCISION, TUMOR, SOFT TISSUE OF ABDOMINAL WALL, SUBFASCIAL, LESS THAN 5 CM",6132.98,2146.55,2103.61,12001.0,10
CPT,22901,EXC ABDL TUM DEEP 5 CM/>,,,3064.14,21649.0,8
CPT,22902,HC EXCISION TUMOR SOFT TISSUE ABDOMINAL WALL LESS THAN 3 CM,3622.92,1268.03,1242.66,10856.0,10
CPT,22903,HC EXCISION TUMOR SOFT TISSUE 3 CM OR GREATER,5579.94,1952.98,1913.92,21649.0,10
CPT,22904,RADICAL RESECT ABD TUMOR<5CM,,,3064.14,12001.0,8
CPT,22905,RAD RESECT ABD TUMOR 5 CM/>,,,3064.14,21649.0,8
CPT,22906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,22999,UNLISTED PX ABDOMEN MUSCSKEL,,,260.21,3500.0,7
CPT,23000,RMVL SBDLTD CLCREOUS DEP OPN,,,3064.14,12001.0,8
CPT,23001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23020,CAPSULAR CONTRACTURE RELEASE,,,3200.0,12001.0,8
CPT,23021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23030,I&D SHOULDER DEEP ABSC/HMTMA,,,2983.0,12001.0,8
CPT,23031,I&D SHOULDER INFECTED BURSA,,,3064.14,6090.0,8
CPT,23032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23035,INCISION BONE CORTEX SHO,,,1696.24,6090.0,8
CPT,23036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23040,ARTHRT GH JT EXPL/DRG/RMV FB,,,3451.58,12001.0,8
CPT,23041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23044,ARTHRT AC SC JT EXP/RMVL FB,,,3451.58,12001.0,8
CPT,23045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23065,BIOPSY SHOULDER TISSUES,,,1742.24,4524.0,8
CPT,23066,BIOPSY SHOULDER TISSUES,,,3064.14,12001.0,8
CPT,23067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23071,HC EXCISION TUMOR SOFT TISSUE OF SHOULDER AREA SUBCUTANEOUS; > 3 CM,4453.77,1558.82,1527.64,21649.0,10
CPT,23072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23073,EXC SHOULDER TUM DEEP 5 CM/>,,,3064.14,21649.0,8
CPT,23074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23075,"HC EXCISION, TUMOR, SOFT TISSUE, SHOULDER AREA, SUBCUTANEOUS; LESS THAN 3CM",8141.5,2849.53,1742.24,5513.0,10
CPT,23076,HC EXCISION TUMOR SOFT TISSUE OF SHOULDER AREA SUBFASCIAL (INTRAMUSCULAR) LESS THAN 5 CM,9071.47,3175.02,3064.14,12001.0,10
CPT,23077,RAD RESCJ TUM SHOULDER<5 CM,,,3064.14,12001.0,8
CPT,23078,RAD RESCJ TUM SHOULDER 5CM/>,,,3064.14,21649.0,8
CPT,23079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23100,ARTHROTOMY GLENHUMRL JT W/BX,,,3200.0,12001.0,8
CPT,23101,ARTHRT ACRMCLV/STRNCLAV JT,,,3451.58,12001.0,8
CPT,23102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23105,ARTHROTOMY GLENOHUMERAL JT,,,4883.0,22625.0,8
CPT,23106,ARTHROTOMY STRNCLAV JOINT,,,3451.58,12001.0,8
CPT,23107,ARTHRT GLENHUMRL JT W/EXPL,,,4883.0,22625.0,8
CPT,23108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23120,CLAVICULECTOMY PARTIAL,,,3451.58,12001.0,8
CPT,23121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23125,CLAVICULECTOMY TOTAL,,,3451.58,12001.0,8
CPT,23126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23130,ACROMP/ACROMIONECTOMY PRTL,,,3451.58,12001.0,8
CPT,23131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23140,REMOVAL OF BONE LESION,,,3451.58,12001.0,8
CPT,23141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23145,REMOVAL OF BONE LESION,,,3451.58,12001.0,8
CPT,23146,REMOVAL OF BONE LESION,,,6177.0,22625.0,8
CPT,23147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23150,REMOVAL OF HUMERUS LESION,,,3451.58,12001.0,8
CPT,23151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23155,REMOVAL OF HUMERUS LESION,,,6177.0,22625.0,8
CPT,23156,REMOVAL OF HUMERUS LESION,,,6177.0,22625.0,8
CPT,23157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23170,SEQUESTRECTOMY CLAVICLE,,,3200.0,12001.0,8
CPT,23171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23172,SEQUESTRECTOMY SCAPULA,,,3200.0,12001.0,8
CPT,23173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23174,SQSTRCTMY HUMRL HEAD SRG NCK,,,3200.0,12463.0,8
CPT,23175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23180,PRTL EXCISION BONE CLAVICLE,,,4883.0,12463.0,8
CPT,23181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23182,PRTL EXCISION BONE SCAPULA,,,4883.0,12463.0,8
CPT,23183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23184,PRTL EXCISION BONE PROX HUM,,,4883.0,22625.0,8
CPT,23185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23190,OSTECTOMY SCAPULA PARTIAL,,,3451.58,12001.0,8
CPT,23191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23195,RESECTION HUMERAL HEAD,,,6177.0,22625.0,8
CPT,23196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23200,RADICAL RESCJ TUMOR CLAVICLE,,,7654.46,12664.0,7
CPT,23201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23210,RADICAL RESCJ TUMOR SCAPULA,,,7654.46,12664.0,7
CPT,23211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23220,RADICAL RESCJ TUMOR PROX HUM,,,7654.46,12664.0,7
CPT,23221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23221,Mammogram,,,73228.42,73228.42,1
CPT,23222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23222,Mammogram,,,99607.94,99607.94,1
CPT,23223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23330,REMOVE SHOULDER FOREIGN BODY,,,1742.24,3603.0,8
CPT,23331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23331,Mammogram,,,40345.25,40345.25,1
CPT,23332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23332,Mammogram,,,59824.35,59824.35,1
CPT,23333,REMOVE SHOULDER FB DEEP,,,3064.14,4989.03,8
CPT,23334,SHOULDER PROSTHESIS REMOVAL,,,5583.0,21649.0,8
CPT,23335,SHOULDER PROSTHESIS REMOVAL,,,5583.0,12463.0,7
CPT,23336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23350,HC INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG,758.45,265.46,164.48,3369.12,9
CPT,23351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23395,MUSCLE TRANSFER SHOULDER/ARM,,,6177.0,22625.0,8
CPT,23396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23397,MUSCLE TRANSFERS,,,7654.46,22625.0,8
CPT,23398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23400,FIXATION OF SHOULDER BLADE,,,6987.0,22625.0,8
CPT,23401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23405,INCISION OF TENDON & MUSCLE,,,3200.0,22625.0,8
CPT,23406,INCISE TENDON(S) & MUSCLE(S),,,3200.0,12463.0,8
CPT,23407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23410,REPAIR ROTATOR CUFF ACUTE,,,6177.0,22625.0,8
CPT,23411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23412,REPAIR ROTATOR CUFF CHRONIC,,,7654.46,22625.0,8
CPT,23413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23415,RELEASE OF SHOULDER LIGAMENT,,,6177.0,22625.0,8
CPT,23416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23420,REPAIR OF SHOULDER,,,7654.46,22625.0,8
CPT,23421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23430,REPAIR BICEPS TENDON,,,4883.0,22625.0,8
CPT,23431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23440,REMOVE/TRANSPLANT TENDON,,,4883.0,12463.0,8
CPT,23441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23450,REPAIR SHOULDER CAPSULE,,,6177.0,22625.0,8
CPT,23451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23455,REPAIR SHOULDER CAPSULE,,,7654.46,22625.0,8
CPT,23456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23460,REPAIR SHOULDER CAPSULE,,,6177.0,22625.0,8
CPT,23461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23462,REPAIR SHOULDER CAPSULE,,,7654.46,22625.0,8
CPT,23463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23465,REPAIR SHOULDER CAPSULE,,,6177.0,22625.0,8
CPT,23466,REPAIR SHOULDER CAPSULE,,,7654.46,22625.0,8
CPT,23467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23470,RECONSTRUCT SHOULDER JOINT,,,9611.0,30380.0,7
CPT,23471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23472,RECONSTRUCT SHOULDER JOINT,,,9611.0,30115.41,7
CPT,23473,REVIS RECONST SHOULDER JOINT,,,9611.0,30380.0,7
CPT,23474,REVIS RECONST SHOULDER JOINT,,,9611.0,30380.0,7
CPT,23475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23480,REVISION OF COLLAR BONE,,,4883.0,22625.0,8
CPT,23481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23485,REVISION OF COLLAR BONE,,,10856.0,30380.0,8
CPT,23486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23490,REINFORCE CLAVICLE,,,4236.0,22625.0,8
CPT,23491,REINFORCE SHOULDER BONES,,,4236.0,30380.0,8
CPT,23492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23500,HC CLSD TX FX CLAVICLE W/O MANIP,454.08,158.93,155.75,3500.0,10
CPT,23501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23505,CLTX CLAVICULAR FX W/MNPJ,,,1696.24,4524.0,8
CPT,23506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23515,OPTX CLAVICULAR FX W/INT FIX,,,4236.0,22625.0,8
CPT,23516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23520,CLTX STRNCLAV DISLC W/O MNPJ,,,1696.24,5513.0,8
CPT,23521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23525,CLTX STRNCLAV DISLC W/MNPJ,,,260.21,3500.0,8
CPT,23526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23530,OPTX STRNCLAV DISLC AQT/CHRN,,,4236.0,22625.0,8
CPT,23531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23532,OPTX STRCLV DSLC AQ/CHRN GRF,,,4883.0,22625.0,8
CPT,23533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23540,HC CLSD TX CLAVICLE DISLOCATION,418.0,146.3,143.37,3500.0,10
CPT,23541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23545,HC AC SEPARATION,966.09,338.14,260.21,3500.0,10
CPT,23546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23550,OPTX ACROMCLV DISLC AQT/CHRN,,,4236.0,22625.0,8
CPT,23551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23552,OPTX ACRCLV DSLC AQ/CHRN GRF,,,4883.0,22625.0,8
CPT,23553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23570,HC TX SHOULDER BLADE FX W/O MANIP,521.52,182.54,178.88,3500.0,10
CPT,23571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23575,HC TREAT SHOULDER BLADE FX,3042.92,1065.03,1043.72,4524.0,10
CPT,23576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23585,OPTX SCAPULAR FX W/INT FIXJ,,,4236.0,22625.0,8
CPT,23586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23600,HC CLSD TX PROX HUM FX W/O MANIP,418.0,146.3,143.37,3500.0,10
CPT,23601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23605,"HC TX PROX HUM FX W/MANIP, CLSD",3531.45,1236.01,1211.29,6090.0,10
CPT,23606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23615,OPTX PROX HUMRL FX W/INT FIX,,,4883.0,30380.0,8
CPT,23616,OPTX PRX HMRL FX FIX RPR RPL,,,4883.0,52872.0,8
CPT,23617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23620,HC CLSD HUMERUS FX W/O MANIP,420.85,147.3,144.35,3500.0,10
CPT,23621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23625,CLTX GR HMRL TBRS FX W/MNPJ,,,1696.24,5513.0,8
CPT,23626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23630,OPTX GR HMRL TBRS FX INT FIX,,,6177.0,22625.0,8
CPT,23631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23650,HC CLSD TX DIS SHOULDER W/MANIP,418.0,146.3,143.37,3500.0,10
CPT,23651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23655,HC CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES,2781.89,973.67,954.19,5513.0,10
CPT,23656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23660,OPTX ACUTE SHOULDER DISLC,,,4236.0,22625.0,8
CPT,23661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23665,HC TX DISL SHLDR FX HUMER MAN,3155.55,1104.45,1082.35,4524.0,10
CPT,23666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23670,OPTX SHO DISLC FX,,,4236.0,22625.0,8
CPT,23671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23675,HC CLSD TREAT DSLOC/FX SHOULDER,3155.55,1104.45,1082.35,4524.0,10
CPT,23676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23680,OPTX SHO DISLC NECK FX FIXJ,,,4236.0,30380.0,8
CPT,23681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23700,MNPJ ANES SHO JT FIXJ APRATS,,,1696.24,5513.0,8
CPT,23701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23800,ARTHRODESIS GLENOHUMERAL JT,,,4883.0,22625.0,8
CPT,23801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23802,ARTHRD GLENOHUMERAL JT W/GRF,,,10856.0,30380.0,8
CPT,23803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23900,INTERTHORACOSCPLR AMPUTATION,,,5428.0,22051.23,7
CPT,23901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23920,DISARTICULATION SHOULDER,,,5428.0,22051.23,7
CPT,23921,DISARTICULATION SHO SEC CLSR,,,2176.52,5583.0,8
CPT,23922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23929,UNLISTED PROCEDURE SHOULDER,,,260.21,3500.0,7
CPT,23930,I&D UPR A/E DP ABSC/HMTMA,,,2983.0,6090.0,8
CPT,23931,HC I&D ELBOW BURSA,3354.6,1174.11,1150.63,5513.0,10
CPT,23932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23935,INC DP OPN B1 CRTX HUM/ELBW,,,3200.0,12001.0,8
CPT,23936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,23999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24000,HC ARTHROTOMY ELBOW INCLUDING EXPLORATION DRAINAGE OR REMOVAL FB,6882.58,2408.91,2360.72,12001.0,10
CPT,24001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24006,ARTHRT ELBW CAPSL EXC RLS,,,3451.58,12001.0,8
CPT,24007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24065,HC BIOPSY SOFT TISSUE OF UPPER ARM OR ELBOW AREA SUPERFICIAL,5578.77,1952.57,1742.24,5513.0,10
CPT,24066,BIOPSY ARM/ELBOW SOFT TISSUE,,,3064.14,12001.0,8
CPT,24067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24071,HC EXCISION TUMOR SOFT TISSUE OF UPPER ARM OR ELBOW AREA  SUBCUTANEOUS; > 3 CM,6132.98,2146.55,2103.61,21649.0,10
CPT,24072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24073,EX ARM/ELBOW TUM DEEP 5 CM/>,,,3064.14,21649.0,8
CPT,24074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24075,HC EXCISION TUMOR UPPER ARM/ELBOW AREA SUBCUTANEOUS < 3 CM,3533.44,1236.71,1211.97,5513.0,10
CPT,24076,EX ARM/ELBOW TUM DEEP < 5 CM,,,3064.14,12001.0,8
CPT,24077,RAD RESCJ TUM TISS A/E <5CM,,,3064.14,12001.0,8
CPT,24078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24079,RAD RESCJ TUM TISS A/E 5 CM+,,,3064.14,21649.0,8
CPT,24080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24100,ARTHRT ELBW SYNOVIAL BX ONLY,,,2983.0,12001.0,8
CPT,24101,ARTHRT ELBW JT EXPL BX RMVL,,,3451.58,12001.0,8
CPT,24102,ARTHRT ELBOW W/SYNOVECTOMY,,,3451.58,12001.0,8
CPT,24103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24105,EXCISION OLECRANON BURSA,,,3451.58,12001.0,8
CPT,24106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24110,EXC/CURTG B1 CST/B9 TUM HUM,,,3200.0,12001.0,8
CPT,24111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24115,EXC/CRTG B1 CST/TUM HUM AGRF,,,4236.0,22625.0,8
CPT,24116,EXC/CRTG B1 CST/TUM HUM ALGR,,,4236.0,22625.0,8
CPT,24117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24120,EXC/CRTG B1 CST/B9 TUM RDS,,,3451.58,12001.0,8
CPT,24121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24125,EXC/CRTG B1 CST/TUM RDS AGRF,,,3451.58,12001.0,8
CPT,24126,EXC/CRTG B1 CST/TUM RDS ALGR,,,4236.0,22625.0,8
CPT,24127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24130,EXCISION RADIAL HEAD,,,3451.58,12001.0,8
CPT,24131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24134,SEQUESTRECTOMY SHFT/DSTL HUM,,,3200.0,22625.0,8
CPT,24135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24136,SEQUESTRECTOMY RADIAL H/N,,,3200.0,12001.0,8
CPT,24137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24138,SEQUESTRECTOMY OLECRN PROCES,,,3200.0,22625.0,8
CPT,24139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24140,PARTIAL EXC BONE HUMERUS,,,3451.58,12001.0,8
CPT,24141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24145,PRTL EXC BONE RADIAL H/N,,,4236.0,22625.0,8
CPT,24146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24147,PRTL EXC BONE OLECRN PROCESS,,,3200.0,12001.0,8
CPT,24148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24149,RADICAL RESECTION OF ELBOW,,,6479.0,22625.0,7
CPT,24150,RAD RESCJ TUM DSTL/SHFT HUM,,,4236.0,22625.0,8
CPT,24151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24151,Mammogram,,,65672.01,65672.01,1
CPT,24152,RAD RESECTION TUM RADIAL H/N,,,4236.0,22625.0,8
CPT,24153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24153,Mammogram,,,45679.64,45679.64,1
CPT,24154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24155,RESECTION OF ELBOW JOINT,,,3451.58,12001.0,8
CPT,24156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24160,RMVL PROSTHHUMRL&ULNAR CMPNT,,,3200.0,12001.0,8
CPT,24161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24164,REMOVAL PROSTH RADIAL HEAD,,,3451.58,12001.0,8
CPT,24165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24200,HC REMOVE FB UPPER ARM/ELBOW AREA; SUBCUTANEOUS,3507.2,1227.52,1202.97,5428.0,10
CPT,24201,RMVL FB UPPER ARM/ELBW DEEP,,,3064.14,12001.0,8
CPT,24202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24220,INJECTION PX FOR ELBOW ARTHG,,,194.85,4482.77,7
CPT,24221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24300,MNPJ ELBOW UNDER ANES,,,1696.24,5513.0,8
CPT,24301,MUSC/TDN TRANSFER UPR A/E 1,,,4883.0,22625.0,8
CPT,24302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24305,TENDON LNGTH UPR A/E EA TDN,,,3451.58,12001.0,8
CPT,24306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24310,TNOT OPN ELBW TO SHO EA TDN,,,3451.58,12001.0,8
CPT,24311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24320,TENOPLASTY ELBOW TO SHO 1,,,4236.0,22625.0,8
CPT,24321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24330,FLEXOR-PLASTY ELBOW,,,4236.0,12664.0,8
CPT,24331,FLEXOR-PLASTY ELBW W/ADVMNT,,,4236.0,22625.0,8
CPT,24332,TENOLYSIS TRICEPS,,,3200.0,12001.0,8
CPT,24333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24340,TENODESIS BICEPS TDN AT ELBW,,,4236.0,22625.0,8
CPT,24341,RPR TDN/MUSC UPR A/E EACH,,,4236.0,22625.0,8
CPT,24342,REPAIR OF RUPTURED TENDON,,,4236.0,22625.0,8
CPT,24343,REPR ELBOW LAT LIGMNT W/TISS,,,3451.58,12001.0,8
CPT,24344,RECONSTRUCT ELBOW LAT LIGMNT,,,4236.0,22625.0,8
CPT,24345,REPR ELBW MED LIGMNT W/TISSU,,,3200.0,22625.0,8
CPT,24346,RECONSTRUCT ELBOW MED LIGMNT,,,4236.0,30380.0,8
CPT,24347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24350,Mammogram,,,26613.37,26613.37,1
CPT,24351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24351,Mammogram,,,29059.82,29059.82,1
CPT,24352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24352,Mammogram,,,30987.6,30987.6,1
CPT,24353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24354,Mammogram,,,30999.73,30999.73,1
CPT,24355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24356,Mammogram,,,31862.13,31862.13,1
CPT,24357,REPAIR ELBOW PERC,,,3451.58,21649.0,8
CPT,24358,REPAIR ELBOW W/DEB OPEN,,,3451.58,21649.0,8
CPT,24359,REPAIR ELBOW DEB/ATTCH OPEN,,,3451.58,21649.0,8
CPT,24360,RECONSTRUCT ELBOW JOINT,,,6177.0,22625.0,8
CPT,24361,RECONSTRUCT ELBOW JOINT,,,9611.0,52872.0,7
CPT,24362,RECONSTRUCT ELBOW JOINT,,,6177.0,30380.0,8
CPT,24363,REPLACE ELBOW JOINT,,,11244.0,52872.0,7
CPT,24364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24365,RECONSTRUCT HEAD OF RADIUS,,,6177.0,30380.0,8
CPT,24366,RECONSTRUCT HEAD OF RADIUS,,,9611.0,30380.0,7
CPT,24367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24370,REVISE RECONST ELBOW JOINT,,,9611.0,30380.0,7
CPT,24371,REVISE RECONST ELBOW JOINT,,,11244.0,52872.0,7
CPT,24372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24400,OSTEOT HUMERUS W/WO INT FIXJ,,,4883.0,22625.0,8
CPT,24401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24410,MLT OSTEOT RLGNM IMED RD HUM,,,4883.0,30380.0,8
CPT,24411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24420,OSTEOPLASTY HUMERUS,,,4236.0,22625.0,8
CPT,24421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24430,RPR NON/MAL HUMERUS WO GRAFT,,,4236.0,30380.0,8
CPT,24431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24435,RPR NON/MAL HUM WITH AGRFT,,,4883.0,30380.0,8
CPT,24436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24470,HEMIEPIPHYSEAL ARREST,,,3451.58,12001.0,8
CPT,24471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24495,DECOMPRESSION FASCT FOREARM,,,3200.0,22625.0,8
CPT,24496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24498,PROPH TX W/WO MTHYLMTHCRYLT,,,4236.0,30380.0,8
CPT,24499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24500,HC FX REDUCTION CLOSED HUMERUS,418.0,146.3,143.37,3500.0,10
CPT,24501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24505,"HC TX HUM SHAFT FX W/MANIP, CLSD",3155.55,1104.45,1082.35,4524.0,10
CPT,24506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24515,OPTX HUMRL SHFT FX PLATE/SCR,,,4883.0,30380.0,8
CPT,24516,TX HUMRL SHAFT FX IMED IMPLT,,,4883.0,30380.0,8
CPT,24517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24530,HC CLSD TX HUMERAL FX WO MANIP,418.0,146.3,143.37,3500.0,10
CPT,24531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24535,HC CLSD TX SUP/TRAN FX W/MANIP,3155.55,1104.45,1082.35,4524.0,10
CPT,24536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24538,PRQ SKEL FIX SPRCNDLR HUM FX,,,3200.0,22625.0,8
CPT,24539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24545,OPTX HUM FX WO NTRCNDYLR XTN,,,4883.0,30380.0,8
CPT,24546,OPTX HUM FX W/NTRCNDYLR XTN,,,6177.0,52872.0,8
CPT,24547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24560,HC CLSD TRT HUMERUS FX W/O MANIP,501.9,175.67,172.15,3500.0,10
CPT,24561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24565,HC CLSD TX HUMERAL FX W MANIP,3155.55,1104.45,1082.35,4524.0,10
CPT,24566,PRQ SKEL FIX EPCNDYLR HUM FX,,,1696.24,6090.0,8
CPT,24567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24575,OPTX HUMERAL EPCNDYLR FX,,,4236.0,30380.0,8
CPT,24576,HC CLSD FX HUM CONDYLAR W/O MANIP,418.0,146.3,143.37,3500.0,10
CPT,24577,HC CLSD TX HUMERUS CONDYLAR FX,3042.92,1065.03,1043.72,4524.0,10
CPT,24578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24579,OPTX HUMRL CNDYLR FRACTURE,,,4236.0,30380.0,8
CPT,24580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24582,PRQ SKEL FIX HUMRL CNDYLR FX,,,3200.0,12463.0,8
CPT,24583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24586,OPTX PARTCLR FX&/DISLC ELBOW,,,4883.0,30380.0,8
CPT,24587,OPTX PARTCLR FX&/DSLC ELBW W,,,6177.0,30380.0,8
CPT,24588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24600,HC CLSD TX DIS ELBOW W/O ANES,472.54,165.39,162.08,3500.0,10
CPT,24601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24605,HC CLSD ELBOW DISLOCAT W/ANES,2781.89,973.67,954.19,5513.0,10
CPT,24606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24615,OPTX AQT/CHRNC ELBOW DISLC,,,4236.0,22625.0,8
CPT,24616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24620,HC CLSD MONTEGGIA ELBOW FX,3420.66,1197.24,1173.29,5513.0,10
CPT,24621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24635,OPTX MONTEGGIA FX DISLC ELBW,,,4236.0,22625.0,8
CPT,24636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24640,HC TREAT ELBOW CHILD CLSD,465.22,162.83,159.57,5428.0,10
CPT,24641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24650,HC TREAT RADIUS FRACTURE W/O MANI,418.0,146.3,143.37,3500.0,10
CPT,24651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24655,HC CLSD TREAT RADIUS FX W/MANIP,3155.55,1104.45,1082.35,4524.0,10
CPT,24656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24665,OPTX RADIAL HEAD/NECK FX,,,4883.0,22625.0,8
CPT,24666,OPTX RADIAL HEAD/NCK FX RPLC,,,4883.0,30380.0,8
CPT,24667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24670,HC CLSD ULNAR FX W/O MANIP,501.9,175.67,172.15,3500.0,10
CPT,24671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24675,HC CLOSED TX ULNAR FX; W/ MANIP,3155.55,1104.45,1082.35,4524.0,10
CPT,24676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24685,OPTX ULNAR FX PROX END W/FIX,,,4236.0,22625.0,8
CPT,24686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24800,ARTHRODESIS ELBW JOINT LOCAL,,,4883.0,22625.0,8
CPT,24801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24802,ARTHRD ELBOW JT AUTOG GRAFT,,,6177.0,30380.0,8
CPT,24803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24900,AMPUTATION OF UPPER ARM,,,5428.0,22051.23,7
CPT,24901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24920,AMPUTATION OF UPPER ARM,,,5428.0,22051.23,7
CPT,24921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24925,AMPUTATION FOLLOW-UP SURGERY,,,3451.58,12001.0,8
CPT,24926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24930,AMPUTATION FOLLOW-UP SURGERY,,,5428.0,12664.0,7
CPT,24931,AMPUTATE UPPER ARM & IMPLANT,,,5428.0,22051.23,7
CPT,24932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24935,REVISION OF AMPUTATION,,,5428.0,22625.0,7
CPT,24936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24940,REVISION OF UPPER ARM,,,6479.0,22051.23,7
CPT,24941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,24999,UNLISTED PX HUMERUS/ELBOW,,,260.21,3500.0,7
CPT,25000,HC INCISION OF TENDON SHEATH,3512.39,1229.34,1204.75,6090.0,10
CPT,25001,INCISE FLEXOR CARPI RADIALIS,,,3000.0,12001.0,8
CPT,25002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25020,DECOMPRESS FOREARM 1 SPACE,,,1696.24,6987.0,8
CPT,25021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25023,DECOMPRESS FOREARM 1 SPACE,,,3451.58,12001.0,8
CPT,25024,DECOMPRESS FOREARM 2 SPACES,,,3451.58,12001.0,8
CPT,25025,DECOMPRESS FOREARM 2 SPACES,,,1696.24,6090.0,8
CPT,25026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25028,I&D F/ARM&/WRST DP ABSC/HMTM,,,2983.0,12001.0,8
CPT,25029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25031,I&D FOREARM&/WRIST BURSA,,,1696.24,6090.0,8
CPT,25032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25035,INC DP BONE CRTX F/ARM&/WRST,,,3200.0,22625.0,8
CPT,25036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25040,ARTHRT RDCRPL/MIDCARPL JT,,,3451.58,12001.0,8
CPT,25041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25065,BIOPSY FOREARM SOFT TISSUES,,,1742.24,4524.0,8
CPT,25066,BIOPSY FOREARM SOFT TISSUES,,,3064.14,12001.0,8
CPT,25067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25071,HC EXCISION TUMOR SOFT TISSUE FOREARM & WRIST SUBQ >3 CM,3870.31,1354.61,1327.52,21649.0,10
CPT,25072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25073,EXC FOREARM TUM DEEP 3 CM/>,,,3064.14,21649.0,8
CPT,25074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25075,HC EXCISION TUMOR SOFT TISSUE OF FOREARM &/OR WRIST AREA SUBCUTANEOUS LESS THAN 3 CM,3211.07,1123.88,1101.4,5513.0,10
CPT,25076,EXC FOREARM TUM DEEP < 3 CM,,,1742.24,5583.0,8
CPT,25077,RESECT FOREARM/WRIST TUM<3CM,,,3064.14,5583.0,8
CPT,25078,RESECT FORARM/WRIST TUM 3CM>,,,3064.14,21649.0,8
CPT,25079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25085,INCISION OF WRIST CAPSULE,,,3451.58,12001.0,8
CPT,25086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25100,BIOPSY OF WRIST JOINT,,,3200.0,12001.0,8
CPT,25101,EXPLORE/TREAT WRIST JOINT,,,3451.58,12001.0,8
CPT,25102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25105,REMOVE WRIST JOINT LINING,,,3451.58,12001.0,8
CPT,25106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25107,REMOVE WRIST JOINT CARTILAGE,,,3451.58,12001.0,8
CPT,25108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25109,EXCISE TENDON FOREARM/WRIST,,,3451.58,12001.0,8
CPT,25110,REMOVE WRIST TENDON LESION,,,1696.24,6090.0,8
CPT,25111,"HC EXCISE GANGLION, WRIST",3742.86,1310.01,1283.8,6090.0,10
CPT,25112,REREMOVE WRIST TENDON LESION,,,1696.24,6479.0,8
CPT,25113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25115,REMOVE WRIST/FOREARM LESION,,,1696.24,6479.0,8
CPT,25116,REMOVE WRIST/FOREARM LESION,,,3451.58,12001.0,8
CPT,25117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25118,EXCISE WRIST TENDON SHEATH,,,1696.24,6090.0,8
CPT,25119,PARTIAL REMOVAL OF ULNA,,,3451.58,12001.0,8
CPT,25120,REMOVAL OF FOREARM LESION,,,3451.58,12001.0,8
CPT,25121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25125,REMOVE/GRAFT FOREARM LESION,,,1696.24,6090.0,8
CPT,25126,REMOVE/GRAFT FOREARM LESION,,,3451.58,12001.0,8
CPT,25127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25130,REMOVAL OF WRIST LESION,,,3451.58,12001.0,8
CPT,25131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25135,REMOVE & GRAFT WRIST LESION,,,4236.0,12463.0,8
CPT,25136,REMOVE & GRAFT WRIST LESION,,,4236.0,22625.0,8
CPT,25137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25145,REMOVE FOREARM BONE LESION,,,3200.0,12001.0,8
CPT,25146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25150,PARTIAL REMOVAL OF ULNA,,,3200.0,12001.0,8
CPT,25151,PARTIAL REMOVAL OF RADIUS,,,3200.0,12001.0,8
CPT,25152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25170,RESECT RADIUS/ULNAR TUMOR,,,4236.0,22625.0,8
CPT,25171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25210,REMOVAL OF WRIST BONE,,,3451.58,12001.0,8
CPT,25211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25215,REMOVAL OF WRIST BONES,,,3451.58,12001.0,8
CPT,25216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25230,PARTIAL REMOVAL OF RADIUS,,,3451.58,12001.0,8
CPT,25231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25240,PARTIAL REMOVAL OF ULNA,,,3451.58,12001.0,8
CPT,25241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25246,HC INJECTION WRIST ARTHROGRAPHY,748.18,261.87,195.95,4897.55,9
CPT,25247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25248,REMOVE FOREARM FOREIGN BODY,,,1696.24,6090.0,8
CPT,25249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25250,REMOVAL OF WRIST PROSTHESIS,,,1696.24,5513.0,8
CPT,25251,REMOVAL OF WRIST PROSTHESIS,,,2983.0,12001.0,8
CPT,25252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25259,MANIPULATE WRIST W/ANESTHES,,,1696.24,5513.0,8
CPT,25260,HC REPAIR FOREARM TENDON/MUSCLE,5587.29,1955.56,1916.44,12001.0,10
CPT,25261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25263,REPAIR FOREARM TENDON/MUSCLE,,,3200.0,12463.0,8
CPT,25264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25265,REPAIR FOREARM TENDON/MUSCLE,,,3451.58,12001.0,8
CPT,25266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25270,HC REPAIR TENDON OR MUSCLE EXTENSOR FOREARM AND/OR WRIST PRIMARY SINGLE EACH TENDON OR MUSCLE,16303.85,5706.35,3451.58,12001.0,10
CPT,25271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25272,REPAIR FOREARM TENDON/MUSCLE,,,3451.58,12001.0,8
CPT,25273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25274,REPAIR FOREARM TENDON/MUSCLE,,,3451.58,12001.0,8
CPT,25275,REPAIR FOREARM TENDON SHEATH,,,3451.58,12001.0,8
CPT,25276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25280,REVISE WRIST/FOREARM TENDON,,,3451.58,12001.0,8
CPT,25281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25290,INCISE WRIST/FOREARM TENDON,,,3451.58,12001.0,8
CPT,25291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25295,RELEASE WRIST/FOREARM TENDON,,,3451.58,12001.0,8
CPT,25296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25300,FUSION OF TENDONS AT WRIST,,,3451.58,12001.0,8
CPT,25301,FUSION OF TENDONS AT WRIST,,,3451.58,12001.0,8
CPT,25302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25310,TRANSPLANT FOREARM TENDON,,,3451.58,12001.0,8
CPT,25311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25312,TRANSPLANT FOREARM TENDON,,,3451.58,12001.0,8
CPT,25313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25315,REVISE PALSY HAND TENDON(S),,,4236.0,22625.0,8
CPT,25316,REVISE PALSY HAND TENDON(S),,,4236.0,22625.0,8
CPT,25317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25320,REPAIR/REVISE WRIST JOINT,,,4236.0,22625.0,8
CPT,25321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25332,REVISE WRIST JOINT,,,3451.58,12001.0,8
CPT,25333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25335,CENTRALIZATION WRIST ON ULNA,,,3451.58,12001.0,8
CPT,25336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25337,RECONSTRUCT ULNA/RADIOULNAR,,,6177.0,22625.0,8
CPT,25338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25350,REVISION OF RADIUS,,,4236.0,22625.0,8
CPT,25351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25355,REVISION OF RADIUS,,,3451.58,12001.0,8
CPT,25356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25360,REVISION OF ULNA,,,4236.0,22625.0,8
CPT,25361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25365,REVISE RADIUS & ULNA,,,4236.0,30380.0,8
CPT,25366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25370,REVISE RADIUS OR ULNA,,,3451.58,12001.0,8
CPT,25371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25375,REVISE RADIUS & ULNA,,,3451.58,12001.0,8
CPT,25376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25390,SHORTEN RADIUS OR ULNA,,,4236.0,22625.0,8
CPT,25391,LENGTHEN RADIUS OR ULNA,,,4883.0,30380.0,8
CPT,25392,SHORTEN RADIUS & ULNA,,,4236.0,12463.0,8
CPT,25393,LENGTHEN RADIUS & ULNA,,,4883.0,12463.0,8
CPT,25394,REPAIR CARPAL BONE SHORTEN,,,3451.58,12001.0,8
CPT,25395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25400,REPAIR RADIUS OR ULNA,,,4236.0,22625.0,8
CPT,25401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25405,REPAIR/GRAFT RADIUS OR ULNA,,,4883.0,22625.0,8
CPT,25406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25415,REPAIR RADIUS & ULNA,,,4236.0,22625.0,8
CPT,25416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25420,REPAIR/GRAFT RADIUS & ULNA,,,4883.0,22625.0,8
CPT,25421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25425,REPAIR/GRAFT RADIUS OR ULNA,,,4236.0,22625.0,8
CPT,25426,REPAIR/GRAFT RADIUS & ULNA,,,3451.58,12001.0,8
CPT,25427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25430,VASC GRAFT INTO CARPAL BONE,,,3451.58,12001.0,8
CPT,25431,REPAIR NONUNION CARPAL BONE,,,4236.0,22625.0,8
CPT,25432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25440,REPAIR NONU SCPHD CARPL B1,,,4883.0,22625.0,8
CPT,25441,ARTHRP W/PROSTC DSTL RDS,,,9611.0,30380.0,7
CPT,25442,ARTHRP W/PROSTC DSTL ULNA,,,9611.0,52872.0,7
CPT,25443,ARTHRP PROSTC DSTL SCPH CRPL,,,6177.0,22625.0,8
CPT,25444,ARTHRP W/PROSTC LUNATE,,,6177.0,30380.0,8
CPT,25445,ARTHRP W/PROSTC TRAPEZIUM,,,6177.0,22625.0,8
CPT,25446,ARTHRP W/PROSTC DST RDS&CRPS,,,11244.0,52872.0,7
CPT,25447,ARTHRP NTRCRP/CRP/MTCR NTRPS,,,3451.58,12001.0,8
CPT,25448,ARTHRP NTRCRPL/CRP/MTCRP SSP,,,3451.58,9611.0,6
CPT,25449,REVJ ARTHRP WRIST JOINT,,,6177.0,22625.0,8
CPT,25450,EPIPHYSL ARRST DSTL RDS/ULNA,,,3451.58,12001.0,8
CPT,25451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25455,EPIPHYSL ARRST DSTL RDS&ULNA,,,3451.58,12001.0,8
CPT,25456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25490,PROPHYLACTIC TX RADIUS,,,4236.0,22625.0,8
CPT,25491,PROPHYLACTIC TX ULNA,,,4236.0,30380.0,8
CPT,25492,PROPHYLACTIC TX RADIUS&ULNA,,,3451.58,12001.0,8
CPT,25493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25500,HC FX REDUCTION CLOSED RADIUS,545.53,190.94,187.12,3500.0,10
CPT,25501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25505,"HC TX RAD SHAFT FX W/MANIP, CLSD",3155.55,1104.45,1082.35,4524.0,10
CPT,25506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25515,OPTX RADIAL SHAFT FRACTURE,,,4236.0,22625.0,8
CPT,25516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25520,HC CLSD TX RAD SHAFT FX,3155.55,1104.45,1082.35,4524.0,10
CPT,25521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25525,OPTX RDL SHFT FX&CLTX RAD/UL,,,4883.0,22625.0,8
CPT,25526,OPTX RDL SHFT FX&DSTL RAD/UL,,,6177.0,22625.0,8
CPT,25527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25530,HC CLSD TX ULNAR FX W/O MANIP,521.52,182.54,178.88,3500.0,19
CPT,25531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25535,"HC TX ULNA SHAFT FX W/MANIP, CLSD",538.41,188.45,184.67,3500.0,10
CPT,25536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25545,OPTX ULNAR SHFT FX INT FIXJ,,,4236.0,22625.0,8
CPT,25546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25560,HC CLOSED TREATMENT RADIAL AND ULNAR FRACTURES W/O MANIPULATION,714.95,250.24,245.23,3500.0,10
CPT,25561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25565,"HC TX RAD/ULN SHFT FX W/MANIP,CLS",3155.55,1104.45,1082.35,4524.0,10
CPT,25566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25574,OPTX RDL&ULN SHFT FX RDS/ULN,,,4236.0,22625.0,8
CPT,25575,OPTX RDL&ULN SHFT FX RDS&ULN,,,4236.0,22625.0,8
CPT,25576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25600,HC TREAT FRACTURE RADIUS/ULNA,418.0,146.3,143.37,3500.0,10
CPT,25601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25605,"HC TX DIST RAD FX W/MANIP, CLSD",3155.55,1104.45,1082.35,5583.0,10
CPT,25606,PERQ SKEL FIXJ DSTL RDL FX,,,3451.58,12001.0,8
CPT,25607,OPTX DST RD XARTC FX/EPI SEP,,,6177.0,22625.0,8
CPT,25608,OPTX DST RD XART FX/EPI SEP2,,,6177.0,22625.0,8
CPT,25609,OPTX DST RD XART FX/EP SEP3+,,,6177.0,22625.0,8
CPT,25610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25611,Mammogram,,,41568.05,41568.05,1
CPT,25612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25620,Mammogram,,,39415.85,39415.85,1
CPT,25621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25622,HC CLSD WRIST BONE FX W/O MANIP,418.0,146.3,143.37,5428.0,10
CPT,25623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25624,"HC CLSD TX SCAPHOID FX, W/ MANIP",3161.21,1106.43,1084.3,4524.0,10
CPT,25625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25628,OPTX CARPL SCPHD FX INT FIXJ,,,4236.0,22625.0,8
CPT,25629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25630,HC CLSD WRIST BONE FX W/O MANIP,418.0,146.3,143.37,3500.0,10
CPT,25631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25635,HC TREAT WRIST BONE FRACTURE,3042.92,1065.03,1043.72,4524.0,10
CPT,25636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25645,OPTX CRPL FX OTH/THN SCPH EA,,,3451.58,12664.0,8
CPT,25646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25650,HC CLSD TX WRIST BONE FX,501.9,175.67,172.15,5428.0,11
CPT,25651,PERQ SKEL FIX ULNAR STYLD FX,,,3000.0,12001.0,8
CPT,25652,OPTX ULNAR STYLOID FRACTURE,,,4236.0,22625.0,8
CPT,25653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25660,HC CLSD TX DIS RADIO-CAR/ITERCAR,732.73,256.46,251.33,5428.0,11
CPT,25661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25670,OPTX RDCRPL/NTRCRPL DISLC 1+,,,4236.0,12463.0,8
CPT,25671,PERQ SKEL FIX RAD/ULN DISLC,,,2983.0,12001.0,8
CPT,25672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25675,HC CLOSED TREATMENT OF DISTAL RADIOULNAR DISLOCATION W/ MANIPULATION,539.28,188.75,184.97,3500.0,10
CPT,25676,OPTX RAD/ULN DISLC AQT/CHRNC,,,3200.0,22625.0,8
CPT,25677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25680,HC TREAT WRIST FX CLSD W MANIP,463.54,162.24,158.99,5428.0,11
CPT,25681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25685,OPTX TRNS-SCPHPRLNR FX DISLC,,,4236.0,12463.0,8
CPT,25686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25690,HC CLSD TREAT WRIST DISLOCATION,3420.66,1197.24,1173.29,5513.0,11
CPT,25691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25695,OPTX LUNATE DISLOCATION,,,3200.0,22625.0,8
CPT,25696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25800,ARTHRD WRIST COMPLETE WO GRF,,,4883.0,22625.0,8
CPT,25801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25805,ARTHRD WRIST W/SLIDING GRAFT,,,6177.0,22625.0,8
CPT,25806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25810,ARTHRD WRST ILIAC/OTH AGRFT,,,6177.0,30380.0,8
CPT,25811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25820,ARTHRD WRIST LMTD W/O B1 GRF,,,4883.0,22625.0,8
CPT,25821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25825,ARTHRD WRIST WITH AUTOGRAFT,,,6177.0,22625.0,8
CPT,25826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25830,ARTHRD DST RAD/UL JT SGM RSC,,,6177.0,22625.0,8
CPT,25831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25900,AMPUTATION OF FOREARM,,,5428.0,12664.0,7
CPT,25901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25905,AMPUTATION OF FOREARM,,,5428.0,12664.0,7
CPT,25906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25907,AMPUTATION FOLLOW-UP SURGERY,,,3451.58,12001.0,8
CPT,25908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25909,AMPUTATION FOLLOW-UP SURGERY,,,5583.0,12463.0,7
CPT,25910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25915,AMPUTATION OF FOREARM,,,5428.0,12664.0,7
CPT,25916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25920,AMPUTATE HAND AT WRIST,,,3451.58,12664.0,7
CPT,25921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25922,AMPUTATE HAND AT WRIST,,,1696.24,6090.0,8
CPT,25923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25924,AMPUTATION FOLLOW-UP SURGERY,,,3451.58,12664.0,7
CPT,25925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25927,AMPUTATION OF HAND,,,3451.58,12001.0,7
CPT,25928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25929,AMPUTATION FOLLOW-UP SURGERY,,,2176.52,5583.0,8
CPT,25930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25931,AMPUTATION FOLLOW-UP SURGERY,,,3451.58,12001.0,7
CPT,25932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,25999,UNLISTED PX FOREARM/WRIST,,,260.21,3500.0,7
CPT,26000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26010,"HC DRAINAGE OF FINGER ABSCESS, SIMPLE",428.21,149.88,146.88,5428.0,9
CPT,26011,"HC DRAINAGE OF FINGER ABSCESS, COMPLICATED",3450.65,1207.73,1183.57,5513.0,10
CPT,26012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26020,DRAIN HAND TENDON SHEATH,,,3200.0,12001.0,8
CPT,26021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26025,DRAINAGE OF PALM BURSA,,,2983.0,12001.0,8
CPT,26026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26030,DRAINAGE OF PALM BURSAS,,,3200.0,12001.0,8
CPT,26031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26034,TREAT HAND BONE LESION,,,1696.24,5513.0,8
CPT,26035,DECOMPRESS FINGERS/HAND,,,3451.58,12001.0,8
CPT,26036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26037,DECOMPRESS FINGERS/HAND,,,3451.58,12001.0,8
CPT,26038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26040,HC RELEASE PALM CONTRACTURE,3512.39,1229.34,1204.75,6479.0,10
CPT,26041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26045,RELEASE PALM CONTRACTURE,,,3451.58,12001.0,8
CPT,26046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26055,HC INCISE FINGER TENDON SHEATH,3512.39,1229.34,1204.75,5513.0,10
CPT,26056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26060,INCISION OF FINGER TENDON,,,1696.24,5513.0,8
CPT,26061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26070,EXPLORE/TREAT HAND JOINT,,,1696.24,5513.0,8
CPT,26071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26075,EXPLORE/TREAT FINGER JOINT,,,3451.58,12001.0,8
CPT,26076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26080,HC ARTHROTOMY W/ EXPLORATION INTERPHALANGEAL JOINT EACH,3147.88,1101.76,1079.72,6479.0,10
CPT,26081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26100,BIOPSY HAND JOINT LINING,,,3200.0,12001.0,8
CPT,26101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26105,BIOPSY FINGER JOINT LINING,,,2983.0,12001.0,8
CPT,26106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26110,BIOPSY FINGER JOINT LINING,,,1696.24,5513.0,8
CPT,26111,HC  EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM/>,3625.18,1268.82,1243.44,21649.0,10
CPT,26112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26113,EXC HAND TUM DEEP 1.5 CM/>,,,1742.24,21649.0,8
CPT,26114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26115,EXC HAND LES SC < 1.5 CM,,,1742.24,5513.0,8
CPT,26116,EXC HAND TUM DEEP < 1.5 CM,,,1742.24,5513.0,8
CPT,26117,RAD RESECT HAND TUMOR < 3 CM,,,3064.14,12001.0,8
CPT,26118,RAD RESECT HAND TUMOR 3 CM/>,,,3064.14,21649.0,8
CPT,26119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26121,RELEASE PALM CONTRACTURE,,,3451.58,12001.0,8
CPT,26122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26123,RELEASE PALM CONTRACTURE,,,3451.58,12001.0,8
CPT,26124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26125,RELEASE PALM CONTRACTURE,,,226.8,18073.28,7
CPT,26126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26130,REMOVE WRIST JOINT LINING,,,3451.58,12001.0,8
CPT,26131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26135,REVISE FINGER JOINT EACH,,,3451.58,12001.0,8
CPT,26136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26140,REVISE FINGER JOINT EACH,,,1696.24,5513.0,8
CPT,26141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26145,TENDON EXCISION PALM/FINGER,,,1696.24,5583.0,8
CPT,26146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26160,HC REMOVE TENDON SHEATH LESION,3855.15,1349.31,1322.32,5583.0,10
CPT,26161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26170,REMOVAL OF PALM TENDON EACH,,,1696.24,5583.0,8
CPT,26171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26180,REMOVAL OF FINGER TENDON,,,1696.24,5583.0,8
CPT,26181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26185,REMOVE FINGER BONE,,,1696.24,6479.0,8
CPT,26186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26200,REMOVE HAND BONE LESION,,,1696.24,5513.0,8
CPT,26201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26205,REMOVE/GRAFT BONE LESION,,,4236.0,22625.0,8
CPT,26206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26210,HC EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF PHALANX,3894.15,1362.96,1335.69,5513.0,10
CPT,26211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26215,REMOVE/GRAFT FINGER LESION,,,3451.58,12001.0,8
CPT,26216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26230,PARTIAL REMOVAL OF HAND BONE,,,3451.58,12001.0,8
CPT,26231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26235,PARTIAL REMOVAL FINGER BONE,,,1696.24,5583.0,8
CPT,26236,HC PARTIAL REMOVAL FINGER BONE,2874.1000000000004,1005.94,973.79,5583.0,20
CPT,26237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26250,EXTENSIVE HAND SURGERY,,,3451.58,12001.0,8
CPT,26251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26255,Mammogram,,,51080.54,51080.54,1
CPT,26256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26260,RESECT PROX FINGER TUMOR,,,3451.58,12001.0,8
CPT,26261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26261,Mammogram,,,38976.19,38976.19,1
CPT,26262,RESECT DISTAL FINGER TUMOR,,,1696.24,5513.0,8
CPT,26263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26320,HC REMOVE IMPLANT FINGER/HAND,2883.83,1009.35,989.15,5513.0,11
CPT,26321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26340,HC MANIPULATE FINGER W/ANESTH,3386.77,1185.37,1161.66,4524.0,10
CPT,26341,HC MANIPULAT PALM CORD POST INJ,518.88,181.61,177.98,3500.0,10
CPT,26342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26350,HC TENDON REPAIR FLEXOR,6889.09,2411.19,2133.0,12001.0,11
CPT,26351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26352,REPAIR/GRAFT HAND TENDON,,,4883.0,12463.0,8
CPT,26353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26356,REPAIR FINGER/HAND TENDON,,,3451.58,12001.0,8
CPT,26357,REPAIR FINGER/HAND TENDON,,,3451.58,12001.0,8
CPT,26358,REPAIR/GRAFT HAND TENDON,,,4883.0,12463.0,8
CPT,26359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26370,REPAIR FINGER/HAND TENDON,,,3451.58,12001.0,8
CPT,26371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26372,REPAIR/GRAFT HAND TENDON,,,4883.0,22625.0,8
CPT,26373,REPAIR FINGER/HAND TENDON,,,3451.58,12001.0,8
CPT,26374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26390,REVISE HAND/FINGER TENDON,,,4883.0,22625.0,8
CPT,26391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26392,REPAIR/GRAFT HAND TENDON,,,4236.0,22625.0,8
CPT,26393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26410,HC TENDON REPAIR EXTENSOR,3013.62,1054.77,1033.67,5583.0,10
CPT,26411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26412,REPAIR/GRAFT HAND TENDON,,,3451.58,12001.0,8
CPT,26413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26415,EXCISION HAND/FINGER TENDON,,,3451.58,12001.0,8
CPT,26416,GRAFT HAND OR FINGER TENDON,,,3451.58,12001.0,8
CPT,26417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26418,HC REPAIR FINGER TENDON,3013.62,1054.77,1033.67,6479.0,11
CPT,26419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26420,REPAIR/GRAFT FINGER TENDON,,,3451.58,12001.0,8
CPT,26421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26426,REPAIR FINGER/HAND TENDON,,,3451.58,12001.0,8
CPT,26427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26428,REPAIR/GRAFT FINGER TENDON,,,3451.58,12001.0,8
CPT,26429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26432,REPAIR FINGER TENDON,,,1696.24,5583.0,8
CPT,26433,REPAIR FINGER TENDON,,,3451.58,12001.0,8
CPT,26434,REPAIR/GRAFT FINGER TENDON,,,3451.58,12001.0,8
CPT,26435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26437,REALIGNMENT OF TENDONS,,,3451.58,12001.0,8
CPT,26438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26440,RELEASE PALM/FINGER TENDON,,,1696.24,5583.0,8
CPT,26441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26442,RELEASE PALM & FINGER TENDON,,,3451.58,12001.0,8
CPT,26443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26445,RELEASE HAND/FINGER TENDON,,,3451.58,12001.0,8
CPT,26446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26449,RELEASE FOREARM/HAND TENDON,,,3451.58,12001.0,8
CPT,26450,INCISION OF PALM TENDON,,,3451.58,12001.0,8
CPT,26451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26455,INCISION OF FINGER TENDON,,,1696.24,5583.0,8
CPT,26456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26460,INCISE HAND/FINGER TENDON,,,1696.24,5583.0,8
CPT,26461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26471,FUSION OF FINGER TENDONS,,,3200.0,12001.0,8
CPT,26472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26474,FUSION OF FINGER TENDONS,,,1696.24,5513.0,8
CPT,26475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26476,TENDON LENGTHENING,,,2983.0,12001.0,8
CPT,26477,TENDON SHORTENING,,,2983.0,12001.0,8
CPT,26478,LENGTHENING OF HAND TENDON,,,2983.0,12001.0,8
CPT,26479,SHORTENING OF HAND TENDON,,,2983.0,12001.0,8
CPT,26480,TRANSPLANT HAND TENDON,,,3451.58,12001.0,8
CPT,26481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26483,TRANSPLANT/GRAFT HAND TENDON,,,3451.58,12001.0,8
CPT,26484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26485,TRANSPLANT PALM TENDON,,,3200.0,12001.0,8
CPT,26486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26489,TRANSPLANT/GRAFT PALM TENDON,,,3451.58,12001.0,8
CPT,26490,REVISE THUMB TENDON,,,3451.58,12001.0,8
CPT,26491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26492,TENDON TRANSFER WITH GRAFT,,,3451.58,12001.0,8
CPT,26493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26494,HAND TENDON/MUSCLE TRANSFER,,,3451.58,12001.0,8
CPT,26495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26496,REVISE THUMB TENDON,,,3451.58,12001.0,8
CPT,26497,FINGER TENDON TRANSFER,,,3451.58,12001.0,8
CPT,26498,FINGER TENDON TRANSFER,,,3451.58,12001.0,8
CPT,26499,CORRECTION CLAW FINGER OTHER,,,3451.58,12001.0,8
CPT,26500,HAND TENDON RECONSTRUCTION,,,4883.0,22625.0,8
CPT,26501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26502,HAND TENDON RECONSTRUCTION,,,3451.58,12001.0,8
CPT,26503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26504,Mammogram,,,49357.09,49357.09,1
CPT,26505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26508,RELEASE THUMB CONTRACTURE,,,3451.58,12001.0,8
CPT,26509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26510,THUMB TENDON TRANSFER,,,3451.58,12001.0,8
CPT,26511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26516,FUSION OF KNUCKLE JOINT,,,2983.0,12001.0,8
CPT,26517,FUSION OF KNUCKLE JOINTS,,,3451.58,12001.0,8
CPT,26518,FUSION OF KNUCKLE JOINTS,,,4236.0,12463.0,8
CPT,26519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26520,RELEASE KNUCKLE CONTRACTURE,,,3451.58,12001.0,8
CPT,26521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26525,RELEASE FINGER CONTRACTURE,,,1696.24,5583.0,8
CPT,26526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26530,REVISE KNUCKLE JOINT,,,4236.0,12463.0,8
CPT,26531,REVISE KNUCKLE WITH IMPLANT,,,7654.46,22625.0,8
CPT,26532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26535,REVISE FINGER JOINT,,,3451.58,12001.0,8
CPT,26536,REVISE/IMPLANT FINGER JOINT,,,6177.0,22625.0,8
CPT,26537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26540,REPAIR HAND JOINT,,,3451.58,12001.0,8
CPT,26541,REPAIR HAND JOINT WITH GRAFT,,,3451.58,12001.0,8
CPT,26542,REPAIR HAND JOINT WITH GRAFT,,,3451.58,12001.0,8
CPT,26543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26545,RECONSTRUCT FINGER JOINT,,,3451.58,12001.0,8
CPT,26546,REPAIR NONUNION HAND,,,4883.0,22625.0,8
CPT,26547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26548,RECONSTRUCT FINGER JOINT,,,3451.58,12001.0,8
CPT,26549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26550,POLLICIZATION DIGIT,,,3200.0,12001.0,8
CPT,26551,GREAT TOE-HAND TRANSFER,,,6479.0,12463.0,7
CPT,26552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26553,SINGLE TRANSFER TOE-HAND,,,6479.0,12463.0,7
CPT,26554,DOUBLE TRANSFER TOE-HAND,,,6479.0,12463.0,7
CPT,26555,POSITIONAL CHANGE OF FINGER,,,4236.0,22625.0,8
CPT,26556,TOE JOINT TRANSFER,,,6479.0,12664.0,7
CPT,26557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26560,REPAIR OF WEB FINGER,,,1696.24,5513.0,8
CPT,26561,REPAIR OF WEB FINGER,,,3451.58,12001.0,8
CPT,26562,REPAIR OF WEB FINGER,,,3451.58,12001.0,8
CPT,26563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26565,CORRECT METACARPAL FLAW,,,3451.58,12001.0,8
CPT,26566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26567,CORRECT FINGER DEFORMITY,,,3451.58,12001.0,8
CPT,26568,LENGTHEN METACARPAL/FINGER,,,4236.0,22625.0,8
CPT,26569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26580,REPAIR CLEFT HAND,,,3451.58,12001.0,8
CPT,26581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26587,RECONSTRUCT EXTRA FINGER,,,3451.58,12001.0,8
CPT,26588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26590,REPAIR FINGER DEFORMITY,,,1696.24,9611.0,8
CPT,26591,REPAIR MUSCLES OF HAND,,,3451.58,12001.0,8
CPT,26592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26593,RELEASE MUSCLES OF HAND,,,3451.58,12001.0,8
CPT,26594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26596,EXCISION CONSTRICTING TISSUE,,,3200.0,12001.0,8
CPT,26597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26600,HC CLSD TX METACARP FX W/O MANIP,426.61,149.32,146.33,5428.0,11
CPT,26601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26605,"HC TX METACARP FX W/MANIP, CLSD",485.52,169.94,166.53,5428.0,11
CPT,26606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26607,TREAT METACARPAL FRACTURE,,,3200.0,12001.0,8
CPT,26608,TREAT METACARPAL FRACTURE,,,3451.58,12001.0,8
CPT,26609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26615,TREAT METACARPAL FRACTURE,,,3451.58,12664.0,8
CPT,26616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26641,HC TX THUMB DISLOC W MANIP,418.0,146.3,143.37,5428.0,11
CPT,26642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26645,HC TREAT THUMB FRACTURE,3155.55,1104.45,1082.35,5428.0,11
CPT,26646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26650,TREAT THUMB FRACTURE,,,3200.0,12001.0,8
CPT,26651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26665,TREAT THUMB FRACTURE,,,3451.58,12664.0,8
CPT,26666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26670,HC CLSD HAND DISLOCAT W/MANIP,591.66,207.09,202.94,5428.0,11
CPT,26671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26675,TREAT HAND DISLOCATION,,,1696.24,4524.0,8
CPT,26676,PIN HAND DISLOCATION,,,3200.0,12001.0,8
CPT,26677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26685,TREAT HAND DISLOCATION,,,3451.58,12001.0,8
CPT,26686,TREAT HAND DISLOCATION,,,3451.58,12664.0,8
CPT,26687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26700,HC CLSD KNUCKLE DISL W/MANIP,418.0,146.3,143.37,5428.0,11
CPT,26701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26705,TREAT KNUCKLE DISLOCATION,,,1696.24,4524.0,8
CPT,26706,PIN KNUCKLE DISLOCATION,,,3200.0,12001.0,8
CPT,26707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26715,TREAT KNUCKLE DISLOCATION,,,3451.58,12001.0,8
CPT,26716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26720,HC CLSD TX FINGER FX W/O MANIP,383.33,134.17,131.48,5428.0,11
CPT,26721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26725,"HC TREAT FINGER FRACTURE, EACH",418.0,146.3,143.37,5428.0,11
CPT,26726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26727,TREAT FINGER FRACTURE EACH,,,3451.58,12001.0,8
CPT,26728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26735,TREAT FINGER FRACTURE EACH,,,3451.58,12001.0,8
CPT,26736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26740,HC  CLSD TRMT FINGER FX W/O MANIP,418.0,146.3,143.37,423.67,6
CPT,26741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26742,HC CLSD TRMT FINGER FX W/MANIP EA,3155.55,1104.45,1082.35,4524.0,10
CPT,26743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26746,TREAT FINGER FRACTURE EACH,,,3451.58,12001.0,8
CPT,26747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26750,HC CLSD TX FX DIST PHAL W/O MANIP,501.9,175.67,172.15,5428.0,11
CPT,26751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26755,HC CLSD FINGER FX W/MANIP,418.0,146.3,143.37,5428.0,10
CPT,26756,HC PIN FINGER FRACTURE EACH,10392.72,3637.46,3451.58,5619.86,7
CPT,26757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26765,HC OPEN DISTL PHALNGL FX INC INTRNL FIX EACH,6889.09,2411.19,2133.0,12001.0,10
CPT,26766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26770,HC CLS RED INTERPHALAN DIS W/MAN,480.73,168.26,164.89,5428.0,10
CPT,26771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26775,"HC CLSD TX OF INTERPHALANGEAL JOINT DISLOCATION, SINGLE, W/MANIPULATION, REQUIRING ANESTHESIA",1428.96,500.14,295.04,5428.0,10
CPT,26776,PIN FINGER DISLOCATION,,,3200.0,12001.0,8
CPT,26777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26785,TREAT FINGER DISLOCATION,,,3200.0,12001.0,8
CPT,26786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26820,THUMB FUSION WITH GRAFT,,,6177.0,22625.0,8
CPT,26821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26841,FUSION OF THUMB,,,4883.0,22625.0,8
CPT,26842,THUMB FUSION WITH GRAFT,,,4883.0,22625.0,8
CPT,26843,FUSION OF HAND JOINT,,,4236.0,22625.0,8
CPT,26844,FUSION/GRAFT OF HAND JOINT,,,4236.0,22625.0,8
CPT,26845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26850,FUSION OF KNUCKLE,,,4883.0,22625.0,8
CPT,26851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26852,FUSION OF KNUCKLE WITH GRAFT,,,4883.0,22625.0,8
CPT,26853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26860,FUSION OF FINGER JOINT,,,3451.58,12001.0,8
CPT,26861,FUSION OF FINGER JNT ADD-ON,,,86.23,6796.55,7
CPT,26862,FUSION/GRAFT OF FINGER JOINT,,,3451.58,12001.0,8
CPT,26863,FUSE/GRAFT ADDED JOINT,,,190.79,15311.89,7
CPT,26864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26910,AMPUTATE METACARPAL BONE,,,3451.58,12001.0,8
CPT,26911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26951,HC AMPUTATION OF FINGER/THUMB,6183.36,2164.18,2120.89,12001.0,10
CPT,26952,HC AMPUTATION FINGER OR THUMB WITH LOCAL ADVANCEMENT FLAP,6183.8,2164.33,2121.04,12001.0,10
CPT,26953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26989,HC UNLSTD PROC HANDS/FINGER/SHORTENING OR EXCISION OF DISTAL TIP PHL (ML 26236),5287.59,1850.66,260.21,3500.0,10
CPT,26990,DRAINAGE OF PELVIS LESION,,,2983.0,12001.0,8
CPT,26991,DRAINAGE OF PELVIS BURSA,,,1696.24,6090.0,8
CPT,26992,DRAINAGE OF BONE LESION,,,3200.0,9658.0,7
CPT,26993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,26999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27000,TENOTOMY ADDUCTOR HIP PERQ,,,1696.24,6090.0,8
CPT,27001,TENOTOMY ADDUCTOR HIP OPEN,,,3451.58,12001.0,8
CPT,27002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27003,TNOT ADDUCTR SUBQ OPN NEURCT,,,4236.0,22625.0,8
CPT,27004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27005,TENOTOMY HIP FLEXOR OPEN,,,3451.58,12664.0,7
CPT,27006,TENOTOMY ABDUCTOR&/XTNSR HIP,,,3451.58,12001.0,7
CPT,27007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27025,FASCIOTOMY HIP/THIGH ANY TYP,,,3200.0,12664.0,7
CPT,27026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27027,DCMPRN FASCT PEL COMPARTMENT,,,3200.0,22625.0,8
CPT,27028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27030,ARTHROTOMY HIP W/DRAINAGE,,,5583.0,12463.0,7
CPT,27031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27033,ARTHRT HIP EXPL/RMV LOOSE/FB,,,4236.0,12463.0,8
CPT,27034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27035,DENERVATION OF HIP JOINT,,,3451.58,12001.0,8
CPT,27036,CAPSULECTOMY/CAPSULOTOMY HIP,,,6479.0,12463.0,7
CPT,27037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27040,BIOPSY OF SOFT TISSUES,,,1742.24,4524.0,8
CPT,27041,BIOPSY OF SOFT TISSUES,,,1742.24,4524.0,8
CPT,27042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27043,"HC EXCISION, TUMOR, SOFT TISSUE OF PELVIS AND HIP AREA, SUBCUTANEOUS; 3 CM OR GREATER",9071.47,3175.02,3064.14,21649.0,10
CPT,27044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27045,EXC HIP/PELV TUM DEEP 5 CM/>,,,3064.14,21649.0,8
CPT,27046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27047,HC EXCISION TUMOR SOFT TISSUE PELVIS / HIP AREA SUBCUTANEOUS: < 3 CM,9071.47,3175.02,3064.14,12001.0,10
CPT,27048,EXC HIP/PELV TUM DEEP < 5 CM,,,3064.14,12001.0,8
CPT,27049,RESECT HIP/PELV TUM < 5 CM,,,3064.14,12001.0,8
CPT,27050,BIOPSY OF SACROILIAC JOINT,,,1696.24,6090.0,8
CPT,27051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27052,BIOPSY OF HIP JOINT,,,1696.24,6090.0,8
CPT,27053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27054,REMOVAL OF HIP JOINT LINING,,,3451.58,12001.0,7
CPT,27055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27057,BUTTOCK FASCIOTOMY W/DBRDMT,,,1696.24,21649.0,8
CPT,27058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27059,RESECT HIP/PELV TUM 5 CM/>,,,3064.14,21649.0,8
CPT,27060,REMOVAL OF ISCHIAL BURSA,,,6090.0,12463.0,8
CPT,27061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27062,REMOVE FEMUR LESION/BURSA,,,3451.58,12001.0,8
CPT,27063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27065,REMOVE HIP BONE LES SUPER,,,6090.0,12463.0,8
CPT,27066,REMOVE HIP BONE LES DEEP,,,3451.58,12001.0,8
CPT,27067,REMOVE/GRAFT HIP BONE LESION,,,6177.0,22625.0,8
CPT,27068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27070,PART REMOVE HIP BONE SUPER,,,3451.58,12664.0,7
CPT,27071,PART REMOVAL HIP BONE DEEP,,,3451.58,12664.0,7
CPT,27072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27075,RESECT HIP TUMOR,,,7654.46,12664.0,7
CPT,27076,RESECT HIP TUM INCL ACETABUL,,,7654.46,12664.0,7
CPT,27077,RESECT HIP TUM W/INNOM BONE,,,7654.46,12664.0,7
CPT,27078,RSECT HIP TUM INCL FEMUR,,,7654.46,12664.0,7
CPT,27079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27079,Mammogram,,,56961.77,56961.77,1
CPT,27080,REMOVAL OF TAIL BONE,,,3200.0,12001.0,8
CPT,27081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27086,REMOVE HIP FOREIGN BODY,,,2983.0,5513.0,8
CPT,27087,"HC REMOVE FB,PELVIS/HIP, DEEP",6331.49,2216.03,2171.7,12001.0,10
CPT,27088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27090,REMOVAL OF HIP PROSTHESIS,,,5583.0,12463.0,7
CPT,27091,REMOVAL OF HIP PROSTHESIS,,,5583.0,22051.23,7
CPT,27092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27093,HC INJECTION HIP ARTHROGRAPHY W/O ANESTHESIA,863.97,302.39,243.72,4609.43,9
CPT,27094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27095,INJECTION FOR HIP X-RAY,,,341.89,5514.09,7
CPT,27096,HC INJ PROC SIJNT ARTH/ANS/SRT,1796.7,628.85,183.11,3500.0,9
CPT,27097,REVISION OF HIP TENDON,,,3451.58,12001.0,8
CPT,27098,TRANSFER TENDON TO PELVIS,,,3451.58,12001.0,8
CPT,27099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27100,TRANSFER OF ABDOMINAL MUSCLE,,,4883.0,22625.0,8
CPT,27101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27105,TRANSFER OF SPINAL MUSCLE,,,3451.58,12001.0,8
CPT,27106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27110,TRANSFER OF ILIOPSOAS MUSCLE,,,4883.0,22625.0,8
CPT,27111,TRANSFER OF ILIOPSOAS MUSCLE,,,3451.58,12001.0,8
CPT,27112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27120,RECONSTRUCTION OF HIP SOCKET,,,9611.0,22051.23,7
CPT,27121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27122,RECONSTRUCTION OF HIP SOCKET,,,7654.46,12664.0,7
CPT,27123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27125,PARTIAL HIP REPLACEMENT,,,11057.0,22051.23,7
CPT,27126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27130,TOTAL HIP ARTHROPLASTY,,,11057.0,22625.0,7
CPT,27131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27132,TOTAL HIP ARTHROPLASTY,,,11057.0,22625.0,7
CPT,27133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27134,REVISE HIP JOINT REPLACEMENT,,,11057.0,22625.0,7
CPT,27135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27137,REVISE HIP JOINT REPLACEMENT,,,11057.0,22625.0,7
CPT,27138,REVISE HIP JOINT REPLACEMENT,,,11057.0,22625.0,7
CPT,27139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27140,TRANSPLANT FEMUR RIDGE,,,7654.46,12664.0,7
CPT,27141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27146,INCISION OF HIP BONE,,,7654.46,12664.0,7
CPT,27147,REVISION OF HIP BONE,,,7654.46,12664.0,7
CPT,27148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27151,INCISION OF HIP BONES,,,7654.46,12664.0,7
CPT,27152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27156,REVISION OF HIP BONES,,,7654.46,12664.0,7
CPT,27157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27158,REVISION OF PELVIS,,,7654.46,12664.0,7
CPT,27159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27161,INCISION OF NECK OF FEMUR,,,7654.46,12664.0,7
CPT,27162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27165,INCISION/FIXATION OF FEMUR,,,7654.46,12664.0,7
CPT,27166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27170,REPAIR/GRAFT FEMUR HEAD/NECK,,,6479.0,12664.0,7
CPT,27171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27175,TREAT SLIPPED EPIPHYSIS,,,3451.58,12664.0,7
CPT,27176,TREAT SLIPPED EPIPHYSIS,,,3451.58,12664.0,7
CPT,27177,TREAT SLIPPED EPIPHYSIS,,,3451.58,12664.0,7
CPT,27178,TREAT SLIPPED EPIPHYSIS,,,3451.58,12664.0,7
CPT,27179,REVISE HEAD/NECK OF FEMUR,,,5428.0,22625.0,7
CPT,27180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27181,TREAT SLIPPED EPIPHYSIS,,,7654.46,12664.0,7
CPT,27182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27185,REVISION OF FEMUR EPIPHYSIS,,,3451.58,12664.0,7
CPT,27186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27187,REINFORCE HIP BONES,,,6479.0,12664.0,7
CPT,27188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27193,Mammogram,,,31280.5,31280.5,1
CPT,27194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27194,Mammogram,,,46284.05,46284.05,1
CPT,27195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27197,HC CLSD TX PELVIC RING FX W/O MANIPULATION,466.02,163.11,159.84,3500.0,10
CPT,27198,HC CLSD TX PELVIC RING FX W/MANIPULATION W/ANES,466.02,163.11,159.84,3500.0,10
CPT,27199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27200,TREAT TAIL BONE FRACTURE,,,260.21,3500.0,7
CPT,27201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27202,TREAT TAIL BONE FRACTURE,,,3200.0,12664.0,8
CPT,27203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27215,TREAT PELVIC FRACTURE(S),,,547.72,12001.0,7
CPT,27216,TREAT PELVIC RING FRACTURE,,,805.9,12001.0,7
CPT,27217,TREAT PELVIC RING FRACTURE,,,759.12,12001.0,7
CPT,27218,TREAT PELVIC RING FRACTURE,,,1031.42,12001.0,7
CPT,27219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27220,HC CLSD TX ACETABULUM FX W/O MANI,953.04,333.57,260.21,5428.0,10
CPT,27221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27222,TREAT HIP SOCKET FRACTURE,,,260.21,3500.0,7
CPT,27223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27226,TREAT HIP WALL FRACTURE,,,7654.46,12463.0,7
CPT,27227,TREAT HIP FRACTURE(S),,,7654.46,12463.0,7
CPT,27228,TREAT HIP FRACTURE(S),,,7654.46,12463.0,7
CPT,27229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27230,HC FX REDUCTION CLOSED FEMUR,945.92,331.08,260.21,3500.0,10
CPT,27231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27232,TREAT THIGH FRACTURE,,,1696.24,5513.0,7
CPT,27233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27235,TREAT THIGH FRACTURE,,,6479.0,22625.0,7
CPT,27236,TREAT THIGH FRACTURE,,,7654.46,12664.0,7
CPT,27237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27238,TREAT THIGH FRACTURE,,,1696.24,4524.0,8
CPT,27239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27240,HC CLOSED INTRA PERI SUBTROCHANTERIC FEMUR FRACTURE WITH MANIPULATION,6331.48,2216.02,1696.24,5513.0,10
CPT,27241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27244,TREAT THIGH FRACTURE,,,7654.46,12664.0,7
CPT,27245,TREAT THIGH FRACTURE,,,7654.46,12463.0,7
CPT,27246,HC CLSD TRMT THIGH FX W/O MANIP,966.09,338.14,260.21,3500.0,10
CPT,27247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27248,TREAT THIGH FRACTURE,,,7654.46,12664.0,7
CPT,27249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27250,"HC CLS RED HIP DISLOC, TRAUMATIC",491.54,172.04,168.6,3500.0,10
CPT,27251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27252,"HC CLOSED TREATMENT OF HIP DISLOCATION, TRAUMATIC, REQUIRING ANESTHESIA",5008.49,1752.98,1696.24,4524.0,10
CPT,27253,TREAT HIP DISLOCATION,,,3451.58,12001.0,7
CPT,27254,TREAT HIP DISLOCATION,,,6479.0,12463.0,7
CPT,27255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27256,HC TX HIP DISLOCATION,410.17,143.56,140.69,3500.0,10
CPT,27257,TREAT HIP DISLOCATION,,,1696.24,5583.0,8
CPT,27258,TREAT HIP DISLOCATION,,,3451.58,12001.0,7
CPT,27259,TREAT HIP DISLOCATION,,,3451.58,12001.0,7
CPT,27260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27265,HC TREAT HIP DISLOCATION,418.0,146.3,143.37,3500.0,10
CPT,27266,"HC CLOSED TX OF POST HIP ARTHROPLASTY DISLOCATION, REQUIRING REGIONAL OR GENERAL ANESTHESIA",3895.82,1363.54,1336.27,5513.0,10
CPT,27267,CLTX THIGH FX,,,2983.0,12001.0,8
CPT,27268,CLTX THIGH FX W/MNPJ,,,1696.24,6987.0,7
CPT,27269,OPTX THIGH FX,,,3200.0,12463.0,7
CPT,27270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27275,MANIPULATION OF HIP JOINT,,,1696.24,5513.0,8
CPT,27276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27278,ARTHRD SI JT PLMT IARTIC DEV,,,9611.0,30115.41,6
CPT,27279,ARTHRD SI JT PLMT TARTCLR DV,,,9611.0,52872.0,7
CPT,27280,ARTHR SI JT OPN B1GRF INSTRM,,,11057.0,30115.41,7
CPT,27281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27282,ARTHRODESIS SYMPHYSIS PUBIS,,,3451.58,12664.0,7
CPT,27283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27284,ARTHRODESIS HIP JOINT,,,11057.0,22051.23,7
CPT,27285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27286,ARTHRD HIP JT SBTRCHC OSTEOT,,,11057.0,22051.23,7
CPT,27287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27290,AMPUTATION OF LEG AT HIP,,,5428.0,30115.41,7
CPT,27291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27295,AMPUTATION OF LEG AT HIP,,,5428.0,30115.41,7
CPT,27296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27299,UNLISTED PX PELVIS/HIP JOINT,,,260.21,3500.0,7
CPT,27300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27301,DRAIN THIGH/KNEE LESION,,,3064.14,12001.0,8
CPT,27302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27303,DRAINAGE OF BONE LESION,,,3200.0,9658.0,7
CPT,27304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27305,INCISE THIGH TENDON & FASCIA,,,3200.0,12001.0,8
CPT,27306,INCISION OF THIGH TENDON,,,3451.58,12001.0,8
CPT,27307,INCISION OF THIGH TENDONS,,,3451.58,12001.0,8
CPT,27308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27310,EXPLORATION OF KNEE JOINT,,,3451.58,12001.0,8
CPT,27311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27315,Mammogram,,,29681.63,29681.63,1
CPT,27316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27320,Mammogram,,,28789.83,28789.83,1
CPT,27321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27323,BIOPSY THIGH SOFT TISSUES,,,1742.24,4524.0,8
CPT,27324,BIOPSY THIGH SOFT TISSUES,,,2983.0,12001.0,8
CPT,27325,NEURECTOMY HAMSTRING,,,2059.9,5513.0,8
CPT,27326,NEURECTOMY POPLITEAL,,,2059.9,5513.0,8
CPT,27327,HC EXCISION TUMOR THIGH/KNEE AREA SUBCUTANEOUS; LESS THAN 3 CM,3686.73,1290.36,1264.55,6090.0,10
CPT,27328,"HC EXCISION, TUMOR, SOFT TISSUE OF THIGH OR KNEE AREA, SUBFASCIAL (EG, INTRAMUSCULAR); LESS THAN",15119.12,5291.7,3064.14,12001.0,10
CPT,27329,RESECT THIGH/KNEE TUM < 5 CM,,,3064.14,12001.0,8
CPT,27330,BIOPSY KNEE JOINT LINING,,,3451.58,12001.0,8
CPT,27331,EXPLORE/TREAT KNEE JOINT,,,3451.58,12001.0,8
CPT,27332,REMOVAL OF KNEE CARTILAGE,,,3451.58,12001.0,8
CPT,27333,REMOVAL OF KNEE CARTILAGE,,,3451.58,12001.0,8
CPT,27334,REMOVE KNEE JOINT LINING,,,3451.58,12001.0,8
CPT,27335,REMOVE KNEE JOINT LINING,,,4883.0,22625.0,8
CPT,27336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27337,"HC EXCISION, TUMOR SOFT TISSUE THIGH/KNEE AREA, 3 CM OR GREATER",5969.45,2089.31,2047.52,21649.0,10
CPT,27338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27339,EXC THIGH/KNEE TUM DEP 5CM/>,,,3064.14,21649.0,8
CPT,27340,REMOVAL OF KNEECAP BURSA,,,3451.58,12001.0,8
CPT,27341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27345,REMOVAL OF KNEE CYST,,,3451.58,12001.0,8
CPT,27346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27347,REMOVE KNEE CYST,,,3451.58,12001.0,8
CPT,27348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27350,REMOVAL OF KNEECAP,,,4883.0,12463.0,8
CPT,27351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27355,REMOVE FEMUR LESION,,,3451.58,12001.0,8
CPT,27356,REMOVE FEMUR LESION/GRAFT,,,4883.0,30380.0,8
CPT,27357,REMOVE FEMUR LESION/GRAFT,,,6177.0,22625.0,8
CPT,27358,REMOVE FEMUR LESION/FIXATION,,,234.15,18378.8,7
CPT,27359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27360,PARTIAL REMOVAL LEG BONE(S),,,3451.58,12001.0,8
CPT,27361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27364,RESECT THIGH/KNEE TUM 5 CM/>,,,3064.14,21649.0,8
CPT,27365,RESECT FEMUR/KNEE TUMOR,,,3451.58,12664.0,7
CPT,27366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27369,HC INJ PX CNTRST KNEE ARTHROGRAPHY CNTRST ENHNCD CT/MRI,707.04,247.47,191.27,3000.0,9
CPT,27370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27370,Mammogram,,,3301.5,3301.5,1
CPT,27371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27372,REMOVAL OF FOREIGN BODY,,,3064.14,12001.0,8
CPT,27373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27380,REPAIR OF KNEECAP TENDON,,,2983.0,22625.0,8
CPT,27381,REPAIR/GRAFT KNEECAP TENDON,,,4236.0,22625.0,8
CPT,27382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27385,REPAIR OF THIGH MUSCLE,,,4236.0,22625.0,8
CPT,27386,REPAIR/GRAFT OF THIGH MUSCLE,,,4236.0,22625.0,8
CPT,27387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27390,INCISION OF THIGH TENDON,,,2983.0,12001.0,8
CPT,27391,INCISION OF THIGH TENDONS,,,3200.0,12001.0,8
CPT,27392,INCISION OF THIGH TENDONS,,,3451.58,12001.0,8
CPT,27393,LENGTHENING OF THIGH TENDON,,,3200.0,12463.0,8
CPT,27394,LENGTHENING OF THIGH TENDONS,,,4236.0,22625.0,8
CPT,27395,LENGTHENING OF THIGH TENDONS,,,3451.58,12001.0,8
CPT,27396,TRANSPLANT OF THIGH TENDON,,,4236.0,22625.0,8
CPT,27397,TRANSPLANTS OF THIGH TENDONS,,,4236.0,22625.0,8
CPT,27398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27400,REVISE THIGH MUSCLES/TENDONS,,,4236.0,22625.0,8
CPT,27401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27403,REPAIR OF KNEE CARTILAGE,,,4883.0,12463.0,8
CPT,27404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27405,REPAIR OF KNEE LIGAMENT,,,4883.0,22625.0,8
CPT,27406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27407,REPAIR OF KNEE LIGAMENT,,,4883.0,22625.0,8
CPT,27408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27409,REPAIR OF KNEE LIGAMENTS,,,4883.0,22625.0,8
CPT,27410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27412,AUTOCHONDROCYTE IMPLANT KNEE,,,5583.0,22625.0,7
CPT,27413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27415,OSTEOCHONDRAL KNEE ALLOGRAFT,,,5583.0,30380.0,7
CPT,27416,OSTEOCHONDRAL KNEE AUTOGRAFT,,,6479.0,22625.0,8
CPT,27417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27418,REPAIR DEGENERATED KNEECAP,,,4236.0,22625.0,8
CPT,27419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27420,REVISION OF UNSTABLE KNEECAP,,,4236.0,22625.0,8
CPT,27421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27422,REVISION OF UNSTABLE KNEECAP,,,7654.46,22625.0,8
CPT,27423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27424,REVISION/REMOVAL OF KNEECAP,,,4236.0,22625.0,8
CPT,27425,LAT RETINACULAR RELEASE OPEN,,,3451.58,12001.0,8
CPT,27426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27427,RECONSTRUCTION KNEE,,,4236.0,22625.0,8
CPT,27428,RECONSTRUCTION KNEE,,,4883.0,30380.0,8
CPT,27429,RECONSTRUCTION KNEE,,,4883.0,30380.0,8
CPT,27430,REVISION OF THIGH MUSCLES,,,4883.0,22625.0,8
CPT,27431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27435,INCISION OF KNEE JOINT,,,3451.58,12001.0,8
CPT,27436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27437,REVISE KNEECAP,,,4883.0,22625.0,8
CPT,27438,REVISE KNEECAP WITH IMPLANT,,,6177.0,30380.0,8
CPT,27439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27440,REVISION OF KNEE JOINT,,,6177.0,30380.0,8
CPT,27441,REVISION OF KNEE JOINT,,,6177.0,30380.0,8
CPT,27442,REVISION OF KNEE JOINT,,,6177.0,30380.0,8
CPT,27443,REVISION OF KNEE JOINT,,,6177.0,30380.0,8
CPT,27444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27445,Ambulatory Surgery Groups,,,11057.0,22625.0,2
CPT,27445,Ambulatory Surgery Groups - CPT/HCPCS,,,12664.0,12664.0,1
CPT,27446,REVISION OF KNEE JOINT,,,9611.0,30380.0,7
CPT,27447,TOTAL KNEE ARTHROPLASTY,,,11057.0,30380.0,7
CPT,27448,INCISION OF THIGH,,,7654.46,12664.0,7
CPT,27449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27450,INCISION OF THIGH,,,7654.46,12664.0,7
CPT,27451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27454,REALIGNMENT OF THIGH BONE,,,7654.46,12664.0,7
CPT,27455,REALIGNMENT OF KNEE,,,7654.46,12664.0,7
CPT,27456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27457,REALIGNMENT OF KNEE,,,7654.46,12463.0,7
CPT,27458,OSTEOT FEMUR IMED LNGTH DEV,,,4344.0,12463.0,5
CPT,27459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27465,SHORTENING OF THIGH BONE,,,7654.46,12664.0,7
CPT,27466,LENGTHENING OF THIGH BONE,,,7654.46,12664.0,7
CPT,27467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27468,Ambulatory Surgery Groups,,,9611.0,12001.0,2
CPT,27468,Ambulatory Surgery Groups - CPT/HCPCS,,,12664.0,12664.0,1
CPT,27469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27470,REPAIR OF THIGH,,,7654.46,12664.0,7
CPT,27471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27472,REPAIR/GRAFT OF THIGH,,,7654.46,12664.0,7
CPT,27473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27475,SURGERY TO STOP LEG GROWTH,,,6479.0,22625.0,7
CPT,27476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27477,SURGERY TO STOP LEG GROWTH,,,6987.0,12463.0,7
CPT,27478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27479,SURGERY TO STOP LEG GROWTH,,,6479.0,22625.0,7
CPT,27480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27485,SURGERY TO STOP LEG GROWTH,,,6987.0,12463.0,7
CPT,27486,REVISE/REPLACE KNEE JOINT,,,11057.0,22625.0,7
CPT,27487,REVISE/REPLACE KNEE JOINT,,,11057.0,30115.41,7
CPT,27488,REMOVAL OF KNEE PROSTHESIS,,,9611.0,22625.0,7
CPT,27489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27495,REINFORCE THIGH,,,7654.46,12664.0,7
CPT,27496,DECOMPRESSION OF THIGH/KNEE,,,3451.58,12001.0,8
CPT,27497,DECOMPRESSION OF THIGH/KNEE,,,3451.58,12001.0,8
CPT,27498,DECOMPRESSION OF THIGH/KNEE,,,1696.24,6987.0,8
CPT,27499,DECOMPRESSION OF THIGH/KNEE,,,3500.0,12463.0,8
CPT,27500,TREATMENT OF THIGH FRACTURE,,,260.21,3500.0,8
CPT,27501,TREATMENT OF THIGH FRACTURE,,,260.21,3500.0,8
CPT,27502,HC CLSD TX THIGH FX W/MANIP,3420.66,1197.24,1173.29,5513.0,10
CPT,27503,TREATMENT OF THIGH FRACTURE,,,1696.24,5583.0,8
CPT,27504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27506,TREATMENT OF THIGH FRACTURE,,,7654.46,12463.0,7
CPT,27507,TREATMENT OF THIGH FRACTURE,,,6479.0,12463.0,7
CPT,27508,HC CLTX FEMORAL FX W/O MANIP,515.96,180.59,176.97,2444.0,9
CPT,27509,TREATMENT OF THIGH FRACTURE,,,4236.0,22625.0,8
CPT,27510,"HC CLOSED TREATMENT FEMORAL FRACTURE, DISTAL END WITH MANIPULATION",3155.78,1104.53,1082.43,4524.0,10
CPT,27511,TREATMENT OF THIGH FRACTURE,,,6479.0,22051.23,7
CPT,27512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27513,TREATMENT OF THIGH FRACTURE,,,9611.0,22051.23,7
CPT,27514,TREATMENT OF THIGH FRACTURE,,,9611.0,22051.23,7
CPT,27515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27516,TREAT THIGH FX GROWTH PLATE,,,260.21,3500.0,8
CPT,27517,TREAT THIGH FX GROWTH PLATE,,,1696.24,4524.0,8
CPT,27518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27519,TREAT THIGH FX GROWTH PLATE,,,7654.46,12463.0,7
CPT,27520,HC CLSD TX PATELLAR FX W/O MANIP,418.0,146.3,143.37,3500.0,10
CPT,27521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27524,TREAT KNEECAP FRACTURE,,,4236.0,22625.0,8
CPT,27525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27530,HC CLOSED TREATMENT OF TIBIAL FRACTURE PROXIMAL (PLATEAU) W/O MANIPULATION,418.0,146.3,143.37,3500.0,10
CPT,27531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27532,HC CLSD TX KNEE FX W/TXN,6183.36,2164.18,2120.89,12001.0,10
CPT,27533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27535,TREAT KNEE FRACTURE,,,5583.0,12463.0,7
CPT,27536,TREAT KNEE FRACTURE,,,7654.46,12463.0,7
CPT,27537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27538,TREAT KNEE FRACTURE(S),,,260.21,3500.0,8
CPT,27539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27540,TREAT KNEE FRACTURE,,,7654.46,12463.0,7
CPT,27541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27550,HC CLSD TX KNEE DISLOCATION,418.0,146.3,143.37,3500.0,10
CPT,27551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27552,TREAT KNEE DISLOCATION,,,1696.24,5513.0,8
CPT,27553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27556,TREAT KNEE DISLOCATION,,,7654.46,12463.0,7
CPT,27557,TREAT KNEE DISLOCATION,,,7654.46,12463.0,7
CPT,27558,TREAT KNEE DISLOCATION,,,7654.46,12463.0,7
CPT,27559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27560,HC CLSD REDC PATLA DISLO W/O ANES,501.9,175.67,172.15,3500.0,10
CPT,27561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27562,HC CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA,2164.44,757.56,260.21,3500.0,10
CPT,27563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27566,TREAT KNEECAP DISLOCATION,,,3200.0,22625.0,8
CPT,27567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27570,FIXATION OF KNEE JOINT,,,1696.24,5513.0,8
CPT,27571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27580,FUSION OF KNEE,,,9611.0,22051.23,7
CPT,27581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27590,AMPUTATE LEG AT THIGH,,,3451.58,12858.0,7
CPT,27591,AMPUTATE LEG AT THIGH,,,3451.58,12858.0,7
CPT,27592,AMPUTATE LEG AT THIGH,,,3451.58,12858.0,7
CPT,27593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27594,AMPUTATION FOLLOW-UP SURGERY,,,3451.58,12001.0,8
CPT,27595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27596,AMPUTATION FOLLOW-UP SURGERY,,,3451.58,12664.0,7
CPT,27597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27598,AMPUTATE LOWER LEG AT KNEE,,,3451.58,12664.0,7
CPT,27599,HC CLOSED TREATMENT PATELLAR FRACTURE W/ MANIPULATION,3533.76,1236.82,260.21,3500.0,9
CPT,27600,DECOMPRESSION OF LOWER LEG,,,3451.58,12001.0,8
CPT,27601,DECOMPRESSION OF LOWER LEG,,,3451.58,12001.0,8
CPT,27602,DECOMPRESSION OF LOWER LEG,,,3451.58,12001.0,8
CPT,27603,DRAIN LOWER LEG LESION,,,3064.14,12001.0,8
CPT,27604,DRAIN LOWER LEG BURSA,,,3200.0,12001.0,8
CPT,27605,INCISION OF ACHILLES TENDON,,,1696.24,6090.0,8
CPT,27606,INCISION OF ACHILLES TENDON,,,2983.0,12001.0,8
CPT,27607,TREAT LOWER LEG BONE LESION,,,3200.0,12001.0,8
CPT,27608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27610,EXPLORE/TREAT ANKLE JOINT,,,3200.0,12001.0,8
CPT,27611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27612,EXPLORATION OF ANKLE JOINT,,,3451.58,12001.0,8
CPT,27613,BIOPSY LOWER LEG SOFT TISSUE,,,1742.24,4524.0,8
CPT,27614,BIOPSY LOWER LEG SOFT TISSUE,,,3064.14,12001.0,8
CPT,27615,RESECT LEG/ANKLE TUM < 5 CM,,,3064.14,12001.0,8
CPT,27616,RESECT LEG/ANKLE TUM 5 CM/>,,,3064.14,21649.0,8
CPT,27617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27618,HC EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3 CM,6128.43,2144.96,1742.24,5513.0,10
CPT,27619,EXC LEG/ANKLE TUM DEEP <5 CM,,,3064.14,12001.0,8
CPT,27620,EXPLORE/TREAT ANKLE JOINT,,,3451.58,12001.0,8
CPT,27621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27625,REMOVE ANKLE JOINT LINING,,,3451.58,12001.0,8
CPT,27626,REMOVE ANKLE JOINT LINING,,,3451.58,12001.0,8
CPT,27627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27630,REMOVAL OF TENDON LESION,,,3451.58,12001.0,8
CPT,27631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27632,HC EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ > 3 CM,9071.47,3175.02,3064.14,21649.0,10
CPT,27633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27634,EXC LEG/ANKLE TUM DEP 5 CM/>,,,3064.14,21649.0,8
CPT,27635,REMOVE LOWER LEG BONE LESION,,,3451.58,12001.0,8
CPT,27636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27637,REMOVE/GRAFT LEG BONE LESION,,,4236.0,22625.0,8
CPT,27638,REMOVE/GRAFT LEG BONE LESION,,,4236.0,22625.0,8
CPT,27639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27640,PARTIAL REMOVAL OF TIBIA,,,3200.0,12001.0,8
CPT,27641,PARTIAL REMOVAL OF FIBULA,,,3200.0,12001.0,8
CPT,27642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27645,RESECT TIBIA TUMOR,,,3451.58,12664.0,7
CPT,27646,RESECT FIBULA TUMOR,,,3451.58,12664.0,7
CPT,27647,RESECT TALUS/CALCANEUS TUM,,,3451.58,12001.0,8
CPT,27648,INJECTION FOR ANKLE X-RAY,,,217.03,3433.43,7
CPT,27649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27650,REPAIR ACHILLES TENDON,,,4236.0,12463.0,8
CPT,27651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27652,REPAIR/GRAFT ACHILLES TENDON,,,4236.0,22625.0,8
CPT,27653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27654,REPAIR OF ACHILLES TENDON,,,4236.0,22625.0,8
CPT,27655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27656,REPAIR LEG FASCIA DEFECT,,,3200.0,12001.0,8
CPT,27657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27658,REPAIR OF LEG TENDON EACH,,,2983.0,12001.0,8
CPT,27659,REPAIR OF LEG TENDON EACH,,,3200.0,22625.0,8
CPT,27660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27664,REPAIR OF LEG TENDON EACH,,,3200.0,22625.0,8
CPT,27665,REPAIR OF LEG TENDON EACH,,,3200.0,22625.0,8
CPT,27666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27675,REPAIR LOWER LEG TENDONS,,,3200.0,12001.0,8
CPT,27676,REPAIR LOWER LEG TENDONS,,,4236.0,22625.0,8
CPT,27677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27680,RELEASE OF LOWER LEG TENDON,,,3451.58,12001.0,8
CPT,27681,RELEASE OF LOWER LEG TENDONS,,,3200.0,12001.0,8
CPT,27682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27685,REVISION OF LOWER LEG TENDON,,,3451.58,12001.0,8
CPT,27686,REVISE LOWER LEG TENDONS,,,3451.58,12001.0,8
CPT,27687,REVISION OF CALF TENDON,,,3451.58,12001.0,8
CPT,27688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27690,REVISE LOWER LEG TENDON,,,4883.0,22625.0,8
CPT,27691,REVISE LOWER LEG TENDON,,,4883.0,22625.0,8
CPT,27692,REVISE ADDITIONAL LEG TENDON,,,88.77,6717.53,7
CPT,27693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27695,REPAIR OF ANKLE LIGAMENT,,,3200.0,22625.0,8
CPT,27696,REPAIR OF ANKLE LIGAMENTS,,,3200.0,22625.0,8
CPT,27697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27698,REPAIR OF ANKLE LIGAMENT,,,3200.0,22625.0,8
CPT,27699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27700,REVISION OF ANKLE JOINT,,,6177.0,22625.0,8
CPT,27701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27702,RECONSTRUCT ANKLE JOINT,,,11057.0,46604.36,7
CPT,27703,RECONSTRUCTION ANKLE JOINT,,,11057.0,30115.41,7
CPT,27704,REMOVAL OF ANKLE IMPLANT,,,3200.0,12001.0,8
CPT,27705,OSTEOTOMY TIBIA,,,3200.0,22625.0,8
CPT,27706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27707,OSTEOTOMY FIBULA,,,3200.0,12001.0,8
CPT,27708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27709,OSTEOTOMY TIBIA & FIBULA,,,3200.0,30380.0,8
CPT,27710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27712,OSTEOT MLT RELIGNMT IMED ROD,,,9611.0,22051.23,7
CPT,27713,OSTEOT TIBIA IMED LNGTH DEV,,,4344.0,12463.0,5
CPT,27714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27715,OSTPL TIBFIB LNGTH/SHRT,,,6479.0,22051.23,7
CPT,27716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27720,REPAIR OF TIBIA,,,7654.46,22625.0,8
CPT,27721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27722,REPAIR/GRAFT OF TIBIA,,,7654.46,22625.0,8
CPT,27723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27724,REPAIR/GRAFT OF TIBIA,,,7654.46,12664.0,7
CPT,27725,REPAIR OF LOWER LEG,,,7654.46,12664.0,7
CPT,27726,REPAIR FIBULA NONUNION,,,5583.0,22625.0,8
CPT,27727,REPAIR OF LOWER LEG,,,3451.58,12664.0,7
CPT,27728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27730,REPAIR OF TIBIA EPIPHYSIS,,,3200.0,12001.0,8
CPT,27731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27732,REPAIR OF FIBULA EPIPHYSIS,,,3200.0,12001.0,8
CPT,27733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27734,REPAIR LOWER LEG EPIPHYSES,,,3200.0,12001.0,8
CPT,27735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27740,REPAIR OF LEG EPIPHYSES,,,3200.0,12001.0,8
CPT,27741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27742,REPAIR OF LEG EPIPHYSES,,,3200.0,12001.0,8
CPT,27743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27745,REINFORCE TIBIA,,,4236.0,22625.0,8
CPT,27746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27750,"HC TX TIB SHAFT FX W/O MANIP,CLSD",428.56,150.0,147.0,3500.0,10
CPT,27751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27752,HC TX TIB SHAFT FX W/MANIP CLSD,3531.45,1236.01,1211.29,5513.0,10
CPT,27753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27756,TREATMENT OF TIBIA FRACTURE,,,4236.0,22625.0,8
CPT,27757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27758,TREATMENT OF TIBIA FRACTURE,,,4883.0,30380.0,8
CPT,27759,TREATMENT OF TIBIA FRACTURE,,,4883.0,30380.0,8
CPT,27760,HC CLTX MEDIAL ANKLE FX,418.0,146.3,143.37,3500.0,10
CPT,27761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27762,HC CLTX MED ANKLE FX W/MNP,3420.66,1197.24,1173.29,5513.0,10
CPT,27763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27766,OPTX MEDIAL ANKLE FX,,,4236.0,22625.0,8
CPT,27767,HC CLTX POST ANKLE FX,454.08,158.93,155.75,3500.0,10
CPT,27768,HC CLTX POST ANKLE FX W/MNP,3155.55,1104.45,1082.35,4524.0,10
CPT,27769,OPTX POST ANKLE FX,,,5583.0,22625.0,8
CPT,27770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27780,HC FX REDUCTION CLOSED FIBULA,418.0,146.3,143.37,3500.0,10
CPT,27781,HC CLSD TX OF PROX FIB FX W/MANIP,3531.45,1236.01,1211.29,4524.0,10
CPT,27782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27784,TREATMENT OF FIBULA FRACTURE,,,4236.0,22625.0,8
CPT,27785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27786,HC CLSD ANKLE FX W/O MANIP,418.0,146.3,143.37,3500.0,10
CPT,27787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27788,"HC TX DIST FIB FX W/MANIP, CLSD",436.69,152.85,149.78,3500.0,10
CPT,27789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27792,TREATMENT OF ANKLE FRACTURE,,,4236.0,22625.0,8
CPT,27793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27808,HC CLSD BIML ANKLE FX W/O MANIP,420.85,147.3,144.35,3500.0,10
CPT,27809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27810,"HC TX BIMAL ANKLE FX W/MANIP,CLSD",3155.55,1104.45,1082.35,4524.0,10
CPT,27811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27814,TREATMENT OF ANKLE FRACTURE,,,4236.0,22625.0,8
CPT,27815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27816,HC CLSD TX ANKLE FX W/O MANIP,618.86,216.61,212.27,3500.0,10
CPT,27817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27818,HC TREATMENT OF ANKLE FRACTURE,3155.55,1104.45,1082.35,4524.0,10
CPT,27819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27822,TREATMENT OF ANKLE FRACTURE,,,4236.0,22625.0,8
CPT,27823,TREATMENT OF ANKLE FRACTURE,,,4236.0,22625.0,8
CPT,27824,HC CLSD TX LOWER LEG FX W/O MANIP,418.0,146.3,143.37,3500.0,10
CPT,27825,HC TREAT LOWER LEG FRACTURE,3531.45,1236.01,1211.29,5513.0,10
CPT,27826,TREAT LOWER LEG FRACTURE,,,4236.0,22625.0,8
CPT,27827,TREAT LOWER LEG FRACTURE,,,4236.0,30380.0,8
CPT,27828,TREAT LOWER LEG FRACTURE,,,4883.0,30380.0,8
CPT,27829,TREAT LOWER LEG JOINT,,,3200.0,22625.0,8
CPT,27830,TREAT LOWER LEG DISLOCATION,,,260.21,3500.0,8
CPT,27831,TREAT LOWER LEG DISLOCATION,,,2983.0,12001.0,8
CPT,27832,TREAT LOWER LEG DISLOCATION,,,3200.0,22625.0,8
CPT,27833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27840,HC TX DISL ANKLE W/O ANES CLSD,538.03,188.32,184.54,3500.0,10
CPT,27841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27842,TREAT ANKLE DISLOCATION,,,1696.24,5513.0,8
CPT,27843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27846,TREAT ANKLE DISLOCATION,,,4236.0,22625.0,8
CPT,27847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27848,TREAT ANKLE DISLOCATION,,,4236.0,22625.0,8
CPT,27849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27860,FIXATION OF ANKLE JOINT,,,2983.0,12001.0,8
CPT,27861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27870,FUSION OF ANKLE JOINT OPEN,,,4883.0,30380.0,8
CPT,27871,FUSION OF TIBIOFIBULAR JOINT,,,4883.0,30380.0,8
CPT,27872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27880,AMPUTATION OF LOWER LEG,,,5428.0,12858.0,7
CPT,27881,AMPUTATION OF LOWER LEG,,,3451.58,12664.0,7
CPT,27882,AMPUTATION OF LOWER LEG,,,3451.58,12664.0,7
CPT,27883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27884,AMPUTATION FOLLOW-UP SURGERY,,,3451.58,12001.0,8
CPT,27885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27886,AMPUTATION FOLLOW-UP SURGERY,,,3451.58,12664.0,7
CPT,27887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27888,AMPUTATION OF FOOT AT ANKLE,,,3451.58,12664.0,7
CPT,27889,ANKLE DISARTICULATION,,,4236.0,22625.0,8
CPT,27890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27892,DECOMPRESSION OF LEG,,,3451.58,12001.0,8
CPT,27893,DECOMPRESSION OF LEG,,,4236.0,22625.0,8
CPT,27894,DECOMPRESSION OF LEG,,,3451.58,12001.0,8
CPT,27895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27899,UNLISTED PX LEG/ANKLE,,,260.21,3500.0,7
CPT,27900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,27999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28001,HC I&D BURSA FOOT,3450.65,1207.73,1183.57,5513.0,9
CPT,28002,TREATMENT OF FOOT INFECTION,,,1696.24,6090.0,8
CPT,28003,TREATMENT OF FOOT INFECTION,,,3451.58,12001.0,8
CPT,28004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28005,TREAT FOOT BONE LESION,,,3451.58,12001.0,8
CPT,28006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28008,HC INCISION OF FOOT/TOE FASCIA,7357.61,2575.17,2523.66,12001.0,10
CPT,28009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28010,"HC TENOTOMY,PERC,TOE,SNGL TENDON",3742.86,1310.01,1283.8,6090.0,9
CPT,28011,HC TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON,3161.21,1106.43,1084.3,6090.0,10
CPT,28012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28020,EXPLORATION OF FOOT JOINT,,,3200.0,12001.0,8
CPT,28021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28022,EXPLORATION OF FOOT JOINT,,,3200.0,12001.0,8
CPT,28023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28024,EXPLORATION OF TOE JOINT,,,1696.24,6090.0,8
CPT,28025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28030,Mammogram,,,24077.13,24077.13,1
CPT,28031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28035,DECOMPRESSION OF TIBIA NERVE,,,2059.9,6479.0,8
CPT,28036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28039,EXC FOOT/TOE TUM SC 1.5 CM/>,,,3000.0,12001.0,8
CPT,28040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28041,EXC FOOT/TOE TUM DEP 1.5CM/>,,,3064.14,12001.0,8
CPT,28042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28043,"HC EXCISION, TUMOR, SOFT TISSUE OF FOOT OR TOES, SUBCUTANEOUS, LESS THAN 1.5CM",3865.8,1353.03,1325.97,5513.0,10
CPT,28044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28045,EXC FOOT/TOE TUM DEEP <1.5CM,,,3064.14,12001.0,8
CPT,28046,RESECT FOOT/TOE TUMOR < 3 CM,,,3064.14,12001.0,8
CPT,28047,RESECT FOOT/TOE TUMOR 3 CM/>,,,3064.14,21649.0,8
CPT,28048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28050,BIOPSY OF FOOT JOINT LINING,,,3200.0,12001.0,8
CPT,28051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28052,BIOPSY OF FOOT JOINT LINING,,,3200.0,12001.0,8
CPT,28053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28054,BIOPSY OF TOE JOINT LINING,,,3200.0,12001.0,8
CPT,28055,NEURECTOMY FOOT,,,2059.9,6479.0,8
CPT,28056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28060,PARTIAL REMOVAL FOOT FASCIA,,,3200.0,12001.0,8
CPT,28061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28062,REMOVAL OF FOOT FASCIA,,,3451.58,12001.0,8
CPT,28063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28070,REMOVAL OF FOOT JOINT LINING,,,4236.0,12463.0,8
CPT,28071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28072,REMOVAL OF FOOT JOINT LINING,,,3451.58,12001.0,8
CPT,28073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28080,REMOVAL OF FOOT LESION,,,1696.24,6090.0,8
CPT,28081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28086,EXCISE FOOT TENDON SHEATH,,,3200.0,12001.0,8
CPT,28087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28088,EXCISE FOOT TENDON SHEATH,,,3200.0,12001.0,8
CPT,28089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28090,REMOVAL OF FOOT LESION,,,1696.24,6090.0,8
CPT,28091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28092,REMOVAL OF TOE LESIONS,,,1696.24,6090.0,8
CPT,28093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28100,REMOVAL OF ANKLE/HEEL LESION,,,3200.0,12001.0,8
CPT,28101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28102,REMOVE/GRAFT FOOT LESION,,,4236.0,22625.0,8
CPT,28103,REMOVE/GRAFT FOOT LESION,,,4236.0,22625.0,8
CPT,28104,REMOVAL OF FOOT LESION,,,3200.0,12001.0,8
CPT,28105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28106,REMOVE/GRAFT FOOT LESION,,,4236.0,22625.0,8
CPT,28107,REMOVE/GRAFT FOOT LESION,,,4236.0,22625.0,8
CPT,28108,REMOVAL OF TOE LESIONS,,,1696.24,6090.0,8
CPT,28109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28110,PART REMOVAL OF METATARSAL,,,3451.58,12001.0,8
CPT,28111,PART REMOVAL OF METATARSAL,,,3451.58,12001.0,8
CPT,28112,PART REMOVAL OF METATARSAL,,,3451.58,12001.0,8
CPT,28113,PART REMOVAL OF METATARSAL,,,3451.58,12001.0,8
CPT,28114,REMOVAL OF METATARSAL HEADS,,,3451.58,12001.0,8
CPT,28115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28116,REVISION OF FOOT,,,3451.58,12001.0,8
CPT,28117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28118,REMOVAL OF HEEL BONE,,,3451.58,12001.0,8
CPT,28119,REMOVAL OF HEEL SPUR,,,3451.58,12001.0,8
CPT,28120,PART REMOVAL OF ANKLE/HEEL,,,3451.58,12001.0,8
CPT,28121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28122,PARTIAL REMOVAL OF FOOT BONE,,,3451.58,12001.0,8
CPT,28123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28124,HC PARTIAL REMOVAL OF TOE,5686.27,1990.2,1950.39,12001.0,10
CPT,28125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28126,PARTIAL REMOVAL OF TOE,,,3451.58,12001.0,8
CPT,28127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28130,REMOVAL OF ANKLE BONE,,,4236.0,12463.0,8
CPT,28131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28140,REMOVAL OF METATARSAL,,,3451.58,12001.0,8
CPT,28141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28150,REMOVAL OF TOE,,,3451.58,12001.0,8
CPT,28151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28153,PARTIAL REMOVAL OF TOE,,,3451.58,12001.0,8
CPT,28154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28160,HC HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE,5686.27,1990.2,1950.39,12001.0,10
CPT,28161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28171,RESECT TARSAL TUMOR,,,3451.58,12001.0,8
CPT,28172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28173,RESECT METATARSAL TUMOR,,,3451.58,12001.0,8
CPT,28174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28175,RESECT PHALANX OF TOE TUMOR,,,1696.24,6090.0,8
CPT,28176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28190,HC REMOVE FOREIGN BODY IN FOOT SUBQ,1439.48,503.82,493.74,3603.0,10
CPT,28191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28192,"HC REMOVAL OF FOREIGN BODY, FOOT, DEEP",3922.84,1373.0,1345.53,5513.0,10
CPT,28193,REMOVAL OF FOOT FOREIGN BODY,,,1742.24,6479.0,8
CPT,28194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28200,REPAIR OF FOOT TENDON,,,3451.58,12001.0,8
CPT,28201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28202,REPAIR/GRAFT OF FOOT TENDON,,,4236.0,22625.0,8
CPT,28203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28208,REPAIR OF FOOT TENDON,,,3451.58,12001.0,8
CPT,28209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28210,REPAIR/GRAFT OF FOOT TENDON,,,4236.0,22625.0,8
CPT,28211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28220,RELEASE OF FOOT TENDON,,,1696.24,6090.0,7
CPT,28221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28222,RELEASE OF FOOT TENDONS,,,2983.0,12001.0,8
CPT,28223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28225,RELEASE OF FOOT TENDON,,,2983.0,12001.0,8
CPT,28226,RELEASE OF FOOT TENDONS,,,2983.0,12001.0,8
CPT,28227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28230,INCISION OF FOOT TENDON(S),,,1696.24,6090.0,7
CPT,28231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28232,INCISION OF TOE TENDON,,,1696.24,6090.0,7
CPT,28233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28234,INCISION OF FOOT TENDON,,,1696.24,6090.0,8
CPT,28235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28238,REVISION OF FOOT TENDON,,,4236.0,22625.0,8
CPT,28239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28240,RELEASE OF BIG TOE,,,3200.0,12001.0,8
CPT,28241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28250,REVISION OF FOOT FASCIA,,,3451.58,12001.0,8
CPT,28251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28260,RELEASE OF MIDFOOT JOINT,,,3451.58,12001.0,8
CPT,28261,REVISION OF FOOT TENDON,,,1696.24,6090.0,8
CPT,28262,REVISION OF FOOT AND ANKLE,,,4883.0,22625.0,8
CPT,28263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28264,RELEASE OF MIDFOOT JOINT,,,1696.24,9658.0,8
CPT,28265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28270,HC CAPSULOTOMY METATARSOPHALANGEAL JOINT W/WO TENORRHAPHY EA JOINT,6515.86,2280.56,2234.94,12001.0,10
CPT,28271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28272,RELEASE OF TOE JOINT EACH,,,1696.24,6090.0,7
CPT,28273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28280,FUSION OF TOES,,,3200.0,12001.0,8
CPT,28281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28285,REPAIR OF HAMMERTOE,,,3451.58,12001.0,8
CPT,28286,REPAIR OF HAMMERTOE,,,3451.58,12001.0,8
CPT,28287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28288,PARTIAL REMOVAL OF FOOT BONE,,,3451.58,12001.0,8
CPT,28289,CORRJ HALUX RIGDUS W/O IMPLT,,,3451.58,12001.0,8
CPT,28290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28290,Mammogram,,,26169.8,26169.8,1
CPT,28291,CORRJ HALUX RIGDUS W/IMPLT,,,5583.0,22625.0,7
CPT,28292,COR HLX VLGS RSC PRX PHLX BS,,,3200.0,12001.0,8
CPT,28293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28293,Mammogram,,,46989.04,46989.04,1
CPT,28294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28294,Mammogram,,,36112.39,36112.39,1
CPT,28295,COR HLX VLGS PRX MTAR OSTEOT,,,3200.0,12001.0,8
CPT,28296,COR HLX VLGS DSTL MTAR OSTEO,,,3451.58,12001.0,8
CPT,28297,COR HLX VLGS JT ARTHRD,,,4236.0,22625.0,8
CPT,28298,COR HLX VLGS PRX PHLX OSTEOT,,,4236.0,22625.0,8
CPT,28299,COR HLX VLGS DOUBLE OSTEOT,,,3500.0,12463.0,8
CPT,28300,INCISION OF HEEL BONE,,,3200.0,22625.0,8
CPT,28301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28302,INCISION OF ANKLE BONE,,,3200.0,22625.0,8
CPT,28303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28304,INCISION OF MIDFOOT BONES,,,3200.0,22625.0,8
CPT,28305,INCISE/GRAFT MIDFOOT BONES,,,4236.0,22625.0,8
CPT,28306,INCISION OF METATARSAL,,,4883.0,22625.0,8
CPT,28307,INCISION OF METATARSAL,,,4883.0,12463.0,8
CPT,28308,INCISION OF METATARSAL,,,3200.0,12001.0,8
CPT,28309,INCISION OF METATARSALS,,,4883.0,22625.0,8
CPT,28310,REVISION OF BIG TOE,,,4236.0,12463.0,8
CPT,28311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28312,REVISION OF TOE,,,3451.58,12001.0,8
CPT,28313,REPAIR DEFORMITY OF TOE,,,3200.0,12001.0,8
CPT,28314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28315,REMOVAL OF SESAMOID BONE,,,3451.58,12001.0,8
CPT,28316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28320,REPAIR OF FOOT BONES,,,4883.0,30380.0,8
CPT,28321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28322,REPAIR OF METATARSALS,,,4883.0,22625.0,8
CPT,28323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28340,RESECT ENLARGED TOE TISSUE,,,3451.58,12001.0,8
CPT,28341,RESECT ENLARGED TOE,,,3451.58,12001.0,8
CPT,28342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28344,REPAIR EXTRA TOE(S),,,3451.58,12001.0,8
CPT,28345,REPAIR WEBBED TOE(S),,,1696.24,6479.0,8
CPT,28346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28360,RECONSTRUCT CLEFT FOOT,,,5428.0,22625.0,7
CPT,28361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28400,HC CLSD TREATMENT HEEL FRACTURE,501.9,175.67,172.15,3500.0,10
CPT,28401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28405,HC CLOSED TX CALCANEAL FX W/REDUCTION,1287.44,450.61,260.21,3500.0,10
CPT,28406,PRQ SKEL FIX CLCNL FX W/MNPJ,,,3200.0,22625.0,8
CPT,28407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28415,OPTX CALCANEAL FRACTURE,,,4236.0,22625.0,8
CPT,28416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28420,OPTX CALCANEAL FX W/BONE GRF,,,4883.0,30380.0,8
CPT,28421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28430,HC CLSD TX ANKLE TALUS FX,521.52,182.54,178.88,3500.0,10
CPT,28431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28435,HC CLSD TX OF TALUS-ANKLE FX,3420.66,1197.24,1173.29,5513.0,10
CPT,28436,PRQ SKEL FIX TALUS FX W/MNPJ,,,3200.0,22625.0,8
CPT,28437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28445,OPTX TALUS FRACTURE,,,4236.0,22625.0,8
CPT,28446,OPN OSTEOCHONDRL AGRFT TALUS,,,6479.0,22625.0,8
CPT,28447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28450,HC FX REDUCTION CLOSED TARSAL,501.9,175.67,172.15,3500.0,10
CPT,28451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28455,TX TARSAL B1 FX W/MNPJ EACH,,,1696.24,4524.0,7
CPT,28456,PRQ SKEL FIX TARSL FX W/MNPJ,,,3200.0,22625.0,8
CPT,28457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28465,OPTX TARSAL BONE FX EACH,,,4236.0,22625.0,8
CPT,28466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28470,HC CLSD TX METATARS FX W/O MANIP,515.96,180.59,176.97,2444.0,9
CPT,28471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28475,"HC TX METATARS FX W/MANIP, CLSD",577.04,201.97,197.92,3500.0,10
CPT,28476,PRQ SKEL FIX METAR FX W/MNPJ,,,3200.0,12001.0,8
CPT,28477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28485,OPTX METATARSAL FX EACH,,,4883.0,22625.0,8
CPT,28486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28490,HC CLSD TRMT BIG TOE FX W/O MANIP,501.9,175.67,172.15,3500.0,9
CPT,28491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28495,"HC CLOSED TREATMENT FX GREAT TOE, WITH MANIPULATION",466.2,163.17,159.91,3500.0,10
CPT,28496,TREAT BIG TOE FRACTURE,,,3200.0,12001.0,8
CPT,28497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28505,TREAT BIG TOE FRACTURE,,,3451.58,12001.0,8
CPT,28506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28510,HC CLSD TOE FX W/O MANIP,501.9,175.67,172.15,2444.0,9
CPT,28511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28515,HC CLOSED TX TOE FX W MANIP,418.0,146.3,143.37,3500.0,10
CPT,28516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28525,TREAT TOE FRACTURE,,,3451.58,12001.0,8
CPT,28526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28530,TREAT SESAMOID BONE FRACTURE,,,260.21,3500.0,7
CPT,28531,TREAT SESAMOID BONE FRACTURE,,,4236.0,22625.0,8
CPT,28532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28540,HC TREAT FOOT DISLOCATION,501.9,175.67,172.15,3500.0,10
CPT,28541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28545,TREAT FOOT DISLOCATION,,,2983.0,12001.0,8
CPT,28546,TREAT FOOT DISLOCATION,,,1696.24,6090.0,8
CPT,28547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28555,REPAIR FOOT DISLOCATION,,,3200.0,22625.0,8
CPT,28556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28570,HC CLOSED TREATMENT TALOTARSAL JOINT DISLOCATION; WITHOUT ANESTHESIA,542.39,189.84,186.04,3500.0,10
CPT,28571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28575,TREAT FOOT DISLOCATION,,,2983.0,12001.0,8
CPT,28576,TREAT FOOT DISLOCATION,,,4236.0,12463.0,8
CPT,28577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28585,REPAIR FOOT DISLOCATION,,,4236.0,22625.0,8
CPT,28586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28600,TREAT FOOT DISLOCATION,,,260.21,3500.0,7
CPT,28601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28605,TREAT FOOT DISLOCATION,,,260.21,3500.0,8
CPT,28606,TREAT FOOT DISLOCATION,,,3200.0,12001.0,8
CPT,28607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28615,REPAIR FOOT DISLOCATION,,,4236.0,22625.0,8
CPT,28616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28630,HC TREAT TOE DISLOCATION,418.0,146.3,143.37,3500.0,10
CPT,28631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28635,TREAT TOE DISLOCATION,,,1696.24,5513.0,8
CPT,28636,TREAT TOE DISLOCATION,,,3451.58,12001.0,8
CPT,28637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28645,REPAIR TOE DISLOCATION,,,3451.58,12001.0,8
CPT,28646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28660,HC CLSD INTRJNT TOE DSLO W/O ANES,418.0,146.3,143.37,3500.0,10
CPT,28661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28665,TREAT TOE DISLOCATION,,,295.04,3500.0,8
CPT,28666,TREAT TOE DISLOCATION,,,3451.58,12001.0,8
CPT,28667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28675,REPAIR OF TOE DISLOCATION,,,3451.58,12001.0,8
CPT,28676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28705,ARTHRODESIS PANTALAR,,,4883.0,52872.0,8
CPT,28706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28715,ARTHRODESIS TRIPLE,,,4883.0,30380.0,8
CPT,28716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28725,ARTHRODESIS SUBTALAR,,,4883.0,30380.0,8
CPT,28726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28730,FUSION OF FOOT BONES,,,4883.0,30380.0,8
CPT,28731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28735,FUSION OF FOOT BONES,,,4883.0,30380.0,8
CPT,28736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28737,REVISION OF FOOT BONES,,,6177.0,30380.0,8
CPT,28738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28740,FUSION OF FOOT BONES,,,4883.0,22625.0,8
CPT,28741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28750,FUSION OF BIG TOE JOINT,,,4883.0,22625.0,8
CPT,28751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28755,FUSION OF BIG TOE JOINT,,,4883.0,22625.0,8
CPT,28756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28760,FUSION OF BIG TOE JOINT,,,4883.0,22625.0,8
CPT,28761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28800,AMPUTATION OF MIDFOOT,,,3451.58,22625.0,7
CPT,28801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28805,AMPUTATION THRU METATARSAL,,,3451.58,12001.0,7
CPT,28806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28810,AMPUTATION TOE & METATARSAL,,,3200.0,12001.0,8
CPT,28811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28820,AMPUTATION OF TOE,,,3200.0,12001.0,8
CPT,28821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28825,HC AMPUTATION TOE INTERPHALANGEAL JOINT,6331.48,2216.02,2133.0,12001.0,10
CPT,28826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28890,HI ENRGY ESWT PLANTAR FASCIA,,,1696.24,6987.0,7
CPT,28891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28899,HC NEEDLE INSERTION WITHOUT INJECTION- UNLISTED,722.76,252.97,247.91,3500.0,9
CPT,28900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,28999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29000,APPL HALO TYPE BODY CAST,,,295.04,5428.0,8
CPT,29001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29010,APPL RISSER JACKET BODY ONLY,,,295.04,5428.0,7
CPT,29011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29015,APPL RISSR JACKET BDY W/HEAD,,,295.04,5428.0,7
CPT,29016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29020,Mammogram,,,8393.33,8393.33,1
CPT,29021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29025,Mammogram,,,11840.85,11840.85,1
CPT,29026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29035,APPL BODY CAST SHO TO HIPS,,,295.04,5428.0,7
CPT,29036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29040,APPL BDY CST SHO TO HIP HEAD,,,295.04,5428.0,7
CPT,29041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29044,APPL BDY CST SHO TO HIP 1THI,,,171.42,5428.0,7
CPT,29045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29046,APPL BDY CST SHO TO HIP B TH,,,295.04,5428.0,7
CPT,29047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29049,HC FIBERGLASS ARM LONG,571.58,200.06,196.05,5428.0,9
CPT,29050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29055,APPL CAST SHOULDER SPICA,,,295.04,3500.0,7
CPT,29056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29058,APPL CAST PLASTER VELPEAU,,,217.24,3500.0,7
CPT,29059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29065,HC APPL CAST ARM LONG,485.6,169.96,166.56,3500.0,9
CPT,29066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29075,HC CAST SHORT ARM,485.61,169.97,155.41,3500.0,9
CPT,29076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29085,HC HAND/WRIST CAST,255.96,89.59,87.79,3500.0,9
CPT,29086,HC APPLICATION CAST FINGER,792.9,277.52,171.42,5428.0,9
CPT,29087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29100,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29105,HC SPLINT LONG ARM,342.57,119.9,117.5,3500.0,9
CPT,29106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29125,HC APPLICATION SPLINT ARM SHORT,342.57,119.9,117.5,3500.0,9
CPT,29126,HC SPLINT SHORT ARM DYNAMIC,255.96,89.59,87.79,3500.0,9
CPT,29127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29130,HC SPLINT FINGER STATIC,278.26,97.4,73.27,3500.0,9
CPT,29131,HC SPLINT FINGER DYNAMIC,227.08,79.48,62.23,3500.0,9
CPT,29132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29200,STRAPPING THORAX,,,57.21,3500.0,7
CPT,29201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29220,Mammogram,,,2462.5,2462.5,1
CPT,29221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29240,HC STRAPPING SHOULDER,296.34,103.72,52.99,3500.0,10
CPT,29241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29260,HC STRAPPING ELBOW OR WRIST,278.26,97.4,51.5,3500.0,9
CPT,29261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29280,HC STRAPPING HAND OR FINGER,211.31,73.96,52.11,3500.0,9
CPT,29281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29305,APPL HIP SPICA CAST 1 LEG,,,295.04,3500.0,7
CPT,29306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29325,HC CAST 1 1/2 SPICA,836.4,292.74,286.89,3500.0,9
CPT,29326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29345,HC APPLICATION OF LONG LEG CAST,485.61,169.97,166.56,3500.0,9
CPT,29346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29355,HC LONG LEG CAST APP; WALKER/AMBULATORY,524.46,183.57,179.89,3500.0,9
CPT,29356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29358,APPL LONG LEG CAST BRACE,,,284.07,3500.0,7
CPT,29359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29365,HC APPLICATION OF CYLINDER CAST (THIGH TO ANKLE),578.58,202.51,198.45,3500.0,9
CPT,29366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29405,HC CAST SHORT LEG,485.6,169.96,140.96,3500.0,9
CPT,29406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29425,HC CAST SHORT LEG WALKER,485.61,169.97,132.21,3500.0,9
CPT,29426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29435,HC CAST PATELLAR TENDON BEARING,485.61,169.97,166.56,3500.0,9
CPT,29436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29440,ADDING WALKER TO PREV CAST,,,74.56,3500.0,7
CPT,29441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29445,HC APPL CAST LEG RIGID TOTAL,571.1,199.89,195.89,3500.0,9
CPT,29446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29450,APPLICATION CLUBFOOT CAST,,,171.42,3500.0,7
CPT,29451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29505,HC APPL SPLINT LEG LONG,325.02,113.76,111.48,3500.0,10
CPT,29506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29515,HC APPL SPLINT SHORT LEG,255.96,89.59,87.79,3500.0,9
CPT,29516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29520,STRAPPING OF HIP,,,61.43,3500.0,7
CPT,29521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29530,HC STRAPPING KNEE,204.25,71.49,52.38,3500.0,9
CPT,29531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29540,HC STRAPPING ANKLE,335.36,117.38,49.08,3500.0,9
CPT,29541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29550,"HC STRAPPING, TOES",192.74,67.46,33.44,3500.0,9
CPT,29551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29580,HC UNNA BOOT SOFT CAST,338.62,118.52,111.57,3500.0,9
CPT,29581,HC APPLY MULTLAY COMPRESS SYSTEM LWR LEG,352.35,123.33,120.86,3500.0,9
CPT,29582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29582,Mammogram,,,1031.21,1031.21,1
CPT,29583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29583,Mammogram,,,731.69,731.69,1
CPT,29584,APPL MLTLAY CMPRN SYS UP ARM,,,146.74,3500.0,7
CPT,29585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29590,Mammogram,,,2540.28,2540.28,1
CPT,29591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29700,HC REMOVAL/REVISION OF CAST,571.58,200.06,109.87,3500.0,9
CPT,29701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29705,HC REM/BIV CAST ARM/LEG FULL,587.93,205.78,109.7,3500.0,9
CPT,29706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29710,RMVL/BIVLV SHO/HIP SPICA,,,214.0,3500.0,7
CPT,29711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29715,Mammogram,,,3202.27,3202.27,1
CPT,29716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29720,REPAIR SPICA BODY CST/JACKET,,,151.84,3500.0,7
CPT,29721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29730,HC WINDOWING OF CAST,300.83,105.3,103.18,3500.0,9
CPT,29731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29740,WEDGING OF CAST,,,172.46,3500.0,7
CPT,29741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29750,WEDGING OF CLUBFOOT CAST,,,186.75,3500.0,7
CPT,29751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29799,"HC CASTING/STRAPPING,UNLST",335.36,117.38,115.03,3500.0,9
CPT,29800,JAW ARTHROSCOPY/SURGERY,,,3451.58,12001.0,8
CPT,29801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29804,JAW ARTHROSCOPY/SURGERY,,,3451.58,12001.0,8
CPT,29805,SHO ARTHRS DX +- SYNOVIAL BX,,,3451.58,12001.0,8
CPT,29806,SHO ARTHRS SRG CAPSULORRAPHY,,,4236.0,22625.0,8
CPT,29807,SHO ARTHRS SRG RPR SLAP LES,,,4236.0,22625.0,8
CPT,29808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29819,SHO ARTHRS SRG RMVL LOOSE/FB,,,3451.58,12664.0,8
CPT,29820,SHO ARTHRS SRG PRTL SYNVCT,,,4236.0,22625.0,8
CPT,29821,SHO ARTHRS SRG COMPL SYNVCT,,,3451.58,12664.0,8
CPT,29822,SHO ARTHRS SRG LMTD DBRDMT,,,3451.58,12001.0,8
CPT,29823,SHO ARTHRS SRG XTNSV DBRDMT,,,3451.58,12664.0,8
CPT,29824,SHO ARTHRS SRG DSTL CLAVICLC,,,3451.58,12664.0,8
CPT,29825,SHO ARTHRS SRG LSS&RESCJ ADS,,,3451.58,12664.0,8
CPT,29826,SHO ARTHRS SRG DECOMPRESSION,,,146.51,11543.42,8
CPT,29827,SHO ARTHRS SRG RT8TR CUF RPR,,,6177.0,22625.0,8
CPT,29828,SHO ARTHRS SRG BICP TENODSIS,,,5583.0,22625.0,8
CPT,29829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29830,ELBOW ARTHROSCOPY,,,3451.58,12664.0,8
CPT,29831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29834,ELBOW ARTHROSCOPY/SURGERY,,,3451.58,12001.0,8
CPT,29835,ELBOW ARTHROSCOPY/SURGERY,,,3451.58,12664.0,8
CPT,29836,ELBOW ARTHROSCOPY/SURGERY,,,4236.0,22625.0,8
CPT,29837,ELBOW ARTHROSCOPY/SURGERY,,,3451.58,12001.0,8
CPT,29838,ELBOW ARTHROSCOPY/SURGERY,,,3451.58,12001.0,8
CPT,29839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29840,WRIST ARTHROSCOPY,,,3451.58,12001.0,8
CPT,29841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29843,WRIST ARTHROSCOPY/SURGERY,,,3451.58,12001.0,8
CPT,29844,WRIST ARTHROSCOPY/SURGERY,,,3451.58,12001.0,8
CPT,29845,WRIST ARTHROSCOPY/SURGERY,,,3451.58,12001.0,8
CPT,29846,WRIST ARTHROSCOPY/SURGERY,,,3451.58,12001.0,8
CPT,29847,WRIST ARTHROSCOPY/SURGERY,,,4236.0,22625.0,8
CPT,29848,HC WRIST ENDOSCOPY W/RELEASE OF TRANVERSE CARPAL LIGAMENT,6768.67,2369.04,1696.24,21649.0,10
CPT,29849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29850,KNEE ARTHROSCOPY/SURGERY,,,1696.24,6987.0,8
CPT,29851,KNEE ARTHROSCOPY/SURGERY,,,1696.24,9658.0,8
CPT,29852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29855,TIBIAL ARTHROSCOPY/SURGERY,,,4883.0,22625.0,8
CPT,29856,TIBIAL ARTHROSCOPY/SURGERY,,,4883.0,30380.0,8
CPT,29857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29860,HIP ARTHROSCOPY DX,,,4883.0,22625.0,8
CPT,29861,HIP ARTHRO W/FB REMOVAL,,,4883.0,12664.0,8
CPT,29862,HIP ARTHR0 W/DEBRIDEMENT,,,6479.0,22625.0,8
CPT,29863,HIP ARTHR0 W/SYNOVECTOMY,,,3451.58,12664.0,8
CPT,29864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29866,AUTGRFT IMPLNT KNEE W/SCOPE,,,5583.0,22625.0,7
CPT,29867,ALLGRFT IMPLNT KNEE W/SCOPE,,,5583.0,30380.0,7
CPT,29868,MENISCAL TRNSPL KNEE W/SCPE,,,5583.0,22625.0,7
CPT,29869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29870,ARTHRS KNEE DX W/WO SYN BX,,,3451.58,12001.0,8
CPT,29871,ARTHRS KNEE SURG FOR INFCTJ,,,3451.58,12001.0,8
CPT,29872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29873,ARTHRS KNEE SURG W/LAT RLS,,,3451.58,12001.0,8
CPT,29874,ARTHRS KNEE SURG RMV LOOS/FB,,,3451.58,12001.0,8
CPT,29875,ARTHRS KNEE SURG SYNVCT LMTD,,,3451.58,12001.0,8
CPT,29876,ARTHRS KNEE SURG SYNVCT MAJ,,,3451.58,12001.0,8
CPT,29877,ARTHRS KNEE SURG DBRDMT/SHVG,,,3451.58,12001.0,8
CPT,29878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29879,ARTHRS KNE SRG ABRASJ ARTHRP,,,3451.58,12001.0,8
CPT,29880,ARTHRS KNE SRG MNISECTMY M&L,,,3451.58,12001.0,8
CPT,29881,ARTHRS KNE SRG MNISECTMY M/L,,,3451.58,12001.0,8
CPT,29882,ARTHRS KNE SRG MNISC RPR M/L,,,3451.58,12001.0,8
CPT,29883,ARTHRS KNE SRG MNISC RPR M&L,,,3451.58,12001.0,8
CPT,29884,ARTHRS KNEE SURG LYSIS ADS,,,3451.58,12001.0,8
CPT,29885,ARTHRS KNE SRG DRLG OST DISS,,,4236.0,22625.0,8
CPT,29886,ARTHRS KNEE SURG DRLG OD LES,,,3451.58,12001.0,8
CPT,29887,ARTHRS KNEE SRG DRLG OD FIXJ,,,4236.0,22625.0,8
CPT,29888,ARTHRS AID ACL RPR/AGMNTJ,,,4236.0,22625.0,8
CPT,29889,ARTHRS AID PCL RPR/AGMNTJ,,,4236.0,30380.0,8
CPT,29890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29891,ARTHR ANK OSTCHN DF TAL&/TIB,,,3451.58,12664.0,8
CPT,29892,ARTHRS AID RPR OD LES/TIB FX,,,4236.0,22625.0,8
CPT,29893,ENDOSCOPIC PLANTR FASCIOTOMY,,,3451.58,21649.0,8
CPT,29894,ANKLE ARTHROSCOPY/SURGERY,,,3451.58,12001.0,8
CPT,29895,ANKLE ARTHROSCOPY/SURGERY,,,3451.58,12001.0,8
CPT,29896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29897,ANKLE ARTHROSCOPY/SURGERY,,,3451.58,12001.0,8
CPT,29898,ANKLE ARTHROSCOPY/SURGERY,,,3451.58,12001.0,8
CPT,29899,ANKLE ARTHROSCOPY/SURGERY,,,3500.0,12664.0,8
CPT,29900,MCP JOINT ARTHROSCOPY DX,,,3451.58,12001.0,8
CPT,29901,MCP JOINT ARTHROSCOPY SURG,,,3451.58,12664.0,8
CPT,29902,MCP JOINT ARTHROSCOPY SURG,,,1696.24,6987.0,8
CPT,29903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29904,SUBTALAR ARTHRO W/FB RMVL,,,3451.58,21649.0,8
CPT,29905,SUBTALAR ARTHRO W/EXC,,,5583.0,21649.0,8
CPT,29906,SUBTALAR ARTHRO W/DEB,,,3451.58,21649.0,8
CPT,29907,SUBTALAR ARTHRO W/FUSION,,,5583.0,30380.0,8
CPT,29908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29914,HIP ARTHRO W/FEMOROPLASTY,,,6479.0,22625.0,8
CPT,29915,HIP ARTHRO ACETABULOPLASTY,,,6479.0,22625.0,8
CPT,29916,HIP ARTHRO W/LABRAL REPAIR,,,6479.0,22625.0,8
CPT,29917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,29999,UNLISTED PX ARTHROSCOPY,,,260.21,3500.0,7
CPT,30000,HC I&D NOSE ABSCESS INTERNAL,499.5,174.83,171.33,3500.0,9
CPT,30001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30020,HC DRAINAGE OF NOSE LESION,1171.03,409.87,401.66,3500.0,9
CPT,30021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3006F,CXR DOC REV,,,0.02,0.02,1
CPT,30070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3008F,BODY MASS INDEX DOCD,,,0.02,0.02,1
CPT,30090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30100,HC INTRANASAL BIOPSY,2961.2,1036.42,1015.69,5513.0,10
CPT,30101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30110,REMOVAL OF NOSE POLYP(S),,,1636.74,5513.0,7
CPT,30111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30115,REMOVAL OF NOSE POLYP(S),,,3200.0,6090.0,8
CPT,30116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30117,"HC EXCISION OR DESTRUCTION, INTRANASAL LESION, INTERNAL APPROACH",5753.87,2013.86,1973.58,5694.51,10
CPT,30118,REMOVAL OF INTRANASAL LESION,,,3497.42,6090.0,8
CPT,30119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3011F,LIPID PANEL DOC REV,,,0.02,0.02,1
CPT,30120,REVISION OF NOSE,,,2983.0,6090.0,8
CPT,30121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30124,REMOVAL OF NOSE LESION,,,1636.74,5513.0,8
CPT,30125,REMOVAL OF NOSE LESION,,,3200.0,18067.0,8
CPT,30126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30130,EXCISE INFERIOR TURBINATE,,,3497.42,6090.0,8
CPT,30131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30140,RESECT INFERIOR TURBINATE,,,3200.0,6090.0,8
CPT,30141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3014F,SCREEN MAMMO DOC REV,,,0.02,0.02,1
CPT,30150,RHINECTOMY PARTIAL,,,4236.0,18067.0,8
CPT,30151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3015F,CERV CANCER SCREEN DOCD,,,0.02,0.02,1
CPT,30160,RHINECTOMY TOTAL,,,4883.0,18067.0,8
CPT,30161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3016F,PT SCRND UNHLTHY OH USE,,,0.02,0.02,1
CPT,30170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3017F,COLORECTAL CA SCREEN DOC REV,,,0.02,0.02,1
CPT,30180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3018F,PRE-PRXD RSK ET AL DOCD,,,0.02,0.02,1
CPT,30190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3019F,LVEF ASSESS PLANPOST DSCHRGE,,,0.02,0.02,1
CPT,30200,INJECTION TREATMENT OF NOSE,,,568.93,5428.0,8
CPT,30201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3020F,LVF ASSESS,,,0.02,0.02,1
CPT,30210,NASAL SINUS THERAPY,,,1636.74,5513.0,8
CPT,30211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3021F,LVEF MOD/SEVER DEPRS SYST,,,0.02,0.02,1
CPT,30220,HC INSERT NASAL SEPTAL BUTTON,3266.21,1143.18,1120.31,5583.0,10
CPT,30221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3022F,LVEF >=40% SYSTOLIC,,,0.02,0.02,1
CPT,30230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3023F,SPIROM DOC REV,,,0.02,0.02,1
CPT,30240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3025F,SPIROM FEV/FVC <70% W/COPD,,,0.02,0.02,1
CPT,30260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3027F,SPIROM FEV/FVC>=70%/W/OCOPD,,,0.02,0.02,1
CPT,30280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3028F,O2 SATURATION DOC REV,,,0.02,0.02,1
CPT,30290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30300,HC REMOVAL OF F.B. (NASAL),263.51,92.23,90.38,5428.0,9
CPT,30301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30310,REMOVE NASAL FOREIGN BODY,,,2983.0,5694.51,8
CPT,30311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30320,REMOVE NASAL FOREIGN BODY,,,1636.74,5513.0,8
CPT,30321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3035F,O2 SATURATION<=88%/PAO<=55,,,0.02,0.02,1
CPT,30360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3037F,O2 SATURATION >88%/PAO>55 HG,,,0.02,0.02,1
CPT,30380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3038F,PULM FX W/IN 12 MON B/4 SURG,,,0.02,0.02,1
CPT,30390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30400,RECONSTRUCTION OF NOSE,,,4883.0,18067.0,8
CPT,30401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3040F,FEV <40% PREDICTED VALUE,,,0.02,0.02,1
CPT,30410,RECONSTRUCTION OF NOSE,,,6177.0,18067.0,8
CPT,30411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30420,RECONSTRUCTION OF NOSE,,,6177.0,18067.0,8
CPT,30421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3042F,FEV >=40% PREDICTED VALUE,,,0.02,0.02,1
CPT,30430,REVISION OF NOSE,,,4236.0,18067.0,8
CPT,30431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30435,REVISION OF NOSE,,,6177.0,18067.0,8
CPT,30436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3044F,HG A1C LEVEL LT 7.0%,,,0.02,0.02,1
CPT,30450,REVISION OF NOSE,,,6244.73,18067.0,8
CPT,30451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30460,REVISION OF NOSE,,,6244.73,18067.0,8
CPT,30461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30462,REVISION OF NOSE,,,6244.73,21649.0,8
CPT,30463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30465,REPAIR NASAL STENOSIS,,,6244.73,21649.0,8
CPT,30466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30468,RPR NSL VLV COLLAPSE W/IMPLT,,,6244.73,21649.0,8
CPT,30469,RPR NSL VLV COLLAPSE W/RMDLG,,,6244.73,21649.0,8
CPT,3046F,HEMOGLOBIN A1C LEVEL >9.0%,,,0.02,0.02,1
CPT,30470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3048F,LDL-C <100 MG/DL,,,0.02,0.02,1
CPT,30490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3049F,LDL-C 100-129 MG/DL,,,0.02,0.02,1
CPT,30500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3050F,LDL-C >= 130 MG/DL,,,0.02,0.02,1
CPT,30510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3051F,HG A1C>EQUAL 7.0%<8.0%,,,0.02,0.02,1
CPT,30520,HC SEPTOPLASTY/SUBMUCOUS RESECTION W/ OR W/O CARTILAGE SCORING CONTOURING REPLACEMENT WITH GRAFT,9460.14,3311.05,3244.83,6479.0,10
CPT,30521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3052F,HG A1C>EQUAL 8.0%<EQUAL 9.0%,,,0.02,0.02,1
CPT,30530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30540,RPR CHOANAL ATRESIA NTRANASL,,,6177.0,18067.0,8
CPT,30541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30545,RPR CHOANAL ATRESIA TRSNPLTN,,,6177.0,18067.0,8
CPT,30546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3055F,LVEF LESS THAN/EQUAL TO 35%,,,0.02,0.02,1
CPT,30560,HC LYSIS INTRANASAL SYNECHIA,1256.18,439.67,430.87,3500.0,10
CPT,30561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3056F,LVEF GREATER THAN 35%,,,0.02,0.02,1
CPT,30570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30580,REPAIR UPPER JAW FISTULA,,,4883.0,18067.0,8
CPT,30581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30600,REPAIR MOUTH/NOSE FISTULA,,,4883.0,18067.0,8
CPT,30601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3060F,POS MICROALBUMINURIA REV,,,0.02,0.02,1
CPT,30610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3061F,NEG MICROALBUMINURIA REV,,,0.02,0.02,1
CPT,30620,INTRANASAL RECONSTRUCTION,,,6244.73,18067.0,8
CPT,30621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3062F,POS MACROALBUMINURIA REV,,,0.02,0.02,1
CPT,30630,REPAIR NASAL SEPTUM DEFECT,,,3497.42,11244.0,8
CPT,30631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3066F,NEPHROPATHY DOC TX,,,0.02,0.02,1
CPT,30670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3072F,LOW RISK FOR RETINOPATHY,,,0.02,0.02,1
CPT,30730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3073F,PRE-SURG EYE MEASURES DOCD,,,0.02,0.02,1
CPT,30740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3074F,SYST BP LT 130 MM HG,,,0.02,0.02,1
CPT,30750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3075F,SYST BP GE 130 - 139MM HG,,,0.02,0.02,1
CPT,30760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3077F,SYST BP >= 140 MM HG,,,0.02,0.02,1
CPT,30780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3078F,DIAST BP <80 MM HG,,,0.02,0.02,1
CPT,30790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3079F,DIAST BP 80-89 MM HG,,,0.02,0.02,1
CPT,30800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30801,ABLATE INF TURBINATE SUPERF,,,1636.74,5513.0,8
CPT,30802,ABLATE INF TURBINATE SUBMUC,,,1636.74,5513.0,8
CPT,30803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3080F,DIAST BP >= 90 MM HG,,,0.02,0.02,1
CPT,30810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3082F,KT/V <1.2,,,0.02,0.02,1
CPT,30830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3083F,KT/V =/> 1.2 & <1.7,,,0.02,0.02,1
CPT,30840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3084F,KT/V >= 1.7,,,0.02,0.02,1
CPT,30850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3085F,SUICIDE RISK ASSESSED,,,0.02,0.02,1
CPT,30860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3088F,MDD MILD,,,0.02,0.02,1
CPT,30890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3089F,MDD MODERATE,,,0.02,0.02,1
CPT,30900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30901,HC NASAL PACKING/CAUTERY LTD,464.73,162.66,140.35,3500.0,9
CPT,30902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30903,HC NASAL HEM/PACK ANT COMPLEX,356.21,124.68,122.18,3500.0,10
CPT,30904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30905,HC NASAL HEM/PACK POSTERIOR,388.23,135.89,133.16,3500.0,10
CPT,30906,REPEAT CONTROL OF NOSEBLEED,,,249.85,3500.0,8
CPT,30907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3090F,MDD SEVERE W/O PSYCH,,,0.02,0.02,1
CPT,30910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30915,LIGATION NASAL SINUS ARTERY,,,3200.0,12001.0,8
CPT,30916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3091F,MDD SEVERE W/PSYCH,,,0.02,0.02,1
CPT,30920,LIGATION UPPER JAW ARTERY,,,3330.78,12001.0,8
CPT,30921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3092F,MDD IN REMISSION,,,0.02,0.02,1
CPT,30930,THER FX NASAL INF TURBINATE,,,3497.42,6479.0,8
CPT,30931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3093F,DOC NEW DIAG 1ST/ADDL MDD,,,0.02,0.02,1
CPT,30940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3095F,CENTRAL DEXA RESULTS DOCD,,,0.02,0.02,1
CPT,30960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3096F,CENTRAL DEXA ORDERED,,,0.02,0.02,1
CPT,30970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,30999,HC PLACEMENT OF NASAL SPLINT,4846.57,1696.3,249.85,3500.0,9
CPT,30999,"HC UNLISTED PROC, NOSE",549.67,192.39,188.54,3500.0,9
CPT,30999,"HC VALVULOPLASTY, NO GRAFT, IMPLANT, OR WALL RECONST",17755.19,6214.32,249.85,6090.03,9
CPT,31000,IRRIGATION MAXILLARY SINUS,,,249.85,3500.0,7
CPT,31001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31002,IRRIGATION SPHENOID SINUS,,,1636.74,5513.0,8
CPT,31003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3100F,IMAGE TEST REF CAROT DIAM,,,0.02,0.02,1
CPT,31010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31020,EXPLORATION MAXILLARY SINUS,,,3200.0,6090.0,8
CPT,31021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31030,EXPLORATION MAXILLARY SINUS,,,4236.0,18067.0,8
CPT,31031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31032,EXPLORE SINUS REMOVE POLYPS,,,4883.0,18067.0,8
CPT,31033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31040,EXPLORATION BEHIND UPPER JAW,,,5428.0,18067.0,7
CPT,31041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31050,EXPLORATION SPHENOID SINUS,,,3200.0,18067.0,8
CPT,31051,SPHENOID SINUS SURGERY,,,4883.0,18067.0,8
CPT,31052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31070,EXPLORATION OF FRONTAL SINUS,,,3200.0,18067.0,8
CPT,31071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31075,EXPLORATION OF FRONTAL SINUS,,,4883.0,18067.0,8
CPT,31076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31080,REMOVAL OF FRONTAL SINUS,,,4883.0,18067.0,8
CPT,31081,REMOVAL OF FRONTAL SINUS,,,4883.0,18067.0,8
CPT,31082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31084,REMOVAL OF FRONTAL SINUS,,,4883.0,18067.0,8
CPT,31085,REMOVAL OF FRONTAL SINUS,,,4883.0,18067.0,8
CPT,31086,REMOVAL OF FRONTAL SINUS,,,4883.0,18067.0,8
CPT,31087,REMOVAL OF FRONTAL SINUS,,,4883.0,18067.0,8
CPT,31088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31090,EXPLORATION OF SINUSES,,,6177.0,18067.0,8
CPT,31091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31100,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3110F,PRES/ABSN HMRHG/LESION DOCD,,,0.02,0.02,1
CPT,31110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3111F,CT/MRI BRAIN DONE W/IN 24HRS,,,0.02,0.02,1
CPT,31120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3112F,CT/MRI BRAIN DONE 24 HRS,,,0.02,0.02,1
CPT,31130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3115F,QUANT RESULTS ACTIVITY &SYMP,,,0.02,0.02,1
CPT,31160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3117F,HF ASSESSMENT TOOL COMPLETED,,,0.02,0.02,1
CPT,31180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3118F,NY HEART ASSOC CLASS DOCD,,,0.02,0.02,1
CPT,31190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3119F,NO EVAL ACTIVITY CLIN SYMP,,,0.02,0.02,1
CPT,31200,REMOVAL OF ETHMOID SINUS,,,3200.0,18067.0,8
CPT,31201,REMOVAL OF ETHMOID SINUS,,,1636.74,9611.0,8
CPT,31202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31205,REMOVAL OF ETHMOID SINUS,,,3497.42,6090.0,8
CPT,31206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3120F,12-LEAD ECG PERFORMED,,,0.02,0.02,1
CPT,31210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31225,REMOVAL OF UPPER JAW,,,1597.36,18067.0,7
CPT,31226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31230,REMOVAL OF UPPER JAW,,,1762.58,18067.0,7
CPT,31231,HC NASAL ENDOSCOPY,592.96,207.54,203.39,3500.0,9
CPT,31232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31233,HC NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY,1240.0,434.0,412.58,3500.0,10
CPT,31234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31235,NSL/SINS NDSC DX SPHN SINUSC,,,1877.59,5513.0,8
CPT,31236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31237,HC NASAL SINUS ENDOSCOPY W/BIOP,4063.84,1422.35,1393.9,5513.0,10
CPT,31238,HC NASAL/SINUS ENDOSCOPY SURG,3644.91,1275.72,1250.2,5513.0,10
CPT,31239,"HC NASAL/SINUS ENDOSCOPY, SURGICAL: WITH DACRYOCYSTORHINOSTOMY",7230.7,2530.75,2480.13,12001.0,10
CPT,31240,NSL/SNS NDSC CNCH BULL RESCJ,,,1877.59,6090.0,8
CPT,31241,NSL/SNS NDSC LIG SPHNPTN ART,,,1877.59,6090.0,7
CPT,31242,NSL/SINUS NDSC RF ABLTJ PNN,,,5583.0,10167.67,6
CPT,31243,NSL/SINUS NDSC CRYOABLTJ PNN,,,5583.0,10167.67,6
CPT,31244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31253,NSL/SINS NDSC TOTAL,,,6987.0,22133.0,8
CPT,31254,NSL/SINS NDSC W/PRTL ETHMDCT,,,4236.0,22133.0,8
CPT,31255,NSL/SINS NDSC W/TOT ETHMDCT,,,6177.0,22133.0,8
CPT,31256,EXPLORATION MAXILLARY SINUS,,,3932.97,12001.0,8
CPT,31257,NSL/SINS NDSC TOT W/SPHENDT,,,6987.0,22133.0,8
CPT,31258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31259,NSL/SINS NDSC SPHN TISS RMVL,,,6987.0,22133.0,8
CPT,31260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31267,ENDOSCOPY MAXILLARY SINUS,,,4236.0,22133.0,8
CPT,31268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3126F,ESOPH BX RPRT W/DYSPL INFO,,,0.02,0.02,1
CPT,31270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31276,NSL/SINS NDSC FRNT TISS RMVL,,,4236.0,22133.0,8
CPT,31277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31287,NASAL/SINUS ENDOSCOPY SURG,,,4236.0,22133.0,8
CPT,31288,NASAL/SINUS ENDOSCOPY SURG,,,4236.0,22133.0,8
CPT,31289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31290,NASAL/SINUS ENDOSCOPY SURG,,,997.5,22133.0,7
CPT,31291,NASAL/SINUS ENDOSCOPY SURG,,,1077.95,22133.0,7
CPT,31292,NSL/SINS NDSC MED/INF DCMPRN,,,5583.0,22133.0,7
CPT,31293,NSL/SINS NDSC MED&INF DCMPRN,,,5583.0,22133.0,7
CPT,31294,NSL/SINS NDSC SURG ON DCMPRN,,,5583.0,22133.0,7
CPT,31295,NSL/SINS NDSC SURG MAX SINS,,,5583.0,22133.0,8
CPT,31296,NSL/SINS NDSC SURG FRNT SINS,,,5583.0,22133.0,8
CPT,31297,NSL/SINS NDSC SURG SPHN SINS,,,5583.0,22133.0,8
CPT,31298,NSL/SINS NDSC SURG FRNT&SPHN,,,6479.0,22133.0,8
CPT,31299,HC CORE NEEDLE BIOPSY MAXILLARY SINUS THROUGH INCISION,4908.53,1717.99,249.85,5428.0,9
CPT,31299,HC MAXILLARY SINUS PUNCTURE AND IRRIGATION,1323.88,463.36,249.85,5428.0,9
CPT,31299,HC SEPTAL SPLINT PLACEMENT,522.97,183.04,179.38,5428.0,9
CPT,31300,REMOVAL OF LARYNX LESION,,,3497.42,9611.0,8
CPT,31301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3130F,UPPER GI ENDOSCOPY PERFORMED,,,0.02,0.02,1
CPT,31310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31320,Mammogram,,,37258.13,37258.13,1
CPT,31321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3132F,DOC REF UPPER GI ENDOSCOPY,,,0.02,0.02,1
CPT,31330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31360,REMOVAL OF LARYNX,,,1829.92,18067.0,7
CPT,31361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31365,REMOVAL OF LARYNX,,,2238.48,18067.0,7
CPT,31366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31367,PARTIAL REMOVAL OF LARYNX,,,1952.09,18067.0,7
CPT,31368,PARTIAL REMOVAL OF LARYNX,,,2150.27,18067.0,7
CPT,31369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31370,PARTIAL REMOVAL OF LARYNX,,,1844.94,18067.0,7
CPT,31371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31375,PARTIAL REMOVAL OF LARYNX,,,1757.51,18067.0,7
CPT,31376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31380,PARTIAL REMOVAL OF LARYNX,,,1734.85,18067.0,7
CPT,31381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31382,PARTIAL REMOVAL OF LARYNX,,,1890.24,18067.0,7
CPT,31383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31390,REMOVAL OF LARYNX & PHARYNX,,,2457.32,18067.0,7
CPT,31391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31395,RECONSTRUCT LARYNX & PHARYNX,,,2584.47,18067.0,7
CPT,31396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31400,REVISION OF LARYNX,,,3200.0,18067.0,8
CPT,31401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3140F,UPPER GI ENDO SHOWS BARRTTS,,,0.02,0.02,1
CPT,31410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3141F,UPPER GI ENDO NOT BARRTTS,,,0.02,0.02,1
CPT,31420,EPIGLOTTIDECTOMY,,,3200.0,18067.0,8
CPT,31421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3142F,BARIUM SWALLOW TEST ORDERED,,,0.02,0.02,1
CPT,31430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31500,HC ENDOTRACHEAL INTUBATION,516.37,180.73,177.11,3500.0,10
CPT,31501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31502,HC CHG TUBE TRACHEOTOMY,435.62,152.47,149.42,3500.0,10
CPT,31503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31505,HC LARYNGOSCOPY INDIRECT,393.46,137.72,134.96,3500.0,9
CPT,31506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3150F,FORCEPS ESOPH BIOPSY DONE,,,0.02,0.02,1
CPT,31510,HC LARYNGOSCOPY INDIRECT WITH BIOPSY,7560.4,2646.14,2593.22,12001.0,10
CPT,31511,REMOVE FOREIGN BODY LARYNX,,,210.56,3500.0,8
CPT,31512,REMOVAL OF LARYNX LESION,,,3200.0,12001.0,8
CPT,31513,INJECTION INTO VOCAL CORD,,,412.58,3500.0,8
CPT,31514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31515,LARYNGOSCOPY FOR ASPIRATION,,,412.58,3500.0,8
CPT,31516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31520,DX LARYNGOSCOPY NEWBORN,,,412.58,3500.0,7
CPT,31521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31525,HC DIAG LARYNOGOSCOPY NOT NEWBORN,4063.84,1422.35,1393.9,5513.0,10
CPT,31526,DX LARYNGOSCOPY W/OPER SCOPE,,,1877.59,5513.0,8
CPT,31527,LARYNGOSCOPY FOR TREATMENT,,,2983.0,12001.0,8
CPT,31528,LARYNGOSCOPY AND DILATION,,,3200.0,12001.0,8
CPT,31529,LARYNGOSCOPY AND DILATION,,,3200.0,12001.0,8
CPT,31530,HC LARYNGOSCOPY DIRECT OPERATIVE WITH FOREIGN BODY REMOVAL,7011.4,2453.99,1877.59,5513.0,10
CPT,31531,LARYNGOSCOPY W/FB & OP SCOPE,,,3932.97,12001.0,8
CPT,31532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31535,LARYNGOSCOPY W/BIOPSY,,,3200.0,12001.0,8
CPT,31536,LARYNGOSCOPY W/BX & OP SCOPE,,,3932.97,12001.0,8
CPT,31537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31540,LARYNGOSCOPY W/EXC OF TUMOR,,,3932.97,12001.0,8
CPT,31541,LARYNSCOP W/TUMR EXC + SCOPE,,,3932.97,12001.0,8
CPT,31542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31545,HC REMOVE VC LESION W/SCOPE,7970.28,2789.6,2733.81,12001.0,10
CPT,31546,REMOVE VC LESION SCOPE/GRAFT,,,4883.0,22133.0,8
CPT,31547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31551,LARYNGOPLASTY LARYNGEAL STEN,,,6244.73,18067.0,7
CPT,31552,LARYNGOPLASTY LARYNGEAL STEN,,,6244.73,18067.0,7
CPT,31553,LARYNGOPLASTY LARYNGEAL STEN,,,6244.73,18067.0,7
CPT,31554,LARYNGOPLASTY LARYNGEAL STEN,,,6244.73,18067.0,7
CPT,31555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3155F,CYTOGEN TEST MARROW B/4 TX,,,0.02,0.02,1
CPT,31560,LARYNGOSCOP W/ARYTENOIDECTOM,,,6177.0,22133.0,8
CPT,31561,LARYNSCOP REMVE CART + SCOP,,,6090.0,22133.0,8
CPT,31562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31570,HC LARYNGOSCOPE W/VC INJ,7970.28,2789.6,2733.81,12001.0,10
CPT,31571,LARYNGOSCOP W/VC INJ + SCOPE,,,3200.0,12001.0,8
CPT,31572,LARGSC W/LASER DSTRJ LES,,,3200.0,12001.0,8
CPT,31573,"HC LARYNGOSCOPY, FLX; W/ THERAPEUTIC INJ(S) (CHEMODENERVATION AGT OR CORTICOSTEROID) UNILATERAL",9030.0,3160.5,1877.59,10856.0,10
CPT,31574,"HC LARYNGOSCOPY, W/ INJECTIONS FOR AUGMENTATION, UNILATERAL",3443.87,1205.36,1181.25,10856.0,10
CPT,31575,"HC LARYNGOSCOPY, FOPTIC, DX",385.18,134.82,132.12,3500.0,9
CPT,31576,HC LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES),3319.59,1161.86,1138.62,5513.0,10
CPT,31577,"HC LARYNGOSCOPY, FOPTIC, FB",890.56,311.7,305.46,3500.0,10
CPT,31578,LARGSC W/REMOVAL LESION,,,3200.0,12001.0,8
CPT,31579,HC LARYNGOSCOPY VIDEO STROB,991.2,346.92,339.98,3500.0,10
CPT,31580,LARYNGOPLASTY LARYNGEAL WEB,,,6177.0,18067.0,8
CPT,31581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31582,Mammogram,,,125691.37,125691.37,1
CPT,31583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31584,LARYNGOPLASTY FX RDCTJ FIXJ,,,6244.73,18067.0,7
CPT,31585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31587,LARYNGOPLASTY CRICOID SPLIT,,,6244.73,18067.0,7
CPT,31588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31588,Mammogram,,,75382.83,75382.83,1
CPT,31589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31590,REINNERVATE LARYNX,,,6177.0,18067.0,8
CPT,31591,LARYNGOPLASTY MEDIALIZATION,,,6244.73,18067.0,7
CPT,31592,CRICOTRACHEAL RESECTION,,,6244.73,18067.0,7
CPT,31593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31595,Mammogram,,,49389.92,49389.92,1
CPT,31596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31599,UNLISTED PROCEDURE LARYNX,,,249.85,3500.0,7
CPT,31600,PLANNED TRACHEOSTOMY,,,3200.0,6090.0,8
CPT,31601,PLANNED TRACHEOSTOMY<2 YRS,,,5428.0,18067.0,7
CPT,31602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31603,EMER TRACHEOSTOMY TTRACH,,,1636.74,5513.0,8
CPT,31604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31605,HC CRICOTHYROIDOSTOMY,1313.63,459.78,249.85,3500.0,10
CPT,31606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3160F,DOC FE+ STORES B/4 EPO THX,,,0.02,0.02,1
CPT,31610,TRACHEOSTOMY FENEST SKIN FLP,,,5428.0,18067.0,7
CPT,31611,HC CONSTRUCTION OF TRACHEOESOPHAGEAL FISTULA AND SUBSEQUENT INSERTION OF AN ALARYNGEAL SPEECH PROSTH,7107.56,2487.65,2437.89,6090.0,10
CPT,31612,HC PUNCT TRACHEAL INJ/ASP,7941.88,2779.66,406.0,6090.0,10
CPT,31613,HC REVISION OF TRACHEOSTOMA SIMPLE,10278.64,3597.53,3200.0,6090.0,10
CPT,31614,TRACHEOSTOMA REVJ COMPLEX,,,3200.0,18067.0,8
CPT,31615,HC BRONCHOSC THRU TRACH,1560.31,546.11,406.0,3500.0,10
CPT,31616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31620,Mammogram,,,4449.32,4449.32,1
CPT,31621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31622,HC BRONCHOSCOPY DIAGNOSTIC,3531.07,1235.88,1211.16,5513.0,10
CPT,31623,HC DX BRONCHOSCOPE/BRUSH,3612.37,1264.33,1239.04,5513.0,10
CPT,31624,HC DX BRONCHOSCOPE/LAVAGE,3612.37,1264.33,1239.04,5513.0,10
CPT,31625,HC BRONCHOSCOPY W/BIOPSY,3612.37,1264.33,1239.04,5513.0,10
CPT,31626,BRONCHOSCOPY W/MARKERS,,,4236.0,22133.0,8
CPT,31627,NAVIGATIONAL BRONCHOSCOPY,,,1224.0,6356.28,7
CPT,31628,HC BRONCHOSCOPY W/FLUORO,6807.55,2382.65,2334.99,12001.0,10
CPT,31629,HC BRONCHOSCOPY W/ASPIR BX,7970.28,2789.6,2733.81,12001.0,10
CPT,31630,BRONCHOSCOPY DILATE/FX REPR,,,3200.0,12001.0,8
CPT,31631,BRONCHOSCOPY DILATE W/STENT,,,3200.0,22133.0,8
CPT,31632,HC BRONCHOSCOPY/LUNG BX ADDL,2059.3,720.76,70.72,3478.0,10
CPT,31633,HC BRONCHOSCOPY/NEEDLE BX ADDL,1096.47,383.77,88.31,4159.12,10
CPT,31634,BRONCH W/BALLOON OCCLUSION,,,4236.0,22133.0,8
CPT,31635,HC BRONCHOSCOPY W/FB REMOVAL,3612.37,1264.33,1239.04,5513.0,10
CPT,31636,BRONCHOSCOPY BRONCH STENTS,,,3200.0,22133.0,8
CPT,31637,BRONCHOSCOPY STENT ADD-ON,,,67.34,5105.31,8
CPT,31638,BRONCHOSCOPY REVISE STENT,,,3200.0,22133.0,8
CPT,31639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31640,BRONCHOSCOPY W/TUMOR EXCISE,,,3200.0,12001.0,8
CPT,31641,BRONCHOSCOPY TREAT BLOCKAGE,,,3200.0,12001.0,8
CPT,31642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31643,DIAG BRONCHOSCOPE/CATHETER,,,1877.59,5513.0,8
CPT,31644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31645,HC BRONCHOSCOPY CLEAR AIRWAYS,2833.52,991.74,971.9,5513.0,10
CPT,31646,HC BRONCHOSCOPY RECLEAR AIRWAY,1793.08,627.58,412.58,3500.0,10
CPT,31647,BRONCHIAL VALVE INIT INSERT,,,3200.0,22133.0,8
CPT,31648,BRONCHIAL VALVE REMOV INIT,,,3200.0,12001.0,8
CPT,31649,BRONCHIAL VALVE REMOV ADDL,,,1877.59,5513.0,8
CPT,31650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31651,BRONCHIAL VALVE ADDL INSERT,,,78.71,10856.0,8
CPT,31652,HC BRONCH EBUS SAMPLNG 1/2 NODE,7970.28,2789.6,2733.81,21649.0,10
CPT,31653,HC BRONCH EBUS SAMPLNG 3/> NODE,7970.28,2789.6,2733.81,21649.0,10
CPT,31654,HC BRONCH EBUS IVNTJ PERPH LES,1373.75,480.82,136.06,4413.06,10
CPT,31655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31656,Mammogram,,,7387.61,7387.61,1
CPT,31657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31660,BRONCH THERMOPLSTY 1 LOBE,,,5583.0,22133.0,8
CPT,31661,BRONCH THERMOPLSTY 2/> LOBES,,,5583.0,22133.0,8
CPT,31662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31700,Mammogram,,,4823.93,4823.93,1
CPT,31701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31708,Mammogram,,,4441.24,4441.24,1
CPT,31709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3170F,BASELIN FLO CYTOMETRY B/4 TX,,,0.02,0.02,1
CPT,31710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31710,Mammogram,,,4161.2,4161.2,1
CPT,31711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31715,Mammogram,,,3535.96,3535.96,1
CPT,31716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31717,BRONCHIAL BRUSH BIOPSY,,,412.58,3500.0,8
CPT,31718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31720,HC ASP CATH NASOTRACHEAL,435.66,152.49,149.43,3500.0,10
CPT,31721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31725,CLEARANCE OF AIRWAYS,,,70.76,4524.0,7
CPT,31726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31730,HC INTRO STENT TRANSTRACH,3172.57,1110.4,406.0,5513.0,10
CPT,31731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31750,TRACHEOPLASTY CERVICAL,,,6177.0,18067.0,8
CPT,31751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31755,TRACHPLSTY TRCHPHRYNGL FSTLJ,,,3200.0,18067.0,8
CPT,31756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31760,TRACHEOPLASTY INTRATHORACIC,,,1303.98,18067.0,7
CPT,31761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31766,CARINAL RECONSTRUCTION,,,1648.43,18067.0,7
CPT,31767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31770,REPAIR/GRAFT OF BRONCHUS,,,1239.01,18067.0,7
CPT,31771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31775,RECONSTRUCT BRONCHUS,,,1308.23,18067.0,7
CPT,31776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31780,RECONSTRUCT WINDPIPE,,,1036.12,18067.0,7
CPT,31781,RECONSTRUCT WINDPIPE,,,1228.01,18067.0,7
CPT,31782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31785,REMOVE WINDPIPE LESION,,,4883.0,18067.0,8
CPT,31786,REMOVE WINDPIPE LESION,,,1345.82,18067.0,7
CPT,31787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31800,REPAIR OF WINDPIPE INJURY,,,660.97,12001.0,7
CPT,31801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31805,REPAIR OF WINDPIPE INJURY,,,792.0,12001.0,7
CPT,31806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31820,HC SURGICAL CLOSURE TRACHEOSTOMY OR FISTULA; WITHOUT PLASTIC REPAIR,10278.64,3597.53,2983.0,6090.0,10
CPT,31821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31825,REPAIR OF WINDPIPE DEFECT,,,3200.0,6090.0,8
CPT,31826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31830,REVISE WINDPIPE SCAR,,,3200.0,6090.0,8
CPT,31831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31899,HC REMOVAL OF TRACHEAL SCAR TISSUE,7011.28,2453.95,210.56,3500.0,9
CPT,31899,HC TRACHEOBRONCH W/ ASPIR,2833.52,991.74,210.56,3500.0,9
CPT,31899,HC TRACHEOESOPHAGEAL VOICE PROSTHESIS PLACEMENT (TEP),987.27,345.55,210.56,3500.0,9
CPT,31900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,31999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32000,Mammogram,,,4756.19,4756.19,1
CPT,32001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32002,Mammogram,,,7670.34,7670.34,1
CPT,32003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32005,Mammogram,,,7011.66,7011.66,1
CPT,32006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3200F,BARIUM SWALLOW TEST NOT REQ,,,0.02,0.02,1
CPT,32010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32019,Mammogram,,,14066.92,14066.92,1
CPT,32020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32020,Mammogram,,,11266.69,11266.69,1
CPT,32021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32035,THORACOSTOMY W/RIB RESECTION,,,728.82,19925.0,7
CPT,32036,THORACOSTOMY W/FLAP DRAINAGE,,,774.77,19925.0,7
CPT,32037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32095,Mammogram,,,43038.91,43038.91,1
CPT,32096,OPEN WEDGE/BX LUNG INFILTR,,,758.35,19925.0,7
CPT,32097,OPEN WEDGE/BX LUNG NODULE,,,764.49,19925.0,7
CPT,32098,OPEN BIOPSY OF LUNG PLEURA,,,716.84,19925.0,7
CPT,32099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32100,HC EXPLORATION OF CHEST,927.07,324.48,317.99,22133.0,10
CPT,32101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3210F,GRP A STREP TEST PERFORMED,,,0.02,0.02,1
CPT,32110,HC THORACOTOMY HEM CONTROL,2411.35,843.98,827.09,22133.0,10
CPT,32111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32120,RE-EXPLORATION OF CHEST,,,846.03,22133.0,7
CPT,32121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32124,EXPLORE CHEST FREE ADHESIONS,,,895.19,22133.0,7
CPT,32125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32140,REMOVAL OF LUNG LESION(S),,,949.63,22133.0,7
CPT,32141,REMOVE/TREAT LUNG LESIONS,,,1417.09,22133.0,7
CPT,32142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32150,REMOVAL OF LUNG LESION(S),,,971.03,22133.0,7
CPT,32151,REMOVE LUNG FOREIGN BODY,,,962.7,22133.0,7
CPT,32152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3215F,PT IMMUNITY TO HEP A DOCD,,,0.02,0.02,1
CPT,32160,HC THORACOTOMY W/CARD MASSAGE,966.98,338.45,331.67,22133.0,10
CPT,32161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3216F,PT IMMUNITY TO HEP B DOCD,,,0.02,0.02,1
CPT,32170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3218F,RNA TSTNG HEP C DOCD DONE,,,0.02,0.02,1
CPT,32190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32200,DRAIN OPEN LUNG LESION,,,1104.96,19925.0,7
CPT,32201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32201,Mammogram,,,13130.78,13130.78,1
CPT,32202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3220F,HEP C QUANT RNA TSTNG DOCD,,,0.02,0.02,1
CPT,32210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32215,HC PLEURAL SCARIFICATION FOR REPEAT PNEUMOTHORAX,9239.24,3233.74,781.49,19925.0,9
CPT,32216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32220,RELEASE OF LUNG,,,1530.63,19925.0,7
CPT,32221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32225,PARTIAL RELEASE OF LUNG,,,952.06,19925.0,7
CPT,32226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3230F,NOTE HRING TST W/IN 6 MON,,,0.02,0.02,1
CPT,32310,REMOVAL OF CHEST LINING,,,885.07,19925.0,7
CPT,32311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32320,FREE/REMOVE CHEST LINING,,,1522.33,19925.0,7
CPT,32321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32400,HC BX PLEURA PERC,3450.65,1207.73,1183.57,5513.0,10
CPT,32401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32402,Mammogram,,,38663.94,38663.94,1
CPT,32403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32405,Mammogram,,,5928.88,5928.88,1
CPT,32406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32408,HC CORE NDL BX LNG/MED PERQ,3605.06,1261.78,1236.54,10856.0,10
CPT,32409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32420,Mammogram,,,7340.69,7340.69,1
CPT,32421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32421,Mammogram,,,5102.62,5102.62,1
CPT,32422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32422,Mammogram,,,8256.62,8256.62,1
CPT,32423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32440,REMOVE LUNG PNEUMONECTOMY,,,1475.58,30380.0,7
CPT,32441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32442,SLEEVE PNEUMONECTOMY,,,2780.35,30380.0,7
CPT,32443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32445,REMOVAL OF LUNG EXTRAPLEURAL,,,3249.47,30380.0,7
CPT,32446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32480,PARTIAL REMOVAL OF LUNG,,,1389.09,30380.0,7
CPT,32481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32482,BILOBECTOMY,,,1490.51,30380.0,7
CPT,32483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32484,SEGMENTECTOMY,,,1337.98,30380.0,7
CPT,32485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32486,SLEEVE LOBECTOMY,,,2143.0,30380.0,7
CPT,32487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32488,COMPLETION PNEUMONECTOMY,,,2209.78,30380.0,7
CPT,32489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32491,LUNG VOLUME REDUCTION,,,1396.25,30380.0,7
CPT,32492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32500,Mammogram,,,98793.8,98793.8,1
CPT,32501,REPAIR BRONCHUS ADD-ON,,,216.12,30380.0,7
CPT,32502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32503,RESECT APICAL LUNG TUMOR,,,1673.87,30380.0,7
CPT,32504,RESECT APICAL LUNG TUM/CHEST,,,1895.54,30380.0,7
CPT,32505,WEDGE RESECT OF LUNG INITIAL,,,889.39,30380.0,7
CPT,32506,WEDGE RESECT OF LUNG ADD-ON,,,138.43,30380.0,7
CPT,32507,WEDGE RESECT OF LUNG DIAG,,,138.43,30380.0,7
CPT,32508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3250F,NONPRIM LOC ANAT BX SITE TUM,,,0.02,0.02,1
CPT,32510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32540,REMOVAL OF LUNG LESION,,,1616.38,30380.0,7
CPT,32541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32550,HC NST IDWL TNL PLRL CAH W CUF,6090.08,2131.53,2088.9,21649.0,10
CPT,32551,HC THORACOSTOMY W/TUBE INSRT,3408.63,1193.03,1169.16,4524.0,10
CPT,32552,HC REMOVE LUNG CATHETER,1301.28,455.45,446.34,3603.0,9
CPT,32553,INS MARK THOR FOR RT PERQ,,,1460.1,6177.0,8
CPT,32554,HC THORACENTESIS W/O IMG GUIDANCE,1169.16,409.21,401.02,3603.0,10
CPT,32555,HC THORACENTESIS W IMG GUIDANCE,1389.67,486.39,476.66,3603.0,10
CPT,32556,HC PLEURAL DRAIN W/O IMAGING,3713.64,1299.78,1273.78,5513.0,10
CPT,32557,HC PLEURAL DRAIN W IMAGING,2820.19,987.07,967.33,4524.0,10
CPT,32558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32560,TREAT PLEURODESIS W/AGENT,,,661.73,3603.0,8
CPT,32561,"HC INSTILLATION(S), VIA CHEST TUBE, AGENT FOR FIBRINOLYSIS, INITIAL DAY",1623.08,568.08,556.72,3603.0,10
CPT,32562,LYSE CHEST FIBRIN SUBQ DAY,,,661.73,3603.0,8
CPT,32563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32601,THORACOSCOPY DIAGNOSTIC,,,5583.0,19925.0,7
CPT,32602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32602,Mammogram,,,22905.79,22905.79,1
CPT,32603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32603,Mammogram,,,29792.86,29792.86,1
CPT,32604,THORACOSCOPY WBX SAC,,,5583.0,19925.0,7
CPT,32605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32605,Mammogram,,,26329.29,26329.29,1
CPT,32606,THORACOSCOPY W/BX MED SPACE,,,5583.0,19925.0,7
CPT,32607,THORACOSCOPY W/BX INFILTRATE,,,5583.0,21649.0,8
CPT,32608,THORACOSCOPY W/BX NODULE,,,5583.0,21649.0,8
CPT,32609,THORACOSCOPY W/BX PLEURA,,,5583.0,21649.0,8
CPT,3260F,PT CAT/PN CAT/HIST GRD DOCD,,,0.02,0.02,1
CPT,32610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32650,THORACOSCOPY W/PLEURODESIS,,,649.4,19925.0,7
CPT,32651,THORACOSCOPY REMOVE CORTEX,,,1031.5,19925.0,7
CPT,32652,THORACOSCOPY REM TOTL CORTEX,,,1553.78,19925.0,7
CPT,32653,THORACOSCOPY REMOV FB/FIBRIN,,,1000.02,19925.0,7
CPT,32654,THORACOSCOPY CONTRL BLEEDING,,,1119.73,19925.0,7
CPT,32655,THORACOSCOPY RESECT BULLAE,,,909.74,19925.0,7
CPT,32656,THORACOSCOPY W/PLEURECTOMY,,,776.03,19925.0,7
CPT,32657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32657,Mammogram,,,53963.21,53963.21,1
CPT,32658,THORACOSCOPY W/SAC FB REMOVE,,,692.95,19925.0,7
CPT,32659,THORACOSCOPY W/SAC DRAINAGE,,,714.58,19925.0,7
CPT,3265F,RNA TSTNG HEPC VIR ORD/DOCD,,,0.02,0.02,1
CPT,32660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32660,Mammogram,,,71661.15,71661.15,1
CPT,32661,THORACOSCOPY W/PERICARD EXC,,,767.55,19925.0,7
CPT,32662,THORACOSCOPY W/MEDIAST EXC,,,855.84,19925.0,7
CPT,32663,THORACOSCOPY W/LOBECTOMY,,,1304.34,19925.0,7
CPT,32664,THORACOSCOPY W/ TH NRV EXC,,,811.3,19925.0,7
CPT,32665,THORACOSCOP W/ESOPH MUSC EXC,,,1155.8,19925.0,7
CPT,32666,THORACOSCOPY W/WEDGE RESECT,,,834.52,30380.0,7
CPT,32667,THORACOSCOPY W/W RESECT ADDL,,,138.69,19925.0,7
CPT,32668,THORACOSCOPY W/W RESECT DIAG,,,139.05,19925.0,7
CPT,32669,THORACOSCOPY REMOVE SEGMENT,,,1254.3,19925.0,7
CPT,3266F,HEPC GN TSTNG DOCD B/4TXMNT,,,0.02,0.02,1
CPT,32670,THORACOSCOPY BILOBECTOMY,,,1482.13,19925.0,7
CPT,32671,THORACOSCOPY PNEUMONECTOMY,,,1638.01,19925.0,7
CPT,32672,THORACOSCOPY FOR LVRS,,,1410.26,19925.0,7
CPT,32673,THORACOSCOPY W/THYMUS RESECT,,,1140.1,19925.0,7
CPT,32674,THORACOSCOPY LYMPH NODE EXC,,,191.28,19925.0,7
CPT,32675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3267F,PATH RPRT W/ PT PN CAT ET AL,,,0.02,0.02,1
CPT,32680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3268F,PSA/T/GLSC DOCD B/4 TXMNT,,,0.02,0.02,1
CPT,32690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3269F,BONE SCN B/4 TXMNT/AFTR DX,,,0.02,0.02,1
CPT,32700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32701,THORAX STEREO RAD TARGETW/TX,,,186.1,4344.0,7
CPT,32702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3270F,NO BONE SCN B/4 TXMNT/AFTRDX,,,0.02,0.02,1
CPT,32710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3271F,LOW RISK PROSTATE CANCER,,,0.02,0.02,1
CPT,32720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3272F,MED RISK PROSTATE CANCER,,,0.02,0.02,1
CPT,32730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3273F,HIGH RISK PROSTATE CANCER,,,0.02,0.02,1
CPT,32740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3274F,PROST CNCR RSK NOT LW/MD/HGH,,,0.02,0.02,1
CPT,32750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3278F,SERUM LVLS CA/IPTH/LPD ORD,,,0.02,0.02,1
CPT,32790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3279F,HGB LVL >= 13 G/DL,,,0.02,0.02,1
CPT,32800,REPAIR LUNG HERNIA,,,913.46,19925.0,7
CPT,32801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3280F,HGB LVL 11-12.9 G/DL,,,0.02,0.02,1
CPT,32810,CLOSE CHEST AFTER DRAINAGE,,,869.77,19925.0,7
CPT,32811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32815,CLOSE BRONCHIAL FISTULA,,,2596.06,19925.0,7
CPT,32816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3281F,HGB LVL <11 G/DL,,,0.02,0.02,1
CPT,32820,RECONSTRUCT INJURED CHEST,,,1308.07,19925.0,7
CPT,32821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3284F,IOP RED >=15% PRE-NTRV LVL,,,0.02,0.02,1
CPT,32850,DONOR PNEUMONECTOMY,,,4344.0,19925.0,3
CPT,32851,LUNG TRANSPLANT SINGLE,,,3004.51,52872.0,7
CPT,32852,LUNG TRANSPLANT WITH BYPASS,,,3284.89,52872.0,7
CPT,32853,LUNG TRANSPLANT DOUBLE,,,4172.41,52872.0,7
CPT,32854,LUNG TRANSPLANT WITH BYPASS,,,4344.0,52872.0,7
CPT,32855,PREPARE DONOR LUNG SINGLE,,,4344.0,19925.0,3
CPT,32856,PREPARE DONOR LUNG DOUBLE,,,4344.0,19925.0,3
CPT,32857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3285F,IOP DOWN <15% OF PRE-SVC LVL,,,0.02,0.02,1
CPT,32860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3288F,FALL RISK ASSESSMENT DOCD,,,0.02,0.02,1
CPT,32890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32900,REMOVAL OF RIB(S),,,1279.02,12001.0,7
CPT,32901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32905,REVISE & REPAIR CHEST WALL,,,1255.18,30380.0,7
CPT,32906,REVISE & REPAIR CHEST WALL,,,1532.99,30380.0,7
CPT,32907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3290F,PT=D(RH)- AND UNSENSITIZED,,,0.02,0.02,1
CPT,32910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3291F,PT=D(RH)+ OR SENSITIZED,,,0.02,0.02,1
CPT,32920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3292F,HIV TSTNG ASKED/DOCD/REVWD,,,0.02,0.02,1
CPT,32930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3293F,ABO RH BLOOD TYPING DOCD,,,0.02,0.02,1
CPT,32940,REVISION OF LUNG,,,1164.67,30380.0,7
CPT,32941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3294F,GRP B STREP SCREENING DOCD,,,0.02,0.02,1
CPT,32950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32960,THERAPEUTIC PNEUMOTHORAX,,,661.73,5428.0,8
CPT,32961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32994,HC ABLATION THERAPY 1 + PULMONARY TUMORS UNILATERAL CRYOABLATION,21908.5,7667.98,6479.0,19925.0,9
CPT,32995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,32997,TOTAL LUNG LAVAGE,,,301.53,12001.0,7
CPT,32998,ABLATE PULM TUMOR PERQ RF,,,6377.33,21649.0,8
CPT,32999,HC FLUOROSCOPIC CHEST TUBE EVALUATION,4198.98,1469.65,661.73,5428.0,9
CPT,32999,HC LUNG PLEURA FINGER THORACOTOMY (10060),1337.04,467.97,458.6,5428.0,10
CPT,32999,HC MECHANICAL REMOVAL OBSTRUCTIVE MATERIAL FROM NONVASCULAR CATHETER/DEVICE,5194.7,1818.15,661.73,5428.0,9
CPT,33000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3300F,AJCC STAGE DOCD B/4 THXPY,,,0.02,0.02,1
CPT,33010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33010,Mammogram,,,6964.74,6964.74,1
CPT,33011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33011,Mammogram,,,6994.87,6994.87,1
CPT,33012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33015,Mammogram,,,33362.39,33362.39,1
CPT,33016,HC PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED,3772.25,1320.29,1293.88,7740.0,10
CPT,33017,HC PERQ PRCRD DRG 6YR+ W/O CONGENITAL CAR ANOMALY,2533.21,886.63,210.16,8110.0,10
CPT,33018,HC PERQ PRCRD DRG 0-5YR/ANY AGE W/CGEN CAR ANOMALY,2889.61,1011.37,246.45,8110.0,10
CPT,33019,HC PERQ PERICARDIAL DRG W/INSJ NDWELLG CATH W/CT,2344.98,820.75,178.76,8110.0,10
CPT,3301F,CANCER STAGE DOCD METAST,,,0.02,0.02,1
CPT,33020,HC PERICARDIOTOMY FOR REMOVAL OF CLOT OR FOREIGN BODY,8230.68,2880.74,777.27,22133.0,10
CPT,33021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33025,INCISION OF HEART SAC,,,735.12,22133.0,7
CPT,33026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33030,PARTIAL REMOVAL OF HEART SAC,,,1854.78,22133.0,7
CPT,33031,PARTIAL REMOVAL OF HEART SAC,,,2280.57,22133.0,7
CPT,33032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33050,RESECT HEART SAC LESION,,,963.17,22133.0,7
CPT,33051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33100,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33120,EXC ICAR TUM RESC W/CARD BYP,,,1924.06,30380.0,7
CPT,33121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33130,RESCJ EXTERNAL CARDIAC TUMOR,,,1299.67,22133.0,7
CPT,33131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33140,HEART REVASCULARIZE (TMR),,,1457.14,22133.0,7
CPT,33141,HEART TMR W/OTHER PROCEDURE,,,117.06,22133.0,7
CPT,33142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3315F,ER+ OR PR+ BREAST CANCER,,,0.02,0.02,1
CPT,33160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3316F,ER- OR PR- BREAST CANCER,,,0.02,0.02,1
CPT,33170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3317F,PATH RPT MALIG CANCER DOCD,,,0.02,0.02,1
CPT,33180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3318F,PATH RPT MALIG CANCER DOCD,,,0.02,0.02,1
CPT,33190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3319F,X-RAY/CT/ULTRSND ET AL ORD,,,0.02,0.02,1
CPT,33200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33200,Mammogram,,,47866.75,47866.75,1
CPT,33201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33201,Mammogram,,,41382.46,41382.46,1
CPT,33202,INSERT EPICARD ELTRD OPEN,,,736.28,30380.0,7
CPT,33203,INSERT EPICARD ELTRD ENDO,,,764.51,30380.0,7
CPT,33204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33206,HC PACER GEN & LEAD-ATRIAL,22187.06,7765.48,7610.16,31427.0,9
CPT,33207,HC PACER GEN & LEAD-VENT,22187.06,7765.48,7610.16,31427.0,9
CPT,33208,HC INSRT HEART PM ATRIAL & VENT,24673.2,8635.62,8462.91,31427.0,9
CPT,33209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3320F,NO XRAY/CT/ ET AL ORDD,,,0.02,0.02,1
CPT,33210,HC INS/REPL ELECT CARDIAC SGL,14076.04,4926.62,4828.08,30380.0,9
CPT,33211,HC INSERT HRT ELECTDE DUAL CHAMB,18633.7,6521.8,6391.36,30380.0,9
CPT,33212,HC PPM GENERATOR ONLY SINGLE,18032.78,6311.48,4236.0,31427.0,10
CPT,33213,HC PPM GENERATOR ONLY DUAL,20797.49,7279.13,4236.0,31427.0,10
CPT,33214,HC UPGRADE PACEMAKER SYSTEM,28398.14,9939.35,9740.56,31427.0,9
CPT,33215,HC REPOSITION ICD LEAD,6784.05,2374.42,2326.93,12001.0,9
CPT,33216,"HC INSERT LEAD ICD/PPM, SINGLE",15666.64,5483.33,5373.66,30380.0,9
CPT,33217,HC TRANSV LEAD - DUAL,20739.32,7258.77,6479.0,30380.0,9
CPT,33218,HC REPAIR ELECTRODE ONLY SINGLE,12537.0,4387.95,3942.06,12001.0,9
CPT,33219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3321F,AJCC CNCR 0/IA MELAN DOCD,,,0.02,0.02,1
CPT,33220,HC REPAIR 2 TRANSVENOUS ELECTRODES FOR PACER OR DEFIB,11699.44,4094.81,3942.06,12001.0,10
CPT,33221,INSERT PULSE GEN MULT LEADS,,,5583.0,52872.0,7
CPT,33222,HC REVISE PACER SKIN POCKET,3677.53,1287.14,1261.39,5513.0,10
CPT,33223,HC REVISE ICD SKIN POCKET,3677.53,1287.14,1261.39,5513.0,10
CPT,33224,HC BIV UPGRADE,32657.35,11430.08,5583.0,31427.0,9
CPT,33225,HC BVI IMPLANT INITIAL,32657.35,11430.08,387.55,31427.0,9
CPT,33226,HC REPOSITION L VENTRIC LEAD,5218.25,1826.39,1789.86,12001.0,9
CPT,33227,HC REMOVE&REPLACE PM GEN SINGL,16117.33,5641.07,5528.24,31427.0,9
CPT,33228,HC REMV&REPLC PM GEN DUAL LEAD,18685.99,6540.1,5583.0,31427.0,9
CPT,33229,HC REMV&REPLC PM GEN MULT LEADS,41107.22,14387.53,5583.0,52872.0,9
CPT,3322F,MELANOMAAJCC STAGE 0 OR IA,,,0.02,0.02,1
CPT,33230,HC INSRT PULSE GEN W/DUAL LEADS,58430.67,20450.74,5583.0,53752.0,9
CPT,33231,HC INSRT PULSE GEN W/MULT LEADS,58430.67,20450.74,5583.0,53912.32,9
CPT,33232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33233,HC REMOVE PPM GENERATOR,17230.11,6030.54,3200.0,30380.0,10
CPT,33234,HC REMOVE PPM LEAD - SINGLE,12537.0,4387.95,3942.06,12001.0,9
CPT,33235,HC REMOVE PPM LEAD - DUAL,8358.0,2925.3,2866.79,12001.0,9
CPT,33236,REMOVE ELECTRODE/THORACOTOMY,,,778.42,12001.0,7
CPT,33237,REMOVE ELECTRODE/THORACOTOMY,,,829.62,12001.0,7
CPT,33238,REMOVE ELECTRODE/THORACOTOMY,,,937.1,12001.0,7
CPT,33239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3323F,CLIN NODE STGNG DOCDB/4 SURG,,,0.02,0.02,1
CPT,33240,HC ICD GEN INSERT DUAL CHAMBER,54527.03,19084.47,11244.0,53752.0,9
CPT,33241,HC REMOVE ICD PULSE GENERATOR,12537.0,4387.95,3942.06,12001.0,9
CPT,33242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33243,REMOVE ELTRD/THORACOTOMY,,,1293.42,12001.0,7
CPT,33244,"HC REMOVE LEAD, EXTRACTION TRANS",11927.89,4174.77,3942.06,12001.0,9
CPT,33245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33245,Mammogram,,,55108.34,55108.34,1
CPT,33246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33246,Mammogram,,,76533.96,76533.96,1
CPT,33247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33249,HC INST/REPL DEFIB SINGLE OR DUAL CHAMB,74310.9,26008.82,11244.0,53912.32,9
CPT,3324F,MRI CT SCAN ORD RVWD RQSTD,,,0.02,0.02,1
CPT,33250,ABLATE HEART DYSRHYTHM FOCUS,,,1379.85,22133.0,7
CPT,33251,ABLATE HEART DYSRHYTHM FOCUS,,,1515.13,22133.0,7
CPT,33252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33253,Mammogram,,,111991.71,111991.71,1
CPT,33254,ABLATE ATRIA LMTD,,,1282.21,22133.0,7
CPT,33255,ABLATE ATRIA W/O BYPASS EXT,,,1536.54,22133.0,7
CPT,33256,ABLATE ATRIA W/BYPASS EXTEN,,,1807.82,22133.0,7
CPT,33257,ABLATE ATRIA LMTD ADD-ON,,,567.24,22133.0,7
CPT,33258,ABLATE ATRIA X10SV ADD-ON,,,634.08,22133.0,7
CPT,33259,ABLATE ATRIA W/BYPASS ADD-ON,,,817.83,22133.0,7
CPT,3325F,PREOP ASSES 4 CATARACT SURG,,,0.02,0.02,1
CPT,33260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33261,ABLATE HEART DYSRHYTHM FOCUS,,,1519.15,22133.0,7
CPT,33262,HC REMV&REPLC CVD GEN SING LEAD,58430.67,20450.74,5583.0,53752.0,9
CPT,33263,HC REMV&REPLC CVD GEN DUAL LEAD,58430.67,20450.74,5583.0,53752.0,9
CPT,33264,HC REMV&REPLC CVD GEN MULT LEAD,58430.67,20450.74,5583.0,53912.32,9
CPT,33265,ABLATE ATRIA LMTD ENDO,,,1283.18,22133.0,7
CPT,33266,ABLATE ATRIA X10SV ENDO,,,1720.9,22133.0,7
CPT,33267,EXCL LAA OPEN ANY METHOD,,,978.73,52872.0,7
CPT,33268,EXCL LAA OPN OTH PX ANY METH,,,114.93,52872.0,7
CPT,33269,EXCL LAA THRSCP ANY METHOD,,,789.95,52872.0,7
CPT,33270,HC INS/REP SUBQ DEFIBRILLATOR,74331.15,26015.91,5583.0,53912.32,9
CPT,33271,HC INSJ SUBQ IMPLTBL DFB ELCTRD,15786.73,5525.36,5414.85,53752.0,9
CPT,33272,HC RMVL OF SUBQ DEFIBRILLATOR,8358.0,2925.3,2866.79,53752.0,9
CPT,33273,HC REPOSITIONING OF PREVIOUSLY IMPLANTED SUBCUTANEOUS IMPLANTABLE DEFIBRILLATOR ELECTRODE,18287.1,6400.49,3942.06,21649.0,10
CPT,33274,"HC TRANSCATHETER INSERTION OR REPLACEMENT OF PERM LEADLESS PACEMAKER, R VENTRICULAR, INC IMAGING GUI",36980.93,12943.33,6479.0,52872.0,10
CPT,33275,TCAT RMVL PERM LDLS PM W/IMG,,,3330.78,21649.0,8
CPT,33276,INSJ PHRNC NRV STIM SYS,,,5583.0,75652.55,6
CPT,33277,INSJ PHRNC NRV STIM TRANSVNS,,,250.68,3000.0,6
CPT,33278,RMVL PHRNC NRV STIM SYS,,,3200.0,6987.0,6
CPT,33279,RMVL PHRNC NRV STIM TRANSVNS,,,3200.0,6987.0,6
CPT,33280,RMVL PHRNC NRV STIM PG ONLY,,,3200.0,6987.0,6
CPT,33281,REPOSG PHRNC NRV STIM TRNSVN,,,3200.0,6987.0,6
CPT,33282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33282,Mammogram,,,14853.49,14853.49,1
CPT,33283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33284,Mammogram,,,13042.33,13042.33,1
CPT,33285,HC INSJ SUBQ CAR RHYTHM MNTR,17154.8,6004.18,3000.0,30380.0,10
CPT,33286,HC RMVL SUBQ CAR RHYTHM MNTR,1342.3,469.81,460.41,7740.0,10
CPT,33287,RMV&RPLCMT PHRNC NRV STIM PG,,,5583.0,53000.01,6
CPT,33288,RMV&RPLCMT PHRNC NRV STIM LD,,,3200.0,19138.27,6
CPT,33289,HC TCAT IMPL WRLS P-ART PRS SNR,67980.42,23793.15,7740.0,52872.0,10
CPT,3328F,PRFRMNC DOCD 2 WKS B/4 SURG,,,0.02,0.02,1
CPT,33290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33300,HC REPAIR CARDIAC WOUND W/O BYPASS,25779.41,9022.8,2235.41,30380.0,10
CPT,33301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33305,REPAIR OF HEART WOUND,,,3702.09,30380.0,7
CPT,33306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3330F,IMAGING STUDY ORDERED (BKP),,,0.02,0.02,1
CPT,33310,EXPLORATORY HEART SURGERY,,,1122.93,30380.0,7
CPT,33311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33315,EXPLORATORY HEART SURGERY,,,1759.55,30380.0,7
CPT,33316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3331F,BK IMAGING TST NOT ORDERED,,,0.02,0.02,1
CPT,33320,REPAIR MAJOR BLOOD VESSEL(S),,,1008.09,22133.0,7
CPT,33321,REPAIR MAJOR VESSEL,,,1136.02,22133.0,7
CPT,33322,REPAIR MAJOR BLOOD VESSEL(S),,,1315.96,22133.0,7
CPT,33323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33330,INSERT MAJOR VESSEL GRAFT,,,1351.99,22133.0,7
CPT,33331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33332,Mammogram,,,84038.8,84038.8,1
CPT,33333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33335,INSERT MAJOR VESSEL GRAFT,,,1749.74,22133.0,7
CPT,33336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33340,HC TRANSCATHETER CLOSURE OF LAA,30645.02,10725.76,618.61,30380.0,10
CPT,33341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33361,REPLACE AORTIC VALVE PERQ,,,1060.48,30380.0,7
CPT,33362,REPLACE AORTIC VALVE OPEN,,,1154.4,30380.0,7
CPT,33363,REPLACE AORTIC VALVE OPEN,,,1199.26,30380.0,7
CPT,33364,REPLACE AORTIC VALVE OPEN,,,1244.49,30380.0,7
CPT,33365,REPLACE AORTIC VALVE OPEN,,,1251.4,30380.0,7
CPT,33366,TRCATH REPLACE AORTIC VALVE,,,1375.58,30380.0,7
CPT,33367,REPLACE AORTIC VALVE W/BYP,,,548.0,30380.0,7
CPT,33368,REPLACE AORTIC VALVE W/BYP,,,663.98,30380.0,7
CPT,33369,REPLACE AORTIC VALVE W/BYP,,,877.21,30380.0,7
CPT,33370,TCAT PLMT&RMVL CEPD PERQ,,,113.69,8769.29,7
CPT,33371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33390,VALVULOPLASTY AORTIC VALVE,,,1747.85,30380.0,7
CPT,33391,VALVULOPLASTY AORTIC VALVE,,,2092.87,52872.0,7
CPT,33392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33400,Mammogram,,,148378.74,148378.74,1
CPT,33401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33401,Mammogram,,,94272.82,94272.82,1
CPT,33402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33403,Mammogram,,,96757.48,96757.48,1
CPT,33404,PREPARE HEART-AORTA CONDUIT,,,1648.83,22133.0,7
CPT,33405,REPLACEMENT AORTIC VALVE OPN,,,2097.72,30380.0,7
CPT,33406,REPLACEMENT AORTIC VALVE OPN,,,2639.1,30380.0,7
CPT,33407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3340F,MAMMO ASSESS INC XRAY DOCD,,,0.02,0.02,1
CPT,33410,REPLACEMENT AORTIC VALVE OPN,,,2351.17,30380.0,7
CPT,33411,REPLACEMENT OF AORTIC VALVE,,,3070.84,30380.0,7
CPT,33412,REPLACEMENT OF AORTIC VALVE,,,2890.44,30380.0,7
CPT,33413,REPLACEMENT OF AORTIC VALVE,,,2974.35,30380.0,7
CPT,33414,REPAIR OF AORTIC VALVE,,,1966.13,30380.0,7
CPT,33415,REVISION SUBVALVULAR TISSUE,,,1877.86,30380.0,7
CPT,33416,REVISE VENTRICLE MUSCLE,,,1879.1,30380.0,7
CPT,33417,REPAIR OF AORTIC VALVE,,,1563.41,30380.0,7
CPT,33418,REPAIR TCAT MITRAL VALVE,,,1557.2,12001.0,7
CPT,33419,REPAIR TCAT MITRAL VALVE,,,361.01,27623.87,7
CPT,3341F,MAMMO ASSESS NEGATIVE DOCD,,,0.02,0.02,1
CPT,33420,REVISION OF MITRAL VALVE,,,1375.33,30380.0,7
CPT,33421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33422,REVISION OF MITRAL VALVE,,,1573.72,52872.0,7
CPT,33423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33425,REPAIR OF MITRAL VALVE,,,2515.08,30380.0,7
CPT,33426,REPAIR OF MITRAL VALVE,,,2202.8,30380.0,7
CPT,33427,REPAIR OF MITRAL VALVE,,,2243.49,30380.0,7
CPT,33428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3342F,MAMMO ASSESS BENGN DOCD,,,0.02,0.02,1
CPT,33430,REPLACEMENT OF MITRAL VALVE,,,2588.8,30380.0,7
CPT,33431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3343F,MAMMO PROBABLY BENGN DOCD,,,0.02,0.02,1
CPT,33440,RPLCMT A-VALVE TLCJ AUTOL PV,,,3120.86,30380.0,7
CPT,33441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3344F,MAMMO ASSESS SUSP DOCD,,,0.02,0.02,1
CPT,33450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3345F,MAMMO ASSESS HGHLYMALIG DOC,,,0.02,0.02,1
CPT,33460,REVISION OF TRICUSPID VALVE,,,2213.27,30380.0,7
CPT,33461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33463,VALVULOPLASTY TRICUSPID,,,2824.02,30380.0,7
CPT,33464,VALVULOPLASTY TRICUSPID,,,2243.9,30380.0,7
CPT,33465,REPLACE TRICUSPID VALVE,,,2527.68,30380.0,7
CPT,33466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33468,REVISION OF TRICUSPID VALVE,,,2235.44,30380.0,7
CPT,33469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33470,Mammogram,,,81305.58,81305.58,1
CPT,33471,Ambulatory Surgery Groups,,,30380.0,30380.0,1
CPT,33471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33471,Other Outpatient Services - CPT/HCPCS,,,2416.65,2416.65,1
CPT,33472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33472,Mammogram,,,89681.52,89681.52,1
CPT,33473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33474,REVISION OF PULMONARY VALVE,,,2009.69,30380.0,7
CPT,33475,REPLACEMENT PULMONARY VALVE,,,2121.76,30380.0,7
CPT,33476,REVISION OF HEART CHAMBER,,,1434.58,30380.0,7
CPT,33477,IMPLANT TCAT PULM VLV PERQ,,,1116.03,22133.0,7
CPT,33478,REVISION OF HEART CHAMBER,,,1478.49,30380.0,7
CPT,33479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33496,REPAIR PROSTH VALVE CLOT,,,1571.58,22133.0,7
CPT,33497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33500,REPAIR HEART VESSEL FISTULA,,,1474.21,30380.0,7
CPT,33501,REPAIR HEART VESSEL FISTULA,,,1067.94,30380.0,7
CPT,33502,CORONARY ARTERY CORRECTION,,,1215.89,30380.0,7
CPT,33503,CORONARY ARTERY GRAFT,,,1268.95,30380.0,7
CPT,33504,CORONARY ARTERY GRAFT,,,1384.04,30380.0,7
CPT,33505,REPAIR ARTERY W/TUNNEL,,,1865.49,30380.0,7
CPT,33506,REPAIR ARTERY TRANSLOCATION,,,1870.6,30380.0,7
CPT,33507,REPAIR ART INTRAMURAL,,,1580.05,30380.0,7
CPT,33508,ENDOSCOPIC VEIN HARVEST,,,14.1,5428.0,7
CPT,33509,NDSC HRV UXTR ART 1 SGM CAB,,,154.78,12001.0,7
CPT,3350F,MAMMO BX PROVEN MALIG DOCD,,,0.02,0.02,1
CPT,33510,CABG VEIN SINGLE,,,1792.45,30380.0,7
CPT,33511,CABG VEIN TWO,,,1969.72,30380.0,7
CPT,33512,CABG VEIN THREE,,,2228.85,30380.0,7
CPT,33513,CABG VEIN FOUR,,,2272.55,30380.0,7
CPT,33514,CABG VEIN FIVE,,,2421.29,30380.0,7
CPT,33515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33516,CABG VEIN SIX OR MORE,,,2507.86,30380.0,7
CPT,33517,CABG ARTERY-VEIN SINGLE,,,166.91,30380.0,7
CPT,33518,CABG ARTERY-VEIN TWO,,,366.2,30380.0,7
CPT,33519,CABG ARTERY-VEIN THREE,,,484.03,30380.0,7
CPT,3351F,NEG SCRN DEP SYMP BY DEPTOOL,,,0.02,0.02,1
CPT,33520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33521,CABG ARTERY-VEIN FOUR,,,581.2,30380.0,7
CPT,33522,CABG ARTERY-VEIN FIVE,,,651.93,30380.0,7
CPT,33523,CABG ART-VEIN SIX OR MORE,,,742.27,30380.0,7
CPT,33524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3352F,NO SIG DEP SYMP BY DEP TOOL,,,0.02,0.02,1
CPT,33530,CORONARY ARTERY BYPASS/REOP,,,467.81,30380.0,7
CPT,33531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33533,CABG ARTERIAL SINGLE,,,1736.39,30380.0,7
CPT,33534,CABG ARTERIAL TWO,,,2034.72,30380.0,7
CPT,33535,CABG ARTERIAL THREE,,,2254.79,30380.0,7
CPT,33536,CABG ARTERIAL FOUR OR MORE,,,2425.99,30380.0,7
CPT,33537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3353F,MILD-MOD DEP SYMP BY DEPTOOL,,,0.02,0.02,1
CPT,33540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33542,REMOVAL OF HEART LESION,,,2421.33,30380.0,7
CPT,33543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33545,REPAIR OF HEART DAMAGE,,,2828.79,30380.0,7
CPT,33546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33548,RESTORE/REMODEL VENTRICLE,,,2741.71,30380.0,7
CPT,33549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3354F,CLIN SIG DEP SYM BY DEP TOOL,,,0.02,0.02,1
CPT,33550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33572,OPEN CORONARY ENDARTERECTOMY,,,205.19,30380.0,7
CPT,33573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33600,CLOSURE OF VALVE,,,1608.01,30380.0,7
CPT,33601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33602,CLOSURE OF VALVE,,,1563.75,30380.0,7
CPT,33603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33606,ANASTOMOSIS/ARTERY-AORTA,,,1658.19,30380.0,7
CPT,33607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33608,REPAIR ANOMALY W/CONDUIT,,,1680.82,30380.0,7
CPT,33609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33610,REPAIR BY ENLARGEMENT,,,1658.59,30380.0,7
CPT,33611,REPAIR DOUBLE VENTRICLE,,,1789.74,30380.0,7
CPT,33612,REPAIR DOUBLE VENTRICLE,,,1836.4,30380.0,7
CPT,33613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33615,REPAIR MODIFIED FONTAN,,,1848.15,30380.0,7
CPT,33616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33617,REPAIR SINGLE VENTRICLE,,,1996.16,30380.0,7
CPT,33618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33619,REPAIR SINGLE VENTRICLE,,,2545.45,30380.0,7
CPT,33620,APPLY R&L PULM ART BANDS,,,1515.28,22133.0,7
CPT,33621,TRANSTHOR CATH FOR STENT,,,876.84,12001.0,7
CPT,33622,REDO COMPL CARDIAC ANOMALY,,,3104.08,30380.0,7
CPT,33623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33641,REPAIR HEART SEPTUM DEFECT,,,1513.38,30380.0,7
CPT,33642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33645,REVISION OF HEART VEINS,,,1596.15,22133.0,7
CPT,33646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33647,REPAIR HEART SEPTUM DEFECTS,,,1671.03,30380.0,7
CPT,33648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33660,REPAIR OF HEART DEFECTS,,,1617.39,30380.0,7
CPT,33661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33665,REPAIR OF HEART DEFECTS,,,1756.93,30380.0,7
CPT,33666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33670,REPAIR OF HEART CHAMBERS,,,1787.98,30380.0,7
CPT,33671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33675,CLOSE MULT VSD,,,1808.41,30380.0,7
CPT,33676,CLOSE MULT VSD W/RESECTION,,,1854.45,30380.0,7
CPT,33677,CL MULT VSD W/REM PUL BAND,,,1923.24,30380.0,7
CPT,33678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33681,CLOSURE 1 VSD W/WO PATCH,,,1727.69,30380.0,7
CPT,33682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33684,CLSR 1 VSD W/WO PATCH W/VLVT,,,1734.71,30380.0,7
CPT,33685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33688,CLSR 1VSD W/WO PTCH RMVL BND,,,1714.38,30380.0,7
CPT,33689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33690,BANDING PULMONARY ARTERY,,,1147.99,22133.0,7
CPT,33691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33692,COMP RPR TOF WO PULM ATRESIA,,,1779.42,30380.0,7
CPT,33693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33694,CMP RPR TOF WO PLM ATRS PTCH,,,1789.74,30380.0,7
CPT,33695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33697,COMPL RPR TOF W/PULM ATRESIA,,,1882.2,30380.0,7
CPT,33698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33702,REPAIR OF HEART DEFECTS,,,1448.03,30380.0,7
CPT,33703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3370F,AJCC BRST CNCR STAGE 0 DOCD,,,0.02,0.02,1
CPT,33710,REPAIR OF HEART DEFECTS,,,1878.96,30380.0,7
CPT,33711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33720,REPAIR OF HEART DEFECT,,,1449.32,30380.0,7
CPT,33721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33722,Mammogram,,,106613.59,106613.59,1
CPT,33723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33724,REPAIR VENOUS ANOMALY,,,1423.32,22133.0,7
CPT,33725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33726,REPAIR PUL VENOUS STENOSIS,,,1862.23,22133.0,7
CPT,33727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3372F,AJCC BRST CNCR STAGE 1 DOCD,,,0.02,0.02,1
CPT,33730,REPAIR HEART-VEIN DEFECT(S),,,1853.81,22133.0,7
CPT,33731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33732,REPAIR HEART-VEIN DEFECT,,,1545.88,22133.0,7
CPT,33733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33735,REVISION OF HEART CHAMBER,,,1233.63,30380.0,7
CPT,33736,REVISION OF HEART CHAMBER,,,1331.65,52872.0,7
CPT,33737,Ambulatory Surgery Groups,,,52872.0,52872.0,1
CPT,33737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33737,Other Outpatient Services - CPT/HCPCS,,,2370.2,2370.2,1
CPT,33738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33741,TAS CONGENITAL CAR ANOMAL,,,636.7,30380.0,7
CPT,33742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33745,TIS CGEN CAR ANOMAL 1ST SHNT,,,910.58,30380.0,7
CPT,33746,TIS CGEN CAR ANOMAL EA ADDL,,,363.7,30380.0,7
CPT,33747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3374F,AJCC BRST CNCR STAGE 1 DOCD,,,0.02,0.02,1
CPT,33750,SHUNT SUBCLAVIAN TO PULM ART,,,1180.66,22133.0,7
CPT,33751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33755,SHUNT AS-AORT TO PULM ART,,,1252.26,22133.0,7
CPT,33756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33762,SHUNT DESC AORTA TO PULM ART,,,1198.6,22133.0,7
CPT,33763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33764,SHUNT CENTRAL W/PROSTC GRAFT,,,1252.26,22133.0,7
CPT,33765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33766,SHUNT SUPR V/C P-ART 1 LUNG,,,1243.12,22133.0,7
CPT,33767,SHUNT SUPR V/C P-ART BTH LNG,,,1323.19,22133.0,7
CPT,33768,ANAST CAVOPULM SEC SUP V/C,,,369.51,22133.0,7
CPT,33769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3376F,AJCC BRSTCNCR STAGE 2 DOCD,,,0.02,0.02,1
CPT,33770,RPR TGA W/O SURG ENLGMNT VSD,,,1927.7,22133.0,7
CPT,33771,RPR TGA W/SURG ENLGMNT VSD,,,1969.51,22133.0,7
CPT,33772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33774,RPR TGA ATRIAL BAFFLE PX,,,1684.9,22133.0,7
CPT,33775,RPR TGA ATR BFL RMVL PLM BND,,,1726.13,22133.0,7
CPT,33776,RPR TGA ATR BFL CLSR VSD,,,1828.46,22133.0,7
CPT,33777,RPR TGA BFL RPR SBPULM OBSTR,,,1743.52,22133.0,7
CPT,33778,RPR TGA AORTIC PULM ART RCNS,,,2159.14,22133.0,7
CPT,33779,RPR TGA RCNSTJ RMVL PLM BND,,,2106.37,22133.0,7
CPT,33780,RPR TGA RCNSTJ CLSR VSD,,,2150.64,22133.0,7
CPT,33781,RPR TGA RCNSTJ RPR SBPL OBST,,,2088.38,22133.0,7
CPT,33782,NIKAIDOH PROC,,,2923.52,22133.0,7
CPT,33783,NIKAIDOH PROC W/OSTIA IMPLT,,,3154.07,22133.0,7
CPT,33784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33786,REPAIR ARTERIAL TRUNK,,,2075.74,22133.0,7
CPT,33787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33788,REVISION OF PULMONARY ARTERY,,,1420.44,22133.0,7
CPT,33789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3378F,AJCC BRSTCNCR STAGE 3 DOCD,,,0.02,0.02,1
CPT,33790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33800,AORTIC SUSPENSION,,,926.8,22133.0,7
CPT,33801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33802,DIVISION ABERRANT VESSEL,,,1038.62,22133.0,7
CPT,33803,DIV ABERRANT VSL W/REANAST,,,1074.7,22133.0,7
CPT,33804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3380F,AJCC BRSTCNCR STAGE 4 DOCD,,,0.02,0.02,1
CPT,33810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33813,Ambulatory Surgery Groups,,,30380.0,30380.0,1
CPT,33813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33813,Other Outpatient Services - CPT/HCPCS,,,2266.82,2266.82,1
CPT,33814,OBLTRJ A-PULM SEP DEF W/BYP,,,1435.65,30380.0,7
CPT,33815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33820,REPAIR PDA BY LIGATION,,,917.5,22133.0,7
CPT,33821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33822,REPAIR PDA DIV<18 YEARS,,,964.31,22133.0,7
CPT,33823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33824,REPAIR PDA DIV 18 YRS&OLDER,,,1122.65,22133.0,7
CPT,33825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3382F,AJCC CLN CNCR STAGE 0 DOCD,,,0.02,0.02,1
CPT,33830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33840,EXC COA W/DIRECT ANASTOMOSIS,,,1175.68,30380.0,7
CPT,33841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33845,EXCISION COA W/GRAFT,,,1267.04,30380.0,7
CPT,33846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3384F,AJCC CLN CNCR STAGE 1 DOCD,,,0.02,0.02,1
CPT,33850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33851,EXC COA RPR L SUBCL ART/PRST,,,1205.43,30380.0,7
CPT,33852,RPR HYPOPL A-ARCH WO BYP,,,1317.8,30380.0,7
CPT,33853,RPR HYPOPL A-ARCH W/BYP,,,1709.96,30380.0,7
CPT,33854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33858,AS-AORT GRF F/AORTIC DSJ,,,3082.14,30380.0,7
CPT,33859,AS-AORT GRF F/DS OTH/THN DSJ,,,2227.6,30380.0,7
CPT,33860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33860,Mammogram,,,208310.27,208310.27,1
CPT,33861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33861,Mammogram,,,156183.7,156183.7,1
CPT,33862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33863,ASCENDING AORTIC GRAFT,,,2858.64,30380.0,7
CPT,33864,ASCENDING AORTIC GRAFT,,,2918.13,30380.0,7
CPT,33865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33866,AORTIC HEMIARCH GRAFT,,,819.81,59938.27,7
CPT,33867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3386F,AJCC CLN CNCR STAGE 2 DOCD,,,0.02,0.02,1
CPT,33870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33870,Mammogram,,,164106.02,164106.02,1
CPT,33871,TRANSVRS A-ARCH GRF HYPTHRM,,,2953.39,30380.0,7
CPT,33872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33875,THORACIC AORTIC GRAFT,,,2496.72,30380.0,7
CPT,33876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33877,THORACOABDOMINAL GRAFT,,,3224.89,30380.0,7
CPT,33878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33880,HC ENDO REP T AOR ANEU PSA DIS LS,31683.93,11089.38,1261.73,30380.0,9
CPT,33881,HC ENDOVASC TAA REPR W/O SUBCL,31683.93,11089.38,1059.98,30380.0,9
CPT,33882,EVASC RPR TA DPLMT MLTPC SYS,,,1738.65,4344.0,5
CPT,33883,HC INSERT ENDOVASC PROSTH TAA,28467.13,9963.5,944.26,30380.0,10
CPT,33884,HC ENDOVASC PROSTH TAA ADD-ON,28467.13,9963.5,4344.0,30380.0,6
CPT,33885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33886,HC ENDOVASC PROSTH DELAYED,28467.13,9963.5,942.63,30380.0,10
CPT,33887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33889,HC OPEN SUBCLAVIAN TO CAROTID ARTERY TRANSPOSITION BY NECK INCISION UNILATERAL,7248.63,2537.03,2486.28,30380.0,6
CPT,3388F,AJCC CLN CNCR STAGE 3 DOCD,,,0.02,0.02,1
CPT,33890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33891,Ambulatory Surgery Groups,,,5428.0,30380.0,2
CPT,33891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33894,EVASC ST RPR THRC/AA ACRS BR,,,831.12,30380.0,7
CPT,33895,EVASC ST RPR THRC/AA X CRSG,,,661.56,30380.0,7
CPT,33896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33897,HC PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY OF NATIVE OR RECURRENT COARCTATION OF THE AORTA,5299.97,1854.99,491.66,30380.0,10
CPT,33898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33900,HC PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ UNI,36782.05,12873.72,7740.0,30380.0,10
CPT,33901,HC PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ BI,36782.05,12873.72,7740.0,30380.0,10
CPT,33902,HC PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL,59520.38,20832.14,7740.0,52872.0,10
CPT,33903,HC PERQ P-ART REVSC ST 1ST ABNORMAL CONNJ BILATERAL,36782.05,12873.72,7740.0,30380.0,10
CPT,33904,HC PERQ P-ART REVSC ST EA ADDL VSL/SEP LES NM/ABNL,12260.69,4291.25,252.0,19301.47,10
CPT,33905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3390F,AJCC CLN CNCR STAGE 4 DOCD,,,0.02,0.02,1
CPT,33910,REMOVE LUNG ARTERY EMBOLI,,,2423.38,30380.0,7
CPT,33911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33915,REMOVE LUNG ARTERY EMBOLI,,,1289.35,30380.0,7
CPT,33916,SURGERY OF GREAT VESSEL,,,3789.63,22133.0,7
CPT,33917,REPAIR PULMONARY ARTERY,,,1376.86,22133.0,7
CPT,33918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33920,REPAIR PULMONARY ATRESIA,,,1666.72,22133.0,7
CPT,33921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33922,TRANSECT PULMONARY ARTERY,,,1308.92,22133.0,7
CPT,33923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33924,REMOVE PULMONARY SHUNT,,,253.2,22133.0,7
CPT,33925,RPR PUL ART UNIFOCAL W/O CPB,,,1575.18,22133.0,7
CPT,33926,REPR PUL ART UNIFOCAL W/CPB,,,2195.94,22133.0,7
CPT,33927,IMPLTJ TOT RPLCMT HRT SYS,,,2264.42,52872.0,7
CPT,33928,RMVL & RPLCMT TOT HRT SYS,,,4344.0,52872.0,3
CPT,33929,RMVL RPLCMT HRT SYS F/TRNSPL,,,4344.0,52872.0,3
CPT,33930,REMOVAL OF DONOR HEART/LUNG,,,4344.0,19925.0,3
CPT,33931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33933,PREPARE DONOR HEART/LUNG,,,4344.0,19925.0,3
CPT,33934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33935,TRANSPLANTATION HEART/LUNG,,,4344.0,52872.0,7
CPT,33936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33940,REMOVAL OF DONOR HEART,,,4344.0,19925.0,3
CPT,33941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33944,PREPARE DONOR HEART,,,4344.0,19925.0,3
CPT,33945,TRANSPLANTATION OF HEART,,,4344.0,52872.0,7
CPT,33946,HC ECMO/ECLS INITIATION AND CIRCUIT CHANGE- VENO-VENOUS,2568.26,898.9,275.39,5428.0,9
CPT,33947,HC ECMO/ECLS INITIATION AND CIRCUIT CHANGE- ARTERIAL,2848.56,997.0,303.47,5428.0,9
CPT,33948,HC ECMO/ECLS DAILY MANAGEMENT EACH DAY- VENO-VENOUS,1971.98,690.2,215.34,5428.0,9
CPT,33949,HC ECMO/ECLS DAILY MANAGEMENT EA DAY VENO-ARTERIAL,1918.18,671.37,207.58,5428.0,9
CPT,3394F,QUANT HER2 IHC EVAL BRST CX,,,0.02,0.02,1
CPT,33950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33951,ECMO/ECLS INSJ PRPH CANNULA,,,382.16,5428.0,7
CPT,33952,ECMO/ECLS INSJ PRPH CANNULA,,,378.39,5428.0,7
CPT,33953,ECMO/ECLS INSJ PRPH CANNULA,,,425.47,5428.0,7
CPT,33954,ECMO/ECLS INSJ PRPH CANNULA,,,424.24,5428.0,7
CPT,33955,ECMO/ECLS INSJ CTR CANNULA,,,743.92,5428.0,7
CPT,33956,ECMO/ECLS INSJ CTR CANNULA,,,741.96,5428.0,7
CPT,33957,ECMO/ECLS REPOS PERPH CNULA,,,167.2,5428.0,7
CPT,33958,ECMO/ECLS REPOS PERPH CNULA,,,167.2,5428.0,7
CPT,33959,ECMO/ECLS REPOS PERPH CNULA,,,212.34,5428.0,7
CPT,3395F,QUANT NONHER2 IHC BRST CX,,,0.02,0.02,1
CPT,33960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33960,Mammogram,,,65094.42,65094.42,1
CPT,33961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33961,Mammogram,,,36596.14,36596.14,1
CPT,33962,ECMO/ECLS REPOS PERPH CNULA,,,212.34,5428.0,7
CPT,33963,ECMO/ECLS REPOS PERPH CNULA,,,420.86,5428.0,7
CPT,33964,ECMO/ECLS REPOS PERPH CNULA,,,443.51,5428.0,7
CPT,33965,ECMO/ECLS RMVL PERPH CANNULA,,,167.2,5428.0,7
CPT,33966,ECMO/ECLS RMVL PRPH CANNULA,,,212.22,5428.0,7
CPT,33967,HC IABP INSERTION,1443.49,505.23,220.67,25745.0,10
CPT,33968,"HC REMOVAL OF INTRA-AORTIC BALLOON ASSIST DEVICE, PERCUTANEOUS",3692.28,1292.3,29.23,25745.0,10
CPT,33969,ECMO/ECLS RMVL PERPH CANNULA,,,246.17,5428.0,7
CPT,33970,"HC INSERTION OF INTRA-AORTIC BALLOON ASSIST DEVICE THROUGH THE FEMORAL ARTERY, OPEN APPROACH",2925.12,1023.8,308.17,12001.0,10
CPT,33971,AORTIC CIRCULATION ASSIST,,,667.84,12001.0,7
CPT,33972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33973,INSERT BALLOON DEVICE,,,449.97,12001.0,7
CPT,33974,REMOVE INTRA-AORTIC BALLOON,,,869.03,12001.0,7
CPT,33975,IMPLANT VENTRICULAR DEVICE,,,1154.2,30380.0,7
CPT,33976,IMPLANT VENTRICULAR DEVICE,,,1419.76,30380.0,7
CPT,33977,REMOVE VENTRICULAR DEVICE,,,1019.58,30380.0,7
CPT,33978,REMOVE VENTRICULAR DEVICE,,,1218.45,30380.0,7
CPT,33979,HC INSERTION OF VENTRICULAR ASSIST DEVICE IMPLANTABLE INTRACORPOREAL SINGLE VENTRICLE,17682.26,6188.8,1733.1,30380.0,9
CPT,33980,REMOVE INTRACORPOREAL DEVICE,,,1608.03,30380.0,7
CPT,33981,REPLACE VAD PUMP EXT,,,743.64,30380.0,7
CPT,33982,REPLACE VAD INTRA W/O BP,,,1747.51,30380.0,7
CPT,33983,REPLACE VAD INTRA W/BP,,,2057.09,30380.0,7
CPT,33984,ECMO/ECLS RMVL PRPH CANNULA,,,253.45,5428.0,7
CPT,33985,ECMO/ECLS RMVL CTR CANNULA,,,462.07,5428.0,7
CPT,33986,ECMO/ECLS RMVL CTR CANNULA,,,468.13,5428.0,7
CPT,33987,ARTERY EXPOS/GRAFT ARTERY,,,186.75,18067.0,7
CPT,33988,INSERTION OF LEFT HEART VENT,,,697.86,30380.0,7
CPT,33989,REMOVAL OF LEFT HEART VENT,,,443.51,30380.0,7
CPT,33990,"HC INSERTION VENTRICULAR ASSIST DEVICE, PERCUTANEUOS W/ RS&I, L ARTERIAL ACCESS ONLY",4927.81,1724.74,307.11,30380.0,10
CPT,33991,INSJ PERQ VAD L HRT ARTL&VEN,,,408.01,30380.0,7
CPT,33992,HC REMOVAL PERCUTANEOUS VENTRICULAR ASSIST DEVICE,1436.52,502.79,161.8,30380.0,10
CPT,33993,HC REPOSITIONING OF PERCUTANEOUS VENTRICULAR ASSIST DEVICE,1839.89,643.97,140.67,30380.0,10
CPT,33994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33995,"HC INSERTION OF VENTRICULAR ASSIST DEVICE, PERCUTANEOUS, INC RAD S&I, R HEART, VENOUS ACCESS ONLY",4012.14,1404.25,307.03,30380.0,9
CPT,33996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33997,"HC REM OF PERCUT R HEART VENTRIC ASSIST DEVICVE, VENOUS CANNULA AT SEP & DISTINCT SESSION FROM INSER",1785.12,624.8,137.13,12001.0,9
CPT,33998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,33999,"HC INSERTION OF VENTRICULAR ASSIST DEVICE, PERCUTANEOUS, VENOUS ACCESS",4171.06,1459.88,661.73,7740.0,10
CPT,34000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34001,REMOVAL OF ARTERY CLOT,,,816.03,18067.0,7
CPT,34002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34051,REMOVAL OF ARTERY CLOT,,,960.85,18067.0,7
CPT,34052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34100,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34101,REMOVAL OF ARTERY CLOT,,,4236.0,18067.0,8
CPT,34102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34111,REMOVAL OF ARM ARTERY CLOT,,,5428.0,18067.0,7
CPT,34112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34151,REMOVAL OF ARTERY CLOT,,,1237.15,18067.0,7
CPT,34152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34201,REMOVAL OF ARTERY CLOT,,,5428.0,18067.0,7
CPT,34202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34203,REMOVAL OF LEG ARTERY CLOT,,,5428.0,18067.0,7
CPT,34204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34401,REMOVAL OF VEIN CLOT,,,1189.5,18067.0,7
CPT,34402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34421,REMOVAL OF VEIN CLOT,,,3330.78,12001.0,7
CPT,34422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34451,REMOVAL OF VEIN CLOT,,,1274.4,18067.0,7
CPT,34452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34471,REMOVAL OF VEIN CLOT,,,661.73,5428.0,7
CPT,34472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34490,REMOVAL OF VEIN CLOT,,,3330.78,12001.0,7
CPT,34491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34501,REPAIR VALVE FEMORAL VEIN,,,5428.0,18067.0,7
CPT,34502,RECONSTRUCT VENA CAVA,,,1398.97,30380.0,7
CPT,34503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3450F,DYSPNEA SCRND NO-MILD DYSP,,,0.02,0.02,1
CPT,34510,TRANSPOSITION OF VEIN VALVE,,,5428.0,18067.0,7
CPT,34511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3451F,DYSPNEA SCRND MOD-HIGH DYSP,,,0.02,0.02,1
CPT,34520,CROSS-OVER VEIN GRAFT,,,5428.0,18067.0,7
CPT,34521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3452F,DYSPNEA NOT SCREENED,,,0.02,0.02,1
CPT,34530,LEG VEIN FUSION,,,3330.78,12001.0,7
CPT,34531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3455F,TB SCR PFRMD&INTERPD 6 MO,,,0.02,0.02,1
CPT,34560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34701,HC REPAIR AORTA W/ GRAFT FOR OTHER THAN RUPTURE W/ REVIEW BY RADIOLOGIST,11922.58,4172.91,1092.55,30380.0,9
CPT,34702,EVASC RPR A-AO NDGFT RPT,,,1585.85,30380.0,7
CPT,34703,HC ENDOVASCULAR REPAIR INFRARENAL AORTA AND/OR ILIAC ARTERY(IES),16239.99,5684.0,1210.8,30380.0,9
CPT,34704,EVASC RPR A-UNILAC NDGFT RPT,,,1966.11,30380.0,7
CPT,34705,HC EVAC RPR A-BIILIAC NDGFT,19801.84,6930.65,1344.43,30380.0,9
CPT,34706,HC ENDOVASCULAR RPR INFRARENAL AORTA OR ILIAC ARTERY(IES) FOR RUPTURE,24794.78,8678.18,2001.12,30380.0,9
CPT,34707,HC EVASC RPR DPLMNT ILIO-ILIAC NDGFT,26057.39,9120.09,1028.99,22133.0,9
CPT,34708,EVASC RPR ILIO-ILIAC RPT,,,1606.87,22133.0,7
CPT,34709,HC PLMT XTN PROSTH EVASC RPR,4182.93,1464.03,281.01,22133.0,9
CPT,3470F,RA DISEASE ACTIVITY LOW,,,0.02,0.02,1
CPT,34710,HC DELAYED PLACEMENT FO DISTAL OR PROXIMAL EXTENSION PROSTHESIS,9349.69,3272.4,708.79,22133.0,9
CPT,34711,DLYD PLMT XTN PROSTH EA ADDL,,,257.15,22133.0,7
CPT,34712,TCAT DLVR ENHNCD FIXJ DEV,,,584.05,12001.0,7
CPT,34713,HC PERQ ACCESS & CLSR FEM ART,1663.27,582.15,107.37,7965.2,9
CPT,34714,OPN FEM ART EXPOS CNDT CRTJ,,,239.86,17467.52,7
CPT,34715,OPN AX/SUBCLA ART EXPOS,,,262.65,19344.34,7
CPT,34716,OPN AX/SUBCLA ART EXPOS CNDT,,,331.48,24175.01,7
CPT,34717,HC ENDOVASCULAR REPAIR ILIAC ARTERY AT TIME OF AORTO-ILIAC ARTERY ENDOGRAFT PLACE,4824.59,1688.61,386.06,30380.0,9
CPT,34718,HC ILIAC BIFURCATED STENT GRAFT PLACEMENT AND EMBOLIZATION ILIAC ARTERY DIVISION.,13460.33,4711.12,1087.47,30380.0,9
CPT,34719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3471F,RA DISEASE ACTIVITY MOD,,,0.02,0.02,1
CPT,34720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3472F,RA DISEASE ACTIVITY HIGH,,,0.02,0.02,1
CPT,34730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3475F,DISEASE PROGN RA POOR DOCD,,,0.02,0.02,1
CPT,34760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3476F,DISEASE PROGN RA GOOD DOCD,,,0.02,0.02,1
CPT,34770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34800,Mammogram,,,73893.84,73893.84,1
CPT,34801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34802,Mammogram,,,81601.05,81601.05,1
CPT,34803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34803,Mammogram,,,84559.42,84559.42,1
CPT,34804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34804,Mammogram,,,81698.19,81698.19,1
CPT,34805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34805,Mammogram,,,77971.99,77971.99,1
CPT,34806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34806,Mammogram,,,6475.6,6475.6,1
CPT,34807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34808,ENDOVAS ILIAC A DEVICE ADDON,,,176.61,12001.0,7
CPT,34809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34812,OPN FEM ART EXPOS,,,180.05,5428.0,7
CPT,34813,FEMORAL ENDOVAS GRAFT ADD-ON,,,205.77,12001.0,7
CPT,34814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34820,OPN ILIAC ART EXPOS,,,295.45,12001.0,7
CPT,34821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34825,Mammogram,,,45661.63,45661.63,1
CPT,34826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34826,Mammogram,,,13409.59,13409.59,1
CPT,34827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34830,OPEN AORTIC TUBE PROSTH REPR,,,1560.97,30380.0,7
CPT,34831,OPEN AORTOILIAC PROSTH REPR,,,1713.13,30380.0,7
CPT,34832,OPEN AORTOFEMOR PROSTH REPR,,,1676.76,30380.0,7
CPT,34833,OPN ILAC ART EXPOS CNDT CRTJ,,,344.67,15181.0,7
CPT,34834,OPN BRACH ART EXPOS,,,113.4,15181.0,7
CPT,34835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34839,PLNNING PT SPEC FENEST GRAFT,,,415.2,4344.0,3
CPT,34840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34841,ENDOVASC VISC AORTA 1 GRAFT,,,4344.0,22133.0,3
CPT,34842,ENDOVASC VISC AORTA 2 GRAFT,,,4344.0,22133.0,3
CPT,34843,ENDOVASC VISC AORTA 3 GRAFT,,,4344.0,22133.0,3
CPT,34844,ENDOVASC VISC AORTA 4 GRAFT,,,4344.0,22133.0,3
CPT,34845,HC ENDOVASCULAR RPR VISCERAL AORTA/INFRARENAL ONE ARTERY ENDOPROSTHESIS,17776.99,6221.95,4344.0,22133.0,5
CPT,34846,HC ENDOVASCULAR RPR VISCERAL AORTA/INFRARENAL 2 ARTERY ENDOPROSTHESES,20866.15,7303.16,4344.0,22133.0,5
CPT,34847,HC ENDOVASCULAR RPR VISCERAL AORTA/INFRARENAL 3 ARTERY ENDOPROSTHESES,23955.32,8384.37,4344.0,22133.0,5
CPT,34848,HC ENDOVASCULAR RPR VISCERAL AORTA/INFRARENAL 4 OR MORE ENDOPROSTHESES,27044.48,9465.57,4344.0,22133.0,5
CPT,34849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34900,Mammogram,,,58494.85,58494.85,1
CPT,34901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3490F,HISTORY AIDS-DEFINING COND,,,0.02,0.02,1
CPT,34910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3491F,HIV UNSURE BABY OF HIV+MOMS,,,0.02,0.02,1
CPT,34920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3492F,HISTORY CD4+ CELL COUNT <350,,,0.02,0.02,1
CPT,34930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3493F,NO HIST CD4+ CELL COUNT <350,,,0.02,0.02,1
CPT,34940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3494F,CD4+CELL COUNT <200CELLS/MM3,,,0.02,0.02,1
CPT,34950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3495F,CD4+CELL CNT 200-499 CELLS,,,0.02,0.02,1
CPT,34960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3496F,CD4+ CELL COUNT >= 500 CELLS,,,0.02,0.02,1
CPT,34970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3497F,CD4+ CELL PERCENTAGE <15%,,,0.02,0.02,1
CPT,34980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3498F,CD4+ CELL >=15% (HIV),,,0.02,0.02,1
CPT,34990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,34999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35001,REPAIR DEFECT OF ARTERY,,,987.4,22133.0,7
CPT,35002,REPAIR ARTERY RUPTURE NECK,,,1013.11,22133.0,7
CPT,35003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35005,REPAIR DEFECT OF ARTERY,,,888.96,22133.0,7
CPT,35006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3500F,CD4+CELL CNT/% DOCD AS DONE,,,0.02,0.02,1
CPT,35010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35011,REPAIR DEFECT OF ARTERY,,,5428.0,18067.0,7
CPT,35012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35013,REPAIR ARTERY RUPTURE ARM,,,1054.28,18067.0,7
CPT,35014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35021,REPAIR DEFECT OF ARTERY,,,1200.17,18067.0,7
CPT,35022,REPAIR ARTERY RUPTURE CHEST,,,1363.5,18067.0,7
CPT,35023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3502F,HIV RNA VRL LD <LMTS QUANTIF,,,0.02,0.02,1
CPT,35030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3503F,HIV RNA VRL LDNOT<LMTS QUNTF,,,0.02,0.02,1
CPT,35040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35045,REPAIR DEFECT OF ARM ARTERY,,,5428.0,18067.0,7
CPT,35046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35081,REPAIR DEFECT OF ARTERY,,,1539.06,18067.0,7
CPT,35082,REPAIR ARTERY RUPTURE AORTA,,,1910.75,18067.0,7
CPT,35083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35091,REPAIR DEFECT OF ARTERY,,,1563.98,18067.0,7
CPT,35092,REPAIR ARTERY RUPTURE AORTA,,,2231.48,18067.0,7
CPT,35093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35100,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35102,REPAIR DEFECT OF ARTERY,,,1662.02,18067.0,7
CPT,35103,REPAIR ARTERY RUPTURE AORTA,,,1915.35,18067.0,7
CPT,35104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3510F,DOC TB SCRNG-RSLTS INTERPD,,,0.02,0.02,1
CPT,35110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35111,REPAIR DEFECT OF ARTERY,,,1179.37,18067.0,7
CPT,35112,REPAIR ARTERY RUPTURE SPLEEN,,,1448.84,18067.0,7
CPT,35113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3511F,CHLMYD/GONRH TSTS DOCD DONE,,,0.02,0.02,1
CPT,35120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35121,REPAIR DEFECT OF ARTERY,,,1401.1,18067.0,7
CPT,35122,REPAIR ARTERY RUPTURE BELLY,,,1672.94,18067.0,7
CPT,35123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3512F,SYPH SCRNG DOCD AS DONE,,,0.02,0.02,1
CPT,35130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35131,REPAIR DEFECT OF ARTERY,,,1233.09,18067.0,7
CPT,35132,REPAIR ARTERY RUPTURE GROIN,,,1448.84,18067.0,7
CPT,35133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3513F,HEP B SCRNG DOCD AS DONE,,,0.02,0.02,1
CPT,35140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35141,REPAIR DEFECT OF ARTERY,,,969.79,18067.0,7
CPT,35142,REPAIR ARTERY RUPTURE THIGH,,,1169.72,18067.0,7
CPT,35143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3514F,HEP C SCRNG DOCD AS DONE,,,0.02,0.02,1
CPT,35150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35151,REPAIR DEFECT OF ARTERY,,,1098.86,18067.0,7
CPT,35152,REPAIR RUPTD POPLITEAL ART,,,1240.46,18067.0,7
CPT,35153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3515F,PT HAS DOCD IMMUN TO HEP C,,,0.02,0.02,1
CPT,35160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3517F,HBV ASSESS&RESULTS INTRP 1YR,,,0.02,0.02,1
CPT,35180,RPR CGEN AV FISTULA HEAD&NCK,,,1660.55,5428.0,7
CPT,35181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35182,RPR CGEN AV FISTULA THRX&ABD,,,1669.23,12001.0,7
CPT,35183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35184,RPR CGEN AV FISTULA XTR,,,3330.78,12001.0,7
CPT,35185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35188,RPR ACQ AV FISTULA HEAD&NECK,,,4883.0,18067.0,8
CPT,35189,RPR ACQ AV FISTULA THRX&ABD,,,1339.0,12001.0,7
CPT,35190,REPAIR ACQ AV FISTULA XTR,,,5428.0,18067.0,7
CPT,35191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35201,REPAIR BLOOD VESSEL DIR NECK,,,5869.89,18067.0,7
CPT,35202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35206,REPAIR BLOOD VESSEL DIR UXTR,,,3330.78,12001.0,7
CPT,35207,RPR BLD VSL DIR HAND FINGER,,,3330.78,12001.0,8
CPT,35208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3520F,CDIFFICILE TESTING PERFORMED,,,0.02,0.02,1
CPT,35210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35211,RPR BLVSL DIR NTRATHRC W/BYP,,,1307.15,18067.0,7
CPT,35212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35216,RPR BLVSL DIR NTRTHRC WO BYP,,,1886.33,18067.0,7
CPT,35217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35221,RPR BLD VSL DIR INTRA-ABDL,,,1317.14,18067.0,7
CPT,35222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35226,HC RPR BLOOD VESSEL LOWER EXT,1544.41,540.55,529.73,6479.0,10
CPT,35227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35231,REPAIR BLVSL VN GRF NECK,,,3330.78,12001.0,7
CPT,35232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35236,REPAIR BLVSL VN GRF UXTR,,,5869.89,18067.0,7
CPT,35237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35241,RPR BLVSL VN GRF NTRTHRC W/B,,,1357.95,18067.0,7
CPT,35242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35246,RPR BLVSL VN GRF NTRTHRC W/O,,,1468.89,18067.0,7
CPT,35247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35251,RPR BLVSL VN GRF INTRA-ABDL,,,1537.46,18067.0,7
CPT,35252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35256,REPAIR BLVSL VN GRF LXTR,,,5869.89,18067.0,7
CPT,35257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35261,RPR BLVSL GRF OTH/THN VN NCK,,,3330.78,12001.0,7
CPT,35262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35266,RPR BLVSL GRF OTH/TH VN UXTR,,,5869.89,18067.0,7
CPT,35267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35271,RPR BLVS GR OT/TH VN NTRTH W,,,1311.18,18067.0,7
CPT,35272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35276,RPR BLVS GR OT/T VN NTRTH WO,,,1383.0,18067.0,7
CPT,35277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35281,RPR BLVSL GR OT/TH VN NTR-AB,,,1459.24,18067.0,7
CPT,35282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35286,RPR BLVSL GRF OTH/TH VN LXTR,,,5869.89,18067.0,7
CPT,35287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35301,HC THROMBOENDARTERECTOMY INCLUDING PATCH GRAFT BY NECK INCISION,12339.73,4318.91,1004.89,18067.0,9
CPT,35302,RECHANNELING OF ARTERY,,,990.91,18067.0,7
CPT,35303,RECHANNELING OF ARTERY,,,1089.59,18067.0,7
CPT,35304,RECHANNELING OF ARTERY,,,1129.74,18067.0,7
CPT,35305,RECHANNELING OF ARTERY,,,1075.99,18067.0,7
CPT,35306,RECHANNELING OF ARTERY,,,390.74,18067.0,7
CPT,35307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35311,RECHANNELING OF ARTERY,,,1444.03,18067.0,7
CPT,35312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35321,RECHANNELING OF ARTERY,,,5869.89,18067.0,7
CPT,35322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35331,RECHANNELING OF ARTERY,,,1240.07,18067.0,7
CPT,35332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35341,RECHANNELING OF ARTERY,,,1218.02,18067.0,7
CPT,35342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35351,RECHANNELING OF ARTERY,,,1144.67,18067.0,7
CPT,35352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35355,HC THROMBOENDARTERECTOMY INCLUDING PATCH GRAFT ILIOFEMORAL,11211.53,3924.04,912.01,18067.0,9
CPT,35356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35361,RECHANNELING OF ARTERY,,,1350.24,18067.0,7
CPT,35362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35363,RECHANNELING OF ARTERY,,,1439.39,18067.0,7
CPT,35364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35371,RECHANNELING OF ARTERY,,,725.33,12001.0,7
CPT,35372,RECHANNELING OF ARTERY,,,5869.89,12664.0,7
CPT,35373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35381,Mammogram,,,58774.28,58774.28,1
CPT,35382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35390,REOPERATION CAROTID ADD-ON,,,139.59,18067.0,7
CPT,35391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35400,ANGIOSCOPY,,,127.13,5428.0,7
CPT,35401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35450,Mammogram,,,33273.21,33273.21,1
CPT,35451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35452,Mammogram,,,22432.08,22432.08,1
CPT,35453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35454,Mammogram,,,20505.64,20505.64,1
CPT,35455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35456,Mammogram,,,24871.18,24871.18,1
CPT,35457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35458,Mammogram,,,32464.46,32464.46,1
CPT,35459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35459,Mammogram,,,29293.06,29293.06,1
CPT,35460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35460,Mammogram,,,20681.19,20681.19,1
CPT,35461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35470,Mammogram,,,30178.12,30178.12,1
CPT,35471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35471,Mammogram,,,34380.85,34380.85,1
CPT,35472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35472,Mammogram,,,23347.4,23347.4,1
CPT,35473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35473,Mammogram,,,21296.99,21296.99,1
CPT,35474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35474,Mammogram,,,25803.28,25803.28,1
CPT,35475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35475,Mammogram,,,22043.51,22043.51,1
CPT,35476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35476,Mammogram,,,17834.78,17834.78,1
CPT,35477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35480,Mammogram,,,36933.87,36933.87,1
CPT,35481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35481,Mammogram,,,26295.12,26295.12,1
CPT,35482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35482,Mammogram,,,22926.61,22926.61,1
CPT,35483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35483,Mammogram,,,27824.9,27824.9,1
CPT,35484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35484,Mammogram,,,34874.77,34874.77,1
CPT,35485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35485,Mammogram,,,32319.05,32319.05,1
CPT,35486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35490,Mammogram,,,40494.7,40494.7,1
CPT,35491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35491,Mammogram,,,27332.32,27332.32,1
CPT,35492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35492,Mammogram,,,24694.9,24694.9,1
CPT,35493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35493,Mammogram,,,29879.34,29879.34,1
CPT,35494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35494,Mammogram,,,38118.57,38118.57,1
CPT,35495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35495,Mammogram,,,34659.66,34659.66,1
CPT,35496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35500,HARVEST VEIN FOR BYPASS,,,279.43,20481.51,7
CPT,35501,ART BYP GRFT IPSILAT CAROTID,,,1294.07,18067.0,7
CPT,35502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35506,ART BYP GRFT SUBCLAV-CAROTID,,,1130.64,18067.0,7
CPT,35507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35507,Mammogram,,,72490.11,72490.11,1
CPT,35508,ART BYP GRFT CAROTID-VERTBRL,,,1183.1,18067.0,7
CPT,35509,ART BYP GRFT CONTRAL CAROTID,,,1252.98,18067.0,7
CPT,3550F,LOW RSK THROMBOEMBOLISM,,,0.02,0.02,1
CPT,35510,ART BYP GRFT CAROTID-BRCHIAL,,,1091.41,18067.0,7
CPT,35511,ART BYP GRFT SUBCLAV-SUBCLAV,,,995.12,18067.0,7
CPT,35512,ART BYP GRFT SUBCLAV-BRCHIAL,,,1070.65,18067.0,7
CPT,35513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35515,ART BYP GRFT SUBCLAV-VERTBRL,,,1183.1,18067.0,7
CPT,35516,ART BYP GRFT SUBCLAV-AXILARY,,,1082.96,18067.0,7
CPT,35517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35518,ART BYP GRFT AXILLARY-AXILRY,,,1013.33,18067.0,7
CPT,35519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3551F,INTRMED RSK THROMBOEMBOLISM,,,0.02,0.02,1
CPT,35520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35521,ART BYP GRFT AXILL-FEMORAL,,,1092.77,18067.0,7
CPT,35522,ART BYP GRFT AXILL-BRACHIAL,,,1038.97,18067.0,7
CPT,35523,ART BYP GRFT BRCHL-ULNR-RDL,,,1093.84,18067.0,7
CPT,35524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35525,ART BYP GRFT BRACHIAL-BRCHL,,,977.31,18067.0,7
CPT,35526,ART BYP GRFT AOR/CAROT/INNOM,,,1616.07,18067.0,7
CPT,35527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3552F,HGH RISK FOR THROMBOEMBOLISM,,,0.02,0.02,1
CPT,35530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35531,ART BYP GRFT AORCEL/AORMESEN,,,1724.97,18067.0,7
CPT,35532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35533,ART BYP GRFT AXILL/FEM/FEM,,,1336.35,18067.0,7
CPT,35534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35535,ART BYP GRFT HEPATORENAL,,,1684.2,18067.0,7
CPT,35536,ART BYP GRFT SPLENORENAL,,,1497.18,18067.0,7
CPT,35537,ART BYP GRFT AORTOILIAC,,,1843.12,18067.0,7
CPT,35538,ART BYP GRFT AORTOBI-ILIAC,,,2063.15,18067.0,7
CPT,35539,ART BYP GRFT AORTOFEMORAL,,,1937.19,18067.0,7
CPT,35540,ART BYP GRFT AORTBIFEMORAL,,,2158.25,18067.0,7
CPT,35541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35541,Mammogram,,,92256.59,92256.59,1
CPT,35542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35546,Mammogram,,,90834.73,90834.73,1
CPT,35547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35548,Mammogram,,,84090.37,84090.37,1
CPT,35549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35549,Mammogram,,,98007.84,98007.84,1
CPT,35550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35551,Mammogram,,,107966.48,107966.48,1
CPT,35552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35556,ART BYP GRFT FEM-POPLITEAL,,,1234.77,18067.0,7
CPT,35557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35558,ART BYP GRFT FEM-FEMORAL,,,1080.98,18067.0,7
CPT,35559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3555F,PT INR MEASUREMENT PERFORMED,,,0.02,0.02,1
CPT,35560,ART BYP GRFT AORTORENAL,,,1510.3,18067.0,7
CPT,35561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35563,ART BYP GRFT ILIOILIAC,,,1175.84,18067.0,7
CPT,35564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35565,ART BYP GRFT ILIOFEMORAL,,,1133.95,18067.0,7
CPT,35566,ART BYP FEM-ANT-POST TIB/PRL,,,1466.85,18067.0,7
CPT,35567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35570,ART BYP TIBIAL-TIB/PERONEAL,,,1308.34,18067.0,7
CPT,35571,ART BYP POP-TIBL-PRL-OTHER,,,1173.83,18067.0,7
CPT,35572,HARVEST FEMOROPOPLITEAL VEIN,,,299.19,22197.61,7
CPT,35573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35583,VEIN BYP GRFT FEM-POPLITEAL,,,1273.17,18067.0,7
CPT,35584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35585,VEIN BYP FEM-TIBIAL PERONEAL,,,1473.6,18067.0,7
CPT,35586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35587,VEIN BYP POP-TIBL PERONEAL,,,1183.95,18067.0,7
CPT,35588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35600,OPEN HRV UXTR ART 1 SGM CAB,,,165.62,12001.0,7
CPT,35601,BPG COM CRTD-IPSI INT CRTD,,,1240.41,18067.0,7
CPT,35602,BPG CRTD-CLAT CRTD,,,1132.88,4344.0,5
CPT,35603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35606,BPG CAROTID-SUBCLAVIAN,,,1042.28,18067.0,7
CPT,35607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35612,BPG SUBCLAVIAN-SUBCLAVIAN,,,931.98,18067.0,7
CPT,35613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35616,BPG SUBCLAVIAN-AXILLARY,,,978.6,18067.0,7
CPT,35617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35621,BPG AXILLARY-FEMORAL,,,968.77,18067.0,7
CPT,35622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35623,BPG AXILLARY-POP/-TIBIAL,,,1167.42,18067.0,7
CPT,35624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35626,BPG AOR-SUBCLA/INNOM/CAROTID,,,1460.15,18067.0,7
CPT,35627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35631,BPG AOR-CELIAC-MSN-RENAL,,,1635.77,18067.0,7
CPT,35632,BPG ILIO-CELIAC,,,1599.3,18067.0,7
CPT,35633,BPG ILIO-MESENTERIC,,,1759.56,18067.0,7
CPT,35634,BPG ILIORENAL,,,1565.58,18067.0,7
CPT,35635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35636,BPG SPLENORENAL,,,1414.09,18067.0,7
CPT,35637,BPG AORTOILIAC,,,1470.27,18067.0,7
CPT,35638,BPG AORTOBI-ILIAC,,,1547.23,18067.0,7
CPT,35639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35641,Mammogram,,,88808.34,88808.34,1
CPT,35642,BPG CAROTID-VERTEBRAL,,,886.04,18067.0,7
CPT,35643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35645,BPG SUBCLAVIAN-VERTEBRAL,,,845.05,18067.0,7
CPT,35646,BPG AORTOBIFEMORAL,,,1508.8,18067.0,7
CPT,35647,BPG AORTOFEMORAL,,,1325.58,18067.0,7
CPT,35648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35650,BPG AXILLARY-AXILLARY,,,909.22,18067.0,7
CPT,35651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35651,Mammogram,,,95292.75,95292.75,1
CPT,35652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35654,BPG AXILLARY-FEMORAL-FEMORAL,,,1209.51,18067.0,7
CPT,35655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35656,BPG FEMORAL-POPLITEAL,,,951.58,18067.0,7
CPT,35657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35661,BPG FEMORAL-FEMORAL,,,963.09,18067.0,7
CPT,35662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35663,BPG ILIOILIAC,,,1083.99,18067.0,7
CPT,35664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35665,BPG ILIOFEMORAL,,,1044.46,18067.0,7
CPT,35666,BPG FEM-ANT TIB PST TIB/PRNL,,,1146.68,18067.0,7
CPT,35667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35671,BPG POP-TIBL/-PRNL ARTERY,,,1010.64,18067.0,7
CPT,35672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35681,COMPOSITE BYP GRFT PROS&VEIN,,,69.92,12001.0,7
CPT,35682,COMPOSITE BYP GRFT 2 VEINS,,,306.48,12001.0,7
CPT,35683,COMPOSITE BYP GRFT 3/> SEGMT,,,358.38,12001.0,7
CPT,35684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35685,BYPASS GRAFT PATENCY/PATCH,,,173.65,12757.52,7
CPT,35686,BYPASS GRAFT/AV FIST PATENCY,,,141.09,10333.24,7
CPT,35687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35691,ART TRNSPOSJ VERTBRL CAROTID,,,843.85,18067.0,7
CPT,35692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35693,ART TRNSPOSJ SUBCLAVIAN,,,753.07,18067.0,7
CPT,35694,ART TRNSPOSJ SUBCLAV CAROTID,,,880.81,18067.0,7
CPT,35695,ART TRNSPOSJ CAROTID SUBCLAV,,,913.32,18067.0,7
CPT,35696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35697,REIMPLANT ARTERY EACH,,,128.39,18067.0,7
CPT,35698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35700,REOPERATION BYPASS GRAFT,,,132.77,18067.0,7
CPT,35701,EXPL N/FLWD SURG NECK ART,,,383.0,12001.0,7
CPT,35702,EXPL N/FLWD SURG UXTR ART,,,368.25,4524.0,7
CPT,35703,EXPL N/FLWD SURG LXTR ART,,,374.74,4524.0,7
CPT,35704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3570F,RPRT BONE SCINT XREF W XRAY,,,0.02,0.02,1
CPT,35710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35721,Mammogram,,,29659.58,29659.58,1
CPT,35722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3572F,PT CONSID POSS RISK FX,,,0.02,0.02,1
CPT,35730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3573F,PT NOT CONSID POSS RISK FX,,,0.02,0.02,1
CPT,35740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35741,Mammogram,,,33778.52,33778.52,1
CPT,35742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35761,Mammogram,,,25802.54,25802.54,1
CPT,35762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35800,EXPLORE NECK VESSELS,,,5869.89,12664.0,7
CPT,35801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35820,EXPLORE CHEST VESSELS,,,1844.67,12001.0,7
CPT,35821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35840,EXPLORE ABDOMINAL VESSELS,,,1112.57,12001.0,7
CPT,35841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35860,EXPLORE LIMB VESSELS,,,3330.78,12001.0,7
CPT,35861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35870,REPAIR VESSEL GRAFT DEFECT,,,1109.06,18067.0,7
CPT,35871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35875,REMOVAL OF CLOT IN GRAFT,,,5869.89,21649.0,8
CPT,35876,REMOVAL OF CLOT IN GRAFT,,,5869.89,21649.0,8
CPT,35877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35879,REVISE GRAFT W/VEIN,,,5428.0,18067.0,7
CPT,35880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35881,REVISE GRAFT W/VEIN,,,5428.0,18067.0,7
CPT,35882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35883,REVJ FEM ANAST NONAUTOG GRF,,,5869.89,21649.0,8
CPT,35884,REVJ FEM ANAST AUTOG VN GRF,,,5869.89,21649.0,8
CPT,35885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35901,EXCISION GRAFT NECK,,,433.13,12001.0,7
CPT,35902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35903,EXCISION GRAFT EXTREMITY,,,3330.78,12001.0,7
CPT,35904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35905,EXCISION GRAFT THORAX,,,1488.42,18067.0,7
CPT,35906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35907,EXCISION GRAFT ABDOMEN,,,1682.98,18067.0,7
CPT,35908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,35999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36000,HC PLACE NEEDLE IN VEIN,114.37,40.03,32.9,2444.0,9
CPT,36001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36002,HC INJ PRC PRC TRT EXT PSDANRSM,1593.72,557.81,546.65,3603.0,10
CPT,36003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36005,HC INJ PROC VENO INC INTRO CATH,480.15,168.06,164.69,3166.75,9
CPT,36006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36010,HC INTRO CATH SVC OR IVC,1179.39,412.79,404.53,7093.36,9
CPT,36011,HC CATH PLC VENO 1ST ORD BRANCH,1256.6,439.81,431.01,10258.15,9
CPT,36012,HC CATH PLC VENO 2ND ORD BRANCH,1085.37,379.88,372.28,11341.66,9
CPT,36013,"HC INTRODUCTION CATHETER, RIGHT HEART OR MAIN PULMONARY ARTERY",1597.7,559.2,548.01,8249.27,9
CPT,36014,HC SLTV CATH PLC LT/RT/PULM ART,1711.99,599.2,587.21,9959.99,9
CPT,36015,HC CATH SEGMENT/SUBSGM PULM ART,1031.12,360.9,353.67,11268.04,9
CPT,36016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36100,ESTABLISH ACCESS TO ARTERY,,,537.35,10047.08,7
CPT,36101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36120,Mammogram,,,6586.21,6586.21,1
CPT,36121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36140,HC INTRO NDL/CATH EXTREM ART,804.52,281.59,275.95,7740.0,10
CPT,36141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36145,Mammogram,,,6431.37,6431.37,1
CPT,36146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36147,Mammogram,,,12267.76,12267.76,1
CPT,36148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36148,Mammogram,,,3232.41,3232.41,1
CPT,36149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36160,HC INTRODUCTION NEEDLE OR INTRACATHETER AORTIC TRANSLUMBAR,2979.9,1042.97,572.67,8124.69,10
CPT,36161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36200,HC INTRO CATHETER AORTA,990.3,346.61,339.67,9034.01,10
CPT,36201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36215,HC CATH PLC 1ST ORD THOR/BRACH,1599.76,559.92,548.72,14022.7,9
CPT,36216,HC CATH PLC 2ND ORD THOR/BRACH,1905.04,666.77,653.43,17716.81,9
CPT,36217,HC CATH PLC 3RD ORD THOR/BRACH,1363.9,477.37,467.82,21601.9,9
CPT,36218,HC CATH PLC ADL 2/3ORD THOR/BR,511.18,178.92,175.33,3411.38,9
CPT,36219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36221,HC PLACE CATH THORACIC AORTA,6208.48,2172.97,2129.51,12001.0,9
CPT,36222,HC PLACE CATH CAROTID/INOM ART,6208.46,2172.97,2129.5,12001.0,10
CPT,36223,HC PLACE CATH CAROTID/INOM ART,11695.96,4093.59,3200.0,18067.0,10
CPT,36224,HC PLACE CATH CAROTD ART,12105.56,4236.95,4152.21,18067.0,9
CPT,36225,HC PLACE CATH SUBCLAVIAN ART,6910.02,2418.51,2370.14,12001.0,9
CPT,36226,HC PLACE CATH VERTEBRAL ART,14299.25,5004.74,4904.64,18067.0,9
CPT,36227,HC PLACE CATH XTRNL CAROTID,2992.13,1047.25,281.37,7887.41,9
CPT,36228,HC PLACE CATH INTRACRANIAL ART,2145.39,750.89,735.87,16140.11,10
CPT,36229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36245,HC CATH PLC 1ST ORD ABD/PEL/LE,1457.05,509.97,499.77,15445.29,9
CPT,36246,HC CATH PLC 2ND ORD ABD/PEL/LE,1717.58,601.16,589.13,16400.79,10
CPT,36247,HC CATH PLC 3RD ORD ABD/PEL/LE,2321.41,812.5,796.24,19539.36,9
CPT,36248,HC CATH PLC AD 2/3 ORD AB/PL/LE,514.51,180.08,116.57,3200.0,9
CPT,36249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36251,HC INS CATH REN ART 1ST UNILAT,5984.25,2094.49,2052.6,12001.0,9
CPT,36252,HC INS CATH REN ART 1ST BILAT,6910.02,2418.51,2370.14,12001.0,9
CPT,36253,HC INS CATH REN ART 2ND+ UNILAT,11695.96,4093.59,3200.0,18067.0,10
CPT,36254,INS CATH REN ART 2ND+ BILAT,,,3200.0,12001.0,7
CPT,36255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36260,INSERTION OF INFUSION PUMP,,,4236.0,18067.0,8
CPT,36261,REVISION OF INFUSION PUMP,,,3200.0,12001.0,8
CPT,36262,REMOVAL OF INFUSION PUMP,,,2983.0,12001.0,8
CPT,36263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36299,HC UNLISTED PROC VASCULAR INJ,53.38,18.69,15.29,5428.0,5
CPT,36300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36400,HC VENIPUNCT <3YR FE/JUGUL,18.25,6.39,6.26,4344.0,9
CPT,36401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36405,VNPNXR<3YRS PHY/QHP SCALP VN,,,24.88,4344.0,7
CPT,36406,VNPNXR<3YRS PHY/QHP OTHER VN,,,19.14,4344.0,7
CPT,36407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36410,VNPNXR 3YR/> PHY/QHP DX/THER,,,19.76,4344.0,7
CPT,36411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36415,HC DUI DRAW ONLY,33.5,11.73,3.0,2133.0,10
CPT,36415,HC HOOP TESTING,1.23,0.44,0.42,29.98,10
CPT,36415,HC RESEARCH VENIPUNCTURE,17.33,6.07,3.0,29.98,10
CPT,36415,HC ROUTINE VENIPUNCTURE,16.4,5.74,3.0,29.98,10
CPT,36416,HC CAPILLARY BLOOD COLLECTION,45.11,15.79,3.11,25.26,6
CPT,36417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36420,VENIPUNCTURE CUTDOWN < 1 YR,,,140.35,3500.0,7
CPT,36421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36425,HC VEIN ACCESS CUTDOWN,771.43,270.01,264.6,3500.0,10
CPT,36426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36430,HC BLOOD TRANSFUSION ADMIN,923.92,323.38,316.9,3500.0,10
CPT,36430,HC BLOOD TRANSFUSION SERVICE,923.92,323.38,316.9,3500.0,10
CPT,36431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36440,BLD PUSH TFUJ 2 YR/<,,,465.39,3500.0,8
CPT,36441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36450,BLD EXCHANGE TRUJ NEWBORN,,,465.39,3500.0,8
CPT,36451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36455,BLD EXCHANGE TRUJ OTH THN NB,,,465.39,3500.0,8
CPT,36456,PRTL EXCHANGE TRANSFUSE NB,,,465.39,3500.0,8
CPT,36457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36460,HC TRANSFUSION FETAL INTRAUTERINE,869.29,304.26,298.17,3500.0,10
CPT,36461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36465,HC NJX NONCMPND SCLRSNT 1 VEIN,4080.58,1428.21,1399.64,21649.0,10
CPT,36466,HC NJX NONCMPND SCLRSNT MLT VN,4080.58,1428.21,1399.64,21649.0,10
CPT,36467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36468,HC INJECTION(S) FOR SPIDER VEINS LIMB OR TRUNK,886.13,310.15,303.94,3500.0,9
CPT,36469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36470,HC SCLEROTHERAPY 1 VEIN,848.66,297.04,291.09,3500.0,9
CPT,36471,"HC INJECTION OF SCLEROSANT, MULTIPLE IMCOMPETENT VEINS",809.92,283.48,277.8,3500.0,9
CPT,36472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36473,ENDOVENOUS MCHNCHEM 1ST VEIN,,,3330.78,12001.0,7
CPT,36474,ENDOVENOUS MCHNCHEM ADD-ON,,,249.32,5896.66,7
CPT,36475,HC ENDOVENOUS RF 1ST VEIN,7326.09,2564.14,2512.85,21649.0,10
CPT,36476,HC ENDOVENOUS RF VEIN ADD-ON,4744.17,1660.46,286.88,8753.85,9
CPT,36477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36478,"HC ENDOVENOUS ABLATION, FIRST VEIN TREATED",8377.31,2932.06,2873.42,21649.0,10
CPT,36479,"HC ENDOVENOUS ABLATION, SUBSEQUENT VEIN(S)",3666.12,1283.15,320.57,8860.43,9
CPT,36480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36481,HC PERC PORTAL VEIN CATH,4498.46,1574.47,1542.97,21620.64,9
CPT,36482,HC ENDOVEN THER CHEM ADHES 1ST,11096.17,3883.66,3805.99,18067.0,9
CPT,36483,"HC ENDOVENOUS ABLATION, INCOMPETENT VEIN, SUBSEQUENT VEINS SINGLE EXTREMITY",5565.74,1948.01,143.58,5784.08,9
CPT,36484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36500,HC VEN CATH FOR SEL ORG BLD SAM,1412.51,494.38,158.31,11927.95,9
CPT,36501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3650F,EEG ORDERED RVWD REQSTD,,,0.02,0.02,1
CPT,36510,INSERTION OF CATHETER VEIN,,,89.19,5428.0,7
CPT,36511,"HC LEUKOPHERESIS, THERAPEUTIC",3857.21,1350.03,1323.02,5513.0,9
CPT,36512,HC THERAPEUTIC RED CELL EXCHANGE,4703.31,1646.16,1613.24,5513.0,9
CPT,36513,APHERESIS PLATELETS,,,465.39,3500.0,7
CPT,36514,"HC PLAZMAPHERESIS, THERAPEUTIC",4703.31,1646.16,1613.24,5513.0,9
CPT,36515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36515,Mammogram,,,5810.91,5810.91,1
CPT,36516,APHERESIS IMMUNOADS SLCTV,,,4594.55,18067.0,7
CPT,36517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36522,PHOTOPHERESIS,,,3200.0,18067.0,7
CPT,36523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36550,Mammogram,,,1408.51,1408.51,1
CPT,36551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36555,HC SUBCLAVIAN ACCESS CVP < 5 YRS,6540.68,2289.24,2133.0,5423.17,10
CPT,36556,HC NSRT N/TN CVC 5 YRS OR OLDER,5499.19,1924.72,1886.22,5423.17,10
CPT,36557,INSERT TUNNELED CV CATH,,,3200.0,18067.0,8
CPT,36558,HC NSRT TUNLD CVC W/O SUBQ PORT >5 YRS,7572.07,2650.23,2597.22,12001.0,10
CPT,36559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36560,HC NSRT TNL CVC WPRT UDR 5YRS,5396.51,1888.78,1851.0,12001.0,10
CPT,36561,HC NSRT TNL CVC WPRT 5YR +,6006.31,2102.21,2060.16,12001.0,10
CPT,36562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36563,INSERT TUNNELED CV CATH,,,4236.0,18067.0,8
CPT,36564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36565,INSERT TUNNELED CV CATH,,,3330.78,12001.0,8
CPT,36566,INSERT TUNNELED CV CATH,,,5583.0,18067.0,8
CPT,36567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36568,HC INSERT PICC CATH,3408.63,1193.03,1169.16,3603.0,10
CPT,36569,"HC PICC LINE INSERT, >5 YRS",3408.63,1193.03,1169.16,4524.0,10
CPT,36570,INSERT PICVAD CATH,,,3330.78,12001.0,8
CPT,36571,HC INSERTCENTRAL VENOUS ACCESS WITH SUB Q PORT; AGE 5 YEARS OR OLDER,6485.81,2270.04,2224.63,12001.0,10
CPT,36572,HC INSJ PICC RS&I <5 YR,1598.84,559.6,548.4,4236.0,10
CPT,36573,HC INSJ PICC RS&I 5 YR+,2820.19,987.07,967.33,7367.0,10
CPT,36574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36575,HC REPAIR TN/NTN CEN VEN CATH,2014.82,705.19,661.73,3603.0,10
CPT,36576,HC RP CVD W/SQ PT/PM C/PH N ST,3408.63,1193.03,1169.16,4524.0,10
CPT,36577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36578,HC RP CATH ONLY CVC WSQ PRT/PMP,6784.05,2374.42,2326.93,12001.0,10
CPT,36579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36580,HC RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP,3408.63,1193.03,1169.16,4524.0,10
CPT,36581,HC RP CMPL TNL CVC W/O PRT SMVA,6784.05,2374.42,2326.93,12001.0,10
CPT,36582,HC REPLACE TUNNELED CV CATH,6006.3,2102.21,2060.16,12001.0,10
CPT,36583,REPLACE TUNNELED CV CATH,,,4236.0,18067.0,8
CPT,36584,HC REPLACE PICC CATH,3408.63,1193.03,1169.16,4524.0,10
CPT,36585,REPLACE PICVAD CATH,,,3330.78,12001.0,8
CPT,36586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36589,HC REMOVE TUN CNTRL VENOUS CATH,1373.34,480.67,471.06,3603.0,10
CPT,36590,HC REMVL TUNL CVC W/PORT,3408.63,1193.03,1169.16,5513.0,10
CPT,36591,HC  BLD DRAW FRM SUBCUTANEOUS PORT,215.13,75.3,52.54,2444.0,9
CPT,36592,HC BLD DRAW FR0M ESTAB CV-PICC,284.79,99.68,57.14,2444.0,9
CPT,36593,HC DECLOT PORT W/THROMB AGENT,720.79,252.28,247.23,3500.0,9
CPT,36594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36595,HC MC RM PRCH OBT MT CVC V SPVA,6784.05,2374.42,2326.93,12001.0,10
CPT,36596,HC MECH  REMOVAL OF INTRALUMINAL OBSTRUCTIVE MATERIAL CENT VEN DEVICE,4198.98,1469.65,1440.25,4524.0,10
CPT,36597,HC REPOSITION VENOUS CATHETER,3408.63,1193.03,1169.16,4524.0,10
CPT,36598,HC CON INJ READ EVL EX CVA W FLR,418.21,146.38,143.45,3500.0,10
CPT,36599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36600,HC ARTERIAL PUNCTURE,271.87,95.16,52.78,3500.0,10
CPT,36601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36620,HC ARTERIAL LINE INSERTION,743.68,260.29,40.9,3000.0,10
CPT,36621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36625,INSERTION CATHETER ARTERY,,,94.94,6998.3,7
CPT,36626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36640,INSERTION CATHETER ARTERY,,,2983.0,12001.0,8
CPT,36641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36660,INSERTION CATHETER ARTERY,,,58.09,5428.0,7
CPT,36661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36680,HC INTRAOSSEOUS INSERTION,784.71,274.65,269.16,3500.0,10
CPT,36681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36800,INSERTION OF CANNULA,,,4236.0,18067.0,8
CPT,36801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36810,INSERTION OF CANNULA,,,3330.78,12001.0,8
CPT,36811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36815,INSERTION OF CANNULA,,,4236.0,18067.0,8
CPT,36816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36818,AV FUSE UPPR ARM CEPHALIC,,,4236.0,18067.0,8
CPT,36819,AV FUSE UPPR ARM BASILIC,,,4236.0,18067.0,8
CPT,36820,AV FUSION/FOREARM VEIN,,,4236.0,18067.0,8
CPT,36821,AV FUSION DIRECT ANY SITE,,,3330.78,12001.0,8
CPT,36822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36822,Mammogram,,,25141.17,25141.17,1
CPT,36823,INSERTION OF CANNULA(S),,,1305.65,12001.0,7
CPT,36824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36825,ARTERY-VEIN AUTOGRAFT,,,4883.0,18067.0,8
CPT,36826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36830,ARTERY-VEIN NONAUTOGRAFT,,,4883.0,18067.0,8
CPT,36831,OPEN THROMBECT AV FISTULA,,,5869.89,21649.0,8
CPT,36832,AV FISTULA REVISION OPEN,,,4883.0,18067.0,8
CPT,36833,AV FISTULA REVISION,,,4883.0,18067.0,8
CPT,36834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36834,Mammogram,,,38562.14,38562.14,1
CPT,36835,INSERTION THOMAS SHUNT,,,3330.78,12001.0,8
CPT,36836,HC PERQ AV FISTULA CREATION UXTR SINGLE ACCESS,59520.38,20832.14,11244.0,52872.0,9
CPT,36837,HC PERQ AV FISTULA CREATION UXTR SEP ACCESS SITES,59520.38,20832.14,11244.0,52872.0,9
CPT,36838,DIST REVAS LIGATION HEMO,,,5869.89,18067.0,7
CPT,36839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36860,EXTERNAL CANNULA DECLOTTING,,,1660.55,3603.0,8
CPT,36861,HC EXT CANNULA DECLOT W BALOON,11695.96,4093.59,4011.71,18067.0,10
CPT,36862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36870,Mammogram,,,19897.92,19897.92,1
CPT,36871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36901,HC INTRO CATH DIALYSIS CIRCUIT DX ANGRPH FLUOR S&I,3408.63,1193.03,1169.16,5513.0,9
CPT,36902,HC INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP,11252.47,3938.37,3859.6,22133.0,9
CPT,36903,HC INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT,22742.87,7960.01,7800.8,30380.0,9
CPT,36904,HC PERQ THRMBC/NFS DIALYSIS CIRCUIT IMG DX ANGRPH,11252.47,3938.37,3859.6,22133.0,9
CPT,36905,HC PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP,22742.87,7960.01,7800.8,30380.0,9
CPT,36906,HC PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT,34472.3,12065.31,11244.0,52872.0,9
CPT,36907,HC TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S&I,797.7,279.2,273.61,9597.51,9
CPT,36908,HC TRANSCATH PLACEMENT STENT,25323.52,8863.24,1466.47,13510.04,9
CPT,36909,HC DIALYSIS CIRCUIT EMBOLIZATION,25323.52,8863.24,1919.63,13177.08,9
CPT,36910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,36999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3700F,PSYCH DISORDERS ASSESSED,,,0.02,0.02,1
CPT,37010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37100,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37140,REVISION OF CIRCULATION,,,2107.95,18067.0,7
CPT,37141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37145,REVISION OF CIRCULATION,,,1958.7,18067.0,7
CPT,37146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37160,REVISION OF CIRCULATION,,,2011.42,18067.0,7
CPT,37161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37180,REVISION OF CIRCULATION,,,1934.83,18067.0,7
CPT,37181,SPLICE SPLEEN/KIDNEY VEINS,,,2107.95,18067.0,7
CPT,37182,HC INSERTION OF TIPS,14925.99,5224.1,5119.61,31485.72,9
CPT,37183,HC REVJ TRANSVNS INTRHPTC PORTOSYSTEMIC SHNT (TIPS),23337.3,8168.06,6003.94,22133.0,9
CPT,37184,HC PRIM PERC THROMB INITAL VESSEL,55980.98,19593.35,7740.0,31485.72,10
CPT,37185,HC PRIM ART M-THROMBECT ADD-ON,3985.42,1394.9,477.16,10616.71,10
CPT,37186,HC SEC ART M-THROMBECT ADD-ON,7509.15,2628.21,1213.05,15802.38,10
CPT,37187,HC PCTL MCTHRMV IPCPRMTINJ/FLRG,23414.18,8194.97,8031.06,22133.0,10
CPT,37188,HC PCTL MCTRMV RPTRT SQD DC TTR,9156.54,3204.79,3140.69,21649.0,10
CPT,37189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37191,HC INS ENDOVAS VENA CAVA FILTR,11695.96,4093.59,4011.71,18067.0,9
CPT,37192,REDO ENDOVAS VENA CAVA FILTR,,,3330.78,12001.0,7
CPT,37193,HC REM ENDOVAS VENA CAVA FILTER,6293.18,2202.62,2158.56,12001.0,9
CPT,37194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37195,"HC THRMBLYS, CRBRL BY INTRVN INFS",557.14,195.0,191.1,5428.0,10
CPT,37196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37197,HC REMOVE INTRVAS FOREIGN BODY,6293.18,2202.62,2158.56,21649.0,10
CPT,37198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37200,HC TRANSCATHETER BIOPSY,9167.1,3208.49,2983.0,18067.0,10
CPT,37201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37201,Mammogram,,,18794.93,18794.93,1
CPT,37202,HC TRANSCATH INF NON THROMBLYT,3504.77,1226.67,1202.14,19630.5,5
CPT,37203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37203,Mammogram,,,17740.94,17740.94,1
CPT,37204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37204,Mammogram,,,59770.08,59770.08,1
CPT,37205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37205,Mammogram,,,28389.74,28389.74,1
CPT,37206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37206,Mammogram,,,14105.14,14105.14,1
CPT,37207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37207,Mammogram,,,28938.54,28938.54,1
CPT,37208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37208,Mammogram,,,13826.94,13826.94,1
CPT,37209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37209,Mammogram,,,7636.9,7636.9,1
CPT,3720F,COGNIT IMPAIRMENT ASSESSED,,,0.02,0.02,1
CPT,37210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37210,Mammogram,,,35215.08,35215.08,1
CPT,37211,HC THROMBOLYTIC ART THERAPY,11096.15,3883.66,3000.0,18067.0,10
CPT,37212,HC THROMBOLYTIC VENOUS THERAPY,6485.38,2269.89,2224.49,12001.0,10
CPT,37213,HC THROMBLYTIC ART/VEN THERAPY,5160.12,1806.05,1769.92,21649.0,10
CPT,37214,HC CESSJ THERAPY CATH REMOVAL,5160.12,1806.05,1769.92,21649.0,10
CPT,37215,"HC TRANSCATH STENT, CCA W/EPS",14970.54,5239.69,872.66,12001.0,10
CPT,37216,HC TRANSCATH PLACEMENT INTRAVASCULAR STENT OPEN/PERC; W/O DISTAL EMB PROTECTION,23178.65,8112.53,866.64,22625.0,9
CPT,37217,STENT PLACEMT RETRO CAROTID,,,960.03,22133.0,7
CPT,37218,STENT PLACEMT ANTE CAROTID,,,730.5,12001.0,7
CPT,37219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37220,HC ILIAC REVASC,11286.75,3950.37,3871.36,22133.0,6
CPT,37221,HC ILIAC REVASC W/STENT,22152.614999999998,7753.42,6479.0,30380.0,11
CPT,37222,HC ILIAC REVASC ADD-ON,9302.33,3255.82,3000.0,12664.0,6
CPT,37223,HC ILIAC REVASC W/STENT ADD-ON,11286.75,3950.37,3000.0,13682.88,6
CPT,37224,HC FEM/POPL REVAS W/TLA,11924.46,4173.5650000000005,3871.36,22133.0,11
CPT,37225,HC FEM/POPL REVAS W/ATHER,37320.65,13062.23,6479.0,30380.0,6
CPT,37226,HC FEM/POPL REVASC W/STENT,21975.81,7691.54,6479.0,30380.0,6
CPT,37227,HC FEM/POPL REVASC STNT & ATHER,35353.95,12373.89,6479.0,52872.0,6
CPT,37228,HC TIB/PER REVASC W/TLA,24568.79,8599.08,6479.0,30380.0,6
CPT,37229,"HC REVASC, ENDO, W/ATHERECTOMY",34486.85,12070.4,6479.0,52872.0,6
CPT,37230,HC TIB/PER REVASC W/STENT,37320.65,13062.23,6479.0,52872.0,6
CPT,37231,"HC REVASCULARIZATION, ENDOVASCULAR, TIBIAL W/ STENT AND ATHERECTOMY",35575.3,12451.36,6479.0,52872.0,6
CPT,37232,HC TIB/PER REVASC ADD-ON,11286.75,3950.37,3000.0,12918.36,6
CPT,37233,"HC REVASCULARIZATIO, ENDOVASCULAR W ATHERECTOMY W/IN THE SAME VESSEL",17787.19,6225.52,3000.0,20963.92,6
CPT,37234,HC EVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP UNI EA VSL,18433.86,6451.86,3000.0,18244.17,6
CPT,37235,Ambulatory Surgery Groups,,,3000.0,3000.0,1
CPT,37235,Ambulatory Surgery Groups - CPT/HCPCS,,,12664.0,12664.0,1
CPT,37235,Mammogram,,,24296.28,24296.28,1
CPT,37236,HC OPEN/PERQ PLACE STENT 1ST,24459.07,8560.68,5583.0,30380.0,9
CPT,37237,HC OPN/PERQ PLACE STNT EA ADD ART,10627.82,3719.74,1277.32,13610.61,10
CPT,37238,HC OPEN/PERQ PLACE STENT SAME,24459.07,8560.68,5583.0,30380.0,9
CPT,37239,HC OPEN/PERQ PLACE STNT EA ADD VN,10627.82,3719.74,1755.3,12664.0,9
CPT,37240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37241,HC VASC EMBOLIZE/OCCLUDE VENOUS,23716.06,8300.63,5583.0,30380.0,9
CPT,37242,HC VASC EMBOLIZE/OCCLUDE ARTERY,37320.65,13062.23,5583.0,31485.72,9
CPT,37243,HC VASC EMBOLIZE/OCCLUDE ORGAN,23716.06,8300.63,5583.0,30380.0,9
CPT,37244,HC VASC EMBOLIZE/OCCLUDE BLEED,23716.06,8300.63,5583.0,30380.0,9
CPT,37245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37246,HC TRLML BALO ANGIOP OPEN/PERQ IMG S&I 1ST ART,11252.47,3938.37,3859.6,22133.0,9
CPT,37247,HC TRLML BALO ANGIOP OPEN/PERQ IMG S&I EA ADDL ART,5626.24,1969.19,625.78,11179.47,9
CPT,37248,HC TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN,11252.47,3938.37,3859.6,22133.0,9
CPT,37249,"HC TRANSLUMINAL BALLOON ANGIOPLASTY, OPEN/PERCUTANEOUS; EACH ADDL VEIN",6376.35,2231.73,444.75,9488.97,9
CPT,37250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37250,Mammogram,,,7001.61,7001.61,1
CPT,37251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37251,Mammogram,,,5256.72,5256.72,1
CPT,37252,HC INTRVASC US NONCORONARY 1ST,182.78,63.98,62.69,7740.0,10
CPT,37253,HC INTRVASC US NONCORONARY ADDL,182.78,63.98,62.69,7740.0,10
CPT,37254,REVSC EVASC IVT ANGIO SF 1ST,,,4344.0,9775.61,5
CPT,37255,REVSC EVASC IVT ANGIO SF EA,,,530.75,4344.0,5
CPT,37256,REVSC EVASC IVT ANGIO CPLX 1,,,4344.0,9775.61,5
CPT,37257,REVSC EVSC IVT ANGIO CPLX EA,,,601.14,4344.0,5
CPT,37258,REVSC EVASC IVT STENT SF 1ST,,,4344.0,19827.86,5
CPT,37259,REVSC EVASC IVT STENT SF EA,,,1266.73,4344.0,5
CPT,3725F,SCREEN DEPRESSION PERFORMED,,,0.02,0.02,1
CPT,37260,REVSC EVASC IVT ST CPLX 1ST,,,4344.0,19827.86,5
CPT,37261,REVSC EVASC IVT ST CPLX EA,,,3559.39,5795.4,5
CPT,37262,IV LITHOTRP IVT W/IN SM ART,,,3616.54,5888.45,5
CPT,37263,REVSC EVASC FPVT ANGIO SF 1,,,4344.0,9775.61,5
CPT,37264,REVSC EVASC FPVT ANGIO SF EA,,,2311.33,4344.0,5
CPT,37265,REVSC EVSC FPVT ANGIO CPLX 1,,,4344.0,9775.61,5
CPT,37266,RVSC EVSC FPVT ANGIO CPLX EA,,,2581.42,4344.0,5
CPT,37267,REVSC EVSC FPVT STENT SF 1ST,,,4344.0,19827.86,5
CPT,37268,REVSC EVASC FPVT STENT SF EA,,,3560.29,5796.86,5
CPT,37269,REVSC EVASC FPVT ST CPLX 1ST,,,4344.0,19827.86,5
CPT,37270,REVSC EVASC FPVT ST CPLX EA,,,3699.44,6023.43,5
CPT,37271,REVSC EVSC FPVT ATHRC SF 1ST,,,4344.0,31485.72,5
CPT,37272,REVSC EVSC FPVT ATHRC SF EA,,,2471.27,4344.0,5
CPT,37273,REVSC EVSC FPVT ATHRC CPLX 1,,,4344.0,31485.72,5
CPT,37274,RVSC EVSC FPVT ATHRC CPLX EA,,,2624.67,4344.0,5
CPT,37275,RVSC EVSC FPVT ST ATHRC SF 1,,,4344.0,31485.72,5
CPT,37276,RVSC EVSC FPVT ST ATHR SF EA,,,3663.37,5964.7,5
CPT,37277,RVSC EVSC FPVT ST ATHR CPX 1,,,4344.0,31485.72,5
CPT,37278,RVSC EVSC FPVT ST ATH CPX EA,,,4098.94,6673.89,5
CPT,37279,IV LITHOTRP FPVT W/IN SM ART,,,4344.0,8007.73,5
CPT,37280,REVSC EVSC TPVT ANGIO SF 1ST,,,4344.0,19827.86,5
CPT,37281,REVSC EVSC TPVT ANGIO SF EA,,,771.82,4344.0,5
CPT,37282,RVSC EVSC TPVT ANGIO CPLX 1,,,4344.0,19827.86,5
CPT,37283,RVSC EVSC TPVT ANGIO CPLX EA,,,901.94,4344.0,5
CPT,37284,REVSC EVASC TPVT ST SF 1ST,,,4344.0,31485.72,5
CPT,37285,REVSC EVASC TPVT ST SF EA,,,2953.7,4809.22,5
CPT,37286,REVSC EVASC TPVT ST CPLX 1ST,,,4344.0,31485.72,5
CPT,37287,REVSC EVASC TPVT ST CPLX EA,,,4344.0,8527.27,5
CPT,37288,REVSC EVSC TPVT ATHRC SF 1ST,,,4344.0,31485.72,5
CPT,37289,REVSC EVSC TPVT ATHRC SF EA,,,962.71,4344.0,5
CPT,37290,REVSC EVSC TPVT ATHRC CPLX 1,,,4344.0,31485.72,5
CPT,37291,REVSC EVSC TPVT ATHR CPLX EA,,,1120.29,4344.0,5
CPT,37292,RVSC EVSC TPVT ST ATHRC SF 1,,,4344.0,31485.72,5
CPT,37293,RVSC EVSC TPVT ST ATHR SF EA,,,3709.73,6040.17,5
CPT,37294,RVSC EVSC TPVT ST ATHR CPX 1,,,4344.0,31485.72,5
CPT,37295,RVSC EVSC TPVT ST ATH CPX EA,,,4344.0,10348.01,5
CPT,37296,REVSC EVASC IMVT ANGIO SF 1,,,4344.0,19827.86,5
CPT,37297,REVSC EVASC IMVT ANGIO SF EA,,,866.09,4344.0,5
CPT,37298,REVSC EVSC IMVT ANGIO CPLX 1,,,4344.0,19827.86,5
CPT,37299,REVSC EVSC IMVT ANGIO CPX EA,,,937.19,4344.0,5
CPT,37300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37500,Ambulatory Surgery Groups,,,4236.0,18067.0,3
CPT,37500,Ambulatory Surgery Groups - CPT/HCPCS,,,12664.0,12664.0,1
CPT,37501,UNLISTED VASC ENDOSCOPY PX,,,661.73,5428.0,7
CPT,37502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3750F,PTNOTRCVNGSTEROID>=10MG/DAY,,,0.02,0.02,1
CPT,37510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3751F,ELECTRODIAG POLYNEURO 6 MN,,,0.02,0.02,1
CPT,37520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3752F,NO ELECTRODIAG POLYNEURO 6MN,,,0.02,0.02,1
CPT,37530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3753F,PT HAS SYMP&SIGNS NEUROPATHY,,,0.02,0.02,1
CPT,37540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3754F,SCREENING TESTS DM DONE,,,0.02,0.02,1
CPT,37550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3755F,COG&BEHAV IMPRMNT SCRNG DONE,,,0.02,0.02,1
CPT,37560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37565,LIGATION INT JUGULAR VEIN,,,3330.78,5428.0,7
CPT,37566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3756F,PT W/PSEUDOBULB AFFECT/ALS,,,0.02,0.02,1
CPT,37570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3757F,PT W/O PSEUDOBULBAFFECT/ALS,,,0.02,0.02,1
CPT,37580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3758F,PT REF PULM FX TEST/PEAKFLOW,,,0.02,0.02,1
CPT,37590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3759F,PT SCRN DYSPHAG/WT LOSS/NUTR,,,0.02,0.02,1
CPT,37600,LIGATION XTRNL CAROTID ART,,,3330.78,12001.0,7
CPT,37601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37605,LIGATION INT/COM CAROTID ART,,,3330.78,12001.0,7
CPT,37606,LIG INT/COM CAROTID ART OCCL,,,3330.78,12001.0,7
CPT,37607,HC LIGATION/BANDING OF ANGIOACCESS ARTERIOVENOUS FISTULA,7134.02,2496.91,2446.97,12001.0,10
CPT,37608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37609,HC BX TEMPORAL ARTERY,3617.05,1265.97,1240.65,5513.0,10
CPT,3760F,PT W/DYSPHAG/WT LOSS/NUTR,,,0.02,0.02,1
CPT,37610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37615,LIGATION MAJOR ARTERY NECK,,,3330.78,5428.0,7
CPT,37616,LIGATION MAJOR ARTERY CHEST,,,1064.13,12001.0,7
CPT,37617,LIGATION MAJOR ARTERY ABD,,,5428.0,12001.0,7
CPT,37618,HC LIGATION OF EXTREMITY ARTERY,18619.76,6516.92,369.42,12001.0,10
CPT,37619,LIGATION OF INF VENA CAVA,,,5583.0,18067.0,7
CPT,3761F,PT W/O DYSPHAG/WT LOSS/NUTR,,,0.02,0.02,1
CPT,37620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37620,Mammogram,,,45025.0,45025.0,1
CPT,37621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3762F,PATIENT IS DYSARTHRIC,,,0.02,0.02,1
CPT,37630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3763F,PATIENT IS NOT DYSARTHRIC,,,0.02,0.02,1
CPT,37640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37650,LIGATION OF FEMORAL VEIN,,,3200.0,12001.0,8
CPT,37651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37660,LIGATION COMMON ILIAC VEIN,,,1206.03,12001.0,7
CPT,37661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37700,LIGATION&DIV LONG SAPH VEIN,,,3200.0,12001.0,8
CPT,37701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37718,LIG DIV&STRPG SHORT SAPH VN,,,3330.78,12001.0,8
CPT,37719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37722,LIG DIV&STRPG LONG SAPH VEIN,,,3330.78,12001.0,8
CPT,37723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37735,LIG&DIV&COMPL STRPG SAPH VN,,,3330.78,12001.0,8
CPT,37736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3775F,ADENOMA DETECTED SCREENING,,,0.02,0.02,1
CPT,37760,LIG PRFRATR VN RADICAL 1 LEG,,,3330.78,12001.0,8
CPT,37761,LIGATE LEG VEINS OPEN,,,3330.78,5583.0,8
CPT,37762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37765,HC STAB PHLEB VEINS XTR 10-20,7987.89,2795.77,2739.85,12001.0,10
CPT,37766,HC STAB PHLEB VEINS EXTREMITY 20+,8694.6,3043.11,2982.25,12001.0,10
CPT,37767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,3776F,ADENOMA NOT DETECT SCREENING,,,0.02,0.02,1
CPT,37770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37780,REVISION OF LEG VEIN,,,3330.78,5583.0,8
CPT,37781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37785,LIGATE/DIVIDE/EXCISE VEIN,,,3330.78,12001.0,8
CPT,37786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37788,REVASCULARIZATION PENIS,,,1130.8,12001.0,7
CPT,37789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37790,PENILE VENOUS OCCLUSION,,,3718.45,12001.0,8
CPT,37791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37799,HC UNLISTED PROC VAS SURG,1908.81,668.09,654.72,3603.0,9
CPT,37799,"HC UNLISTED PROCEDURE, VASCULAR SURGERY EXCISION OF VARICOSE VEIN, NECK",15815.85,5535.55,661.73,5424.84,9
CPT,37800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,37999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38100,REMOVAL OF SPLEEN TOTAL,,,1064.09,12001.0,7
CPT,38101,REMOVAL OF SPLEEN PARTIAL,,,1074.95,12001.0,7
CPT,38102,REMOVAL OF SPLEEN TOTAL,,,232.47,12001.0,7
CPT,38103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38115,REPAIR OF RUPTURED SPLEEN,,,1187.75,12001.0,7
CPT,38116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38120,LAPAROSCOPY SPLENECTOMY,,,6177.0,30380.0,8
CPT,38121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38129,UNLISTED LAPS PX SPLEEN,,,5583.0,19925.0,7
CPT,38130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38200,INJECTION FOR SPLEEN X-RAY,,,109.48,8729.72,7
CPT,38201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38204,BL DONOR SEARCH MANAGEMENT,,,86.32,6761.76,7
CPT,38205,HARVEST ALLOGENEIC STEM CELL,,,69.92,18067.0,7
CPT,38206,HARVEST AUTO STEM CELLS,,,143.07,5513.0,7
CPT,38207,CRYOPRESERVE STEM CELLS,,,76.48,3500.0,8
CPT,38208,THAW PRESERVED STEM CELLS,,,48.35,3500.0,8
CPT,38209,WASH HARVEST STEM CELLS,,,20.21,3500.0,8
CPT,38210,T-CELL DEPLETION OF HARVEST,,,135.23,3500.0,8
CPT,38211,TUMOR CELL DEPLETE OF HARVST,,,122.95,3500.0,8
CPT,38212,RBC DEPLETION OF HARVEST,,,80.57,3500.0,8
CPT,38213,PLATELET DEPLETE OF HARVEST,,,20.21,3500.0,8
CPT,38214,VOLUME DEPLETE OF HARVEST,,,69.13,3500.0,8
CPT,38215,HARVEST STEM CELL CONCENTRTE,,,80.57,3500.0,8
CPT,38216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38220,HC ASP BONE MARROW ONLY,3151.1,1102.89,1080.83,4524.0,10
CPT,38220,HC ASP BONE MARROW W/BX,3507.19,1227.52,1202.97,4524.0,10
CPT,38221,HC BX BONE MARROW NDL/TROC,3547.07,1241.48,1216.65,4524.0,10
CPT,38222,HC DX BONE MARROW BX & ASPIR,6047.66,2116.69,2074.35,5513.0,10
CPT,38223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38225,HC CAR-T THERAPY HRVG BLD-DRV T LYMPHCYT PR DAY,5974.0,2090.9,83.67,4344.0,9
CPT,38226,HC CAR-T THERAPY PREPJ BLD-DRV T LYMPHCYT F/TRNS,8228.49,2879.98,33.89,4937.09,9
CPT,38227,HC CAR-T THERAPY RECEIPT & PREPJ CAR-T CELLS F/ADMN,3577.0,1251.95,34.23,4344.0,9
CPT,38228,HC CAR-T THERAPY AUTOL CAR-T CELL ADMINISTRATION,2000.04,700.02,348.43,2444.0,9
CPT,38229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38230,BONE MARROW HARVEST ALLOGEN,,,1642.9,9611.0,7
CPT,38231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38232,BONE MARROW HARVEST AUTOLOG,,,4594.55,21649.0,8
CPT,38233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38240,TRANSPLT ALLO HCT/DONOR,,,9611.0,108036.56,7
CPT,38241,TRANSPLT AUTOL HCT/DONOR,,,1642.9,9611.0,7
CPT,38242,TRANSPLT ALLO LYMPHOCYTES,,,215.71,5513.0,7
CPT,38243,TRANSPLJ HEMATOPOIETIC BOOST,,,1642.9,5513.0,7
CPT,38244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38300,DRAINAGE LYMPH NODE LESION,,,2983.0,5513.0,8
CPT,38301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38305,DRAINAGE LYMPH NODE LESION,,,3064.14,6090.0,8
CPT,38306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38308,INCISION OF LYMPH CHANNELS,,,3200.0,12001.0,8
CPT,38309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38380,THORACIC DUCT PROCEDURE,,,524.66,12001.0,7
CPT,38381,THORACIC DUCT PROCEDURE,,,767.93,12001.0,7
CPT,38382,THORACIC DUCT PROCEDURE,,,673.4,12001.0,7
CPT,38383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38500,"HC BIOPSY/REMOVAL LYMPH NODES; OPEN, SUPERFICIAL",6490.23,2271.59,2226.15,12001.0,10
CPT,38501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38505,HC BIOP/EXC LYMP NOD/NDL SPFCL,3450.65,1207.73,1183.57,5513.0,10
CPT,38506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38510,BIOPSY/REMOVAL LYMPH NODES,,,3200.0,12001.0,8
CPT,38511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38520,BIOPSY/REMOVAL LYMPH NODES,,,3200.0,12001.0,8
CPT,38521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38525,BIOPSY/REMOVAL LYMPH NODES,,,3200.0,12001.0,8
CPT,38526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38530,BIOPSY/REMOVAL LYMPH NODES,,,3200.0,12001.0,8
CPT,38531,OPEN BX/EXC INGUINOFEM NODES,,,3200.0,12001.0,7
CPT,38532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38542,EXPLORE DEEP NODE(S) NECK,,,3200.0,19925.0,8
CPT,38543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38550,REMOVAL NECK/ARMPIT LESION,,,4130.33,12001.0,8
CPT,38551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38555,REMOVAL NECK/ARMPIT LESION,,,4883.0,22133.0,8
CPT,38556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38562,REMOVAL PELVIC LYMPH NODES,,,5428.0,19925.0,7
CPT,38563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38564,REMOVAL ABDOMEN LYMPH NODES,,,662.1,19925.0,7
CPT,38565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38570,LAPAROSCOPY LYMPH NODE BIOP,,,6377.33,21649.0,8
CPT,38571,LAPAROSCOPY LYMPHADENECTOMY,,,11213.24,30380.0,8
CPT,38572,LAPAROSCOPY LYMPHADENECTOMY,,,11213.24,30380.0,8
CPT,38573,LAPS PELVIC LYMPHADEC,,,11057.0,30380.0,7
CPT,38574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38589,UNLISTED LAPS PX LYMPHTC SYS,,,5583.0,19925.0,7
CPT,38590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38700,REMOVAL OF LYMPH NODES NECK,,,3200.0,22133.0,8
CPT,38701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38720,REMOVAL OF LYMPH NODES NECK,,,6090.0,30380.0,7
CPT,38721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38724,REMOVAL OF LYMPH NODES NECK,,,1267.92,19925.0,7
CPT,38725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38740,REMOVE ARMPIT LYMPH NODES,,,3200.0,19925.0,8
CPT,38741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38745,REMOVE ARMPIT LYMPH NODES,,,4883.0,19925.0,8
CPT,38746,REMOVE THORACIC LYMPH NODES,,,191.28,19925.0,7
CPT,38747,REMOVE ABDOMINAL LYMPH NODES,,,235.3,19925.0,7
CPT,38748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38760,REMOVE GROIN LYMPH NODES,,,3200.0,22133.0,8
CPT,38761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38765,REMOVE GROIN LYMPH NODES,,,1221.16,19925.0,7
CPT,38766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38770,REMOVE PELVIS LYMPH NODES,,,740.82,19925.0,7
CPT,38771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38780,REMOVE ABDOMEN LYMPH NODES,,,977.91,19925.0,7
CPT,38781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38790,HC INJECT FOR LYMPHATIC X-RAY,926.85,324.4,76.59,5546.92,9
CPT,38791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38792,RA TRACER ID OF SENTINL NODE,,,421.71,3500.0,8
CPT,38793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38794,"HC CANNULATION, THORACIC DUCT",4063.59,1422.26,262.24,19000.0,9
CPT,38795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38900,IO MAP OF SENT LYMPH NODE,,,144.42,9091.58,7
CPT,38901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,38999,HC BLOOD/LYMPH SYSTEM PROCEDURE,702.11,245.74,240.82,3500.0,9
CPT,39000,EXPLORATION OF CHEST,,,494.69,19925.0,7
CPT,39001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39010,EXPLORATION OF CHEST,,,758.97,19925.0,7
CPT,39011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39100,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39200,RESECT MEDIASTINAL CYST,,,824.39,19925.0,7
CPT,39201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39220,RESECT MEDIASTINAL TUMOR,,,1061.09,19925.0,7
CPT,39221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39400,Mammogram,,,33313.51,33313.51,1
CPT,39401,MEDIASTINOSCPY W/MEDSTNL BX,,,5583.0,19925.0,7
CPT,39402,MEDIASTINOSCPY W/LMPH NOD BX,,,5583.0,19925.0,7
CPT,39403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39499,UNLISTED PX MEDIASTINUM,,,3500.0,5428.0,3
CPT,39500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39501,REPAIR DIAPHRAGM LACERATION,,,806.85,19925.0,7
CPT,39502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39502,Mammogram,,,61925.71,61925.71,1
CPT,39503,REPAIR OF DIAPHRAGM HERNIA,,,4344.0,19925.0,7
CPT,39504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39520,Mammogram,,,61435.1,61435.1,1
CPT,39521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39530,Mammogram,,,58969.3,58969.3,1
CPT,39531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39531,Mammogram,,,61924.98,61924.98,1
CPT,39532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39540,REPAIR OF DIAPHRAGM HERNIA,,,811.89,19925.0,7
CPT,39541,REPAIR OF DIAPHRAGM HERNIA,,,880.67,19925.0,7
CPT,39542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39545,REVISION OF DIAPHRAGM,,,869.85,19925.0,7
CPT,39546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39560,RESECT DIAPHRAGM SIMPLE,,,756.69,19925.0,7
CPT,39561,RESECT DIAPHRAGM COMPLEX,,,1215.0,19925.0,7
CPT,39562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39599,UNLISTED PX DIAPHRAGM,,,3500.0,5428.0,3
CPT,39600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,39999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4000F,TOBACCO USE TXMNT COUNSELING,,,0.02,0.02,1
CPT,40010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4001F,TOBACCO USE TXMNT PHARMACOL,,,0.02,0.02,1
CPT,40020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4003F,PT ED WRITE/ORAL PTS W/ HF,,,0.02,0.02,1
CPT,40040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4004F,PT TOBACCO SCREEN RCVD TLK,,,0.02,0.02,1
CPT,40050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4005F,PHARM THX FOR OP RXD,,,0.02,0.02,1
CPT,40060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4008F,BETA-BLOCKER THERAPY RXD/TKN,,,0.02,0.02,1
CPT,40090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40100,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4010F,ACE/ARB THERAPY RXD/TAKEN,,,0.02,0.02,1
CPT,40110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4011F,ORAL ANTIPLATELET THERAPY RX,,,0.02,0.02,1
CPT,40120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4012F,WARFARIN THERAPY RX,,,0.02,0.02,1
CPT,40130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4013F,STATIN THERAPY/CURRENTLY TKN,,,0.02,0.02,1
CPT,40140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4014F,WRITTEN DISCHARGE INSTR PRVD,,,0.02,0.02,1
CPT,40150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4015F,PERSIST ASTHMA MEDICINE CTRL,,,0.02,0.02,1
CPT,40160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4016F,ANTI-INFLM/ANLGSC AGENT RX,,,0.02,0.02,1
CPT,40170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4017F,GI PROPHYLAXIS FOR NSAID RX,,,0.02,0.02,1
CPT,40180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4018F,THERAPY EXERCISE JOINT RX,,,0.02,0.02,1
CPT,40190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4019F,DOC RECPT COUNSL VIT D/CALC+,,,0.02,0.02,1
CPT,40200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4025F,INHALED BRONCHODILATOR RX,,,0.02,0.02,1
CPT,40260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4030F,OXYGEN THERAPY RX,,,0.02,0.02,1
CPT,40310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4033F,PULMONARY REHAB REC,,,0.02,0.02,1
CPT,40340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4035F,INFLUENZA IMM REC,,,0.02,0.02,1
CPT,40360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4037F,INFLUENZA IMM ORDER/ADMIN,,,0.02,0.02,1
CPT,40380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4040F,PNEUMOC VAC/ADMIN/RCVD,,,0.02,0.02,1
CPT,40410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4041F,DOC ORDER CEFAZOLIN/CEFUROX,,,0.02,0.02,1
CPT,40420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4042F,DOC ANTIBIO NOT GIVEN,,,0.02,0.02,1
CPT,40430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4043F,DOC ORDER GIVEN STOP ANTIBIO,,,0.02,0.02,1
CPT,40440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4044F,DOC ORDER GIVEN VTE PROPHYLX,,,0.02,0.02,1
CPT,40450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4045F,EMPIRIC ANTIBIOTIC RX,,,0.02,0.02,1
CPT,40460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4046F,DOC ANTIBIO GIVEN B/4 SURG,,,0.02,0.02,1
CPT,40470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4047F,DOC ANTIBIO GIVEN B/4 SURG,,,0.02,0.02,1
CPT,40480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4048F,DOC ANTIBIO GIVEN B/4 SURG,,,0.02,0.02,1
CPT,40490,HC BIOPSY LIP,700.24,245.09,240.18,5428.0,9
CPT,40491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4049F,DOC ORDER GIVEN STOP ANTIBIO,,,0.02,0.02,1
CPT,40500,PARTIAL EXCISION OF LIP,,,3200.0,5694.51,8
CPT,40501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4050F,HT CARE PLAN DOC,,,0.02,0.02,1
CPT,40510,PARTIAL EXCISION OF LIP,,,3200.0,6090.0,8
CPT,40511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4051F,REFERRED FOR AN AV FISTULA,,,0.02,0.02,1
CPT,40520,PARTIAL EXCISION OF LIP,,,3200.0,5694.51,8
CPT,40521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40525,RECONSTRUCT LIP WITH FLAP,,,3200.0,6090.0,8
CPT,40526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40527,RECONSTRUCT LIP WITH FLAP,,,3200.0,18067.0,8
CPT,40528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4052F,HEMODIALYSIS VIA AV FISTULA,,,0.02,0.02,1
CPT,40530,PARTIAL REMOVAL OF LIP,,,3200.0,6090.0,8
CPT,40531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4053F,HEMODIALYSIS VIA AV GRAFT,,,0.02,0.02,1
CPT,40540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4054F,HEMODIALYSIS VIA CATHETER,,,0.02,0.02,1
CPT,40550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4055F,PT RCVNG PERITON DIALYSIS,,,0.02,0.02,1
CPT,40560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4056F,APPROP ORAL REHYD RECOMMD,,,0.02,0.02,1
CPT,40570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4058F,PED GASTRO ED GIVEN CAREGVR,,,0.02,0.02,1
CPT,40590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4060F,PSYCH SVCS PROVIDED,,,0.02,0.02,1
CPT,40610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4062F,PT REFERRAL PSYCH DOCD,,,0.02,0.02,1
CPT,40630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4063F,ANTIDEPRES RXTHXPY NOT RXD,,,0.02,0.02,1
CPT,40640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4064F,ANTIDEPRESSANT RX,,,0.02,0.02,1
CPT,40650,HC REPAIR LIP FULL THICK VERMIL,1313.63,459.78,450.58,5583.0,10
CPT,40651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40652,HC RPR LIP UP TO HALF VERT,1560.31,546.11,535.19,5583.0,10
CPT,40653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40654,HC REPAIR LIP,2660.56,931.2,912.57,5583.0,10
CPT,40655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4065F,ANTIPSYCHOTIC RX,,,0.02,0.02,1
CPT,40660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4066F,ECT PROVIDED,,,0.02,0.02,1
CPT,40670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4067F,PT REFERRAL FOR ECT DOCD,,,0.02,0.02,1
CPT,40680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4069F,VTE PROPHYLAXIS RCVD,,,0.02,0.02,1
CPT,40700,REPAIR CLEFT LIP/NASAL,,,6244.73,18067.0,8
CPT,40701,REPAIR CLEFT LIP/NASAL,,,6244.73,18067.0,8
CPT,40702,REPAIR CLEFT LIP/NASAL,,,5583.0,18067.0,7
CPT,40703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4070F,DVT PROPHYLX RECVD DAY 2,,,0.02,0.02,1
CPT,40710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40720,REPAIR CLEFT LIP/NASAL,,,3497.42,11244.0,8
CPT,40721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4073F,ORAL ANTIPLAT THX RX DISCHRG,,,0.02,0.02,1
CPT,40740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4075F,ANTICOAG THX RX AT DISCHRG,,,0.02,0.02,1
CPT,40760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40761,REPAIR CLEFT LIP/NASAL,,,4236.0,18067.0,8
CPT,40762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4077F,DOC T-PA ADMIN CONSIDERED,,,0.02,0.02,1
CPT,40780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40799,HC LIP HEMATOMA/SEROMA/ABSCESS UNLISTED,8626.64,3019.33,249.85,5428.0,9
CPT,4079F,DOC REHAB SVCS CONSIDERED,,,0.02,0.02,1
CPT,40800,HC DRAINAGE OF MOUTH LESION,1490.38,521.64,511.2,5428.0,9
CPT,40801,HC DRAINAGE OF MOUTH LESION,1493.95,522.89,512.42,3500.0,10
CPT,40802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40804,"HC REMOVE FB, VESTIBULE OF MOUTH; SIMPLE",1934.46,677.07,663.52,5513.0,9
CPT,40805,REMOVAL FOREIGN BODY MOUTH,,,568.93,3500.0,8
CPT,40806,INCISION OF LIP FOLD,,,568.93,3500.0,7
CPT,40807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40808,"HC BIOPSY, VESTIBULE",1171.03,409.87,401.66,3500.0,9
CPT,40809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40810,HC EXCISE LESION VESTIBULE OF MOUTH; W/O REPAIR,5644.29,1975.51,1935.99,5694.51,9
CPT,40811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40812,HC EXCISE/REPAIR MOUTH LESION,5644.29,1975.51,1636.74,5513.0,9
CPT,40813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40814,EXCISE/REPAIR MOUTH LESION,,,3200.0,6090.0,8
CPT,40815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40816,EXCISION OF MOUTH LESION,,,3200.0,6090.0,8
CPT,40817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40818,EXCISE ORAL MUCOSA FOR GRAFT,,,568.93,3500.0,8
CPT,40819,EXCISE LIP OR CHEEK FOLD,,,1636.74,5513.0,8
CPT,40820,HC DESTRUCT LESION MOUTH,5644.29,1975.51,1935.99,5694.51,10
CPT,40821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40830,HC REPAIR MOUTH LAC 2.5CM OR LESS,876.56,306.8,249.85,5428.0,10
CPT,40831,HC  REPAIR MOUTH LAC >2.5 CM,1313.64,459.78,450.58,3500.0,10
CPT,40832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40840,RECONSTRUCTION OF MOUTH,,,3200.0,18067.0,8
CPT,40841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40842,RECONSTRUCTION OF MOUTH,,,4236.0,18067.0,8
CPT,40843,RECONSTRUCTION OF MOUTH,,,4236.0,18067.0,8
CPT,40844,RECONSTRUCTION OF MOUTH,,,6177.0,18067.0,8
CPT,40845,RECONSTRUCTION OF MOUTH,,,6177.0,18067.0,8
CPT,40846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4084F,ASPIRIN RECVD W/IN 24 HRS,,,0.02,0.02,1
CPT,40850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4086F,ASPIRIN/CLOPIDOGREL RXD,,,0.02,0.02,1
CPT,40870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40899,HC SIMPLE TISSUE REMOVAL INTRAORAL,1302.53,455.89,249.85,9611.0,10
CPT,40900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4090F,PT RCVNG EPO THXPY,,,0.02,0.02,1
CPT,40910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4095F,PT NOT RCVNG EPO THXPY,,,0.02,0.02,1
CPT,40960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,40999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41000,DRAINAGE OF MOUTH LESION,,,568.93,3500.0,8
CPT,41001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41005,"HC INTRAORAL I&D OF ABSCESS, CYST, HEMATOMA. TONGUE/FLOOR OF MOUTH, SUBLINGUAL, SUPERFICIAL",549.67,192.39,188.54,3500.0,10
CPT,41006,DRAINAGE OF MOUTH LESION,,,1636.74,5513.0,8
CPT,41007,HC INTRAORAL INCISION & DRAINAGE OF ABSCESS CYST OR HEMATOMA OF TONGUE/FLOOR OF MOUTH SUBMENTAL SPACE,5679.45,1987.81,1636.74,5513.0,10
CPT,41008,"HC INTRAORAL I&D OF ABSCESS, CYST, OR HEMATOMA OF SUBMADIBULAR SPACE",5721.69,2002.6,1962.54,5694.51,10
CPT,41009,"HC I&D ABSCESS, CYST OR HEMATOMOA OF TONGUE OR FLOOR OF MOUTH, MASTICATOR SPACE",1149.32,402.27,394.22,3500.0,10
CPT,4100F,BIPHOS THXPY VEIN ORD/RECVD,,,0.02,0.02,1
CPT,41010,HC INCISION OF TONGUE FOLD,3298.46,1154.47,1131.37,5513.0,10
CPT,41011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41015,DRAINAGE OF MOUTH LESION,,,568.93,3500.0,8
CPT,41016,HC I&D ABSCESS SUBMENTAL MOUTH,10142.18,3549.77,2133.0,18067.0,10
CPT,41017,"HC EXTRAORAL INCISION & DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF MOUTH, SUBMANDIBULAR",5753.87,2013.86,1973.58,5694.51,10
CPT,41018,DRAINAGE OF MOUTH LESION,,,1636.74,5513.0,8
CPT,41019,PLACE NEEDLES H&N FOR RT,,,3000.0,18067.0,8
CPT,41020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41100,HC BIOPSY TONGUE,1462.07,511.73,501.49,3500.0,10
CPT,41101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41105,HC BIOPSY TONGUE POSTERIOR 1/3,6961.1,2436.39,2387.66,5694.51,10
CPT,41106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41108,HC BIOPSY FLOOR OF MOUTH,3507.19,1227.52,1202.97,4524.0,10
CPT,41109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4110F,INT MAM ART USED FOR CABG,,,0.02,0.02,1
CPT,41110,HC EXCISION OF TOUNGE LESION,6961.1,2436.39,2387.66,5694.51,10
CPT,41111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41112,HC EXC LESION TONGUE W/CLOSURE,6961.1,2436.39,2387.66,5694.51,10
CPT,41113,EXCISION OF TONGUE LESION,,,3200.0,5694.51,8
CPT,41114,EXCISION OF TONGUE LESION,,,3200.0,6090.0,8
CPT,41115,HC EXCISION OF TONGUE FOLD,3298.46,1154.47,1131.37,5513.0,10
CPT,41116,HC EXCISION OF MOUTH LESION,6852.43,2398.36,2350.38,6090.0,10
CPT,41117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41120,PARTIAL REMOVAL OF TONGUE,,,6177.0,18067.0,8
CPT,41121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41130,PARTIAL REMOVAL OF TONGUE,,,1212.34,18067.0,7
CPT,41131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41135,TONGUE AND NECK SURGERY,,,1947.3,18067.0,7
CPT,41136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41140,REMOVAL OF TONGUE,,,1962.08,18067.0,7
CPT,41141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41145,TONGUE REMOVAL NECK SURGERY,,,2455.59,18067.0,7
CPT,41146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41150,TONGUE MOUTH JAW SURGERY,,,1975.27,18067.0,7
CPT,41151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41153,TONGUE MOUTH NECK SURGERY,,,2133.45,18067.0,7
CPT,41154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41155,TONGUE JAW & NECK SURGERY,,,2644.65,18067.0,7
CPT,41156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4115F,BETA BLCKR ADMIN W/IN 24 HRS,,,0.02,0.02,1
CPT,41160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4120F,ANTIBIOT RXD/GIVEN,,,0.02,0.02,1
CPT,41210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4124F,ANTIBIOT NOT RXD/GIVEN,,,0.02,0.02,1
CPT,41250,HC REPAIR TONGUE LACERATION,848.01,296.81,290.87,3500.0,10
CPT,41251,REPAIR TONGUE LACERATION,,,249.85,3500.0,8
CPT,41252,HC REPAIR TONGUE LAC > 2.6CM,1560.31,546.11,249.85,3500.0,10
CPT,41253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4130F,TOPICAL PREP RX AOE,,,0.02,0.02,1
CPT,41310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4131F,SYST ANTIMICROBIAL THX RX,,,0.02,0.02,1
CPT,41320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4132F,NO SYST ANTIMICROBIAL THX RX,,,0.02,0.02,1
CPT,41330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4133F,ANTIHIST/DECONG RX/RECOM,,,0.02,0.02,1
CPT,41340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4134F,NO ANTIHIST/DECONG RX/RECOM,,,0.02,0.02,1
CPT,41350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4135F,SYSTEMIC CORTICOSTEROIDS RX,,,0.02,0.02,1
CPT,41360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4136F,SYST CORTICOSTEROIDS NOT RX,,,0.02,0.02,1
CPT,41370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4140F,INHALED CORTICOSTEROIDS RXD,,,0.02,0.02,1
CPT,41410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4142F,CORTICOSTER SPARNG THRPY RXD,,,0.02,0.02,1
CPT,41430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4144F,ALT LONG-TERM CNTRL MED RXD,,,0.02,0.02,1
CPT,41450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4145F,2+ ANTI-HYPRTNSV AGENTS TKN,,,0.02,0.02,1
CPT,41460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4148F,HEP A VAC INJXN ADMIN/RECVD,,,0.02,0.02,1
CPT,41490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4149F,HEP B VAC INJXN ADMIN/RECVD,,,0.02,0.02,1
CPT,41500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41500,Mammogram,,,31536.4,31536.4,1
CPT,41501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4150F,PT RECVNG ANTIVIR TXMNT HEPC,,,0.02,0.02,1
CPT,41510,TONGUE TO LIP SURGERY,,,2983.0,5694.51,8
CPT,41511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41512,TONGUE SUSPENSION,,,3200.0,18067.0,8
CPT,41513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4151F,PT NOT RECVNG ANTIV HEP C,,,0.02,0.02,1
CPT,41520,RECONSTRUCTION TONGUE FOLD,,,3200.0,9658.0,8
CPT,41521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41530,TONGUE BASE VOL REDUCTION,,,3000.0,10856.0,8
CPT,41531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4153F,COMBO PEGINTF/RIB RX,,,0.02,0.02,1
CPT,41540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4155F,HEP A VAC SERIES PREV RECVD,,,0.02,0.02,1
CPT,41560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4157F,HEP B VAC SERIES PREV RECVD,,,0.02,0.02,1
CPT,41580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4158F,PT EDU RE ALCOH DRNKNG DONE,,,0.02,0.02,1
CPT,41590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41599,HC PUNCH BX TONGUE,519.88,181.96,178.32,5428.0,9
CPT,4159F,CONTRCP TALK B/4 ANTIV TXMNT,,,0.02,0.02,1
CPT,41600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4163F,PT COUNS 4 TXMNT OPT PROST,,,0.02,0.02,1
CPT,41640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4164F,ADJV HRMNL THXPY RXD,,,0.02,0.02,1
CPT,41650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4165F,3D-CRT/IMRT RECEIVED,,,0.02,0.02,1
CPT,41660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4167F,HD BED TILTED 1ST DAY VENT,,,0.02,0.02,1
CPT,41680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4168F,PT CARE ICU&VENT W/IN 24HRS,,,0.02,0.02,1
CPT,41690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4169F,NO PT CARE ICU/VENT IN 24HRS,,,0.02,0.02,1
CPT,41700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4171F,PT RCVNG ESA THXPY,,,0.02,0.02,1
CPT,41720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4172F,PT NOT RCVNG ESA THXPY,,,0.02,0.02,1
CPT,41730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4174F,COUNS POTENT GLAUC IMPCT,,,0.02,0.02,1
CPT,41750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4175F,VIS 20/40/> W/IN 90 DAYS,,,0.02,0.02,1
CPT,41760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4176F,TALK RE UV LIGHT PT/CRGVR,,,0.02,0.02,1
CPT,41770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4177F,TALK PT/CRGVR RE AREDS PREV,,,0.02,0.02,1
CPT,41780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4178F,ANTID GLBLN RCVD W/IN 26WKS,,,0.02,0.02,1
CPT,41790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4179F,TAMOXIFEN/AI PRESCRIBED,,,0.02,0.02,1
CPT,41800,HC DRAINAGE OF GUM LESION,384.74,134.66,131.97,3500.0,10
CPT,41801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41805,REMOVAL FOREIGN BODY GUM,,,1636.74,5513.0,8
CPT,41806,REMOVAL FOREIGN BODY JAWBONE,,,1636.74,5513.0,8
CPT,41807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4180F,ADJV THXPYRXD/RCVD COLON CA,,,0.02,0.02,1
CPT,41810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4181F,CONFORMAL RADN THXPY RCVD,,,0.02,0.02,1
CPT,41820,EXCISION GUM EACH QUADRANT,,,2983.0,6090.0,8
CPT,41821,EXCISION OF GUM FLAP,,,1636.74,5513.0,8
CPT,41822,EXCISION OF GUM LESION,,,1636.74,5513.0,7
CPT,41823,EXCISION OF GUM LESION,,,3200.0,18067.0,7
CPT,41824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41825,"HC EXCISION OF LESION OR TUMOR (EXCEPT LISTED ABOVE), DENTOALVEOLAR STRUCTURES; WITHOUT REPAIR",10278.64,3597.53,3000.0,5694.51,9
CPT,41826,EXCISION OF GUM LESION,,,3000.0,6090.0,7
CPT,41827,EXCISION OF GUM LESION,,,3200.0,18067.0,8
CPT,41828,EXCISION OF GUM LESION,,,1636.74,5513.0,7
CPT,41829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4182F,NO CONFORMAL RADN THXPY,,,0.02,0.02,1
CPT,41830,REMOVAL OF GUM TISSUE,,,3000.0,6090.0,7
CPT,41831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41850,TREATMENT OF GUM LESION,,,1636.74,5513.0,7
CPT,41851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4185F,CONTINUOUS PPI OR H2RA RCVD,,,0.02,0.02,1
CPT,41860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4186F,NO CONT PPI OR H2RA RCVD,,,0.02,0.02,1
CPT,41870,PERIODONTAL MUCOSAL GRAFTING,,,1636.74,5513.0,7
CPT,41871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41872,GINGIVOPLASTY EACH QUADRANT,,,3497.42,9658.0,7
CPT,41873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41874,ALVEOLOPLASTY EACH QUADRANT,,,3000.0,5694.51,7
CPT,41875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4187F,ANTI RHEUM DRUGTHXPYRXD/GVN,,,0.02,0.02,1
CPT,41880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4188F,APPROP ACE/ARB TSTNG DONE,,,0.02,0.02,1
CPT,41890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41899,HC EXTRACTION ERUPTED TOOTH OR EXPOSED ROOT,725.62,253.97,248.89,3500.0,10
CPT,41899,HC UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES (TANGENTAL BIOPSY OF GUM) MOST LIKE 40808,1756.52,614.79,249.85,3500.0,9
CPT,41899,"HC UNLISTED PROCEDURE, DENTOALVEOLAR STRUCTURES GUM PUNCH BIOPSY",1273.01,445.56,249.85,3500.0,9
CPT,4189F,APPROP DIGOXIN TSTNG DONE,,,0.02,0.02,1
CPT,41900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4190F,APPROP DIURETIC TSTNG DONE,,,0.02,0.02,1
CPT,41910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4191F,APPROP ANTICONVULS TSTNG,,,0.02,0.02,1
CPT,41920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4192F,PT NOT RCVNG GLUCOCO THXPY,,,0.02,0.02,1
CPT,41930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4193F,PT RCV <10MG DAILY PREDNISO,,,0.02,0.02,1
CPT,41940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4194F,PT RCV >=10MG DAILY PREDNISO,,,0.02,0.02,1
CPT,41950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4195F,PT RCVNG ANTI-RHEUM THXPY RA,,,0.02,0.02,1
CPT,41960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4196F,PTNOT RCVNG ANTI-RHM THXPYRA,,,0.02,0.02,1
CPT,41970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,41999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42000,HC DRAINAGE OF ABSCESS OF PALATE,479.17,167.71,164.36,3500.0,10
CPT,42001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4200F,EXTERNAL BEAM TO PROST ONLY,,,0.02,0.02,1
CPT,42010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4201F,EXTRNL BEAM OTHER THAN PROST,,,0.02,0.02,1
CPT,42020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42100,HC BIOPSY PALATE/UVULA,2961.2,1036.42,1015.69,5513.0,10
CPT,42101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42104,HC EXCISION LESION MOUTH ROOF,6961.1,2436.39,2387.66,5694.51,10
CPT,42105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42106,EXCISION LESION MOUTH ROOF,,,3200.0,5694.51,8
CPT,42107,EXCISION LESION MOUTH ROOF,,,3200.0,18067.0,8
CPT,42108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4210F,ACE/ARB THXPY FOR MOS/>,,,0.02,0.02,1
CPT,42110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42120,REMOVE PALATE/LESION,,,4883.0,18067.0,8
CPT,42121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42140,"HC UVULECTOMY, EXCISION OF UVULA",7107.56,2487.65,2437.89,5694.51,10
CPT,42141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42145,REPAIR PALATE PHARYNX/UVULA,,,6090.0,18067.0,8
CPT,42146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42160,TREATMENT MOUTH ROOF LESION,,,2983.0,5694.51,8
CPT,42161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42180,REPAIR LAC PALATE<2 CM,,,568.93,3500.0,8
CPT,42181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42182,REPAIR PALATE,,,3200.0,18067.0,8
CPT,42183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42200,RECONSTRUCT CLEFT PALATE,,,6177.0,18067.0,8
CPT,42201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42205,RECONSTRUCT CLEFT PALATE,,,3497.42,9658.0,8
CPT,42206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4220F,DIGOXIN THXPY FOR 6 MOS/>,,,0.02,0.02,1
CPT,42210,RECONSTRUCT CLEFT PALATE,,,6177.0,18067.0,8
CPT,42211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42215,RECONSTRUCT CLEFT PALATE,,,6244.73,18067.0,8
CPT,42216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4221F,DIURETIC THXPY FOR 6 MOS/>,,,0.02,0.02,1
CPT,42220,RECONSTRUCT CLEFT PALATE,,,6177.0,18067.0,8
CPT,42221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42225,RECONSTRUCT CLEFT PALATE,,,6177.0,18067.0,8
CPT,42226,LENGTHENING OF PALATE,,,6177.0,18067.0,8
CPT,42227,LENGTHENING OF PALATE,,,5428.0,18067.0,7
CPT,42228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42235,REPAIR PALATE,,,6177.0,18067.0,8
CPT,42236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42260,REPAIR NOSE TO LIP FISTULA,,,4883.0,18067.0,8
CPT,42261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42280,PREPARATION PALATE MOLD,,,568.93,3500.0,7
CPT,42281,INSERTION PALATE PROSTHESIS,,,4236.0,18067.0,8
CPT,42282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42299,HC TOOTH REIMPLANTATION AND/OR STABILIZATION OF ACCIDENTALLY EVULSED OR DISPLACED TOOTH,1801.71,630.6,249.85,5428.0,10
CPT,42300,DRAINAGE OF SALIVARY GLAND,,,1636.74,5513.0,8
CPT,42301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42305,DRAINAGE OF SALIVARY GLAND,,,3200.0,6090.0,8
CPT,42306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4230F,ANTICONV THXPY FOR 6 MOS/>,,,0.02,0.02,1
CPT,42310,HC DRAINAGE ABSCESS SUBMAXILLARY OR SUBLINGUAL INTRAORAL,1594.95,558.24,547.07,3500.0,10
CPT,42311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42320,DRAINAGE OF SALIVARY GLAND,,,568.93,3500.0,8
CPT,42321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42330,"HC SIALOLITHOTOMY, INTRAORAL",5644.29,1975.51,1935.99,5694.51,9
CPT,42331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42335,REMOVAL OF SALIVARY STONE,,,3497.42,6090.0,8
CPT,42336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42340,REMOVAL OF SALIVARY STONE,,,3200.0,5694.51,8
CPT,42341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42400,HC BIOPSY OF SALIVARY GLAND; NEEDLE,1493.97,522.89,512.43,3603.0,10
CPT,42401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42405,HC BIOPSY OF SALIVARY GLAND,5226.52,1829.29,1636.74,5513.0,10
CPT,42406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42408,EXCISION OF SALIVARY CYST,,,3497.42,6090.0,8
CPT,42409,DRAINAGE OF SALIVARY CYST,,,3497.42,6090.0,8
CPT,4240F,INSTR XRCZ BACK PAIN 12 WKS,,,0.02,0.02,1
CPT,42410,"HC EXCISION OF PAROTID TUMOR OR GLAND: LATERAL LOBE, WITHOUT NERVE DISSECTION",18642.94,6525.03,4236.0,18067.0,10
CPT,42411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42415,EXCISE PAROTID GLAND/LESION,,,6244.73,18067.0,8
CPT,42416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42420,EXCISE PAROTID GLAND/LESION,,,6244.73,18067.0,8
CPT,42421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42425,EXCISE PAROTID GLAND/LESION,,,6244.73,18067.0,8
CPT,42426,EXCISE PAROTID GLAND/LESION,,,1169.39,18067.0,7
CPT,42427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4242F,SPRVSD XRCZ BACK PN >12 WKS,,,0.02,0.02,1
CPT,42430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42440,EXCISE SUBMAXILLARY GLAND,,,4236.0,18067.0,8
CPT,42441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42450,HC EXCISION OF SUBLINGUAL GLAND,11408.95,3993.14,3200.0,18067.0,10
CPT,42451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4245F,PT INSTR NRML ACTIVITIES,,,0.02,0.02,1
CPT,42460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4248F,PT INSTR NO BD REST 4 DAYS/>,,,0.02,0.02,1
CPT,42490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42500,REPAIR SALIVARY DUCT,,,4236.0,18067.0,8
CPT,42501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42505,REPAIR SALIVARY DUCT,,,4883.0,18067.0,8
CPT,42506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42507,PAROTID DUCT DIVERSION,,,4236.0,18067.0,8
CPT,42508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42508,Mammogram,,,47667.81,47667.81,1
CPT,42509,PAROTID DUCT DIVERSION,,,4883.0,18067.0,8
CPT,4250F,WRMNG 4 SURG NORMOTHERMIA,,,0.02,0.02,1
CPT,42510,PAROTID DUCT DIVERSION,,,3497.42,9658.0,8
CPT,42511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42550,INJECTION FOR SALIVARY X-RAY,,,153.12,4148.46,7
CPT,42551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4255F,ANESTH 60 MIN/> AS DOCD,,,0.02,0.02,1
CPT,42560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4256F,ANESTHE <60 MIN AS DOCD,,,0.02,0.02,1
CPT,42570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42600,CLOSURE OF SALIVARY FISTULA,,,2983.0,5694.51,8
CPT,42601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4260F,WOUND SRFC CULTURETECH USED,,,0.02,0.02,1
CPT,42610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4261F,TECH OTHER THAN SURFC CULTR,,,0.02,0.02,1
CPT,42620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42650,DILATION OF SALIVARY DUCT,,,1636.74,5513.0,8
CPT,42651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4265F,WET-DRY DRESSINGS RX RECMD,,,0.02,0.02,1
CPT,42660,HC DILATE&CATH SALIVARY DUCT,1171.03,409.87,401.66,3500.0,9
CPT,42661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42665,LIGATION OF SALIVARY DUCT,,,3497.42,11244.0,8
CPT,42666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4266F,NO WET-DRY DRSSINGS RX RECMD,,,0.02,0.02,1
CPT,42670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4267F,COMPRSSION THXPY PRESCRIBED,,,0.02,0.02,1
CPT,42680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4268F,PT ED RE COMP THXPY RCVD,,,0.02,0.02,1
CPT,42690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42699,HC BIOPSY OF MINOR SALIVARY GLAND(S),1256.18,439.67,249.85,3500.0,9
CPT,42699,"HC CHEMODENERVATION, PAROTID GLAND",4104.27,1436.5,249.85,3500.0,9
CPT,4269F,APPROPOS MTHD OFFLOADING RXD,,,0.02,0.02,1
CPT,42700,HC I&D ABSCESS PERITONSILLAR,700.24,245.09,240.18,3500.0,10
CPT,42701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4270F,PT RCVNG ANTI R-VIRAL THXPY,,,0.02,0.02,1
CPT,42710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4271F,PT RCVNG ANTI R-VIRAL THXPY,,,0.02,0.02,1
CPT,42720,I&D ABSC PHRNGL NTRAORL APPR,,,2983.0,5694.51,8
CPT,42721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42725,I&D ABSC PHRNGL XTRNL APPR,,,3200.0,18067.0,8
CPT,42726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4274F,FLU IMMUNO ADMIND RCVD,,,0.02,0.02,1
CPT,42750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4276F,POTENT ANTIVIR THXPY RXD,,,0.02,0.02,1
CPT,42770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4279F,PCP PROPHYLAXIS RXD,,,0.02,0.02,1
CPT,42800,HC BIOPSY OROPHARYNX,3093.17,1082.61,1060.96,4524.0,9
CPT,42801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42802,Mammogram,,,9486.28,9486.28,1
CPT,42803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42804,HC BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE,10278.64,3597.53,2983.0,5694.51,10
CPT,42805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42806,BIOPSY OF UPPER NOSE/THROAT,,,3200.0,6090.0,8
CPT,42807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42808,HC EXCISE PHARYNX LESION,6852.43,2398.36,2350.38,6090.0,10
CPT,42809,HC REMOVE PHARYNX FOREIGN BODY,771.43,270.01,264.6,3500.0,10
CPT,4280F,PCP PROPHYLAX RXD 3MON LOW %,,,0.02,0.02,1
CPT,42810,EXCISION OF NECK CYST,,,3497.42,6090.0,8
CPT,42811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42815,EXCISION OF NECK CYST,,,6177.0,18067.0,8
CPT,42816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42820,REMOVE TONSILS AND ADENOIDS,,,4236.0,18067.0,8
CPT,42821,REMOVE TONSILS AND ADENOIDS,,,3497.42,9611.0,8
CPT,42822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42825,REMOVAL OF TONSILS,,,4883.0,18067.0,8
CPT,42826,REMOVAL OF TONSILS,,,3497.42,6479.0,8
CPT,42827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42830,REMOVAL OF ADENOIDS,,,3497.42,6479.0,8
CPT,42831,REMOVAL OF ADENOIDS,,,3497.42,6479.0,8
CPT,42832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42835,REMOVAL OF ADENOIDS,,,3497.42,6479.0,8
CPT,42836,REMOVAL OF ADENOIDS,,,3497.42,6479.0,8
CPT,42837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42842,EXTENSIVE SURGERY OF THROAT,,,5428.0,18067.0,7
CPT,42843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42844,EXTENSIVE SURGERY OF THROAT,,,5428.0,18067.0,7
CPT,42845,EXTENSIVE SURGERY OF THROAT,,,1954.41,18067.0,7
CPT,42846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42860,EXCISION OF TONSIL TAGS,,,3497.42,6090.0,8
CPT,42861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42870,EXCISION OF LINGUAL TONSIL,,,4236.0,18067.0,8
CPT,42871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42890,LIMITED PHARYNGECTOMY,,,6244.73,18067.0,8
CPT,42891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42892,REVISION OF PHARYNGEAL WALLS,,,6244.73,18067.0,8
CPT,42893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42894,REVISION OF PHARYNGEAL WALLS,,,2101.98,18067.0,7
CPT,42895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42900,REPAIR THROAT WOUND,,,1636.74,5513.0,8
CPT,42901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4290F,PT SCRNED FOR INJ DRUG USE,,,0.02,0.02,1
CPT,42910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4293F,PT SCRND HGH-RISK SEX BEHAV,,,0.02,0.02,1
CPT,42940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42950,RECONSTRUCTION OF THROAT,,,3200.0,18067.0,8
CPT,42951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42953,REPAIR THROAT ESOPHAGUS,,,921.85,12001.0,7
CPT,42954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42955,SURGICAL OPENING OF THROAT,,,1636.74,5513.0,8
CPT,42956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42960,HC CONTROL THROAT BLEEDING,1196.45,418.76,410.38,3500.0,10
CPT,42961,CONTROL THROAT BLEEDING,,,379.08,12001.0,7
CPT,42962,CONTROL THROAT BLEEDING,,,3200.0,6090.0,8
CPT,42963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42970,CONTROL NOSE/THROAT BLEEDING,,,249.85,3500.0,7
CPT,42971,CONTROL NOSE/THROAT BLEEDING,,,405.42,12001.0,7
CPT,42972,CONTROL NOSE/THROAT BLEEDING,,,3497.42,5694.51,8
CPT,42973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42975,DISE EVAL SLP DO BRTH FLX DX,,,1877.59,4524.0,7
CPT,42976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,42999,HC ASPIRATION OF PERITONSILLAR ABSCESS,738.07,258.33,249.85,3500.0,10
CPT,43000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4300F,PT RCVNG WARF THXPY,,,0.02,0.02,1
CPT,43010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4301F,PT NOT RCVNG WARF THXPY,,,0.02,0.02,1
CPT,43020,INCISION OF ESOPHAGUS,,,1636.74,5513.0,8
CPT,43021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43030,CRICOPHARYNGEAL MYOTOMY,,,5428.0,18067.0,7
CPT,43031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43045,ESOPHAGOTOMY THRC RMVL FB,,,1251.29,18067.0,7
CPT,43046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4305F,PT ED RE FT CARE INSPCT RCVD,,,0.02,0.02,1
CPT,43060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4306F,PT TLK PSYCH & RX OPD ADDIC,,,0.02,0.02,1
CPT,43070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43100,EXCISION OF ESOPHAGUS LESION,,,564.63,12001.0,7
CPT,43101,EXCISION OF ESOPHAGUS LESION,,,962.11,18067.0,7
CPT,43102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43107,REMOVAL OF ESOPHAGUS,,,2726.16,18067.0,7
CPT,43108,REMOVAL OF ESOPHAGUS,,,4029.12,18067.0,7
CPT,43109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43112,ESPHG TOT W/THRCM,,,3154.48,18067.0,7
CPT,43113,REMOVAL OF ESOPHAGUS,,,3967.36,18067.0,7
CPT,43114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43116,PARTIAL REMOVAL OF ESOPHAGUS,,,4344.0,18067.0,7
CPT,43117,PARTIAL REMOVAL OF ESOPHAGUS,,,2991.35,18067.0,7
CPT,43118,PARTIAL REMOVAL OF ESOPHAGUS,,,3299.34,18067.0,7
CPT,43119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43121,PARTIAL REMOVAL OF ESOPHAGUS,,,2643.44,18067.0,7
CPT,43122,PARTIAL REMOVAL OF ESOPHAGUS,,,2308.35,18067.0,7
CPT,43123,PARTIAL REMOVAL OF ESOPHAGUS,,,4108.62,18067.0,7
CPT,43124,REMOVAL OF ESOPHAGUS,,,3503.45,18067.0,7
CPT,43125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43130,REMOVAL OF ESOPHAGUS POUCH,,,6244.73,18067.0,7
CPT,43131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43135,REMOVAL OF ESOPHAGUS POUCH,,,1372.23,12001.0,7
CPT,43136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43180,ESOPHAGOSCOPY RIGID TRNSO,,,3200.0,21649.0,8
CPT,43181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43191,ESOPHAGOSCOPY RIGID TRNSO DX,,,2024.22,5513.0,8
CPT,43192,ESOPHAGOSCP RIG TRNSO INJECT,,,2024.22,6177.0,8
CPT,43193,ESOPHAGOSCP RIG TRNSO BIOPSY,,,2024.22,6177.0,8
CPT,43194,ESOPHAGOSCP RIG TRNSO REM FB,,,2024.22,6177.0,8
CPT,43195,ESOPHAGOSCOPY RIGID BALLOON,,,3200.0,12001.0,8
CPT,43196,ESOPHAGOSCP GUIDE WIRE DILAT,,,2024.22,12001.0,8
CPT,43197,"HC ESOPHAGOSCOPY, FLEXIBLE, TRANSNASAL; DIAGNOSTIC",1963.83,687.35,673.59,5513.0,10
CPT,43198,ESOPHAGOSC FLEX TRNSN BIOPSY,,,956.76,5513.0,8
CPT,43199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43200,HC ESOPHAGOSCOPY DX &/OR SPECI,1615.64,565.48,554.16,5513.0,10
CPT,43201,HC ESOPH SCOPE W/SUBMUCOUS INJ,4049.85,1417.45,1389.1,5513.0,10
CPT,43202,HC ESOPHAGOSCOPY W/BIOPSY,3436.81,1202.89,1178.83,5513.0,10
CPT,43203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43204,ESOPH SCOPE W/SCLEROSIS INJ,,,2024.22,5513.0,8
CPT,43205,ESOPHAGUS ENDOSCOPY/LIGATION,,,2024.22,5513.0,8
CPT,43206,ESOPH OPTICAL ENDOMICROSCOPY,,,2024.22,6177.0,8
CPT,43207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4320F,PT TALK PSYCHSOC&RX OH DPND,,,0.02,0.02,1
CPT,43210,EGD ESOPHAGOGASTRC FNDOPLSTY,,,5583.0,30380.0,8
CPT,43211,ESOPHAGOSCOP MUCOSAL RESECT,,,2024.22,5513.0,8
CPT,43212,HC ESOPHAGOSCOP STENT PLACEMENT,11493.27,4022.65,3200.0,21649.0,10
CPT,43213,ESOPHAGOSCOPY RETRO BALLOON,,,2024.22,6177.0,8
CPT,43214,ESOPHAGOSC DILATE BALLOON 30,,,2024.22,6177.0,8
CPT,43215,HC ESOPHAGOSCOPY W FB REMOVAL,4049.85,1417.45,1389.1,5513.0,10
CPT,43216,ESOPHAGOSCOPY LESION REMOVAL,,,2024.22,6090.0,8
CPT,43217,ESOPHAGOSCOPY SNARE LES REMV,,,2024.22,5513.0,8
CPT,43218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43219,Mammogram,,,11597.69,11597.69,1
CPT,43220,HC ESOPHAGOSCOPY BALOON DIL <30MM,4049.85,1417.45,1389.1,5513.0,10
CPT,43221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43226,ESOPH ENDOSCOPY DILATION,,,2024.22,5513.0,8
CPT,43227,ESOPHAGOSCOPY CONTROL BLEED,,,2024.22,5513.0,8
CPT,43228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43228,Mammogram,,,15132.3,15132.3,1
CPT,43229,ESOPHAGOSCOPY LESION ABLATE,,,3200.0,21649.0,8
CPT,4322F,CRGVR PROV W/ ED ADDL RSRCS,,,0.02,0.02,1
CPT,43230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43231,HC ENDOSCOPY W/ ENDO ULTRASOUND,4049.85,1417.45,1389.1,5513.0,10
CPT,43232,HC ESOPHAGOSC W/ASP/BX,4049.85,1417.45,1389.1,5513.0,10
CPT,43233,"HC EGD,FLEXIBLE, TRANSORAL; WITH DILATION OF ESOPHAGUS WITH BALLOON",3336.84,1167.9,1144.54,6177.0,10
CPT,43234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43234,Mammogram,,,8230.53,8230.53,1
CPT,43235,HC UGI ENDOSCOPY DX &/OR SPEC,1615.64,565.48,554.16,5513.0,10
CPT,43236,HC ESOPHAGOSC DX&/OR SPEC W/INJ,1615.64,565.48,554.16,5513.0,10
CPT,43237,HC ENDOSCOPIC US EXAM ESOPH,4049.85,1417.45,1389.1,5513.0,10
CPT,43238,HC UPPER GI ENDOSCOPY W/O FN BX,4049.85,1417.45,1389.1,5513.0,10
CPT,43239,HC UGI ENDOSCOPY BX,1615.64,565.48,554.16,5513.0,10
CPT,43240,HC EGD W/DRAIN CYST,12129.91,4245.47,3200.0,12001.0,10
CPT,43241,HC EGD WITH INSERTION OF INTRALUMINAL TUBE OR CATHETER,3336.84,1167.9,1144.54,5513.0,10
CPT,43242,HC EGD W/ASP/BX,4049.85,1417.45,1389.1,5513.0,10
CPT,43243,HC UGI ENDO INJ SCLEROSIS,3336.61,1167.82,1144.46,5513.0,10
CPT,43244,HC UGI ENDO BAND LIGATION,4049.85,1417.45,1389.1,5513.0,10
CPT,43245,HC UGI ENDO DILATE OUTL OBSTR,4049.85,1417.45,1389.1,5513.0,10
CPT,43246,HC UGI ENDO DIRECT PLACE PEG,4049.85,1417.45,1389.1,5513.0,10
CPT,43247,HC UGI ENDO REMOVAL OF FB,1615.64,565.48,554.16,5513.0,10
CPT,43248,HC UGI ENDO GUIDE WIRE F/B DIL,1615.64,565.48,554.16,5513.0,10
CPT,43249,HC UGI ENDO W/BALLOON <30 MM,4049.85,1417.45,1389.1,5513.0,10
CPT,4324F,PT QUERIED PRKNS COMPLIC,,,0.02,0.02,1
CPT,43250,EGD CAUTERY TUMOR POLYP,,,2024.22,5513.0,8
CPT,43251,HC UGI ENDO SNARE TECHNIQUE,4049.85,1417.45,1389.1,5513.0,10
CPT,43252,EGD OPTICAL ENDOMICROSCOPY,,,2024.22,12001.0,8
CPT,43253,HC EGD US TRANSMURAL INJXN/MARK,4049.85,1417.45,1389.1,6177.0,10
CPT,43254,HC EGD WITH MUCOSAL RESECTION,4049.85,1417.45,1389.1,5583.0,10
CPT,43255,HC UGI ENDO CONTROL BLEEDING,4049.85,1417.45,1389.1,5513.0,10
CPT,43256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43256,Mammogram,,,17214.19,17214.19,1
CPT,43257,EGD W/THRML TXMNT GERD,,,4067.08,12001.0,8
CPT,43258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43258,Mammogram,,,18100.11,18100.11,1
CPT,43259,HC UGI ENDO WITH U/S EXAM,4049.85,1417.45,1389.1,5583.0,10
CPT,4325F,MED TXMNT OPTIONS RVWD W/PT,,,0.02,0.02,1
CPT,43260,HC ERCP DX &/OR SPECIMEN,8151.01,2852.86,2795.8,12001.0,10
CPT,43261,HC ERCP BX,8151.01,2852.86,2795.8,12001.0,10
CPT,43262,HC ERCP SPHINCT/PAPILOTOMY,8151.01,2852.86,2795.8,12001.0,10
CPT,43263,ERCP SPHINCTER PRESSURE MEAS,,,2024.22,12001.0,8
CPT,43264,HC ERCP STONE REMOVAL,8151.01,2852.86,2795.8,12001.0,10
CPT,43265,"HC ERCP W/ DESTRUCTION OF CALCULI, ANY METHOD",10037.27,3513.05,3200.0,18067.0,10
CPT,43266,HC EGD ENDOSCOPIC STENT PLACE,12129.91,4245.47,4160.56,21649.0,10
CPT,43267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43267,Mammogram,,,28661.08,28661.08,1
CPT,43268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43268,Mammogram,,,29352.59,29352.59,1
CPT,43269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43269,Mammogram,,,31989.41,31989.41,1
CPT,4326F,PT ASKED RE SYMP AUTO DYSFXN,,,0.02,0.02,1
CPT,43270,HC EGD LESION ABLATION,4049.85,1417.45,1389.1,6177.0,10
CPT,43271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43271,Mammogram,,,28875.58,28875.58,1
CPT,43272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43272,Mammogram,,,28947.24,28947.24,1
CPT,43273,HC ENDOSCOPIC PANCREATOSCOPY,4834.5,1692.08,102.43,21649.0,10
CPT,43274,HC ERCP DUCT STENT PLACEMENT,10036.58,3512.81,3442.55,21649.0,10
CPT,43275,HC ERCP REMOVE FORGN BODY DUCT,4659.62,1630.87,1598.25,21649.0,10
CPT,43276,HC ERCP STENT EXCHANGE W/DILATE,10036.58,3512.81,3442.55,21649.0,10
CPT,43277,HC ERCP EA DUCT/AMPULLA DILATE,8151.01,2852.86,2795.8,21649.0,10
CPT,43278,HC ERCP TUMOR/POLP/LESION ABLATION W/ DILATION & WIRE,6936.61,2427.82,2379.26,21649.0,10
CPT,43279,LAP MYOTOMY HELLER,,,1186.37,30380.0,7
CPT,43280,LAPAROSCOPY FUNDOPLASTY,,,6177.0,30380.0,8
CPT,43281,LAP PARAESOPHAG HERN REPAIR,,,9611.0,30380.0,7
CPT,43282,LAP PARAESOPH HER RPR W/MESH,,,9611.0,30380.0,7
CPT,43283,LAP ESOPH LENGTHENING,,,139.14,30380.0,7
CPT,43284,LAPS ESOPHGL SPHNCTR AGMNTJ,,,9611.0,30380.0,7
CPT,43285,RMVL ESOPHGL SPHNCTR DEV,,,6377.33,19925.0,7
CPT,43286,ESPHG TOT W/LAPS MOBLJ,,,2911.05,19925.0,7
CPT,43287,ESPHG DSTL 2/3 W/LAPS MOBLJ,,,3251.23,19925.0,7
CPT,43288,ESPHG THRSC MOBLJ,,,3417.38,19925.0,7
CPT,43289,UNLISTED LAPS PX ESOPH,,,5583.0,19925.0,7
CPT,4328F,PT ASKED RE SLEEP DISTURB,,,0.02,0.02,1
CPT,43290,EGD FLX TRNSORL DPLMNT BALO,,,2024.22,10856.0,8
CPT,43291,EGD FLX TRNSORL RMVL BALO,,,956.76,6177.0,8
CPT,43292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43300,REPAIR OF ESOPHAGUS,,,558.81,18067.0,7
CPT,43301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43305,REPAIR ESOPHAGUS AND FISTULA,,,948.92,18067.0,7
CPT,43306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4330F,CNSLNG EPI SPEC SFTY ISSUES,,,0.02,0.02,1
CPT,43310,REPAIR OF ESOPHAGUS,,,1384.79,18067.0,7
CPT,43311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43312,REPAIR ESOPHAGUS AND FISTULA,,,1455.7,18067.0,7
CPT,43313,ESOPHAGOPLASTY CONGENITAL,,,2680.82,18067.0,7
CPT,43314,TRACHEO-ESOPHAGOPLASTY CONG,,,2832.82,18067.0,7
CPT,43315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43320,FUSE ESOPHAGUS & STOMACH,,,1294.74,18067.0,7
CPT,43321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43324,Mammogram,,,81637.31,81637.31,1
CPT,43325,REVISE ESOPHAGUS & STOMACH,,,1260.42,18067.0,7
CPT,43326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43326,Mammogram,,,81471.69,81471.69,1
CPT,43327,ESOPH FUNDOPLASTY LAP,,,786.49,19925.0,7
CPT,43328,ESOPH FUNDOPLASTY THOR,,,1049.22,19925.0,7
CPT,43329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43330,ESOPHAGOMYOTOMY ABDOMINAL,,,1240.21,18067.0,7
CPT,43331,ESOPHAGOMYOTOMY THORACIC,,,1271.78,18067.0,7
CPT,43332,TRANSAB ESOPH HIAT HERN RPR,,,1067.48,19925.0,7
CPT,43333,TRANSAB ESOPH HIAT HERN RPR,,,1163.48,19925.0,7
CPT,43334,TRANSTHOR DIAPHRAG HERN RPR,,,1152.38,19925.0,7
CPT,43335,TRANSTHOR DIAPHRAG HERN RPR,,,1236.88,19925.0,7
CPT,43336,THORABD DIAPHR HERN REPAIR,,,1347.77,19925.0,7
CPT,43337,THORABD DIAPHR HERN REPAIR,,,1432.88,19925.0,7
CPT,43338,ESOPH LENGTHENING,,,101.43,19925.0,7
CPT,43339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43340,FUSE ESOPHAGUS & INTESTINE,,,1279.33,18067.0,7
CPT,43341,FUSE ESOPHAGUS & INTESTINE,,,1325.96,18067.0,7
CPT,43342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43350,Mammogram,,,77673.7,77673.7,1
CPT,43351,SURGICAL OPENING ESOPHAGUS,,,1268.74,18067.0,7
CPT,43352,SURGICAL OPENING ESOPHAGUS,,,1028.91,18067.0,7
CPT,43353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43360,GASTROINTESTINAL REPAIR,,,2096.19,18067.0,7
CPT,43361,GASTROINTESTINAL REPAIR,,,2478.01,18067.0,7
CPT,43362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43400,LIGATE ESOPHAGUS VEINS,,,1404.7,18067.0,7
CPT,43401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43401,Mammogram,,,102421.64,102421.64,1
CPT,43402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43405,LIGATE/STAPLE ESOPHAGUS,,,1392.66,18067.0,7
CPT,43406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4340F,CNSLNG CHLDBRNG WOMEN EPI,,,0.02,0.02,1
CPT,43410,REPAIR ESOPHAGUS WOUND,,,909.99,18067.0,7
CPT,43411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43415,REPAIR ESOPHAGUS WOUND,,,2389.01,18067.0,7
CPT,43416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43420,REPAIR ESOPHAGUS OPENING,,,3200.0,6090.0,7
CPT,43421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43425,REPAIR ESOPHAGUS OPENING,,,1363.21,18067.0,7
CPT,43426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43450,DILATE ESOPHAGUS 1/MULT PASS,,,956.76,5513.0,8
CPT,43451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43453,DILATE ESOPHAGUS,,,2024.22,5513.0,8
CPT,43454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43456,Mammogram,,,10558.4,10558.4,1
CPT,43457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43458,Mammogram,,,12303.9,12303.9,1
CPT,43459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43460,HC PRESSURE TREATMENT ESOPHAGUS,295.53,103.44,101.37,5428.0,9
CPT,43461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43496,FREE JEJUNUM FLAP MICROVASC,,,4344.0,12001.0,3
CPT,43497,TRANSORL LWR ESOPHGL MYOTOMY,,,3200.0,21649.0,8
CPT,43498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43499,HC EGD WITH FOREIGN BODY REMOVAL COMPLICATED,2221.48,777.52,761.97,5513.0,9
CPT,43500,SURGICAL OPENING OF STOMACH,,,747.59,12001.0,7
CPT,43501,SURGICAL REPAIR OF STOMACH,,,1256.37,12001.0,7
CPT,43502,SURGICAL REPAIR OF STOMACH,,,1407.55,12001.0,7
CPT,43503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4350F,CNSLNG PROVIDED SYMP MNGMNT,,,0.02,0.02,1
CPT,43510,SURGICAL OPENING OF STOMACH,,,956.76,5513.0,7
CPT,43511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43520,INCISION OF PYLORIC MUSCLE,,,677.72,12001.0,7
CPT,43521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43600,Mammogram,,,6669.88,6669.88,1
CPT,43601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43605,BIOPSY OF STOMACH,,,794.78,12001.0,7
CPT,43606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43610,EXCISION OF STOMACH LESION,,,912.59,12001.0,7
CPT,43611,EXCISION OF STOMACH LESION,,,1141.13,12001.0,7
CPT,43612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43620,REMOVAL OF STOMACH,,,1810.1,12001.0,7
CPT,43621,REMOVAL OF STOMACH,,,2066.04,12001.0,7
CPT,43622,REMOVAL OF STOMACH,,,2098.92,12001.0,7
CPT,43623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43631,REMOVAL OF STOMACH PARTIAL,,,1342.96,12001.0,7
CPT,43632,REMOVAL OF STOMACH PARTIAL,,,1853.56,12001.0,7
CPT,43633,REMOVAL OF STOMACH PARTIAL,,,1755.86,12001.0,7
CPT,43634,REMOVAL OF STOMACH PARTIAL,,,1935.03,12001.0,7
CPT,43635,REMOVAL OF STOMACH PARTIAL,,,98.83,12001.0,7
CPT,43636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43640,VAGOTOMY & PYLORUS REPAIR,,,1112.15,12001.0,7
CPT,43641,VAGOTOMY & PYLORUS REPAIR,,,1123.96,12001.0,7
CPT,43642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43644,LAP GASTRIC BYPASS/ROUX-EN-Y,,,1599.83,19925.0,7
CPT,43645,LAP GASTR BYPASS INCL SMLL I,,,1698.05,19925.0,7
CPT,43646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43647,LAP IMPL ELECTRODE ANTRUM,,,5583.0,30380.0,8
CPT,43648,LAP REVISE/REMV ELTRD ANTRUM,,,5583.0,21649.0,8
CPT,43649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43651,LAPAROSCOPY VAGUS NERVE,,,6177.0,19925.0,8
CPT,43652,LAPAROSCOPY VAGUS NERVE,,,6177.0,19925.0,8
CPT,43653,LAPAROSCOPY GASTROSTOMY,,,6377.33,21649.0,8
CPT,43654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43659,UNLISTED LAPS PX STOMACH,,,5583.0,19925.0,7
CPT,43660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43750,Mammogram,,,16375.92,16375.92,1
CPT,43751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43752,HC NASO/ORO-GAST TUBE PLC BY MD,771.43,270.01,264.6,3500.0,9
CPT,43753,HC TX GASTRO INTUB W/ASP,668.05,233.82,227.77,3500.0,10
CPT,43754,DX GASTR INTUB W/ASP SPEC,,,227.77,3500.0,8
CPT,43755,DX GASTR INTUB W/ASP SPECS,,,135.74,3500.0,8
CPT,43756,DX DUOD INTUB W/ASP SPEC,,,956.76,5513.0,8
CPT,43757,DX DUOD INTUB W/ASP SPECS,,,956.76,5513.0,8
CPT,43758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43760,Mammogram,,,3075.61,3075.61,1
CPT,43761,HC REPOSGASTRIC FD TUBE VIA DUOD,1680.71,588.25,263.56,3500.0,10
CPT,43762,HC REPLACEMENT OF STOMACH STOMA TUBE ACCESSED THROUGH SKIN,616.77,215.87,211.55,3500.0,10
CPT,43762,HC RPLC GTUBE NO REVJ TRC,596.76,208.87,204.69,3500.0,10
CPT,43763,HC RPLC GTUBE REVJ GSTRST TRC,596.76,208.87,204.69,3500.0,10
CPT,43764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43770,LAP PLACE GASTR ADJ DEVICE,,,5583.0,30380.0,7
CPT,43771,LAP REVISE GASTR ADJ DEVICE,,,1196.86,19925.0,7
CPT,43772,LAP RMVL GASTR ADJ DEVICE,,,4067.08,12001.0,7
CPT,43773,LAP REPLACE GASTR ADJ DEVICE,,,5583.0,19925.0,7
CPT,43774,LAP RMVL GASTR ADJ ALL PARTS,,,4067.08,12858.0,7
CPT,43775,LAP SLEEVE GASTRECTOMY,,,979.79,19925.0,7
CPT,43776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43800,PYLOROPLASTY,,,865.37,12001.0,7
CPT,43801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43810,GASTRODUODENOSTOMY,,,946.93,12001.0,7
CPT,43811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43820,GASTROJEJUNOSTOMY WO VAGOTMY,,,1246.44,12001.0,7
CPT,43821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43825,GASTROJEJUNOSTOMY W/VAGOTOMY,,,1218.69,12001.0,7
CPT,43826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43830,GSTRST OPEN WO CONSTJ TUBE,,,2024.22,6090.0,7
CPT,43831,GASTROSTOMY OPEN NEONATAL,,,956.76,5513.0,7
CPT,43832,GSTRST OPEN W/CONSTJ TUBE,,,978.33,12001.0,7
CPT,43833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43840,GSTRRPHY SUTR DUOL/GSTR ULCR,,,4067.08,12001.0,7
CPT,43841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43842,GSTR RSTCV PX V-BANDED GSTP,,,1027.26,12001.0,7
CPT,43843,GSTR RSTCV OTH/THN V-BAND,,,1195.46,12001.0,7
CPT,43844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43845,GASTROPLASTY DUODENAL SWITCH,,,1806.56,12001.0,7
CPT,43846,GSTR RSTCV PX SHRT ROUX-EN-Y,,,1532.41,12001.0,7
CPT,43847,GSTR RSTCV PX SM INT RCNSTJ,,,1670.17,12001.0,7
CPT,43848,REVJ OPEN GSTR RSTCV PX,,,1772.54,12001.0,7
CPT,43849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43850,Mammogram,,,108253.25,108253.25,1
CPT,43851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43855,Mammogram,,,112294.53,112294.53,1
CPT,43856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43860,REVJ GSTR/JJ ANAST W/O VGTMY,,,1500.55,12001.0,7
CPT,43861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43865,REVJ GSTR/JJ ANAST W/VGTMY,,,1569.12,12001.0,7
CPT,43866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43870,CLOSURE GASTROSTOMY SURGICAL,,,2983.0,12001.0,8
CPT,43871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43880,CLOSURE GASTROCOLIC FISTULA,,,1479.44,12001.0,7
CPT,43881,IMPL/RPLCMT GSTR NSTIM ELTRD,,,4344.0,12001.0,3
CPT,43882,REV/RMVL GSTR NSTIM ELTRD,,,4344.0,12001.0,3
CPT,43883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43886,GSTR RSTCV PX OPN REVJ PORT,,,2983.0,12001.0,8
CPT,43887,GSTR RSTCV PX OPN RMVL PORT,,,2176.52,5513.0,8
CPT,43888,GSTR RSTCV PX OPN RMVL&RPLC,,,3200.0,12001.0,8
CPT,43889,GSTR RSTCV PX TRNSORL ESG,,,4344.0,18257.4,5
CPT,43890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,43999,"HC UNLISTED PROCEDURE, STOMACH- TRANS ESOPHAGEAL INSERTION GASTROSTOMY",9532.2,3336.27,956.76,5513.0,9
CPT,43999,HC UNLISTED PROCEUDURE STOMACH REPOSITIONING OF THE G-TUBE,1929.31,675.26,661.75,5513.0,9
CPT,44000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44005,FREEING OF BOWEL ADHESION,,,1011.53,12001.0,7
CPT,44006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4400F,REHAB THXPY OPTIONS W/PT,,,0.02,0.02,1
CPT,44010,INCISION OF SMALL BOWEL,,,783.57,12001.0,7
CPT,44011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44015,INSERT NEEDLE CATH BOWEL,,,124.4,12001.0,7
CPT,44016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44020,EXPLORE SMALL INTESTINE,,,908.2,12001.0,7
CPT,44021,DECOMPRESS SMALL BOWEL,,,901.96,12001.0,7
CPT,44022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44025,INCISION OF LARGE BOWEL,,,913.27,12001.0,7
CPT,44026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44050,REDUCE BOWEL OBSTRUCTION,,,875.0,12001.0,7
CPT,44051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44055,CORRECT MALROTATION OF BOWEL,,,1362.63,12001.0,7
CPT,44056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44100,BIOPSY OF BOWEL,,,956.76,5513.0,8
CPT,44101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44110,EXCISE INTESTINE LESION(S),,,794.47,12001.0,7
CPT,44111,EXCISION OF BOWEL LESION(S),,,903.05,12001.0,7
CPT,44112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44120,REMOVAL OF SMALL INTESTINE,,,1125.56,12001.0,7
CPT,44121,REMOVAL OF SMALL INTESTINE,,,212.66,12001.0,7
CPT,44122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44125,REMOVAL OF SMALL INTESTINE,,,1089.45,12001.0,7
CPT,44126,ENTERECTOMY W/O TAPER CONG,,,2255.59,12001.0,7
CPT,44127,ENTERECTOMY W/TAPER CONG,,,2590.68,12001.0,7
CPT,44128,ENTERECTOMY CONG ADD-ON,,,213.94,12001.0,7
CPT,44129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44130,BOWEL TO BOWEL FUSION,,,1221.67,12001.0,7
CPT,44131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44132,ENTERECTOMY CADAVER DONOR,,,4344.0,18067.0,3
CPT,44133,ENTERECTOMY LIVE DONOR,,,4344.0,12001.0,3
CPT,44134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44135,INTESTINE TRANSPLNT CADAVER,,,4344.0,18067.0,3
CPT,44136,INTESTINE TRANSPLANT LIVE,,,4344.0,12001.0,3
CPT,44137,REMOVE INTESTINAL ALLOGRAFT,,,4344.0,12001.0,3
CPT,44138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44139,MOBILIZATION OF COLON,,,105.32,12001.0,7
CPT,44140,PARTIAL REMOVAL OF COLON,,,1240.9,12001.0,7
CPT,44141,PARTIAL REMOVAL OF COLON,,,1680.99,12001.0,7
CPT,44142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44143,PARTIAL REMOVAL OF COLON,,,1519.28,12001.0,7
CPT,44144,PARTIAL REMOVAL OF COLON,,,1622.25,12001.0,7
CPT,44145,PARTIAL REMOVAL OF COLON,,,1505.66,12001.0,7
CPT,44146,PARTIAL REMOVAL OF COLON,,,1931.76,12001.0,7
CPT,44147,PARTIAL REMOVAL OF COLON,,,1744.93,12001.0,7
CPT,44148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44150,REMOVAL OF COLON,,,1725.96,12001.0,7
CPT,44151,REMOVAL OF COLON/ILEOSTOMY,,,1994.34,12001.0,7
CPT,44152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44152,Mammogram,,,97475.09,97475.09,1
CPT,44153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44153,Mammogram,,,110457.15,110457.15,1
CPT,44154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44155,REMOVAL OF COLON/ILEOSTOMY,,,1914.21,12001.0,7
CPT,44156,REMOVAL OF COLON/ILEOSTOMY,,,2129.23,12001.0,7
CPT,44157,COLECTOMY W/ILEOANAL ANAST,,,2024.27,12001.0,7
CPT,44158,COLECTOMY W/NEO-RECTUM POUCH,,,2072.37,12001.0,7
CPT,44159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44160,REMOVAL OF COLON,,,1149.71,12001.0,7
CPT,44161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44180,LAP ENTEROLYSIS,,,5583.0,19925.0,8
CPT,44181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44186,LAP JEJUNOSTOMY,,,6177.0,19925.0,8
CPT,44187,LAP ILEO/JEJUNO-STOMY,,,1028.71,19925.0,7
CPT,44188,LAP COLOSTOMY,,,1140.01,19925.0,7
CPT,44189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44202,LAP ENTERECTOMY,,,1278.98,19925.0,7
CPT,44203,LAP RESECT S/INTESTINE ADDL,,,212.3,19925.0,7
CPT,44204,LAPARO PARTIAL COLECTOMY,,,1404.54,19925.0,7
CPT,44205,LAP COLECTOMY PART W/ILEUM,,,1220.57,19925.0,7
CPT,44206,LAP PART COLECTOMY W/STOMA,,,1590.54,19925.0,7
CPT,44207,L COLECTOMY/COLOPROCTOSTOMY,,,1640.73,19925.0,7
CPT,44208,L COLECTOMY/COLOPROCTOSTOMY,,,1796.32,19925.0,7
CPT,44209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44210,LAPARO TOTAL PROCTOCOLECTOMY,,,1628.56,19925.0,7
CPT,44211,LAP COLECTOMY W/PROCTECTOMY,,,1938.73,19925.0,7
CPT,44212,LAPARO TOTAL PROCTOCOLECTOMY,,,1865.8,19925.0,7
CPT,44213,LAP MOBIL SPLENIC FL ADD-ON,,,163.02,19925.0,7
CPT,44214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44227,LAP CLOSE ENTEROSTOMY,,,1509.59,19925.0,7
CPT,44228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44238,UNLISTED LAPS PX INTESTINE,,,5428.0,19925.0,7
CPT,44239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44300,OPEN BOWEL TO SKIN,,,2024.22,12001.0,7
CPT,44301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44310,ILEOSTOMY/JEJUNOSTOMY,,,963.37,12001.0,7
CPT,44311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44312,REVISION OF ILEOSTOMY,,,2983.0,12001.0,8
CPT,44313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44314,REVISION OF ILEOSTOMY,,,3738.22,12001.0,7
CPT,44315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44316,DEVISE BOWEL POUCH,,,1310.93,12001.0,7
CPT,44317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44320,COLOSTOMY,,,1117.49,12001.0,7
CPT,44321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44322,COLOSTOMY WITH BIOPSIES,,,990.99,12001.0,7
CPT,44323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44340,HC REVISION OF COLOSTOMY SIMPLE,6886.2,2410.17,2133.0,12001.0,10
CPT,44341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44345,REVISION OF COLOSTOMY,,,3738.22,12001.0,7
CPT,44346,REVISION OF COLOSTOMY,,,3738.22,12001.0,7
CPT,44347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44360,HC SM INTEST 1PORT DX&/OR SPEC,6080.59,2128.21,2024.22,5513.0,10
CPT,44361,HC SMINTEST1 BX-2NDARY,6080.59,2128.21,2024.22,5513.0,10
CPT,44362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44363,SMALL BOWEL ENDOSCOPY,,,2024.22,5513.0,8
CPT,44364,HC SMALL INTESTINAL ENDOSCOPY BEYOND 2ND PART OF DUODENUM NOT INC ILEUM W/ REMOVAL OF TUMOR BY SNARE,5791.04,2026.87,1986.33,5513.0,10
CPT,44365,SMALL BOWEL ENDOSCOPY,,,2024.22,5513.0,8
CPT,44366,"HC SMALL INTESTINAL ENDOSCOPY ENTEROSCOPY BEYOND 2ND PORTION OF DUODENUM NOT INC ILEUM, DIAGNOSTIC",4539.15,1588.71,1556.93,5513.0,10
CPT,44367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44369,"HC SMALL INTESTINE ENDOSCOPY, WITH ABLATION",3336.84,1167.9,1144.54,5513.0,10
CPT,44370,HC ENDO SM INT STENT,10417.08,3645.98,3573.06,21649.0,10
CPT,44371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44372,HC SMALL INTESTINAL ENDOSCOPY WITH PLACEMENT PERC JEJUNOSTOMY TUBE,3602.13,1260.75,1235.53,5513.0,10
CPT,44373,SMALL BOWEL ENDOSCOPY,,,2024.22,5513.0,8
CPT,44374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44376,HC SMALL BOWEL ENDOSCOPY,4049.85,1417.45,1389.1,5513.0,10
CPT,44377,HC SMALL BOWEL ENDOSCOPY/BIOPSY,4049.85,1417.45,1389.1,5513.0,10
CPT,44378,SMALL BOWEL ENDOSCOPY,,,2024.22,5513.0,8
CPT,44379,S BOWEL ENDOSCOPE W/STENT,,,6404.09,21649.0,8
CPT,44380,"HC ILEOSCOPY,THRU STOMA,DIAG",2017.36,706.08,691.95,5513.0,10
CPT,44381,HC ILEOSCOPY STOMA W/BALLOON DILATION,6080.59,2128.21,2024.22,5513.0,10
CPT,44382,HC ILEOSCOPY THRO STOMA BX,2017.36,706.08,691.95,5513.0,10
CPT,44383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44383,Mammogram,,,10697.8,10697.8,1
CPT,44384,HC SMALL BOWEL ENDOSCOPY,6544.6,2290.61,2024.22,12001.0,10
CPT,44385,HC ENDOSCOPIC EVALUATION OF POUCH,1964.6,687.61,673.86,5513.0,10
CPT,44386,"HC ENDOSCOPIC EVAL SMALL INTESTINAL POUCH W/ BIOPSY, SINGLE/MULTIPLE",1659.63,580.88,569.25,5513.0,10
CPT,44387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44388,HC STOMA DX &/OR SPEC,1775.57,621.45,609.02,5513.0,10
CPT,44389,"HC COLONOSCOPY,THRU STOMA,W/ BIOPSY",2511.59,879.06,861.48,5513.0,10
CPT,44390,COLONOSCOPY FOR FOREIGN BODY,,,981.0,5513.0,8
CPT,44391,COLONOSCOPY FOR BLEEDING,,,1262.32,5513.0,8
CPT,44392,HC COLONOSCOPY & POLYPECTOM,2683.54,939.24,920.45,5513.0,10
CPT,44393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44393,Mammogram,,,17994.15,17994.15,1
CPT,44394,HC COLONOSCOPY W/SNARE W/RMVL TUM,2047.44,716.61,702.27,5513.0,10
CPT,44395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44397,Mammogram,,,17814.56,17814.56,1
CPT,44398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44401,HC COLONOSCOPY WITH ABLATION,1905.06,666.78,653.44,5513.0,10
CPT,44402,HC COLONOSCOPY W/STENT PLCMT,10417.08,3645.98,3000.0,18067.0,10
CPT,44403,COLONOSCOPY W/RESECTION,,,1262.32,5513.0,8
CPT,44404,"HC COLONOSCOPY THROUGH STOMA, DIAG, COLLECTION OF SPEC WITH DIRECTED SUBMUCOSAL INJ, ANY SUBSTANCE",2322.68,812.94,796.68,5513.0,10
CPT,44405,HC COLONOSCOPY W/DILATION STOMA,9043.72,3165.31,1262.32,5513.0,10
CPT,44406,COLONOSCOPY W/ULTRASOUND,,,1262.32,5513.0,8
CPT,44407,COLONOSCOPY W/NDL ASPIR/BX,,,1262.32,5513.0,8
CPT,44408,COLONOSCOPY W/DECOMPRESSION,,,981.0,5513.0,8
CPT,44409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44500,HC INTRO LNG GASTROINTSTNL TUBE,1929.31,675.26,661.75,5513.0,10
CPT,44501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4450F,SELF-CARE ED PROVIDED TO PT,,,0.02,0.02,1
CPT,44510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44602,SUTURE SMALL INTESTINE,,,4067.08,12001.0,7
CPT,44603,SUTURE SMALL INTESTINE,,,1468.69,12001.0,7
CPT,44604,SUTURE LARGE INTESTINE,,,965.89,12001.0,7
CPT,44605,REPAIR OF BOWEL LESION,,,1203.99,12001.0,7
CPT,44606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44615,INTESTINAL STRICTUROPLASTY,,,988.8,12001.0,7
CPT,44616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44620,REPAIR BOWEL OPENING,,,802.24,12001.0,7
CPT,44621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44625,REPAIR BOWEL OPENING,,,931.14,12001.0,7
CPT,44626,REPAIR BOWEL OPENING,,,1443.44,12001.0,7
CPT,44627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44640,REPAIR BOWEL-SKIN FISTULA,,,1273.79,12001.0,7
CPT,44641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44650,REPAIR BOWEL FISTULA,,,1313.51,12001.0,7
CPT,44651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44660,REPAIR BOWEL-BLADDER FISTULA,,,1212.62,12001.0,7
CPT,44661,REPAIR BOWEL-BLADDER FISTULA,,,1403.37,12001.0,7
CPT,44662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44680,SURGICAL REVISION INTESTINE,,,999.23,12001.0,7
CPT,44681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44700,SUSPEND BOWEL W/PROSTHESIS,,,916.28,12001.0,7
CPT,44701,INTRAOP COLON LAVAGE ADD-ON,,,149.15,11203.61,7
CPT,44702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44705,HC PREPARATION FECAL MICROBIOTA FOR INSTILLATION,2550.24,892.59,118.79,4344.0,9
CPT,44706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4470F,ICD COUNSELING PROVIDED,,,0.02,0.02,1
CPT,44710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44715,PREPARE DONOR INTESTINE,,,4344.0,12001.0,3
CPT,44716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44720,PREP DONOR INTESTINE/VENOUS,,,241.06,12001.0,7
CPT,44721,PREP DONOR INTESTINE/ARTERY,,,337.34,12001.0,7
CPT,44722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44799,"HC UNLISTED PROCEDURE, INTESTINE",4763.96,1667.39,956.76,5513.0,9
CPT,44800,EXCISION OF BOWEL POUCH,,,739.26,12001.0,7
CPT,44801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4480F,PT RCVNG ACE/ARB B-BLOCKERTX,,,0.02,0.02,1
CPT,44810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4481F,PT RCVNG ACE/ARB BLKER <3MOS,,,0.02,0.02,1
CPT,44820,EXCISION OF MESENTERY LESION,,,802.94,12001.0,7
CPT,44821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44850,REPAIR OF MESENTERY,,,706.82,12001.0,7
CPT,44851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44899,UNLISTED PX MECKEL'S DVRTCLM,,,3500.0,5428.0,3
CPT,44900,I&D APPENDIX ABSCESS OPEN,,,739.24,5428.0,7
CPT,44901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44901,Mammogram,,,11161.47,11161.47,1
CPT,44902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44950,APPENDECTOMY,,,6479.0,12001.0,7
CPT,44951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44955,APPENDECTOMY ADD-ON,,,73.62,5561.01,7
CPT,44956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44960,APPENDECTOMY,,,818.46,12001.0,7
CPT,44961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44970,LAPAROSCOPY APPENDECTOMY,,,4883.0,19925.0,8
CPT,44971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44979,UNLISTED LAPS PX APPENDIX,,,5583.0,19925.0,7
CPT,44980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,44999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45000,DRAINAGE OF PELVIC ABSCESS,,,1262.32,5513.0,8
CPT,45001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45005,DRAINAGE OF RECTAL ABSCESS,,,1262.32,5513.0,8
CPT,45006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4500F,REF TO OUTPT CARD REHAB PROG,,,0.02,0.02,1
CPT,45010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45020,DRAINAGE OF RECTAL ABSCESS,,,2928.0,5513.0,8
CPT,45021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45100,BIOPSY OF RECTUM,,,2928.0,5513.0,8
CPT,45101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45108,ANORECTAL MYOMECTOMY,,,2928.0,6090.0,8
CPT,45109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4510F,PREV CARDREHAB QUALCARDEVENT,,,0.02,0.02,1
CPT,45110,REMOVAL OF RECTUM,,,1675.06,12001.0,7
CPT,45111,PARTIAL REMOVAL OF RECTUM,,,1010.59,12001.0,7
CPT,45112,REMOVAL OF RECTUM,,,1645.42,12001.0,7
CPT,45113,PARTIAL PROCTECTOMY,,,1703.63,12001.0,7
CPT,45114,PARTIAL REMOVAL OF RECTUM,,,1668.43,12001.0,7
CPT,45115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45116,PARTIAL REMOVAL OF RECTUM,,,1413.17,12001.0,7
CPT,45117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45119,REMOVE RECTUM W/RESERVOIR,,,1715.52,12001.0,7
CPT,45120,REMOVAL OF RECTUM,,,1484.26,12001.0,7
CPT,45121,REMOVAL OF RECTUM AND COLON,,,1613.65,12001.0,7
CPT,45122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45123,PARTIAL PROCTECTOMY,,,1035.91,12664.0,7
CPT,45124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45126,PELVIC EXENTERATION,,,2479.98,12001.0,7
CPT,45127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45130,EXCISION OF RECTAL PROLAPSE,,,1007.04,12001.0,7
CPT,45131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45135,EXCISION OF RECTAL PROLAPSE,,,1205.19,12001.0,7
CPT,45136,EXCISE ILEOANAL RESERVIOR,,,1646.59,12001.0,7
CPT,45137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45150,EXCISION OF RECTAL STRICTURE,,,1262.32,5513.0,8
CPT,45151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45160,EXCISION OF RECTAL LESION,,,2928.0,6090.0,8
CPT,45161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45170,Mammogram,,,43965.01,43965.01,1
CPT,45171,EXC RECT TUM TRANSANAL PART,,,2928.0,6177.0,8
CPT,45172,EXC RECT TUM TRANSANAL FULL,,,2928.0,21649.0,8
CPT,45173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45190,DESTRUCTION RECTAL TUMOR,,,2928.0,21649.0,8
CPT,45191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4525F,NEUROPSYCHIA INTERVEN ORDER,,,0.02,0.02,1
CPT,45260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4526F,NEUROPSYCHIA INTERVEN RCVD,,,0.02,0.02,1
CPT,45270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45300,"HC PREOCTOSIGMOIDOSCOPY, RIGID, DIAGNOSTIC",3421.98,1197.7,981.0,3603.0,10
CPT,45301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45303,PROCTOSIGMOIDOSCOPY DILATE,,,1262.32,5513.0,8
CPT,45304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45305,HC PROCTOSIG RIGID W/BIOPSY,2511.59,879.06,861.48,5513.0,10
CPT,45306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45307,PROCTOSIGMOIDOSCOPY FB,,,2928.0,6090.0,8
CPT,45308,PROCTOSIGMOIDOSCOPY REMOVAL,,,2928.0,5513.0,8
CPT,45309,PROCTOSIGMOIDOSCOPY REMOVAL,,,1262.32,5513.0,8
CPT,45310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45315,PROCTOSIGMOIDOSCOPY REMOVAL,,,1262.32,5513.0,8
CPT,45316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45317,"HC PROCTOSIGMOIDOSCOPY RIGID W/ CONTROL OF BLEEDING (EG INJ, BIPOLAR CAUTERY UNIPOLAR CAUTE)",4155.69,1454.5,1262.32,5513.0,10
CPT,45318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45320,PROCTOSIGMOIDOSCOPY ABLATE,,,2928.0,6090.0,8
CPT,45321,PROCTOSIGMOIDOSCOPY VOLVUL,,,2928.0,6090.0,8
CPT,45322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45327,PROCTOSIGMOIDOSCOPY W/STENT,,,2983.0,18067.0,8
CPT,45328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45330,HC SIGMOIDOSCOPY DX &/OR SPEC,1945.22,680.83,667.21,3603.0,10
CPT,45331,HC SIGMOIDOSCOPY BX,1945.22,680.83,667.21,3603.0,10
CPT,45332,HC SIGMOIDOSCOPY REMOVAL OF FB,3780.88,1323.31,1262.32,5513.0,10
CPT,45333,HC SIGMOIDOSCOPY W/HOT BX,1945.22,680.83,667.21,3603.0,10
CPT,45334,HC SIGMOIDOSCOPY FOR BLEEDING,1878.01,657.31,644.16,5513.0,10
CPT,45335,HC SIGMOID DX &/OR SPEC W/INJ,1504.77,526.67,516.14,3603.0,10
CPT,45336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45337,HC SIGMOIDOSCOPY WITH DECOMPRESSION,2047.44,716.61,702.27,5513.0,10
CPT,45338,HC SIGMOIDOSCOPY SNARE TECH,1878.01,657.31,644.16,5513.0,10
CPT,45339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45339,Mammogram,,,12122.97,12122.97,1
CPT,45340,HC SIGMOID DX W/DIL BALLOON,1878.01,657.31,644.16,5513.0,10
CPT,45341,HC SIGMOIDEOSC W/ U/S,2148.14,751.85,736.81,5513.0,10
CPT,45342,HC SIGMOIDOSC ASP/BX,2511.59,879.06,861.48,5513.0,10
CPT,45343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45345,Mammogram,,,11333.7,11333.7,1
CPT,45346,HC SIGMOIDOSCOPY W/ABLATION,2047.44,716.61,702.27,5513.0,10
CPT,45347,"HC SIGMOID, PLACEMENT ENDOSCOPIC STENT",12129.91,4245.47,3000.0,18067.0,10
CPT,45348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45349,HC SIGMOIDOSCOPY W/RESECTION,5584.66,1954.64,1915.54,5513.0,10
CPT,45350,HC SIGMOIDOSCOPY W/BAND LIGATION,1996.46,698.77,684.79,5513.0,10
CPT,45351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45355,Mammogram,,,13362.67,13362.67,1
CPT,45356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45378,HC COLONOSCOPY DX &/OR SPEC,1778.23,622.39,609.93,5513.0,10
CPT,45379,HC COLONOSCOPY W/FB REMOVAL,1918.35,671.43,657.99,5513.0,10
CPT,45380,HC COLONOSCOPY BX,2276.2,796.67,780.74,5513.0,10
CPT,45381,HC COLONOSCOPY W/SUB INJ,2511.59,879.06,861.48,5513.0,10
CPT,45382,HC COLONOSCOPY CONTROL BLEED,2853.62,998.77,978.79,5513.0,10
CPT,45383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45383,Mammogram,,,21837.71,21837.71,1
CPT,45384,HC COLONOSOCOPY HOT BX,2351.4,822.99,806.53,5513.0,10
CPT,45385,HC COLONOSCOPY SNARE TECH,2518.6,881.51,863.88,5513.0,10
CPT,45386,HC COLONOSCOPY W/DIL BALLOON,1951.69,683.1,669.43,5513.0,10
CPT,45387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45387,Mammogram,,,22446.9,22446.9,1
CPT,45388,HC COLONOSCOPY W/ABLATION,1905.06,666.78,653.44,5513.0,10
CPT,45389,HC COLONOSCOPY W/STENT PLCMT,10417.08,3645.98,3200.0,18067.0,10
CPT,45390,HC COLONOSCOPY W/RESECTION,5584.66,1954.64,1915.54,5513.0,10
CPT,45391,HC COLONOSCOPY W/ENDOSCOPE US,1951.69,683.1,669.43,5513.0,10
CPT,45392,HC COLONOSCOPY W/ENDOSCOPIE FNB,2593.2,907.62,889.47,5513.0,10
CPT,45393,HC COLONOSCOPY W/DECOMPRESSION,1905.82,667.04,653.7,5513.0,10
CPT,45394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45395,LAP REMOVAL OF RECTUM,,,1801.86,12001.0,7
CPT,45396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45397,LAP REMOVE RECTUM W/POUCH,,,1946.17,12001.0,7
CPT,45398,HC COLONOSCOPY W/BAND LIGATION,1905.82,667.04,653.7,5513.0,10
CPT,45399,UNLISTED PROCEDURE COLON,,,981.0,6177.0,8
CPT,45400,LAPAROSCOPIC PROC,,,1046.62,12001.0,7
CPT,45401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45402,LAP PROCTOPEXY W/SIG RESECT,,,1389.7,12001.0,7
CPT,45403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4540F,DISEASE MODIF PHARMACOTHXPY,,,0.02,0.02,1
CPT,45410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4541F,PT OFFERED TX FOR PSEUDOBULB,,,0.02,0.02,1
CPT,45420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45499,LAPAROSCOPE PROC RECTUM,,,3500.0,10383.57,7
CPT,45500,REPAIR OF RECTUM,,,2928.0,6090.0,8
CPT,45501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45505,REPAIR OF RECTUM,,,2928.0,6987.0,8
CPT,45506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4550F,NONINVAS RESP SUPPORT TALK,,,0.02,0.02,1
CPT,45510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4551F,NUTRITIONAL SUPPORT OFFERED,,,0.02,0.02,1
CPT,45520,TREATMENT OF RECTAL PROLAPSE,,,981.0,3603.0,7
CPT,45521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4552F,PT REF FOR SPEECH LANG PATH,,,0.02,0.02,1
CPT,45530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4553F,PT ASST RE END LIFE ISSUES,,,0.02,0.02,1
CPT,45540,CORRECT RECTAL PROLAPSE,,,975.91,12001.0,7
CPT,45541,CORRECT RECTAL PROLAPSE,,,2928.0,6987.0,7
CPT,45542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4554F,PT RECVD INHAL ANESTHETIC,,,0.02,0.02,1
CPT,45550,REPAIR RECTUM/REMOVE SIGMOID,,,1353.67,12001.0,7
CPT,45551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4555F,PT RECVD NO INHAL ANESTHIC,,,0.02,0.02,1
CPT,45560,REPAIR OF RECTOCELE,,,2928.0,6987.0,8
CPT,45561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45562,EXPLORATION/REPAIR OF RECTUM,,,1120.38,12001.0,7
CPT,45563,EXPLORATION/REPAIR OF RECTUM,,,1560.8,12001.0,7
CPT,45564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4556F,PT W/3+ POST-OP NAUSEA&VOM,,,0.02,0.02,1
CPT,45570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4557F,PT W/O 3+ POST-OPNAUSEA&VOM,,,0.02,0.02,1
CPT,45580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4558F,PT RECVD 2 RX ANTI-EMET AGT,,,0.02,0.02,1
CPT,45590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4559F,1 BODYTEMP >=35.5CW/IN 30MIN,,,0.02,0.02,1
CPT,45600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4560F,ANESTH W/O GEN/NEURAX ANESTH,,,0.02,0.02,1
CPT,45610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4561F,PT W/ CORONARY ARTERY STENT,,,0.02,0.02,1
CPT,45620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4562F,PT W/O CORONARY ARTERY STENT,,,0.02,0.02,1
CPT,45630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,4563F,PT RECVD ASPIRIN W/IN 24 HRS,,,0.02,0.02,1
CPT,45640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45800,REPAIR RECT/BLADDER FISTULA,,,1202.46,12001.0,7
CPT,45801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45805,REPAIR FISTULA W/COLOSTOMY,,,1385.35,12001.0,7
CPT,45806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45820,REPAIR RECTOURETHRAL FISTULA,,,1205.1,12001.0,7
CPT,45821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45825,REPAIR FISTULA W/COLOSTOMY,,,1455.3,12001.0,7
CPT,45826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45900,REDUCTION OF RECTAL PROLAPSE,,,981.0,3603.0,8
CPT,45901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45905,DILATION OF ANAL SPHINCTER,,,1262.32,5513.0,8
CPT,45906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45910,DILATION OF RECTAL NARROWING,,,1262.32,5513.0,8
CPT,45911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45915,REMOVE RECTAL OBSTRUCTION,,,1262.32,5513.0,8
CPT,45916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45990,SURG DX EXAM ANORECTAL,,,2928.0,5513.0,8
CPT,45991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,45999,HC REMOVAL OF FB FROM RECTUM,1895.53,663.44,650.17,5428.0,10
CPT,46000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46020,PLACEMENT OF SETON,,,2928.0,6090.0,8
CPT,46021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46030,REMOVAL ANAL SETON OTH MRK,,,1262.32,5513.0,8
CPT,46031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46040,HC I&D PERIRECTAL ABSCESS,3834.93,1342.23,1262.32,5583.0,10
CPT,46041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46045,I&D ABSC TRANAL UNDER ANES,,,2928.0,6090.0,8
CPT,46046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46050,HC I&D PERIANAL SUPERFICIAL,1567.86,548.76,537.78,3603.0,10
CPT,46051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46060,I&D ISCHIORECTAL/NTRMRL ABSC,,,2928.0,5513.0,8
CPT,46061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46070,INCISION ANAL SEPTUM INFANT,,,2928.0,5513.0,7
CPT,46071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46080,SPHNCTROTMY ANAL DIV SPHNCTR,,,2928.0,5583.0,8
CPT,46081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46083,HC INCISE EXTERNAL HEMORRHOID,980.11,343.04,263.56,3500.0,10
CPT,46084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46100,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46200,REMOVAL OF ANAL FISSURE,,,2928.0,6090.0,8
CPT,46201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46210,Mammogram,,,14349.04,14349.04,1
CPT,46211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46211,Mammogram,,,20861.51,20861.51,1
CPT,46212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46220,"HC EXCISION OF SINGLE EXTERNAL PAPILLA OR TAG, ANUS",2955.14,1034.3,1013.61,5513.0,10
CPT,46221,HC HEMORRHOID BANDING,1945.22,680.83,667.21,3603.0,10
CPT,46222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46230,"HC EXCISION MULTIPLE SKIN TAGS,ANUS",5975.94,2091.58,2049.75,5513.0,10
CPT,46231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46250,REMOVE EXT HEM GROUPS 2+,,,2928.0,6090.0,8
CPT,46251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46255,REMOVE INT/EXT HEM 1 GROUP,,,2928.0,6090.0,8
CPT,46256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46257,REMOVE IN/EX HEM GRP & FISS,,,2928.0,6090.0,8
CPT,46258,REMOVE IN/EX HEM GRP W/FISTU,,,2928.0,6090.0,8
CPT,46259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46260,REMOVE IN/EX HEM GROUPS 2+,,,2928.0,6090.0,8
CPT,46261,REMOVE IN/EX HEM GRPS & FISS,,,2928.0,6479.0,8
CPT,46262,REMOVE IN/EX HEM GRPS W/FIST,,,2928.0,6479.0,8
CPT,46263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46270,HC SURGICAL TX ANAL FISTULA SUB,5120.54,1792.19,1756.35,6090.0,10
CPT,46271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46275,REMOVE ANAL FIST INTER,,,2928.0,6090.0,8
CPT,46276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46280,REMOVE ANAL FIST COMPLEX,,,2928.0,6479.0,8
CPT,46281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46285,REMOVE ANAL FIST 2 STAGE,,,2928.0,6090.0,8
CPT,46286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46288,REPAIR ANAL FISTULA,,,2928.0,6987.0,8
CPT,46289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46320,HC REMOVAL OF HEMORRHOID CLOT,3808.27,1332.9,1262.32,5513.0,10
CPT,46321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46500,INJECTION INTO HEMORRHOID(S),,,981.0,5428.0,7
CPT,46501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46505,CHEMODENERVATION ANAL MUSC,,,1262.32,5513.0,8
CPT,46506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46600,HC ANOSCOPY DX &/OR SPEC,306.66,107.34,105.18,3500.0,9
CPT,46601,HC DIAGNOSTIC ANOSCOPY,2005.15,701.81,471.24,3500.0,10
CPT,46602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46604,ANOSCOPY AND DILATION,,,1262.32,5513.0,7
CPT,46605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46606,HC ANOSCOPY W/BIOPSY,1929.04,675.17,661.66,5513.0,9
CPT,46607,HC HC DIAGNOSTIC ANOSCOPY & BIOPSY,2221.19,777.42,761.87,5513.0,10
CPT,46608,HC ANOSCOPY REMOVE FOREIGN BODY,1733.18,606.62,594.48,5513.0,10
CPT,46609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46610,HC ANOSCOPY W/ REMOVAL SINGLE TUMOR POLYP OR OTHER LESION BY HOT BIOPSY FORCEPS OR BIPOLAR CAUTERY,8971.06,3139.88,2928.0,6090.0,10
CPT,46611,ANOSCOPY,,,981.0,5513.0,8
CPT,46612,ANOSCOPY REMOVE LESIONS,,,2928.0,6090.0,8
CPT,46613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46614,ANOSCOPY CONTROL BLEEDING,,,1262.32,5513.0,7
CPT,46615,HC ANOSCOPY W/ABLAT TUMR/POLYP,5975.94,2091.58,2049.75,6090.0,10
CPT,46616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46700,REPAIR OF ANAL STRICTURE,,,2928.0,6090.0,8
CPT,46701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46705,REPAIR OF ANAL STRICTURE,,,582.58,12001.0,7
CPT,46706,HC REPAIR OF ANAL FISTULA WITH FIBRIN GLUE,6020.28,2107.1,2064.96,6090.0,10
CPT,46707,REPAIR ANORECTAL FIST W/PLUG,,,2928.0,21649.0,8
CPT,46708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46710,REPR PER/VAG POUCH SNGL PROC,,,1064.99,12001.0,7
CPT,46711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46712,REPR PER/VAG POUCH DBL PROC,,,2058.07,12001.0,7
CPT,46713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46715,REP PERF ANOPER FISTU,,,557.96,12001.0,7
CPT,46716,REP PERF ANOPER/VESTIB FISTU,,,1219.99,12001.0,7
CPT,46717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46730,CONSTRUCTION OF ABSENT ANUS,,,1902.09,12001.0,7
CPT,46731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46735,CONSTRUCTION OF ABSENT ANUS,,,2166.15,12001.0,7
CPT,46736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46740,CONSTRUCTION OF ABSENT ANUS,,,2063.76,12001.0,7
CPT,46741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46742,REPAIR OF IMPERFORATED ANUS,,,2359.66,12001.0,7
CPT,46743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46744,REPAIR OF CLOACAL ANOMALY,,,3270.18,12001.0,7
CPT,46745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46746,REPAIR OF CLOACAL ANOMALY,,,3588.65,12001.0,7
CPT,46747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46748,REPAIR OF CLOACAL ANOMALY,,,3876.78,12001.0,7
CPT,46749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46750,REPAIR OF ANAL SPHINCTER,,,2928.0,6987.0,8
CPT,46751,REPAIR OF ANAL SPHINCTER,,,667.88,12001.0,7
CPT,46752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46753,RECONSTRUCTION OF ANUS,,,2928.0,6090.0,8
CPT,46754,REMOVAL OF SUTURE FROM ANUS,,,2928.0,5513.0,8
CPT,46755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46760,REPAIR OF ANAL SPHINCTER,,,2928.0,6987.0,8
CPT,46761,REPAIR OF ANAL SPHINCTER,,,2928.0,6987.0,8
CPT,46762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46762,Mammogram,,,61022.4,61022.4,1
CPT,46763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46900,"HC DESTRUCTION OF LESION(S), ANUS, SIMPLE, CHEMICAL",808.67,283.04,277.37,3500.0,10
CPT,46901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46910,HC DESTRUCT ANAL LES ELECTRO,3822.15,1337.76,1311.0,5513.0,9
CPT,46911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46916,HC CRYOSURGERY ANAL LESION(S),426.09,149.14,146.15,3500.0,9
CPT,46917,HC DESTRUCTION ANAL LES LASER,5975.94,2091.58,2049.75,6090.0,10
CPT,46918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46922,"HC DESTRUCTION LESION ANUS, SURGICAL EXCISION",5628.25,1969.89,1930.49,6090.0,10
CPT,46923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46924,"HC DEST LESIONS,ANUS,EXTENSIVE",5975.94,2091.58,2049.75,6090.0,10
CPT,46925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46930,DESTROY INTERNAL HEMORRHOIDS,,,1262.32,6177.0,8
CPT,46931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46934,Mammogram,,,16166.2,16166.2,1
CPT,46935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46935,Mammogram,,,8749.81,8749.81,1
CPT,46936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46936,Mammogram,,,15186.57,15186.57,1
CPT,46937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46937,Mammogram,,,9943.2,9943.2,1
CPT,46938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46938,Mammogram,,,20477.47,20477.47,1
CPT,46939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46940,TREATMENT OF ANAL FISSURE,,,2928.0,5513.0,7
CPT,46941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46942,TREATMENT OF ANAL FISSURE,,,981.0,3603.0,8
CPT,46943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46945,INT HRHC LIG 1 HROID W/O IMG,,,2928.0,6090.0,7
CPT,46946,INT HRHC LIG 2+HROID W/O IMG,,,2928.0,6090.0,8
CPT,46947,HEMORRHOIDOPEXY BY STAPLING,,,2928.0,11244.0,8
CPT,46948,INT HRHC TRANAL DARTLZJ 2+,,,2928.0,10856.0,8
CPT,46949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,46999,HC HRA ABLATE LESION ANUS,1994.15,697.96,683.99,3603.0,9
CPT,47000,HC BIOPSY LIVER,3450.65,1207.73,1183.57,5513.0,10
CPT,47001,HC BIOP LIVER PERC W OTHER PROC,416.71,145.85,90.79,6860.86,9
CPT,47002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47010,HEPATOT OPN DRG ABSC/CST 1/2,,,1137.33,5428.0,7
CPT,47011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47011,Mammogram,,,12129.71,12129.71,1
CPT,47012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47015,LAPT ASPIR&/NJX HEP PRST CST,,,1098.01,5513.0,7
CPT,47016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47100,WEDGE BIOPSY OF LIVER,,,814.86,6090.0,7
CPT,47101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47120,PARTIAL REMOVAL OF LIVER,,,2149.25,12001.0,7
CPT,47121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47122,EXTENSIVE REMOVAL OF LIVER,,,3107.8,12001.0,7
CPT,47123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47125,PARTIAL REMOVAL OF LIVER,,,2792.03,12001.0,7
CPT,47126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47130,PARTIAL REMOVAL OF LIVER,,,2985.62,12001.0,7
CPT,47131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47133,REMOVAL OF DONOR LIVER,,,4344.0,12001.0,3
CPT,47134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47135,TRANSPLANTATION OF LIVER,,,4344.0,52872.0,7
CPT,47136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47136,Mammogram,,,272885.41,272885.41,1
CPT,47137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47140,PARTIAL REMOVAL DONOR LIVER,,,3311.89,12001.0,7
CPT,47141,PARTIAL REMOVAL DONOR LIVER,,,3942.91,12001.0,7
CPT,47142,PARTIAL REMOVAL DONOR LIVER,,,4324.99,12001.0,7
CPT,47143,PREP DONOR LIVER WHOLE,,,4344.0,12001.0,3
CPT,47144,PREP DONOR LIVER 3-SEGMENT,,,4344.0,12001.0,3
CPT,47145,PREP DONOR LIVER LOBE SPLIT,,,4344.0,12001.0,3
CPT,47146,PREP DONOR LIVER/VENOUS,,,288.9,12001.0,7
CPT,47147,PREP DONOR LIVER/ARTERIAL,,,336.91,12001.0,7
CPT,47148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47300,SURGERY FOR LIVER LESION,,,1068.14,12001.0,7
CPT,47301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47350,REPAIR LIVER WOUND,,,1279.31,12001.0,7
CPT,47351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47360,REPAIR LIVER WOUND,,,1726.38,12001.0,7
CPT,47361,REPAIR LIVER WOUND,,,2734.8,12001.0,7
CPT,47362,REPAIR LIVER WOUND,,,1331.16,12001.0,7
CPT,47363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47370,LAPARO ABLATE LIVER TUMOR RF,,,6479.0,30380.0,7
CPT,47371,LAPARO ABLATE LIVER CRYOSURG,,,6479.0,30380.0,7
CPT,47372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47379,UNLISTED LAPS PX LIVER,,,6377.33,19925.0,7
CPT,47380,OPEN ABLATE LIVER TUMOR RF,,,1333.44,12001.0,7
CPT,47381,OPEN ABLATE LIVER TUMOR CRYO,,,1367.91,12001.0,7
CPT,47382,HC PERCUT ABLATE LIVER RF 1 OR +,10999.51,3849.83,3772.83,19925.0,9
CPT,47383,PERQ ABLTJ LVR CRYOABLATION,,,11213.24,21649.0,8
CPT,47384,ABLTJ IRE LIVER 1+ TUM PERQ,,,4344.0,18257.4,5
CPT,47385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47399,"HC UNLISTED PROCEDURE, LIVER",1497.44,524.11,513.62,5428.0,9
CPT,47400,INCISION OF LIVER DUCT,,,1969.67,12001.0,7
CPT,47401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47420,INCISION OF BILE DUCT,,,1229.96,12001.0,7
CPT,47421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47425,INCISION OF BILE DUCT,,,1274.02,12001.0,7
CPT,47426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47460,INCISE BILE DUCT SPHINCTER,,,1187.41,12001.0,7
CPT,47461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47480,INCISION OF GALLBLADDER,,,838.81,12001.0,7
CPT,47481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47490,HC PERCUTANEOUS CHOLECYSTOSTOMY,7461.53,2611.54,2559.3,12001.0,9
CPT,47491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47500,HC INJ PERC TRANSHEP CHOLANGIO,396.89,138.92,136.13,6366.33,5
CPT,47501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47505,HC INJ CHOLANGIO EXISTING CATH,659.36,230.78,226.16,4344.0,5
CPT,47506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47510,HC INTR PERC TRNS HEP BILI CATH,7244.19,2535.47,2484.76,31229.54,5
CPT,47511,HC INTRO PERC TRNSHEP BIL STENT,7244.19,2535.47,2484.76,38107.18,5
CPT,47512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47525,HC CHANGE PERC BILIARY DRN CATH,3144.97,1100.74,1078.72,5597.76,5
CPT,47526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47530,HC RVS AND/OR RENSRT TRNHPT TBE,3144.97,1100.74,1078.72,23344.7,5
CPT,47531,HC INJ FOR CHOLANGIOGRAM EXISTING ACCESS,7573.98,2650.9,2597.88,12001.0,10
CPT,47532,HC INJ FOR CHOLANGIOGRAM NEW ACCESS,5767.4,2018.59,1978.22,21649.0,10
CPT,47533,HC PLMT BILIARY DRAINAGE CATH EXTERNAL,5767.4,2018.59,1978.22,21649.0,10
CPT,47534,HC PLMT BILIARY DRAINAGE CATH INTERNAL-EXTERNAL,5767.4,2018.59,1978.22,21649.0,10
CPT,47535,HC CONVERSION EXT BIL DRG CATH,5767.4,2018.59,1978.22,21649.0,10
CPT,47536,HC EXCHANGE BILIARY DRG CATH,5767.4,2018.59,1978.22,21649.0,10
CPT,47537,HC REMOVAL BILIARY DRG CATH,1929.31,675.26,661.75,5513.0,10
CPT,47538,HC PERQ PLMT BILE DUCT STENT EXISTING ACCESS,10909.66,3818.39,3742.01,21649.0,10
CPT,47539,HC PERQ PLMT BILE DUCT STENT NEW ACCESS,10909.66,3818.39,3742.01,21649.0,10
CPT,47540,HC PERQ PLMT BILE DUCT STENT NEW ACC W/PLCMT CATH,10909.66,3818.39,3742.01,21649.0,10
CPT,47541,HC PLMT ACCESS BIL TREE SM BWL,24153.13,8453.6,3200.0,21649.0,10
CPT,47542,"HC BALLOON DILATION OF BILIARY DUCT(S) OR APULLA, PERCUTANEOUS",4002.14,1400.75,498.48,8983.66,9
CPT,47543,HC ENDOLUMINAL BIOPSY OF BILIARY TREE PERCUTANEOUS,2146.17,751.16,389.47,9486.89,9
CPT,47544,HC REMOVAL DUCT GLBLDR CALCULI,465.87,163.06,159.79,10317.81,9
CPT,47545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47550,"HC BILIARY ENDOSCOPY, INTRAOPERATIVE",1823.37,638.18,142.42,12001.0,9
CPT,47551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47552,BILIARY ENDO PERQ DX W/SPECI,,,3200.0,12001.0,8
CPT,47553,HC BIL ENDOS W BIOPSY SNGL/MULT,24153.13,8453.6,4236.0,12664.0,10
CPT,47554,HC BILIARY ENDOSCOPY PERC VIA T TUBE W/ REMOVAL OF CALCULUS,21908.5,7667.98,4236.0,19925.0,10
CPT,47555,HC BLNDS/DLBL DCT STP/S WO STNT,5986.72,2095.36,2053.44,12001.0,10
CPT,47556,BILIARY ENDOSCOPY THRU SKIN,,,5583.0,21649.0,8
CPT,47557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47560,Mammogram,,,17420.6,17420.6,1
CPT,47561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47561,Mammogram,,,19162.8,19162.8,1
CPT,47562,LAPAROSCOPIC CHOLECYSTECTOMY,,,6377.33,21649.0,8
CPT,47563,LAPARO CHOLECYSTECTOMY/GRAPH,,,6377.33,21649.0,8
CPT,47564,LAPARO CHOLECYSTECTOMY/EXPLR,,,11213.24,21649.0,8
CPT,47565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47570,LAPARO CHOLECYSTOENTEROSTOMY,,,731.08,19925.0,7
CPT,47571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47579,UNLISTED LAPS PX BILIARY TRC,,,5583.0,19925.0,7
CPT,47580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47600,CHOLECYSTECTOMY,,,1004.33,12001.0,7
CPT,47601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47605,CHOLECYSTECTOMY W/CHOLANG,,,1054.07,12001.0,7
CPT,47606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47610,REMOVAL OF GALLBLADDER,,,1163.3,12001.0,7
CPT,47611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47612,REMOVAL OF GALLBLADDER,,,1179.47,12001.0,7
CPT,47613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47620,REMOVAL OF GALLBLADDER,,,1269.07,12001.0,7
CPT,47621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47630,Mammogram,,,35247.91,35247.91,1
CPT,47631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47700,EXPLORATION OF BILE DUCTS,,,1004.32,12001.0,7
CPT,47701,BILE DUCT REVISION,,,1604.62,12001.0,7
CPT,47702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47711,EXCISION OF BILE DUCT TUMOR,,,1436.2,12001.0,7
CPT,47712,EXCISION OF BILE DUCT TUMOR,,,1831.39,12001.0,7
CPT,47713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47715,EXCISION OF BILE DUCT CYST,,,1244.6,12001.0,7
CPT,47716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47716,Mammogram,,,60012.63,60012.63,1
CPT,47717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47719,Mammogram,,,66125.62,66125.62,1
CPT,47720,FUSE GALLBLADDER & BOWEL,,,1090.14,12001.0,7
CPT,47721,FUSE UPPER GI STRUCTURES,,,1266.17,12001.0,7
CPT,47722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47740,FUSE GALLBLADDER & BOWEL,,,1229.54,12001.0,7
CPT,47741,FUSE GALLBLADDER & BOWEL,,,1372.79,12001.0,7
CPT,47742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47760,FUSE BILE DUCTS AND BOWEL,,,2056.92,12001.0,7
CPT,47761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47765,FUSE LIVER DUCTS & BOWEL,,,2754.77,12001.0,7
CPT,47766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47780,FUSE BILE DUCTS AND BOWEL,,,2258.39,12001.0,7
CPT,47781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47785,FUSE BILE DUCTS AND BOWEL,,,2934.8,12001.0,7
CPT,47786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47800,RECONSTRUCTION OF BILE DUCTS,,,1452.76,12001.0,7
CPT,47801,PLACEMENT BILE DUCT SUPPORT,,,1034.77,12001.0,7
CPT,47802,Ambulatory Surgery Groups,,,12001.0,12001.0,1
CPT,47802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47802,Other Outpatient Services - CPT/HCPCS,,,2646.17,2646.17,1
CPT,47803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47900,SUTURE BILE DUCT INJURY,,,1287.73,12001.0,7
CPT,47901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,47999,HC ERCP WITH STENT PLACEMENT IN CYSTOGASTROSTOMY TRACT,2300.95,805.34,789.23,5513.0,9
CPT,47999,HC TRANSDUODENAL BILIARY STENT PLACEMENT BY EGD,10037.27,3513.05,956.76,5513.0,9
CPT,48000,DRAINAGE OF ABDOMEN,,,1725.82,12001.0,7
CPT,48001,PLACEMENT OF DRAIN PANCREAS,,,2099.63,12001.0,7
CPT,48002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48005,Mammogram,,,145677.61,145677.61,1
CPT,48006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48020,REMOVAL OF PANCREATIC STONE,,,1106.0,12001.0,7
CPT,48021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48100,BIOPSY OF PANCREAS OPEN,,,839.92,12001.0,7
CPT,48101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48102,NEEDLE BIOPSY PANCREAS,,,1742.24,5513.0,8
CPT,48103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48105,RESECT/DEBRIDE PANCREAS,,,2537.59,12001.0,7
CPT,48106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48120,REMOVAL OF PANCREAS LESION,,,1037.59,12001.0,7
CPT,48121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48140,PARTIAL REMOVAL OF PANCREAS,,,1444.4,12001.0,7
CPT,48141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48145,PARTIAL REMOVAL OF PANCREAS,,,1506.68,12001.0,7
CPT,48146,PANCREATECTOMY,,,1753.8,12001.0,7
CPT,48147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48148,REMOVAL OF PANCREATIC DUCT,,,1168.82,12001.0,7
CPT,48149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48150,PARTIAL REMOVAL OF PANCREAS,,,2843.29,12001.0,7
CPT,48151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48152,PANCREATECTOMY,,,2641.73,12001.0,7
CPT,48153,PANCREATECTOMY,,,2830.52,12001.0,7
CPT,48154,PANCREATECTOMY,,,2652.84,12001.0,7
CPT,48155,REMOVAL OF PANCREAS,,,1702.22,12001.0,7
CPT,48156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48160,PANCREAS REMOVAL/TRANSPLANT,,,4344.0,12001.0,3
CPT,48161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48180,Mammogram,,,86486.59,86486.59,1
CPT,48181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48400,INJECTION INTRAOP ADD-ON,,,93.35,5428.0,7
CPT,48401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48500,SURGERY OF PANCREATIC CYST,,,1086.19,12001.0,7
CPT,48501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48510,DRAIN PANCREATIC PSEUDOCYST,,,1039.12,12001.0,7
CPT,48511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48511,Mammogram,,,13107.38,13107.38,1
CPT,48512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48520,FUSE PANCREAS CYST AND BOWEL,,,1025.08,12001.0,7
CPT,48521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48540,FUSE PANCREAS CYST AND BOWEL,,,1207.36,12001.0,7
CPT,48541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48545,PANCREATORRHAPHY,,,1252.15,12001.0,7
CPT,48546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48547,DUODENAL EXCLUSION,,,1645.19,12001.0,7
CPT,48548,FUSE PANCREAS AND BOWEL,,,1539.95,12001.0,7
CPT,48549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48550,DONOR PANCREATECTOMY,,,4344.0,12001.0,3
CPT,48551,PREP DONOR PANCREAS,,,4344.0,12001.0,3
CPT,48552,PREP DONOR PANCREAS/VENOUS,,,207.09,12001.0,7
CPT,48553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48554,TRANSPL ALLOGRAFT PANCREAS,,,2568.75,52872.0,7
CPT,48555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48556,REMOVAL ALLOGRAFT PANCREAS,,,1245.15,12001.0,7
CPT,48557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,48999,HC UPPER GI ENDOSCOPY WITH NECROSECTOMY,15541.34,5439.47,747.0,5428.0,9
CPT,49000,HC EXPLORATORY LAPAROTOMY,7922.63,2772.93,725.76,12001.0,9
CPT,49001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49002,REOPENING OF ABDOMEN,,,966.44,12001.0,7
CPT,49003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49010,EXPLORATION BEHIND ABDOMEN,,,6479.0,12001.0,7
CPT,49011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49013,PRPERTL PEL PACK HEMRRG TRMA,,,401.76,12001.0,7
CPT,49014,REEXPLORATION PELVIC WOUND,,,340.24,12001.0,7
CPT,49015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49020,DRAINAGE ABDOM ABSCESS OPEN,,,1478.16,12001.0,7
CPT,49021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49021,Mammogram,,,11064.94,11064.94,1
CPT,49022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49040,DRAIN OPEN ABDOM ABSCESS,,,953.1,12001.0,7
CPT,49041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49041,Mammogram,,,13130.78,13130.78,1
CPT,49042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49060,DRAIN OPEN RETROPERI ABSCESS,,,1020.28,12001.0,7
CPT,49061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49061,Mammogram,,,12111.58,12111.58,1
CPT,49062,DRAIN TO PERITONEAL CAVITY,,,729.68,12001.0,7
CPT,49063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49080,Mammogram,,,4680.48,4680.48,1
CPT,49081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49081,Mammogram,,,4547.81,4547.81,1
CPT,49082,HC ABD PARACENTESIS W/O IMAGING,1929.31,675.26,661.75,5513.0,10
CPT,49083,HC ABD PARACENTESIS W/IMAGING,1929.31,675.26,661.75,5513.0,10
CPT,49084,HC PERITONEAL LAVAGE W/IMAGING,1929.31,675.26,661.75,5513.0,10
CPT,49085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49085,Mammogram,,,43727.11,43727.11,1
CPT,49086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49100,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49180,HC BX ABD/RETROPER MASS PERC,3450.65,1207.73,1183.57,5513.0,10
CPT,49181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49185,HC SCLEROTHERAPY OF FLUID COLLECTION,5235.54,1832.44,1742.24,10856.0,10
CPT,49186,OPN EXC/DSTR NTRA-ABD 5 CM/<,,,1216.64,6090.0,6
CPT,49187,OPN EXC/DSTR NTRA-ABD 5.1-10,,,1536.24,6090.0,6
CPT,49188,OPN EXC/DST NTRA-ABD 10.1-20,,,1841.18,6090.0,6
CPT,49189,OPN EXC/DST NTRA-ABD 20.1-30,,,2131.96,6987.0,6
CPT,49190,OPN EXC/DSTR NTRA-ABD >30 CM,,,2620.3,6987.0,6
CPT,49191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49200,Mammogram,,,39083.5,39083.5,1
CPT,49201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49201,Mammogram,,,55565.27,55565.27,1
CPT,49202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49203,Ambulatory Surgery Groups,,,12001.0,12001.0,1
CPT,49203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49203,Other Outpatient Services - CPT/HCPCS,,,2076.55,2076.55,1
CPT,49204,Ambulatory Surgery Groups,,,12001.0,12001.0,1
CPT,49204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49204,Other Outpatient Services - CPT/HCPCS,,,2640.78,2640.78,1
CPT,49205,Ambulatory Surgery Groups,,,12001.0,12001.0,1
CPT,49205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49205,Other Outpatient Services - CPT/HCPCS,,,3029.78,3029.78,1
CPT,49206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49215,EXCISE SACRAL SPINE TUMOR,,,1991.21,12001.0,7
CPT,49216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49220,Mammogram,,,63803.15,63803.15,1
CPT,49221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49250,EXCISION OF UMBILICUS,,,3776.91,12001.0,8
CPT,49251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49255,REMOVAL OF OMENTUM,,,6090.0,12001.0,7
CPT,49256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49320,DIAG LAPARO SEPARATE PROC,,,4236.0,19925.0,8
CPT,49321,LAPAROSCOPY BIOPSY,,,4883.0,19925.0,8
CPT,49322,LAPAROSCOPY ASPIRATION,,,4883.0,19925.0,8
CPT,49323,LAPARO DRAIN LYMPHOCELE,,,4883.0,19925.0,8
CPT,49324,LAP INSERT TUNNEL IP CATH,,,6377.33,21649.0,8
CPT,49325,LAP REVISION PERM IP CATH,,,6377.33,21649.0,8
CPT,49326,LAP W/OMENTOPEXY ADD-ON,,,165.75,21649.0,8
CPT,49327,LAP INS DEVICE FOR RT,,,114.23,21649.0,8
CPT,49328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49329,UNLSTD LAPS PX ABD PERTM&OMN,,,3000.0,19925.0,7
CPT,49330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49400,HC INJECTION OF AIR OR CONTRAST INTO PERITONEAL CAVITY,786.48,275.27,155.12,6011.2,9
CPT,49401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49402,REMOVE FOREIGN BODY ADBOMEN,,,3200.0,12001.0,8
CPT,49403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49405,HC IMAGE CATH FLUID COLXN VISC,3280.75,1148.27,1125.3,21649.0,10
CPT,49406,HC IMAGE CATH FLUID PERI/RETRO,3280.75,1148.27,1125.3,21649.0,10
CPT,49407,HC IMAGE CATH FLUID TRNS/VGNL,3450.65,1207.73,1183.57,5583.0,10
CPT,49408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49411,INS MARK ABD/PEL FOR RT PERQ,,,1460.1,5513.0,8
CPT,49412,INS DEVICE FOR RT GUIDE OPEN,,,72.32,12001.0,7
CPT,49413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49418,HC INSERT TUN IP CATH PERC,5767.4,2018.59,1978.22,21649.0,10
CPT,49419,INSERT TUN IP CATH W/PORT,,,2983.0,18067.0,8
CPT,49420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49420,Mammogram,,,8379.98,8379.98,1
CPT,49421,"HC INSET ABDOM DRAIN, PERM",7363.33,2577.17,2525.62,12001.0,10
CPT,49422,HC RM PRM INTRAPRITONL CNL/CATH,5164.7,1807.65,1771.49,12001.0,10
CPT,49423,HC XCH PREV ABSCESS DRAIN CATH,3239.3,1133.76,1111.08,5513.0,9
CPT,49424,HC INJ ABSCESS/CYST PREV CATH,392.27,137.3,134.55,3000.0,9
CPT,49425,INSERT ABDOMEN-VENOUS DRAIN,,,743.54,12001.0,7
CPT,49426,REVISE ABDOMEN-VENOUS SHUNT,,,3200.0,12001.0,8
CPT,49427,INJECTION ABDOMINAL SHUNT,,,35.12,3000.0,7
CPT,49428,LIGATION OF SHUNT,,,409.37,12001.0,7
CPT,49429,HC REMOVAL PERITONEAL-VENOUS SHUNT,6485.81,2270.04,2224.63,12001.0,9
CPT,49430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49435,INSERT SUBQ EXTEN TO IP CATH,,,103.47,7798.96,7
CPT,49436,HC EMBEDDED IP CATH EXIT-SITE,3503.19,1226.12,1201.59,5513.0,10
CPT,49437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49440,HC PERC PLC GASTROSTOMY TUBE,4049.85,1417.45,1389.1,5513.0,10
CPT,49441,HC PLACE DUOD/JEJ TUBE PERC,4049.85,1417.45,1389.1,5513.0,10
CPT,49442,PLACE CECOSTOMY TUBE PERC,,,1262.32,6177.0,8
CPT,49443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49446,HC CHANGE G-TUBE TO G-J PERC,4049.85,1417.45,1389.1,5513.0,10
CPT,49447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49450,HC RPL G/C TUBE PRC FLR GD W/CN,1929.31,675.26,661.75,5513.0,10
CPT,49451,HC RPL D/J TUBE PRC FLR GD W/CN,1929.31,675.26,661.75,5513.0,10
CPT,49452,"HC RPL GJTB, PERC FLR GUID W CN",1929.31,675.26,661.75,5513.0,10
CPT,49453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49460,HC FIX G/COLON TUBE W/DEVICE,1929.31,675.26,661.75,5513.0,10
CPT,49461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49465,HC INJ CNTR W/FLUOR EVAL G/D/J TB,521.52,182.54,178.88,3500.0,9
CPT,49466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49491,RPR HERN PREEMIE REDUC,,,6377.33,19925.0,7
CPT,49492,RPR ING HERN PREMIE BLOCKED,,,3776.91,12001.0,7
CPT,49493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49495,RPR ING HERNIA BABY REDUC,,,3776.91,12001.0,8
CPT,49496,RPR ING HERNIA BABY BLOCKED,,,3776.91,12001.0,8
CPT,49497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49500,RPR ING HERNIA INIT REDUCE,,,4883.0,12001.0,8
CPT,49501,RPR ING HERNIA INIT BLOCKED,,,3776.91,21649.0,8
CPT,49502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49505,PRP I/HERN INIT REDUC >5 YR,,,3776.91,12001.0,8
CPT,49506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49507,PRP I/HERN INIT BLOCK >5 YR,,,3776.91,21649.0,8
CPT,49508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49520,REREPAIR ING HERNIA REDUCE,,,3776.91,12001.0,8
CPT,49521,REREPAIR ING HERNIA BLOCKED,,,6479.0,21649.0,8
CPT,49522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49525,REPAIR ING HERNIA SLIDING,,,3776.91,12001.0,8
CPT,49526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49540,REPAIR LUMBAR HERNIA,,,3200.0,19925.0,8
CPT,49541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49550,RPR REM HERNIA INIT REDUCE,,,3776.91,12001.0,8
CPT,49551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49553,RPR FEM HERNIA INIT BLOCKED,,,3776.91,21649.0,8
CPT,49554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49555,REREPAIR FEM HERNIA REDUCE,,,3776.91,12001.0,8
CPT,49556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49557,REREPAIR FEM HERNIA BLOCKED,,,3776.91,21649.0,8
CPT,49558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49560,Mammogram,,,49688.08,49688.08,1
CPT,49561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49561,Mammogram,,,62401.38,62401.38,1
CPT,49562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49565,Mammogram,,,51730.4,51730.4,1
CPT,49566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49566,Mammogram,,,62946.87,62946.87,1
CPT,49567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49568,Mammogram,,,17634.98,17634.98,1
CPT,49569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49570,Mammogram,,,28495.58,28495.58,1
CPT,49571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49572,Mammogram,,,35168.16,35168.16,1
CPT,49573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49580,Mammogram,,,23010.4,23010.4,1
CPT,49581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49582,Mammogram,,,32969.65,32969.65,1
CPT,49583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49585,Mammogram,,,30368.49,30368.49,1
CPT,49586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49587,Mammogram,,,32424.89,32424.89,1
CPT,49588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49590,Mammogram,,,38775.17,38775.17,1
CPT,49591,RPR AA HRN 1ST < 3 CM RDC,,,3776.91,12001.0,8
CPT,49592,RPR AA HRN 1ST < 3 NCR/STRN,,,6377.33,21649.0,8
CPT,49593,RPR AA HRN 1ST 3-10 RDC,,,4883.0,12001.0,8
CPT,49594,RPR AA HRN 1ST 3-10 NCR/STRN,,,6377.33,21649.0,8
CPT,49595,RPR AA HRN 1ST > 10 RDC,,,4883.0,12001.0,8
CPT,49596,RPR AA HRN 1ST > 10 NCR/STRN,,,920.18,21649.0,8
CPT,49597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49600,REPAIR UMBILICAL LESION,,,3776.91,12001.0,8
CPT,49601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49605,REPAIR UMBILICAL LESION,,,4344.0,12001.0,7
CPT,49606,REPAIR UMBILICAL LESION,,,1049.11,12001.0,7
CPT,49607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49610,REPAIR UMBILICAL LESION,,,659.76,12001.0,7
CPT,49611,REPAIR UMBILICAL LESION,,,589.17,12001.0,7
CPT,49612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49613,RPR AA HRN RCR < 3 RDC,,,3776.91,12001.0,8
CPT,49614,RPR AA HRN RCR < 3 NCR/STRN,,,6377.33,21649.0,8
CPT,49615,RPR AA HRN RCR 3-10 RDC,,,4883.0,12001.0,8
CPT,49616,RPR AA HRN RCR 3-10 NCR/STRN,,,769.71,21649.0,8
CPT,49617,RPR AA HRN RCR > 10 RDC,,,795.08,19925.0,8
CPT,49618,RPR AA HRN RCR > 10 NCR/STRN,,,1111.88,21649.0,8
CPT,49619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49621,RPR PARASTOMAL HERNIA RDC,,,674.04,12664.0,8
CPT,49622,RPR PARASTOMAL HRNA NCR/STRN,,,836.46,21649.0,8
CPT,49623,RMVL NINFCT MESH HERNIA RPR,,,180.48,13182.35,7
CPT,49624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49650,LAP ING HERNIA REPAIR INIT,,,4883.0,19925.0,8
CPT,49651,LAP ING HERNIA REPAIR RECUR,,,6377.33,19925.0,8
CPT,49652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49652,Mammogram,,,50112.91,50112.91,1
CPT,49653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49653,Mammogram,,,62755.16,62755.16,1
CPT,49654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49654,Mammogram,,,56800.92,56800.92,1
CPT,49655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49655,Mammogram,,,69598.62,69598.62,1
CPT,49656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49656,Mammogram,,,61662.34,61662.34,1
CPT,49657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49657,Mammogram,,,88429.08,88429.08,1
CPT,49658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49659,UNLSTD LAPS PX HRNAP HRNRPHY,,,6377.33,19925.0,7
CPT,49660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49900,REPAIR OF ABDOMINAL WALL,,,801.75,12001.0,7
CPT,49901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49904,OMENTAL FLAP EXTRA-ABDOM,,,1285.52,12001.0,7
CPT,49905,OMENTAL FLAP INTRA-ABDOM,,,310.06,12001.0,7
CPT,49906,FREE OMENTAL FLAP MICROVASC,,,4344.0,12001.0,3
CPT,49907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,49999,"HC BIOPSY OF PERITONEAL IMPLANT, NEEDLE; PERCUTANEOUS",3533.44,1236.71,956.76,5513.0,9
CPT,49999,HC REMOVAL OF INTRALUMINAL OBSTRUCTIVE MATERIAL FROM DRAINAGE CATHETER,7437.36,2603.08,956.76,5513.0,9
CPT,50000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50010,RENAL EXPLORATION,,,647.09,18067.0,7
CPT,50011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50020,DRG PERIRNL/RENAL ABSC OPEN,,,2205.11,6090.0,7
CPT,50021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50021,Mammogram,,,11040.8,11040.8,1
CPT,50022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50040,NFROS NFROT W/DRG,,,838.33,18067.0,7
CPT,50041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50045,NEPHROTOMY W/EXPLORATION,,,844.65,18067.0,7
CPT,50046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,5005F,PT COUNSLD ON EXAM FOR MOLES,,,0.02,0.02,1
CPT,50060,NL REMOVAL CALCULUS,,,1024.03,18067.0,7
CPT,50061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50065,NL SEC SURG OPERJ CALCULUS,,,1083.02,18067.0,7
CPT,50066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50070,NL COMP CGEN KDN ABNORMALITY,,,1062.61,18067.0,7
CPT,50071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50075,NL RMVL LG STAGHORN CALCULUS,,,1301.69,18067.0,7
CPT,50076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50080,"HC PERCUTANEOUS NEPHROLITHOTOMY, LITHOTRIPSY, ANTEGRADE URETEROSCOPY, STONE UP TO 2 CM, SIMPLE",29410.36,10293.63,6479.0,30380.0,9
CPT,50081,PERQ NL/PL LITHOTRP CPLX>2CM,,,9611.0,30380.0,7
CPT,50082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50100,TRNSXJ/REPOS ABRRNT RNL VSLS,,,1017.87,18067.0,7
CPT,50101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,5010F,MACUL RESULT PHY/QHP MNG DM,,,0.02,0.02,1
CPT,50110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50120,PYELOTOMY W/EXPLORATION,,,858.45,18067.0,7
CPT,50121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50125,PYELOTOMY W/DRG PYELOSTOMY,,,887.42,18067.0,7
CPT,50126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50130,PYELOTOMY W/REMOVAL CALCULUS,,,931.31,18067.0,7
CPT,50131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50135,Ambulatory Surgery Groups,,,18067.0,18067.0,1
CPT,50135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50135,Other Outpatient Services - CPT/HCPCS,,,1920.08,1920.08,1
CPT,50136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,5015F,DOC FX & TEST/TXMNT FOR OP,,,0.02,0.02,1
CPT,50160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50200,HC RENAL BIOPSY PERC TROCAR/NDL,3450.65,1207.73,1183.57,5513.0,10
CPT,50201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50205,RENAL BX SURG EXPOSURE KDN,,,709.77,18067.0,7
CPT,50206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,5020F,TXMNTS 2 PHYS/QHP BY 1 MON,,,0.02,0.02,1
CPT,50210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50220,REMOVE KIDNEY OPEN,,,964.57,18067.0,7
CPT,50221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50225,REMOVAL KIDNEY OPEN COMPLEX,,,1064.24,18067.0,7
CPT,50226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50230,REMOVAL KIDNEY OPEN RADICAL,,,1144.55,18067.0,7
CPT,50231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50234,REMOVAL OF KIDNEY & URETER,,,1164.37,18067.0,7
CPT,50235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50236,REMOVAL OF KIDNEY & URETER,,,1313.5,18067.0,7
CPT,50237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50240,NEPHRECTOMY PARTIAL,,,1195.9,18067.0,7
CPT,50241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50250,OPN ABLTJ 1/> RNL MAS CRYSRG,,,1093.95,18067.0,7
CPT,50251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50280,EXC/UNROOFING CYST KIDNEY,,,856.0,18067.0,7
CPT,50281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50290,EXCISION PERINEPHRIC CYST,,,815.36,18067.0,7
CPT,50291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50300,REMOVE CADAVER DONOR KIDNEY,,,4344.0,18067.0,3
CPT,50301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50320,REMOVE KIDNEY LIVING DONOR,,,1484.63,12001.0,7
CPT,50321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50323,PREP CADAVER RENAL ALLOGRAFT,,,4344.0,12001.0,3
CPT,50324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50325,PREP DONOR RENAL GRAFT,,,4344.0,12001.0,3
CPT,50326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50327,PREP RENAL GRAFT/VENOUS,,,190.96,12001.0,7
CPT,50328,PREP RENAL GRAFT/ARTERIAL,,,166.84,12001.0,7
CPT,50329,PREP RENAL GRAFT/URETERAL,,,159.57,12001.0,7
CPT,50330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50340,RECIPIENT NEPHRECTOMY,,,939.64,12001.0,7
CPT,50341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50360,RNL ALTRNSPLJ W/O RCP NFRCT,,,2277.74,52872.0,7
CPT,50361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50365,RNL ALTRNSPLJ W/RCP NFRCT,,,2786.72,52872.0,7
CPT,50366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50370,RMVL TRANSPLANTED RNL ALGRFT,,,1168.89,12001.0,7
CPT,50371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50380,RNL AUTOTRNSPLJ RIMPLTJ KDN,,,1979.92,52872.0,7
CPT,50381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50382,HC RM/RPL NDWL URTST V PRC APRC,5371.1,1879.89,1842.29,6090.0,10
CPT,50383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50384,HC REMOVE URETER STENT PERCUT,4335.02,1517.26,1486.91,6090.0,10
CPT,50385,CHANGE STENT VIA TRANSURETH,,,2205.11,6177.0,8
CPT,50386,REMOVAL (VIA SNARE/CAPTURE) INTERNALLY DWELLING URETERAL STENT,4486.37,1570.23,1538.82,6090.0,10
CPT,50387,HC RV/RP TRSHPTC ST W FLGD,4335.02,1517.26,1486.91,5513.0,10
CPT,50388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50389,HC RMV NPHRST TB RQ FLR GDNC,1445.62,505.97,495.85,3603.0,10
CPT,50390,HC ASP/INJ RENAL CYST/PELV NDL,1923.63,673.28,659.81,3603.0,10
CPT,50391,INSTLL RX AGNT INTO RNAL TUB,,,263.56,3500.0,8
CPT,50392,HC PERC PLC CATH RENAL PELVIS,3137.16,1098.01,1076.05,11840.24,5
CPT,50393,HC URETR STENT PERC PLC DRN/INJ,4996.08,1748.63,1713.66,14385.18,5
CPT,50394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50394,Mammogram,,,3315.59,3315.59,1
CPT,50395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50395,Mammogram,,,11774.58,11774.58,1
CPT,50396,MEASURE KIDNEY PRESSURE,,,735.57,3603.0,8
CPT,50397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50398,Mammogram,,,4825.15,4825.15,1
CPT,50399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50400,REVISION OF KIDNEY/URETER,,,1037.95,18067.0,7
CPT,50401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50405,REVISION OF KIDNEY/URETER,,,1248.69,18067.0,7
CPT,50406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50430,HC NJX PX NFROSGRM &/URTRGRM NEW ACCESS,1389.41,486.3,476.57,4236.0,10
CPT,50431,HC NJX PX NFROSGRM &/URTRGRM EXISTING ACCESS,1389.41,486.3,476.57,4236.0,10
CPT,50432,HC INSERT KIDNEY DRAIN,3990.68,1396.74,1368.8,10856.0,10
CPT,50433,HC PLMT NEPHROURETERAL CATHETER NEW ACCESS,7419.72,2596.91,2544.96,10856.0,10
CPT,50434,HC CONVERT NEPHROSTOMY CATHETER,4411.66,1544.09,1513.2,4524.0,10
CPT,50435,HC EXCHANGE NEPHROSTOMY CATH,8395.7,2938.5,2205.11,4524.0,10
CPT,50436,"HC DILATION EXISTING TRACT, FOR ENDOUROLOGIC PROCEDURE WITH S&I, AND POST OP TUBE PLACEMENT",11129.58,3895.36,3000.0,21649.0,10
CPT,50437,DILAT XST TRC NEW ACCESS RCS,,,3200.0,12001.0,7
CPT,50438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50500,REPAIR OF KIDNEY WOUND,,,1199.71,18067.0,7
CPT,50501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,5050F,PLAN 2 MAIN DR BY 1 MONTH,,,0.02,0.02,1
CPT,50510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50520,CLOSE KIDNEY-SKIN FISTULA,,,1086.92,18067.0,7
CPT,50521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50525,CLOSE NEPHROVISCERAL FISTULA,,,1365.61,18067.0,7
CPT,50526,CLOSE NEPHROVISCERAL FISTULA,,,1457.95,18067.0,7
CPT,50527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50540,REVISION OF HORSESHOE KIDNEY,,,1030.35,18067.0,7
CPT,50541,LAPARO ABLATE RENAL CYST,,,6177.0,19925.0,8
CPT,50542,LAPARO ABLATE RENAL MASS,,,11213.24,30380.0,7
CPT,50543,LAPARO PARTIAL NEPHRECTOMY,,,11213.24,30380.0,7
CPT,50544,LAPAROSCOPY PYELOPLASTY,,,6177.0,30380.0,8
CPT,50545,LAPARO RADICAL NEPHRECTOMY,,,1189.84,19925.0,7
CPT,50546,LAPAROSCOPIC NEPHRECTOMY,,,1083.24,19925.0,7
CPT,50547,LAPARO REMOVAL DONOR KIDNEY,,,1534.44,19925.0,7
CPT,50548,LAPARO REMOVE W/URETER,,,1193.92,19925.0,7
CPT,50549,UNLISTED LAPS PX RENAL,,,5583.0,19925.0,7
CPT,50550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50551,KIDNEY ENDOSCOPY,,,2983.0,18067.0,8
CPT,50552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50553,KIDNEY ENDOSCOPY,,,2983.0,18067.0,8
CPT,50554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50555,KIDNEY ENDOSCOPY & BIOPSY,,,2983.0,18067.0,8
CPT,50556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50557,KIDNEY ENDOSCOPY & TREATMENT,,,2983.0,30380.0,8
CPT,50558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50561,KIDNEY ENDOSCOPY & TREATMENT,,,2983.0,18067.0,8
CPT,50562,RENAL SCOPE W/TUMOR RESECT,,,2983.0,30380.0,8
CPT,50563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50570,KIDNEY ENDOSCOPY,,,2983.0,12001.0,8
CPT,50571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50572,KIDNEY ENDOSCOPY,,,735.57,3603.0,8
CPT,50573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50574,KIDNEY ENDOSCOPY & BIOPSY,,,2983.0,6054.37,8
CPT,50575,KIDNEY ENDOSCOPY,,,5428.0,18067.0,7
CPT,50576,KIDNEY ENDOSCOPY & TREATMENT,,,3000.0,18067.0,7
CPT,50577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50580,KIDNEY ENDOSCOPY & TREATMENT,,,3000.0,18067.0,7
CPT,50581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50590,FRAGMENTING OF KIDNEY STONE,,,3718.45,21649.0,8
CPT,50591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50592,PERC RF ABLATE RENAL TUMOR,,,2983.0,19925.0,8
CPT,50593,"HC ABLATION, RENAL TUMOR(S), UNILATERAL, PERCUTANEOUS, CRYOTHERAPY",21657.61,7580.17,7428.56,30380.0,10
CPT,50594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50600,EXPLORATION OF URETER,,,844.75,12001.0,7
CPT,50601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50605,INSERT URETERAL SUPPORT,,,930.87,12001.0,7
CPT,50606,HC ENDOLUMINAL BX URTR RNL PLVS,1995.35,698.38,496.94,9144.5,9
CPT,50607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,5060F,FNDNGS MAMMO 2PT W/IN 3 DAYS,,,0.02,0.02,1
CPT,50610,REMOVAL OF URETER STONE,,,851.27,12001.0,7
CPT,50611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50620,REMOVAL OF URETER STONE,,,815.94,12001.0,7
CPT,50621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,5062F,MAMMO RESULT COM TO PT 5 DAY,,,0.02,0.02,1
CPT,50630,REMOVAL OF URETER STONE,,,806.2,12001.0,7
CPT,50631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50650,REMOVAL OF URETER,,,935.41,12001.0,7
CPT,50651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50660,REMOVAL OF URETER,,,1026.68,12001.0,7
CPT,50661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50684,INJECTION FOR URETER X-RAY,,,134.43,3441.52,7
CPT,50685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50686,MEASURE URETER PRESSURE,,,135.74,3500.0,7
CPT,50687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50688,HC CHANGE OF URETER TUBE/STENT,3503.19,1226.12,1201.59,5513.0,10
CPT,50689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50690,HC INJECTION FOR URETER X-RAY,416.03,145.62,121.29,4724.09,9
CPT,50691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50693,HC PLMT URETERAL STENT PRQ EXISTING TRACT,5943.27,2080.15,2038.54,21649.0,10
CPT,50694,HC PLMT URETERAL STENT PRQ NEW ACCESS,5943.27,2080.15,2038.54,21649.0,10
CPT,50695,HC PLMT URETERAL STENT PRQ NEW ACCESS SEP CATH,5943.27,2080.15,2038.54,21649.0,10
CPT,50696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50700,REVISION OF URETER,,,838.67,12001.0,7
CPT,50701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50705,HC URETERAL EMBOLIZATION/OCCLUSION INCLUDING IMAGING GUIDANCE,3311.87,1159.16,1135.97,11680.74,9
CPT,50706,"HC BALLOON DILATION, URETERAL STRICTURE, IMAGING GUIDANCE AND ALL RADIOLOGICAL S&I",3709.86,1298.46,833.37,11934.69,9
CPT,50707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50715,RELEASE OF URETER,,,1116.04,12001.0,7
CPT,50716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50722,RELEASE OF URETER,,,902.45,12001.0,7
CPT,50723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50725,RELEASE/REVISE URETER,,,991.32,12001.0,7
CPT,50726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50727,REVISE URETER,,,3718.45,12001.0,7
CPT,50728,REVISE URETER,,,642.81,12001.0,7
CPT,50729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50740,FUSION OF URETER & KIDNEY,,,1144.17,12001.0,7
CPT,50741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50750,FUSION OF URETER & KIDNEY,,,1035.38,12001.0,7
CPT,50751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50760,URETEROURETEROSTOMY,,,1027.44,12001.0,7
CPT,50761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50770,SPLICING OF URETERS,,,1035.38,12001.0,7
CPT,50771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50780,REIMPLANT URETER IN BLADDER,,,1008.52,12001.0,7
CPT,50781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50782,REIMPLANT URETER IN BLADDER,,,968.19,12001.0,7
CPT,50783,REIMPLANT URETER IN BLADDER,,,1012.93,12001.0,7
CPT,50784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50785,REIMPLANT URETER IN BLADDER,,,1088.58,12001.0,7
CPT,50786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50800,IMPLANT URETER IN BOWEL,,,838.36,12001.0,7
CPT,50801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50810,FUSION OF URETER & BOWEL,,,1320.83,12001.0,7
CPT,50811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50815,URINE SHUNT TO INTESTINE,,,1103.47,12001.0,7
CPT,50816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50820,CONSTRUCT BOWEL BLADDER,,,1182.67,12001.0,7
CPT,50821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50825,CONSTRUCT BOWEL BLADDER,,,1469.67,12001.0,7
CPT,50826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50830,REVISE URINE FLOW,,,1603.7,12001.0,7
CPT,50831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50840,REPLACE URETER BY BOWEL,,,1109.72,12001.0,7
CPT,50841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50845,APPENDICO-VESICOSTOMY,,,1136.15,12001.0,7
CPT,50846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50860,TRANSPLANT URETER TO SKIN,,,855.66,12001.0,7
CPT,50861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50900,REPAIR OF URETER,,,766.69,12001.0,7
CPT,50901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50920,CLOSURE URETER/SKIN FISTULA,,,800.34,12001.0,7
CPT,50921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50930,CLOSURE URETER/BOWEL FISTULA,,,990.98,12001.0,7
CPT,50931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50940,RELEASE OF URETER,,,805.98,12001.0,7
CPT,50941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50945,LAPAROSCOPY URETEROLITHOTOMY,,,6177.0,19925.0,8
CPT,50946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50947,LAPARO NEW URETER/BLADDER,,,11057.0,21649.0,8
CPT,50948,LAPARO NEW URETER/BLADDER,,,11057.0,30380.0,8
CPT,50949,UNLISTED LAPS PX URETER,,,6377.33,19925.0,7
CPT,50950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50951,ENDOSCOPY OF URETER,,,2983.0,6054.37,8
CPT,50952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50953,ENDOSCOPY OF URETER,,,2983.0,12001.0,8
CPT,50954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50955,URETER ENDOSCOPY & BIOPSY,,,2983.0,18067.0,8
CPT,50956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50957,URETER ENDOSCOPY & TREATMENT,,,2983.0,18067.0,8
CPT,50958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50961,URETER ENDOSCOPY & TREATMENT,,,2983.0,18067.0,8
CPT,50962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50970,URETER ENDOSCOPY,,,2983.0,6054.37,8
CPT,50971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50972,URETER ENDOSCOPY & CATHETER,,,2983.0,12001.0,8
CPT,50973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50974,URETER ENDOSCOPY & BIOPSY,,,2983.0,18067.0,8
CPT,50975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50976,URETER ENDOSCOPY & TREATMENT,,,2983.0,18067.0,8
CPT,50977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50980,URETER ENDOSCOPY & TREATMENT,,,2983.0,18067.0,8
CPT,50981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,50999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51000,Mammogram,,,2466.54,2466.54,1
CPT,51001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51005,Mammogram,,,3295.37,3295.37,1
CPT,51006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,5100F,RSK FX REF W/N 24 HRS XRAY,,,0.02,0.02,1
CPT,51010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51010,Mammogram,,,15019.73,15019.73,1
CPT,51011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51020,CYSTOTOMY/CYSTOSTOMY W/FULG,,,3718.45,6479.0,8
CPT,51021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51030,Ambulatory Surgery Groups,,,4883.0,12001.0,2
CPT,51030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51030,Other Outpatient Services - CPT/HCPCS,,,820.02,820.02,1
CPT,51031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51040,HC INCISE & DRAIN BLADDER,3990.68,1396.74,1368.8,6479.0,10
CPT,51041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51045,INCISE BLADDER/DRAIN URETER,,,2205.11,6479.0,8
CPT,51046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51050,REMOVAL OF BLADDER STONE,,,4883.0,18067.0,8
CPT,51051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51060,REMOVAL OF URETER STONE,,,2205.11,9658.0,7
CPT,51061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51065,REMOVE URETER CALCULUS,,,3718.45,12001.0,8
CPT,51066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51080,DRAINAGE OF BLADDER ABSCESS,,,2983.0,12001.0,8
CPT,51081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51100,DRAIN BLADDER BY NEEDLE,,,263.56,3500.0,7
CPT,51101,DRAIN BLADDER BY TROCAR/CATH,,,905.87,5513.0,7
CPT,51102,HC ASP BLDR W/ISRT SPRAPBC CATH,3799.87,1329.96,1303.36,6090.0,10
CPT,51103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51500,REMOVAL OF BLADDER CYST,,,4883.0,19925.0,8
CPT,51501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51520,REMOVAL OF BLADDER LESION,,,3718.45,6479.0,8
CPT,51521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51525,REMOVAL OF BLADDER LESION,,,777.71,12001.0,7
CPT,51526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51530,REMOVAL OF BLADDER LESION,,,701.5,12001.0,7
CPT,51531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51535,REPAIR OF URETER LESION,,,3718.45,12001.0,7
CPT,51536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51550,PARTIAL REMOVAL OF BLADDER,,,874.49,12001.0,7
CPT,51551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51555,PARTIAL REMOVAL OF BLADDER,,,1132.91,12001.0,7
CPT,51556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51565,REVISE BLADDER & URETER(S),,,1156.48,12001.0,7
CPT,51566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51570,REMOVAL OF BLADDER,,,1308.67,18067.0,7
CPT,51571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51575,REMOVAL OF BLADDER & NODES,,,1613.9,18067.0,7
CPT,51576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51580,REMOVE BLADDER/REVISE TRACT,,,1689.27,18067.0,7
CPT,51581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51585,REMOVAL OF BLADDER & NODES,,,1874.01,18067.0,7
CPT,51586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51590,REMOVE BLADDER/REVISE TRACT,,,1715.31,18067.0,7
CPT,51591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51595,REMOVE BLADDER/REVISE TRACT,,,1938.77,18067.0,7
CPT,51596,REMOVE BLADDER/CREATE POUCH,,,2093.14,18067.0,7
CPT,51597,REMOVAL OF PELVIC STRUCTURES,,,2043.95,18067.0,7
CPT,51598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51600,HC INJ PROC CYSTO OR VCUG,430.06,150.53,147.51,5428.0,9
CPT,51601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51605,PREPARATION FOR BLADDER XRAY,,,35.58,5428.0,7
CPT,51606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51610,HC INJ URE/CYST/GRM RETRO,452.9,158.52,133.56,5428.0,9
CPT,51611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51700,HC IRRIGATION - BLADDER,504.34,176.52,172.99,3500.0,9
CPT,51701,HC INSERT NONINDWELL BLADDER CATH,252.18,88.27,86.5,3500.0,9
CPT,51702,HC INSERT TEMP INDWELL BLAD CATH,271.87,95.16,93.25,3500.0,9
CPT,51703,"HC INSERT BLADDER CATH, COMPLEX",528.22,184.88,135.74,3500.0,10
CPT,51704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51705,HC CYSTO TUBE CHANGE SIMPLE,566.18,198.17,194.2,3500.0,10
CPT,51706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51710,HC CHANGE CYSTOTOMY TUBE COMPLICATED,1426.69,499.35,489.35,3603.0,10
CPT,51711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51715,ENDOSCOPIC INJECTION/IMPLANT,,,3718.45,12001.0,8
CPT,51716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51720,HC INSTILL ANTICARCINOGENIC BLADD,1453.88,508.86,498.68,3500.0,10
CPT,51721,INS TRURL ABLT TRNSDC THR US,,,589.11,4344.0,6
CPT,51722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51725,HC CYSTOMETROGRAM SIMPLE,730.72,255.76,250.64,11003.93,10
CPT,51726,HC COMPLEX CYSTOMETROGRAM,1471.51,515.03,263.56,15605.4,10
CPT,51727,HC CYSTOMETROGRAM W/UP,1471.51,515.03,504.73,18728.66,9
CPT,51728,HC VOIDING PRESSURE STUDIES,1471.51,515.03,504.73,18823.72,9
CPT,51729,HC CYSTOMETROGRAM W/VP&UP,1471.51,515.03,504.73,18800.32,9
CPT,51730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51736,"HC UROFLOWMETRY, SIMPLE",271.87,95.16,9.6,2444.0,9
CPT,51737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51741,HC COMPLEX UROFLOWMETRY,1002.06,350.73,10.21,2444.0,9
CPT,51742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51772,Mammogram,,,10986.54,10986.54,1
CPT,51773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51784,HC EMG (NO NEEDLE),289.54,101.34,49.82,2444.0,9
CPT,51785,ANAL/URINARY MUSCLE STUDY,,,263.56,24701.64,8
CPT,51786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51792,HC STIMULUS EVOKED RESPONSE,400.87,140.31,62.23,15617.4,9
CPT,51793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51795,Mammogram,,,14939.37,14939.37,1
CPT,51796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51797,"HC VP STUDY, INTRA-ABDOMINAL",444.95,155.74,152.62,10991.19,9
CPT,51798,HC POST-VOID URINE CAPACITY US,208.05,72.82,19.36,2444.0,9
CPT,51799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51800,REVISION OF BLADDER/URETHRA,,,936.42,18067.0,7
CPT,51801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51820,REVISION OF URINARY TRACT,,,980.85,18067.0,7
CPT,51821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51840,ATTACH BLADDER/URETHRA,,,5277.0,12001.0,7
CPT,51841,ATTACH BLADDER/URETHRA,,,725.1,12001.0,7
CPT,51842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51845,REPAIR BLADDER NECK,,,5277.0,18067.0,7
CPT,51846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51860,REPAIR OF BLADDER WOUND,,,3200.0,18067.0,7
CPT,51861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51865,REPAIR OF BLADDER WOUND,,,814.16,12001.0,7
CPT,51866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51880,REPAIR OF BLADDER OPENING,,,2983.0,12001.0,8
CPT,51881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51900,REPAIR BLADDER/VAGINA LESION,,,750.8,12001.0,7
CPT,51901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51920,CLOSE BLADDER-UTERUS FISTULA,,,698.49,12001.0,7
CPT,51921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51925,HYSTERECTOMY/BLADDER REPAIR,,,948.06,19925.0,7
CPT,51926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51940,CORRECTION OF BLADDER DEFECT,,,1461.89,18067.0,7
CPT,51941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51960,REVISION OF BLADDER & BOWEL,,,1242.91,18067.0,7
CPT,51961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51980,CONSTRUCT BLADDER OPENING,,,652.25,12001.0,7
CPT,51981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51990,LAPARO URETHRAL SUSPENSION,,,6177.0,19925.0,8
CPT,51991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51992,LAPARO SLING OPERATION,,,6177.0,19925.0,8
CPT,51993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,51999,HC VESICOCUTANEOUS FISTULA EXCISIONFISTULA EXCISION,9994.8,3498.18,3428.22,10383.57,9
CPT,52000,HC CYSTOURETHROSCOPY,1445.62,505.97,495.85,3603.0,10
CPT,52001,HC CYSTOSCOPY REMOVAL OF CLOTS,6781.32,2373.47,2133.0,12001.0,10
CPT,52002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52005,CYSTO W/URTRL CATHJ,,,2205.11,6090.0,8
CPT,52006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52007,CYSTO URTRL CATHJ BRUSH BX,,,3200.0,12001.0,8
CPT,52008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,5200F,EVAL APPROS SURG THXPY EPI,,,0.02,0.02,1
CPT,52010,CYSTOSCOPY & DUCT CATHETER,,,735.57,3603.0,8
CPT,52011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52100,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52204,HC CYSTO W/BIOPSY BLADDER,5145.95,1801.09,1765.06,6090.0,10
CPT,52205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52214,CYSTOSCOPY AND TREATMENT,,,3200.0,6090.0,8
CPT,52215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52224,CYSTOSCOPY AND TREATMENT,,,3200.0,6090.0,8
CPT,52225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52234,CYSTOSCOPY AND TREATMENT,,,3200.0,12001.0,8
CPT,52235,CYSTOSCOPY AND TREATMENT,,,3718.45,12001.0,8
CPT,52236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52240,CYSTOSCOPY AND TREATMENT,,,4236.0,18067.0,8
CPT,52241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52250,CYSTOSCOPY AND RADIOTRACER,,,3718.45,12001.0,8
CPT,52251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52260,CYSTOSCOPY AND TREATMENT,,,2205.11,5513.0,8
CPT,52261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52265,CYSTOSCOPY AND TREATMENT,,,2205.11,4524.0,8
CPT,52266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52270,CYSTOSCOPY & REVISE URETHRA,,,2205.11,5513.0,8
CPT,52271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52275,CYSTOSCOPY & REVISE URETHRA,,,2205.11,6090.0,8
CPT,52276,CYSTOSCOPY AND TREATMENT,,,2205.11,6090.0,8
CPT,52277,CYSTOSCOPY AND TREATMENT,,,3200.0,12001.0,8
CPT,52278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52281,HC CYSTO W/URETHRAL DILITATION,3327.09,1164.49,1141.19,5513.0,10
CPT,52282,CYSTOSCOPY IMPLANT STENT,,,3718.45,21649.0,8
CPT,52283,CYSTOSCOPY AND TREATMENT,,,2205.11,6090.0,8
CPT,52284,CYSTO RX BALO CATH URTL STRX,,,5583.0,9209.22,6
CPT,52285,CYSTOSCOPY AND TREATMENT,,,735.57,5513.0,8
CPT,52286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52287,"HC CYSTOURETHROSCOPY, WITH INJ(S) FOR CHEMODENERVATION OF THE BLADDER",6502.55,2275.9,2205.11,6177.0,10
CPT,52288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52290,CYSTOSCOPY AND TREATMENT,,,2205.11,6090.0,8
CPT,52291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52300,CYSTOSCOPY AND TREATMENT,,,3200.0,12001.0,8
CPT,52301,CYSTOSCOPY AND TREATMENT,,,3718.45,12001.0,8
CPT,52302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52305,HC MEATOTOMY URETHRA,10367.94,3628.78,3200.0,18067.0,10
CPT,52306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52310,HC CYSTO W/STENT REMOVAL,3327.09,1164.49,1141.19,5513.0,10
CPT,52311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52315,HC CYSTO-REMOVE FB W/STENT-COMPL,5145.95,1801.09,1765.06,6090.0,10
CPT,52316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52317,REMOVE BLADDER STONE,,,2983.0,12001.0,8
CPT,52318,REMOVE BLADDER STONE,,,3200.0,12001.0,8
CPT,52319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52320,CYSTOSCOPY AND TREATMENT,,,3718.45,12001.0,8
CPT,52321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52325,CYSTOSCOPY STONE REMOVAL,,,4883.0,18067.0,8
CPT,52326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52327,CYSTOSCOPY INJECT MATERIAL,,,3200.0,18067.0,8
CPT,52328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52330,"HC CYSTOURETHROSCOPY  (INCL URETERAL CATHETERIZATION) W/ MANIPULATION, W/O REMOVAL URETERAL CALCULUS",17330.75,6065.77,3200.0,12001.0,10
CPT,52331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52332,HC CYSTO W/ INSER OF INDWEL STENT,7419.72,2596.91,2544.96,12001.0,10
CPT,52333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52334,CREATE PASSAGE TO KIDNEY,,,3718.45,12001.0,8
CPT,52335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52341,HC CYSTO W/URETER STRICTURE TX,7419.72,2596.91,2544.96,6090.0,10
CPT,52342,CYSTO W/UP STRICTURE TX,,,3718.45,12001.0,8
CPT,52343,CYSTO W/RENAL STRICTURE TX,,,3718.45,6090.0,8
CPT,52344,CYSTO/URETERO STRICTURE TX,,,3718.45,12001.0,8
CPT,52345,CYSTO/URETERO W/UP STRICTURE,,,3718.45,12001.0,8
CPT,52346,CYSTOURETERO W/RENAL STRICT,,,4236.0,18067.0,8
CPT,52347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52351,CYSTOURETERO & OR PYELOSCOPE,,,3718.45,6090.0,8
CPT,52352,CYSTOURETHROSCOPY W/ URETEROSCOPY W/ LITHOTRIPSY,7547.62,2641.67,2588.83,12001.0,10
CPT,52353,HC CYSTOURETHROSCOPY WITH LITHOTRIPSY,10367.94,3628.78,3556.2,18067.0,10
CPT,52354,CYSTOURETERO W/BIOPSY,,,4883.0,18067.0,8
CPT,52355,CYSTOURETERO W/EXCISE TUMOR,,,4883.0,18067.0,8
CPT,52356,CYSTO/URETERO W/LITHOTRIPSY,,,5656.07,21649.0,8
CPT,52357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52400,CYSTO CGEN POST URTL VALVES,,,3718.45,12001.0,8
CPT,52401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52402,CYSTO TRURL RESCJ EJACUL DUX,,,3718.45,12001.0,8
CPT,52403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52441,CYSTO INSJ TRNSPRSTC 1 IMPLT,,,1313.57,12001.0,7
CPT,52442,CYSTO INS TRNSPRSTC IMPLT EA,,,916.81,12001.0,7
CPT,52443,CYSTO 1ST TRURL PRST8 COMIS,,,4344.0,16259.23,5
CPT,52444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52450,TRANSURETHRAL INC PROSTATE,,,3718.45,12001.0,8
CPT,52451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52500,TRURL RESECTION BLADDER NECK,,,3718.45,12001.0,8
CPT,52501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,5250F,ASTHMA DISCHARGE PLAN PRESNT,,,0.02,0.02,1
CPT,52510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52510,Mammogram,,,26496.75,26496.75,1
CPT,52511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52597,TRURL RBTC WTRJT RESCJ PRST8,,,4344.0,16259.23,5
CPT,52598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52601,PROSTATECTOMY (TURP),,,4883.0,18067.0,8
CPT,52602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52606,Mammogram,,,31981.32,31981.32,1
CPT,52607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52612,Mammogram,,,33180.11,33180.11,1
CPT,52613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52614,Mammogram,,,29086.65,29086.65,1
CPT,52615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52620,Mammogram,,,26318.51,26318.51,1
CPT,52621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52630,REMOVE PROSTATE REGROWTH,,,3200.0,18067.0,8
CPT,52631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52640,RELIEVE BLADDER CONTRACTURE,,,3200.0,12001.0,8
CPT,52641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52647,Ambulatory Surgery Groups,,,9611.0,21649.0,3
CPT,52647,Ambulatory Surgery Groups - CPT/HCPCS,,,9658.0,9658.0,1
CPT,52648,LASER SURGERY OF PROSTATE,,,5656.07,21649.0,8
CPT,52649,PROSTATE LASER ENUCLEATION,,,5656.07,21649.0,8
CPT,52650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52700,DRAINAGE OF PROSTATE ABSCESS,,,3200.0,12001.0,8
CPT,52701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,52999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53000,INCISION OF URETHRA,,,2205.11,6090.0,8
CPT,53001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53010,INCISION OF URETHRA,,,2983.0,18067.0,8
CPT,53011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53020,HC MEATOTOMY CUTTING OF MEATUS EXCEPT INFANT,4486.37,1570.23,1538.82,6090.0,10
CPT,53021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53025,INCISION OF URETHRA,,,2205.11,6090.0,7
CPT,53026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53040,DRAINAGE OF URETHRA ABSCESS,,,3200.0,6090.0,8
CPT,53041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53060,HC I&D SKENE''S GLAND,4374.04,1530.92,1500.3,6090.0,9
CPT,53061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53080,DRAINAGE OF URINARY LEAKAGE,,,735.57,6090.0,8
CPT,53081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53085,DRAINAGE OF URINARY LEAKAGE,,,2205.11,6090.0,7
CPT,53086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53100,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53200,BIOPSY OF URETHRA,,,2205.11,6090.0,8
CPT,53201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53210,REMOVAL OF URETHRA,,,3718.45,12001.0,8
CPT,53211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53215,REMOVAL OF URETHRA,,,5656.07,18067.0,8
CPT,53216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53220,TREATMENT OF URETHRA LESION,,,3200.0,12001.0,8
CPT,53221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53230,REMOVAL OF URETHRA LESION,,,3200.0,18067.0,8
CPT,53231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53235,REMOVAL OF URETHRA LESION,,,4236.0,18067.0,8
CPT,53236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53240,SURGERY FOR URETHRA POUCH,,,3200.0,6987.0,8
CPT,53241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53250,REMOVAL OF URETHRA GLAND,,,3200.0,12001.0,8
CPT,53251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53260,TREATMENT OF URETHRA LESION,,,3200.0,6090.0,8
CPT,53261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53265,TREATMENT OF URETHRA LESION,,,2205.11,6090.0,8
CPT,53266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53270,REMOVAL OF URETHRA GLAND,,,3200.0,6090.0,8
CPT,53271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53275,REPAIR OF URETHRA DEFECT,,,3200.0,6090.0,8
CPT,53276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53400,REVISE URETHRA STAGE 1,,,4236.0,18067.0,8
CPT,53401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53405,REVISE URETHRA STAGE 2,,,3200.0,18067.0,8
CPT,53406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53410,RECONSTRUCTION OF URETHRA,,,3200.0,18067.0,8
CPT,53411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53415,RECONSTRUCTION OF URETHRA,,,1016.39,18067.0,7
CPT,53416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53420,RECONSTRUCT URETHRA STAGE 1,,,4236.0,18067.0,8
CPT,53421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53425,RECONSTRUCT URETHRA STAGE 2,,,3200.0,18067.0,8
CPT,53426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53430,RECONSTRUCTION OF URETHRA,,,3200.0,18067.0,8
CPT,53431,RECONSTRUCT URETHRA/BLADDER,,,3200.0,18067.0,8
CPT,53432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53440,MALE SLING PROCEDURE,,,3200.0,30380.0,8
CPT,53441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53442,REMOVE/REVISE MALE SLING,,,2983.0,18067.0,8
CPT,53443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53444,INSERT TANDEM CUFF,,,3200.0,52872.0,8
CPT,53445,INSERT URO/VES NCK SPHINCTER,,,2983.0,52872.0,8
CPT,53446,REMOVE URO SPHINCTER,,,2983.0,18067.0,8
CPT,53447,REMOVE/REPLACE UR SPHINCTER,,,2983.0,52872.0,8
CPT,53448,REMOV/REPLC UR SPHINCTR COMP,,,1148.65,18067.0,7
CPT,53449,REPAIR URO SPHINCTER,,,2983.0,18067.0,8
CPT,53450,REVISION OF URETHRA,,,2983.0,6987.0,8
CPT,53451,TPRNL BALO CNTNC DEV BI,,,6479.0,52872.0,7
CPT,53452,TPRNL BALO CNTNC DEV UNI,,,5583.0,18067.0,7
CPT,53453,TPRNL BALO CNTNC DEV RMVL EA,,,3200.0,12001.0,7
CPT,53454,TPRNL BALO CNTNC DEV ADJMT,,,263.56,3500.0,8
CPT,53455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53460,REVISION OF URETHRA,,,2983.0,6090.0,8
CPT,53461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53500,URETHRLYS TRANSVAG W/ SCOPE,,,3718.45,12001.0,7
CPT,53501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53502,REPAIR OF URETHRA INJURY,,,3200.0,12001.0,8
CPT,53503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53505,REPAIR OF URETHRA INJURY,,,3200.0,18067.0,8
CPT,53506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53510,REPAIR OF URETHRA INJURY,,,3200.0,18067.0,8
CPT,53511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53515,REPAIR OF URETHRA INJURY,,,3200.0,18067.0,8
CPT,53516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53520,REPAIR OF URETHRA DEFECT,,,3200.0,18067.0,8
CPT,53521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53600,"HC DILATION OF URETHRAL STRICTURE BY PASSAGE OF SOUND OR URETHRAL DILATOR, MALE, INITIAL",597.2,209.02,204.84,3500.0,10
CPT,53601,DILATE URETHRA STRICTURE,,,140.35,3500.0,8
CPT,53602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53605,DILATE URETHRA STRICTURE,,,3200.0,6054.37,8
CPT,53606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53620,HC DILATE URETHRA STRICTURE,3799.87,1329.96,735.57,3603.0,9
CPT,53621,DILATE URETHRA STRICTURE,,,263.56,3500.0,8
CPT,53622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53660,DILATION OF URETHRA,,,135.74,3500.0,7
CPT,53661,DILATION OF URETHRA,,,140.35,5428.0,7
CPT,53662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53665,DILATION OF URETHRA,,,2205.11,6090.0,8
CPT,53666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53850,PROSTATIC MICROWAVE THERMOTX,,,3718.45,17119.0,7
CPT,53851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53852,PROSTATIC RF THERMOTX,,,3200.0,12001.0,7
CPT,53853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53853,Mammogram,,,21895.41,21895.41,1
CPT,53854,HC TRURL DSTRJ PRST8 TISS RF WV,7419.72,2596.91,2544.96,21649.0,10
CPT,53855,INSERT PROST URETHRAL STENT,,,2205.11,4524.0,7
CPT,53856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53860,TRANSURETHRAL RF TREATMENT,,,2205.11,10856.0,8
CPT,53861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53865,HC CYSTO INSJ TEMP DEV ISCHMC RMDLG BLDR NECK&PRST8,20693.82,7242.84,5583.0,16259.23,9
CPT,53866,HC CATHJ RMVL TEMP DEV ISCHMC RMDLG BLDR NECK&PRST8,1459.26,510.75,263.56,3000.0,9
CPT,53867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53899,HC BLADDER CHALLENGE,597.17,209.01,204.83,3500.0,9
CPT,53899,HC INCISION PENILE SKIN BRIDGE,630.49,220.68,216.26,3500.0,9
CPT,53899,HC REMOVAL OF THE ITIND DEVICE MALE URINARY SYSTEM,6071.91,2125.17,263.56,3500.0,9
CPT,53899,HC REMOVE STENT ILEAL CONDUIT,3327.09,1164.49,263.56,3500.0,9
CPT,53899,HC STOMAL LESION BIOPSY,7882.33,2758.82,263.56,3500.0,9
CPT,53900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,53999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54000,SLITTING OF PREPUCE,,,3200.0,6090.0,8
CPT,54001,HC SLITTING OF PREPUCE,3730.36,1305.63,1279.51,6090.0,10
CPT,54002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54015,I&D PENIS DEEP,,,1742.24,6479.0,8
CPT,54016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54050,HC DESTRUCT PENILE LESION CHEMICA,808.6,283.01,277.35,5428.0,9
CPT,54051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54055,DESTRUCTION PENIS LESION(S),,,2176.52,5513.0,7
CPT,54056,"HC DESTRUCT PENILE LESION, CRYO",426.09,149.14,146.15,5428.0,9
CPT,54057,LASER SURG PENIS LESION(S),,,2176.52,5513.0,8
CPT,54058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54060,"HC DESTRUCTION LESION, PENIS, SURGICAL EXCISION",6025.67,2108.99,2066.8,5513.0,10
CPT,54061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54065,"HC DESTRUCTION LESION(S), PENIS, EXTENSIVE",7331.65,2566.08,2176.52,5513.0,10
CPT,54066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54100,HC BIOPSY OF PENIS,3450.65,1207.73,1183.57,5513.0,10
CPT,54101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54105,HC BIOPSY OF PENIS: SEPARATE PROCEDURE  DEEP STRUCTURES,6160.13,2156.05,2112.92,12001.0,10
CPT,54106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54110,TREATMENT OF PENIS LESION,,,3200.0,12001.0,8
CPT,54111,TREAT PENIS LESION GRAFT,,,3200.0,18067.0,8
CPT,54112,TREAT PENIS LESION GRAFT,,,3200.0,30380.0,8
CPT,54113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54115,TREATMENT OF PENIS LESION,,,2983.0,12001.0,8
CPT,54116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54120,PARTIAL REMOVAL OF PENIS,,,3200.0,12001.0,8
CPT,54121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54125,REMOVAL OF PENIS,,,751.81,12001.0,7
CPT,54126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54130,REMOVE PENIS & NODES,,,1074.0,12001.0,7
CPT,54131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54135,REMOVE PENIS & NODES,,,1349.25,12001.0,7
CPT,54136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54150,HC CIRCUMCISION-NEWBORN,4411.66,1544.09,1513.2,6090.0,10
CPT,54151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54152,Mammogram,,,8476.51,8476.51,1
CPT,54153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54160,CIRCUMCISION NEONATE,,,735.57,6090.0,8
CPT,54161,HC CIRCUM W/O CLAMP W/EXCISION,4411.66,1544.09,1513.2,6090.0,10
CPT,54162,HC LYSIS/EXCISION PENILE POST-CIRCUMCISION ADHESIONS,4270.59,1494.71,1464.81,6090.0,10
CPT,54163,HC REPAIR INCOMPLETE CIRCUMCISION,4486.37,1570.23,1538.82,6090.0,10
CPT,54164,HC FRENULOTOMY OF PENIS,3989.35,1396.28,1368.35,6090.0,10
CPT,54165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54200,INJECTION PX PEYRONIE DS,,,263.56,5428.0,8
CPT,54201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54205,NJX PX PEYRONIE DS EXPS PLAQ,,,4883.0,18067.0,8
CPT,54206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54220,HC TREATMENT OF PENIS LESION,508.7,178.05,174.48,3500.0,10
CPT,54221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54230,NJX CORPORA CAVERNOSOGRAPY,,,113.75,5368.69,7
CPT,54231,DYNAMIC CAVERNOSOMETRY,,,263.56,5513.0,7
CPT,54232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54235,HC INJECTION PENILE,508.7,178.05,174.48,5428.0,10
CPT,54236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54240,PENILE PLETHYSMOGRAPHY,,,227.77,3500.0,7
CPT,54241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54250,NCTRNL PEN TMSCN&/RGDITY TST,,,263.56,3500.0,7
CPT,54251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54300,REVISION OF PENIS,,,3718.45,12001.0,8
CPT,54301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54304,REVISION OF PENIS,,,3718.45,12001.0,8
CPT,54305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54308,RECONSTRUCTION OF URETHRA,,,4236.0,18067.0,8
CPT,54309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54312,RECONSTRUCTION OF URETHRA,,,3718.45,12001.0,8
CPT,54313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54316,RECONSTRUCTION OF URETHRA,,,4236.0,18067.0,8
CPT,54317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54318,RECONSTRUCTION OF URETHRA,,,3718.45,12001.0,8
CPT,54319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54322,RECONSTRUCTION OF URETHRA,,,3718.45,12001.0,8
CPT,54323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54324,RECONSTRUCTION OF URETHRA,,,3718.45,12001.0,8
CPT,54325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54326,RECONSTRUCTION OF URETHRA,,,3718.45,6987.0,8
CPT,54327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54328,REVISE PENIS/URETHRA,,,3718.45,12001.0,8
CPT,54329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54332,REVISE PENIS/URETHRA,,,3718.45,12001.0,7
CPT,54333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54336,REVISE PENIS/URETHRA,,,3718.45,12001.0,7
CPT,54337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54340,RPR HYPSPAD COMP SIMPLE,,,3718.45,12001.0,8
CPT,54341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54344,RRP HYPSPAD COMP MOBLJ&URTP,,,4236.0,18067.0,8
CPT,54345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54348,RPR HYPSPAD COMP DSJ & URTP,,,4236.0,18067.0,8
CPT,54349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54352,REVJ PRIOR HYPSPAD REPAIR,,,4236.0,18067.0,8
CPT,54353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54360,PENIS PLASTIC SURGERY,,,3718.45,12001.0,8
CPT,54361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54380,REPAIR PENIS,,,2205.11,6987.0,8
CPT,54381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54385,REPAIR PENIS,,,2205.11,6987.0,8
CPT,54386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54390,REPAIR PENIS AND BLADDER,,,1115.71,12001.0,7
CPT,54391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54400,INSERT SEMI-RIGID PROSTHESIS,,,4236.0,52872.0,8
CPT,54401,INSERT SELF-CONTD PROSTHESIS,,,4236.0,52872.0,8
CPT,54402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54405,INSERT MULTI-COMP PENIS PROS,,,4236.0,52872.0,8
CPT,54406,REMOVE MUTI-COMP PENIS PROS,,,3718.45,12001.0,8
CPT,54407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54408,REPAIR MULTI-COMP PENIS PROS,,,4236.0,18067.0,8
CPT,54409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54410,REMOVE/REPLACE PENIS PROSTH,,,4236.0,52872.0,8
CPT,54411,REMOV/REPLC PENIS PROS COMP,,,2444.0,52872.0,7
CPT,54412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54415,REMOVE SELF-CONTD PENIS PROS,,,3718.45,12001.0,8
CPT,54416,REMV/REPL PENIS CONTAIN PROS,,,4236.0,52872.0,8
CPT,54417,REMV/REPLC PENIS PROS COMPL,,,3603.0,52872.0,7
CPT,54418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54420,REVISION OF PENIS,,,3718.45,6987.0,8
CPT,54421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54430,REVISION OF PENIS,,,587.05,12001.0,7
CPT,54431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54435,REVISION OF PENIS,,,3718.45,6987.0,8
CPT,54436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54437,REPAIR CORPOREAL TEAR,,,3200.0,12001.0,8
CPT,54438,Ambulatory Surgery Groups,,,52872.0,52872.0,1
CPT,54438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54438,Other Outpatient Services - CPT/HCPCS,,,2589.05,2589.05,1
CPT,54439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54440,REPAIR OF PENIS,,,3718.45,12001.0,8
CPT,54441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54450,HC PREPUTIAL STRETCHING,626.29,219.21,214.82,3500.0,10
CPT,54451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54500,BIOPSY OF TESTIS,,,2983.0,12001.0,8
CPT,54501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54505,BIOPSY OF TESTIS,,,2983.0,12001.0,8
CPT,54506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54512,EXCISE LESION TESTIS,,,3200.0,12001.0,8
CPT,54513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54520,REMOVAL OF TESTIS,,,3718.45,6987.0,8
CPT,54521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54522,ORCHIECTOMY PARTIAL,,,3718.45,6090.0,8
CPT,54523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54530,REMOVAL OF TESTIS,,,3776.91,12001.0,8
CPT,54531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54535,EXTENSIVE TESTIS SURGERY,,,3718.45,12001.0,7
CPT,54536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54550,EXPLORATION FOR TESTIS,,,3776.91,12001.0,8
CPT,54551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54560,EXPLORATION FOR TESTIS,,,2205.11,6479.0,7
CPT,54561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54600,REDUCE TESTIS TORSION,,,3718.45,6479.0,8
CPT,54601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54620,SUSPENSION OF TESTIS,,,3718.45,12001.0,8
CPT,54621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54640,ORCHIOPEXY INGUN/SCROT APPR,,,3776.91,12001.0,8
CPT,54641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54650,ORCHIOPEXY (FOWLER-STEPHENS),,,3776.91,12001.0,7
CPT,54651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54660,REVISION OF TESTIS,,,3200.0,18067.0,8
CPT,54661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54670,REPAIR TESTIS INJURY,,,3718.45,6090.0,8
CPT,54671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54680,RELOCATION OF TESTIS(ES),,,3718.45,6090.0,8
CPT,54681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54690,LAPAROSCOPY ORCHIECTOMY,,,6377.33,21649.0,8
CPT,54691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54692,LAPAROSCOPY ORCHIOPEXY,,,6177.0,19925.0,8
CPT,54693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54699,UNLISTED LAPS PX TESTIS,,,3500.0,10383.57,7
CPT,54700,HC I&D CYST/ABSCESS DRAIN SCROTUM,4707.71,1647.7,1614.74,6090.0,10
CPT,54701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54800,BIOPSY OF EPIDIDYMIS,,,1742.24,4524.0,8
CPT,54801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54820,Mammogram,,,19440.26,19440.26,1
CPT,54821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54830,REMOVE EPIDIDYMIS LESION,,,3718.45,6090.0,8
CPT,54831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54840,REMOVE EPIDIDYMIS LESION,,,2205.11,6479.0,8
CPT,54841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54860,REMOVAL OF EPIDIDYMIS,,,3718.45,6090.0,8
CPT,54861,REMOVAL OF EPIDIDYMIS,,,3718.45,12001.0,8
CPT,54862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54865,EXPLORE EPIDIDYMIS,,,2983.0,6090.0,8
CPT,54866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54900,FUSION OF SPERMATIC DUCTS,,,2205.11,6479.0,8
CPT,54901,FUSION OF SPERMATIC DUCTS,,,3718.45,12001.0,8
CPT,54902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,54999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55000,HC DRAINAGE OF HYDROCELE,1497.44,524.11,513.62,5428.0,9
CPT,55001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55040,REMOVAL OF HYDROCELE,,,3776.91,12001.0,8
CPT,55041,REMOVAL OF HYDROCELES,,,3776.91,12001.0,8
CPT,55042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55060,REPAIR OF HYDROCELE,,,3718.45,6479.0,8
CPT,55061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55100,HC DRAINAGE OF SCROTUM ABSCESS,3450.65,1207.73,1183.57,5513.0,10
CPT,55101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55110,EXPLORE SCROTUM,,,3200.0,12001.0,8
CPT,55111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55120,REMOVAL OF SCROTUM LESION,,,2205.11,6090.0,8
CPT,55121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55150,REMOVAL OF SCROTUM,,,2983.0,6090.0,8
CPT,55151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55175,REVISION OF SCROTUM,,,2983.0,12001.0,8
CPT,55176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55180,REVISION OF SCROTUM,,,3200.0,18067.0,8
CPT,55181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55200,INCISION OF SPERM DUCT,,,3200.0,6090.0,8
CPT,55201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55250,HC VASECTOMY,6502.55,2275.9,2205.11,6090.0,10
CPT,55251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55300,PREPARE SPERM DUCT X-RAY,,,165.57,12419.17,7
CPT,55301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55400,REPAIR OF SPERM DUCT,,,2983.0,12001.0,8
CPT,55401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55450,Mammogram,,,17220.93,17220.93,1
CPT,55451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55500,REMOVAL OF HYDROCELE,,,3718.45,6987.0,8
CPT,55501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55520,REMOVAL OF SPERM CORD LESION,,,3718.45,6479.0,8
CPT,55521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55530,REVISE SPERMATIC CORD VEINS,,,3718.45,12001.0,8
CPT,55531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55535,REVISE SPERMATIC CORD VEINS,,,4883.0,12001.0,8
CPT,55536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55540,REVISE HERNIA & SPERM VEINS,,,3776.91,12001.0,8
CPT,55541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55550,LAPARO LIGATE SPERMATIC VEIN,,,6377.33,21649.0,8
CPT,55551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55559,UNLSTD LAPS PX SPRMATIC CORD,,,5583.0,19925.0,7
CPT,55560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55600,VESICULOTOMY,,,2205.11,6090.0,8
CPT,55601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55605,VESICULOTOMY COMPLICATED,,,487.59,4524.0,7
CPT,55606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55650,REMOVE SPERM DUCT POUCH,,,656.91,4524.0,7
CPT,55651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55680,REMOVE SPERM POUCH LESION,,,2983.0,12001.0,8
CPT,55681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55700,HC BIOPSY PROSTATE,4335.02,1517.26,1486.91,5513.0,6
CPT,55701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55705,BX PRST8 ANY APPROACH NONIMG,,,3200.0,6054.37,8
CPT,55706,BX PRST8 NDL SAT SAMPLING,,,3200.0,6054.37,8
CPT,55707,BX PRST8 TRCT US GUIDED,,,3718.45,6054.37,5
CPT,55708,BX PRST8 TRCT US W/MRI FUS 1,,,3718.45,6054.37,5
CPT,55709,BX PRST8 TPRNL US GUIDED,,,3718.45,6054.37,5
CPT,55710,BX PRST8 TPRN US W/MRI FUS 1,,,3718.45,6054.37,5
CPT,55711,BX PRST8 TRCT MRI-US 1ST,,,3718.45,6054.37,5
CPT,55712,BX PRST8 TPRNL MRI-US 1ST,,,3718.45,6054.37,5
CPT,55713,BX PRST8 IN-BORE CT/MRI BX 1,,,4344.0,9209.22,5
CPT,55714,BX PRST8 IN-BORE CT/MRI 1,,,4344.0,9209.22,5
CPT,55715,BX PRST8 EA ADD MRI-US/CT/MR,,,83.21,4344.0,5
CPT,55716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55720,DRAINAGE OF PROSTATE ABSCESS,,,2983.0,6090.0,8
CPT,55721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55725,DRAINAGE OF PROSTATE ABSCESS,,,3200.0,12001.0,8
CPT,55726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55801,REMOVAL OF PROSTATE,,,989.27,12001.0,7
CPT,55802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55810,EXTENSIVE PROSTATE SURGERY,,,1169.72,18067.0,7
CPT,55811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55812,EXTENSIVE PROSTATE SURGERY,,,1436.06,18067.0,7
CPT,55813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55815,EXTENSIVE PROSTATE SURGERY,,,1569.07,18067.0,7
CPT,55816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55821,REMOVAL OF PROSTATE,,,759.77,12001.0,7
CPT,55822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55831,REMOVAL OF PROSTATE,,,779.17,12001.0,7
CPT,55832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55840,EXTENSIVE PROSTATE SURGERY,,,1050.11,18067.0,7
CPT,55841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55842,EXTENSIVE PROSTATE SURGERY,,,1048.0,18067.0,7
CPT,55843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55845,EXTENSIVE PROSTATE SURGERY,,,1214.25,18067.0,7
CPT,55846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55859,Mammogram,,,44084.2,44084.2,1
CPT,55860,SURGICAL EXPOSURE PROSTATE,,,3000.0,18067.0,7
CPT,55861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55862,EXTENSIVE PROSTATE SURGERY,,,986.46,12001.0,7
CPT,55863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55865,EXTENSIVE PROSTATE SURGERY,,,1196.77,18067.0,7
CPT,55866,LAPS SURG PRST8ECT RPBIC RAD,,,9611.0,30380.0,7
CPT,55867,LAPS SURG PRST8ECT SMPL STOT,,,9611.0,30380.0,7
CPT,55868,LAP SRG PRST8CT LYMPH NOD BX,,,4344.0,18257.4,5
CPT,55869,LAP SRG PRST8CT BI PL LMPHAD,,,4344.0,18257.4,5
CPT,55870,ELECTROEJACULATION,,,971.6,3603.0,8
CPT,55871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55873,CRYOABLATE PROSTATE,,,9986.02,30380.0,8
CPT,55874,HC TPRNL PLMT BIODEGRDABL MATRL,9641.97,3374.69,3000.0,21649.0,10
CPT,55875,TRANSPERI NEEDLE PLACE PROS,,,5583.0,21649.0,8
CPT,55876,PLACE RT DEVICE/MARKER PROS,,,1460.1,5513.0,8
CPT,55877,ABLTJ IRE PRST8 1+ TUM PERQ,,,4344.0,18257.4,5
CPT,55878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55880,ABLTJ MAL PRST8 TISS HIFU,,,3200.0,21649.0,8
CPT,55881,ABLT TRURL PRST8 TIS THRM US,,,3200.0,16014.0,6
CPT,55882,ABLT TRURL PRST8 TIS TRNSDCR,,,5583.0,22660.58,6
CPT,55883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55899,HC FOREIGN BODY REMOVAL FROM THE URETHRA USING U/S AND FOLEY CLAMP,5604.06,1961.43,263.56,3500.0,10
CPT,55899,HC PHALLOPLASTY,5563.64,1947.28,263.56,3500.0,9
CPT,55899,HC REMOVE PENILE RING,712.69,249.45,244.45,3500.0,9
CPT,55900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55920,PLACE NEEDLES PELVIC FOR RT,,,3000.0,21649.0,8
CPT,55921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55970,SEX TRANSFORMATION M TO F,,,4344.0,8592.02,7
CPT,55971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55980,SEX TRANSFORMATION F TO M,,,3718.45,12001.0,7
CPT,55981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,55999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56100,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56405,HC I&D ABSC VULVA/PERINEAL,682.78,238.98,234.19,3500.0,10
CPT,56406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56420,HC I&D ABSCESS-BARTH GLAND,548.64,192.03,188.18,3500.0,10
CPT,56421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56440,HC MARSUP BARTHOLIN'S CYST,6653.97,2328.89,2282.31,6090.0,10
CPT,56441,HC LYSIS OF LABIAL ADHESIONS,6653.97,2328.89,2282.31,6090.0,10
CPT,56442,HYMENOTOMY,,,2983.0,6090.0,8
CPT,56443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56501,HC LASER/CRYO-SIMPLE VUVAR LESION,3822.15,1337.76,1311.0,5513.0,9
CPT,56502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56515,HC DESTROY VULVA LESION/S COMPL,4124.93,1443.73,1414.85,5583.0,10
CPT,56516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56605,HC VULVAR BIOPSY: ONE LESION,1711.01,598.86,586.88,3603.0,10
CPT,56606,HC VULVAR BIOPSY: EA ADDL LES,319.63,111.88,39.79,3000.0,9
CPT,56607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56620,VULVECTOMY SIMPLE PARTIAL,,,3414.79,9611.0,8
CPT,56621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56625,VULVECTOMY SIMPLE COMPLETE,,,3414.79,11057.0,8
CPT,56626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56630,VULVECTOMY RADICAL PARTIAL,,,5277.0,18067.0,7
CPT,56631,VLVCTMY RAD PRTL UNI LYMPHAD,,,1110.14,18067.0,7
CPT,56632,VLVCTMY RAD PRTL BI LYMPHAD,,,1342.09,18067.0,7
CPT,56633,VULVECTOMY RADICAL COMPLETE,,,1151.47,18067.0,7
CPT,56634,VLVCTMY RAD COMP UNI LYMPHAD,,,1228.44,18067.0,7
CPT,56635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56637,VLVCTMY RAD COMP BI LYMPHAD,,,1429.14,18067.0,7
CPT,56638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56640,VLVCTMY RAD COMP W/LYMPHADEC,,,1429.09,18067.0,7
CPT,56641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56700,PRTL HYMNCTMY/REVJ HYMNL RNG,,,2983.0,6090.0,8
CPT,56701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56720,Mammogram,,,2912.81,2912.81,1
CPT,56721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56740,HC EXCISION OF BARTHOLIN'S GLAND OR CYST,5415.2,1895.32,1857.41,6090.0,10
CPT,56741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56800,PLASTIC REPAIR INTROITUS,,,3414.79,6090.0,8
CPT,56801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56805,CLITOROPLASTY INTERSEX STATE,,,3414.79,6090.0,7
CPT,56806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56810,PERINEOPLASTY RPR PER NONOB,,,3414.79,9611.0,8
CPT,56811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56820,HC COLPOSCOPY VULVA,339.74,118.91,116.53,3500.0,9
CPT,56821,HC COLPOSCOPY VULVA W/BIOPSY,682.78,238.98,234.19,3500.0,10
CPT,56822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,56999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57000,HC COLPOTOMY; WITH EXPLORATION,9871.75,3455.12,2983.0,6090.0,10
CPT,57001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57010,COLPOTOMY DRG PEL ABSCESS,,,3200.0,6090.0,8
CPT,57011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57020,COLPOCENTESIS SEP PX,,,3200.0,8592.02,8
CPT,57021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57022,HC I&D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM,6072.52,2125.39,2082.87,5513.0,9
CPT,57023,I&D VAGINAL HEMATOMA NON-OB,,,2983.0,12001.0,8
CPT,57024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57061,HC VAGINAL LESION-DESTRUCTION-SIM,6653.97,2328.89,2282.31,6090.0,9
CPT,57062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57065,DESTRUCTION VAG LESION XTNSV,,,2983.0,6090.0,8
CPT,57066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57100,HC BIOPSY VAGINA SIMPLE,1342.81,469.99,460.58,3603.0,10
CPT,57101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57105,BIOPSY VAGINAL MUCOSA XTNSV,,,3200.0,6090.0,8
CPT,57106,VAGNC PRTL RMVL VAG WALL,,,3414.79,6090.0,7
CPT,57107,VAGNC COMPL RMVL PARAVAG TIS,,,3200.0,6090.0,7
CPT,57108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57109,VAGNC BI TOTAL PEL LYMPHADEC,,,3000.0,6090.0,7
CPT,57110,VAGNC COMPL RMVL VAG WALL,,,798.7,18067.0,7
CPT,57111,VAGNC COMPL RMVL PARAVAG TIS,,,1620.17,18067.0,7
CPT,57112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57112,Mammogram,,,119958.13,119958.13,1
CPT,57113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57120,COLPOCLEISIS LE FORT TYPE,,,5277.0,18067.0,7
CPT,57121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57130,EXCISION VAGINAL SEPTUM,,,3200.0,6090.0,8
CPT,57131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57135,HC EXCISION OF VAGINAL CYST OR TUMOR,6089.11,2131.19,2088.56,6090.0,10
CPT,57136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57150,TREAT VAGINA INFECTION,,,62.23,3500.0,7
CPT,57151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57155,INSERT UTERI TANDEM/OVOIDS,,,3200.0,8592.02,8
CPT,57156,INS VAG BRACHYTX DEVICE,,,321.45,3500.0,8
CPT,57157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57160,HC PESSARY INSERTION,319.63,111.88,109.63,5428.0,9
CPT,57161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57170,HC DIAPHRAGM FITTING,375.65,131.48,128.85,347.24,6
CPT,57171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57180,TREAT VAGINAL BLEEDING,,,213.27,5428.0,8
CPT,57181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57200,"HC COLPORRHAPHY, SUTURE OF INJURY OF VAGINA",5913.47,2069.72,2028.32,6090.0,10
CPT,57201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57210,HC REPAIR VAGINA/PERINEUM,6653.97,2328.89,2282.31,6090.0,10
CPT,57211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57220,REVISION OF URETHRA,,,4236.0,18067.0,8
CPT,57221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57230,REPAIR OF URETHRAL LESION,,,3414.79,6090.0,8
CPT,57231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57240,ANTERIOR COLPORRHAPHY,,,5277.0,18067.0,8
CPT,57241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57250,REPAIR RECTUM & VAGINA,,,5277.0,18067.0,8
CPT,57251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57260,CMBN ANT PST COLPRHY,,,5277.0,18067.0,8
CPT,57261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57265,CMBN AP COLPRHY W/NTRCL RPR,,,5277.0,18067.0,8
CPT,57266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57267,INSERT MESH/PELVIC FLR ADDON,,,217.49,16814.84,7
CPT,57268,REPAIR OF BOWEL BULGE,,,4236.0,8592.02,8
CPT,57269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57270,REPAIR OF BOWEL POUCH,,,722.03,18067.0,7
CPT,57271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57280,SUSPENSION OF VAGINA,,,857.83,18067.0,7
CPT,57281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57282,COLPOPEXY EXTRAPERITONEAL,,,7822.42,30380.0,7
CPT,57283,COLPOPEXY INTRAPERITONEAL,,,7822.42,30380.0,7
CPT,57284,REPAIR PARAVAG DEFECT OPEN,,,5277.0,18067.0,7
CPT,57285,REPAIR PARAVAG DEFECT VAG,,,6479.0,30380.0,8
CPT,57286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57287,REVISE/REMOVE SLING REPAIR,,,3414.79,9611.0,7
CPT,57288,REPAIR BLADDER DEFECT,,,5277.0,18067.0,8
CPT,57289,REPAIR BLADDER & VAGINA,,,6177.0,30380.0,8
CPT,57290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57291,CONSTRUCTION OF VAGINA,,,4524.0,9611.0,8
CPT,57292,CONSTRUCT VAGINA WITH GRAFT,,,5277.0,18067.0,7
CPT,57293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57295,REVISE VAG GRAFT VIA VAGINA,,,3414.79,6090.0,8
CPT,57296,REVISE VAG GRAFT OPEN ABD,,,842.19,18067.0,7
CPT,57297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57300,REPAIR RECTUM-VAGINA FISTULA,,,3414.79,6090.0,8
CPT,57301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57305,REPAIR RECTUM-VAGINA FISTULA,,,902.62,18067.0,7
CPT,57306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57307,FISTULA REPAIR & COLOSTOMY,,,1010.39,18067.0,7
CPT,57308,FISTULA REPAIR TRANSPERINE,,,639.04,18067.0,7
CPT,57309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57310,REPAIR URETHROVAGINAL LESION,,,4236.0,30380.0,8
CPT,57311,REPAIR URETHROVAGINAL LESION,,,510.6,18067.0,7
CPT,57312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57320,REPAIR BLADDER-VAGINA LESION,,,4236.0,18067.0,8
CPT,57321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57330,REPAIR BLADDER-VAGINA LESION,,,5428.0,30380.0,7
CPT,57331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57335,REPAIR VAGINA,,,4524.0,8592.02,7
CPT,57336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57400,DILATION OF VAGINA,,,3200.0,6090.0,8
CPT,57401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57410,PELVIC EXAMINATION,,,3200.0,6090.0,8
CPT,57411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57415,REMOVE VAGINAL FOREIGN BODY,,,3200.0,6090.0,8
CPT,57416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57420,HC COLOSCOPY VAGINA,682.97,239.04,234.26,3500.0,10
CPT,57421,HC COLPOSCOPY VAG&CERVIX W/BIOPSY,1496.85,523.9,513.42,3603.0,10
CPT,57422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57423,REPAIR PARAVAG DEFECT LAP,,,9611.0,30380.0,8
CPT,57424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57425,LAPAROSCOPY SURG COLPOPEXY,,,9611.0,30380.0,7
CPT,57426,REVISE PROSTH VAG GRAFT LAP,,,6987.0,30380.0,8
CPT,57427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57452,HC COLPO WITHOUT BIOPSIES,508.05,177.82,174.26,3500.0,10
CPT,57453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57454,HC COLPO WITH BIOPSIES,631.07,220.88,216.46,3500.0,10
CPT,57455,HC COLPOSCOPY: CERVIX & BIOPSY,665.58,232.96,228.29,3500.0,10
CPT,57456,HC COLPOSCOPY & CERVIX & ECC,642.92,225.03,220.52,3500.0,10
CPT,57457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57460,HC COLPO W/ LOOP,6653.97,2328.89,2282.31,6090.0,9
CPT,57461,HC COLPOSCOPY + LOOP CONE (IE TOP,6653.97,2328.89,2282.31,6090.0,10
CPT,57462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57465,CAM CERVIX UTERI DRG COLP,,,55.94,2888.67,7
CPT,57466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57500,HC CERVICAL BIOPSY,1342.81,469.99,460.58,3603.0,10
CPT,57501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57505,HC ENDOCERVICAL BIOPSY/CURRETAGE,1342.81,469.99,460.58,3603.0,10
CPT,57506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57510,CAUTERIZATION OF CERVIX,,,3200.0,6090.0,7
CPT,57511,HC CRYOTHERAPY-CERVIX,698.16,244.36,239.47,3500.0,10
CPT,57512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57513,LASER SURGERY OF CERVIX,,,3200.0,6090.0,8
CPT,57514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57520,HC CONIZATION OF CERVIX,6653.97,2328.89,2282.31,6090.0,10
CPT,57521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57522,HC COLONIZATION LOOP/TOP HAT,6653.97,2328.89,2282.31,6090.0,10
CPT,57523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57530,REMOVAL OF CERVIX,,,4236.0,8592.02,8
CPT,57531,REMOVAL OF CERVIX RADICAL,,,1598.55,18067.0,7
CPT,57532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57540,REMOVAL OF RESIDUAL CERVIX,,,700.57,18067.0,7
CPT,57541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57545,REMOVE CERVIX/REPAIR PELVIS,,,736.96,18067.0,7
CPT,57546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57550,REMOVAL OF RESIDUAL CERVIX,,,4236.0,8592.02,8
CPT,57551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57555,REMOVE CERVIX/REPAIR VAGINA,,,5277.0,18067.0,7
CPT,57556,REMOVE CERVIX REPAIR BOWEL,,,5277.0,18067.0,8
CPT,57557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57558,D&C OF CERVICAL STUMP,,,3414.79,6090.0,8
CPT,57559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57700,REVISION OF CERVIX,,,2983.0,6090.0,8
CPT,57701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57720,REVISION OF CERVIX,,,3414.79,6090.0,8
CPT,57721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57800,HC DILATION OF CERVICAL CANAL,6653.97,2328.89,2282.31,6090.0,10
CPT,57801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57820,Mammogram,,,6890.99,6890.99,1
CPT,57821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,57999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58100,HC BIOPSY ENDOCERVICAL/MATRIAL,330.24,115.59,113.27,3500.0,9
CPT,58101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58110,HC BX DONE W/COLPOSCOPY ADD-ON,302.21,105.78,51.75,3000.0,9
CPT,58111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58120,HC DILATION & CURETTAGE,6653.97,2328.89,2282.31,6090.0,10
CPT,58121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58140,MYOMECTOMY ABDOM METHOD,,,812.74,18067.0,7
CPT,58141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58145,MYOMECTOMY VAG METHOD,,,3414.79,9611.0,8
CPT,58146,MYOMECTOMY ABDOM COMPLEX,,,1012.42,18067.0,7
CPT,58147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58150,HC ABDOMINAL HYSTERECTOMY,8570.23,2999.59,931.4,19925.0,9
CPT,58151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58152,TOTAL HYSTERECTOMY,,,1087.61,19925.0,7
CPT,58153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58180,PARTIAL HYSTERECTOMY,,,865.47,19925.0,7
CPT,58181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58200,EXTENSIVE HYSTERECTOMY,,,1251.34,19925.0,7
CPT,58201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58210,EXTENSIVE HYSTERECTOMY,,,1671.03,19925.0,7
CPT,58211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58240,REMOVAL OF PELVIS CONTENTS,,,2672.76,18067.0,7
CPT,58241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58260,VAGINAL HYSTERECTOMY,,,5277.0,21649.0,8
CPT,58261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58262,VAG HYST INCLUDING T/O,,,5277.0,21649.0,8
CPT,58263,VAG HYST W/T/O & VAG REPAIR,,,5277.0,21649.0,8
CPT,58264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58267,VAG HYST W/URINARY REPAIR,,,939.38,18067.0,7
CPT,58268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58270,VAG HYST W/ENTEROCELE REPAIR,,,5277.0,21649.0,8
CPT,58271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58275,HYSTERECTOMY/REVISE VAGINA,,,875.39,19925.0,7
CPT,58276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58280,HYSTERECTOMY/REVISE VAGINA,,,931.61,19925.0,7
CPT,58281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58285,EXTENSIVE HYSTERECTOMY,,,1324.31,19925.0,7
CPT,58286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58290,VAG HYST COMPLEX,,,7822.42,30380.0,7
CPT,58291,VAG HYST INCL T/O COMPLEX,,,5277.0,18067.0,7
CPT,58292,VAG HYST T/O & REPAIR COMPL,,,7822.42,30380.0,7
CPT,58293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58293,Mammogram,,,89973.68,89973.68,1
CPT,58294,VAG HYST W/ENTEROCELE COMPL,,,5277.0,18067.0,7
CPT,58295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58300,HC IUD INSERTION,331.65,116.08,109.56,3500.0,9
CPT,58301,HC IUD DEVICE REMOVAL,607.35,212.58,208.32,3500.0,10
CPT,58302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58321,ARTIFICIAL INSEMINATION,,,321.45,5428.0,8
CPT,58322,ARTIFICIAL INSEMINATION,,,213.27,5428.0,8
CPT,58323,SPERM WASHING,,,25.22,3500.0,8
CPT,58324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58340,HC CATH/INTRO NACL/CONTRAST-SIS,461.38,161.49,158.25,3906.53,9
CPT,58341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58345,REOPEN FALLOPIAN TUBE,,,3000.0,6090.0,7
CPT,58346,INSERT HEYMAN UTERI CAPSULE,,,3200.0,8592.02,8
CPT,58347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58350,REOPEN FALLOPIAN TUBE,,,4236.0,18067.0,8
CPT,58351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58353,ENDOMETR ABLATE THERMAL,,,5277.0,18067.0,8
CPT,58354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58356,ENDOMETRIAL CRYOABLATION,,,5277.0,18067.0,7
CPT,58357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58400,SUSPENSION OF UTERUS,,,419.69,18067.0,7
CPT,58401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58410,SUSPENSION OF UTERUS,,,720.88,18067.0,7
CPT,58411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58520,REPAIR OF RUPTURED UTERUS,,,706.27,18067.0,7
CPT,58521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58540,REVISION OF UTERUS,,,809.06,18067.0,7
CPT,58541,LSH UTERUS 250 G OR LESS,,,9611.0,21649.0,8
CPT,58542,LSH W/T/O UT 250 G OR LESS,,,9611.0,30380.0,8
CPT,58543,LSH UTERUS ABOVE 250 G,,,9611.0,30380.0,8
CPT,58544,LSH W/T/O UTERUS ABOVE 250 G,,,9611.0,30380.0,8
CPT,58545,LAPAROSCOPIC MYOMECTOMY,,,6377.33,21649.0,8
CPT,58546,LAPARO-MYOMECTOMY COMPLEX,,,11213.24,30380.0,8
CPT,58547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58548,LAP RADICAL HYST,,,1721.89,18067.0,7
CPT,58549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58550,LAPARO-ASST VAG HYSTERECTOMY,,,6377.33,21649.0,8
CPT,58551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58552,LAPARO-VAG HYST INCL T/O,,,6177.0,30380.0,8
CPT,58553,LAPARO-VAG HYST COMPLEX,,,6177.0,30380.0,8
CPT,58554,LAPARO-VAG HYST W/T/O COMPL,,,6177.0,30380.0,8
CPT,58555,HC HYSTEROSCOPY DX. SEP PROC,6653.97,2328.89,2282.31,6090.0,10
CPT,58556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58558,HC HYSTEROSCOPY BIOPSY,6653.97,2328.89,2282.31,6090.0,10
CPT,58559,HYSTEROSCOPY LYSIS,,,3200.0,18067.0,8
CPT,58560,HYSTEROSCOPY RESECT SEPTUM,,,4236.0,18067.0,8
CPT,58561,HYSTEROSCOPY REMOVE MYOMA,,,4236.0,18067.0,8
CPT,58562,HC HYSTEROSCOPY SURGICAL; W REMOVAL OF IMPACTED FB,6089.11,2131.19,2088.56,6090.0,10
CPT,58563,HYSTEROSCOPY ABLATION,,,5277.0,21649.0,8
CPT,58564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58565,"HC HYSTEROSCOPY,STERILZATION",9180.72,3213.26,3148.99,21649.0,10
CPT,58566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58570,TLH UTERUS 250 G OR LESS,,,11057.0,30380.0,8
CPT,58571,TLH W/T/O 250 G OR LESS,,,11057.0,30380.0,8
CPT,58572,TLH UTERUS OVER 250 G,,,11057.0,30380.0,8
CPT,58573,TLH W/T/O UTERUS OVER 250 G,,,11057.0,30380.0,8
CPT,58574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58575,LAPS TOT HYST RESJ MAL,,,1769.27,12001.0,7
CPT,58576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58578,UNLISTED LAPS PX UTERUS,,,5583.0,19925.0,7
CPT,58579,UNLISTED HYSTSC PX UTERUS,,,213.27,5583.0,7
CPT,58580,TRANSCRV ABLTJ UTRN FIBRD RF,,,7822.42,12736.47,6
CPT,58581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58600,HC PLASTIC REPAIR OF INTROITUS,7432.85,2601.5,2549.47,6177.0,10
CPT,58601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58605,"HC TUBAL, POST VAGINAL DELIVERY",1263.77,442.32,304.08,18067.0,9
CPT,58606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58611,"HC TUBAL, POST C-SECTION FEE",656.0,229.6,64.58,18067.0,9
CPT,58612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58615,OCCLUDE FALLOPIAN TUBE(S),,,3414.79,6090.0,7
CPT,58616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58660,LAPAROSCOPY LYSIS,,,6177.0,19925.0,8
CPT,58661,LAPAROSCOPY REMOVE ADNEXA,,,6177.0,19925.0,8
CPT,58662,LAPAROSCOPY EXCISE LESIONS,,,6177.0,19925.0,8
CPT,58663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58670,LAPAROSCOPY TUBAL CAUTERY,,,4236.0,19925.0,8
CPT,58671,LAPAROSCOPY TUBAL BLOCK,,,4236.0,19925.0,8
CPT,58672,LAPAROSCOPY FIMBRIOPLASTY,,,6177.0,19925.0,8
CPT,58673,LAPAROSCOPY SALPINGOSTOMY,,,6177.0,19925.0,8
CPT,58674,LAPS ABLTJ UTERINE FIBROIDS,,,9611.0,30380.0,7
CPT,58675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58679,UNLISTED LAPS PX OVIDCT OVRY,,,5583.0,19925.0,7
CPT,58680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58700,REMOVAL OF FALLOPIAN TUBE,,,731.76,18067.0,7
CPT,58701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58720,REMOVAL OF OVARY/TUBE(S),,,699.54,18067.0,7
CPT,58721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58740,ADHESIOLYSIS TUBE OVARY,,,824.96,18067.0,7
CPT,58741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58750,REPAIR OVIDUCT,,,801.56,18067.0,7
CPT,58751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58752,REVISE OVARIAN TUBE(S),,,798.71,18067.0,7
CPT,58753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58760,FIMBRIOPLASTY,,,724.75,18067.0,7
CPT,58761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58770,CREATE NEW TUBAL OPENING,,,3414.79,9611.0,7
CPT,58771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58800,DRAINAGE OF OVARIAN CYST(S),,,3414.79,6090.0,8
CPT,58801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58805,DRAINAGE OF OVARIAN CYST(S),,,3414.79,6090.0,7
CPT,58806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58820,DRAIN OVARY ABSCESS OPEN,,,3414.79,6090.0,8
CPT,58821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58822,DRAIN OVARY ABSCESS PERCUT,,,634.02,18067.0,7
CPT,58823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58823,Mammogram,,,11215.73,11215.73,1
CPT,58824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58825,TRANSPOSITION OVARY(S),,,628.81,18067.0,7
CPT,58826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58900,BIOPSY OF OVARY(S),,,3414.79,6090.0,8
CPT,58901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58920,PARTIAL REMOVAL OF OVARY(S),,,5583.0,30380.0,7
CPT,58921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58925,REMOVAL OF OVARIAN CYST(S),,,5277.0,18067.0,7
CPT,58926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58940,REMOVAL OF OVARY(S),,,518.66,18067.0,7
CPT,58941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58943,REMOVAL OF OVARY(S),,,1127.27,18067.0,7
CPT,58944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58950,RESECT OVARIAN MALIGNANCY,,,1068.81,18067.0,7
CPT,58951,RESECT OVARIAN MALIGNANCY,,,1326.38,18067.0,7
CPT,58952,RESECT OVARIAN MALIGNANCY,,,1515.77,18067.0,7
CPT,58953,TAH RAD DISSECT FOR DEBULK,,,1837.27,18067.0,7
CPT,58954,TAH RAD DEBULK/LYMPH REMOVE,,,1985.38,18067.0,7
CPT,58955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58956,BSO OMENTECTOMY W/TAH,,,1257.62,18067.0,7
CPT,58957,Ambulatory Surgery Groups,,,18067.0,18067.0,1
CPT,58957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58957,Other Outpatient Services - CPT/HCPCS,,,2480.87,2480.87,1
CPT,58958,RESC RECR OVR TBL PP UTR MAL,,,1449.63,18067.0,7
CPT,58959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58960,EXPLORATION OF ABDOMEN,,,943.47,18067.0,7
CPT,58961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58970,RETRIEVAL OF OOCYTE,,,971.6,3603.0,8
CPT,58971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58974,EMBRYO TRANSFER INTRAUTERINE,,,971.6,3603.0,8
CPT,58975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58976,TRANSFER OF EMBRYO,,,321.45,3500.0,8
CPT,58977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,58999,UNLISTED PX FML GENITAL SYS,,,213.27,3500.0,7
CPT,59000,HC AMNIOCENTESIS,1497.54,524.14,473.0,3603.0,10
CPT,59001,HC REDUCTION OF AMNIOTIC FLUID,895.21,313.33,307.06,3500.0,10
CPT,59002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59012,HC CORDOCENTISIS INTRAUTERINE ANY METHOD,716.06,250.63,245.61,5428.0,9
CPT,59013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59015,HC CHORIONIC VILLI SAMPLING,1439.06,503.68,493.6,5428.0,9
CPT,59016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59020,HC OXYTOCIN CHALLENGE TEST,355.54,124.44,53.96,2444.0,9
CPT,59021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59025,HC NON-STRESS TEST FETAL,319.63,111.88,32.01,2444.0,10
CPT,59026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59030,FETAL SCALP BLOOD SAMPLING,,,321.45,7445.18,7
CPT,59031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59050,HC FETAL MONITORING,272.88,95.51,43.2,3336.29,9
CPT,59051,FETAL MONITOR/INTERPRET ONLY,,,35.41,5428.0,7
CPT,59052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59070,HC AMNIOINFUSION,682.78,238.98,234.19,3500.0,10
CPT,59071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59072,UMBILICAL CORD OCCLUD W/US,,,321.45,3500.0,8
CPT,59073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59074,FETAL FLUID DRAINAGE W/US,,,321.45,3500.0,8
CPT,59075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59076,FETAL SHUNT PLACEMENT W/US,,,321.45,3500.0,8
CPT,59077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59100,REMOVE UTERUS LESION,,,4236.0,8592.02,8
CPT,59101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59120,TREAT ECTOPIC PREGNANCY,,,723.06,18067.0,7
CPT,59121,TREAT ECTOPIC PREGNANCY,,,723.01,18067.0,7
CPT,59122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59130,TREAT ECTOPIC PREGNANCY,,,836.8,18067.0,7
CPT,59131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59135,Mammogram,,,61896.19,61896.19,1
CPT,59136,TREAT ECTOPIC PREGNANCY,,,793.39,18067.0,7
CPT,59137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59140,TREAT ECTOPIC PREGNANCY,,,376.89,18067.0,7
CPT,59141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59150,TREAT ECTOPIC PREGNANCY,,,6377.33,19925.0,7
CPT,59151,TREAT ECTOPIC PREGNANCY,,,6377.33,19925.0,7
CPT,59152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59160,HC CURRETAGE-POST PARTUM,6653.97,2328.89,2282.31,6090.0,10
CPT,59161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59200,HC INSERT CERV DILATOR -LAMINARIA,698.16,244.36,239.47,3500.0,10
CPT,59201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59300,HC EPISIOTOMY/VAG REPAIR BY OTHER THAN ATTENDING,5415.2,1895.32,1857.41,6090.0,9
CPT,59301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59320,HC CERCLAGE OF CERVIX,5631.51,1971.03,1931.61,6090.0,10
CPT,59321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59325,REVISION OF CERVIX,,,210.34,18067.0,7
CPT,59326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59350,REPAIR OF UTERUS,,,239.09,18067.0,7
CPT,59351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59400,OBSTETRICAL CARE,,,2192.31,12001.0,7
CPT,59401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59409,HC VAGINAL DELIVERY,3734.49,1307.08,1280.93,6090.0,9
CPT,59410,OBSTETRICAL CARE,,,955.73,12001.0,7
CPT,59411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59412,HC EXTERNAL VERSION,6653.97,2328.89,153.9,6090.0,10
CPT,59413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59414,HC DELIVERY OF PLACENTA,6653.97,2328.89,135.37,6090.0,9
CPT,59415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59425,ANTEPARTUM CARE ONLY,,,576.99,28943.93,7
CPT,59426,HC ANTEPARTUM CARE ONLY; 7 OR MORE VISITS,1410.0,493.5,483.63,1724.96,6
CPT,59427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59430,HC POST PARTUM CARE,259.05,90.67,88.85,11986.99,9
CPT,59431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59510,CESAREAN DELIVERY,,,2437.45,12001.0,7
CPT,59511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59514,HC CESAREAN SECTION DELIVERY,7524.77,2633.67,801.01,4524.0,9
CPT,59515,CESAREAN DELIVERY,,,1194.99,12001.0,7
CPT,59516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59525,HC REMOVE UTERUS AFTER CESAREAN,968.26,338.9,332.11,5428.0,9
CPT,59526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59610,VBAC DELIVERY,,,2295.06,12001.0,7
CPT,59611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59612,HC VBAC DELIVERY ONLY,6653.97,2328.89,2282.31,6090.0,9
CPT,59613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59614,VBAC CARE AFTER DELIVERY,,,1037.07,12001.0,7
CPT,59615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59618,ATTEMPTED VBAC DELIVERY,,,2461.93,12001.0,7
CPT,59619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59620,HC CESAREAN DEL ATTEMPTED VBAC,7976.25,2791.69,827.63,4524.0,9
CPT,59621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59622,ATTEMPTED VBAC AFTER CARE,,,1232.96,12001.0,7
CPT,59623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59812,HC TREATMENT OF MISCARRIAGE,6653.97,2328.89,2282.31,9611.0,10
CPT,59813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59820,HC CARE OF MISCARRIAGE,6653.97,2328.89,2282.31,9611.0,10
CPT,59821,TREATMENT OF MISCARRIAGE,,,3414.79,9611.0,8
CPT,59822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59830,TREAT UTERUS INFECTION,,,415.37,4524.0,7
CPT,59831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59840,HC INDUCED ABORTION BY D&C,6653.97,2328.89,2282.31,9611.0,10
CPT,59841,HC INDUCED ABORTION DILATION & EVACUATION,9817.5,3436.13,3367.4,9611.0,10
CPT,59842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59850,HC INDUCED ABORTION 1/> AMNIOTIC INJX W/D&C/EVACJ,5832.75,2041.47,350.04,4524.0,10
CPT,59851,HC INDUCE ABORT 1/> AMNIOT NJXS DLVR FETUS D&C,5832.75,2041.47,384.03,4524.0,10
CPT,59852,HC INDUCE ABORT 1/> AMNIOT NJXS DLVR FETUS HYSTOTM,5832.75,2041.47,525.42,4524.0,9
CPT,59853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59855,HC INDUCED ABORT 1/> VAG SUPPOSITORIES DLVR FETUS,5717.25,2001.04,380.58,5428.0,9
CPT,59856,HC INDUCED ABORT 1/> VAG SUPP DLVR FETUS D&C &/EVAC,5717.25,2001.04,441.47,5513.0,9
CPT,59857,HC INDUCED ABORT 1/> VAG SUPPOS DLVR FETUS HYSTOT,5717.25,2001.04,512.06,4524.0,9
CPT,59858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59866,ABORTION (MPR),,,321.45,5428.0,8
CPT,59867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59870,HC UTERINE EVACUATION & CURETTAGE HYDATIDIFORM MOLE,9871.75,3455.12,3386.01,9611.0,10
CPT,59871,"HC REMOVAL OF CERCLAGE SUTURE UNDER ANESTHESIA, OTHER THAN LOCAL",6491.87,2272.16,2226.71,9611.0,10
CPT,59872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59897,UNLISTED FETAL INVAS PX W/US,,,213.27,3500.0,7
CPT,59898,UNLSTD LAPS PX MAT CARE&DLVR,,,5583.0,19925.0,7
CPT,59899,HC CERCLAGE REMOVAL W/O ANESTHESIA,6491.87,2272.16,213.27,3500.0,9
CPT,59899,HC INTRAUTERINE FOLEY PLACEMENT,531.3,185.96,182.24,3500.0,9
CPT,59900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,59999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60000,I&D THYROGLSSL DUX CST INFCT,,,1636.74,5513.0,8
CPT,60001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60001,Mammogram,,,3103.17,3103.17,1
CPT,60002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,6005F,CARE LEVEL RATIONALE DOC,,,0.02,0.02,1
CPT,60060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60100,"HC BIOPSY THYROID,PERC CORE NEEDLE",1272.81,445.49,436.57,3603.0,10
CPT,60101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,6010F,DYSPHAG TEST DONE B/4 EATING,,,0.02,0.02,1
CPT,60110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,6015F,DYSPHAG TEST DONE B/4 EATING,,,0.02,0.02,1
CPT,60160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60200,REMOVE THYROID LESION,,,3200.0,19925.0,8
CPT,60201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,6020F,NPO (NOTHING-MOUTH) ORDERED,,,0.02,0.02,1
CPT,60210,PARTIAL THYROID EXCISION,,,6377.33,19925.0,7
CPT,60211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60212,PARTIAL THYROID EXCISION,,,6377.33,19925.0,7
CPT,60213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60220,PARTIAL REMOVAL OF THYROID,,,3200.0,19925.0,8
CPT,60221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60225,PARTIAL REMOVAL OF THYROID,,,4236.0,19925.0,8
CPT,60226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60240,REMOVAL OF THYROID,,,6377.33,19925.0,7
CPT,60241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60252,REMOVAL OF THYROID,,,6244.73,18067.0,7
CPT,60253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60254,EXTENSIVE THYROID SURGERY,,,1476.18,18067.0,7
CPT,60255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60260,REPEAT THYROID SURGERY,,,6244.73,18067.0,7
CPT,60261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60270,REMOVAL OF THYROID,,,1223.84,18067.0,7
CPT,60271,REMOVAL OF THYROID,,,6244.73,18067.0,7
CPT,60272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60280,REMOVE THYROID DUCT LESION,,,4883.0,19925.0,8
CPT,60281,REMOVE THYROID DUCT LESION,,,4883.0,19925.0,8
CPT,60282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60300,HC ASPIRATION THYROID CYST,1399.29,489.76,479.96,3603.0,9
CPT,60301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,6030F,MAX STERILE BARRIERS FLWD,,,0.02,0.02,1
CPT,60310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,6040F,APPRO RAD DS DVCS TECHS DOCD,,,0.02,0.02,1
CPT,60410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,6045F,RADXPS IN END RPRT4FLURO PXD,,,0.02,0.02,1
CPT,60460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60500,HC PARATHYROIDECTOMY OR EXPLORATION OF PARATHYROID(S),19141.32,6699.47,6244.73,18067.0,9
CPT,60501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60502,RE-EXPLORE PARATHYROIDS,,,6244.73,21649.0,8
CPT,60503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60505,EXPLORE PARATHYROID GLANDS,,,1206.95,18067.0,7
CPT,60506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60512,AUTOTRANSPLANT PARATHYROID,,,208.48,16142.07,7
CPT,60513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60520,REMOVAL OF THYMUS GLAND,,,6244.73,18067.0,7
CPT,60521,REMOVAL OF THYMUS GLAND,,,1073.67,18067.0,7
CPT,60522,REMOVAL OF THYMUS GLAND,,,1290.26,18067.0,7
CPT,60523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60540,EXPLORE ADRENAL GLAND,,,1007.61,18067.0,7
CPT,60541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60545,EXPLORE ADRENAL GLAND,,,1167.96,18067.0,7
CPT,60546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60600,REMOVE CAROTID BODY LESION,,,1207.07,18067.0,7
CPT,60601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60605,REMOVE CAROTID BODY LESION,,,1466.58,18067.0,7
CPT,60606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60650,LAPAROSCOPY ADRENALECTOMY,,,1095.97,19925.0,7
CPT,60651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60659,UNLISTED LAPS PX ENDOC SYS,,,5583.0,19925.0,7
CPT,60660,HC ABLTJ 1/+THYROID NODULE 1 LOBE/ISTHMUS PERQ RF,9721.44,3402.51,1742.24,5513.0,9
CPT,60661,HC ABLTJ 1/+THYR NDUL ADDL LOBE PERQ RADIOFREQUENCY,1620.24,567.09,421.63,3000.0,9
CPT,60662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60699,"HC UNLSTED PROC, ENDOCRN SYSTM",9896.78,3463.88,3000.0,12664.0,9
CPT,60700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,6070F,PT ASKED/CNSLD AED EFFECTS,,,0.02,0.02,1
CPT,60710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,6080F,PT/CAREGIVER QUERIED FALLS,,,0.02,0.02,1
CPT,60810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,6090F,PT/CAREGIVER COUNSEL SAFETY,,,0.02,0.02,1
CPT,60910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,60999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61000,REMOVE CRANIAL CAVITY FLUID,,,744.62,3603.0,8
CPT,61001,REMOVE CRANIAL CAVITY FLUID,,,744.62,3603.0,8
CPT,61002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,6100F,VERIFY PT SITE PXD DOCD,,,0.02,0.02,1
CPT,61010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,6101F,SAFETY COUNSELING DEMENTIA,,,0.02,0.02,1
CPT,61020,HC VENTRICULAR PUNCTURE IMPLANTED CATHETER/RESERVOIR; WITHOUT INJECTION,2090.42,731.65,717.01,3603.0,10
CPT,61021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61026,INJECTION INTO BRAIN CANAL,,,744.62,3603.0,8
CPT,61027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,6102F,SAFETY COUNSELING DEM ORDER,,,0.02,0.02,1
CPT,61030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61050,HC CISTERNAL OR LATERAL CERVICAL PUNCTURE; WITHOUT INJECTION,636.69,222.85,218.38,3500.0,10
CPT,61051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61055,HC PUNCT C1-C2 W/INJ,1525.18,533.82,323.8,3500.0,10
CPT,61056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61070,HC BRAIN CANAL SHUNT PROCEDURE,1251.13,437.9,429.14,3603.0,10
CPT,61071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61100,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61105,TDH SDRL/VENTR PNXR,,,499.93,5428.0,7
CPT,61106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61107,HC INTRACRANIAL PRES MONIT INS,1095.94,383.58,278.25,5428.0,10
CPT,61108,TDH PNXR EVAC&/DRG SDRL HMTA,,,925.32,12001.0,7
CPT,61109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,6110F,COUNSEL PROV DRIVING RISKS,,,0.02,0.02,1
CPT,61110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61120,BURR HOLE FOR VENTR PUNCTURE,,,769.67,12001.0,7
CPT,61121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61140,BURR HOLE/TREPH BX BRAIN/LES,,,1253.51,12001.0,7
CPT,61141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61150,BUR HOL/TRPH DRG BRN ABS/CST,,,1316.54,12001.0,7
CPT,61151,BURR HOLE/TREPH SBSQ TAPPING,,,987.04,5428.0,7
CPT,61152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61154,BURR HOLE W/EVAC&/DRG HMTMA,,,1273.97,12001.0,7
CPT,61155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61156,BURR HOL ASPIR HMTM/CST ICER,,,1205.64,12001.0,7
CPT,61157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61210,HC BURR HOLE(S); FOR IMPLANTING VENTRICULAR CATHETER,3940.32,1379.12,324.8,5428.0,10
CPT,61211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61215,INS SUBQ RSVR PMP/NFS SYS,,,4236.0,18067.0,8
CPT,61216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61250,BURR HOLE/TREPH STTL EXPL,,,875.48,5428.0,7
CPT,61251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61253,BURR HOLE TREPH ITTL UNI/BI,,,987.04,5428.0,7
CPT,61254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61304,CRNEC/CRNOT EXPL SUPRATNTORL,,,1582.18,22625.0,7
CPT,61305,CRNEC/CRNOT EXPL INFRATNTORL,,,1925.28,22625.0,7
CPT,61306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61312,CRNEC/CRNOT STTL XDRL/SDRL,,,1965.45,22625.0,7
CPT,61313,CRNEC/CRNOT STTL ICERE,,,1915.98,22625.0,7
CPT,61314,CRNEC/CRNOT ITTL XDRL/SDRL,,,1759.2,22625.0,7
CPT,61315,CRNEC/CRNOT ITTL NTRACEREBLR,,,1980.45,22625.0,7
CPT,61316,INC&SUBQ PLMT CRNL BONE GRF,,,77.28,22625.0,7
CPT,61317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61320,CRNEC/CRNOT DRG ICR ABS STTL,,,1802.89,22625.0,7
CPT,61321,CRNEC/CRNOT DRG ICR ABS ITTL,,,2031.0,22625.0,7
CPT,61322,CRNEC/CRNOT DCMPRV W/O LOBEC,,,2260.37,22625.0,7
CPT,61323,CRNEC/CRNOT DCMPRV W/LOBEC,,,2250.09,22625.0,7
CPT,61324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61330,DCMPRN ORBIT ONLY TRANSCRNL,,,3497.42,9658.0,7
CPT,61331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61332,Mammogram,,,129249.38,129249.38,1
CPT,61333,EXPL ORBIT W/REMOVAL LESION,,,1918.99,18067.0,7
CPT,61334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61334,Mammogram,,,90346.2,90346.2,1
CPT,61335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61340,SUBTEMPORAL CRANIAL DCMPRN,,,1406.95,22625.0,7
CPT,61341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61343,CRNEC SOPL CRV LAM DCMPRN,,,2072.99,22625.0,7
CPT,61344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61345,OTH CRANIAL DCMPRN PST FOSSA,,,1953.72,22625.0,7
CPT,61346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61440,Mammogram,,,127921.36,127921.36,1
CPT,61441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61450,CRNEC STPL SCTJ CMPRN/DCMPRN,,,1830.44,22625.0,7
CPT,61451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61458,CRNEC SOPL XPL/DCMPR CRL NRV,,,1928.65,22625.0,7
CPT,61459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61460,CRNEC SOPL SCTJ 1+CRNL NRV,,,2010.24,22625.0,7
CPT,61461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61470,Mammogram,,,122435.44,122435.44,1
CPT,61471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61480,Mammogram,,,126374.19,126374.19,1
CPT,61481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61490,Mammogram,,,120852.01,120852.01,1
CPT,61491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61500,CRNEC EXC TUM/BONE LES SKULL,,,1190.35,22625.0,7
CPT,61501,CRANIECTOMY F/OSTEOMYELITIS,,,1051.71,22625.0,7
CPT,61502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,6150F,PT NOTRCVNG1ST ANTITNF TXMNT,,,0.02,0.02,1
CPT,61510,CRNEC TREPH EXC BRN TUM STTL,,,2128.01,22625.0,7
CPT,61511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61512,CRNEC TREPH EXC MNGIOMA STTL,,,2414.66,22625.0,7
CPT,61513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61514,CRNEC TREPH EXC BRN ABS STTL,,,1825.74,22625.0,7
CPT,61515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61516,CRNEC TREPH EXC CYST STTL,,,1791.33,22625.0,7
CPT,61517,IMPLT BRN INTRCV CHEMOTX AGT,,,76.94,5428.0,7
CPT,61518,REMOVAL OF BRAIN LESION,,,2634.57,22625.0,7
CPT,61519,REMOVE BRAIN LINING LESION,,,2761.88,22625.0,7
CPT,61520,REMOVAL OF BRAIN LESION,,,3426.24,22625.0,7
CPT,61521,REMOVAL OF BRAIN LESION,,,2945.87,22625.0,7
CPT,61522,REMOVAL OF BRAIN ABSCESS,,,2082.37,22625.0,7
CPT,61523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61524,REMOVAL OF BRAIN LESION,,,1990.84,22625.0,7
CPT,61525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61526,REMOVAL OF BRAIN LESION,,,2984.26,22625.0,7
CPT,61527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61530,REMOVAL OF BRAIN LESION,,,2866.16,22625.0,7
CPT,61531,IMPLANT BRAIN ELECTRODES,,,1224.49,22625.0,7
CPT,61532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61533,IMPLANT BRAIN ELECTRODES,,,1481.57,22625.0,7
CPT,61534,REMOVAL OF BRAIN LESION,,,1605.81,22625.0,7
CPT,61535,REMOVE BRAIN ELECTRODES,,,1017.37,22625.0,7
CPT,61536,REMOVAL OF BRAIN LESION,,,2428.06,22625.0,7
CPT,61537,REMOVAL OF BRAIN TISSUE,,,2302.21,22625.0,7
CPT,61538,REMOVAL OF BRAIN TISSUE,,,2486.66,22625.0,7
CPT,61539,REMOVAL OF BRAIN TISSUE,,,2235.77,22625.0,7
CPT,61540,REMOVAL OF BRAIN TISSUE,,,2073.61,22625.0,7
CPT,61541,INCISION OF BRAIN TISSUE,,,2049.4,22625.0,7
CPT,61542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61542,Mammogram,,,132460.48,132460.48,1
CPT,61543,REMOVAL OF BRAIN TISSUE,,,2070.1,22625.0,7
CPT,61544,REMOVE & TREAT BRAIN LESION,,,1811.96,22625.0,7
CPT,61545,EXCISION OF BRAIN TUMOR,,,3005.76,22625.0,7
CPT,61546,REMOVAL OF PITUITARY GLAND,,,2188.62,22625.0,7
CPT,61547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61548,REMOVAL OF PITUITARY GLAND,,,1465.93,22625.0,7
CPT,61549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61550,RELEASE OF SKULL SEAMS,,,1209.46,22625.0,7
CPT,61551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61552,RELEASE OF SKULL SEAMS,,,1459.89,22625.0,7
CPT,61553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61556,INCISE SKULL/SUTURES,,,1650.53,22625.0,7
CPT,61557,INCISE SKULL/SUTURES,,,1649.9,22625.0,7
CPT,61558,EXCISION OF SKULL/SUTURES,,,1819.67,22625.0,7
CPT,61559,EXCISION OF SKULL/SUTURES,,,2303.8,22625.0,7
CPT,61560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61563,EXCISION OF SKULL TUMOR,,,1893.76,22625.0,7
CPT,61564,EXCISION OF SKULL TUMOR,,,2288.37,22625.0,7
CPT,61565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61566,REMOVAL OF BRAIN TISSUE,,,2130.45,22625.0,7
CPT,61567,INCISION OF BRAIN TISSUE,,,2425.36,22625.0,7
CPT,61568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61570,REMOVE FOREIGN BODY BRAIN,,,1802.14,22625.0,7
CPT,61571,INCISE SKULL FOR BRAIN WOUND,,,1909.08,22625.0,7
CPT,61572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61575,SKULL BASE/BRAINSTEM SURGERY,,,2363.13,22625.0,7
CPT,61576,SKULL BASE/BRAINSTEM SURGERY,,,4154.22,22625.0,7
CPT,61577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61580,CRANIOFACIAL APPROACH SKULL,,,2235.67,22625.0,7
CPT,61581,CRANIOFACIAL APPROACH SKULL,,,2391.89,22625.0,7
CPT,61582,CRANIOFACIAL APPROACH SKULL,,,3087.13,22625.0,7
CPT,61583,CRANIOFACIAL APPROACH SKULL,,,2900.2,22625.0,7
CPT,61584,ORBITOCRANIAL APPROACH/SKULL,,,2813.21,22625.0,7
CPT,61585,ORBITOCRANIAL APPROACH/SKULL,,,3225.88,22625.0,7
CPT,61586,RESECT NASOPHARYNX SKULL,,,2654.72,22625.0,7
CPT,61587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61590,INFRATEMPORAL APPROACH/SKULL,,,2670.0,22625.0,7
CPT,61591,INFRATEMPORAL APPROACH/SKULL,,,2771.21,22625.0,7
CPT,61592,ORBITOCRANIAL APPROACH/SKULL,,,3002.29,22625.0,7
CPT,61593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61595,TRANSTEMPORAL APPROACH/SKULL,,,2188.6,22625.0,7
CPT,61596,TRANSCOCHLEAR APPROACH/SKULL,,,2103.59,22625.0,7
CPT,61597,TRANSCONDYLAR APPROACH/SKULL,,,2927.45,22625.0,7
CPT,61598,TRANSPETROSAL APPROACH/SKULL,,,2825.99,22625.0,7
CPT,61599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61600,RESECT/EXCISE CRANIAL LESION,,,1925.26,22625.0,7
CPT,61601,RESECT/EXCISE CRANIAL LESION,,,2388.47,22625.0,7
CPT,61602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61605,RESECT/EXCISE CRANIAL LESION,,,1927.13,22625.0,7
CPT,61606,RESECT/EXCISE CRANIAL LESION,,,2698.58,22625.0,7
CPT,61607,RESECT/EXCISE CRANIAL LESION,,,2476.85,22625.0,7
CPT,61608,RESECT/EXCISE CRANIAL LESION,,,3115.61,22625.0,7
CPT,61609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61609,Mammogram,,,37169.69,37169.69,1
CPT,61610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61610,Mammogram,,,122119.88,122119.88,1
CPT,61611,TRANSECT ARTERY SINUS,,,413.26,5428.0,7
CPT,61612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61612,Mammogram,,,114740.97,114740.97,1
CPT,61613,REMOVE ANEURYSM SINUS,,,3162.69,22625.0,7
CPT,61614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61615,RESECT/EXCISE LESION SKULL,,,2798.83,22625.0,7
CPT,61616,RESECT/EXCISE LESION SKULL,,,3120.23,22625.0,7
CPT,61617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61618,REPAIR DURA,,,1207.33,22625.0,7
CPT,61619,REPAIR DURA,,,1542.15,22625.0,7
CPT,61620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61623,EVASC TEMP BALO ARTL OCC H/N,,,11057.0,30380.0,7
CPT,61624,"HC TRANSCATHETER PERMANENT OCCLUSION, PERC,CENTRAL NERVOUS SYSTEM",41159.78,14405.93,11244.0,31485.72,9
CPT,61625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61626,HC TRNCATH EMBO NON CNS HD/NCK,20680.19,7238.07,7093.31,30380.0,9
CPT,61627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61630,BALO ANGIOPLASTY ICR PERQ,,,1232.99,22625.0,8
CPT,61631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61635,HC INTRACRAN ANGIOPLSTY W/STENT,7873.11,2755.59,1333.3,22625.0,10
CPT,61636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61640,DILATE IC VASOSPASM INIT,,,460.52,22625.0,8
CPT,61641,DILAT IC VSPSM EA VSL SM TER,,,161.75,22625.0,8
CPT,61642,DILAT IC VSPSM EA DIFF TER,,,323.5,22625.0,8
CPT,61643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61645,HC PERQ ART M-THROMBECT &/NFS,1548.62,542.02,531.18,22133.0,9
CPT,61646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61650,EVASC PRLNG ADMN RX AGNT 1ST,,,509.8,22133.0,7
CPT,61651,EVASC PRLNG ADMN RX AGNT ADD,,,217.97,22133.0,7
CPT,61652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61680,INTRACRANIAL VESSEL SURGERY,,,2166.76,22625.0,7
CPT,61681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61682,INTRACRANIAL VESSEL SURGERY,,,3782.57,22625.0,7
CPT,61683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61684,INTRACRANIAL VESSEL SURGERY,,,2673.55,22625.0,7
CPT,61685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61686,INTRACRANIAL VESSEL SURGERY,,,4143.61,22625.0,7
CPT,61687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61690,INTRACRANIAL VESSEL SURGERY,,,2084.53,22625.0,7
CPT,61691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61692,INTRACRANIAL VESSEL SURGERY,,,3383.7,22625.0,7
CPT,61693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61697,BRAIN ANEURYSM REPR COMPLX,,,3907.39,22625.0,7
CPT,61698,BRAIN ANEURYSM REPR COMPLX,,,4262.82,22625.0,7
CPT,61699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61700,BRAIN ANEURYSM REPR SIMPLE,,,3140.99,22625.0,7
CPT,61701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61702,INNER SKULL VESSEL SURGERY,,,3727.43,22625.0,7
CPT,61703,CLAMP NECK ARTERY,,,1332.73,22625.0,7
CPT,61704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61705,REVISE CIRCULATION TO HEAD,,,2448.84,22625.0,7
CPT,61706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61708,REVISE CIRCULATION TO HEAD,,,2399.3,22625.0,7
CPT,61709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61710,REVISE CIRCULATION TO HEAD,,,2031.14,22625.0,7
CPT,61711,FUSION OF SKULL ARTERIES,,,2443.32,22625.0,7
CPT,61712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61715,MRGFUS STRTCTC ABLT TRGT ICR,,,5583.0,19138.27,6
CPT,61716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61720,INCISE SKULL/BRAIN SURGERY,,,5428.0,18067.0,7
CPT,61721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61735,INCISE SKULL/BRAIN SURGERY,,,1547.02,22625.0,7
CPT,61736,LITT ICR 1 TRAJ 1 SMPL LES,,,1108.24,18067.0,7
CPT,61737,LITT ICR MLT TRJ MLT/CPLX LS,,,1309.89,18067.0,7
CPT,61738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61750,INCISE SKULL/BRAIN BIOPSY,,,1363.81,22625.0,7
CPT,61751,BRAIN BIOPSY W/CT/MR GUIDE,,,1370.6,22625.0,7
CPT,61752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61760,IMPLANT BRAIN ELECTRODES,,,1528.64,22625.0,7
CPT,61761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61770,INCISE SKULL FOR TREATMENT,,,3603.64,21649.0,8
CPT,61771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61781,SCAN PROC CRANIAL INTRA,,,208.24,15581.88,7
CPT,61782,SCAN PROC CRANIAL EXTRA,,,143.79,11666.04,7
CPT,61783,SCAN PROC SPINAL,,,201.95,15333.33,7
CPT,61784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61790,TREAT TRIGEMINAL NERVE,,,2059.9,6090.0,8
CPT,61791,TREAT TRIGEMINAL TRACT,,,2059.9,6090.0,8
CPT,61792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61793,Mammogram,,,72038.45,72038.45,1
CPT,61794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61795,Mammogram,,,14757.09,14757.09,1
CPT,61796,SRS CRANIAL LESION SIMPLE,,,1000.25,12664.0,7
CPT,61797,SRS CRAN LES SIMPLE ADDL,,,193.57,5513.0,7
CPT,61798,SRS CRANIAL LESION COMPLEX,,,1315.18,12664.0,7
CPT,61799,SRS CRAN LES COMPLEX ADDL,,,266.8,5513.0,7
CPT,61800,APPLY SRS HEADFRAME ADD-ON,,,142.45,3500.0,7
CPT,61801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61850,IMPLANT NEUROELECTRODES,,,978.97,12001.0,7
CPT,61851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61860,IMPLANT NEUROELECTRODES,,,1504.72,22625.0,7
CPT,61861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61863,IMPLANT NEUROELECTRODE,,,1476.08,22625.0,7
CPT,61864,IMPLANT NEUROELECTRDE ADDL,,,250.78,5428.0,7
CPT,61865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61867,IMPLANT NEUROELECTRODE,,,2163.2,22625.0,7
CPT,61868,IMPLANT NEUROELECTRDE ADDL,,,441.08,5428.0,7
CPT,61869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61870,Mammogram,,,76322.89,76322.89,1
CPT,61871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61875,Mammogram,,,59426.22,59426.22,1
CPT,61876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61880,REVISE/REMOVE NEUROELECTRODE,,,3687.99,12001.0,7
CPT,61881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61885,INSRT/REDO NEUROSTIM 1 ARRAY,,,3200.0,53000.01,8
CPT,61886,IMPLANT NEUROSTIM ARRAYS,,,4236.0,53000.01,8
CPT,61887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61888,REVISE/REMOVE NEURORECEIVER,,,2983.0,30380.0,8
CPT,61889,INS SK-MNT CRNL NSTM PG/RCVR,,,1718.32,5428.0,6
CPT,61890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61891,REV/RPLCMT SK-MNT CRNL NSTM,,,5583.0,53000.01,6
CPT,61892,RMV SK-MNT CRNL NSTM PG/RCVR,,,3200.0,6987.0,6
CPT,61893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,61999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62000,TREAT SKULL FRACTURE,,,3497.42,9658.0,7
CPT,62001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62005,TREAT SKULL FRACTURE,,,1245.94,22625.0,7
CPT,62006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62010,TREATMENT OF HEAD INJURY,,,1495.31,22625.0,7
CPT,62011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62100,REPAIR BRAIN FLUID LEAKAGE,,,1439.41,22625.0,7
CPT,62101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62115,REDUCTION OF SKULL DEFECT,,,1660.81,22625.0,7
CPT,62116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62116,Mammogram,,,107309.14,107309.14,1
CPT,62117,REDUCTION OF SKULL DEFECT,,,1869.59,22625.0,7
CPT,62118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62120,REPAIR SKULL CAVITY LESION,,,2144.53,22625.0,7
CPT,62121,INCISE SKULL REPAIR,,,1429.82,22625.0,7
CPT,62122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62140,CRNOP SKULL DEFECT<5 CM DIAM,,,970.67,12001.0,7
CPT,62141,CRNOP SKULL DEFECT>5 CM DIAM,,,1103.34,12001.0,7
CPT,62142,RMVL B1 FLP/PROSTC PLATE SKL,,,894.95,12001.0,7
CPT,62143,RPL B1 FLP/PROSTC PLATE SKL,,,1032.33,12001.0,7
CPT,62144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62145,REPAIR OF SKULL & BRAIN,,,1346.34,22625.0,7
CPT,62146,CRNOP W/AUTOGRAFT<5 CM DIAM,,,1226.37,22625.0,7
CPT,62147,CRNOP W/AUTOGRAFT>5 CM DIAM,,,1340.42,22625.0,7
CPT,62148,RETR BONE FLAP TO FIX SKULL,,,111.47,5428.0,7
CPT,62149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62160,NEUROENDOSCOPY ADD-ON,,,166.85,12427.26,7
CPT,62161,DISSECT BRAIN W/SCOPE,,,1481.26,22625.0,7
CPT,62162,REMOVE COLLOID CYST W/SCOPE,,,1822.2,22625.0,7
CPT,62163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62163,Mammogram,,,79094.94,79094.94,1
CPT,62164,REMOVE BRAIN TUMOR W/SCOPE,,,2027.17,22625.0,7
CPT,62165,REMOVE PITUIT TUMOR W/SCOPE,,,1388.22,22625.0,7
CPT,62166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62180,ESTABLISH BRAIN CAVITY SHUNT,,,1547.55,22625.0,7
CPT,62181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62190,ESTABLISH BRAIN CAVITY SHUNT,,,940.44,12001.0,7
CPT,62191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62192,ESTABLISH BRAIN CAVITY SHUNT,,,1006.31,12001.0,7
CPT,62193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62194,REPLACE/IRRIGATE CATHETER,,,2059.9,6090.0,8
CPT,62195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62200,ESTABLISH BRAIN CAVITY SHUNT,,,1338.79,22625.0,7
CPT,62201,BRAIN CAVITY SHUNT W/SCOPE,,,1215.9,12001.0,7
CPT,62202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62220,ESTABLISH BRAIN CAVITY SHUNT,,,957.52,12001.0,7
CPT,62221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62223,ESTABLISH BRAIN CAVITY SHUNT,,,1017.18,12001.0,7
CPT,62224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62225,REPLACE/IRRIGATE CATHETER,,,2983.0,18067.0,8
CPT,62226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62230,REPLACE/REVISE BRAIN SHUNT,,,3200.0,18067.0,8
CPT,62231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62252,HC CSF SHUNT REPROGRAM,516.74,180.86,67.61,3500.0,10
CPT,62253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62256,REMOVE BRAIN CAVITY SHUNT,,,640.25,5513.0,7
CPT,62257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62258,REPLACE BRAIN CAVITY SHUNT,,,1092.11,18067.0,7
CPT,62259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62263,EPIDURAL LYSIS MULT SESSIONS,,,933.02,3603.0,8
CPT,62264,EPIDURAL LYSIS ON SINGLE DAY,,,933.02,3603.0,8
CPT,62265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62267,HC PRC ASP NP/ID PT FOR DIAG,2381.05,833.37,747.0,3603.0,10
CPT,62268,"HC PERCUTANEOUS ASPIRATION, SPINAL CORD CYST OF SYRINX",1748.95,612.14,599.89,3603.0,10
CPT,62269,NEEDLE BIOPSY SPINAL CORD,,,1742.24,5513.0,8
CPT,62270,HC SPINAL TAP DIAGNOSTIC,1471.83,515.15,504.84,3603.0,10
CPT,62271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62272,HC LUMBAR PUNCTURE DRAINAGE,1471.83,515.15,504.84,3603.0,10
CPT,62273,HC INJ EPIDRL BLOOD/CLOT PATCH,1452.55,508.4,498.22,3603.0,10
CPT,62274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62280,HC INJ OF SUBSTANCE INTO SPINAL CANAL FOR REMOVAL OF NERVE TISSUE IN SPACE AROUND BRAIN,2975.29,1041.36,933.02,3603.0,10
CPT,62281,TREAT SPINAL CORD LESION,,,933.02,3603.0,8
CPT,62282,TREAT SPINAL CANAL LESION,,,933.02,3603.0,8
CPT,62283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62284,"HC INJECTION FOR MYELOGRAPHY AND/OR COMPUTED TOMOGRAPHY, LUMBAR",1682.57,588.9,187.44,5676.16,9
CPT,62285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62287,DCMPRN PQ NUC PUL 1/MLT LMBR,,,2059.9,21649.0,8
CPT,62288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62290,NJX PX DISCOGRAPHY LUMBAR,,,386.22,10624.67,7
CPT,62291,NJX PX DISCOGRAPHY CRV/THRC,,,351.74,9835.4,7
CPT,62292,NJX CHEMONUCLEOLYSIS LMBR,,,2059.9,6090.0,8
CPT,62293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62294,INJECTION INTO SPINAL ARTERY,,,933.02,5583.0,8
CPT,62295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62302,HC HC MYELOGRAPH LUMB INJ CERVICAL,1649.01,577.16,565.61,4883.0,10
CPT,62303,HC HC MYELOGRAPH LUMB INJ THORAC,1649.01,577.16,565.61,4883.0,10
CPT,62304,HC HC MYELOGRAPH INJ LUMBOSACRAL,1649.01,577.16,565.61,4883.0,10
CPT,62305,HC HC MYELOGRAPH LUMB INJ >2 REGIONS,2061.26,721.45,707.01,4883.0,10
CPT,62306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62310,Mammogram,,,7175.81,7175.81,1
CPT,62311,HC INJ EPIDURAL SUBARACH L/S SGL,1835.9,642.57,629.71,5913.44,5
CPT,62312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62318,Mammogram,,,6518.47,6518.47,1
CPT,62319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62319,Mammogram,,,6297.36,6297.36,1
CPT,62320,HC NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN,1316.45,460.76,451.54,3603.0,10
CPT,62321,HC INJ THER/DX WITH IMAGING GUIDANCE,1316.99,460.95,451.73,3603.0,10
CPT,62322,HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN,1939.93,678.98,665.4,3603.0,10
CPT,62323,HC INJ THER/DX LUMBAR/SACRAL W/ GUIDANCE,4048.21,1416.88,744.62,3603.0,10
CPT,62324,HC NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN,1658.36,580.43,568.82,3603.0,10
CPT,62325,NJX INTERLAMINAR CRV/THRC,,,933.02,3603.0,8
CPT,62326,HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN,1658.36,580.43,568.82,3603.0,10
CPT,62327,NJX INTERLAMINAR LMBR/SAC,,,933.02,3603.0,8
CPT,62328,HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT,1608.87,563.11,551.84,3603.0,10
CPT,62329,HC THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT,1608.87,563.11,551.84,3603.0,10
CPT,62330,DCMPRN PRQ RMV LIG FLV 1LMBR,,,4344.0,12463.0,5
CPT,62331,DCMPRN PRQ RMV LIG FLV ADDL,,,190.17,4344.0,5
CPT,62332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62350,"HC IMPLANT, REVISE, REPOSITION TUNNELED INTRATHECAL/EPDURAL CATHETER",14181.67,4963.59,3200.0,18067.0,10
CPT,62351,IMPLANT SPINAL CANAL CATH,,,3200.0,22625.0,8
CPT,62352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62355,REMOVE SPINAL CANAL CATHETER,,,2059.9,6090.0,8
CPT,62356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62360,INSERT SPINE INFUSION DEVICE,,,3200.0,52872.0,8
CPT,62361,IMPLANT SPINE INFUSION PUMP,,,3200.0,52872.0,8
CPT,62362,IMPLANT SPINE INFUSION PUMP,,,3200.0,52872.0,8
CPT,62363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62365,REMOVE SPINE INFUSION DEVICE,,,3200.0,18067.0,8
CPT,62366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62367,ANALYZE SPINE INFUS PUMP,,,323.99,3500.0,8
CPT,62368,ANALYZE SP INF PUMP W/REPROG,,,323.99,3500.0,8
CPT,62369,ANAL SP INF PMP W/REPRG&FILL,,,159.18,3500.0,7
CPT,62370,ANL SP INF PMP W/MDREPRG&FIL,,,323.99,3500.0,7
CPT,62371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62380,NDSC DCMPRN 1 NTRSPC LUMBAR,,,7654.46,22625.0,7
CPT,62381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,62999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63001,REMOVE SPINE LAMINA 1/2 CRVL,,,7654.46,22625.0,8
CPT,63002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63003,REMOVE SPINE LAMINA 1/2 THRC,,,7654.46,22625.0,8
CPT,63004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63005,REMOVE SPINE LAMINA 1/2 LMBR,,,7654.46,22625.0,8
CPT,63006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63011,REMOVE SPINE LAMINA 1/2 SCRL,,,7654.46,22625.0,8
CPT,63012,REMOVE LAMINA/FACETS LUMBAR,,,7654.46,22625.0,8
CPT,63013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63015,REMOVE SPINE LAMINA >2 CRVCL,,,7654.46,22625.0,8
CPT,63016,REMOVE SPINE LAMINA >2 THRC,,,7654.46,22625.0,8
CPT,63017,REMOVE SPINE LAMINA >2 LMBR,,,6479.0,22625.0,8
CPT,63018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63020,LAMOT DCMPRN NRV RT 1 CERV,,,5583.0,22625.0,8
CPT,63021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63030,LAMOT DCMPRN NRV RT 1 LMBR,,,7654.46,22625.0,8
CPT,63031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63032,LAMOT RPR ANULR DFCT 1 LMBR,,,133.19,4344.0,5
CPT,63033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63035,LAMOT DCMPRN NRV RT EA ADDL,,,202.04,21649.0,8
CPT,63036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63040,LAMINOTOMY SINGLE CERVICAL,,,7654.46,22625.0,8
CPT,63041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63042,LAMINOTOMY SINGLE LUMBAR,,,7654.46,22625.0,8
CPT,63043,LAMINOTOMY ADDL CERVICAL,,,3000.0,21649.0,3
CPT,63044,LAMINOTOMY ADDL LUMBAR,,,3000.0,21649.0,3
CPT,63045,LAM FACETEC & FORAMOT CRV,,,7654.46,22625.0,8
CPT,63046,LAM FACETEC & FORAMOT THRC,,,7654.46,22625.0,8
CPT,63047,LAM FACETEC & FORAMOT LUMBAR,,,7654.46,22625.0,8
CPT,63048,LAM FACETEC &FORAMOT EA ADDL,,,183.1,21649.0,8
CPT,63049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63050,CERVICAL LAMINOPLSTY 2/> SEG,,,1388.82,22625.0,7
CPT,63051,C-LAMINOPLASTY W/GRAFT/PLATE,,,1561.08,22625.0,7
CPT,63052,LAM FACETC/FRMT ARTHRD LUM 1,,,224.55,21649.0,8
CPT,63053,LAM FACTC/FRMT ARTHRD LUM EA,,,200.0,21649.0,8
CPT,63054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63055,DECOMPRESS SPINAL CORD THRC,,,7654.46,22625.0,8
CPT,63056,DECOMPRESS SPINAL CORD LMBR,,,7654.46,22625.0,8
CPT,63057,DECOMPRESS SPINE CORD ADD-ON,,,280.46,21305.08,7
CPT,63058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63064,DECOMPRESS SPINAL CORD THRC,,,5428.0,22625.0,8
CPT,63065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63066,DECOMPRESS SPINE CORD ADD-ON,,,181.63,13571.65,7
CPT,63067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63075,NECK SPINE DISK SURGERY,,,7654.46,22625.0,7
CPT,63076,NECK SPINE DISK SURGERY,,,212.25,16152.85,7
CPT,63077,SPINE DISK SURGERY THORAX,,,1311.95,22625.0,7
CPT,63078,SPINE DISK SURGERY THORAX,,,182.66,5428.0,7
CPT,63079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63081,REMOVE VERT BODY DCMPRN CRVL,,,1640.39,22625.0,7
CPT,63082,REMOVE VERTEBRAL BODY ADD-ON,,,231.78,5428.0,7
CPT,63083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63085,REMOVE VERT BODY DCMPRN THRC,,,1795.57,22625.0,7
CPT,63086,REMOVE VERTEBRAL BODY ADD-ON,,,166.82,5428.0,7
CPT,63087,REMOV VERTBR DCMPRN THRCLMBR,,,2230.85,22625.0,7
CPT,63088,REMOVE VERTEBRAL BODY ADD-ON,,,228.56,5428.0,7
CPT,63089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63090,REMOVE VERT BODY DCMPRN LMBR,,,1803.73,22625.0,7
CPT,63091,REMOVE VERTEBRAL BODY ADD-ON,,,154.94,5428.0,7
CPT,63092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63100,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63101,REMOVE VERT BODY DCMPRN THRC,,,2186.15,22625.0,7
CPT,63102,REMOVE VERT BODY DCMPRN LMBR,,,2146.18,22625.0,7
CPT,63103,REMOVE VERTEBRAL BODY ADD-ON,,,256.5,5428.0,7
CPT,63104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63170,INCISE SPINAL CORD TRACT(S),,,1552.88,22625.0,8
CPT,63171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63172,DRAINAGE OF SPINAL CYST,,,1378.04,22625.0,8
CPT,63173,DRAINAGE OF SPINAL CYST,,,1669.84,22625.0,8
CPT,63174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63180,Mammogram,,,95746.98,95746.98,1
CPT,63181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63182,Mammogram,,,105038.97,105038.97,1
CPT,63183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63185,INCISE SPINE NRV HALF SEGMNT,,,1223.72,22625.0,8
CPT,63186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63190,INCISE SPINE NRV >2 SEGMNTS,,,1127.89,22625.0,8
CPT,63191,INCISE SPINE ACCESSORY NERVE,,,1359.41,22625.0,8
CPT,63192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63194,Mammogram,,,105429.63,105429.63,1
CPT,63195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63195,Mammogram,,,100942.82,100942.82,1
CPT,63196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63196,Mammogram,,,117278.56,117278.56,1
CPT,63197,LAM W/CORDOTOMY 1STG THRC,,,1656.95,22625.0,8
CPT,63198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63198,Mammogram,,,137412.91,137412.91,1
CPT,63199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63199,Mammogram,,,143875.15,143875.15,1
CPT,63200,RELEASE SPINAL CORD LUMBAR,,,1514.53,22625.0,8
CPT,63201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63250,REVISE SPINAL CORD VSLS CRVL,,,2770.92,22625.0,8
CPT,63251,REVISE SPINAL CORD VSLS THRC,,,2841.2,22625.0,8
CPT,63252,REVISE SPINE CORD VSL THRLMB,,,2840.51,22625.0,8
CPT,63253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63265,EXCISE INTRASPINL LESION CRV,,,7654.46,22625.0,8
CPT,63266,EXCISE INTRSPINL LESION THRC,,,7654.46,22625.0,8
CPT,63267,EXCISE INTRSPINL LESION LMBR,,,6090.0,22625.0,8
CPT,63268,EXCISE INTRSPINL LESION SCRL,,,7654.46,22625.0,8
CPT,63269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63270,EXCISE INTRSPINL LESION CRVL,,,1986.02,22625.0,8
CPT,63271,EXCISE INTRSPINL LESION THRC,,,1976.63,22625.0,8
CPT,63272,EXCISE INTRSPINL LESION LMBR,,,1800.25,22625.0,8
CPT,63273,EXCISE INTRSPINL LESION SCRL,,,1799.65,22625.0,8
CPT,63274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63275,BX/EXC XDRL SPINE LESN CRVL,,,1706.44,22625.0,8
CPT,63276,BX/EXC XDRL SPINE LESN THRC,,,1701.37,22625.0,8
CPT,63277,BX/EXC XDRL SPINE LESN LMBR,,,1484.14,22625.0,8
CPT,63278,BX/EXC XDRL SPINE LESN SCRL,,,1556.95,22625.0,8
CPT,63279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63280,BX/EXC IDRL SPINE LESN CRVL,,,2027.14,22625.0,8
CPT,63281,BX/EXC IDRL SPINE LESN THRC,,,2011.34,22625.0,8
CPT,63282,BX/EXC IDRL SPINE LESN LMBR,,,1906.42,22625.0,8
CPT,63283,BX/EXC IDRL SPINE LESN SCRL,,,1842.81,22625.0,8
CPT,63284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63285,BX/EXC IDRL IMED LESN CERVL,,,2473.19,22625.0,8
CPT,63286,BX/EXC IDRL IMED LESN THRC,,,2444.84,22625.0,8
CPT,63287,BX/EXC IDRL IMED LESN THRLMB,,,2586.29,22625.0,8
CPT,63288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63290,BX/EXC XDRL/IDRL LSN ANY LVL,,,2628.21,22625.0,8
CPT,63291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63295,REPAIR LAMINECTOMY DEFECT,,,292.76,22625.0,8
CPT,63296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63300,REMOVE VERT XDRL BODY CRVCL,,,1717.16,22625.0,7
CPT,63301,REMOVE VERT XDRL BODY THRC,,,2111.01,22625.0,7
CPT,63302,REMOVE VERT XDRL BODY THRLMB,,,2088.01,22625.0,7
CPT,63303,REMOV VERT XDRL BDY LMBR/SAC,,,2195.06,22625.0,7
CPT,63304,REMOVE VERT IDRL BODY CRVCL,,,2238.29,22625.0,7
CPT,63305,REMOVE VERT IDRL BODY THRC,,,2372.28,22625.0,7
CPT,63306,REMOV VERT IDRL BDY THRCLMBR,,,2333.54,22625.0,7
CPT,63307,REMOV VERT IDRL BDY LMBR/SAC,,,2278.96,22625.0,7
CPT,63308,REMOVE VERTEBRAL BODY ADD-ON,,,281.24,5428.0,7
CPT,63309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63600,REMOVE SPINAL CORD LESION,,,2059.9,6090.0,8
CPT,63601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63610,STIMULATION OF SPINAL CORD,,,2059.9,5513.0,8
CPT,63611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63615,Mammogram,,,80717.21,80717.21,1
CPT,63616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63620,SRS SPINAL LESION,,,1097.59,12664.0,7
CPT,63621,SRS SPINAL LESION ADDL,,,223.3,5513.0,7
CPT,63622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63650,IMPLANT NEUROELECTRODES,,,3200.0,30380.0,8
CPT,63651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63655,IMPLANT NEUROELECTRODES,,,11057.0,52872.0,8
CPT,63656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63660,Mammogram,,,25481.59,25481.59,1
CPT,63661,REMOVE SPINE ELTRD PERQ ARAY,,,2059.9,10856.0,8
CPT,63662,REMOVE SPINE ELTRD PLATE,,,3000.0,12001.0,8
CPT,63663,REVISE SPINE ELTRD PERQ ARAY,,,3000.0,30380.0,8
CPT,63664,REVISE SPINE ELTRD PLATE,,,3000.0,52872.0,8
CPT,63665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63685,INS/RPLC SPI NPG/RCVR POCKET,,,3200.0,53000.01,8
CPT,63686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63688,REV/RMV IMP SP NPG/R DTCH CN,,,2983.0,12001.0,8
CPT,63689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63700,REPAIR OF SPINAL HERNIATION,,,1310.5,12001.0,7
CPT,63701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63702,REPAIR OF SPINAL HERNIATION,,,1418.44,12001.0,7
CPT,63703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63704,REPAIR OF SPINAL HERNIATION,,,1652.05,22625.0,7
CPT,63705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63706,REPAIR OF SPINAL HERNIATION,,,1815.49,22625.0,7
CPT,63707,REPAIR SPINAL FLUID LEAKAGE,,,924.82,12001.0,7
CPT,63708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63709,REPAIR SPINAL FLUID LEAKAGE,,,1078.35,12001.0,7
CPT,63710,GRAFT REPAIR OF SPINE DEFECT,,,1042.58,12001.0,7
CPT,63711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63740,INSTALL SPINAL SHUNT,,,1003.37,12001.0,7
CPT,63741,INSTALL SPINAL SHUNT,,,3200.0,18067.0,7
CPT,63742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63744,REVISION OF SPINAL SHUNT,,,3603.64,18067.0,8
CPT,63745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63746,REMOVAL OF SPINAL SHUNT,,,2059.9,6090.0,8
CPT,63747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,63999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64100,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64400,HC TRIGEMINAL NERVE BLOCK,575.56,201.45,197.42,3500.0,10
CPT,64401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64402,Mammogram,,,5506.62,5506.62,1
CPT,64403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64405,HC OCCIPTAL NERVE BLOCK,949.39,332.29,323.8,3500.0,10
CPT,64406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64408,HC INJECTION OF ANESTHETIC AGENT AND OR STEROID: VAGUS NERVE INCLUDES LARYNGEAL NERVE,945.55,330.95,323.8,3500.0,10
CPT,64409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64410,Mammogram,,,5428.22,5428.22,1
CPT,64411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64412,Mammogram,,,4722.74,4722.74,1
CPT,64413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64413,Mammogram,,,5309.64,5309.64,1
CPT,64414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64415,HC BRACHIAL PLEXUS/INTERSCALENE,5340.89,1869.32,933.02,3603.0,10
CPT,64416,HC INJ ANES BRACH CONT,1525.18,533.82,523.14,3603.0,10
CPT,64417,HC AXILLARY NERVE,1665.53,582.94,571.28,3603.0,10
CPT,64418,"HC INJ, ANESTHETIC AGENT(S) &/OR STEROID, TRIGEMINAL NERVE, EA BRANCH:SUPRASCAPULAR NERVE",1678.22,587.38,575.63,3603.0,10
CPT,64419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64420,HC INTERCOSTAL NERVE BLK SINGLE,1471.83,515.15,504.84,3603.0,10
CPT,64421,HC INJ ANS AGNT NTRCSTL NRV MLT,1796.7,628.85,616.27,3603.0,10
CPT,64422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64425,HC ILIOINGUINAL NERVE BLOCK,1111.01,388.86,381.08,3603.0,10
CPT,64426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64430,HC INJECTION AA&/STRD PUDENDAL NERVE,2107.35,737.58,722.82,3603.0,10
CPT,64431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64435,HC PARACERVICAL NERVE BLOCK,1471.83,515.15,504.84,1212.39,6
CPT,64436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64445,HC SCIATIC NERVE BLOCK,1452.55,508.4,498.22,3603.0,10
CPT,64446,NJX AA&/STRD SC NRV NFS IMG,,,933.02,5428.0,8
CPT,64447,"HC N BLOCK INJ FEM, SINGLE",1219.48,426.82,418.28,5428.0,10
CPT,64448,HC INJ ANES FEMORAL CONT,1525.18,533.82,523.14,5428.0,10
CPT,64449,NJX AA&/STRD LMBR PLEX NFS,,,933.02,3603.0,8
CPT,64450,HC INJ NERVE BLOCK OTH PERIPHERAL,1471.83,515.15,504.84,3603.0,10
CPT,64451,HC INJECTION AA&/STRD NERVES NRVTG SI JOINT W/IMG,1608.87,563.11,551.84,3603.0,10
CPT,64452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64454,HC INJECTION AA&/STRD GENICULAR NRV BRANCHES W/IMG,1608.87,563.11,551.84,3603.0,10
CPT,64455,HC N BLOCK INJ PLANTAR DIGIT,542.32,189.82,186.02,3500.0,9
CPT,64456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64461,"HC PARAVERTEBRAL BLOCK (PVB)(PARASPINOUS BLOCK), THORACIC; SINGLE INJ SITE (INCLUDES IMAGE GUIDANCE)",1557.89,545.27,534.36,3603.0,9
CPT,64462,HC PVB SECOND & ANY ADDL INJECTION SITES INCLUDES IMAGING GUIDANCE WHEN PERFORMED,735.92,257.58,80.55,3263.28,9
CPT,64463,PVB THORACIC CONT INFUSION,,,744.62,3603.0,7
CPT,64464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64466,"HC THORACIC FASCIAL PLANE BLOCK, UNILATERAL; BY INJECTION(S), INCLUDING IMAGE GUIDANCE, WHEN PERFORM",1660.0,581.0,147.18,3000.0,10
CPT,64467,HC THORACIC FASCIAL PLANE BLOCK UNI CONT INFUSION,1660.0,581.0,282.69,3000.0,10
CPT,64468,HC THORACIC FASCIAL PLANE BLOCK BI INJECTION,3565.0,1247.75,170.6,3000.0,10
CPT,64469,HC THORACIC FASCIAL PLANE BLOCK BI CONT INFUSION,3565.0,1247.75,439.18,3000.0,10
CPT,64470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64470,Mammogram,,,6161.38,6161.38,1
CPT,64471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64472,Mammogram,,,3923.31,3923.31,1
CPT,64473,"HC LOWER EXTREMITY FASCIAL PLANE BLOCK, UNILATERAL, BY INJECTION, WITH IMAGE GUIDANCE WHEN PERFORMED",1660.0,581.0,139.81,3000.0,10
CPT,64474,HC LOWER XTR FASCIAL PLANE BLOCK UNI CONT INFUSION,1660.0,581.0,278.99,3000.0,10
CPT,64475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64475,Mammogram,,,4853.33,4853.33,1
CPT,64476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64476,Mammogram,,,2935.59,2935.59,1
CPT,64477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64479,HC IJ AN A/R ST TRFRML EP C/T SGL,2158.65,755.53,740.42,3603.0,10
CPT,64480,HC INJ FORAMEN EPIDURAL ADD-ON,738.19,258.37,149.03,4123.6,9
CPT,64481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64483,HC INJ EPIDURAL LUMBAR/SACRAL SGL,1804.83,631.7,619.06,3603.0,10
CPT,64484,HC INJ EPIDURAL LUMBAR/SACRAL ADD,923.76,323.32,122.64,3464.3,9
CPT,64485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64486,"HC TRANSVERSUS ABDOMINIS BLOCK, UNILATERAL; BY INJECTION",3975.66,1391.49,130.74,3693.5,9
CPT,64487,TAP BLOCK UNI BY INFUSION,,,257.81,4238.26,7
CPT,64488,HC TRANSVERSE ABDOMINIS PLANE BLOCK BILATERAL BY INJECTIONS,5935.23,2077.34,153.57,4583.95,9
CPT,64489,TAP BLOCK BI BY INFUSION,,,424.56,5225.97,7
CPT,64490,HC FACET JT NERVE INJ SINGLE-C/T,1796.7,628.85,616.27,3603.0,10
CPT,64491,HC FACET JT NERVE INJ C/T EA ADDL,988.46,345.97,105.39,3984.93,9
CPT,64492,HC INJ DIAG OR THERAPEUTIC AGENT PARAVERTEBRAL FACET JOINT W IMAGE GUIDANCE CERVICAL OR THORACIC,336.89,117.92,105.93,4056.59,9
CPT,64493,HC HC INJ PRVRT FCT JT WIMG L/S SL,1796.7,628.85,616.27,3603.0,10
CPT,64494,HC INJ PRVRT FCT JT WIMG L/S 2L,492.28,172.3,99.54,3440.78,9
CPT,64495,HC HC INJ PARAVERT F JNT L/S 3 LEV,639.25,223.74,102.74,3488.43,9
CPT,64496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64505,"HC INJECTION, ANESTHETIC AGENT; SPHENOPALATINE GANGLION",980.46,343.17,323.8,3500.0,10
CPT,64506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64508,Mammogram,,,3934.7,3934.7,1
CPT,64509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64510,HC INJECTION ANESTHETIC AGENT STELLATE GANGLION,1972.31,690.31,676.5,3603.0,10
CPT,64511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64517,"HC INJECTION, ANESTHETIC AGENT; SUPERIOR HYPOGASTRIC PLEXUS",1961.7,686.6,672.86,3603.0,10
CPT,64518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64520,"HC INJECTION, ANESTHETIC AGENT; LUMBAR OR THORACIC",1972.31,690.31,676.5,3603.0,10
CPT,64521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64530,HC INJ ANESTHETIC CELIAC PLEXUS,1796.7,628.85,616.27,3603.0,10
CPT,64531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64550,Mammogram,,,595.72,595.72,1
CPT,64551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64553,IMPLANT NEUROELECTRODES,,,2983.0,30380.0,8
CPT,64554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64555,IMPLANT NEUROELECTRODES,,,3000.0,30380.0,7
CPT,64556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64560,Mammogram,,,11010.67,11010.67,1
CPT,64561,IMPLANT NEUROELECTRODES,,,4236.0,30380.0,8
CPT,64562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64565,Mammogram,,,8856.38,8856.38,1
CPT,64566,HC NEUROELTRD STIM POST TIBIAL,503.36,176.18,172.65,3500.0,10
CPT,64567,PERQ ELEC NRV FIELD STIMJ CN,,,956.76,4344.0,5
CPT,64568,OPN IMPLTJ CRNL NRV NEA&PG,,,3200.0,75652.55,7
CPT,64569,REVISE/REPL VAGUS N ELTRD,,,3200.0,30380.0,8
CPT,64570,REMOVE VAGUS N ELTRD,,,3000.0,21649.0,8
CPT,64571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64573,Mammogram,,,35513.36,35513.36,1
CPT,64574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64575,OPN IMPLTJ NEA PERPH NERVE,,,2983.0,52872.0,8
CPT,64576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64577,Mammogram,,,22117.87,22117.87,1
CPT,64578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64580,OPN IMPLTJ NEA NEUROMUSCULAR,,,2983.0,52872.0,8
CPT,64581,OPN IMPLTJ NEA SACRAL NERVE,,,4236.0,30380.0,8
CPT,64582,OPN MPLTJ HPGLSL NSTM ARY PG,,,3200.0,53000.01,7
CPT,64583,REV/RPLCT HPGLSL NSTM ARY PG,,,3200.0,30380.0,7
CPT,64584,RMVL HPGLSL NSTIM ARY PG,,,3000.0,18067.0,7
CPT,64585,REV/RMV PERPH NSTIM ELTRD RA,,,2983.0,12001.0,8
CPT,64586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64590,INS/RPL PRPH SAC/GSTR NPG/R,,,3200.0,52872.0,8
CPT,64591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64595,REV/RMV PRPH SAC/GSTR NPG/R,,,2983.0,12001.0,8
CPT,64596,INS/RPLCMT PRQ ELTRD RA PN 1,,,3200.0,19138.27,6
CPT,64597,INS/RPLCM PRQ ELTRD RA PN EA,,,2444.0,3000.0,2
CPT,64598,REVJ/RMVL NEA PN W/INT NSTIM,,,3000.0,6987.0,6
CPT,64599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64600,INJECTION TREATMENT OF NERVE,,,933.02,3603.0,8
CPT,64601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64605,INJECTION TREATMENT OF NERVE,,,2059.9,6090.0,8
CPT,64606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64610,INJECTION TREATMENT OF NERVE,,,2059.9,6090.0,8
CPT,64611,HC CHEMODENERV SALIV GLANDS,542.33,189.82,186.02,3500.0,9
CPT,64612,HC DESTROY NERVE FACE MUSCLE,542.33,189.82,186.02,3500.0,10
CPT,64613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64613,Mammogram,,,10661.54,10661.54,1
CPT,64614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64614,Mammogram,,,11216.35,11216.35,1
CPT,64615,HC CHEMODENERV MUSC MIGRAINE,542.33,189.82,186.02,3500.0,9
CPT,64616,HC CHEMODENERV MUSC NECK DYSTON,542.32,189.82,186.02,3500.0,9
CPT,64617,HC CHEMODENERVATION MUSCLE LARYNX UNILAT W/EMG,1413.81,494.84,484.94,3603.0,9
CPT,64618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64620,"HC DESTRUCTION BY NEUROLYTIC AGENT, INTERCOSTAL NERVE",2195.66,768.49,753.11,3603.0,10
CPT,64621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64622,Mammogram,,,12366.25,12366.25,1
CPT,64623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64623,Mammogram,,,3357.73,3357.73,1
CPT,64624,HC DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG,4425.59,1548.96,1517.98,6090.0,10
CPT,64625,HC RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN,4425.59,1548.96,1517.98,10856.0,10
CPT,64626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64626,Mammogram,,,16785.44,16785.44,1
CPT,64627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64627,Mammogram,,,3948.79,3948.79,1
CPT,64628,HC THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC,32035.81,11212.54,9611.0,30380.0,9
CPT,64629,HC THERMAL DSTRJ INTRAOSSEOUS BVN EA ADDL LMBR/SAC,16017.9,5606.27,167.97,14194.81,9
CPT,64630,INJECTION TREATMENT OF NERVE,,,933.02,3603.0,8
CPT,64631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64632,N BLOCK INJ COMMON DIGIT,,,323.8,3500.0,7
CPT,64633,"HC DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE(S)",4207.93,1472.78,1443.32,6090.0,10
CPT,64634,HC CERVICAL OR THORACIC; EACH ADDITIONAL FACET JOINT,2213.04,774.57,280.22,4492.81,9
CPT,64635,"HC DESTRUCTION BY NEUROLYTIC AGENT LUMBAR OR SACRAL, SINLE FACET JOINT",4190.34,1466.62,1437.29,6177.0,10
CPT,64636,"HC DESTRUCTION BY NEUROLYTIC AGENT, LUMBAR OR SACRAL EACH ADDITIONAL FACET JOINT",1560.96,546.34,264.6,3966.8,9
CPT,64637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64640,HC DESTRUCTION BY NEUROLYTIC AGENT OTHER PERIPHERAL NERVE/BRANCH,1753.72,613.81,601.53,3603.0,10
CPT,64641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64642,HC CHEMODENERV 1 EXTREMITY 1-4,1471.83,515.15,504.84,3603.0,9
CPT,64643,HC CHEMODENERV 1 EXTREM 1-4 EA,474.71,166.15,102.02,4714.66,9
CPT,64644,HC CHEMODENERV 1 EXTREM 5/> MUS,1471.83,515.15,504.84,3603.0,9
CPT,64645,HC CHEMODENERVATION 1 EXTREMITY EA ADDL 5/> MUSCLES,804.53,281.59,132.31,5456.4,9
CPT,64646,HC CHEMODENERV TRUNK MUSC 1-5,1471.83,515.15,504.84,3603.0,9
CPT,64647,HC CHEMODENERVATION OF TRUNK MUSCLES; 6 OR MORE MUSCLES,1864.86,652.71,639.65,3603.0,9
CPT,64648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64650,HC CHEMODENERV ECCRINE AXILLAE,567.2,198.52,194.55,3500.0,10
CPT,64651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64653,CHEMODENERV ECCRINE GLANDS,,,323.8,3500.0,8
CPT,64654,1ST OPN IMPLT BAT MODULJ SYS,,,4344.0,75652.55,5
CPT,64655,REVJ/RPLCMT BAT MOD SYS LEAD,,,3687.99,6004.78,5
CPT,64656,REVJ/RPLCMT BAT MOD SYS PG,,,4344.0,53000.01,5
CPT,64657,RMVL BAT MODULJ SYS TOT SYS,,,3603.64,5867.45,5
CPT,64658,RMVL BAT MODUL SYS LEAD ONLY,,,3687.99,6004.78,5
CPT,64659,RMVL BAT MODULJ SYS PG ONLY,,,3687.99,6004.78,5
CPT,64660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64680,HC DESTRUCT NEUROLYTIC CELIAC PLEXUS,2114.41,740.05,725.24,3603.0,10
CPT,64681,HC DESTRUCTION BY NEUROLYTICAGENT SUPERIOR HYPOGASTRIC PLEXUS,2300.05,805.02,788.92,3603.0,10
CPT,64682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64702,REVISE FINGER/TOE NERVE,,,2059.9,6090.0,8
CPT,64703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64704,REVISE HAND/FOOT NERVE,,,2059.9,6090.0,8
CPT,64705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64708,REVISE ARM/LEG NERVE,,,2059.9,6090.0,8
CPT,64709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64712,REVISION OF SCIATIC NERVE,,,2059.9,6090.0,8
CPT,64713,REVISION OF ARM NERVE(S),,,2059.9,6090.0,8
CPT,64714,REVISE LOW BACK NERVE(S),,,2059.9,6090.0,8
CPT,64715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64716,REVISION OF CRANIAL NERVE,,,2059.9,6090.0,8
CPT,64717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64718,HC REVISE ULNAR NERVE AT ELBOW,4213.28,1474.65,1445.16,6090.0,10
CPT,64719,REVISE ULNAR NERVE AT WRIST,,,2059.9,6090.0,8
CPT,64720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64721,HC CARPAL TUNNEL SURGERY,4190.34,1466.62,1437.29,6090.0,10
CPT,64722,HC RELIEVE PRESSURE ON NERVE(S),4190.34,1466.62,1437.29,6090.0,10
CPT,64723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64726,DCMPRN PLANTAR DIGITAL NERVE,,,2059.9,6090.0,8
CPT,64727,INTERNAL NEUROLYSIS,,,146.53,12126.4,7
CPT,64728,DCMPRN MEDIAN NRV CARPL TUNL,,,2059.9,4344.0,5
CPT,64729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64732,INCISION OF BROW NERVE,,,2059.9,5513.0,8
CPT,64733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64734,INCISION OF CHEEK NERVE,,,2059.9,5513.0,8
CPT,64735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64736,INCISION OF CHIN NERVE,,,2059.9,5513.0,8
CPT,64737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64738,INCISION OF JAW NERVE,,,2059.9,5513.0,8
CPT,64739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64740,INCISION OF TONGUE NERVE,,,2059.9,6090.0,8
CPT,64741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64742,INCISION OF FACIAL NERVE,,,2059.9,6090.0,8
CPT,64743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64744,INCISE NERVE BACK OF HEAD,,,2059.9,6090.0,8
CPT,64745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64746,INCISE DIAPHRAGM NERVE,,,2059.9,5513.0,8
CPT,64747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64752,Mammogram,,,31885.53,31885.53,1
CPT,64753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64755,INCISION OF STOMACH NERVES,,,863.25,18067.0,7
CPT,64756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64760,INCISION OF VAGUS NERVE,,,511.82,5428.0,7
CPT,64761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64761,Mammogram,,,30099.72,30099.72,1
CPT,64762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64763,INCISE HIP/THIGH NERVE,,,2059.9,5513.0,8
CPT,64764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64766,INCISE HIP/THIGH NERVE,,,2059.9,18067.0,8
CPT,64767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64771,SEVER CRANIAL NERVE,,,2059.9,6090.0,8
CPT,64772,"HC TRANSECT OTHR SPINAL N,XTRADURAL (AKA HB TRANSECT OTHER SPINAL N, XTRADURAL)",6191.23,2166.94,2059.9,6090.0,10
CPT,64773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64774,REMOVE SKIN NERVE LESION,,,2059.9,6090.0,8
CPT,64775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64776,"HC EXCISION OF NEUROMA, DIGITAL NERVE, 1 OR BOTH, SAME DIGIT",7865.1,2752.79,2059.9,6090.0,10
CPT,64777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64778,DIGIT NERVE SURGERY ADD-ON,,,153.59,12094.18,7
CPT,64779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64782,REMOVE LIMB NERVE LESION,,,2059.9,6090.0,8
CPT,64783,LIMB NERVE SURGERY ADD-ON,,,183.58,14401.22,7
CPT,64784,REMOVE NERVE LESION,,,2059.9,6090.0,8
CPT,64785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64786,REMOVE SCIATIC NERVE LESION,,,3603.64,18067.0,8
CPT,64787,IMPLANT NERVE END,,,202.44,15813.77,7
CPT,64788,REMOVE SKIN NERVE LESION,,,2059.9,6090.0,8
CPT,64789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64790,REMOVAL OF NERVE LESION,,,2059.9,6090.0,8
CPT,64791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64792,REMOVAL OF NERVE LESION,,,3603.64,18067.0,8
CPT,64793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64795,BIOPSY OF NERVE,,,2059.9,6090.0,8
CPT,64796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64802,SYMPATHECTOMY CERVICAL,,,2059.9,5513.0,8
CPT,64803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64804,SYMPATHECTOMY CERVICOTHORAC,,,2059.9,5513.0,7
CPT,64805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64809,SYMPATHECTOMY THORACOLUMBAR,,,1082.24,18067.0,7
CPT,64810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64818,SYMPATHECTOMY LUMBAR,,,723.63,18067.0,7
CPT,64819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64820,SYMPATHECTOMY DIGITAL ARTERY,,,2059.9,6090.0,7
CPT,64821,SYMPATHECTOMY RADIAL ARTERY,,,3451.58,12001.0,8
CPT,64822,SYMPATHECTOMY ULNAR ARTERY,,,3200.0,12001.0,8
CPT,64823,SYMPATHECTOMY SUPFC PALMAR,,,3200.0,12001.0,8
CPT,64824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64831,HC REPAIR OF DIGIT NERVE 1,6900.85,2415.3,2059.9,18067.0,10
CPT,64832,REPAIR NERVE ADD-ON,,,279.91,22321.58,7
CPT,64833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64834,REPAIR OF HAND OR FOOT NERVE,,,3200.0,18067.0,8
CPT,64835,REPAIR OF HAND OR FOOT NERVE,,,3603.64,18067.0,8
CPT,64836,REPAIR OF HAND OR FOOT NERVE,,,3603.64,18067.0,8
CPT,64837,REPAIR NERVE ADD-ON,,,308.71,24268.11,7
CPT,64838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64840,REPAIR OF LEG NERVE,,,3200.0,18067.0,8
CPT,64841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64856,REPAIR/TRANSPOSE NERVE,,,3200.0,18067.0,8
CPT,64857,REPAIR ARM/LEG NERVE,,,3200.0,18067.0,8
CPT,64858,REPAIR SCIATIC NERVE,,,2059.9,18067.0,8
CPT,64859,NERVE SURGERY,,,210.07,16506.02,7
CPT,64860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64861,REPAIR OF ARM NERVES,,,2059.9,18067.0,8
CPT,64862,REPAIR OF LOW BACK NERVES,,,3603.64,18067.0,8
CPT,64863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64864,REPAIR OF FACIAL NERVE,,,4236.0,18067.0,8
CPT,64865,REPAIR OF FACIAL NERVE,,,3603.64,18067.0,8
CPT,64866,FUSION OF FACIAL/OTHER NERVE,,,1141.83,18067.0,7
CPT,64867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64868,FUSION OF FACIAL/OTHER NERVE,,,878.37,18067.0,7
CPT,64869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64870,Mammogram,,,66937.8,66937.8,1
CPT,64871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64872,SUBSEQUENT REPAIR OF NERVE,,,98.57,7720.56,7
CPT,64873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64874,REPAIR & REVISE NERVE ADD-ON,,,147.33,11539.99,7
CPT,64875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64876,REPAIR NERVE/SHORTEN BONE,,,166.52,13075.16,7
CPT,64877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64885,NERVE GRAFT HEAD/NECK <4 CM,,,3200.0,18067.0,8
CPT,64886,NERVE GRAFT HEAD/NECK >4 CM,,,3200.0,18067.0,8
CPT,64887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64890,NRV GRF 1STRND HND/FOOT <4CM,,,3200.0,18067.0,8
CPT,64891,NRV GRF 1STRND HND/FOOT >4CM,,,3200.0,18067.0,8
CPT,64892,NRV GRF 1STRND ARM/LEG <4CM,,,3200.0,18067.0,8
CPT,64893,NRV GRF 1STRND ARM/LEG >4 CM,,,3200.0,18067.0,8
CPT,64894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64895,NRV GRF MLTST HND/FOOT <4 CM,,,4236.0,18067.0,8
CPT,64896,NRV GRF MLTST HND/FOOT >4 CM,,,4236.0,18067.0,8
CPT,64897,NRV GRF MLTST ARM/LEG <4 CM,,,4236.0,18067.0,8
CPT,64898,NRV GRF MLTST ARM/LEG >4 CM,,,4236.0,18067.0,8
CPT,64899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64901,NERVE GRAFT ADD-ON,,,504.29,39599.47,7
CPT,64902,NERVE GRAFT ADD-ON,,,583.66,45873.31,7
CPT,64903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64905,NERVE PEDICLE TRANSFER,,,3200.0,18067.0,8
CPT,64906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64907,NERVE PEDICLE TRANSFER,,,2983.0,18067.0,8
CPT,64908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64910,NERVE REPAIR W/ALLOGRAFT,,,3200.0,18067.0,8
CPT,64911,NEURORRAPHY W/VEIN AUTOGRAFT,,,3200.0,18067.0,8
CPT,64912,NRV RPR W/NRV ALGRFT 1ST,,,3200.0,18067.0,7
CPT,64913,NRV RPR W/NRV ALGRFT EA ADDL,,,145.82,11619.74,7
CPT,64914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,64999,HC FASCIA ILIACA NERVE BLOCK UNILATERAL INCLUDES U/S GUIDANCE WHEN PERFORMED,3105.19,1086.82,323.8,3500.0,9
CPT,64999,"HC UNLISTED PROC, NERVOUS SYSTEM",2260.6,791.21,323.8,3500.0,9
CPT,65000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65091,REVISE EYE,,,4147.17,12001.0,8
CPT,65092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65093,REVISE EYE WITH IMPLANT,,,4147.17,12001.0,8
CPT,65094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65100,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65101,REMOVAL OF EYE,,,4147.17,12001.0,8
CPT,65102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65103,REMOVE EYE/INSERT IMPLANT,,,4147.17,12001.0,8
CPT,65104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65105,REMOVE EYE/ATTACH IMPLANT,,,4147.17,12001.0,8
CPT,65106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65110,REMOVAL OF EYE,,,4147.17,12001.0,8
CPT,65111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65112,REMOVE EYE/REVISE SOCKET,,,4147.17,12001.0,8
CPT,65113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65114,REMOVE EYE/REVISE SOCKET,,,4147.17,12001.0,8
CPT,65115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65125,REVISE OCULAR IMPLANT,,,2507.97,6177.0,8
CPT,65126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65130,INSERT OCULAR IMPLANT,,,4147.17,12001.0,8
CPT,65131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65135,INSERT OCULAR IMPLANT,,,3200.0,12001.0,8
CPT,65136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65140,ATTACH OCULAR IMPLANT,,,4147.17,12001.0,8
CPT,65141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65150,REVISE OCULAR IMPLANT,,,3200.0,12001.0,8
CPT,65151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65155,REINSERT OCULAR IMPLANT,,,4147.17,12001.0,8
CPT,65156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65175,REMOVAL OF OCULAR IMPLANT,,,2983.0,12001.0,8
CPT,65176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65205,HC REMOVAL OF FB. EYE/EXT,270.83,94.8,92.89,5428.0,9
CPT,65206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65210,HC REMOVE FOREIGN BODY FROM EYE,897.82,314.24,307.95,5428.0,9
CPT,65211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65220,HC REMOVE FB CORNEA W/O SLIT LAMP,858.59,300.51,294.5,5428.0,9
CPT,65221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65222,HC REM FB CORNEAL W/SLT LMP,343.81,120.34,117.93,5428.0,10
CPT,65223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65235,REMOVE FOREIGN BODY FROM EYE,,,2434.49,6090.0,8
CPT,65236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65260,REMOVE FOREIGN BODY FROM EYE,,,2434.49,5583.0,8
CPT,65261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65265,REMOVE FOREIGN BODY FROM EYE,,,2434.49,6479.0,8
CPT,65266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65270,HC REPAIR EYE WOUND DIR CLOSE,3767.37,1318.58,1292.21,6090.0,10
CPT,65271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65272,HC REPAIR EYE WOUND MOBIL,3767.37,1318.58,1292.21,6090.0,10
CPT,65273,REPAIR OF EYE WOUND,,,329.01,4524.0,7
CPT,65274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65275,HC REPAIR LACERATION CORNEA NONPERFORATING W/ WO REMOVAL OF FOREIGN BODY,7679.64,2687.88,2634.12,12001.0,10
CPT,65276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65280,REPAIR OF EYE WOUND,,,4883.0,18067.0,8
CPT,65281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65285,REPAIR OF EYE WOUND,,,4883.0,18067.0,8
CPT,65286,HC REPAIR OF EYE WOUND,4943.85,1730.35,1695.74,5513.0,10
CPT,65287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65290,REPAIR OF EYE SOCKET WOUND,,,4147.17,12001.0,8
CPT,65291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65400,HC REMOVAL OF EYE LESION,3044.83,1065.7,1044.38,5513.0,10
CPT,65401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65410,BIOPSY OF CORNEA,,,2507.97,4524.0,8
CPT,65411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65420,REMOVAL OF EYE LESION,,,2507.97,6090.0,8
CPT,65421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65426,REMOVAL OF EYE LESION,,,2507.97,9611.0,8
CPT,65427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65430,"HC CULTURE/SCRAPING CORNEA, DX",858.59,300.51,294.5,5428.0,9
CPT,65431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65435,HC CURETTE/TREAT CORNEA,1757.76,615.22,602.91,5513.0,10
CPT,65436,HC CURETTE/TREAT CORNEA,4973.51,1740.73,1705.91,6090.0,9
CPT,65437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65450,"HC DESTRUCTION OF LESION OF CORNEA BY CRYOTHERAPY, PHOTOCOAGULATION OR THERMOCAUTERIZATION",1840.52,644.19,334.83,3500.0,9
CPT,65451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65505,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65600,HC REVISION OF CORNEA,4973.51,1740.73,1705.91,6090.0,9
CPT,65601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65700,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65710,CORNEAL TRANSPLANT,,,5613.36,18067.0,8
CPT,65711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65730,CORNEAL TRANSPLANT,,,4360.28,18067.0,8
CPT,65731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65750,CORNEAL TRANSPLANT,,,5613.36,18067.0,8
CPT,65751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65755,CORNEAL TRANSPLANT,,,4360.28,18067.0,8
CPT,65756,CORNEAL TRNSPL ENDOTHELIAL,,,4360.28,21649.0,8
CPT,65757,PREP CORNEAL ENDO ALLOGRAFT,,,2444.0,5428.0,2
CPT,65758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65760,KERATOMILEUSIS,,,6090.0,12001.0,3
CPT,65761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65765,KERATOPHAKIA,,,6090.0,12001.0,3
CPT,65766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65767,EPIKERATOPLASTY,,,6090.0,12001.0,3
CPT,65768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65770,KERATOPROSTHESIS,,,11244.0,30380.0,7
CPT,65771,RADIAL KERATOTOMY,,,6090.0,12001.0,3
CPT,65772,CORRECTION OF ASTIGMATISM,,,1051.59,6479.0,8
CPT,65773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65775,CORRECTION OF ASTIGMATISM,,,2507.97,6479.0,8
CPT,65776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65778,HC CVR EYE W/MEMBRANE W/O SUTURE,2169.31,759.26,744.07,5513.0,10
CPT,65779,"HC PLACEMENT OF AMNIOTIC MEMBRANE ON OCULAR SURFACE, SINGLE LAYER, SUTURED",8469.36,2964.28,2904.99,12001.0,10
CPT,65780,OCULAR RECONST TRANSPLANT,,,4147.17,12001.0,8
CPT,65781,OCULAR RECONST TRANSPLANT,,,5613.36,18067.0,8
CPT,65782,OCULAR RECONST TRANSPLANT,,,4147.17,12001.0,8
CPT,65783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65785,IMPLTJ NTRSTRML CRNL RNG SEG,,,4360.28,18067.0,7
CPT,65786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65800,HC DRAINAGE OF EYE,4998.1,1749.34,1714.35,4524.0,10
CPT,65801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65805,Mammogram,,,8883.82,8883.82,1
CPT,65806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65810,HC DRAINAGE OF EYE,4228.81,1480.09,1450.48,6090.0,10
CPT,65811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65815,HC PARACENTESIS ANTERIOR CHAMBER,4605.7,1612.0,1579.76,6090.0,10
CPT,65816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65820,GONIOTOMY,,,2983.0,18067.0,8
CPT,65821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65850,TRABECULOTOMY AB EXTERNO,,,2434.49,6479.0,8
CPT,65851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65855,HC LASER TRABECULOPLASTY,1225.06,428.78,420.2,3603.0,10
CPT,65856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65860,SEVERING ADS ANT SGM LASER,,,580.18,6479.0,8
CPT,65861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65865,HC INCISE INNER EYE ADHESIONS,4624.57,1618.6,1586.23,6090.0,10
CPT,65866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65870,INCISE INNER EYE ADHESIONS,,,2434.49,6479.0,8
CPT,65871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65875,INCISE INNER EYE ADHESIONS,,,2434.49,6479.0,8
CPT,65876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65880,INCISE INNER EYE ADHESIONS,,,4360.28,18067.0,8
CPT,65881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65900,REMOVE EYE LESION,,,2434.49,9611.0,8
CPT,65901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65920,REMOVE IMPLANT OF EYE,,,2434.49,11244.0,8
CPT,65921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65930,REMOVE BLOOD CLOT FROM EYE,,,2434.49,9611.0,8
CPT,65931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,65999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66020,"HC INJECTION, ANTERIOR CHAMBER",4959.8,1735.93,1701.21,5513.0,10
CPT,66021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66030,HC INJ ANTERIOR CHAMBER EYE,4624.57,1618.6,1586.23,5513.0,10
CPT,66031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66100,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66110,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66130,HC EXCISION LESION SCLERA,3750.99,1312.85,1286.59,11244.0,10
CPT,66131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66150,GLAUCOMA SURGERY,,,4360.28,18067.0,8
CPT,66151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66155,GLAUCOMA SURGERY,,,4360.28,18067.0,8
CPT,66156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66160,GLAUCOMA SURGERY,,,2434.49,6090.0,8
CPT,66161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66165,Mammogram,,,47648.34,47648.34,1
CPT,66166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66170,GLAUCOMA SURGERY,,,2434.49,6479.0,8
CPT,66171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66172,INCISION OF EYE,,,2434.49,6479.0,8
CPT,66173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66174,TRLUML DIL AQ O/F CAN W/O ST,,,4360.28,18067.0,8
CPT,66175,TRLUML DIL AQ O/F CAN W/ST,,,5613.36,18067.0,8
CPT,66176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66179,AQUEOUS SHUNT EYE W/O GRAFT,,,5613.36,21649.0,8
CPT,66180,AQUEOUS SHUNT EYE W/GRAFT,,,5613.36,18067.0,8
CPT,66181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66183,INSERT ANT DRAINAGE DEVICE,,,4360.28,21649.0,8
CPT,66184,REVISION OF AQUEOUS SHUNT,,,2434.49,21649.0,8
CPT,66185,REVISE AQUEOUS SHUNT EYE,,,2434.49,6090.0,8
CPT,66186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66220,Mammogram,,,49434.14,49434.14,1
CPT,66221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66225,REPAIR/GRAFT EYE LESION,,,4883.0,18067.0,8
CPT,66226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66250,HC FOLLOW-UP SURGERY OF EYE,4706.66,1647.34,1614.38,6090.0,10
CPT,66251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66320,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66399,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66420,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66440,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66500,INCISION OF IRIS,,,2434.49,4524.0,8
CPT,66501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66505,INCISION OF IRIS,,,2434.49,5513.0,8
CPT,66506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66550,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66600,REMOVE IRIS AND LESION,,,4236.0,18067.0,8
CPT,66601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66605,REMOVAL OF IRIS,,,2434.49,9658.0,8
CPT,66606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66625,REMOVAL OF IRIS,,,2434.49,5583.0,8
CPT,66626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66630,REMOVAL OF IRIS,,,2434.49,5583.0,8
CPT,66631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66635,REMOVAL OF IRIS,,,2434.49,6090.0,8
CPT,66636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66680,REPAIR IRIS & CILIARY BODY,,,2434.49,6090.0,8
CPT,66681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66682,REPAIR IRIS & CILIARY BODY,,,2434.49,6090.0,8
CPT,66683,IMPLANTATION IRIS PROSTHESIS,,,9611.0,28272.49,6
CPT,66684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66700,DESTRUCTION CILIARY BODY,,,2434.49,5513.0,8
CPT,66701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66710,HC CILIARY TRANSSLERAL DESTRUCT,4973.51,1740.73,1705.91,6090.0,10
CPT,66711,ECP CILIARY BODY DESTRUCTION,,,2434.49,6090.0,8
CPT,66712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66720,DESTRUCTION CILIARY BODY,,,2507.97,6090.0,8
CPT,66721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66740,DESTRUCTION CILIARY BODY,,,2507.97,6090.0,8
CPT,66741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66761,HC LASER IRIDOTOMY,1214.18,424.97,416.46,3603.0,10
CPT,66762,HC LASER IRIDOPLASTY,1354.51,474.08,464.6,3603.0,10
CPT,66763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66770,HC LASER DESTRUCT IRIS/CB LESION,1107.41,387.6,379.84,3603.0,10
CPT,66771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66801,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66820,INCISION SECONDARY CATARACT,,,2434.49,4524.0,8
CPT,66821,"HC LASER CAPSULOTOMY, YAG",1186.08,415.13,406.83,3603.0,10
CPT,66822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66825,REPOSITION INTRAOCULAR LENS,,,2434.49,6479.0,8
CPT,66826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66830,REMOVAL OF LENS LESION,,,2434.49,6479.0,8
CPT,66831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66840,REMOVAL OF LENS MATERIAL,,,2434.49,6479.0,8
CPT,66841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66850,REMOVAL OF LENS MATERIAL,,,2434.49,11244.0,8
CPT,66851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66852,REMOVAL OF LENS MATERIAL,,,4360.28,18067.0,8
CPT,66853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66920,EXTRACTION OF LENS,,,2434.49,6479.0,8
CPT,66921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66930,EXTRACTION OF LENS,,,4360.28,18067.0,8
CPT,66931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66940,EXTRACTION OF LENS,,,2434.49,9611.0,8
CPT,66941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66982,XCAPSL CTRC RMVL CPLX WO ECP,,,2434.49,15192.0,8
CPT,66983,CATARACT SURG W/IOL 1 STAGE,,,2434.49,15192.0,8
CPT,66984,XCAPSL CTRC RMVL W/O ECP,,,2434.49,15192.0,8
CPT,66985,INSERT LENS PROSTHESIS,,,2434.49,11057.0,8
CPT,66986,EXCHANGE LENS PROSTHESIS,,,2434.49,11057.0,8
CPT,66987,XCAPSL CTRC RMVL CPLX W/ECP,,,4360.28,21649.0,8
CPT,66988,XCAPSL CTRC RMVL W/ECP,,,4360.28,21649.0,8
CPT,66989,XCPSL CTRC RMVL CPLX INSJ 1+,,,5613.36,18067.0,8
CPT,66990,OPHTHALMIC ENDOSCOPE ADD-ON,,,71.3,5928.14,7
CPT,66991,XCAPSL CTRC RMVL INSJ 1+,,,5613.36,18067.0,8
CPT,66992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,66999,HC CORNEAL GLUE APPLICATION FOR CORNEAL THINNING,4970.52,1739.69,1704.89,5513.0,9
CPT,66999,HC CORNEAL STROMAL PUNCTURE,5130.49,1795.68,1759.76,5513.0,9
CPT,66999,HC INTRAOC INJ POSTERIOR,4624.57,1618.6,1586.23,5513.0,9
CPT,66999,HC INTRASTROMAL CORNEAL INJECTION,5327.3,1864.56,1827.26,5513.0,9
CPT,66999,HC LASER SUTURELYSIS,4998.1,1749.34,1714.35,5513.0,9
CPT,66999,HC UNLISTED AUTOLOGOUS BLOOD INJECTION INTO EYE BLEB (MOST LIKE CPT 66020),11460.45,4011.16,2434.49,5513.0,9
CPT,67000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67005,PARTIAL REMOVAL OF EYE FLUID,,,2434.49,6479.0,8
CPT,67006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67010,PARTIAL REMOVAL OF EYE FLUID,,,2434.49,6479.0,8
CPT,67011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67015,HC RELEASE OF EYE FLUID,4228.81,1480.09,1450.48,6090.0,10
CPT,67016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67020,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67025,HC INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX,4998.08,1749.33,1714.34,6090.0,10
CPT,67026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67027,IMPLANT EYE DRUG SYSTEM,,,4883.0,52872.0,8
CPT,67028,"HC INJECTION, INTRAVITREAL (PHARM",684.88,239.71,234.91,3500.0,10
CPT,67029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67030,INCISE INNER EYE STRANDS,,,2434.49,6090.0,8
CPT,67031,HC LASER VITREOLYSIS,1252.26,438.3,429.53,3603.0,10
CPT,67032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67036,REMOVAL OF INNER EYE FLUID,,,4360.28,18067.0,8
CPT,67037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67038,Mammogram,,,91198.56,91198.56,1
CPT,67039,HC LASER TREAT OF RETINA,8956.06,3134.63,3071.93,18067.0,10
CPT,67040,HC LASER TREATMENT OF RETINA,7854.99,2749.25,2694.26,18067.0,10
CPT,67041,VIT FOR MACULAR PUCKER,,,4360.28,21649.0,8
CPT,67042,VIT FOR MACULAR HOLE,,,4360.28,21649.0,8
CPT,67043,VIT FOR MEMBRANE DISSECT,,,4360.28,21649.0,8
CPT,67044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67100,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67101,HC REPAIR DETACH RET-CRYO/DIATHER,4400.0,1540.0,1509.2,6479.0,10
CPT,67102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67105,HC PHOTOCOAG RETINAL DETACH,1422.71,497.95,487.99,9611.0,10
CPT,67106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67107,HC REPAIR DETACH RET-SCLERAL BUCK,10572.87,3700.51,3626.49,18067.0,10
CPT,67108,HC REPAIR DETACH RET W/VITRETOMY,8246.15,2886.16,2828.43,18067.0,10
CPT,67109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67110,HC PNEUMATIC RETINIOEXY,5587.36,1955.58,1916.46,6090.0,9
CPT,67111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67112,Mammogram,,,86729.88,86729.88,1
CPT,67113,REPAIR RETINAL DETACH CPLX,,,5613.36,21649.0,8
CPT,67114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67115,RELEASE ENCIRCLING MATERIAL,,,3200.0,18067.0,8
CPT,67116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67120,HC REMOVE EYE IMPLANT MATERIAL,4624.57,1618.6,1586.23,6090.0,10
CPT,67121,REMOVE EYE IMPLANT MATERIAL,,,2434.49,6987.0,8
CPT,67122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67141,HC TREATMENT OF RETINA,1065.88,373.06,334.83,3500.0,10
CPT,67142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67145,"HC PHOTOCOAG, PROPHYLAX RET DET",1107.4,387.59,379.84,3603.0,10
CPT,67146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67200,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67208,HC TREATMENT OF RETINAL LESION,1491.31,521.96,334.83,9611.0,10
CPT,67209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67210,"HC PHOTOCOAG, LOC LES RET/CHOR",1148.54,401.99,393.95,9611.0,10
CPT,67211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67218,TREATMENT OF RETINAL LESION,,,4147.17,12001.0,8
CPT,67219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67220,HC TREATMENT OF CHOROID LESION,1279.52,447.84,438.88,3603.0,10
CPT,67221,HC OCULAR PHOTODYNAMIC THER,1152.16,403.26,395.19,3603.0,10
CPT,67222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67225,HC EYE PHOTODYNAMIC THER ADD-ON,583.31,204.16,29.74,3000.0,9
CPT,67226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67227,DSTRJ EXTENSIVE RETINOPATHY,,,2983.0,12001.0,8
CPT,67228,HC PHOTOCAGULATION PANRETINAL,1401.41,490.5,480.68,3603.0,10
CPT,67229,TR RETINAL LES PRETERM INF,,,580.18,3603.0,7
CPT,67230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67250,REINFORCE EYE WALL,,,2507.97,6090.0,8
CPT,67251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67255,REINFORCE/GRAFT EYE WALL,,,4236.0,7099.41,8
CPT,67256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67299,HC EYE SURGERY PROCEDURE,4624.57,1618.6,1586.23,5513.0,9
CPT,67300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67311,REVISE EYE MUSCLE,,,2507.97,6090.0,8
CPT,67312,REVISE TWO EYE MUSCLES,,,4147.17,12001.0,8
CPT,67313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67314,REVISE EYE MUSCLE,,,2507.97,6479.0,8
CPT,67315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67316,REVISE TWO EYE MUSCLES,,,2507.97,6479.0,8
CPT,67317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67318,REVISE EYE MUSCLE(S),,,2507.97,6479.0,8
CPT,67319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67320,REVISE EYE MUSCLE(S) ADD-ON,,,141.38,13818.98,7
CPT,67321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67331,EYE SURGERY FOLLOW-UP ADD-ON,,,102.43,13264.18,7
CPT,67332,REREVISE EYE MUSCLES ADD-ON,,,164.34,14174.11,7
CPT,67333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67334,REVISE EYE MUSCLE W/SUTURE,,,100.9,13067.08,7
CPT,67335,EYE SUTURE DURING SURGERY,,,151.47,12639.67,7
CPT,67336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67340,REVISE EYE MUSCLE ADD-ON,,,236.25,19637.85,7
CPT,67341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67343,RELEASE EYE TISSUE,,,2507.97,11244.0,8
CPT,67344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67345,HC DESTROY NERVE OF EYE MUSCLE,785.06,274.78,269.28,3500.0,10
CPT,67346,BIOPSY EYE MUSCLE,,,2983.0,12001.0,8
CPT,67347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67350,Mammogram,,,11303.44,11303.44,1
CPT,67351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67399,UNLISTED PX EXTRAOCULAR MUSC,,,334.83,5428.0,7
CPT,67400,EXPLORE/BIOPSY EYE SOCKET,,,4147.17,12001.0,8
CPT,67401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67405,EXPLORE/DRAIN EYE SOCKET,,,2507.97,6479.0,8
CPT,67406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67412,EXPLORE/TREAT EYE SOCKET,,,2507.97,9611.0,8
CPT,67413,EXPLORE/TREAT EYE SOCKET,,,2507.97,9611.0,8
CPT,67414,EXPLR/DECOMPRESS EYE SOCKET,,,4147.17,12001.0,7
CPT,67415,ASPIRATION ORBITAL CONTENTS,,,2507.97,6090.0,8
CPT,67416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67420,EXPLORE/TREAT EYE SOCKET,,,4147.17,12001.0,8
CPT,67421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67430,EXPLORE/TREAT EYE SOCKET,,,4147.17,12001.0,8
CPT,67431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67440,EXPLORE/DRAIN EYE SOCKET,,,4147.17,12001.0,8
CPT,67441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67445,EXPLR/DECOMPRESS EYE SOCKET,,,4147.17,12001.0,8
CPT,67446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67450,EXPLORE/BIOPSY EYE SOCKET,,,4147.17,12001.0,8
CPT,67451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67500,"HC INJECTION, RETROBULBAR, MED",620.02,217.01,212.67,5428.0,9
CPT,67501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67505,INJECT/TREAT EYE SOCKET,,,334.83,3500.0,8
CPT,67506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67515,"HC INJECTION, SUB-TENON'S",684.88,239.71,234.91,3500.0,10
CPT,67516,SPRCHOROIDAL SPC NJX RX AGT,,,348.43,5428.0,6
CPT,67517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67530,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67540,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67550,INSERT EYE SOCKET IMPLANT,,,4147.17,12001.0,8
CPT,67551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67560,REVISE EYE SOCKET IMPLANT,,,3200.0,12001.0,8
CPT,67561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67570,DECOMPRESS OPTIC NERVE,,,4147.17,12001.0,8
CPT,67571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67599,HC EXCISE TENON CYST,1858.11,650.34,334.83,5428.0,9
CPT,67600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67700,HC BLEPHAROTOMY ABSCESS DRAIN,877.5,307.13,300.98,3500.0,10
CPT,67701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67705,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67710,HC INCISION OF EYELID,1845.67,645.99,633.06,5513.0,10
CPT,67711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67715,HC CANTHOTOMY,4973.51,1740.73,1705.91,6090.0,10
CPT,67716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67720,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67745,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67800,HC CHALAZION EXCISION SINGLE,684.88,239.71,234.91,3500.0,10
CPT,67801,HC REMOVE EYELID LESIONS,1726.44,604.26,592.17,5513.0,10
CPT,67802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67805,HC REMOVE EYELID LESIONS,691.48,242.02,237.18,3500.0,10
CPT,67806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67808,REMOVE EYELID LESION(S),,,2507.97,6090.0,8
CPT,67809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67810,HC BIOPSY OF EYELID,684.88,239.71,234.91,3500.0,10
CPT,67811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67820,"HC EPILATION, FORCEPS",315.59,110.46,108.25,5428.0,9
CPT,67821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67825,"HC EPILATION, ELECTRO/CRYO",624.79,218.68,214.3,5428.0,10
CPT,67826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67830,REVISE EYELASHES,,,1051.59,5513.0,8
CPT,67831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67835,REVISE EYELASHES,,,2507.97,6090.0,8
CPT,67836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67840,HC LID LESION EXCISION,1659.79,580.93,569.31,5513.0,10
CPT,67841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67850,HC TREAT EYELID LESION 1CM <,1845.67,645.99,633.06,5513.0,10
CPT,67851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67875,"HC TARSORRHAPY, TEMP.",1659.79,580.93,569.31,5513.0,10
CPT,67876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67880,HC TARSORRHAPHY PERMANENT,4973.51,1740.73,1705.91,6090.0,10
CPT,67881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67882,REVISION OF EYELID,,,2507.97,6090.0,8
CPT,67883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67900,HC REPAIR BROW DEFECT,5133.03,1796.57,1760.63,6479.0,10
CPT,67901,HC REPAIR EYELID DEFT BANKED FASCIA,4383.01,1534.06,1503.37,9611.0,10
CPT,67902,HC REPAIR BLEPHAROPTOSIS OBT FASCIA,6650.2,2327.57,2281.02,12001.0,10
CPT,67903,HC REPAIR EYELID DEFECT,4121.36,1442.48,1413.63,6479.0,10
CPT,67904,HC REPAIR EYELID DEFECT,4615.75,1615.52,1583.2,6479.0,10
CPT,67905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67906,REPAIR EYELID DEFECT,,,4147.17,12001.0,8
CPT,67907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67908,HC REPAIR EYELID DEFECT,4121.36,1442.48,1413.63,6479.0,10
CPT,67909,HC  REVISE EYELID DEFECT,4121.36,1442.48,1413.63,6479.0,10
CPT,67910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67911,HC CORRECT LID RETRACTION,4973.51,1740.73,1705.91,6090.0,10
CPT,67912,HC CORRECTION EYELID W/IMPLANT,4973.51,1740.73,1705.91,6090.0,10
CPT,67913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67914,HC REPAIR ECTROPION SUTURE,4973.51,1740.73,1705.91,6090.0,10
CPT,67915,HC REPAIR ECTROPION THERMOCAUT,4973.51,1740.73,1705.91,6090.0,10
CPT,67916,HC REPAIR ECTROPION EXC TARSAL WEDGE,4973.51,1740.73,1705.91,6479.0,10
CPT,67917,"HC REPAIR ECTROPION, EXTENSIVE",4473.58,1565.76,1534.44,6479.0,10
CPT,67918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67921,HC REPAIR ENTROPION SUTURE,4973.51,1740.73,1705.91,6090.0,10
CPT,67922,HC REPAIR OF ENTROPION THEMOCAUT,4973.51,1740.73,1705.91,6090.0,9
CPT,67923,HC REPAIR EYELID DEFT EXC TARSAL WEDGE,4973.51,1740.73,1705.91,6479.0,10
CPT,67924,HC REPAIR EYELID DEFECT,4973.51,1740.73,1705.91,6479.0,10
CPT,67925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67930,HC REPAIR EYELID WOUND PART THICK,4973.51,1740.73,1705.91,6177.0,10
CPT,67931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67935,HC REPAIR EYELID WOUND FULL THICK,4973.51,1740.73,1705.91,6090.0,10
CPT,67936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67938,HC REMOVE EYELID FOREIGN BODY,620.02,217.01,212.67,3500.0,10
CPT,67939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67950,HC CANTHOPLASTY,4121.36,1442.48,1413.63,6090.0,10
CPT,67951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67961,HC REVISION OF EYELID UP TO 1.4 MARG,4973.51,1740.73,1705.91,6090.0,10
CPT,67962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67966,HC REVISION OF EYELID> 1.4 MARG,4973.51,1740.73,1705.91,6090.0,10
CPT,67967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67971,HC RECONSTRUCTION OF EYELID STAGE 1,4973.51,1740.73,1705.91,6090.0,10
CPT,67972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67973,RECONSTRUCTION OF EYELID,,,2507.97,6090.0,8
CPT,67974,RECONSTRUCTION OF EYELID,,,4147.17,12001.0,8
CPT,67975,HC RECONSTRUCTION OF EYELID STAGE 2,4973.51,1740.73,1705.91,6090.0,10
CPT,67976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,67999,"HC EXC. PENTAGONAL WEDGE, CSD/W DEEP AND LASH/GREY LINE SUTURES",7460.24,2611.09,334.83,5428.0,9
CPT,67999,HC REVISION OF EYELID UNLSTD,2235.57,782.45,334.83,5428.0,9
CPT,68000,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68005,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68020,HC INCISE/DRAIN EYELID LINING,2081.81,728.64,714.06,5513.0,9
CPT,68021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68040,TREATMENT OF EYELID LESIONS,,,334.83,5428.0,7
CPT,68041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68090,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68100,HC BIOPSY OF EYELID LINING,4712.6,1649.41,1616.42,4524.0,10
CPT,68101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68105,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68110,HC CONJUNCTIVAL LESION EXCISION,4973.51,1740.73,1705.91,6090.0,10
CPT,68111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68115,HC EXCIS EYELID LINING LESION >1CM,4973.51,1740.73,1705.91,6090.0,10
CPT,68116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68120,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68130,EXC LES CONJUNCTIVA ADJ SCL,,,2507.97,6090.0,8
CPT,68131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68135,HC DESTRUCT LESION CONJUNTIVA,4973.51,1740.73,1705.91,6090.0,10
CPT,68136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68140,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68145,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68150,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68155,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68200,"HC INJECTION, SUB-CONJUNCTIVAL",848.01,296.81,290.87,5428.0,9
CPT,68201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68205,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68209,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68210,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68220,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68222,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68300,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68310,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68320,HC REVISE/GRAFT EYELID LINING,4973.51,1740.73,1705.91,6479.0,10
CPT,68321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68325,REVISE/GRAFT EYELID LINING,,,4147.17,12001.0,8
CPT,68326,REVISE/GRAFT EYELID LINING,,,4147.17,12001.0,8
CPT,68327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68328,REVISE/GRAFT EYELID LINING,,,2507.97,6479.0,8
CPT,68329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68330,REVISE EYELID LINING,,,2434.49,6479.0,8
CPT,68331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68335,REVISE/GRAFT EYELID LINING,,,4147.17,12001.0,8
CPT,68336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68340,SEPARATE EYELID ADHESIONS,,,2507.97,6479.0,8
CPT,68341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68360,REVISE EYELID LINING,,,3200.0,12001.0,8
CPT,68361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68362,REVISE EYELID LINING,,,2507.97,6090.0,8
CPT,68363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68371,HARVEST EYE TISSUE ALOGRAFT,,,2507.97,6090.0,8
CPT,68372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68399,HC CONJUNCTIVAL SUTURE PLACEMENT,5336.62,1867.82,334.83,5428.0,9
CPT,68400,HC INCISE/DRAIN TEAR GLAND,1870.44,654.66,641.56,5513.0,10
CPT,68401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68420,HC INCISION DRAINAGE OF LACRIMAL SAC DACRYOCYSTOTOMY OR DACRYOCYSTOSTOMY,4674.45,1636.06,1603.34,6177.0,10
CPT,68421,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68424,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68433,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68436,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68440,"HC LACRIMAL PUNCTUM, SNIP INC",624.79,218.68,214.3,3500.0,10
CPT,68441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68450,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68500,REMOVAL OF TEAR GLAND,,,4147.17,12001.0,8
CPT,68501,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68502,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68505,PARTIAL REMOVAL TEAR GLAND,,,4147.17,12001.0,8
CPT,68506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68510,BIOPSY OF TEAR GLAND,,,2507.97,6090.0,8
CPT,68511,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68520,REMOVAL OF TEAR SAC,,,4147.17,12001.0,8
CPT,68521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68525,BIOPSY OF TEAR SAC,,,2507.97,6090.0,8
CPT,68526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68530,CLEARANCE OF TEAR DUCT,,,334.83,3500.0,7
CPT,68531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68535,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68540,REMOVE TEAR GLAND LESION,,,2507.97,6090.0,8
CPT,68541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68550,REMOVE TEAR GLAND LESION,,,4147.17,12001.0,8
CPT,68551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68552,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68554,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68601,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68602,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68603,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68604,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68610,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68620,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68631,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68632,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68633,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68635,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68636,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68637,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68641,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68642,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68643,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68644,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68645,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68646,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68650,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68660,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68661,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68662,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68666,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68667,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68670,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68676,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68700,HC REPAIR TEAR DUCTS,4973.51,1740.73,1705.91,6090.0,10
CPT,68701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68705,REVISE TEAR DUCT OPENING,,,334.83,3500.0,8
CPT,68706,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68710,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68711,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68714,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68716,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68717,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68719,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68720,CREATE TEAR SAC DRAIN,,,4147.17,12001.0,8
CPT,68721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68725,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68726,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68727,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68728,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68729,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68730,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68740,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68745,CREATE TEAR DUCT DRAIN,,,4147.17,12001.0,8
CPT,68746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68750,CREATE TEAR DUCT DRAIN,,,4147.17,12001.0,8
CPT,68751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68760,"HC LACRI PUNCTUM, CLOS(CAUT,LAS)",624.79,218.68,214.3,3500.0,9
CPT,68761,"HC CLOSE TEAR DUCT OPENING BY PLUG,EA",684.88,239.71,234.91,3500.0,9
CPT,68762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68770,CLOSE TEAR SYSTEM FISTULA,,,2507.97,6479.0,8
CPT,68771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68799,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68801,"HC LACRI PUNCTUM,DIL(W OR W/O IRR",858.59,300.51,294.5,5428.0,9
CPT,68802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68805,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68806,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68810,HC LACRIMAL PROBING,782.95,274.04,268.55,3500.0,10
CPT,68811,PROBE NASOLACRIMAL DUCT,,,2507.97,6090.0,8
CPT,68812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68815,HC PROBE NASOLACRIMAL DUCT,4121.36,1442.48,1413.63,6090.0,10
CPT,68816,PROBE NL DUCT W/BALLOON,,,2507.97,6177.0,8
CPT,68817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68840,HC EXPLORE/IRRIGATE TEAR DUCTS,691.48,242.02,237.18,3500.0,9
CPT,68841,INSJ RX ELUT IMPLT LAC CANAL,,,2507.97,6090.0,8
CPT,68842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68850,INJECTION FOR TEAR SAC X-RAY,,,58.04,3525.92,7
CPT,68851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68899,UNLISTED PX LACRIMAL SYSTEM,,,334.83,5428.0,7
CPT,68900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68905,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68910,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68915,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68930,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68949,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68950,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68955,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68960,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68970,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68979,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68990,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,68999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69000,HC I&D ABSCESS EAR SIMPLE,1490.38,521.64,511.2,3603.0,9
CPT,69001,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69002,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69003,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69004,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69005,HC DRAIN EXT EAR ABSCESS OR HEMATOMA COMPLICATED,5175.98,1811.6,1742.24,5513.0,10
CPT,69006,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69007,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69008,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69009,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69010,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69011,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69012,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69013,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69014,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69015,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69016,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69017,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69018,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69019,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69020,HC DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS,1490.48,521.67,511.23,3603.0,9
CPT,69021,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69022,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69023,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69024,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69025,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69026,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69027,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69028,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69029,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69030,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69031,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69032,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69033,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69034,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69035,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69036,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69037,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69038,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69039,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69040,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69041,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69042,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69043,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69044,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69045,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69046,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69047,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69048,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69049,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69050,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69051,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69052,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69053,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69054,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69055,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69056,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69057,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69058,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69059,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69060,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69061,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69062,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69063,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69064,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69065,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69066,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69067,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69068,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69069,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69070,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69071,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69072,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69073,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69074,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69075,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69076,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69077,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69078,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69079,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69080,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69081,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69082,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69083,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69084,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69085,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69086,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69087,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69088,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69089,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69090,HC PIERCE EARLOBES,53.66,18.79,15.37,5428.0,5
CPT,69091,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69092,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69093,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69094,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69095,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69096,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69097,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69098,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69099,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69100,HC BIOPSY EXTERNAL EAR,700.24,245.09,240.18,5428.0,10
CPT,69101,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69102,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69103,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69104,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69105,HC BIOPSY EXTERNAL AUDITORY CANAL,3093.17,1082.61,1060.96,5513.0,9
CPT,69106,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69107,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69108,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69109,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69110,HC REMOVE EXTERNAL EAR PARTIAL,6047.66,2116.69,2074.35,12001.0,10
CPT,69111,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69112,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69113,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69114,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69115,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69116,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69117,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69118,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69119,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69120,REMOVAL OF EXTERNAL EAR,,,3200.0,18067.0,8
CPT,69121,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69122,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69123,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69124,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69125,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69126,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69127,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69128,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69129,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69130,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69131,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69132,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69133,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69134,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69135,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69136,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69137,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69138,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69139,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69140,REMOVE EAR CANAL LESION(S),,,3200.0,18067.0,8
CPT,69141,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69142,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69143,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69144,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69145,HC EXCISION SOFT TISSUE LESION EXTERNAL AUDITORY CANAL,14775.6,5171.46,3064.14,12001.0,10
CPT,69146,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69147,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69148,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69149,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69150,EXTENSIVE EAR CANAL SURGERY,,,4236.0,18067.0,8
CPT,69151,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69152,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69153,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69154,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69155,EXTENSIVE EAR/NECK SURGERY,,,1451.9,18067.0,7
CPT,69156,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69157,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69158,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69159,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69160,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69161,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69162,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69163,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69164,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69165,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69166,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69167,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69168,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69169,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69170,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69171,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69172,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69173,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69174,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69175,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69176,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69177,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69178,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69179,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69180,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69181,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69182,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69183,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69184,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69185,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69186,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69187,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69188,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69189,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69190,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69191,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69192,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69193,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69194,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69195,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69196,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69197,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69198,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69199,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69200,HC REMOVAL F.B. EXT EAR,271.87,95.16,93.25,5428.0,9
CPT,69201,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69202,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69203,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69204,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69205,CLEAR OUTER EAR CANAL,,,1742.24,5513.0,8
CPT,69206,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69207,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69208,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION / LAVAGE UNILATERAL,161.98,56.7,55.56,3500.0,9
CPT,69210,HC REMOVAL OF IMPACT CERUMEN,167.02,58.46,57.29,3500.0,9
CPT,69211,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69212,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69213,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69214,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69215,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69216,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69217,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69218,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69219,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69220,HC DEBRD MASTOID CAVITY SIMPLE,439.55,153.85,150.77,5428.0,9
CPT,69221,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69222,CLEAN OUT MASTOID CAVITY,,,568.93,3500.0,7
CPT,69223,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69224,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69225,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69226,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69227,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69228,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69229,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69230,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69231,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69232,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69233,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69234,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69235,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69236,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69237,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69238,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69239,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69240,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69241,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69242,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69243,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69244,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69245,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69246,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69247,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69248,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69249,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69250,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69251,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69252,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69253,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69254,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69255,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69256,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69257,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69258,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69259,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69260,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69261,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69262,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69263,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69264,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69265,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69266,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69267,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69268,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69269,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69270,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69271,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69272,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69273,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69274,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69275,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69276,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69277,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69278,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69279,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69280,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69281,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69282,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69283,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69284,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69285,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69286,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69287,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69288,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69289,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69290,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69291,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69292,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69293,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69294,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69295,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69296,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69297,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69298,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69299,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69300,REVISE EXTERNAL EAR,,,3497.42,6090.0,8
CPT,69301,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69302,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69303,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69304,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69305,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69306,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69307,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69308,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69309,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69310,REBUILD OUTER EAR CANAL,,,4236.0,18067.0,8
CPT,69311,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69312,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69313,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69314,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69315,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69316,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69317,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69318,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69319,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69320,REBUILD OUTER EAR CANAL,,,6244.73,18067.0,8
CPT,69321,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69322,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69323,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69324,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69325,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69326,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69327,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69328,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69329,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69330,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69331,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69332,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69333,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69334,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69335,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69336,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69337,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69338,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69339,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69340,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69341,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69342,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69343,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69344,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69345,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69346,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69347,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69348,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69349,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69350,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69351,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69352,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69353,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69354,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69355,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69356,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69357,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69358,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69359,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69360,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69361,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69362,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69363,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69364,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69365,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69366,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69367,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69368,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69369,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69370,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69371,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69372,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69373,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69374,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69375,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69376,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69377,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69378,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69379,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69380,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69381,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69382,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69383,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69384,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69385,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69386,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69387,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69388,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69389,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69390,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69391,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69392,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69393,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69394,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69395,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69396,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69397,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69398,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69399,HC REMOVAL OF GRANULOMA ON TM USING SUCTION CURRETTAGE & BINOCULAR MICROSCOPE,519.88,181.96,178.32,5428.0,9
CPT,69399,HC REPLACEMENT OR EXCHANGE OF COCHLEAR ABUTMENT,14697.78,5144.23,249.85,5428.0,9
CPT,69400,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69400,Mammogram,,,4125.68,4125.68,1
CPT,69401,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69401,Mammogram,,,3328.94,3328.94,1
CPT,69402,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69403,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69404,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69405,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69405,Mammogram,,,12745.51,12745.51,1
CPT,69406,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69407,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69408,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69409,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69410,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69411,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69412,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69413,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69414,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69415,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69416,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69417,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69418,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69419,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69420,HC MYRINGOTOMY W/O TUBE UNILAT,700.24,245.09,240.18,5583.0,10
CPT,69421,INCISION OF EARDRUM,,,3497.42,5694.51,8
CPT,69422,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69423,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69424,HC VENT TUBE REMOVAL,6961.1,2436.39,2387.66,6987.0,10
CPT,69425,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69426,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69427,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69428,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69429,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69430,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69431,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69432,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69433,HC TYMPANOSTOMY W/TUBE UNILAT,1344.06,470.43,461.01,5583.0,10
CPT,69434,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69435,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69436,CREATE EARDRUM OPENING,,,1636.74,5583.0,8
CPT,69437,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69438,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69439,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69440,EXPLORATION OF MIDDLE EAR,,,3497.42,6090.0,8
CPT,69441,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69442,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69443,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69444,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69445,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69446,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69447,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69448,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69449,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69450,EARDRUM REVISION,,,2983.0,9658.0,8
CPT,69451,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69452,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69453,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69454,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69455,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69456,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69457,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69458,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69459,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69460,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69461,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69462,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69463,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69464,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69465,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69466,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69467,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69468,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69469,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69470,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69471,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69472,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69473,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69474,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69475,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69476,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69477,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69478,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69479,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69480,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69481,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69482,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69483,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69484,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69485,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69486,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69487,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69488,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69489,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69490,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69491,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69492,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69493,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69494,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69495,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69496,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69497,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69498,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69499,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69500,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69501,MASTOIDECTOMY,,,6244.73,18067.0,8
CPT,69502,MASTOIDECTOMY,,,6090.0,18067.0,8
CPT,69503,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69504,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69505,REMOVE MASTOID STRUCTURES,,,6244.73,18067.0,8
CPT,69506,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69507,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69508,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69509,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69510,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69511,EXTENSIVE MASTOID SURGERY,,,6244.73,18067.0,8
CPT,69512,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69513,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69514,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69515,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69516,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69517,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69518,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69519,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69520,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69521,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69522,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69523,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69524,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69525,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69526,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69527,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69528,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69529,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69530,EXTENSIVE MASTOID SURGERY,,,6244.73,18067.0,8
CPT,69531,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69532,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69533,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69534,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69535,REMOVE PART OF TEMPORAL BONE,,,2401.51,18067.0,7
CPT,69536,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69537,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69538,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69539,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69540,HC EXCISION AURAL POLYP,3473.57,1215.75,1191.43,5513.0,9
CPT,69541,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69542,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69543,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69544,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69545,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69546,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69547,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69548,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69549,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69550,EXC AURL GLOMUS TUM TRNSCANL,,,6177.0,18067.0,8
CPT,69551,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69552,EXC AURL GLOMUS TUM TRNSMSTD,,,6244.73,18067.0,8
CPT,69553,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69554,EXC AURL GLOMUS TUM EXTENDED,,,2269.03,18067.0,7
CPT,69555,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69556,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69557,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69558,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69559,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69560,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69561,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69562,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69563,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69564,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69565,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69566,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69567,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69568,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69569,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69570,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69571,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69572,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69573,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69574,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69575,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69576,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69577,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69578,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69579,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69580,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69581,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69582,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69583,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69584,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69585,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69586,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69587,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69588,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69589,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69590,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69591,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69592,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69593,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69594,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69595,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69596,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69597,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69598,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69599,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69600,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69601,REVJ MSTDC RSLTG COMPL MSTDC,,,6244.73,18067.0,8
CPT,69602,REV MSTDC RSLT MOD RAD MSTDC,,,6244.73,18067.0,8
CPT,69603,REVJ MSTDC RSLTG RAD MSTDC,,,6244.73,18067.0,8
CPT,69604,REVJ MSTDC RSLTG TYMPANPLSTY,,,6244.73,18067.0,8
CPT,69605,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69605,Mammogram,,,102384.15,102384.15,1
CPT,69606,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69607,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69608,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69609,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69610,TYMPANIC MEMBRANE REPAIR,,,1636.74,6090.0,7
CPT,69611,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69612,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69613,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69614,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69615,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69616,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69617,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69618,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69619,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69620,MYRINGOPLASTY,,,3200.0,6090.0,8
CPT,69621,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69622,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69623,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69624,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69625,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69626,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69627,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69628,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69629,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69630,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69631,REPAIR EARDRUM STRUCTURES,,,6177.0,18067.0,8
CPT,69632,REBUILD EARDRUM STRUCTURES,,,6177.0,18067.0,8
CPT,69633,REBUILD EARDRUM STRUCTURES,,,6177.0,18067.0,8
CPT,69634,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69635,REPAIR EARDRUM STRUCTURES,,,6244.73,18067.0,8
CPT,69636,REBUILD EARDRUM STRUCTURES,,,6244.73,18067.0,8
CPT,69637,REBUILD EARDRUM STRUCTURES,,,6244.73,18067.0,8
CPT,69638,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69639,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69640,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69641,REVISE MIDDLE EAR & MASTOID,,,6244.73,18067.0,8
CPT,69642,REVISE MIDDLE EAR & MASTOID,,,6244.73,18067.0,8
CPT,69643,REVISE MIDDLE EAR & MASTOID,,,6244.73,18067.0,8
CPT,69644,REVISE MIDDLE EAR & MASTOID,,,6244.73,18067.0,8
CPT,69645,REVISE MIDDLE EAR & MASTOID,,,6244.73,18067.0,8
CPT,69646,REVISE MIDDLE EAR & MASTOID,,,6244.73,18067.0,8
CPT,69647,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69648,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69649,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69650,STAPES MOBILIZATION,,,3497.42,11244.0,8
CPT,69651,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69652,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69653,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69654,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69655,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69656,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69657,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69658,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69659,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69660,REVISE MIDDLE EAR BONE,,,6177.0,18067.0,8
CPT,69661,REVISE MIDDLE EAR BONE,,,6177.0,18067.0,8
CPT,69662,REVISE MIDDLE EAR BONE,,,6177.0,18067.0,8
CPT,69663,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69664,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69665,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69666,REPAIR MIDDLE EAR STRUCTURES,,,3497.42,6479.0,8
CPT,69667,REPAIR MIDDLE EAR STRUCTURES,,,3497.42,6479.0,8
CPT,69668,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69669,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69670,REMOVE MASTOID AIR CELLS,,,4236.0,18067.0,8
CPT,69671,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69672,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69673,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69674,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69675,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69676,REMOVE MIDDLE EAR NERVE,,,3497.42,6090.0,8
CPT,69677,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69678,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69679,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69680,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69681,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69682,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69683,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69684,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69685,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69686,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69687,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69688,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69689,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69690,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69691,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69692,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69693,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69694,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69695,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69696,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69697,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69698,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69699,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69700,CLOSE MASTOID FISTULA,,,1636.74,5583.0,8
CPT,69701,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69702,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69703,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69704,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69705,NPS SURG DILAT EUST TUBE UNI,,,3000.0,21649.0,8
CPT,69706,NPS SURG DILAT EUST TUBE BI,,,3200.0,21649.0,8
CPT,69707,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69708,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69709,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69710,IMPLANT/REPLACE HEARING AID,,,4236.0,18067.0,4
CPT,69711,REMOVE/REPAIR HEARING AID,,,2983.0,9658.0,8
CPT,69712,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69713,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69714,IMPL OI IMPLT SKULL PERQ ESP,,,12858.0,30380.0,7
CPT,69715,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69715,Mammogram,,,88338.06,88338.06,1
CPT,69716,IMPL OI IMPLT SK TC ESP<100,,,12664.0,30380.0,7
CPT,69717,RPLCMT OI IMPLT SKL PRQ ESP,,,7654.46,22625.0,7
CPT,69718,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69718,Mammogram,,,89225.2,89225.2,1
CPT,69719,RPLCM OI IMPLT SK TC ESP<100,,,12664.0,30380.0,7
CPT,69720,RELEASE FACIAL NERVE,,,6177.0,18067.0,8
CPT,69721,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69722,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69723,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69724,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69725,RELEASE FACIAL NERVE,,,6244.73,18067.0,7
CPT,69726,RMV NTR OI IMPLT SKL PRQ ESP,,,3200.0,15192.0,8
CPT,69727,RMV NTR OI IMP SK TC ESP<100,,,3200.0,15192.0,8
CPT,69728,RMV NTR OI IMP SK TC>=100,,,3200.0,12001.0,7
CPT,69729,IMPL OI IMPLT SK TC ESP>=100,,,12664.0,30380.0,7
CPT,69730,RPLC OI IMPLT SK TC ESP>=100,,,12664.0,30380.0,7
CPT,69731,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69732,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69733,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69734,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69735,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69736,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69737,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69738,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69739,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69740,REPAIR FACIAL NERVE,,,6177.0,18067.0,8
CPT,69741,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69742,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69743,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69744,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69745,REPAIR FACIAL NERVE,,,6177.0,18067.0,8
CPT,69746,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69747,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69748,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69749,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69750,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69751,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69752,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69753,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69754,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69755,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69756,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69757,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69758,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69759,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69760,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69761,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69762,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69763,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69764,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69765,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69766,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69767,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69768,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69769,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69770,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69771,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69772,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69773,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69774,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69775,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69776,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69777,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69778,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69779,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69780,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69781,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69782,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69783,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69784,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69785,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69786,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69787,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69788,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69789,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69790,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69791,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69792,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69793,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69794,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69795,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69796,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69797,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69798,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69799,UNLISTED PX MIDDLE EAR,,,249.85,3500.0,7
CPT,69800,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69801,HC LABYRINTHOTOMY WITH PERFUSION,2695.59,943.46,924.59,9611.0,10
CPT,69802,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69802,Mammogram,,,71525.79,71525.79,1
CPT,69803,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69804,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69805,EXPLORE INNER EAR,,,6244.73,18067.0,8
CPT,69806,EXPLORE INNER EAR,,,6244.73,18067.0,8
CPT,69807,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69808,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69809,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69810,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69811,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69812,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69813,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69814,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69815,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69816,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69817,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69818,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69819,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69820,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69820,Mammogram,,,55157.22,55157.22,1
CPT,69821,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69822,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69823,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69824,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69825,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69826,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69827,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69828,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69829,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69830,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69831,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69832,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69833,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69834,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69835,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69836,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69837,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69838,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69839,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69840,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69840,Mammogram,,,59727.82,59727.82,1
CPT,69841,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69842,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69843,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69844,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69845,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69846,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69847,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69848,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69849,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69850,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69851,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69852,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69853,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69854,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69855,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69856,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69857,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69858,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69859,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69860,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69861,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69862,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69863,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69864,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69865,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69866,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69867,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69868,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69869,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69870,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69871,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69872,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69873,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69874,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69875,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69876,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69877,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69878,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69879,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69880,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69881,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69882,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69883,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69884,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69885,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69886,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69887,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69888,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69889,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69890,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69891,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69892,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69893,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69894,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69895,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69896,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69897,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69898,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69899,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69900,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69901,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69902,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69903,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69904,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69905,REMOVE INNER EAR,,,6244.73,18067.0,8
CPT,69906,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69907,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69908,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69909,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69910,REMOVE INNER EAR & MASTOID,,,6244.73,18067.0,8
CPT,69911,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69912,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69913,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69914,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69915,INCISE INNER EAR NERVE,,,3497.42,11244.0,8
CPT,69916,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69917,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69918,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69919,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69920,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69921,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69922,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69923,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69924,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69925,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69926,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69927,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69928,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69929,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69930,IMPLANT COCHLEAR DEVICE,,,10856.0,56631.66,8
CPT,69931,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69932,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69933,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69934,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69935,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69936,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69937,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69938,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69939,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69940,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69941,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69942,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69943,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69944,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69945,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69946,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69947,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69948,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69949,UNLISTED PX INNER EAR,,,249.85,3500.0,7
CPT,69950,INCISE INNER EAR NERVE,,,1523.83,18067.0,7
CPT,69951,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69952,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69953,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69954,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69955,RELEASE FACIAL NERVE,,,6244.73,18067.0,7
CPT,69956,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69957,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69958,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69959,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69960,RELEASE INNER EAR CANAL,,,5428.0,18067.0,7
CPT,69961,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69962,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69963,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69964,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69965,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69966,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69967,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69968,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69969,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69970,REMOVE INNER EAR LESION,,,6244.73,18067.0,7
CPT,69971,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69972,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69973,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69974,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69976,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69977,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69978,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69979,UNLISTED PX TEMPORAL BONE,,,249.85,3500.0,7
CPT,69980,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69981,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69982,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69983,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69984,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69985,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69986,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69987,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69988,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69989,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69990,MICROSURGERY ADD-ON,,,191.75,14338.99,7
CPT,69991,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69992,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69993,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69994,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69995,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69996,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69997,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69998,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,69999,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,70010,CONTRAST X-RAY OF BRAIN,,,76.66,6431.37,6
CPT,70015,CONTRAST X-RAY OF BRAIN,,,209.36,8028.9,6
CPT,70030,HC EYE FOR FOREIGN BODY,398.05,139.32,91.8,1710.71,10
CPT,70100,HC MANDIBLE LESS THAN 4 VIEW,416.96,145.94,91.8,2140.2,10
CPT,7010F,PT INFO INTO RECALL SYSTEM,,,0.02,0.02,1
CPT,70110,HC MANDIBLE COMPLETE 4 VIEW,602.04,210.72,110.28,2259.51,10
CPT,70120,X-RAY EXAM OF MASTOIDS,,,55.81,2140.2,6
CPT,70130,HC XR MASTOIDS 3+ VW,255.89,89.57,87.77,3308.11,10
CPT,70134,X-RAY EXAM OF MIDDLE EAR,,,83.16,3188.92,6
CPT,70140,HC FACE BONES LESS THAN 3 VIEW,428.45,149.96,91.8,1615.53,10
CPT,70150,HC FACIAL BONES COMP MIN 3 VIEW,486.89,170.42,110.28,2473.89,10
CPT,70160,HC NASAL BONE COMP MIN 3 VIEW,395.75,138.52,91.8,2140.2,10
CPT,70170,X-RAY EXAM OF TEAR DUCT,,,251.7,428.21,5
CPT,70190,X-RAY EXAM OF EYE SOCKETS,,,50.2,1925.82,6
CPT,70200,HC ORBITS COMPLETE MIN 4 VIEW,510.61,178.72,110.28,2473.89,10
CPT,7020F,MAMMO ASSESS CAT IN DBASE,,,0.02,0.02,1
CPT,70210,HC SINUSES LESS THAN 3 VIEW,213.58,74.76,73.26,1710.71,10
CPT,70220,HC SINUSES COMPLETE MIN 3 VIEW,458.59,160.51,91.8,1949.22,10
CPT,70240,X-RAY EXAM PITUITARY SADDLE,,,44.62,1710.71,6
CPT,70250,HC SKULL LESS THAN 4 VIEW,417.59,146.16,110.28,1949.22,10
CPT,7025F,PT INFOSYS ALARM 4 NXT MAMMO,,,0.02,0.02,1
CPT,70260,HC SKULL COMPLETE MIN 4 VIEW,630.54,220.69,110.28,2235.38,10
CPT,70300,X-RAY EXAM OF TEETH,,,14.77,566.2,6
CPT,70310,X-RAY EXAM OF TEETH,,,58.91,2259.51,6
CPT,70320,FULL MOUTH X-RAY OF TEETH,,,78.18,2998.56,6
CPT,70328,HC XR TEMPOROMANDIBULAR JOINTS,228.93,80.13,78.52,1854.04,10
CPT,70330,HC TMJ BILAT OPEN AND CLOSED,445.64,155.98,91.8,2974.42,10
CPT,70332,X-RAY EXAM OF JAW JOINT,,,109.89,4214.12,6
CPT,70336,HC MRI TMJ(S),2034.51,712.08,251.7,2429.0,10
CPT,70350,X-RAY HEAD FOR ORTHODONTIA,,,14.77,566.2,6
CPT,70355,HC PANORAMIC X-RAY OF JAWS,205.8,72.03,70.59,836.0,10
CPT,70360,HC NECK SOFT TISSUE,356.61,124.82,91.8,1639.66,10
CPT,70370,THROAT X-RAY & FLUOROSCOPY,,,91.8,6241.13,6
CPT,70371,SPEECH EVALUATION COMPLEX,,,126.07,4833.97,6
CPT,70373,Mammogram,,,3594.27,3594.27,1
CPT,70380,X-RAY EXAM OF SALIVARY GLAND,,,55.19,2116.07,6
CPT,70390,HC XR SIALOGRAM,688.68,241.04,236.22,7170.42,10
CPT,70450,HC CT HEAD OR BRAIN W/O CON,3077.15,1077.01,110.28,1813.0,10
CPT,70460,HC CT HEAD OR BRAIN W CON,1996.8,698.88,185.03,1813.0,10
CPT,70470,"HC CT HEAD OR BRAIN W/O,W CON",2286.44,800.26,185.03,1813.0,10
CPT,70471,CTA H&N C+ W/NONCONTRAST IMG,,,368.02,599.21,4
CPT,70472,CT CERE PRFU ALYS C+W/CT/CTA,,,164.42,267.7,4
CPT,70473,CT CERE PRFU ALY C+WO CT/CTA,,,185.03,301.26,4
CPT,70480,HC CT FOS/SEL/EAR W/O CONTRAST,1812.11,634.24,110.28,1813.0,10
CPT,70481,HC CT FOS/SEL/EAR W/CONTRAST,2304.27,806.5,185.03,1813.0,10
CPT,70482,CT ORBIT/EAR/FOSSA W/O&W/DYE,,,185.03,11361.14,6
CPT,70486,HC CT MANDIBLE/FACIAL W/O CON,1617.14,566.0,110.28,1813.0,10
CPT,70487,HC CT MANDIBLE/FACIAL W CON,1823.28,638.15,185.03,1813.0,10
CPT,70487,HC CT SINUS W CON,1823.28,638.15,185.03,1813.0,10
CPT,70488,HC CT SINUS WO CONTRAST,2077.37,727.08,185.03,1813.0,10
CPT,70490,HC CT SOFT TISSUE NECK W/O CON,1834.29,642.01,110.28,1813.0,10
CPT,70491,HC CT SOFT TISSUE NECK W CON,3179.84,1112.95,185.03,1813.0,10
CPT,70492,CT NECK W/WO IV CON PARATHYROID,2942.94,1030.03,185.03,1813.0,10
CPT,70496,"HC CTA HEAD W/O, W CON/POST-PRO",4411.18,1543.92,185.03,1813.0,10
CPT,70498,"HC CTA NECK W/O, W CON/POST-PRO",4477.47,1567.12,185.03,1813.0,10
CPT,70540,HC MRI ORBIT/FACE/NECK W/O CN,2684.19,939.47,251.7,2429.0,10
CPT,70542,HC MRI ORBIT/FACE/NECK W CN,3066.62,1073.32,368.02,2429.0,10
CPT,70543,"HC MRI ORBIT/FACE/NECK W/O,W CN",3495.8,1223.53,368.02,2429.0,10
CPT,70544,HC MRA HEAD W/O CN,1959.02,685.66,251.7,2429.0,10
CPT,70545,HC MRA HEAD W CN,2758.31,965.41,368.02,2429.0,10
CPT,70546,"HC MRA HEAD W/O, W CN",3916.2,1370.67,368.02,2429.0,10
CPT,70547,HC MRA NECK W/O CN,1941.42,679.5,251.7,2429.0,10
CPT,70548,HC MRA NECK W CN,2176.81,761.89,368.02,2429.0,10
CPT,70549,"HC MRA NECK W/O, W CN",3066.62,1073.32,368.02,2429.0,10
CPT,70551,HC MRI BRAIN INC STEM W/O CN,4250.29,1487.61,251.7,2429.0,10
CPT,70552,HC MRI BRAIN INC STEM W CN,2733.31,956.66,368.02,2429.0,10
CPT,70553,"HC MRI BRAIN INC STEM W/O,W CN",5323.16,1863.11,368.02,2429.0,10
CPT,70554,FMRI BRAIN BY TECH,,,251.7,21125.49,6
CPT,70555,FMRI BRAIN BY PHYS/PSYCH,,,251.7,657.4,5
CPT,70557,MRI BRAIN W/O DYE,,,576.4,938.5,5
CPT,70558,MRI BRAIN W/DYE,,,185.03,836.0,5
CPT,70559,MRI BRAIN W/O & W/DYE,,,185.03,836.0,5
CPT,71010,Mammogram,,,900.62,900.62,1
CPT,71015,Mammogram,,,1115.0,1115.0,1
CPT,71020,Mammogram,,,1138.52,1138.52,1
CPT,71021,Mammogram,,,1353.5,1353.5,1
CPT,71022,Mammogram,,,1663.18,1663.18,1
CPT,71023,Mammogram,,,2974.42,2974.42,1
CPT,71030,Mammogram,,,1734.85,1734.85,1
CPT,71034,Mammogram,,,3976.23,3976.23,1
CPT,71035,Mammogram,,,1568.0,1568.0,1
CPT,71040,Mammogram,,,4953.17,4953.17,1
CPT,71045,HC X-RAY EXAM CHEST 1 VIEW,161.62,56.57,55.44,1234.31,10
CPT,71046,HC X-RAY EXAM CHEST 2 VIEWS,161.62,56.57,55.44,1663.18,10
CPT,71047,HC X-RAY EXAM CHEST 3 VIEWS,161.62,56.57,55.44,2092.67,10
CPT,71048,HC X-RAY EXAM CHEST 4+ VIEWS,308.94,108.13,105.97,2259.51,10
CPT,71060,Mammogram,,,7600.02,7600.02,1
CPT,71090,Mammogram,,,4204.69,4204.69,1
CPT,71100,HC X-RAY EXAM RIBS UNI 2 VIEWS,159.45,55.81,54.69,1877.56,10
CPT,71101,HC RIB UNI MIN 3VIEW W CHEST LT,496.42,173.75,110.28,2116.07,10
CPT,71101,HC RIB UNI MIN 3VIEW W CHEST RT,496.42,173.75,110.28,2116.07,10
CPT,71110,HC X-RAY EXAM RIBS BIL 3 VIEWS,380.46,133.17,110.28,2163.72,10
CPT,71111,HC RIB BILAT MIN 4 VIEW W CHEST,654.26,229.0,110.28,2664.87,10
CPT,71120,HC STERNUM MIN 2 VIEW,336.92,117.93,91.8,1734.85,10
CPT,71130,HC STRNOCLAVICULAR JT(S) MIN 3V,335.85,117.55,91.8,2211.86,10
CPT,71250,HC CT CHEST W/O CONTRAST,3011.67,1054.09,110.28,1813.0,10
CPT,71260,HC CT THORAX W/DYE,3462.0,1211.7,185.03,1813.0,10
CPT,71270,"HC CT CHEST W/O,W CON",2757.88,965.26,185.03,1813.0,10
CPT,71271,HC CT THORAX LUNG CANCER SCR C-,186.23,65.19,63.88,1813.0,10
CPT,71275,"HC CTA CHEST W/O, W CON/POST-PRO",1308.62,458.02,185.03,1813.0,10
CPT,71550,HC MRI CHEST W/O CN,2218.83,776.6,251.7,2429.0,10
CPT,71551,HC MRI CHEST W CN,2377.01,831.96,815.31,2429.0,10
CPT,71552,"HC MRI CHEST W/O, W CN",3027.33,1059.57,368.02,2429.0,10
CPT,71555,HC MRI ANGIOGRAM CHEST W/ WO CONTRAST,2518.29,881.41,351.46,2429.0,10
CPT,72010,Mammogram,,,3093.74,3093.74,1
CPT,72020,HC X-RAY EXAM OF SPINE 1 VIEW,341.26,119.45,91.8,1210.18,10
CPT,72040,HC CERVICAL SPINE 3 V OR LESS,399.8,139.93,91.8,2068.54,10
CPT,72050,HC CERVICAL SPINE 4 OR 5 VIEWS,519.04,181.67,110.28,2879.36,10
CPT,72052,HC CERVICAL SPINE 6 OR MORE V,620.99,217.35,110.28,3427.43,10
CPT,72069,Mammogram,,,1353.5,1353.5,1
CPT,72070,HC THORACIC SPINE 2 VIEW,319.68,111.89,109.65,1663.18,10
CPT,72072,HC THORACIC SPINE 3 VIEW,473.92,165.88,110.28,2044.4,10
CPT,72074,X-RAY EXAM THORAC SPINE4/>VW,,,60.77,2330.56,6
CPT,72080,HC THORACOLUMBAR SPINE 2V CONED,512.35,179.33,91.8,1758.24,10
CPT,72081,HC X-RAY EXAM ENTIRE SPI 1 VW,161.06,56.38,55.24,2163.72,10
CPT,72082,HC X-RAY EXAM ENTIRE SPI 2/3 VW,266.75,93.37,91.5,3952.1,10
CPT,72083,HC X-RAY EXAM ENTIRE SPI 4/5 VW,508.55,178.0,110.28,4429.23,10
CPT,72084,HC X-RAY EXAM ENTIRE SPI 6/> VW,508.55,178.0,110.28,5662.81,10
CPT,72090,HC XR SCOLIOSIS COMPLETE ERECT,367.95,128.79,126.21,1806.51,5
CPT,72100,HC LUMBAR SPINE 2 OR 3 VIEW,460.91,161.32,110.28,2092.67,10
CPT,72110,HC LUMBAR SPINE MIN 4 VIEW,560.65,196.23,110.28,2783.45,10
CPT,72114,HC LUMBAR COMP W BENDING VIEWS,491.84,172.15,110.28,3379.9,10
CPT,72120,HC XR SPINE LUMBAR FLEXION AND EX,358.7,125.55,110.28,2140.2,10
CPT,72125,HC CT CERVICAL SPINE W/O CON,3309.2,1158.22,110.28,1813.0,10
CPT,72126,HC CT CERVICAL SPINE W CON,2483.21,869.13,368.02,1813.0,10
CPT,72127,CT NECK SPINE W/O & W/DYE,,,185.03,10360.07,6
CPT,72128,HC CT THORACIC SPINE W/O CON,1912.23,669.29,110.28,1813.0,10
CPT,72129,HC CT THORACIC SPINE W CON,2331.03,815.87,185.03,1813.0,10
CPT,72130,CT CHEST SPINE W/O & W/DYE,,,185.03,10479.26,6
CPT,72131,HC CT LUMBAR SPINE W/O CON,2154.3,754.01,110.28,1813.0,10
CPT,72132,HC CT LUMBAR SPINE W CON,2673.64,935.78,368.02,1813.0,10
CPT,72133,CT LUMBAR SPINE W/O & W/DYE,,,185.03,10383.47,6
CPT,72141,HC MRI C-SPINE/CANAL W/O CN,4170.24,1459.59,251.7,2429.0,10
CPT,72142,HC MRI C-SPINE/CANAL W CN,2976.97,1041.94,368.02,2429.0,10
CPT,72146,HC MRI T-SPINE/CANAL W/O CN,2828.85,990.1,251.7,2429.0,10
CPT,72147,HC MRI T-SPINE/CANAL W CN,3084.11,1079.44,368.02,2429.0,10
CPT,72148,HC MRI L-SPINE/CANAL W/O CN,4188.84,1466.1,251.7,2429.0,10
CPT,72149,HC MRI L-SPINE/CANAL W CN,3064.06,1072.43,368.02,2429.0,10
CPT,72156,"HC MRI C-SPINE/CANAL W/O,W CN",3663.37,1282.18,368.02,2429.0,10
CPT,72157,"HC MRI T-SPINE/CANAL W/O,W CN",3665.09,1282.79,368.02,2429.0,10
CPT,72158,"HC MRI L-SPINE/CANAL W/O,W CN",3652.41,1278.35,368.02,2429.0,10
CPT,72159,HC MRI ANGIOGRAM SPINE W/ WO CONTRAST,2344.98,820.75,354.65,2429.0,10
CPT,72170,HC PELVIS 1 OR 2 VIEW,341.19,119.42,110.28,1401.16,10
CPT,72190,HC PELVIS COMPLETE MIN 3 VIEW,341.19,119.42,110.28,2163.72,10
CPT,72191,"HC CTA PLVIS W/O,W CON/POST-PRO",2424.17,848.46,185.03,1813.0,10
CPT,72192,HC CT PELVIS W/O CON,2050.3,717.61,110.28,1813.0,10
CPT,72193,HC CT PELVIS W CON,2241.6,784.56,185.03,1813.0,10
CPT,72194,HC CT PELVIS W WO CONTRAST,2627.39,919.59,185.03,1813.0,10
CPT,72195,HC MRI PELVIS W/O CN,2134.35,747.03,251.7,2429.0,10
CPT,72196,HC MRI PELVIS W CN,2614.02,914.91,368.02,2429.0,10
CPT,72197,"HC MRI PELVIS W/O, W CN",3120.76,1092.27,368.02,2429.0,10
CPT,72198,HC MRI ANGIOGRAM PELVIS W/ WO CONTRAST,2572.8,900.48,353.23,2429.0,10
CPT,72200,HC XR SACROILIAC JOINTS 1 OR 2 VW,221.11,77.39,75.84,1782.38,10
CPT,72202,HC SACROILIAC JOINTS MIN 3 VIEW,412.86,144.51,110.28,2044.4,10
CPT,72220,HC SACRUM AND COCCYX MIN 2 VIEW,373.1,130.59,91.8,1734.85,10
CPT,72240,HC MYELOGRAPHY CERVICAL,1747.53,611.64,597.0,5072.48,10
CPT,72255,HC MYELOGRAM THORACIC,1608.73,563.06,551.79,5287.59,10
CPT,72265,HC MYELOGRAPHY LUMBOSACRAL,1604.34,561.52,550.29,5024.95,10
CPT,72270,HC MYELOGRAPHY ENTIRE SPINE,1437.77,503.22,493.16,7099.49,10
CPT,72275,Mammogram,,,7122.89,7122.89,1
CPT,72285,DISCOGRAPHY CERV/THOR SPINE,,,137.26,5263.46,6
CPT,72295,X-RAY OF LOWER SPINE DISK,,,133.52,5120.01,6
CPT,73000,HC CLAVICLE COMPLETE,371.9,130.17,91.8,1734.85,10
CPT,73010,HC SCAPULA COMPLETE,405.67,141.99,110.28,1067.47,10
CPT,73020,HC SHOULDER 1 VIEW,287.73,100.71,91.8,1019.2,10
CPT,73030,HC SHOULDER MIN 2 VIEW,388.06,135.83,91.8,1830.03,10
CPT,73040,HC SHOULDER ARTHROGRAM,805.17,281.81,276.17,7528.24,10
CPT,73050,HC AC JTS W OR W/O WEIGHT BILAT,360.59,126.21,91.8,1401.16,10
CPT,73060,HC HUMERUS MIN 2 VIEW,278.26,97.4,91.8,1734.85,10
CPT,73070,HC ELBOW 2 VIEW,274.1,95.94,91.8,1520.35,10
CPT,73080,HC ELBOW COMPLETE MIN 3 VIEW,392.55,137.4,91.8,1734.85,10
CPT,73085,HC ARTHROGRAM OF ELBOW,805.17,281.81,276.17,6074.29,10
CPT,73090,HC FOREARM 2 VIEW,318.05,111.32,91.8,1543.87,10
CPT,73092,"HC NEONAT UPPER EXTREM, AP/LAT",234.0,81.9,80.26,1710.71,10
CPT,73100,HC WRIST 2 VIEW,325.26,113.85,91.8,1854.04,10
CPT,73110,HC WRIST MIN 3 VIEW,346.32,121.22,91.8,2330.56,10
CPT,73115,HC WRIST ARTHROGRAM,805.17,281.81,276.17,7791.0,10
CPT,73120,HC HAND 2 VIEW,290.57,101.7,99.67,1663.18,10
CPT,73130,HC HAND MIN 3 VIEW,349.72,122.41,91.8,2044.4,10
CPT,73140,HC FINGER(S) MIN 2 VIEW,255.06,89.28,87.49,2235.38,10
CPT,73200,HC CT UPPER EXTREMITY W/O DYE,1692.91,592.52,110.28,1813.0,10
CPT,73201,HC CT UPPER EXTREMITY W/DYE,2078.9,727.62,368.02,1813.0,10
CPT,73202,CT UPPR EXTREMITY W/O&W/DYE,,,185.03,14460.88,6
CPT,73206,HC CT ANGIO UPR EXTRM W/O,2257.72,790.21,185.03,1813.0,10
CPT,73218,HC MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL,1704.81,596.69,251.7,2429.0,10
CPT,73219,MRI UPPER EXTREMITY W/DYE,,,368.02,19384.65,6
CPT,73220,"HC MRI UP XTRM NO JT W/O,W CN",2870.19,1004.57,368.02,2429.0,10
CPT,73221,HC MRI JOINT UPR EXTREM W/O DYE,2598.77,909.57,251.7,2429.0,10
CPT,73222,HC MRI JOINT UPR EXTREM W/DYE,2673.39,935.69,597.0,2429.0,10
CPT,73223,HC MRI JOINT UPR EXTR W/O&W/DYE,2977.94,1042.28,368.02,2429.0,10
CPT,73225,HC MR ANGIO UPR EXTR W/O&W/DYE,712.13,249.25,244.26,2429.0,10
CPT,73500,HC X-RAY EXAM OF HIP 1 VIEW,206.97,72.44,70.99,1138.52,5
CPT,73501,HC X-RAY EXAM HIP UNI 1 VIEW,161.06,56.38,55.24,1710.71,10
CPT,73502,HC X-RAY EXAM HIP UNI 2-3 VIEWS,161.06,56.38,55.24,2593.2,10
CPT,73503,HC X-RAY EXAM HIP UNI 4/> VIEWS,266.75,93.37,91.5,3308.11,10
CPT,73510,Mammogram,,,1710.71,1710.71,1
CPT,73520,Mammogram,,,1687.19,1687.19,1
CPT,73521,HC X-RAY EXAM HIPS BI 2 VIEWS,266.75,93.37,91.5,2187.85,10
CPT,73522,HC X-RAY EXAM HIPS BI 3-4 VIEWS,266.75,93.37,91.5,2831.71,10
CPT,73523,HC X-RAY EXAM HIPS BI 5/> VIEWS,508.55,178.0,110.28,3355.77,10
CPT,73525,HC HIP ARTHROGRAM,805.17,281.81,276.17,7385.53,10
CPT,73530,HC HIP OPERATIVE,391.79,137.13,112.21,597.0,5
CPT,73540,Mammogram,,,1925.82,1925.82,1
CPT,73542,Mammogram,,,3737.72,3737.72,1
CPT,73550,Mammogram,,,1186.66,1186.66,1
CPT,73551,HC X-RAY EXAM OF FEMUR 1,161.06,56.38,55.24,1520.35,10
CPT,73552,HC X-RAY EXAM OF FEMUR MIN 2 VIEW,161.06,56.38,55.24,1925.82,10
CPT,73560,HC X-RAY EXAM OF KNEE 1 OR 2,402.22,140.78,91.8,1877.56,10
CPT,73562,HC KNEE 3 VIEW,457.13,160.0,91.8,2259.51,10
CPT,73564,"HC KNEE COMPLETE MIN 4 VIEW, RT",426.15,149.16,110.28,2545.67,10
CPT,73565,HC KNEES STANDING BILAT AP,410.93,143.83,91.8,2259.51,10
CPT,73580,HC ARTHROGRAM OF KNEE JOINT,805.17,281.81,276.17,7003.57,10
CPT,73590,HC LEG (TIBIA/FIBULA),331.09,115.89,91.8,1710.71,10
CPT,73590,"HC LEG(TIBIA/FIBULA), RT",321.46,112.52,91.8,1710.71,10
CPT,73592,"HC NEONAT LOWER EXTREM, AP/LAT",172.19,60.27,59.06,1710.71,10
CPT,73600,HC ANKLE 2 VIEW,354.73,124.16,91.8,1758.24,10
CPT,73610,HC ANKLE COMPLETE 3 VIEW,359.23,125.74,91.8,2044.4,10
CPT,73615,CONTRAST X-RAY OF ANKLE,,,191.96,7361.39,6
CPT,73620,HC XRAY FOOT 2 VIEW,311.47,109.02,91.8,1496.34,10
CPT,73630,HC FOOT COMPLETE MIN 3 VIEW,339.1,118.69,91.8,1877.56,10
CPT,73650,HC CALCANEUS MIN 2 VIEW,270.11,94.54,91.8,1496.34,10
CPT,73660,HC TOE (S) MIN 2 VIEW,249.6,87.36,85.61,1639.66,10
CPT,73700,HC CT LOWER EXTREM W/O DYE,2983.77,1044.32,110.28,1813.0,10
CPT,73701,HC CT LOWER EXTREMITY W/DYE,1930.51,675.68,185.03,1813.0,10
CPT,73702,"HC CT LOWER EXTREM W/O,W CON RT",1934.05,676.92,185.03,1813.0,10
CPT,73706,HC CT ANGIOGRAPHY LOWER EXTREMITY W/ CONTRAST,2042.27,714.8,185.03,1813.0,10
CPT,73718,HC MRI LOW XTRM NO JT W/O DYE,2066.77,723.37,251.7,2429.0,10
CPT,73719,MRI LOWER EXTREMITY W/DYE,,,368.02,14127.19,6
CPT,73720,"HC MRI LW XTRM N/JT W/O,W DYE",2822.2,987.77,368.02,2429.0,10
CPT,73721,HC MRI JNT OF LWR EXTRE W/O DYE,3674.64,1286.13,251.7,2429.0,10
CPT,73722,HC MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL,2890.94,1011.83,826.95,2429.0,10
CPT,73723,"HC MRI LOWER XTRM W/O, W DYE",2983.06,1044.08,368.02,2429.0,10
CPT,73725,HC MRA LOW EXTRM W/ WO CONTRAST,2636.61,922.82,354.09,2429.0,10
CPT,74000,Mammogram,,,971.67,971.67,1
CPT,74010,Mammogram,,,1568.0,1568.0,1
CPT,74018,HC X-RAY EXAM ABDOMEN 1 VIEW,161.62,56.57,55.44,1520.35,10
CPT,74019,HC X-RAY EXAM ABDOMEN 2 VIEWS,308.94,108.13,105.97,1854.04,10
CPT,74020,Mammogram,,,1591.4,1591.4,1
CPT,74021,HC X-RAY EXAM ABDOMEN 3+ VIEWS,308.94,108.13,105.97,2163.72,10
CPT,74022,HC ABD ACUTE MIN 2 VIEW W PA CXR,654.7,229.15,110.28,2473.89,10
CPT,74150,HC CT ABD W/O CON,1976.28,691.7,110.28,1813.0,10
CPT,74160,HC CT ABD W CON,4212.29,1474.31,185.03,1813.0,10
CPT,74170,HC CT ABD W/O AND W CON,2631.55,921.05,185.03,1813.0,10
CPT,74174,"HC CTA ABD/PEL W,W/O CN POST PRO",5289.98,1851.5,368.02,1814.46,10
CPT,74175,"HC CTA ABD W/O, W CON/POST-PRO",3032.79,1061.48,185.03,1813.0,10
CPT,74176,HC CT ABD & PELVIS,5864.86,2052.71,251.7,2011.65,10
CPT,74177,HC CT ABD & PELV W/CONTRAST,6926.43,2424.26,368.02,2375.77,10
CPT,74178,HC CT ABD & PELV 1/> REGNS,7371.1,2579.89,368.02,2528.29,10
CPT,74181,HC MRI ABDOMEN W/O CN,2212.89,774.52,251.7,2429.0,10
CPT,74182,HC MRI ABDOMEN W CONTRAST,2639.0,923.65,368.02,2429.0,10
CPT,74183,"HC MRI ABDOMEN W/O,W CN",3057.04,1069.97,368.02,2429.0,10
CPT,74185,HC MRA ABDOMEN W/WO CON,2477.16,867.01,352.69,2429.0,10
CPT,74190,"HC PERITONEOGRAM, R S & I",1239.72,433.91,355.06,938.5,10
CPT,74210,HC MODIFIED BARIUM SWALLOW,657.56,230.15,185.03,4953.17,10
CPT,74220,HC ESOPHOGOGRAM,382.97,134.04,131.36,5072.48,10
CPT,74221,HC RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY,469.03,164.17,160.88,5644.68,10
CPT,74230,HC MODIF BARIUM SWALLOW W SPEECH PATH,358.51,125.48,122.97,7289.73,10
CPT,74235,REMOVE ESOPHAGUS OBSTRUCTION,,,192.81,192.81,1
CPT,74240,HC RADEX GI TRACT UPPER W/WO DELAYED IMAGES W/O KUB,635.64,222.48,185.03,6193.48,10
CPT,74241,Mammogram,,,6217.0,6217.0,1
CPT,74245,Mammogram,,,9411.92,9411.92,1
CPT,74246,HC UGI AIR CONTRAST,604.08,211.43,185.03,7099.49,10
CPT,74247,Mammogram,,,7957.85,7957.85,1
CPT,74248,HC RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,234.51,82.08,80.44,3618.41,9
CPT,74249,Mammogram,,,10317.81,10317.81,1
CPT,74250,HC SMALL BOWEL SERIES,555.16,194.31,185.03,6145.21,10
CPT,74251,HC SBFT VIA ENTEROCLYSIS TUBE,613.03,214.57,185.03,22811.34,10
CPT,74260,Mammogram,,,21928.85,21928.85,1
CPT,74261,CT COLONOGRAPHY DX,,,110.28,23008.32,6
CPT,74262,CT COLONOGRAPHY DX W/DYE,,,185.03,26608.72,6
CPT,74263,CT COLONOGRAPHY SCREENING,,,251.7,41367.03,6
CPT,74270,HC COLON BARIUM ENEMA SNGL CON,911.21,318.93,185.03,7647.55,10
CPT,74280,HC COLON AIR CONTRAST W BARIUM,1084.36,379.53,185.03,11790.63,10
CPT,74283,HC BA ENEMA FOR INTUSSUSCEPTION,1226.5,429.28,185.03,11295.48,10
CPT,74290,CONTRAST X-RAY GALLBLADDER,,,134.14,5144.14,6
CPT,74291,Mammogram,,,3904.57,3904.57,1
CPT,74300,HC CHOLANGIOGRAM INTRAOPERATIVE,536.13,187.65,153.55,597.0,5
CPT,74301,HC XR CHOLANGIOGRAM INTRAOPERATIV,189.22,66.23,54.19,597.0,5
CPT,74320,HC PERC TRANSHEP CHOLANGIOGRAM,887.93,310.78,304.56,4429.23,5
CPT,74327,Mammogram,,,6646.48,6646.48,1
CPT,74328,"HC ENDOSCOPIC CATHETERIZATION OF BILIARY DUCTAL SYSTEM, R S & I",912.47,319.37,261.33,679.79,5
CPT,74329,"HC ENDO CATHETERIZATION PANCREATIC DUCTAL SYSTEM R, S & I",847.67,296.69,242.77,631.51,5
CPT,74330,HC ERCP,1146.97,401.44,328.49,854.49,5
CPT,74340,HC X-RAY GUIDE FOR GI TUBE,515.9,180.57,147.75,597.0,5
CPT,74350,Mammogram,,,7055.27,7055.27,1
CPT,74355,X-RAY GUIDE INTESTINAL TUBE,,,179.3,179.3,1
CPT,74360,"HC INTRALUMINAL DILATION OF STRICTURE AND/OR OBSTRUCTION, R S & I",633.5,221.73,181.43,597.0,5
CPT,74363,"HC PRC TRNHEP DIL W,WO STNT",911.6,319.06,261.08,679.14,5
CPT,74400,UROGRAPHY IV +-KUB TOMOG,,,185.03,8095.17,6
CPT,74410,UROGRAPHY NFS DRIP&/BOLUS,,,185.03,8499.91,6
CPT,74415,UROGRAPHY NFS DRIP&/BLS W/NF,,,185.03,9477.58,6
CPT,74420,HC FL LOOPOGRAM,712.34,249.32,244.33,3785.25,10
CPT,74425,"HC UROGRAPHY, ANTEGRADE, RADIOLOGICAL SUPERVISION AND INTERPRETATION",690.88,241.81,236.97,8124.69,10
CPT,74430,HC CYSTOGRAM MINIMUM 3 VIEW,690.88,241.81,236.97,1877.56,10
CPT,74440,X-RAY MALE GENITAL TRACT,,,149.06,5716.46,6
CPT,74445,HC XR PENIS,712.34,249.32,110.28,597.0,10
CPT,74450,HC URETHROCYSTOGRAPHY RETROGRAD,690.88,241.81,197.87,597.0,10
CPT,74455,HC CYSTOURETHROGRAM VOIDING,690.88,241.81,236.97,6407.98,10
CPT,74470,"HC RADIOLOGICAL EXAMINATION, RENAL CYST STUDY",1691.86,592.16,484.55,1260.44,10
CPT,74475,HC INTRO CATH RENAL PEL DRN/INJ,2960.89,1036.32,597.0,4380.97,5
CPT,74480,HC URETERAL STENT PLCMT DRN/INJ,2960.89,1036.32,597.0,4380.97,5
CPT,74485,DILATION URTR/URT RS&I,,,150.3,5763.99,6
CPT,74710,Mammogram,,,1710.71,1710.71,1
CPT,74712,HC MRI FETAL SNGL/1ST GESTATION,651.08,227.88,223.32,2429.0,10
CPT,74713,HC MRI FETAL EA ADDL GESTATION,325.53,113.94,111.66,8553.56,10
CPT,74740,HC HYSTEROSALPINGOGRAPHY,855.6,299.46,251.7,5573.63,10
CPT,74742,X-RAY FALLOPIAN TUBE,,,99.53,99.53,1
CPT,74775,X-RAY EXAM OF PERINEUM,,,251.7,428.21,5
CPT,75552,Mammogram,,,31705.33,31705.33,1
CPT,75553,Mammogram,,,34637.49,34637.49,1
CPT,75554,Mammogram,,,36401.86,36401.86,1
CPT,75555,Mammogram,,,36712.03,36712.03,1
CPT,75557,HC MRI CARD FOR MORPH W/O CN,1963.71,687.3,251.7,2429.0,10
CPT,75558,Mammogram,,,32565.65,32565.65,1
CPT,75559,CARDIAC MRI W/STRESS IMG,,,576.4,18108.81,6
CPT,75560,Mammogram,,,43835.65,43835.65,1
CPT,75561,HC CARDIAC MRI W/WO CONTRAST & FURTHER SEQ,2364.2,827.47,368.02,2429.0,10
CPT,75562,Mammogram,,,43770.6,43770.6,1
CPT,75563,CARD MRI W/STRESS IMG & DYE,,,657.4,21697.69,6
CPT,75564,Mammogram,,,51522.77,51522.77,1
CPT,75565,CARD MRI VELOC FLOW MAPPING,,,47.82,2550.94,6
CPT,75571,HC CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM,296.1,103.64,91.8,1813.0,10
CPT,75572,HC CT HEART CONTRAST EVAL CARDIAC STRUCTURE&MORPH,2162.66,756.94,368.02,1813.0,10
CPT,75573,HC CT HEART C+ CARDIAC STRUX&MORPH CGEN HRT DS,2518.82,881.59,368.02,1813.0,10
CPT,75574,HC CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST,2699.13,944.7,368.02,1813.0,10
CPT,75577,QUAN&CHAR C ATHROSCLRTC PLAQ,,,981.41,1597.93,4
CPT,75580,N-INVAS EST C FFR SW ALY CTA,,,905.87,1570.44,5
CPT,75600,HC CONTRAST X-RAY EXAM OF AORTA,5984.25,2094.49,597.0,11527.99,10
CPT,75605,HC AORTOGRAM THORACIC,12135.33,4247.37,597.0,9557.35,10
CPT,75625,HC AORTOGRAM ABDOMINAL,5376.69,1881.85,597.0,5423.17,10
CPT,75630,HC ABD AORTOGRAM W BIL LO EXTR,5984.25,2094.49,597.0,5423.17,10
CPT,75635,HC CTA BILATERAL RUN OFF,3198.34,1119.42,185.03,1813.0,10
CPT,75650,Mammogram,,,9388.4,9388.4,1
CPT,75658,Mammogram,,,6974.17,6974.17,1
CPT,75660,Mammogram,,,11438.81,11438.81,1
CPT,75662,Mammogram,,,13120.12,13120.12,1
CPT,75665,Mammogram,,,11867.68,11867.68,1
CPT,75671,Mammogram,,,13692.32,13692.32,1
CPT,75676,Mammogram,,,10961.79,10961.79,1
CPT,75680,Mammogram,,,12034.52,12034.52,1
CPT,75685,Mammogram,,,11223.82,11223.82,1
CPT,75705,HC ANGIO SPINAL SELECTIVE,11695.96,4093.59,597.0,9557.35,10
CPT,75710,HC ANGIO LOWER EXTREMITY,5376.69,1881.85,597.0,5423.17,10
CPT,75716,HC ANGIO UPPER/LOWER EXTREMITY BILAT,5376.69,1881.85,597.0,5423.17,10
CPT,75722,Mammogram,,,11843.55,11843.55,1
CPT,75724,Mammogram,,,13477.21,13477.21,1
CPT,75726,HC ANGIO VIS SEL W OR W/O AORT,12105.54,4236.94,597.0,9557.35,10
CPT,75731,HC ANGIOGRAPHY ADRENAL UNILATERAL SR&I,10400.79,3640.28,597.0,7748.59,10
CPT,75733,ARTERY X-RAYS ADRENALS,,,202.08,7749.47,6
CPT,75736,HC ANGIO PLVIC SELECT/SUPER SEL,9167.1,3208.49,597.0,9557.35,10
CPT,75741,HC ANGIO PULM SELECTIVE RT,5984.25,2094.49,597.0,5423.17,10
CPT,75743,HC ANGIO PULMONARY BILAT SELECT,5984.25,2094.49,597.0,5423.17,10
CPT,75746,HC ANGIO PULMONARY NONSELECTIVE,5499.19,1924.72,597.0,5877.18,10
CPT,75756,HC ANGIO INTERNAL MAMMARY,6485.38,2269.89,597.0,7630.16,10
CPT,75774,HC ANGIO SELECTIVE EA ADDL VESL,1478.14,517.35,98.83,3665.94,9
CPT,75790,Mammogram,,,5390.12,5390.12,1
CPT,75791,Mammogram,,,16016.14,16016.14,1
CPT,75801,LYMPH VESSEL X-RAY ARM/LEG,,,661.73,1077.43,5
CPT,75803,HC LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL,4147.63,1451.68,597.0,3089.98,10
CPT,75805,"HC LYMPHANGIOGRAPHY, PELVIC/ABDOMINAL, UNILATERAL",7437.36,2603.08,597.0,5540.83,10
CPT,75807,"HC LYMPHANGIOGRAPHY, PELVIC/ABDOMINAL",7134.02,2496.91,597.0,5423.17,10
CPT,75809,NONVASCULAR SHUNT X-RAY,,,110.28,4238.26,6
CPT,75810,VEIN X-RAY SPLEEN/LIVER,,,3330.78,5465.36,5
CPT,75820,"HC VENOGRAPHY,EXTREMITY,UNILAT",3408.63,1193.03,597.0,4309.92,10
CPT,75822,HC VENOGRAM EXTREMITY BILATERIAL ARMS/LEGS,3408.63,1193.03,597.0,4667.13,10
CPT,75825,HC VENOGRAM CAVAL INFERIOR,5984.25,2094.49,597.0,5423.17,10
CPT,75827,HC VENGORAM CAVAL SUPERIOR,3408.63,1193.03,597.0,4738.79,10
CPT,75831,"HC VENOGRAPHY, RENAL, UNILATERAL, SELECTIVE, R S & I",7134.02,2496.91,597.0,5423.17,10
CPT,75833,HC VENOGRAPHY RENAL BILTAL SELECTIVE RADIOLOGICAL SUPERVISION & INTERPRETATION,16960.13,5936.05,597.0,12635.3,10
CPT,75840,VEIN X-RAY ADRENAL GLAND,,,140.22,5423.17,6
CPT,75842,Mammogram,,,6306.79,6306.79,1
CPT,75842,Other Outpatient Services - CPT/HCPCS,,,164.45,164.45,1
CPT,75860,HC VENOGRAM SINUS OR JUG CATH,6485.38,2269.89,597.0,5423.17,10
CPT,75870,VEIN X-RAY SKULL,,,183.1,7021.7,6
CPT,75872,VEIN X-RAY SKULL EPIDURAL,,,140.22,5376.65,6
CPT,75880,VEIN X-RAY EYE SOCKET,,,139.59,5353.25,6
CPT,75885,HC PERCUTANEOUS TRANSHEPATIC PORTOGRAPHY,6811.78,2384.13,597.0,5423.17,10
CPT,75887,"HC PERC TRANSHEPATIC PORTOGRAPHY W/O HEMODYNAMIC EVAL, R S & I",6784.05,2374.42,597.0,5423.17,10
CPT,75889,"HC HEPATIC VENOGRAPHY, WEDGED OR FREE, W/O HEMODYNAMIC EVALUATION",6811.68,2384.09,597.0,5423.17,10
CPT,75891,HC HEP VENO WDG/FREE W/O HEMDYN,7258.65,2540.53,597.0,5423.17,10
CPT,75893,"HC VENO SAMP CATH W,WO ANG(REN)",12135.33,4247.37,597.0,9557.35,10
CPT,75894,HC TRANS CATH EMBOLIZATION,3985.52,1394.94,328.28,2969.21,9
CPT,75898,HC ANGIO VIA EXIST CATH FOR F/U,21674.94,7586.23,597.0,16147.83,10
CPT,75901,HC MHRMV PRCTH OBST CVD VSP ACC,253.14,88.6,86.83,14937.28,9
CPT,75902,HC MECH REMOVAL INTRALUMINAL OBSTRUCTIVE MATERIAL R S & I,512.03,179.22,90.56,5168.28,9
CPT,75940,Mammogram,,,31313.33,31313.33,1
CPT,75945,HC INTRAVASCULAR US INITVESSEL,755.66,264.49,216.42,597.0,5
CPT,75956,HC ENDO REP T AOR ANEU PSA LSCA,4821.5,1687.53,597.0,3592.02,5
CPT,75957,HC ENDO T AOR ANEU PSA NO LSCA IN,4821.5,1687.53,597.0,3592.02,5
CPT,75958,HC PLACEMENT PROX ENTENSION ENDOVASCULAR RPR DESCENDING THORACIC AORTA,1875.46,656.42,537.13,1397.22,5
CPT,75959,Other Outpatient Services - CPT/HCPCS,,,283.72,283.72,1
CPT,75960,Mammogram,,,6169.35,6169.35,1
CPT,75961,Mammogram,,,9793.14,9793.14,1
CPT,75962,Mammogram,,,7642.16,7642.16,1
CPT,75964,Mammogram,,,4738.79,4738.79,1
CPT,75966,Mammogram,,,7165.15,7165.15,1
CPT,75968,Mammogram,,,4667.13,4667.13,1
CPT,75970,HC TRANSCATHETER BIOPSY S & I,1650.33,577.62,472.65,1229.5,5
CPT,75978,Mammogram,,,7522.97,7522.97,1
CPT,75980,HC PERC TRAN HEP BILI DRN W CON,999.75,349.92,286.33,744.81,5
CPT,75982,HC BIL IN/EXT CTH/INT STNT,1449.79,507.43,415.22,1080.09,5
CPT,75984,HC CHN PERC TUBE/DRN CATH W CON,680.53,238.19,97.79,4214.12,9
CPT,75989,HC RAD GUID PERC DRN W CATH PL,585.48,204.92,116.9,4143.07,9
CPT,75992,Mammogram,,,39149.16,39149.16,1
CPT,75993,Mammogram,,,1209.44,1209.44,1
CPT,75994,Mammogram,,,3968.88,3968.88,1
CPT,75995,Mammogram,,,4218.78,4218.78,1
CPT,75996,Mammogram,,,1216.18,1216.18,1
CPT,75998,Mammogram,,,3304.19,3304.19,1
CPT,76000,FLUOROSCOPY <1 HR PHYS/QHP,,,52.07,1996.87,6
CPT,76003,Mammogram,,,3249.93,3249.93,1
CPT,76005,Mammogram,,,3249.93,3249.93,1
CPT,76006,Mammogram,,,1473.55,1473.55,1
CPT,76010,HC XR BABYGRAM 1 VW,265.09,92.79,90.93,1520.35,10
CPT,76012,Mammogram,,,4291.18,4291.18,1
CPT,76013,Mammogram,,,4420.54,4420.54,1
CPT,76014,HC MR SAFETY IMPLANT&/FB ASSMT CLIN STAF 1ST 15 MIN,146.94,51.43,30.51,2429.0,10
CPT,76015,HC MR SAFETY IMPLANT&/FB ASSMT CLIN STAFF EA ADD 30,24.49,8.58,7.01,2429.0,10
CPT,76016,HC MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP,528.3,184.91,91.8,2429.0,10
CPT,76017,HC MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG&MNTR,1450.32,507.62,251.7,2429.0,10
CPT,76018,HC MR SAFETY IMPLT ELECTRONICS PREPJ SUPVJ PHYS/QHP,550.74,192.76,100.29,2429.0,10
CPT,76019,HC MR SAFETY IMPLANT POS&/IMMOBLJ SUPVJ PHYS/QHP,356.4,124.74,62.23,2429.0,10
CPT,76020,Mammogram,,,1275.84,1275.84,1
CPT,76040,Mammogram,,,1949.96,1949.96,1
CPT,76061,Mammogram,,,2492.63,2492.63,1
CPT,76062,Mammogram,,,3578.23,3578.23,1
CPT,76065,Mammogram,,,1830.64,1830.64,1
CPT,76066,Mammogram,,,2755.39,2755.39,1
CPT,76070,Mammogram,,,7346.69,7346.69,1
CPT,76071,Mammogram,,,7147.63,7147.63,1
CPT,76075,Mammogram,,,7698.51,7698.51,1
CPT,76076,Mammogram,,,1878.91,1878.91,1
CPT,76077,Mammogram,,,1878.91,1878.91,1
CPT,76078,Mammogram,,,1878.91,1878.91,1
CPT,76080,HC RAD ABCESS/FISTULA/SINUS TR,1174.15,410.96,402.73,2521.54,10
CPT,76082,Mammogram,,,1019.2,1019.2,1
CPT,76083,Mammogram,,,1019.2,1019.2,1
CPT,76086,Mammogram,,,6523.86,6523.86,1
CPT,76088,Mammogram,,,9094.28,9094.28,1
CPT,76090,Mammogram,,,2611.95,2611.95,1
CPT,76091,Mammogram,,,3249.93,3249.93,1
CPT,76092,Mammogram,,,3059.56,3059.56,1
CPT,76093,Mammogram,,,43794.12,43794.12,1
CPT,76094,Mammogram,,,59418.26,59418.26,1
CPT,76095,Mammogram,,,17788.47,17788.47,1
CPT,76096,Mammogram,,,3249.93,3249.93,1
CPT,76098,HC SURGICAL BREAST SPECIMEN,997.38,349.09,342.1,1925.82,10
CPT,76098,HC SURGICAL BREAST SPECIMEN RT,968.33,338.92,332.14,1925.82,10
CPT,76100,X-RAY EXAM OF BODY SECTION,,,110.28,4429.23,6
CPT,76101,Mammogram,,,5305.6,5305.6,1
CPT,76102,Mammogram,,,10563.05,10563.05,1
CPT,76120,CINE/VIDEO X-RAYS,,,110.28,7027.7,6
CPT,76125,CINE/VIDEO X-RAYS ADD-ON,,,52.25,52.25,1
CPT,76140,X-RAY CONSULTATION,,,109.82,109.82,1
CPT,76145,HC MED PHYSIC DOS EVAL RAD EXPS,1687.85,590.75,393.64,64796.25,10
CPT,76150,Mammogram,,,1234.31,1234.31,1
CPT,76355,Mammogram,,,20501.6,20501.6,1
CPT,76360,Mammogram,,,20501.6,20501.6,1
CPT,76362,Mammogram,,,22383.81,22383.81,1
CPT,76370,Mammogram,,,7346.69,7346.69,1
CPT,76376,HC 3D RENDER W/INTRP POSTPROCES,669.77,234.42,26.47,1813.0,10
CPT,76377,HC CT3DR NTP/RP RQ MGPSP ON IWS,767.33,268.57,81.87,2735.92,10
CPT,76377,HC MR3DR NTP/RP RQ MGPSP ON IWS,744.98,260.75,81.87,2735.92,10
CPT,76380,HC CT LIMITED OR LOCALIZED F/U,774.47,271.07,91.8,1813.0,10
CPT,76390,HC MRI SPECTROSCOPY,2654.19,928.97,91.8,2429.0,10
CPT,76391,HC MR ELASTOGRAPHY,1260.92,441.33,251.7,2429.0,10
CPT,76393,Mammogram,,,27770.63,27770.63,1
CPT,76394,Mammogram,,,29615.97,29615.97,1
CPT,76400,Mammogram,,,27842.9,27842.9,1
CPT,76496,HC UNLISTED FLUOROSCOPIC PROC,308.02,107.81,88.22,597.0,10
CPT,76497,HC UNLISTED CT PROCEDURE,266.54,93.29,91.42,1813.0,10
CPT,76498,HC MRA CHEST (CARDIAC GATED),2561.98,896.7,91.8,2429.0,10
CPT,76498,HC MRI WHOLE BODY WITH AND WITHOUT CONTRAST,13540.24,4739.09,91.8,4644.3,10
CPT,76498,HC MRI WHOLE BODY WITH CONTRAST,10509.0,3678.15,91.8,3604.59,10
CPT,76498,HC MRI WHOLE BODY WITHOUT CONTRAST,9374.9,3281.22,91.8,3215.59,10
CPT,76499,HC DEXA LIPODISTROPHY STUDY,505.03,176.77,91.8,836.0,10
CPT,76506,HC US ECHOENCPHOGRAPHY BSCAN,385.54,134.94,110.28,5978.37,10
CPT,76510,HC OPHTH US B & QUANT A,350.7,122.75,120.29,597.0,10
CPT,76511,HC DIAGNOSTIC A-SCAN,337.58,118.16,110.28,597.0,10
CPT,76512,HC DIAGNOSTIC B-SCAN CONTACT,240.57,84.2,82.52,597.0,10
CPT,76513,HC DIAGNOSTIC B-SCAN IMMERSION,341.43,119.51,110.28,597.0,10
CPT,76514,"HC ECHO EXAM OF EYE, THICKNESS",79.48,27.82,27.26,597.0,10
CPT,76516,HC ECHO EXAM OF EYE,248.37,86.93,85.19,1734.85,10
CPT,76519,HC AXIAL LENGTH MEASUREMENT W/IOL,240.57,84.2,82.52,2664.87,10
CPT,76529,HC ECHO EXAM OF EYE,156.39,54.74,53.64,3856.91,10
CPT,76536,HC US SOFT TISSUE HEAD AND NECK,356.47,124.77,110.28,597.0,10
CPT,76604,HC ULTRASND CHEST INC MEDIASTINUM,416.36,145.73,110.28,597.0,10
CPT,76641,HC ULTRASOUND BREAST COMPLETE,221.16,77.41,75.86,597.0,10
CPT,76642,HC ULTRASOUND BREAST LIMITED,221.16,77.41,75.86,597.0,10
CPT,76645,Mammogram,,,4786.32,4786.32,1
CPT,76700,HC US ABDOMEN COMPLETE,798.63,279.53,110.28,597.0,10
CPT,76705,HC ECHO EXAM OF ABDOMEN LTD,507.9,177.77,110.28,597.0,10
CPT,76706,HC US ABDL AORTA SCREEN AAA,263.0,92.05,90.21,597.0,10
CPT,76770,HC US RENAL/BLADDER,476.22,166.68,110.28,597.0,10
CPT,76775,HC US EXAM ABDO BACK WALL LIM,643.08,225.08,110.28,597.0,10
CPT,76776,HC US TRANSPLANT KIDNEY W DOPLR,476.22,166.68,110.28,597.0,10
CPT,76778,Mammogram,,,4919.72,4919.72,1
CPT,76800,HC US SPINAL CANAL AND CONTENTS,346.89,121.42,110.28,597.0,10
CPT,76801,"HC OB COMPLETE US, SINGLETON<14WK",444.48,155.57,110.28,597.0,10
CPT,76802,"HC OB COMPLETE<14WK, ADDTL GESTAT",286.03,100.12,62.54,1525.74,9
CPT,76805,"HC OB U/S COMPLETE, SINGLE GEST",566.27,198.2,110.28,597.0,10
CPT,76810,"HC OB U/S COMPLETE, MULT GEST",669.0,234.15,91.94,2974.42,9
CPT,76811,"HC OB US, DETAILED, SINGLE  FETUS",662.26,231.8,227.16,597.0,10
CPT,76812,"HC OB US, DETAILED, ADDT'L FETUS",444.47,155.57,152.45,7713.21,9
CPT,76813,HC OB US NUCHAL MEAS 1 GEST,234.0,81.9,80.26,597.0,10
CPT,76814,HC OB US NUCHAL MEAS ADD-ON,156.39,54.74,53.64,2021.01,9
CPT,76815,HC OB US LIMITED FETUS(S),426.01,149.11,110.28,597.0,10
CPT,76816,"HC U/S OB, FOLLOW UP OR REPEAT",385.46,134.92,110.28,597.0,10
CPT,76817,HC TRANSVAGINAL US OBSTETRIC,430.25,150.59,110.28,597.0,10
CPT,76818,HC FETAL BIOPHYS PROFILE W/ NST,515.48,180.42,110.28,4756.92,10
CPT,76819,HC FETAL BIOPHYS PROFILE W/O NST,647.31,226.56,110.28,3427.43,10
CPT,76820,HC UMBILICAL ARTERY ECHO,605.87,212.06,110.28,1520.35,10
CPT,76821,HC MIDDLE CEREBRAL ARTERY ECHO,605.87,212.06,110.28,3976.23,10
CPT,76825,HC ECHO: FETAL-INITIAL,1152.65,403.43,395.36,13161.65,10
CPT,76826,HC ECHO: FETAL-FOLLOW UP,515.1,180.29,176.68,8452.38,10
CPT,76827,HC DOPPLER: FETAL ASSESSMENT,354.94,124.23,110.28,3022.08,10
CPT,76828,HC DOPPLER: FETAL: F/U OR REPEAT,234.0,81.9,80.26,1639.66,10
CPT,76830,HC U/S TRANSVAGINAL,560.69,196.25,110.28,597.0,10
CPT,76831,HC HYSTEROSONOGRAPHY W/WO DOPPLER,610.37,213.63,209.36,5907.44,10
CPT,76856,HC US PELVIS NON OB COMPLETE,723.72,253.31,110.28,597.0,10
CPT,76857,HC US PELVIS NON OB LIMITED,702.75,245.97,110.28,597.0,10
CPT,76870,HC US SCROTUM AND CONTENTS,596.12,208.65,110.28,597.0,10
CPT,76872,HC US TRANSRECTAL,793.22,277.63,110.28,597.0,10
CPT,76873,HC US TRANSREC PROSTATE VOL,793.22,277.63,110.28,597.0,10
CPT,76880,Mammogram,,,6360.32,6360.32,1
CPT,76881,US XTR NON-VASC COMPLETE,446.11,156.14,110.28,597.0,10
CPT,76882,HC US XTR NON-VASC LMTD,318.11,111.34,109.11,597.0,10
CPT,76883,HC US NRV&ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY,370.34,129.62,110.28,597.0,9
CPT,76885,HC US INFANT HIPS W MANIP,399.47,139.82,91.8,597.0,10
CPT,76886,HC US INFANT HIPS LIMIT NOMANIP,311.91,109.17,91.8,597.0,10
CPT,76932,ECHO GUIDE FOR HEART BIOPSY,,,110.56,110.56,1
CPT,76936,HC US GROIN PSEUDOANEURYSM,615.45,215.41,211.1,11897.81,10
CPT,76937,HC US GUIDANCE VASCULAR ACCESS,378.91,132.62,42.12,1811.9,9
CPT,76940,"HC U/S GUIDANCE FOR, AND MONITORING OF, PARENCHYMAL TISSUE ABLATION",572.42,200.35,163.94,597.0,5
CPT,76941,HC US GUIDANCE: CORDOCENTESIS,500.26,175.1,143.27,597.0,5
CPT,76942,HC US GUIDANCE:NEEDLE BIOPSY,732.95,256.54,66.73,1996.87,9
CPT,76945,HC US VILLUS SAMPLING,249.06,87.18,71.33,597.0,5
CPT,76946,HC U/S GUIDANCE-AMNIOCENTESIS,795.31,278.36,35.32,1043.33,9
CPT,76948,HC US GUIDANCE:FOLLICLE ASPIRATIO,638.28,223.4,85.92,3499.09,9
CPT,76950,Mammogram,,,1424.55,1424.55,1
CPT,76965,ECHO GUIDANCE RADIOTHERAPY,,,50.2,1925.82,6
CPT,76970,Mammogram,,,4667.13,4667.13,1
CPT,76975,GI ENDOSCOPIC ULTRASOUND,,,251.7,428.21,5
CPT,76977,HC BONE DENSITY ULTRASOUND HEEL,234.0,81.9,80.26,597.0,10
CPT,76978,HC US TRGT DYN MBUBB 1ST LES,467.43,163.61,160.33,599.21,10
CPT,76979,HC US TRGT DYN MBUBB EA ADDL,233.72,81.81,80.17,9102.24,9
CPT,76981,HC USE PARENCHYMA,694.2,242.97,110.28,597.0,10
CPT,76982,HC USE 1ST TARGET LESION,694.2,242.97,110.28,597.0,10
CPT,76983,HC USE EA ADDL TARGET LESION,347.11,121.49,63.5,2593.2,9
CPT,76984,DX INTRAOP THORACIC AORTA US,,,52.45,52.45,1
CPT,76986,Mammogram,,,6523.86,6523.86,1
CPT,76987,DX INTRAOP EPICAR CAR US CHD,,,161.05,161.05,1
CPT,76988,DX NTROP EPCR US CHD IMG ACQ,,,102.42,102.42,1
CPT,76989,DX INTRAOP EPCAR US CHD I&R,,,60.03,60.03,1
CPT,76998,HC US GUIDED INTRAOPERATIVE,588.53,205.99,168.55,597.0,5
CPT,76999,HC US SUPERFICIAL LESION,156.39,54.74,53.64,597.0,10
CPT,77001,HC FLUORO GUIDANCE CVC DEVICE,536.44,187.76,103.72,5930.84,9
CPT,77002,HC FLUORO GUIDE LOC BX/ASP/INJ,914.3,320.01,127.71,6431.37,9
CPT,77003,HC FLURO GD/LC NDL/CATH SPN INJ,646.07,226.13,109.74,5549.62,9
CPT,77011,CT SCAN FOR LOCALIZATION,,,232.81,11653.3,6
CPT,77012,HC CT GUID NDL PL BX/ASP/IJ/LOC,1241.56,434.55,127.3,5144.14,10
CPT,77013,HC CT GUIDED TISSUE ABLATION,1381.73,483.61,395.73,1813.0,6
CPT,77014,Mammogram,,,5430.3,5430.3,1
CPT,77014,Other Outpatient Services - CPT/HCPCS,,,152.26,152.26,1
CPT,77021,HC MRI GUID BX/ASP/IJ/LC NDL PL,1468.73,514.06,450.89,25666.57,10
CPT,77022,MRI GDN PARNCHYMA TISS ABLTJ,,,657.4,657.4,1
CPT,77031,Mammogram,,,3641.8,3641.8,1
CPT,77032,Mammogram,,,1782.38,1782.38,1
CPT,77046,HC MRI BREAST C- UNILATERAL,1260.92,441.33,251.7,2429.0,10
CPT,77047,HC MRI BREAST C- BILATERAL,1260.92,441.33,251.7,2429.0,10
CPT,77048,"HC MRI, BREAST, WITH/WITHOUT CONTRAST WITH CAD, UNILATERAL",2384.38,834.54,350.41,2429.0,10
CPT,77049,"HC MRI, BREAST WITH/WITHOUT CONTRACT WITH CAD, BILATERAL",2949.41,1032.3,356.02,2429.0,10
CPT,77051,Mammogram,,,357.82,357.82,1
CPT,77052,Mammogram,,,357.82,357.82,1
CPT,77053,HC DUCTO/GALACTO SNGL DUCT,688.68,241.04,236.22,648.31,10
CPT,77053,"HC DUCTO/GALACTO SNGL DUCT, RT",668.61,234.02,229.33,648.31,10
CPT,77054,HC BI DUCTOGRAM MULTIPLE DUCTS,618.76,216.57,212.23,856.85,10
CPT,77055,"HC MAMMOGRAPHY DIAGNOSTIC, LT",128.58,45.01,44.1,3618.41,5
CPT,77056,Mammogram,,,4762.92,4762.92,1
CPT,77057,Mammogram,,,3117.87,3117.87,1
CPT,77058,Mammogram,,,31025.09,31025.09,1
CPT,77059,Mammogram,,,30858.24,30858.24,1
CPT,77061,HC DIGITAL BREAST TOMOSYNTHESIS UNILATERAL,72.3,25.31,20.71,597.0,6
CPT,77062,HC DIGITAL BREAST TOMOSYNTHESIS BILATERAL,78.43,27.46,22.46,597.0,6
CPT,77063,HC SCREENING DIGITAL BREAST TOMOSYNTHESIS BI,66.31,23.21,22.74,1716.72,10
CPT,77065,HC DX MAMMO INCL CAD UNI,161.57,56.55,55.42,1560.28,10
CPT,77066,HC DX MAMMO INCL CAD BILAT,204.19,71.47,70.04,1989.47,10
CPT,77067,HC SCR MAMMO BI INCL CAD,164.56,57.6,56.44,1649.74,10
CPT,77071,HC ANKLE STRESS 2 VIEW,202.59,70.91,69.49,3828.13,10
CPT,77071,"HC ANKLE STRESS 2 VIEW, LT",196.68,68.84,67.46,3828.13,10
CPT,77072,HC BONE AGE STUDIES,344.49,120.58,110.28,1210.18,10
CPT,77073,HC BONE LENGTH STUDY SCANOGRAM,449.93,157.48,110.28,2282.91,10
CPT,77074,RADEX OSSEOUS SURVEY LMTD,,,82.54,3165.4,6
CPT,77075,HC BONE SURVEY COMPLETE,811.5,284.03,110.28,5257.46,10
CPT,77076,HC OSSEOUS SURVEY PEDS (NAT),872.8,305.48,110.28,5305.6,10
CPT,77077,JOINT SURVEY SINGLE VIEW,,,57.06,2187.85,6
CPT,77078,CT BONE DENSITY AXIAL,,,91.8,6669.88,6
CPT,77079,Mammogram,,,2807.58,2807.58,1
CPT,77080,HC DEXA AXIAL HIP PLVS SPINE,510.9,178.82,110.28,2044.4,10
CPT,77081,HC DEXA PERIPHERAL (WRIST),254.84,89.2,87.41,1543.87,10
CPT,77082,Mammogram,,,1257.71,1257.71,1
CPT,77083,Mammogram,,,1067.47,1067.47,1
CPT,77084,HC MRI BONE MARROW,2084.41,729.55,251.7,2429.0,10
CPT,77085,DXA BONE DENSITY AXL VRT FX,,,69.48,2664.87,6
CPT,77086,HC FRACTURE ASSESSMENT VIA DXA,159.37,55.78,54.66,1782.38,10
CPT,77089,HC TBS DXA/OTHER IMG CALCULATION W/I&R FX RISK,207.27,72.55,41.66,2847.15,9
CPT,77090,HC TBS TECHL PREP&TRANSMIS DATA ALYS PFRMD ELSEWHR,210.16,73.56,72.08,597.0,10
CPT,77091,HC TBS TECHNICAL CALCULATION ONLY,210.16,73.56,72.08,1996.87,10
CPT,77092,TBS I&R FX RSK QHP,,,10.22,665.42,6
CPT,77261,THER RADIOLOGY TX PLNG SMPL,,,71.41,1505.0,6
CPT,77262,THER RADIOLOGY TX PLNG INTRM,,,109.56,1505.0,6
CPT,77263,THER RADIOLOGY TX PLNG CPLX,,,171.53,1505.0,6
CPT,77264,Radiation Therapy,,,1505.0,1505.0,1
CPT,77265,Radiation Therapy,,,1505.0,1505.0,1
CPT,77266,Radiation Therapy,,,1505.0,1505.0,1
CPT,77267,Radiation Therapy,,,1505.0,1505.0,1
CPT,77268,Radiation Therapy,,,1505.0,1505.0,1
CPT,77269,Radiation Therapy,,,1505.0,1505.0,1
CPT,77270,Radiation Therapy,,,1505.0,1505.0,1
CPT,77271,Radiation Therapy,,,1505.0,1505.0,1
CPT,77272,Radiation Therapy,,,1505.0,1505.0,1
CPT,77273,Radiation Therapy,,,1505.0,1505.0,1
CPT,77274,Radiation Therapy,,,1505.0,1505.0,1
CPT,77275,Radiation Therapy,,,1505.0,1505.0,1
CPT,77276,Radiation Therapy,,,1505.0,1505.0,1
CPT,77277,Radiation Therapy,,,1505.0,1505.0,1
CPT,77278,Radiation Therapy,,,1505.0,1505.0,1
CPT,77279,Radiation Therapy,,,1505.0,1505.0,1
CPT,77280,THER RAD SIMULAJ FIELD SMPL,,,141.79,1505.0,6
CPT,77281,Radiation Therapy,,,1505.0,1505.0,1
CPT,77282,Radiation Therapy,,,1505.0,1505.0,1
CPT,77283,Radiation Therapy,,,1505.0,1505.0,1
CPT,77284,Radiation Therapy,,,1505.0,1505.0,1
CPT,77285,THER RAD SIMULAJ FIELD INTRM,,,394.98,1505.0,6
CPT,77286,Radiation Therapy,,,1505.0,1505.0,1
CPT,77287,Radiation Therapy,,,1505.0,1505.0,1
CPT,77288,Radiation Therapy,,,1505.0,1505.0,1
CPT,77289,Radiation Therapy,,,1505.0,1505.0,1
CPT,77290,HC THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX,2668.8,934.08,394.98,1988.26,10
CPT,77291,Radiation Therapy,,,1505.0,1505.0,1
CPT,77292,Radiation Therapy,,,1505.0,1505.0,1
CPT,77293,RESPIRATOR MOTION MGMT SIMUL,,,423.2,1505.0,6
CPT,77294,Radiation Therapy,,,1505.0,1505.0,1
CPT,77295,HC 3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS,7759.15,2715.71,597.0,5780.57,10
CPT,77296,Radiation Therapy,,,1505.0,1505.0,1
CPT,77297,Radiation Therapy,,,1505.0,1505.0,1
CPT,77298,Radiation Therapy,,,1505.0,1505.0,1
CPT,77299,UNLISTED PX THER RAD TX PLNG,,,141.79,1505.0,5
CPT,77300,HC BASIC RADIATION DOSIMETRY CALCULATION,787.84,275.75,141.79,1505.0,10
CPT,77301,RADIOTHERAPY DOSE PLAN IMRT,,,1460.1,2634.55,6
CPT,77302,Radiation Therapy,,,1505.0,1505.0,1
CPT,77303,Radiation Therapy,,,1505.0,1505.0,1
CPT,77304,Radiation Therapy,,,1505.0,1505.0,1
CPT,77305,Radiation Therapy,,,1505.0,1505.0,1
CPT,77306,TELETHX ISODOSE PLAN SIMPLE,,,137.73,1505.0,6
CPT,77307,TELETHX ISODOSE PLAN CPLX,,,248.7,1505.0,6
CPT,77308,Radiation Therapy,,,1505.0,1505.0,1
CPT,77309,Radiation Therapy,,,1505.0,1505.0,1
CPT,77310,Radiation Therapy,,,1505.0,1505.0,1
CPT,77311,Radiation Therapy,,,1505.0,1505.0,1
CPT,77312,Radiation Therapy,,,1505.0,1505.0,1
CPT,77313,Radiation Therapy,,,1505.0,1505.0,1
CPT,77314,Radiation Therapy,,,1505.0,1505.0,1
CPT,77315,Radiation Therapy,,,1505.0,1505.0,1
CPT,77316,HC BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL,1427.58,499.66,394.98,1505.0,10
CPT,77317,HC BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL,1974.71,691.15,394.98,1505.0,10
CPT,77318,BRACHYTX ISODOSE COMPLEX,,,394.98,1505.0,6
CPT,77319,Radiation Therapy,,,1505.0,1505.0,1
CPT,77320,Radiation Therapy,,,1505.0,1505.0,1
CPT,77321,SPECIAL TELETX PORT PLAN,,,81.29,1505.0,6
CPT,77322,Radiation Therapy,,,1505.0,1505.0,1
CPT,77323,Radiation Therapy,,,1505.0,1505.0,1
CPT,77324,Radiation Therapy,,,1505.0,1505.0,1
CPT,77325,Radiation Therapy,,,1505.0,1505.0,1
CPT,77326,Radiation Therapy,,,1505.0,1505.0,1
CPT,77327,Radiation Therapy,,,1505.0,1505.0,1
CPT,77328,Radiation Therapy,,,1505.0,1505.0,1
CPT,77329,Radiation Therapy,,,1505.0,1505.0,1
CPT,77330,Radiation Therapy,,,1505.0,1505.0,1
CPT,77331,SPECIAL RADIATION DOSIMETRY,,,35.29,1505.0,6
CPT,77332,RADIATION TREATMENT AID(S),,,26.59,1505.0,6
CPT,77333,RADIATION TREATMENT AID(S),,,141.79,1505.0,6
CPT,77334,RADIATION TREATMENT AID(S),,,120.46,1505.0,6
CPT,77335,Radiation Therapy,,,1505.0,1505.0,1
CPT,77336,RADIATION PHYSICS CONSULT,,,141.79,1505.0,6
CPT,77337,Radiation Therapy,,,1505.0,1505.0,1
CPT,77338,DESIGN MLC DEVICE FOR IMRT,,,394.98,1505.0,6
CPT,77339,Radiation Therapy,,,1505.0,1505.0,1
CPT,77340,Radiation Therapy,,,1505.0,1505.0,1
CPT,77341,Radiation Therapy,,,1505.0,1505.0,1
CPT,77342,Radiation Therapy,,,1505.0,1505.0,1
CPT,77343,Radiation Therapy,,,1505.0,1505.0,1
CPT,77344,Radiation Therapy,,,1505.0,1505.0,1
CPT,77345,Radiation Therapy,,,1505.0,1505.0,1
CPT,77346,Radiation Therapy,,,1505.0,1505.0,1
CPT,77347,Radiation Therapy,,,1505.0,1505.0,1
CPT,77348,Radiation Therapy,,,1505.0,1505.0,1
CPT,77349,Radiation Therapy,,,1505.0,1505.0,1
CPT,77350,Radiation Therapy,,,1505.0,1505.0,1
CPT,77351,Radiation Therapy,,,1505.0,1505.0,1
CPT,77352,Radiation Therapy,,,1505.0,1505.0,1
CPT,77353,Radiation Therapy,,,1505.0,1505.0,1
CPT,77354,Radiation Therapy,,,1505.0,1505.0,1
CPT,77355,Radiation Therapy,,,1505.0,1505.0,1
CPT,77356,Radiation Therapy,,,1505.0,1505.0,1
CPT,77357,Radiation Therapy,,,1505.0,1505.0,1
CPT,77358,Radiation Therapy,,,1505.0,1505.0,1
CPT,77359,Radiation Therapy,,,1505.0,1505.0,1
CPT,77360,Radiation Therapy,,,1505.0,1505.0,1
CPT,77361,Radiation Therapy,,,1505.0,1505.0,1
CPT,77362,Radiation Therapy,,,1505.0,1505.0,1
CPT,77363,Radiation Therapy,,,1505.0,1505.0,1
CPT,77364,Radiation Therapy,,,1505.0,1505.0,1
CPT,77365,Radiation Therapy,,,1505.0,1505.0,1
CPT,77366,Radiation Therapy,,,1505.0,1505.0,1
CPT,77367,Radiation Therapy,,,1505.0,1505.0,1
CPT,77368,Radiation Therapy,,,1505.0,1505.0,1
CPT,77369,Radiation Therapy,,,1505.0,1505.0,1
CPT,77370,HC SPEC MEDICAL RADJ PHYSICS CONSLTJ,1187.71,415.7,141.79,1505.0,10
CPT,77371,SRS MULTISOURCE,,,1505.0,12650.34,6
CPT,77372,SRS LINEAR BASED,,,1505.0,12650.34,6
CPT,77373,STRTCTC BDY RAD THER TX DLVR,,,1505.0,3071.09,6
CPT,77374,Radiation Therapy,,,1505.0,1505.0,1
CPT,77375,Radiation Therapy,,,1505.0,1505.0,1
CPT,77376,Radiation Therapy,,,1505.0,1505.0,1
CPT,77377,Radiation Therapy,,,1505.0,1505.0,1
CPT,77378,Radiation Therapy,,,1505.0,1505.0,1
CPT,77379,Radiation Therapy,,,1505.0,1505.0,1
CPT,77380,Radiation Therapy,,,1505.0,1505.0,1
CPT,77381,Radiation Therapy,,,1505.0,1505.0,1
CPT,77382,Radiation Therapy,,,1505.0,1505.0,1
CPT,77383,Radiation Therapy,,,1505.0,1505.0,1
CPT,77384,Radiation Therapy,,,1505.0,1505.0,1
CPT,77385,Other Outpatient Services - CPT/HCPCS,,,667.57,667.57,1
CPT,77385,Radiation Therapy,,,1505.0,1505.0,1
CPT,77386,Other Outpatient Services - CPT/HCPCS,,,668.99,668.99,1
CPT,77386,Radiation Therapy,,,1505.0,1505.0,1
CPT,77387,GUIDANCE FOR RADJ TX DLVR,,,37.27,1505.0,6
CPT,77388,Radiation Therapy,,,1505.0,1505.0,1
CPT,77389,Radiation Therapy,,,1505.0,1505.0,1
CPT,77390,Radiation Therapy,,,1505.0,1505.0,1
CPT,77391,Radiation Therapy,,,1505.0,1505.0,1
CPT,77392,Radiation Therapy,,,1505.0,1505.0,1
CPT,77393,Radiation Therapy,,,1505.0,1505.0,1
CPT,77394,Radiation Therapy,,,1505.0,1505.0,1
CPT,77395,Radiation Therapy,,,1505.0,1505.0,1
CPT,77396,Radiation Therapy,,,1505.0,1505.0,1
CPT,77397,Radiation Therapy,,,1505.0,1505.0,1
CPT,77398,Radiation Therapy,,,1505.0,1505.0,1
CPT,77399,UNLISTED PX MED RADJ PHYSICS,,,141.79,1505.0,5
CPT,77400,Radiation Therapy,,,1505.0,1505.0,1
CPT,77401,Other Outpatient Services - CPT/HCPCS,,,76.33,76.33,1
CPT,77401,Radiation Therapy,,,1505.0,1505.0,1
CPT,77402,RADIATION TX DELIVERY LVL 1,,,107.63,1505.0,6
CPT,77403,Radiation Therapy,,,1505.0,1505.0,1
CPT,77404,Radiation Therapy,,,1505.0,1505.0,1
CPT,77405,Radiation Therapy,,,1505.0,1505.0,1
CPT,77406,Radiation Therapy,,,1505.0,1505.0,1
CPT,77407,RADIATION TX DELIVERY LVL 2,,,329.84,1505.0,6
CPT,77408,Radiation Therapy,,,1505.0,1505.0,1
CPT,77409,Radiation Therapy,,,1505.0,1505.0,1
CPT,77410,Radiation Therapy,,,1505.0,1505.0,1
CPT,77411,Radiation Therapy,,,1505.0,1505.0,1
CPT,77412,RADIATION TX DELIVERY LVL 3,,,438.02,1505.0,6
CPT,77413,Radiation Therapy,,,1505.0,1505.0,1
CPT,77414,Radiation Therapy,,,1505.0,1505.0,1
CPT,77415,Radiation Therapy,,,1505.0,1505.0,1
CPT,77416,Radiation Therapy,,,1505.0,1505.0,1
CPT,77417,THER RADIOLOGY PORT IMAGE(S),,,0.52,1505.0,6
CPT,77418,Radiation Therapy,,,1505.0,1505.0,1
CPT,77419,Radiation Therapy,,,1505.0,1505.0,1
CPT,77420,Radiation Therapy,,,1505.0,1505.0,1
CPT,77421,Radiation Therapy,,,1505.0,1505.0,1
CPT,77422,Radiation Therapy,,,1505.0,1505.0,1
CPT,77423,NEUTRON BEAM TX COMPLEX,,,163.05,1505.0,6
CPT,77424,IO RAD TX DELIVERY BY X-RAY,,,509.95,12650.34,6
CPT,77425,IO RAD TX DELIVER BY ELCTRNS,,,359.86,12650.34,6
CPT,77426,Radiation Therapy,,,1505.0,1505.0,1
CPT,77427,RADIATION TX MANAGEMENT X5,,,199.59,1505.0,6
CPT,77428,Radiation Therapy,,,1505.0,1505.0,1
CPT,77429,Radiation Therapy,,,1505.0,1505.0,1
CPT,77430,Radiation Therapy,,,1505.0,1505.0,1
CPT,77431,RADIATION THERAPY MANAGEMENT,,,108.99,1505.0,6
CPT,77432,STEREOTACTIC RADIATION TRMT,,,432.17,1505.0,6
CPT,77433,Radiation Therapy,,,1505.0,1505.0,1
CPT,77434,Radiation Therapy,,,1505.0,1505.0,1
CPT,77435,SBRT MANAGEMENT,,,653.55,1505.0,6
CPT,77436,SURF RADJ THER TX PLANNING,,,39.4,1505.0,5
CPT,77437,SURF RADJ THER SUPFC<=150KV,,,107.63,1505.0,5
CPT,77438,SURF RAD THR ORTHVLT>150-500,,,107.63,1505.0,5
CPT,77439,SURF RAD THR IMG GDN US PLMT,,,16.54,1505.0,5
CPT,77440,Radiation Therapy,,,1505.0,1505.0,1
CPT,77441,Radiation Therapy,,,1505.0,1505.0,1
CPT,77442,Radiation Therapy,,,1505.0,1505.0,1
CPT,77443,Radiation Therapy,,,1505.0,1505.0,1
CPT,77444,Radiation Therapy,,,1505.0,1505.0,1
CPT,77445,Radiation Therapy,,,1505.0,1505.0,1
CPT,77446,Radiation Therapy,,,1505.0,1505.0,1
CPT,77447,Radiation Therapy,,,1505.0,1505.0,1
CPT,77448,Radiation Therapy,,,1505.0,1505.0,1
CPT,77449,Radiation Therapy,,,1505.0,1505.0,1
CPT,77450,Radiation Therapy,,,1505.0,1505.0,1
CPT,77451,Radiation Therapy,,,1505.0,1505.0,1
CPT,77452,Radiation Therapy,,,1505.0,1505.0,1
CPT,77453,Radiation Therapy,,,1505.0,1505.0,1
CPT,77454,Radiation Therapy,,,1505.0,1505.0,1
CPT,77455,Radiation Therapy,,,1505.0,1505.0,1
CPT,77456,Radiation Therapy,,,1505.0,1505.0,1
CPT,77457,Radiation Therapy,,,1505.0,1505.0,1
CPT,77458,Radiation Therapy,,,1505.0,1505.0,1
CPT,77459,Radiation Therapy,,,1505.0,1505.0,1
CPT,77460,Radiation Therapy,,,1505.0,1505.0,1
CPT,77461,Radiation Therapy,,,1505.0,1505.0,1
CPT,77462,Radiation Therapy,,,1505.0,1505.0,1
CPT,77463,Radiation Therapy,,,1505.0,1505.0,1
CPT,77464,Radiation Therapy,,,1505.0,1505.0,1
CPT,77465,Radiation Therapy,,,1505.0,1505.0,1
CPT,77466,Radiation Therapy,,,1505.0,1505.0,1
CPT,77467,Radiation Therapy,,,1505.0,1505.0,1
CPT,77468,Radiation Therapy,,,1505.0,1505.0,1
CPT,77469,IO RADIATION TX MANAGEMENT,,,269.69,1505.0,6
CPT,77470,HC SPECIAL RADIATION TREATMENT,3212.62,1124.42,582.87,2393.4,10
CPT,77471,Radiation Therapy,,,1505.0,1505.0,1
CPT,77472,Radiation Therapy,,,1505.0,1505.0,1
CPT,77473,Radiation Therapy,,,1505.0,1505.0,1
CPT,77474,Radiation Therapy,,,1505.0,1505.0,1
CPT,77475,Radiation Therapy,,,1505.0,1505.0,1
CPT,77476,Radiation Therapy,,,1505.0,1505.0,1
CPT,77477,Radiation Therapy,,,1505.0,1505.0,1
CPT,77478,Radiation Therapy,,,1505.0,1505.0,1
CPT,77479,Radiation Therapy,,,1505.0,1505.0,1
CPT,77480,Radiation Therapy,,,1505.0,1505.0,1
CPT,77481,Radiation Therapy,,,1505.0,1505.0,1
CPT,77482,Radiation Therapy,,,1505.0,1505.0,1
CPT,77483,Radiation Therapy,,,1505.0,1505.0,1
CPT,77484,Radiation Therapy,,,1505.0,1505.0,1
CPT,77485,Radiation Therapy,,,1505.0,1505.0,1
CPT,77486,Radiation Therapy,,,1505.0,1505.0,1
CPT,77487,Radiation Therapy,,,1505.0,1505.0,1
CPT,77488,Radiation Therapy,,,1505.0,1505.0,1
CPT,77489,Radiation Therapy,,,1505.0,1505.0,1
CPT,77490,Radiation Therapy,,,1505.0,1505.0,1
CPT,77491,Radiation Therapy,,,1505.0,1505.0,1
CPT,77492,Radiation Therapy,,,1505.0,1505.0,1
CPT,77493,Radiation Therapy,,,1505.0,1505.0,1
CPT,77494,Radiation Therapy,,,1505.0,1505.0,1
CPT,77495,Radiation Therapy,,,1505.0,1505.0,1
CPT,77496,Radiation Therapy,,,1505.0,1505.0,1
CPT,77497,Radiation Therapy,,,1505.0,1505.0,1
CPT,77498,Radiation Therapy,,,1505.0,1505.0,1
CPT,77499,UNLISTED PX THER RAD TX MGMT,,,1505.0,1505.0,1
CPT,77500,Radiation Therapy,,,1505.0,1505.0,1
CPT,77501,Radiation Therapy,,,1505.0,1505.0,1
CPT,77502,Radiation Therapy,,,1505.0,1505.0,1
CPT,77503,Radiation Therapy,,,1505.0,1505.0,1
CPT,77504,Radiation Therapy,,,1505.0,1505.0,1
CPT,77505,Radiation Therapy,,,1505.0,1505.0,1
CPT,77506,Radiation Therapy,,,1505.0,1505.0,1
CPT,77507,Radiation Therapy,,,1505.0,1505.0,1
CPT,77508,Radiation Therapy,,,1505.0,1505.0,1
CPT,77509,Radiation Therapy,,,1505.0,1505.0,1
CPT,77510,Radiation Therapy,,,1505.0,1505.0,1
CPT,77511,Radiation Therapy,,,1505.0,1505.0,1
CPT,77512,Radiation Therapy,,,1505.0,1505.0,1
CPT,77513,Radiation Therapy,,,1505.0,1505.0,1
CPT,77514,Radiation Therapy,,,1505.0,1505.0,1
CPT,77515,Radiation Therapy,,,1505.0,1505.0,1
CPT,77516,Radiation Therapy,,,1505.0,1505.0,1
CPT,77517,Radiation Therapy,,,1505.0,1505.0,1
CPT,77518,Radiation Therapy,,,1505.0,1505.0,1
CPT,77519,Radiation Therapy,,,1505.0,1505.0,1
CPT,77520,PROTON TRMT SIMPLE W/O COMP,,,582.87,1626.87,6
CPT,77521,Radiation Therapy,,,1505.0,1505.0,1
CPT,77522,PROTON TRMT SIMPLE W/COMP,,,1318.33,2146.51,6
CPT,77523,PROTON TRMT INTERMEDIATE,,,1318.33,2146.51,6
CPT,77524,Radiation Therapy,,,1505.0,1505.0,1
CPT,77525,PROTON TREATMENT COMPLEX,,,1318.33,2146.51,6
CPT,77600,HYPERTHERMIA EXT GEN SUPFC,,,406.86,32701.01,6
CPT,77605,HYPERTHERMIA EXT GEN DEEP,,,734.7,61573.89,6
CPT,77610,HYPERTHERMIA NTRSTL PRB 5/<,,,582.87,44359.58,6
CPT,77615,HYPERTHERMIA NTRSTL PRB>5,,,582.87,70170.21,6
CPT,77620,HYPERTHERMIA GEN INTRCV PRB,,,582.87,39782.37,6
CPT,77750,INFUSE RADIOACTIVE MATERIALS,,,240.63,1505.0,6
CPT,77751,Radiation Therapy,,,1505.0,1505.0,1
CPT,77752,Radiation Therapy,,,1505.0,1505.0,1
CPT,77753,Radiation Therapy,,,1505.0,1505.0,1
CPT,77754,Radiation Therapy,,,1505.0,1505.0,1
CPT,77755,Radiation Therapy,,,1505.0,1505.0,1
CPT,77756,Radiation Therapy,,,1505.0,1505.0,1
CPT,77757,Radiation Therapy,,,1505.0,1505.0,1
CPT,77758,Radiation Therapy,,,1505.0,1505.0,1
CPT,77759,Radiation Therapy,,,1505.0,1505.0,1
CPT,77760,Radiation Therapy,,,1505.0,1505.0,1
CPT,77761,APPLY INTRCAV RADIAT SIMPLE,,,400.58,1505.0,6
CPT,77762,APPLY INTRCAV RADIAT INTERM,,,459.19,1505.0,6
CPT,77763,APPLY INTRCAV RADIAT COMPL,,,595.05,1505.0,6
CPT,77764,Radiation Therapy,,,1505.0,1505.0,1
CPT,77765,Radiation Therapy,,,1505.0,1505.0,1
CPT,77766,Radiation Therapy,,,1505.0,1505.0,1
CPT,77767,HDR RDNCL SKN SURF BRACHYTX,,,360.0,1505.0,6
CPT,77768,HDR RDNCL SKN SURF BRACHYTX,,,406.86,1505.0,6
CPT,77769,Radiation Therapy,,,1505.0,1505.0,1
CPT,77770,HDR RDNCL NTRSTL/ICAV BRCHTX,,,453.26,1505.0,6
CPT,77771,HDR RDNCL NTRSTL/ICAV BRCHTX,,,734.7,1505.0,6
CPT,77772,HDR RDNCL NTRSTL/ICAV BRCHTX,,,734.7,1505.0,6
CPT,77773,Radiation Therapy,,,1505.0,1505.0,1
CPT,77774,Radiation Therapy,,,1505.0,1505.0,1
CPT,77775,Radiation Therapy,,,1505.0,1505.0,1
CPT,77776,Radiation Therapy,,,1505.0,1505.0,1
CPT,77777,Radiation Therapy,,,1505.0,1505.0,1
CPT,77778,APPLY INTERSTIT RADIAT COMPL,,,734.7,1505.0,6
CPT,77779,Radiation Therapy,,,1505.0,1505.0,1
CPT,77780,Radiation Therapy,,,1505.0,1505.0,1
CPT,77781,Radiation Therapy,,,1505.0,1505.0,1
CPT,77782,Radiation Therapy,,,1505.0,1505.0,1
CPT,77783,Radiation Therapy,,,1505.0,1505.0,1
CPT,77784,Radiation Therapy,,,1505.0,1505.0,1
CPT,77785,Radiation Therapy,,,1505.0,1505.0,1
CPT,77786,Radiation Therapy,,,1505.0,1505.0,1
CPT,77787,Radiation Therapy,,,1505.0,1505.0,1
CPT,77788,Radiation Therapy,,,1505.0,1505.0,1
CPT,77789,APPLY SURF LDR RADIONUCLIDE,,,107.63,1505.0,6
CPT,77790,RADIATION HANDLING,,,12.91,1505.0,6
CPT,77791,Radiation Therapy,,,1505.0,1505.0,1
CPT,77792,Radiation Therapy,,,1505.0,1505.0,1
CPT,77793,Radiation Therapy,,,1505.0,1505.0,1
CPT,77794,Radiation Therapy,,,1505.0,1505.0,1
CPT,77795,Radiation Therapy,,,1505.0,1505.0,1
CPT,77796,Radiation Therapy,,,1505.0,1505.0,1
CPT,77797,Radiation Therapy,,,1505.0,1505.0,1
CPT,77798,Radiation Therapy,,,1505.0,1505.0,1
CPT,77799,UNLISTED PX CLIN BRACHYTX,,,107.63,1505.0,5
CPT,78000,Mammogram,,,4571.95,4571.95,1
CPT,78001,Mammogram,,,5752.6,5752.6,1
CPT,78003,Mammogram,,,4715.27,4715.27,1
CPT,78006,Mammogram,,,15575.88,15575.88,1
CPT,78007,Mammogram,,,14693.39,14693.39,1
CPT,78010,Mammogram,,,10664.24,10664.24,1
CPT,78011,Mammogram,,,11236.44,11236.44,1
CPT,78012,HC THYROID UT SGL/MULTI/W/STIM,816.84,285.9,280.18,5126.75,10
CPT,78013,HC THYROID IMG W/VAS FLOW,1357.05,474.97,421.71,11469.06,10
CPT,78014,HC THYROID IMG W/VAS FLOW SGL/MUL,691.44,242.01,237.16,14210.98,10
CPT,78015,HC NM THYROID CANCER METIC SCAN LMTD,922.36,322.83,316.37,13113.99,10
CPT,78016,HC NM THYROID METSATIC SCAN W ADDL STUDY,910.44,318.66,312.28,16083.15,10
CPT,78018,HC THYROID CA IMAGING WHOLE BOD,1712.89,599.52,572.77,17953.97,10
CPT,78020,HC NM THYROID CANCER UPTAKE,539.52,188.84,82.82,3731.6,10
CPT,78070,HC PARATHYROID IMAGING,1074.96,376.24,368.71,16857.1,10
CPT,78071,HC NM PARATHYROID SPECT IMAGING,1156.69,404.85,396.74,19336.99,10
CPT,78072,HC NM PARATHYROID SPECT IMAGING W,1293.27,452.65,443.59,23866.68,10
CPT,78075,HC NM ADRENAL SCAN,2314.59,810.11,597.0,27092.47,10
CPT,78099,HC NM INTERPRETATION OF OUTSIDE FILMS,877.82,307.24,251.41,709.0,10
CPT,78102,HC NM BONE MARROW SCAN LIMITED,834.58,292.11,286.26,9799.88,10
CPT,78103,HC NM BONE MARROW SCAN MULTIPLE,834.58,292.11,286.26,10324.55,10
CPT,78104,HC NM BONE MARROW SCAN WHOLE BODY,857.74,300.21,294.2,14091.67,10
CPT,78110,PLASMA VOLUME SINGLE,,,113.18,4340.05,6
CPT,78111,PLASMA VOLUME MULTIPLE,,,118.76,4554.55,6
CPT,78120,RED CELL MASS SINGLE,,,113.18,4340.05,6
CPT,78121,RED CELL MASS MULTIPLE,,,118.76,4554.55,6
CPT,78122,WHL BLD VOLUME DETERMINATION,,,145.51,5579.75,6
CPT,78130,RED CELL SURVIVAL STUDY,,,183.74,7046.57,6
CPT,78135,Mammogram,,,17232.93,17232.93,1
CPT,78140,RED CELL SEQUESTRATION,,,157.31,6032.64,6
CPT,78185,HC NM SPLEEN SCAN ONLY,678.07,237.33,232.58,10133.57,10
CPT,78190,Mammogram,,,23723.96,23723.96,1
CPT,78191,PLATELET SURVIVAL STUDY,,,183.74,7046.57,6
CPT,78195,HC LYMPHATIC GLAND IMAGING,1619.53,566.84,555.5,19575.62,10
CPT,78199,UNLSTD HEMATOP RET/ENDO LYMP,,,421.71,686.63,4
CPT,78201,HC LIVER IMAGING STATIC,2848.41,996.95,572.77,11326.23,10
CPT,78202,HC NM LIVER SCAN W VASCULAR FLOW,2848.41,996.95,572.77,12279.77,10
CPT,78205,Mammogram,,,12214.11,12214.11,1
CPT,78206,Mammogram,,,20147.82,20147.82,1
CPT,78215,HC NM LIVER SPLEEN SCAN,989.32,346.27,339.34,11516.59,10
CPT,78216,HC LIVER/SPLEEN W/VAS FLOW,1380.82,483.29,421.71,7272.95,10
CPT,78220,Mammogram,,,7922.32,7922.32,1
CPT,78223,Mammogram,,,20296.54,20296.54,1
CPT,78226,HC HEPATOBILIARY SYSTEM IMAGING,761.5,266.53,261.19,19146.02,10
CPT,78227,HC HEPATOBIL SYST IMAGE W/DRUG,1150.39,402.64,394.58,26043.13,10
CPT,78230,SALIVARY GLAND IMAGING,,,269.85,10348.68,6
CPT,78231,HC SALIVARY GLAND SERIAL IMAG,780.23,273.09,267.62,5889.92,10
CPT,78232,SALIVARY GLAND FUNCTION STD,,,154.21,5914.06,6
CPT,78258,HC ESOPHAGEAL MOTILITY,780.23,273.09,267.62,11921.95,10
CPT,78261,GASTRIC MUCOSA IMAGING,,,299.07,11469.06,6
CPT,78262,HC GASTROESOPHAGEAL REFLUX,956.01,334.61,327.91,14115.8,10
CPT,78264,HC GASTRIC EMPTYING STUDY,1084.24,379.49,371.89,19336.99,10
CPT,78265,HC NM GASTRIC EMPTYING WITH SMALL,791.77,277.12,271.58,22759.15,10
CPT,78266,GSTR EMPT IMG SM BWL&COLON,,,572.77,26090.66,6
CPT,78267,UREA BREATH TST C-14 ACQUISJ,,,11.06,38.67,6
CPT,78268,UREA BREATH TEST C-14 ALYS,,,94.41,330.15,6
CPT,78270,Mammogram,,,6419.98,6419.98,1
CPT,78271,Mammogram,,,4488.89,4488.89,1
CPT,78272,Mammogram,,,4774.93,4774.93,1
CPT,78278,HC ACUTE GI BLOOD LOSS IMAGING,1179.54,412.84,404.58,19885.18,10
CPT,78282,GI PROTEIN LOSS,,,421.71,712.97,5
CPT,78290,HC MECKELS BOWEL SCAN,1023.29,358.16,350.99,19670.68,10
CPT,78291,HC NM PERITONEAL VENOUS SHUNT,831.24,290.94,285.12,14568.8,10
CPT,78299,UNLISTED GI PX DX NUC MED,,,421.71,686.63,4
CPT,78300,HC NM BONE SCAN LIMITED,919.62,321.87,315.43,13018.93,10
CPT,78305,HC NM BONE SCAN MULTIPLE,972.75,340.47,333.65,15617.4,10
CPT,78306,HC BONE AND/OR JT WHOLE BODY,1369.23,479.24,421.71,16809.45,10
CPT,78315,HC BONE/JOINT IMAGING 3 PHASE,1348.18,471.87,421.71,19646.55,10
CPT,78320,Mammogram,,,12261.76,12261.76,1
CPT,78350,BONE MINERAL SINGLE PHOTON,,,34.63,1496.34,6
CPT,78351,BONE MINERAL DUAL PHOTON,,,12.46,1007.07,6
CPT,78399,UNLISTED MUSCSKEL PX DX NUC,,,421.71,686.63,4
CPT,78414,NON-IMAGING HEART FUNCTION,,,89.1,932.58,5
CPT,78428,HC NM CARDIAC SHUNT EVALUATION,923.15,323.11,316.64,9966.72,10
CPT,78429,HC MYOCRD IMG PET METAB EVAL SINGLE STUDY CNCRNT CT,3337.53,1168.14,597.0,2486.46,10
CPT,78430,HC MYOCRD IMG PET PRFUJ 1STD REST/STRESS CNCRNT CT,3337.53,1168.14,597.0,2486.46,10
CPT,78431,HC MYOCRD IMG PET PRFUJ MLT STD RST&STRS CNCRNT CT,8779.94,3072.98,597.0,6541.06,10
CPT,78432,HC MYOCRD IMG PET PRFUJ W/METAB DUAL RADIOTRACER,6361.67,2226.59,597.0,4739.44,10
CPT,78433,HC MYOCRD IMG PET PRFUJ W/METAB 2RTRACER CNCRNT CT,6361.67,2226.59,597.0,4739.44,10
CPT,78434,HC AQMBF PET REST AND PHARMACOLOGIC STRESS,2602.61,910.92,597.0,2109.0,6
CPT,78445,VASCULAR FLOW IMAGING,,,320.83,12303.29,6
CPT,78451,HC NM MYOCARDIAL PERFUS SPECT (AT REST),3022.16,1057.76,597.0,18001.62,10
CPT,78452,HC HT MUSCLE IMGE SPCT MULT,5480.01,1918.01,597.0,25876.29,10
CPT,78453,HC MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS,2848.4,996.94,597.0,16166.2,10
CPT,78454,HC HT MUSCLE IMGE PLANAR MULT,3022.16,1057.76,597.0,24469.74,10
CPT,78456,ACUTE VENOUS THROMBUS IMAGE,,,454.51,17429.3,6
CPT,78457,VENOUS THROMBOSIS IMAGING,,,225.09,8631.96,6
CPT,78458,VEN THROMBOSIS IMAGES BILAT,,,284.15,10896.74,6
CPT,78459,HC PET CARDIAC SARCOIDOSIS--IMG593,4563.99,1597.4,597.0,3400.17,10
CPT,78460,Mammogram,,,9295.3,9295.3,1
CPT,78461,Mammogram,,,9584.03,9584.03,1
CPT,78464,Mammogram,,,14068.88,14068.88,1
CPT,78465,Mammogram,,,26490.14,26490.14,1
CPT,78466,HC NM MYOCARDIAL INFARCTION AVID,923.15,323.11,316.64,10062.52,10
CPT,78468,HC NM HEART INFARCT IMAGE (EF),901.35,315.48,309.16,10443.74,10
CPT,78469,HC NM MYOCARDIAL INFARCTION AVID SPECT,2811.33,983.97,572.77,11802.75,10
CPT,78472,HC CARDIAC BLOOD POOL IMAGING,1884.75,659.67,421.71,11946.08,10
CPT,78473,GATED HEART MULTIPLE,,,376.78,14449.49,6
CPT,78478,Mammogram,,,2064.49,2064.49,1
CPT,78480,Mammogram,,,2064.49,2064.49,1
CPT,78481,HC NM CARD BLD POL FIRST PASS SNGL,1116.87,390.91,383.09,8631.96,10
CPT,78483,HEART FIRST PASS MULTIPLE,,,291.61,11182.9,6
CPT,78491,MYOCRD IMG PET 1STD RST/STRS,,,1508.43,2456.02,5
CPT,78492,MYOCRD IMG PET MLT RST&STRS,,,1508.43,2456.02,5
CPT,78494,HEART IMAGE SPECT,,,295.95,11349.75,6
CPT,78496,HEART FIRST PASS ADD-ON,,,34.67,1329.37,6
CPT,78499,UNLISTED CV PX DX NUC MED,,,421.71,686.63,4
CPT,78579,HC LUNG VENTILATION IMAGING,877.82,307.24,301.09,10944.4,10
CPT,78580,HC PULM PERF PARTIC IMAGING,1235.86,432.56,421.71,13304.97,10
CPT,78582,HC LUNG VENTILAT&PERFUS IMAGING,1238.03,433.32,424.64,18550.3,10
CPT,78584,Mammogram,,,7254.94,7254.94,1
CPT,78585,Mammogram,,,21011.57,21011.57,1
CPT,78586,Mammogram,,,10306.42,10306.42,1
CPT,78587,Mammogram,,,12929.14,12929.14,1
CPT,78588,Mammogram,,,20249.01,20249.01,1
CPT,78591,Mammogram,,,10425.73,10425.73,1
CPT,78593,Mammogram,,,12023.13,12023.13,1
CPT,78594,Mammogram,,,13382.02,13382.02,1
CPT,78596,Mammogram,,,21869.93,21869.93,1
CPT,78597,HC LUNG PERFUSION DIFFERENTIAL,877.82,307.24,301.09,10991.93,10
CPT,78598,HC LUNG PERF&VENTILAT DIFERENTL,1185.84,415.05,406.74,17334.12,10
CPT,78599,HC DIAPHRAGM PATENTCY SCAN,877.82,307.24,251.41,709.0,10
CPT,78600,HC NM BRAIN LIMITED,861.94,301.68,295.65,10682.37,10
CPT,78601,HC NM BRAIN LIMITED W VASCULAR FLOW,1344.57,470.6,421.71,12780.3,10
CPT,78605,HC NM BRAIN SCAN COMPLETE,1150.39,402.64,394.58,11659.92,10
CPT,78606,HC NM BRAIN SCAN COMP W VASCULAR FLOW,1308.25,457.89,448.73,19599.02,10
CPT,78607,Mammogram,,,19790.0,19790.0,1
CPT,78608,HC PET BRAIN IMG592,4873.68,1705.79,597.0,3630.89,10
CPT,78609,BRAIN IMAGING (PET),,,73.14,2076.0,5
CPT,78610,HC TC BRAIN IMAGING VASC FLOW,1150.39,402.64,394.58,10754.03,10
CPT,78615,Mammogram,,,10203.27,10203.27,1
CPT,78630,HC NM CSF CISTERNOGRAM,1284.81,449.69,440.69,20123.69,10
CPT,78635,HC NM VENTRICULOGRAPHY,1050.51,367.68,360.32,20362.2,10
CPT,78645,HC NM CSF SHUNT EVALUATION,1150.39,402.64,394.58,19575.62,10
CPT,78647,Mammogram,,,20839.33,20839.33,1
CPT,78650,HC NM CSF LEAK DETECTION,2984.89,1044.72,597.0,16284.78,10
CPT,78660,HC DACRYOCYSTOGRAPHY,877.82,307.24,301.09,8751.16,10
CPT,78699,UNLISTED NRVS SYS PX DX NUC,,,421.71,686.63,4
CPT,78700,HC KIDNEY IMAGING STATIC ONLY,1004.89,351.72,344.68,9966.72,10
CPT,78701,HC KIDNEY IMAGING W/VASC FLOW,1079.29,377.76,370.2,13400.15,10
CPT,78704,Mammogram,,,9821.32,9821.32,1
CPT,78707,HC KIDNEY FLOW/FUNC W/O LASIX,1345.39,470.89,461.47,12446.61,10
CPT,78708,HC KIDNEY FLOW/FUNCTION W/LASIX,1221.89,427.67,419.11,8440.99,10
CPT,78709,HC NM KIDNEY IMAGE W/ W O VASOTEC,1582.41,553.85,542.77,19992.98,10
CPT,78710,Mammogram,,,10306.42,10306.42,1
CPT,78715,Mammogram,,,3948.05,3948.05,1
CPT,78725,HC NM KIDNEY FUNCTION,844.4,295.54,289.63,6795.93,10
CPT,78730,URINARY BLADDER RETENTION,,,77.47,4357.45,6
CPT,78740,HC URETERAL REFLUX VCG,1004.89,351.72,344.68,12685.24,10
CPT,78760,Mammogram,,,6667.31,6667.31,1
CPT,78761,HC TESTICULAR IMAGING W FLOW,1004.89,351.72,344.68,11850.28,10
CPT,78799,UNLISTED GU PX DX NUC MED,,,421.71,686.63,4
CPT,78800,HC NM TUMOR LOCALIZATION LIMITED,1299.97,454.99,421.71,14639.85,10
CPT,78801,HC NM TUMOR LOCALIZATION MULTIPLE,1433.99,501.9,421.71,15808.38,10
CPT,78802,HC NM TUMOR LOCAL WHOLE BODY,2802.05,980.72,572.77,17953.97,10
CPT,78803,HC TUMOR LOCALIZATION SPECT,3022.16,1057.76,572.77,21792.87,10
CPT,78804,HC TUMOR IMAGING WHOLE BODY 2-DAYS,2868.25,1003.89,572.77,39651.66,10
CPT,78805,Mammogram,,,10187.1,10187.1,1
CPT,78806,Mammogram,,,20004.37,20004.37,1
CPT,78807,Mammogram,,,19837.53,19837.53,1
CPT,78808,IV INJ RA DRUG DX STUDY,,,72.59,2783.45,6
CPT,78811,PET IMAGE LTD AREA,,,1365.7,2223.64,5
CPT,78812,PET IMAGE SKULL-THIGH,,,1508.43,2456.02,5
CPT,78813,PET IMAGE FULL BODY,,,1508.43,2456.02,5
CPT,78814,PET IMAGE W/CT LMTD,,,1508.43,2456.02,5
CPT,78815,HC PET/CT SKULL BASE TO MID THIGH FDG IMG590,5378.31,1882.41,597.0,4006.84,10
CPT,78816,HC PET/CT WHOLE BODY  FDG IMG591,5468.69,1914.05,597.0,4074.17,10
CPT,78830,HC RP LOCLZJ TUM SPECT W/CT 1 AREA 1 DAY IMAGING,2942.14,1029.75,597.0,27121.99,10
CPT,78831,HC RP LOCLZJ TUM SPECT 2 AREA 1D IMG/1 AREA IMG>2+D,2942.14,1029.75,597.0,41166.0,10
CPT,78832,HC RP LOCLZJ TUM SPECT CT 2AREA 1D IMG/1 AR IMG>2+D,3337.53,1168.14,597.0,53492.08,10
CPT,78835,RP QUAN MEAS SINGLE AREA,,,94.52,5096.61,6
CPT,78999,UNLISTED MISC PX DX NUC MED,,,421.71,686.63,4
CPT,79005,HC RADIOPAHARM THRPY ORAL,900.14,315.05,246.14,3636.54,10
CPT,79101,NUCLEAR RX IV ADMIN,,,99.18,3803.38,6
CPT,79200,NUCLEAR RX INTRACAV ADMIN,,,97.94,3755.73,6
CPT,79300,NUCLR RX INTERSTIT COLLOID,,,76.81,400.77,5
CPT,79403,HEMATOPOIETIC NUCLEAR TX,,,173.48,6653.22,6
CPT,79440,NUCLEAR RX INTRA-ARTICULAR,,,73.68,2825.71,6
CPT,79445,"HC RADIOPHARMACEUTICAL THERAPY, BY INTRA-ARTERIAL PARTICULATE ADMIN",1304.0,456.4,246.14,971.48,10
CPT,79999,RP THERAPY UNLISTED PX,,,246.14,400.77,4
CPT,80047,HC METABOLIC PANEL IONIZED CA,49.98,17.5,13.73,48.02,10
CPT,80048,HC BASIC METABOLIC PANEL,156.21,54.68,8.46,87.48,10
CPT,80048,HC BASIC METABOLIC PANEL (PICCOLO),156.21,54.68,8.46,87.48,10
CPT,80050,HC GENERAL HEALTH  PANEL,128.58,45.01,36.83,72.0,6
CPT,80051,HC ELECTROLYTES PANEL,109.96,38.49,7.01,61.58,10
CPT,80053,HC COMPREHEN METABOLIC PANEL,183.57,64.25,10.56,102.8,10
CPT,80055,HC OBSTETRIC PANEL,128.58,45.01,44.1,167.18,10
CPT,80061,HC LIPID PANEL,139.39,48.79,13.39,78.06,10
CPT,80061,HC LIPID PANEL ARUP 0020468,66.58,23.31,13.39,46.82,10
CPT,80061,HC LIPID PANEL ARUP 0080503,111.25,38.94,13.39,62.3,10
CPT,80061,HC LIPID PANEL ARUP 2013716,64.68,22.64,13.39,46.82,10
CPT,80069,HC RENAL FUNCTION PANEL,128.58,45.01,8.68,72.0,10
CPT,80074,HC ACUTE HEPATITIS PANEL,296.81,103.89,47.63,166.56,10
CPT,80076,HC HEPATIC FUNCTION PANEL,132.18,46.27,8.17,74.02,10
CPT,80076,HC HEPATIC FUNCTION PANEL UCHEALTH,44.35,15.53,8.17,28.57,10
CPT,80081,OBSTETRIC PANEL INC HIV TSTG,,,74.86,261.78,7
CPT,80100,HC DRUG SCREEN QI MULT DRUG GS/MS,95.54,33.44,27.36,71.18,5
CPT,80100,HC DRUG SCREEN QU MULT DRG GS/FID,95.54,33.44,27.36,71.18,5
CPT,80100,"HC DRUG SCREEN, QUALITAT/MULTI",95.54,33.44,27.36,71.18,5
CPT,80101,HC ALCOHOL-SCREEN,90.73,31.76,25.99,67.59,5
CPT,80101,HC AMPHETAMINE SCREEN,90.73,31.76,25.99,67.59,5
CPT,80101,HC AMPHETAMINES SCRN SERUM SO,55.88,19.56,16.0,41.63,5
CPT,80101,HC BARBITURATE SCREEN,90.73,31.76,25.99,67.59,5
CPT,80101,HC BARBITURATES SCRN SERUM SO,55.88,19.56,16.0,41.63,5
CPT,80101,HC BENZODIAZEPINE SCREEN,90.73,31.76,25.99,67.59,5
CPT,80101,HC BENZODIAZEPINE SCRN SERUM SO,55.88,19.56,16.0,41.63,5
CPT,80101,HC CANNABINOIDS SCRN SERUM SO,55.88,19.56,16.0,41.63,5
CPT,80101,HC COCAINE METABOLITE SCREEN,90.73,31.76,25.99,67.59,5
CPT,80101,HC COCAINE METABOLITE SCRN SER SO,55.88,19.56,16.0,41.63,5
CPT,80101,HC DRUG SCREEN SGL CLASS METHOD 1,90.73,31.76,25.99,67.59,5
CPT,80101,HC DRUG SCREEN SGL CLASS METHOD 2,90.73,31.76,25.99,67.59,5
CPT,80101,HC DRUG SCREEN SGL CLASS METHOD 3,90.73,31.76,25.99,67.59,5
CPT,80101,HC DRUG SCREEN SGL CLASS METHOD 4,90.73,31.76,25.99,67.59,5
CPT,80101,HC DRUG SCREEN SGL CLASS METHOD 5,90.73,31.76,25.99,67.59,5
CPT,80101,HC DRUG SCREEN SGL CLASS METHOD 6,90.73,31.76,25.99,67.59,5
CPT,80101,HC DRUG SCREEN SGL CLASS METHOD 7,90.73,31.76,25.99,67.59,5
CPT,80101,HC DRUG SCREEN SGL CLASS METHOD8,90.73,31.76,25.99,67.59,5
CPT,80101,HC DRUG SCRN MS/MS CLASS1,157.08,54.98,44.99,117.02,5
CPT,80101,HC HEROIN SCREEN UA,203.28,71.15,58.22,151.44,5
CPT,80101,HC HEROIN SCREEN-SERUM/PLASMA,203.28,71.15,58.22,151.44,5
CPT,80101,HC METHADONE SCREEN,90.73,31.76,25.99,67.59,5
CPT,80101,HC METHADONE SCRN SERUM SO,55.88,19.56,16.0,41.63,5
CPT,80101,HC OPIATE SCREEN,90.73,31.76,25.99,67.59,5
CPT,80101,HC OPIATE SCREEN SERUM SO,55.88,19.56,16.0,41.63,5
CPT,80101,HC PCP SCREEN,90.73,31.76,25.99,67.59,5
CPT,80101,HC PHENCYCLIDINE SCRN SERUM SO,55.88,19.56,16.0,41.63,5
CPT,80101,HC PROPOXPHENE SCRN SERUM SO,55.88,19.56,16.0,41.63,5
CPT,80101,HC THC-SCREEN,90.73,31.76,25.99,67.59,5
CPT,80102,"HC DRUG CONFIRMATION,EA PROCEDURE",87.12,30.5,24.95,64.9,5
CPT,80143,HC ACETAMINOPHEN ARUP 0090001,85.75,30.02,18.64,65.19,10
CPT,80143,HC ACETAMINOPHEN BLOOD UCHEALTH LAB,66.53,23.29,18.64,65.19,10
CPT,80143,HC DRUG ASSAY ACETAMINOPHEN,43.05,15.07,14.77,65.19,10
CPT,80145,HC DRUG ASSAY ADALIMUMAB ARUP 3017043,545.6,190.96,38.57,305.54,10
CPT,80150,HC AMIKACIN LEVEL,142.1,49.74,15.08,79.58,10
CPT,80151,HC AMIODARONE AND METABOLITE ARUP 0090161,72.07,25.23,18.64,65.19,10
CPT,80152,HC ASSAY OF AMITRIPTYLINE,63.06,22.08,18.06,46.98,5
CPT,80154,HC BENZODIAZEPINE CONFIRMATION-UR,168.17,58.86,48.16,125.29,5
CPT,80154,HC MECON BENZO CONF CHARGE,119.28,41.75,34.16,88.86,5
CPT,80154,HC RFLX CONF/QNT BENZ SP,278.12,97.35,79.65,207.2,5
CPT,80155,HC CAFFEINE - REF LAB L1814,147.84,51.75,38.57,134.88,10
CPT,80156,HC CARBAMAZEPINE UCHEALTH CLINICAL LAB,66.53,23.29,14.57,50.96,10
CPT,80156,"HC CARBAMAZEPINE, TOTAL ARUP 0090260",48.22,16.88,14.57,50.96,10
CPT,80156,HC TOX-TEGRETOL,139.7,48.9,14.57,78.23,10
CPT,80157,ASSAY CARBAMAZEPINE FREE,,,13.25,46.34,7
CPT,80158,HC CYCLOSPORINE LEVEL,119.57,41.85,18.05,66.96,10
CPT,80159,HC CLOZAPINE AND METABOLITES S/P QUANT ARUP 2013433,77.62,27.17,20.15,70.46,10
CPT,80159,HC CLOZAPINE BEAKER- LAB3148,102.67,35.94,20.15,70.46,10
CPT,80160,HC ASSAY OF DESIPRAMINE,72.36,25.33,20.72,53.91,5
CPT,80160,HC DESIPRAMINE LEVEL,48.53,16.99,13.9,36.15,5
CPT,80161,"ASY CARBAMAZEPIN 10,11-EPXID",,,18.64,65.19,7
CPT,80162,HC DIGOXIN,112.66,39.44,13.28,63.09,10
CPT,80163,ASSAY OF DIGOXIN FREE,,,13.28,46.43,7
CPT,80164,HC DRUG ASSAY VALPROIC DIPROPYLACETIC ACID TOTAL ARUP 0099310,146.83,51.4,13.54,82.22,10
CPT,80164,HC TOX-VALPROATE,131.29,45.96,13.54,73.52,10
CPT,80164,HC VALPROIC ACID - FREE,146.83,51.4,13.54,82.22,10
CPT,80165,HC DRUG SCREEN QUANT DIPROPYLACETIC ACID FREE ARUP 0099310,146.83,51.4,13.54,82.22,10
CPT,80165,HC VALPROIC ACID - TOTAL,146.83,51.4,13.54,82.22,10
CPT,80166,HC ASSAY OF DOXEPIN,82.87,29.01,23.73,61.74,5
CPT,80167,HC DRUG ASSAY FELBAMATE,43.05,15.07,14.77,65.19,10
CPT,80168,HC TOX-ETHOSUXIMIDE,104.54,36.59,16.34,58.54,10
CPT,80169,HC EVEROLIMUS TANDEM MASS SPEC,401.02,140.36,13.73,224.57,10
CPT,80170,HC GENTAMICIN LEVEL,164.63,57.63,16.38,92.19,10
CPT,80171,"HC GABAPENTIN, SERUM OR PLASMA ARUP 3017893",65.3,22.86,21.67,75.77,10
CPT,80173,HC HALOPERIDOL (HALDOL),88.63,31.03,15.78,55.18,10
CPT,80174,HC ASSAY OF IMIPRAMINE,68.64,24.03,19.66,51.14,5
CPT,80174,HC IMPRAMINE LEVEL,48.53,16.99,13.9,36.15,5
CPT,80175,HC LAMOTRIGINE ARUP 90177,135.88,47.56,13.25,76.09,10
CPT,80176,HC CHOLINESTERASE W/DIBUCANE INH,91.47,32.02,14.69,51.37,10
CPT,80176,HC DIBUCANE INHIBITION,91.32,31.97,14.69,51.37,10
CPT,80176,"HC LIDOCAINE, SERUM OR PLASMA ARUP 3019011",316.8,110.88,14.69,177.41,10
CPT,80176,HC TOX-LIDOCAINE,92.53,32.39,14.69,51.82,10
CPT,80177,HC KEPPRA (LEVETIRACETAM) ARUP 0098267,195.59,68.46,13.25,109.53,10
CPT,80177,HC KEPPRA LEVETIRACETAM - INHOUSE,104.3,36.51,13.25,58.41,10
CPT,80178,HC LITHIUM,115.96,40.59,6.61,64.94,10
CPT,80179,HC DRUG ASSAY SALICYLATE,43.05,15.07,14.77,65.19,10
CPT,80180,HC MYCOPHENOLIC ACID &METABOLITES,129.36,45.28,18.05,72.44,10
CPT,80181,DRUG ASSAY FLECAINIDE,,,18.64,65.19,7
CPT,80182,HC ASSAY OF NORTRIPTYLINE,68.73,24.06,19.68,51.2,5
CPT,80183,"HC OXCARBAZEPINE METABOLITE, SERUM ARUP 3017889",93.1,32.59,13.25,52.14,10
CPT,80184,HC PHENOBARBITAL,51.74,18.11,15.3,53.5,10
CPT,80184,HC PHENOBARBITAL UCH 776304,66.53,23.29,15.3,53.5,10
CPT,80184,HC TOX-PHENOBARBITAL,175.45,61.41,15.3,98.25,10
CPT,80185,HC DILANTIN,163.42,57.2,13.25,91.52,10
CPT,80185,HC DRUG SCREEN QUANTITATIVE PHENYTOIN TOTAL ARUP 0090141,52.42,18.35,13.25,46.34,10
CPT,80185,HC PHENYTOIN TOTAL UCHEALTH CLINICAL LAB,55.44,19.41,13.25,46.34,10
CPT,80186,HC DRUG SCREEN QUANTITATIVE PHENYTOIN FREE ARUP 0090141,52.42,18.35,13.76,48.12,10
CPT,80186,"HC PHENYTOIN, FREE ARUP 2010481",64.68,22.64,13.76,48.12,10
CPT,80186,HC TOX-FREE DILANTIN,110.25,38.59,13.76,61.74,10
CPT,80187,"HC POSACONAZOLE, QUANTITATIVE BY LC-MS/MS ARUP 2001739",247.63,86.68,27.11,138.67,10
CPT,80188,HC PRIMIDONE,64.68,22.64,16.59,58.01,10
CPT,80188,HC TOX-MYSOLINE,143.0,50.05,16.59,80.08,10
CPT,80189,HC ITRACONAZOLE QUANTITATIVE BY LC-MS/MS ARUP 0098519,247.63,86.68,27.11,138.67,10
CPT,80190,ASSAY OF PROCAINAMIDE,,,60.0,209.81,7
CPT,80192,HC PROCAINAMIDE AND NAPA ARUP TO MAYO PA,880.7,308.25,16.75,493.19,10
CPT,80192,HC TOX-PROCAINAMIDE/NAPA,125.88,44.06,16.75,70.49,10
CPT,80193,"HC LEFLUNOMIDE METABOLITE, SERUM/PLASMA ARUP 2007460",290.14,101.55,38.57,162.48,10
CPT,80194,HC TOX-QUINIDINE,96.45,33.76,14.6,54.01,10
CPT,80195,HC SIROLIMUS MONITOR,203.76,71.32,13.73,114.11,10
CPT,80197,HC TACROLIMUS,155.62,54.47,13.73,87.15,10
CPT,80197,HC TACROLIMUS BY TANDEM MASS SPECTROMETRY ARUP 0090612,203.76,71.32,13.73,114.11,10
CPT,80198,HC THEOPHYLLINE ARUP 0090265,68.99,24.15,14.14,49.44,10
CPT,80198,HC THEOPHYLLINE CHILDRENS HOSP CO LAB1813,105.6,36.96,14.14,59.14,10
CPT,80198,HC TOX-THEOPHYLLINE,119.26,41.75,14.14,66.79,10
CPT,80199,DRUG SCREEN QUANT TIAGABINE,,,27.11,94.81,7
CPT,80200,"HC TOBRAMYCIN, PEAK CHILDRENS HOSP CO LAB1801",66.53,23.29,16.13,56.4,10
CPT,80200,"HC TOBRAMYCIN, RANDOM CHILDRENS HOSP CO LAB1801",66.53,23.29,16.13,56.4,10
CPT,80200,"HC TOBRAMYCIN, TROUGH CHILDRENS HOSP CO LAB1801",66.53,23.29,16.13,56.4,10
CPT,80201,HC TOPIRAMATE,92.84,32.5,11.92,51.99,10
CPT,80202,HC VANCOMYCIN LEVEL,138.5,48.48,13.54,77.56,10
CPT,80203,HC ZONISAMIDE ARUP 0097908,173.87,60.86,13.25,97.37,10
CPT,80204,HC DRUG ASSAY METHOTREXATE,133.65,46.78,38.57,134.88,10
CPT,80210,"HC RUFINAMIDE, SERUM OR PLASMA ARUP 2003176",267.96,93.79,27.11,150.06,10
CPT,80220,HC HYDROXYCHLOROQUINE ARUP TO NMS 2362SP,750.06,262.53,18.64,420.03,10
CPT,80220,"HC HYDROXYCHLOROQUINE, BLOOD ARUP 3018999",736.0,257.6,18.64,412.16,10
CPT,80220,"HC HYDROXYCHLOROQUINE, BLOOD ARUP TO NMS 2362B, BLOOD",831.6,291.06,18.64,465.7,10
CPT,80220,"HC HYDROXYCHLOROQUINE, SERUM ARUP TO MAYO HCQ",778.62,272.52,18.64,436.03,10
CPT,80230,HC DRUG ASSAY INFLIXIMAB ARUP 3016779,545.6,190.96,38.57,305.54,10
CPT,80235,"HC LACOSAMIDE, SERUM ARUP 3017887",352.0,123.2,27.11,197.12,10
CPT,80280,HC DRUG ASSAY VEDOLIZUMAB  ARUP TO ESOTERIX 504567,600.0,210.0,38.57,336.0,10
CPT,80280,HC DRUG ASSAY VEDOLIZUMAB ARUP 3003676,525.76,184.02,38.57,294.43,10
CPT,80285,"HC VORICONAZOLE, QUANTITATION BY LC-MS/MS ARUP 2001737",247.63,86.68,27.11,138.67,10
CPT,80299,HC ACETOHEXAMIDE,101.85,35.65,18.64,65.19,10
CPT,80299,HC ALLOPURINOL AND METABOLITE,112.66,39.44,18.64,65.19,10
CPT,80299,"HC AMBIEN/ZOLPIDEM-QNT, SER/PL",554.4,194.04,18.64,310.46,10
CPT,80299,"HC ANTIFUNGAL LEVEL, 5-FLUOROCYTOSINE (5-FC) ARUP 0060846",430.77,150.77,18.64,241.23,10
CPT,80299,HC ANTIMICROBIAL LEVEL - AZITHROMYCIN BY HPLC SERUM OR PLASMA ARUP 2009359,456.42,159.75,18.64,255.6,10
CPT,80299,"HC ANTIMICROBIAL LEVEL - DOXYCYCLINE, SERUM  ARUP 0093142",395.47,138.42,18.64,221.46,10
CPT,80299,"HC ANTIMICROBIAL LEVEL - RIFAMPIN BY HPLC, SERUM OR PLASMA ARUP 2009210",421.34,147.47,18.64,235.95,10
CPT,80299,"HC ANTIMICROBIAL LEVEL - STREPTOMYCIN BY HPLC, SERUM OR PLASMA ARUP 2009214",456.42,159.75,18.64,255.6,10
CPT,80299,HC APIXABAN LEVEL ARUP 3004090,432.0,151.2,18.64,241.92,10
CPT,80299,HC ASSAY OF CLOMIPRAMINE,92.17,32.26,18.64,65.19,10
CPT,80299,HC ASSAY OF NORCLOMIPRAMINE,92.17,32.26,18.64,65.19,10
CPT,80299,HC ASSAY OF NORDOXEPIN,92.17,32.26,18.64,65.19,10
CPT,80299,HC ASSAY OF PROTRIPTYLINE,92.17,32.26,18.64,65.19,10
CPT,80299,HC ATAZANAVIR LEVEL,322.51,112.88,18.64,180.61,10
CPT,80299,HC AZITHROMYCIN LEVEL NATIONAL JEWISH PKAZM,345.54,120.94,18.64,193.5,10
CPT,80299,HC BEDAQUILINE ARUP TO UNIV OF FL INFECTION DISEASE PHARMACOKINETICS BDQ,384.0,134.4,18.64,215.04,10
CPT,80299,HC BUPIVACAINE,85.32,29.87,18.64,65.19,10
CPT,80299,HC CEFEPIME ARUP TO ATLANTIC DIAG LABS 6993,443.52,155.24,18.64,248.37,10
CPT,80299,HC CENOBAMATE (XCOPRI) PLASMA ARUP TO U OF UTAH 702735,572.88,200.51,18.64,320.81,10
CPT,80299,HC CHEMILUMINESCENT ASSAY-ARUP/ESOTERIX-804230,676.83,236.9,18.64,379.02,10
CPT,80299,HC CHLOROPROPAMIDE,101.85,35.65,18.64,65.19,10
CPT,80299,HC CLOMIPARMINE,107.86,37.76,18.64,65.19,10
CPT,80299,HC CLOZAPINE,166.13,58.15,18.64,93.03,10
CPT,80299,HC CYCLOSERINE LEVEL,207.9,72.77,18.64,116.42,10
CPT,80299,HC CYCLOSERINE LEVEL ARUP TO NATIONAL JEWISH PKCSH,345.54,120.94,18.64,193.5,10
CPT,80299,"HC DARUNAVIR, LEVEL NATIONAL JEWISH PKDRV",325.99,114.1,18.64,182.55,10
CPT,80299,HC DEXAMETHASONE  SERUM OR PLASMA BY LC ARUP 2003248,349.27,122.25,18.64,195.59,10
CPT,80299,HC DIURETIC PANEL,104.85,36.7,18.64,65.19,10
CPT,80299,HC ESLICARBAZEPINE ARUP TO QUEST VALENCIA 92139,1744.51,610.58,18.64,976.93,10
CPT,80299,HC ETHAMBUTOL,323.85,113.35,18.64,181.36,10
CPT,80299,HC ETHAMBUTOL (2-3H & 6-7H) ARUP TO UNIV OF FL EMBH,352.0,123.2,18.64,197.12,10
CPT,80299,HC ETHAMBUTOL LEVEL NATIONAL JEWISH PKEMB,325.99,114.1,18.64,182.55,10
CPT,80299,"HC ETHAMBUTOL, LEVEL ARUP U OF UTAH EMBH",399.91,139.97,18.64,223.95,10
CPT,80299,HC FLECAINIDE,173.65,60.78,18.64,97.24,10
CPT,80299,HC GABAPENTIN,171.84,60.15,18.64,96.23,10
CPT,80299,HC INTRACONAZOLE LEVEL,605.64,211.98,18.64,339.16,10
CPT,80299,HC ISAVUCONAZOLE (CRESEMBA) LC-MS/MS ARUP TO VIRACOR EUROFINS CLIN DIAG 4900,646.8,226.38,18.64,362.21,10
CPT,80299,HC ISONIAZID LEVEL NATIONAL JEWISH PKINH,325.99,114.1,18.64,182.55,10
CPT,80299,"HC LACOSAMIDE LEVEL, SERUM/PLASMA",462.0,161.7,18.64,258.72,10
CPT,80299,HC LAMOTRIGINE,58.88,20.61,18.64,65.19,10
CPT,80299,HC LEVOFLOXACIN LEVEL ARUP TO NATIONAL JEWISH LFLHL,399.91,139.97,18.64,223.95,10
CPT,80299,HC LEVOFLOXACIN LEVEL NATIONAL JEWISH PKLVX,325.99,114.1,18.64,182.55,10
CPT,80299,HC LINEZOLID ARUP TO UNIV OF FL LNZL,406.56,142.3,18.64,227.67,10
CPT,80299,HC LINEZOLID LEVEL NATIONAL JEWISH PKLZD,345.54,120.94,18.64,193.5,10
CPT,80299,HC MERCAPTOPURINE&METAB-QT-BLOOD,794.64,278.13,18.64,445.0,10
CPT,80299,HC METHOTREXATE (SENDOUT CHILDREN'S),258.72,90.56,18.64,144.88,10
CPT,80299,HC OXCARBAZEPINE,337.98,118.3,18.64,189.27,10
CPT,80299,"HC POSACONAZOLE, ANTIFUNG SER LVL",265.65,92.98,18.64,148.76,10
CPT,80299,HC PRETOMANID ARUP TO UNIV OF FL PMD,384.0,134.4,18.64,215.04,10
CPT,80299,HC PYRAZINAMIDE ARUP TO UNIV OF FL PZAH,384.0,134.4,18.64,215.04,10
CPT,80299,HC PYRAZINAMIDE LEVEL NATIONAL JEWISH PKPZA,345.54,120.94,18.64,193.5,10
CPT,80299,HC QUANTITATION DRUG NOT ELSEWHERE SPECIFIED ARUP 3005925,582.12,203.75,18.64,325.99,10
CPT,80299,HC QUANTITATION DRUG NOT ELSEWHERE SPECIFIED ARUP TO ESOTERIX 504355,837.14,293.0,18.64,468.8,10
CPT,80299,HC QUANTITATION DRUG NOT ELSEWHERE SPECIFIED ARUP TO MAYO VEDOZ,546.27,191.2,18.64,305.91,10
CPT,80299,HC QUANTITATION OF DRUG NES,580.27,203.1,18.64,324.95,10
CPT,80299,"HC QUANTITATION-DRUG, NEC",543.31,190.16,18.64,304.25,10
CPT,80299,HC QUANTITATIVE ASSAY DRUG ARUP 804230,676.83,236.9,18.64,379.02,10
CPT,80299,HC QUANTITATIVE ASSAY DRUG ARUP TO ESOTERIC 804627,776.16,271.66,18.64,434.65,10
CPT,80299,HC QUANTITATIVE ASSAY DRUG ARUP TO ESOTERIX ENDOCRINOLOGY 82397,776.16,271.66,18.64,434.65,10
CPT,80299,HC QUANTITATIVE ASSAY DRUG ARUP TO LABCORP SLC 504245,834.5,292.08,18.64,467.32,10
CPT,80299,HC QUANTITATIVE ASSAY DRUG ARUP TO MAYO USTEK,563.64,197.28,18.64,315.64,10
CPT,80299,HC QUANTITATIVE ASSAY DRUG-ARUP 2011134,498.96,174.64,18.64,279.42,10
CPT,80299,HC RIFABUTIN LEVEL NATIONAL JEWISH PKRFB,345.54,120.94,18.64,193.5,10
CPT,80299,HC RIFAMPIN LEVEL NATIONAL JEWISH PKRIF,325.99,114.1,18.64,182.55,10
CPT,80299,HC RIVAROXABAN LEVEL ARUP 3004094,510.4,178.64,18.64,285.82,10
CPT,80299,HC SEROQUEL LEVEL,217.14,76.0,18.64,121.6,10
CPT,80299,HC THIOPURINE METABOLITES ARUP TO VALENCIA 91745,482.8,168.98,18.64,270.37,10
CPT,80299,HC THIOPURINE METABOLITES BY LC-MS/MS-ARUP 2014484,479.68,167.89,18.64,268.62,10
CPT,80299,HC THIOPURINE METABOLITES IN RED BLOOD CELLS ARUP 3016503,476.78,166.88,18.64,267.0,10
CPT,80299,HC ZONISAMIDE,368.91,129.12,18.64,206.59,10
CPT,80305,HC ISCREEN BEAKER INHOUSE,97.4,34.09,12.6,54.54,10
CPT,80305,HC POCT ICUP DRUG SCREEN URINE,83.28,29.15,12.6,46.64,10
CPT,80306,DRUG TEST PRSMV INSTRMNT,,,17.14,59.93,7
CPT,80307,HC  URINE DRUGS OF ABUSE SCREEN TO UCH,295.68,103.49,62.14,217.29,10
CPT,80307,HC AMPHETAMINES URINE SCREEN W REFLEX TO QUANTITATION ARUP 2012209,71.78,25.13,24.62,217.29,10
CPT,80307,"HC BASIC DRUG SCREEN, UMBILICAL CORD TISSUE NMS LAB TEST (9351UC)",1289.9,451.47,62.14,722.34,10
CPT,80307,"HC COTININE SCREEN, URINE ARUP 2007081",92.18,32.27,31.62,217.29,10
CPT,80307,"HC DEXTRO/LEVO METHORPHAN SCREEN - TOTAL, URINE ARUP TO NATIONAL MED SVCS 9205U",639.41,223.8,62.14,358.07,10
CPT,80307,"HC DRUG DETECTION PANEL BY HIGH-RESOLUTION TIME-OF-FLIGHT MASS SPECTROMETRY, S OR P ARUP 2003254",284.59,99.61,62.14,217.29,10
CPT,80307,"HC DRUG SCREEN 9 PANEL,SERUM OR PLASMA - IMMUNASAY SCRN W RFLX ARUP92420",232.85,81.5,62.14,217.29,10
CPT,80307,HC DRUG TEST PRSMV CHEM ANLYZR,184.36,64.53,62.14,217.29,10
CPT,80307,HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE ARUP 2008682,246.4,86.24,62.14,217.29,10
CPT,80307,HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE ARUP 2009288,62.14,21.75,21.31,217.29,10
CPT,80307,HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE ARUP TO NMS 8101SP,279.05,97.67,62.14,217.29,10
CPT,80307,HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE ARUP TO USDTL,71.78,25.13,24.62,217.29,10
CPT,80307,"HC DRUGS OF ABUSE 7A PANEL, URINE - SCREEN ONLY  ARUP 90449",103.49,36.23,35.5,217.29,10
CPT,80307,"HC DRUGS OF ABUSE 9 PANEL, URINE - SCREEN ONLY ARUP 90453",104.79,36.68,35.94,217.29,10
CPT,80307,"HC DRUGS OF ABUSE 9A PANEL, URINE - SCREEN ONLY   ARUP 90454",107.37,37.58,36.83,217.29,10
CPT,80307,"HC DRUGS OF ABUSE 9A PANEL, URINE - SCREEN ONLY W REFLEX ARUP 92187",107.37,37.58,36.83,217.29,10
CPT,80307,"HC ETHYL GLUCURONIDE SCREEN WITH REFLEX TO CONFIRMATION, URINE ARUP 2007912",92.18,32.27,31.62,217.29,10
CPT,80307,"HC ETHYL GLUCURONIDE SCREEN, UMBILICAL CORD TISSUE TEST NMS LABS 9146UC",1060.75,371.27,62.14,594.02,10
CPT,80307,"HC EXPANDED DRUG SCREEN, UMBILICAL CORD TISSUE NMS TEST (9352UC)",924.0,323.4,62.14,517.44,10
CPT,80307,"HC FENTANYL, URN SCREEN W/REFLEX ARUP 2012284",82.96,29.04,28.46,217.29,10
CPT,80307,HC FLUNITRAZEPAM METABOLITES SERUM OR PLASMA SCREEN W/ REFLEX TO CONFIRM/QUANT ARUP 0091116,577.28,202.05,62.14,323.28,10
CPT,80307,"HC GAMMA-HYDROXYBUTYRIC ACID SCREEN, S/P ARUP 0091193",632.02,221.21,62.14,353.93,10
CPT,80307,HC HAIRSTAT 5 REFLEXIVE PANEL ARUP 0092068,240.24,84.09,62.14,217.29,10
CPT,80307,HC HEROIN  SCREEN WITH REF TO CONFIRM/QUANT  SERUM OR PLASMA ARUP 0091203,399.17,139.71,62.14,223.54,10
CPT,80307,HC HEROIN - SCREEN WITH REFLEX TO CONFIRMATION/QUANTITATION - URINE  ARUP 0091586,395.47,138.42,62.14,221.46,10
CPT,80307,"HC KRATOM (MITRAGYNINE) - SCREEN WITH REFLEX TO CONFIRMATION/QUANTITATION, URINE ARUP 3003311",407.78,142.73,62.14,228.36,10
CPT,80307,"HC KRATOM (MITRAGYNINE), URINE, QT",184.36,64.53,62.14,217.29,10
CPT,80307,HC LSD URINE SCREEN W/REFLEX TO CONFIRMATION/QUANT-ARUP0091224,347.42,121.6,62.14,217.29,10
CPT,80307,HC MECONIUM 13-PANEL  ARUP TO US DRUG TESTING LAB MECSTAT1,92.18,32.27,31.62,217.29,10
CPT,80307,HC MECSTAT ETOH ARUP TO USDTL,569.18,199.22,62.14,318.74,10
CPT,80307,HC OBHS UDS SAMPLE COLLECTION,215.31,75.36,62.14,217.29,10
CPT,80307,"HC PAIN MANAGEMENT PANEL, SCREEN WITH REFLEX TO QUANTITATION ARUP 2012312",184.8,64.68,62.14,217.29,10
CPT,80307,"HC SEDATIVE HYPNOTIC PANEL, URINE ARUP TO MEDTOX LAB 19253",1774.85,621.2,62.14,993.92,10
CPT,80307,"HC TRAMADOL, URINE SCREEN WITH REFLEX TO QUANTITATION ARUP 2012297",82.96,29.04,28.46,217.29,10
CPT,80307,HC UMBILICAL CORD TESTING PANEL 17 ARUP TO UNITED STATES DRUG TESTING LAB,1563.41,547.2,62.14,875.51,10
CPT,80320,"HC ALCOHOL, URINE, QUANTITATIVE ARUP 2010136",168.17,58.86,0.02,125.29,5
CPT,80320,HC ALCOHOLS ARUP 0090131,125.87,44.06,0.02,93.77,5
CPT,80320,HC ISOPROPANOL (INCLUDES ACETONE) ARUP 0090144,132.17,46.26,0.02,98.47,5
CPT,80320,HC ISOPROPANOL-UHC,184.8,64.68,0.02,137.68,5
CPT,80320,HC METHANOL BLOOD TO UHC,184.8,64.68,0.02,137.68,5
CPT,80320,HC TOX-ALCOHOLS SERUM OR BLOOD,161.33,56.47,0.02,120.19,5
CPT,80321,HC CLOMIPARMINE,168.17,58.86,0.02,125.29,5
CPT,80321,"HC ETHYL GLUCURONIDE AND ETHYL SULFATE, URINE, QUANTITATIVE ARUP 2007909",168.17,58.86,0.02,125.29,5
CPT,80321,HC ETHYL GLUCURONIDE UMBILICAL CORD TISSUE QUALITATIVE ARUP 3000443,258.72,90.56,0.02,192.75,5
CPT,80321,"HC PHOSPHATIDYLETHANOL (PETH), WHOLE BLOOD  ARUP 3002598",325.25,113.84,0.02,242.31,5
CPT,80322,ALCOHOLS BIOMARKERS 3/MORE,,,0.02,0.02,1
CPT,80323,HC   REFLEX LSD CONFIRMATION URINE -ARUP0091627,602.45,210.86,0.02,448.83,5
CPT,80323,HC ALKALOIDS NOT OTHERWISE SPECIFIED ARUP 3004583,180.86,63.31,0.02,134.74,5
CPT,80323,HC ALKALOIDS NOT OTHERWISE SPECIFIED ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80323,HC DIURETIC PANEL,558.1,195.34,0.02,415.78,5
CPT,80323,HC NICOTINE & METABOLITES-SER/PL,278.12,97.35,0.02,207.2,5
CPT,80323,HC NICOTINE URINE,152.76,53.47,0.02,113.81,5
CPT,80323,"HC REFLEX KRATOM (MITRAGYNINE) - CONFIRMATION/QUANTITATION, URINE ARUP 3003308",296.9,103.92,0.02,221.19,5
CPT,80324,HC AMPHETAMINE CONFIRMATION-URINE,264.33,92.52,0.02,196.93,5
CPT,80324,"HC AMPHETAMINES (D/L DIFFERENTIATIO), URINE ARUP 2014043",872.26,305.3,0.02,649.83,5
CPT,80324,"HC AMPHETAMINES D/L RATIO, URINE",846.38,296.24,0.02,630.55,5
CPT,80324,HC DRUG SCREEN AMPHETAMINES 1/2,179.485,62.825,0.02,163.83,10
CPT,80324,"HC PHENTERMINE, URINE ARUP TO NMS 3690U",672.67,235.44,0.02,501.14,5
CPT,80324,HC REFLEX DRUG SCREEN AMPHETAMINES 1/2 ARUP 0092219,219.91,76.97,0.02,163.83,5
CPT,80324,HC REFLEX DRUG SCREEN AMPHETAMINES 1/2 ARUP 2010066,139.06,48.68,0.02,103.6,5
CPT,80325,HC AMPHETAMINES 3OR 4 ARUP 2010075,132.17,46.26,0.02,98.47,5
CPT,80326,HC AMPHETAMINES 5 OR MORE  ARUP TO NMS 8600U,728.11,254.84,0.02,542.44,5
CPT,80326,HC DRUG SCREEN QUANT AMPHETAMINES 5 OR MORE ARUP 2006621,180.86,63.31,0.02,134.74,5
CPT,80326,HC DRUG SCREEN QUANT AMPHETAMINES 5 OR MORE ARUP 2009288,14.56,5.1,0.02,10.85,5
CPT,80326,HC DRUG SCREEN QUANT AMPHETAMINES 5 OR MORE ARUP 3004583,180.86,63.31,0.02,134.74,5
CPT,80326,HC DRUG SCREEN QUANT AMPHETAMINES 5 OR MORE ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80327,ANABOLIC STEROID 1 OR 2,,,0.02,0.02,1
CPT,80328,ANABOLIC STEROID 3 OR MORE,,,0.02,0.02,1
CPT,80329,HC ACETAMINOPHEN,264.33,92.52,0.02,196.93,5
CPT,80329,HC ACETAMINOPHEN UCH CLINICAL LAB,132.17,46.26,0.02,98.47,5
CPT,80329,"HC ACETAMINOPHEN, SERUM/PLASMA ARUP TO NATIONAL MEDICAL SERVICES 0030SP",243.94,85.38,0.02,181.74,5
CPT,80329,HC DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2 ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80329,HC IBUPROFEN ARUP 0090176,264.33,92.52,0.02,196.93,5
CPT,80329,HC IBUPROFEN QUANTITATIVE SERUM OR PLASMA ARUP 2014183,280.9,98.32,0.02,209.27,5
CPT,80329,HC SALICYLATE,264.33,92.52,0.02,196.93,5
CPT,80330,ANALGESICS NON-OPIOID 3-5,,,0.02,0.02,1
CPT,80331,ANALGESICS NON-OPIOID 6/MORE,,,0.02,0.02,1
CPT,80332,HC SERTRALINE -ARUP 0098745,256.14,89.65,0.02,190.82,5
CPT,80333,ANTIDEPRESSANTS CLASS 3-5,,,0.02,0.02,1
CPT,80334,HC ANTIDEPRESSANTS SEROTONERGIC CLASS 6 OR MORE ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80335,"HC AMITRIPTYLINE AND NORTRIPTYLINE, SERUM OR PLASMA  ARUP 0090158",135.88,47.56,0.02,101.23,5
CPT,80335,HC CLOMIPRAMINE & METABOLITE S P,132.17,46.26,0.02,98.47,5
CPT,80335,"HC DESIPRAMINE, SERUM OR PLASMA BY TANDEM MASS SPECTROMETRY  ARUP 2011487",135.88,47.56,0.02,101.23,5
CPT,80335,"HC IMIPRAMINE AND DESIPRAMINE, SERUM OR PLASMA   ARUP 90157",135.88,47.56,0.02,101.23,5
CPT,80335,HC NORTRIPTYLINE ARUP 0090074,135.88,47.56,0.02,101.23,5
CPT,80336,ANTIDEPRESSANT TRICYCLIC 3-5,,,0.02,0.02,1
CPT,80337,HC ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 6/MORE ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80337,HC TRICYCLIC ANTI-DEPRSNT-ID QNT,156.53,54.79,0.02,116.61,5
CPT,80337,HC TRICYCLIC ANTIDEPRESSANTS QUA,157.69,55.2,0.02,117.48,5
CPT,80338,HC ANTIDEPRESSANTS NOT OTHERWISE SPECIFIED ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80338,"HC BUPROPION AND METABOLITE, SERUM OR PLASMA ARUP 3003034",208.0,72.8,0.02,154.96,5
CPT,80338,HC TRAZODONE ARUP 0090316,156.21,54.68,0.02,116.38,5
CPT,80338,"HC VENLAFAXINE AND METABOLITE, SERUM OR PLASMA-ARUP2007957",226.38,79.24,0.02,168.65,5
CPT,80339,HC CENOBAMATE SERUM OR PLASMA ARUP 3019464,915.2,320.32,0.02,681.82,5
CPT,80339,"HC CLOBAZAM AND METABOLITE, QUANTITATIVE, SERUM OR PLASMA  ARUP 3002508",465.7,163.0,0.02,346.95,5
CPT,80339,HC FELBAMATE,184.66,64.64,0.02,137.57,5
CPT,80339,"HC PERAMPANEL QUANTITATIVE, SERUM OR PLASMA ARUP 2013025",739.2,258.72,0.02,550.7,5
CPT,80340,ANTIEPILEPTICS NOS 4-6,,,0.02,0.02,1
CPT,80341,HC ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 7/MORE ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80342,"HC ARIPIPRAZOLE AND METABOLITE, SERUM OR PLASMA ARUP 2007945",194.04,67.92,0.02,144.56,5
CPT,80342,"HC CHLORPROMAZINE, SERUM OR PLASMA ARUP 3003036",314.16,109.96,0.02,234.05,5
CPT,80342,HC FLUPHENAZINE ARUP 0099906,132.17,46.26,0.02,98.47,5
CPT,80342,"HC LURASIDONE QUANTITATIVE, SERUM OR PLASMA ARUP 2013018",661.58,231.56,0.02,492.88,5
CPT,80342,HC OLANZAPINE ARUP 0098833,229.15,80.21,0.02,170.72,5
CPT,80342,"HC PALIPERIDONE, SERUM OR PLASMA ARUP 2007949",194.04,67.92,0.02,144.56,5
CPT,80342,"HC PERPHENAZINE, SERUM/PLASMA ARUP TO NMS 3440SP",376.99,131.95,0.02,280.86,5
CPT,80342,"HC QUETIAPINE, SERUM OR PLASMA ARUP 2003118",417.65,146.18,0.02,311.15,5
CPT,80342,HC RISPERIDONE&METABOLITE-SER/PL,194.04,67.92,0.02,144.56,5
CPT,80342,"HC ZIPRASIDONE QUANTITATION, SERUM OR PLASMA ARUP 3000721",380.69,133.25,0.02,283.61,5
CPT,80343,ANTIPSYCHOTICS NOS 4-6,,,0.02,0.02,1
CPT,80344,HC ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 7/MORE ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80345,"HC BARBITURATES, URINE, QUANTITATIVE  ARUP 2012213",168.17,58.86,0.02,125.29,5
CPT,80345,HC DRUG SCREENING BARBITURATES ARUP 2009288,14.56,5.1,0.02,10.85,5
CPT,80345,HC HC BARBITUATES-CONF-MECONIUM-RFLX ARUP 92311,314.35,110.03,0.02,234.19,5
CPT,80345,HC PENTOBARBITAL UCH,277.2,97.02,0.02,206.51,5
CPT,80345,"HC REFLEX BARBITURATES, SERUM OR PLASMA, QUANTITATIVE ARUP 2012201",278.12,97.35,0.02,207.2,5
CPT,80345,HC RFLX CONF/QNT BARB SP ARUP 2012201,278.12,97.35,0.02,207.2,5
CPT,80346,HC ALPRAZOLAM ARUP 0090010,132.17,46.26,0.02,98.47,5
CPT,80346,HC BENZODIAZEPINE CONFIRMATION-SP,278.12,97.35,0.02,207.2,5
CPT,80346,HC BENZODIAZEPINE CONFIRMATION-UR,168.17,58.86,0.02,125.29,5
CPT,80346,"HC BENZODIAZEPINES, URINE, QUANTITATIVE ARUP 2008291",168.17,58.86,0.02,125.29,5
CPT,80346,HC CLONAZEPAM ARUP 0090055,132.17,46.26,0.02,98.47,5
CPT,80346,HC CLORAZEPATE (ASSAYED AS NORDIAZEPAM) ARUP 0090196,135.88,47.56,0.02,101.23,5
CPT,80346,HC DRUG SCREENING BENZODIAZEPINES 1-12 ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80346,HC LORAZEPAM ARUP 0090181,322.1,112.74,0.02,239.96,5
CPT,80346,"HC REFLEX BENZODIAZEPINE CONF CHARGE,MEC ARUP 0092564",366.09,128.14,0.02,272.74,5
CPT,80346,"HC REFLEX BENZODIAZEPINES, SERUM OR PLASMA, QUANTITATIVE ARUP 2010445",278.12,97.35,0.02,207.2,5
CPT,80346,HC REFLEX FLUNITRAZEPAM METABOLITE CONFIRM/QUANT SERUM OR PLASMA ARUP 0091594,658.24,230.39,0.02,490.39,5
CPT,80347,HC BENZODIAZEPINE CONF RFLX-MEC,366.09,128.14,0.02,272.74,5
CPT,80347,HC DRUG SCREENING BENZODIAZEPINES 13 OR MORE ARUP 2006621,180.86,63.31,0.02,134.74,5
CPT,80347,HC DRUG SCREENING BENZODIAZEPINES 13 OR MORE ARUP 2009288,14.56,5.1,0.02,10.85,5
CPT,80347,HC DRUG SCREENING BENZODIAZEPINES 13 OR MORE ARUP 3004583,180.86,63.31,0.02,134.74,5
CPT,80348,HC BUPRENORPHINE & METABOLITES URINE QUANT-ARUP2010092,324.79,113.68,0.02,241.97,5
CPT,80348,HC BUPRENORPHINE BEAKER LAB3487,104.58,36.61,0.02,77.91,5
CPT,80348,"HC BUPRENORPHINE CONFIRMATION, MECONIUM - BILL",336.34,117.72,0.02,250.57,5
CPT,80348,HC BUPRENORPHINE&METABOLITES S/P,278.12,97.35,0.02,207.2,5
CPT,80348,HC DRUG SCREENING BUPRENORPHINE ARUP 2009288,14.56,5.1,0.02,10.85,5
CPT,80348,HC DRUG SCREENING BUPRENORPHINE ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80348,"HC REFLEX BUPRENORPHINE AND METABOLITES, SERUM OR PLASMA, QUANTITATIVE ARUP 2012647",278.12,97.35,0.02,207.2,5
CPT,80348,"HC REFLEX BUPRENORPHINE AND METABOLITES, URINE, QUANTITATIVE ARUP 2010092",142.3,49.81,0.02,106.01,5
CPT,80348,"HC REFLEX BUPRENORPHINE CONFIRMATION, MECONIUM - BILL ARUP 2012418",336.34,117.72,0.02,250.57,5
CPT,80349,"HC CANNABIDIOL, SERUM/PLASMA ARUP TO NMS 0962SP",1108.8,388.08,0.02,826.06,5
CPT,80349,HC MARIJUANA METABOLITE UMBILICAL CORD TISSUE QUALITATIVE ARUP 3000256,218.06,76.33,0.02,162.45,5
CPT,80349,"HC REFLEX MARIJUANA CONF CHARGE, MEC ARUP 0092215",459.23,160.74,0.02,342.13,5
CPT,80349,"HC REFLEX THC METABOLITE, SERUM OR PLASMA, QUANTITATIVE ARUP 0090676",278.12,97.35,0.02,207.2,5
CPT,80349,HC RFLX CONF/QNT CANNAB/THC  SP ARUP 0090676,278.12,97.35,0.02,207.2,5
CPT,80349,"HC THC METABOLITE, URINE, QUANTITATIVE ARUP 0090369",168.17,58.86,0.02,125.29,5
CPT,80350,CANNABINOIDS SYNTHETIC 1-3,,,0.02,0.02,1
CPT,80351,CANNABINOIDS SYNTHETIC 4-6,,,0.02,0.02,1
CPT,80352,HC SYN CANNABINOIDS SCREEN REFLEX,314.16,109.96,0.02,234.05,5
CPT,80352,"HC SYNTHETIC CANNABINOID METABOLITES, QUALITATIVE, URINE ARUP 3000508",262.42,91.85,0.02,195.5,5
CPT,80353,HC COCAINE METABOLITE CONFIRMATON,278.12,97.35,0.02,207.2,5
CPT,80353,HC COCAINE&METABOLITES CONF URINE ARUP 0090359,168.17,58.86,0.02,125.29,5
CPT,80353,HC DRUG SCREENING COCAINE ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80353,"HC REFLEX COCAINE CONF CHARGE, MEC ARUP 0092216",340.22,119.08,0.02,253.46,5
CPT,80353,"HC REFLEX COCAINE METABOLITE, SERUM OR PLASMA, QUANTITATIVE ARUP 0090684",278.12,97.35,0.02,207.2,5
CPT,80354,HC DRUG SCREENING FENTANYL ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80354,HC FENTANYL & METABOLITE CONF QNT,175.56,61.45,0.02,130.79,5
CPT,80354,HC FENTANYL + METABOLITE SERUM OR PLASMA QUANTITATIVE ARUP 2011776,295.68,103.49,0.02,220.28,5
CPT,80354,"HC REFLEX FENTANYL AND METABOLITE, URINE, QUANTITATIVE ARUP 0092570",132.17,46.26,0.02,98.47,5
CPT,80355,HC DRUG SCREENING GABAPENTIN NON-BLOOD ARUP 2006621,180.86,63.31,0.02,134.74,5
CPT,80355,HC DRUG SCREENING GABAPENTIN NON-BLOOD ARUP 2009288,14.56,5.1,0.02,10.85,5
CPT,80355,HC DRUG SCREENING GABAPENTIN NON-BLOOD ARUP 3004583,180.86,63.31,0.02,134.74,5
CPT,80355,"HC GABAPENTIN, URINE ARUP 2012227",168.17,58.86,0.02,125.29,5
CPT,80356,HC DRUG SCREENING HEROIN METABOLITE ARUP 2009288,14.56,5.1,0.02,10.85,5
CPT,80356,HC DRUG SCREENING HEROIN METABOLITE ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80356,HC HEROIN METABOLITE,428.74,150.06,0.02,319.41,5
CPT,80356,HC HEROIN METABOLITE I,425.04,148.77,0.02,316.65,5
CPT,80357,HC DRUG SCREENING KETAMINE AND NORKETAMINE ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80357,"HC KETAMINE AND METABOLITE QUANTITATIVE, SERUM OR PLASMA ARUP 0091507",406.56,142.3,0.02,302.89,5
CPT,80358,HC DRUG SCREENING METHADONE ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80358,HC MECON METH CONF CHARGE,264.33,92.52,0.02,196.93,5
CPT,80358,"HC METHADONE AND METABOLITE, URINE, QUANTITATIVE ARUP 0090362",168.17,58.86,0.02,125.29,5
CPT,80358,"HC REFLEX MECONIUM, METHADONE & METABOLITE ARUP 0092322",249.67,87.39,0.02,186.0,5
CPT,80358,"HC REFLEX METHADONE AND METABOLITE, SERUM OR PLASMA, QUANTITATIVE ARUP 0090699",278.12,97.35,0.02,207.2,5
CPT,80358,HC RFLX CONF/QNT METHADONE SP,278.12,97.35,0.02,207.2,5
CPT,80359,HC DRUG SCREENING METHYLENEDIOXYAMPHETAMINES ARUP 2009288,14.56,5.1,0.02,10.85,5
CPT,80359,HC DRUG SCREENING METHYLENEDIOXYAMPHETAMINES ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80359,HC METHYLENEDIOXYAMPHETAMINES,179.485,62.825,0.02,163.83,10
CPT,80359,HC METHYLENEDIOXYAMPHETAMINES ARUP 2010075,132.17,46.26,0.02,98.47,5
CPT,80359,HC METHYLENEDIOXYAMPHETAMINES ARUP TO NMS 8600U,728.11,254.84,0.02,542.44,5
CPT,80359,HC REFLEX METHYLENEDIOXYAMPHETAMINES LEVELS ARUP 0092219,219.91,76.97,0.02,163.83,5
CPT,80359,HC REFLEX METHYLENEDIOXYAMPHETAMINES LEVELS ARUP 2010066,139.06,48.68,0.02,103.6,5
CPT,80360,HC DRUG SCREENING METHYLPHENIDATE ARUP 2009288,14.56,5.1,0.02,10.85,5
CPT,80360,HC DRUG SCREENING METHYLPHENIDATE ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80360,"HC METHYLPHENIDATE AND METABOLITE, URINE, QUANTITATIVE ARUP 2003115",267.96,93.79,0.02,199.63,5
CPT,80360,HC METHYLPHENIDATE&METABOLITE S/P ARUP 3000253,369.6,129.36,0.02,275.35,5
CPT,80360,HC METHYLPHENIDATE/METAB CONF-UR,376.99,131.95,0.02,280.86,5
CPT,80361,HC DRUG SCREENING OPIATES 1 OR MORE ARUP 2009288,14.56,5.1,0.02,10.85,5
CPT,80361,HC DRUG SCREENING OPIATES 1 OR MORE ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80361,HC OPIATES 1 OR MORE,139.06,48.68,0.02,103.6,5
CPT,80361,HC OPIATES 1 OR MORE ARUP 0090364,132.17,46.26,0.02,98.47,5
CPT,80361,HC OPIATES 1 OR MORE I,242.55,84.9,0.02,180.7,5
CPT,80361,HC OPIATES 1 OR MORE II,428.74,150.06,0.02,319.41,5
CPT,80361,HC OPIATES 1 OR MORE III,132.17,46.26,0.02,98.47,5
CPT,80361,HC OPIATES 1 OR MORE IV,242.55,84.9,0.02,180.7,5
CPT,80361,HC OPIATES 1 OR MORE V,425.04,148.77,0.02,316.65,5
CPT,80361,HC RFLX OPIATES 1 OR MORE ARUP 0092217,242.55,84.9,0.02,180.7,5
CPT,80361,HC RFLX OPIATES 1 OR MORE ARUP 0092354,139.06,48.68,0.02,103.6,5
CPT,80362,"HC REFLEX MEPERIDINE AND METABOLITE QUANTITATIVE, URINE ARUP 3000248",720.72,252.26,0.02,536.94,5
CPT,80363,HC DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 3 OR 4 ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80364,HC DRUG SCREENING OPIOIDS & OPIATE ANALOGS 5/MORE ARUP 2006621,180.86,63.31,0.02,134.74,5
CPT,80364,HC DRUG SCREENING OPIOIDS & OPIATE ANALOGS 5/MORE ARUP 2009288,14.56,5.1,0.02,10.85,5
CPT,80364,HC DRUG SCREENING OPIOIDS & OPIATE ANALOGS 5/MORE ARUP 3004583,180.86,63.31,0.02,134.74,5
CPT,80365,HC DRUG SCREENING OXYCODONE,139.06,48.68,0.02,103.6,5
CPT,80365,HC DRUG SCREENING OXYCODONE ARUP 0090364,132.17,46.26,0.02,98.47,5
CPT,80365,HC DRUG SCREENING OXYCODONE ARUP 2009288,14.56,5.1,0.02,10.85,5
CPT,80365,HC DRUG SCREENING OXYCODONE ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80365,HC DRUG SCREENING OXYCODONE I,242.55,84.9,0.02,180.7,5
CPT,80365,HC DRUG SCREENING OXYCODONE II,132.17,46.26,0.02,98.47,5
CPT,80365,HC DRUG SCREENING OXYCODONE IV,242.55,84.9,0.02,180.7,5
CPT,80365,HC RLFX DRUG SCREENING OXYCODONE ARUP 0092217,242.55,84.9,0.02,180.7,5
CPT,80365,HC RLFX DRUG SCREENING OXYCODONE ARUP 0092354,139.06,48.68,0.02,103.6,5
CPT,80366,HC DRUG SCREENING PREGABALIN ARUP 2009288,14.56,5.1,0.02,10.85,5
CPT,80366,HC DRUG SCREENING PREGABALIN ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80366,HC PREGABALIN LEVEL,187.11,65.49,0.02,139.4,5
CPT,80366,"HC PREGABALIN, SERUM OR PLASMA ARUP 2011609",194.04,67.92,0.02,144.56,5
CPT,80367,"HC PROPOXYPHENE AND METABOLITE, SERUM OR PLASMA ARUP 3003723",724.42,253.55,0.02,539.69,5
CPT,80367,"HC PROPOXYPHENE AND METABOLITE, URINE ARUP 3003726",595.06,208.28,0.02,443.32,5
CPT,80368,HC DRUG SCREENING SEDATIVE HYPNOTICS ARUP 2009288,14.56,5.1,0.02,10.85,5
CPT,80368,HC DRUG SCREENING SEDATIVE HYPNOTICS ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80368,HC METHAQUALONE QUANTITATIVE URINE-ARUP2006299,547.01,191.46,0.02,407.52,5
CPT,80368,"HC REFLEX ZOLPIDEM, URINE, QUANTITATIVE ARUP 2012319",203.28,71.15,0.02,151.44,5
CPT,80369,"HC BACLOFEN QUANTITATIVE, SERUM OR PLASMA   ARUP 2005273",683.76,239.32,0.02,509.4,5
CPT,80369,"HC CYCLOBENZAPRINE QUANTITATIVE, URINE ARUP 0091155",413.95,144.89,0.02,308.39,5
CPT,80369,"HC REFLEX CARISOPRODOL AND MEPROBAMATE, URINE, QUANTITATIVE ARUP 2012219",277.2,97.02,0.02,206.51,5
CPT,80370,HC DRUG SCREENING SKEL MUSCLE RELAXANTS 3 OR MORE ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80371,HC DRUG SCREENING STIMULANTS SYNTHETIC ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80372,HC DRUG SCREENING TAPENTADOL ARUP 2009288,14.56,5.1,0.02,10.85,5
CPT,80372,HC DRUG SCREENING TAPENTADOL ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80372,"HC REFLEX TAPENTADOL AND METABOLITE, URINE, QUANTITATIVE ARUP 2003128",277.2,97.02,0.02,206.51,5
CPT,80373,HC DRUG SCREENING TRAMADOL ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80373,HC REFLEX TRAMADOL AND METABOLITE URINE QUANTITATIVE ARUP 2002736,336.34,117.72,0.02,250.57,5
CPT,80373,"TRAMADOL AND METABOLITES, URINE, QUANTITATIVE",336.34,117.72,0.02,250.57,5
CPT,80374,STEREOISOMER ANALYSIS,,,0.02,0.02,1
CPT,80375,"HC ACYCLOVIR, SERUM OR PLASMA ARUP 0091328",632.02,221.21,0.02,470.85,5
CPT,80375,HC ALLOPURINOL & METABOLITE S P ARUP 0091204,502.66,175.94,0.02,374.48,5
CPT,80375,"HC ALLOPURINOL & METABOLITE, SERUM/PLASMA ARUP TO NMS 0213SP",495.26,173.35,0.02,368.97,5
CPT,80375,HC AZATHIOPRINE AS 6-MERCAPTOPURINE ARUP TO MEDTOX LABS 402,391.48,137.02,0.02,291.65,5
CPT,80375,HC BRIVARACETAM ARUP TO NMS 0718B,450.91,157.82,0.02,335.93,5
CPT,80375,"HC BRIVARACETAM QUANTITATIVE, SERUM OR PLASMA ARUP 3004978",513.74,179.81,0.02,382.74,5
CPT,80375,"HC BRIVARACETAM, SERUM/PLASMA ARUP TO NMS 0718SP",462.0,161.7,0.02,344.19,5
CPT,80375,"HC CLONIDINE, URINE  ARUP 0091223",953.57,333.75,0.02,710.41,5
CPT,80375,"HC DIURETIC SURVEY QUANTITATIVE, SERUM OR PLASMA ARUP 2007763",443.52,155.24,0.02,330.42,5
CPT,80375,HC DIURETICS PANEL SERUM/PLASMA ARUP TO NMS 1804SP,475.2,166.32,0.02,354.02,5
CPT,80375,"HC ETHAMBUTOL QUANTITATIVE, SERUM OR PLASMA ARUP 0091319",1293.6,452.76,0.02,963.73,5
CPT,80375,"HC LABETALOL, SERUM/PLASMA ARUP TO NMS 2488SP",1119.89,391.97,0.02,834.32,5
CPT,80375,"HC LEVAMISOLE, SERUM/PLASMA ARUP TO NATIONAL MEDICAL SERVICES",879.65,307.88,0.02,655.34,5
CPT,80375,"HC METFORMIN QUANTITATIVE, SERUM OR PLASMA ARUP 0092390",487.87,170.76,0.02,363.46,5
CPT,80375,HC METHOTRAXATE POLYGLUTAMATES ARUP TO LABCORP 504104,997.92,349.28,0.02,743.45,5
CPT,80375,HC METHOTREXATE POLYGLUTAMATES ARUP TO LABCORP 504104,997.92,349.28,0.02,743.45,5
CPT,80375,HC METHOTREXATE POLYGLUTAMATES BLOOD ARUP TO ESOTERIX 803960,997.92,349.28,0.02,743.45,5
CPT,80375,"HC MITOTANE, SERUM OR PLASMA ARUP 2013014",506.35,177.23,0.02,377.23,5
CPT,80375,"HC RIFAMPIN AND METABOLITE, SERUM OR PLASMA ARUP 3001496",691.15,241.91,0.02,514.91,5
CPT,80375,"HC RIVAROXABAN, SERUM/PLASMA ARUP TO NMS 4114SP",753.98,263.9,0.02,561.72,5
CPT,80375,"HC SULFONAMIDES, QUANTITATIVE, SERUM OR PLASMA ARUP 3001973",380.685,133.245,0.02,300.13,10
CPT,80375,HC THIOPURINE METABOLITES BY LC-MS/MS ARUP 2014484,479.68,167.89,0.02,357.36,5
CPT,80375,"HC XYLAZINE, URINE ARUP TO NMS 4815U",1904.36,666.53,0.02,1418.75,5
CPT,80376,DRUG/SUBSTANCE NOS 4-6,,,0.02,0.02,1
CPT,80377,HC DIURETIC SCREEN URINE-ARUP0091258,464.18,162.47,0.02,345.81,5
CPT,80377,HC DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 7/MORE ARUP 3004833,229.55,80.35,0.02,171.01,5
CPT,80377,HC SULFONYLUREA HYPOCLYCEMICS PNL,428.74,150.06,0.02,319.41,5
CPT,80400,ACTH STIMULATION PANEL,,,32.62,114.07,7
CPT,80402,ACTH STIMULATION PANEL,,,86.96,304.1,7
CPT,80406,ACTH STIMULATION PANEL,,,78.26,273.67,7
CPT,80408,ALDOSTERONE SUPPRESSION EVAL,,,125.5,438.87,7
CPT,80410,CALCITONIN STIMUL PANEL,,,80.37,281.04,7
CPT,80412,CRH STIMULATION PANEL,,,801.62,2803.19,7
CPT,80414,TESTOSTERONE RESPONSE PANEL,,,51.64,180.59,7
CPT,80415,TOT ESTRADIOL RESPONSE PANEL,,,55.89,195.43,7
CPT,80416,RENIN STIMULATION PANEL,,,209.32,731.97,7
CPT,80417,RENIN STIMULATION PANEL,,,43.99,153.83,7
CPT,80418,PITUITARY EVALUATION PANEL,,,579.48,2026.39,7
CPT,80420,DEXAMETHASONE PANEL,,,161.88,566.09,7
CPT,80422,GLUCAGON TOLERANCE PANEL,,,46.07,161.1,7
CPT,80424,GLUCAGON TOLERANCE PANEL,,,50.5,176.6,7
CPT,80426,GONADOTROPIN HORMONE PANEL,,,148.41,518.98,7
CPT,80428,GROWTH HORMONE PANEL,,,66.7,233.25,7
CPT,80430,GROWTH HORMONE PANEL,,,129.33,452.26,7
CPT,80432,INSULIN SUPPRESSION PANEL,,,165.61,579.12,7
CPT,80434,INSULIN TOLERANCE PANEL,,,285.03,996.73,7
CPT,80435,INSULIN TOLERANCE PANEL,,,103.0,360.18,7
CPT,80436,METYRAPONE PANEL,,,91.16,318.78,7
CPT,80438,TRH STIMULATION PANEL,,,50.41,176.28,7
CPT,80439,TRH STIMULATION PANEL,,,67.21,235.02,7
CPT,80500,Mammogram,,,1261.75,1261.75,1
CPT,80502,Mammogram,,,4573.91,4573.91,1
CPT,80503,PATH CLIN CONSLTJ SF 5-20,,,39.59,1494.26,7
CPT,80504,PATH CLIN CONSLTJ MOD 21-40,,,77.55,3221.75,7
CPT,80505,PATH CLIN CONSLTJ HIGH 41-60,,,139.79,6109.69,7
CPT,80506,PATH CLIN CONSLTJ PROLNG SVC,,,42.56,2923.59,7
CPT,81000,HC URINE COLLECT FOR DRUG SCRN,24.04,8.42,4.02,14.06,10
CPT,81001,"HC URINALYSIS, DIP & MICRO",66.69,23.35,3.17,37.35,10
CPT,81002,"HC REDUCING SUBSTANCE, URINE POS",20.02,7.01,3.48,12.17,10
CPT,81002,HC SPECIFIC GRAVITY UR REFRACT,29.14,10.2,3.48,16.32,10
CPT,81002,HC URINALYSIS NONAUTO W/O SCOPE,27.07,9.48,3.48,15.16,20
CPT,81002,"HC URINALYSIS,NON AUTO W/O MIC",29.14,10.2,3.48,16.32,10
CPT,81003,"HC URINALYSIS,AUTO,W/O SCOPE",36.36,12.73,2.25,20.36,10
CPT,81005,URINALYSIS,,,2.17,7.59,7
CPT,81007,URINE SCREEN FOR BACTERIA,,,29.98,104.83,7
CPT,81015,HC URINE MICROSCOPIC ONLY,25.26,8.85,3.05,14.15,10
CPT,81020,URINALYSIS GLASS TEST,,,4.7,16.44,7
CPT,81025,HC URINE PREGNANCY TEST,76.62,26.82,8.61,42.91,10
CPT,81050,HC VOL MEASURE TIMED COLLECT EA,16.165,5.66,3.37,12.73,20
CPT,81099,HC URINALYSIS TEST PROCEDURE,29.12,10.2,8.34,21.69,6
CPT,81105,HPA-1 GENOTYPING,,,122.22,427.39,7
CPT,81106,HPA-2 GENOTYPING,,,122.22,427.39,7
CPT,81107,HPA-3 GENOTYPING,,,122.22,427.39,7
CPT,81108,HPA-4 GENOTYPING,,,122.22,427.39,7
CPT,81109,HPA-5 GENOTYPING,,,122.22,427.39,7
CPT,81110,HPA-6 GENOTYPING,,,122.22,427.39,7
CPT,81111,HPA-9 GENOTYPING,,,122.22,427.39,7
CPT,81112,HPA-15 GENOTYPING,,,122.22,427.39,7
CPT,81120,HC IDH1 COMMON VARIANTS ARUP 3017222,1254.0,438.9,193.25,702.24,10
CPT,81120,HC IDH1 COMMON VARIANTS- ARUP 2006444,914.76,320.17,193.25,675.78,10
CPT,81121,HC IDH2 COMMON VARIANTS ARUP 3017222,1254.0,438.9,295.79,1034.35,10
CPT,81121,HC IDH2 COMMON VARIANTS-ARUP 2006444,914.76,320.17,295.79,1034.35,10
CPT,81161,DMD DUP/DELET ANALYSIS,,,279.0,975.64,7
CPT,81162,"HC BRCA1 AND BRCA2-ASSOCIATED HBOC SYNDROME PANEL, SEQUENCING AND DELETION/DUPLICATION ARUP 3001855",4654.65,1629.13,1596.54,6381.43,10
CPT,81162,HC BRCA1 BRCA2 GENE ALYS FULL SEQ FULL DUP/DEL ALYS ARUP 3005686,2007.37,702.58,688.53,6381.43,10
CPT,81163,HC BREAST & OVARIAN HEREDITARY CANCER SYNDROME (BRCA1 AND BRCA 2) SEQ ARUP 2011954,3580.5,1253.18,468.0,2005.08,10
CPT,81164,BRCA1&2 GEN FUL DUP/DEL ALYS,,,584.23,2042.99,7
CPT,81165,BRCA1 GENE FULL SEQ ALYS,,,282.88,989.21,7
CPT,81166,BRCA1 GENE FULL DUP/DEL ALYS,,,301.35,1053.78,7
CPT,81167,BRCA2 GENE FULL DUP/DEL ALYS,,,282.88,989.21,7
CPT,81168,CCND1/IGH TRANSLOCATION ALYS,,,207.31,724.94,7
CPT,81170,HC BCR-ABL1 MUTATION ANALYSIS FOR TYROSINE KINASE INHIBITOR RESISTANCE BY NGS ARUP 2008420,2176.02,761.61,300.0,1218.57,10
CPT,81170,HC BCR-ABL1 MUTATION ANLS BY NGS,2176.02,761.61,300.0,1218.57,10
CPT,81171,AFF2 GEN ALY DETC ABNL ALLEL,,,137.0,479.08,7
CPT,81172,AFF2 GEN ALYS CHARAC ALLELES,,,274.83,961.05,7
CPT,81173,AR GENE FULL GENE SEQUENCE,,,301.35,1053.78,7
CPT,81174,AR GENE KNOWN FAMIL VARIANT,,,185.2,647.62,7
CPT,81175,ASXL1 FULL GENE SEQUENCE,,,676.5,2365.66,7
CPT,81176,ASXL1 GENE TARGET SEQ ALYS,,,241.9,845.89,7
CPT,81177,HC ATN1 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES ARUP TO ATHENA DIAG 6901,496.65,173.83,137.0,479.08,10
CPT,81177,HC ATN1 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES ARUP TO MNG MOL380,222.0,77.7,76.15,479.08,10
CPT,81178,HC ATXN1 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES ARUP TO ATHENA DIAG 6901,496.65,173.83,137.0,479.08,10
CPT,81179,HC ATXN2 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES ARUP TO ATHENA DIAG 6901,496.65,173.83,137.0,479.08,10
CPT,81179,HC ATXN2 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES ARUP TO MNG MOL380,222.0,77.7,76.15,479.08,10
CPT,81180,HC ATXN3 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES ARUP TO ATHENA DIAG 6901,496.65,173.83,137.0,479.08,10
CPT,81180,HC ATXN3 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES ARUP TO MNG MOL380,222.0,77.7,76.15,479.08,10
CPT,81180,HC MJD SPINOCEREBELLAR ATAXIA TYPE 3 SCA3 VIA ATXN3 CAG REP EXP ARUP TO PREVENTION GENETICS 13213,1232.0,431.2,137.0,689.92,10
CPT,81181,HC ATXN7 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES ARUP TO ATHENA DIAG 6901,496.65,173.83,137.0,479.08,10
CPT,81181,HC ATXN7 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES ARUP TO MNG MOL380,222.0,77.7,76.15,479.08,10
CPT,81182,HC ATXN8OS GENE ANALYSIS EVAL DETECT ABNOR ALLELES ARUP TO ATHENA DIA 6901,496.65,173.83,137.0,479.08,10
CPT,81182,HC ATXN8OS GENE ANALYSIS EVAL DETECT ABNOR ALLELES ARUP TO MNG MOL380,222.0,77.7,76.15,479.08,10
CPT,81183,HC ATXN10 GENE ANALYSIS EVAL DETC ABNORMAL ALLELES ARUP TO MNG MOL380,222.0,77.7,76.15,479.08,10
CPT,81184,HC CACNA1A GENE ANALYSIS EVAL DETECT ABNOR ALLELES ARUP TO ATHENA DIAG 6901,496.65,173.83,137.0,479.08,10
CPT,81184,HC CACNA1A GENE ANALYSIS EVAL DETECT ABNOR ALLELES ARUP TO MNG MOL380,222.0,77.7,76.15,479.08,10
CPT,81185,HC FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY EA ARUP 2007535,2208.36,772.93,757.47,2959.31,10
CPT,81186,CACNA1A GEN KNOWN FAMIL VRNT,,,185.2,647.62,7
CPT,81187,HC CNBP DNA TEST (DM2) ARUP TO ATHENA 110,3257.1,1139.99,137.0,1823.98,10
CPT,81187,HC CNBP GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES ARUP TO ATHENA 5506,1176.18,411.67,137.0,658.66,10
CPT,81187,HC CNBP GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES ARUP TO MNG MOL380,222.0,77.7,76.15,479.08,10
CPT,81188,CSTB GENE DETC ABNOR ALLELE,,,137.0,479.08,7
CPT,81189,CSTB GENE FULL GENE SEQUENCE,,,274.83,961.05,7
CPT,81190,CSTB GENE KNOWN FAMIL VRNT,,,185.2,647.62,7
CPT,81191,NTRK1 TRANSLOCATION ANALYSIS,,,207.31,724.94,7
CPT,81192,NTRK2 TRANSLOCATION ANALYSIS,,,207.31,724.94,7
CPT,81193,NTRK3 TRANSLOCATION ANALYSIS,,,207.31,724.94,7
CPT,81194,HC NTRK NGS FUSION PANEL NEOGENOMICS,2016.0,705.6,518.28,1812.37,10
CPT,81194,HC NTRK-3 GENE FUSIONSEQ PANEL BY NGS QUEST,1840.61,644.22,518.28,1812.37,10
CPT,81194,HC NTRK1/2/3 UCHEALTH MOLECULAR LAB,1849.89,647.47,518.28,1812.37,10
CPT,81195,CYTOG GENOM-WID ALYS HEM MAL,,,1863.22,3033.69,4
CPT,81200,HC ASPA GENE ARUP 0051415,127.94,44.78,0.02,165.23,10
CPT,81200,HC CANAVAN DISEASE (ASPA),973.67,340.79,0.02,545.26,10
CPT,81201,HC APC GENE ANALYSIS FULL GENE SEQUENCE ARUP 2004915,1178.1,412.34,0.02,2727.58,10
CPT,81201,HC APC GENE ANALYSIS FULL GENE SEQUENCE ARUP 3001633,858.0,300.3,0.02,2727.58,10
CPT,81201,HC HC APC GENE FULL SEQUENCE,1178.1,412.34,0.02,2727.58,10
CPT,81202,HC REFLEX APC TARGETED SEQUENCING BILL ARUP 2008387,1108.8,388.08,0.02,979.13,10
CPT,81203,HC APC GENE ANALYSIS DUPLICATION/DELETION VARIANTS ARUP 2004915,1178.1,412.34,0.02,699.38,10
CPT,81203,HC APC GENE ANALYSIS DUPLICATION/DELETION VARIANTS ARUP 3001633,457.18,160.02,0.02,699.38,10
CPT,81203,HC HC APC GENE DUP/DELET VARIANTS,1178.1,412.34,0.02,699.38,10
CPT,81204,HC KENNEDY'S DISEASE (SBMA) DNA ARUP TO ATHENA DIAG 117,1593.9,557.87,137.0,892.58,10
CPT,81205,HC BCKDHB GENE ARUP 0051415,127.94,44.78,0.02,332.17,10
CPT,81206,HC BCR-ABL1 REFLEX QT-MJR-BO,1071.84,375.15,0.02,600.23,10
CPT,81206,HC BCR/ABL1 MAJOR BREAKPNT QUALITATIVE/QUANTITATIVE ARUP 3005839,248.74,87.06,0.02,573.36,10
CPT,81206,"HC REFLEX BCR-ABL1, MAJOR, QUANT ARUP RFLX BR MAJOR",1071.84,375.15,0.02,600.23,10
CPT,81206,"HC REFLEX QUANTITATIVE DETECTION OF BCR-ABL1, MAJOR FORM (P210) ARUP 3005840",1020.8,357.28,0.02,573.36,10
CPT,81207,HC BCR-ABL1 REFLEX QT-MNR-BO,1071.84,375.15,0.02,600.23,10
CPT,81207,HC BCR/ABL1 MINOR BREAKPNT QUALITATIVE/QUANTITATIVE ARUP 3005839,248.74,87.06,0.02,506.49,10
CPT,81207,HC QUANT DETECTION OF BCR-ABL1 MINOR (P190)  ARUP 3016968,950.4,332.64,0.02,532.22,10
CPT,81208,HC BCR/ABL1 OTHER BREAKPNT QUALITATIVE/QUANTITATIVE ARUP 3005839,248.74,87.06,0.02,750.51,10
CPT,81209,HC BLM GENE ARUP 0051415,127.94,44.78,0.02,137.46,10
CPT,81209,HC BLOOM SYNDROME (BLM),973.67,340.79,0.02,545.26,10
CPT,81210,HC BRAF GENE ANALYSIS V600 VARIANT(S) ARUP 3017209,715.0,250.25,0.02,613.36,10
CPT,81210,HC BRAF GENE ANALYSIS V600 VARIANT(S) ARUP 3017233,660.0,231.0,0.02,613.36,10
CPT,81210,HC BRAF GENE ARUP 2011616,405.17,141.81,0.02,613.36,10
CPT,81210,HC BRAF MUTATION DETECTION ARUP 3017203,2376.0,831.6,0.02,1330.56,10
CPT,81210,HC BRAF MUTATION DETECTION WITH REFLEX TO MLH1 PROMOTER METHYLATION ARUP 3017204,2376.0,831.6,0.02,1330.56,10
CPT,81210,"HC BRAF V600E MUTATION DETECTION IN HAIRY CELL LEUKEMIA BY REAL-TIME PCR, QUANTITATIVE ARUP 2007132",1182.72,413.96,0.02,662.32,10
CPT,81212,BRCA1&2 185&5385&6174 VRNT,,,0.02,1538.64,7
CPT,81215,HC FAMILIAL MUT TARGETED BRCA1,1108.8,388.08,0.02,1312.22,10
CPT,81215,HC REFLEX BRCA1 TARGETED SEQUENCING BILL ARUP 2012725,1108.8,388.08,0.02,1312.22,10
CPT,81216,HC BRCA2 GENE FULL SEQUENCE,2474.54,866.09,0.02,1385.74,10
CPT,81217,HC REFLEX BRCA2 TARGETED SEQUENCING BILL ARUP 2012723,1108.8,388.08,0.02,1312.22,10
CPT,81218,CEBPA GENE FULL SEQUENCE,,,0.02,845.89,7
CPT,81219,HC REFLEX CALR EXON 9 MUTATION ANALYSIS BY PCR ARUP 2010673,1071.84,375.15,0.02,600.23,10
CPT,81220,HC CYSTIC FIBROSIS (CFTR) 165 PATHOGENIC VARIANTS,1791.01,626.86,0.02,1946.37,10
CPT,81220,HC CYSTIC FIBROSIS (CFTR) EXPANDED VARIANT PANEL ARUP 2013661,887.04,310.47,0.02,1946.37,10
CPT,81221,HC REFLEX CFTR TARGETED SEQUENCING BILL ARUP 2008158,1108.8,388.08,0.02,620.93,10
CPT,81222,HC HC CFTR DELETION/DUPLICATION RFLX,1483.02,519.06,0.02,1521.39,10
CPT,81223,HC CFTR GENE ANALYSIS FULL GENE SEQUENCE ARUP 3004788,2464.0,862.4,0.02,1744.95,10
CPT,81223,HC CFTR GENE ANALYSIS FULL GENE SEQUENCE ARUP TO EGL GENETICS MM340,1239.7,433.9,0.02,1744.95,10
CPT,81223,HC CFTR GENE FULL SEQUENCE ARUP 2010876,4684.21,1639.48,0.02,2623.16,10
CPT,81223,HC HC CFTR SEQUENCING RFLX,2772.0,970.2,0.02,1744.95,10
CPT,81223,HC HC CFTR-FULL GENE SEQUENCE,1732.5,606.38,0.02,1744.95,10
CPT,81224,CFTR GENE INTRON POLY T,,,0.02,590.1,7
CPT,81225,HC CYP2C19 ARUP 3001508,591.36,206.98,0.02,1018.85,10
CPT,81225,HC CYP2C19 GENE ANALYSIS COMMON VARIANTS ARUP 3001524,336.52,117.79,0.02,1018.85,10
CPT,81225,HC CYP2C19 GENE ANALYSIS COMMON VARIANTS ARUP 3004471,336.51,117.78,0.02,1018.85,10
CPT,81225,HC CYP2C19 GENE COM VARIANTS ARUP 2013098,488.57,171.0,0.02,1018.85,10
CPT,81226,HC CYP2D6 ARUP 3001513,831.6,291.06,0.02,1576.78,10
CPT,81226,HC CYP2D6 GENE ANALYSIS COMMON VARIANTS ARUP 3001524,520.81,182.29,0.02,1576.78,10
CPT,81226,HC CYP2D6 GENE ANALYSIS COMMON VARIANTS ARUP 3004471,520.81,182.29,0.02,1576.78,10
CPT,81226,HC CYP2D6 GENE COM VARIANTS ARUP 2013098,1041.6,364.56,0.02,1576.78,10
CPT,81227,HC CYP2C9 GENE ANALYSIS COMMON VARIANTS ARUP 3001501,277.2,97.02,0.02,611.28,10
CPT,81227,HC CYP2C9 GENE ANALYSIS COMMON VARIANTS ARUP 3001524,201.91,70.67,0.02,611.28,10
CPT,81227,HC CYP2C9 GENE ANALYSIS COMMON VARIANTS ARUP 3001541,271.04,94.87,0.02,611.28,10
CPT,81227,HC CYP2C9 GENE ANALYSIS COMMON VARIANTS ARUP 3004471,201.91,70.67,0.02,611.28,10
CPT,81227,HC CYP2C9 GENE COM VARIANTS ARUP 2013098,488.57,171.0,0.02,611.28,10
CPT,81228,HC CYTOG ALYS CHRMOML ABNOR COPY NUMBER VRNT CGH ARUP 2007370,1774.08,620.93,0.02,3147.21,10
CPT,81228,HC CYTOGEN CONSTITUTNL MICROARRAY,5368.44,1878.96,0.02,3147.21,10
CPT,81229,HC CYTOG ALYS CHRMOML ABNOR CPY NUMBER&SNP VRNT CGH ARUP 2014314,1339.8,468.93,0.02,4056.4,10
CPT,81229,HC CYTOGEN M ARRAY COPY NO&SNP ARUP 2002366,2652.18,928.27,0.02,4056.4,10
CPT,81229,HC CYTOGENOMIC CONSTITUTIONAL MICROARRAY CGL,3384.61,1184.62,0.02,4056.4,10
CPT,81230,HC CYP3A4 GENE ANALYSIS COMMON VARIANTS ARUP 3001524,201.91,70.67,69.26,611.28,10
CPT,81230,HC CYP3A4 GENE ANALYSIS COMMON VARIANTS ARUP 3004471,201.91,70.67,69.26,611.28,10
CPT,81231,HC CYP3A5 GENE ANALYSIS COMMON VARIANTS ARUP 3001524,201.91,70.67,69.26,611.28,10
CPT,81231,HC CYP3A5 GENE ANALYSIS COMMON VARIANTS ARUP 3004471,201.91,70.67,69.26,611.28,10
CPT,81231,HC CYP3A5 GENE COMMON VARIANTS ARUP 2013098,488.57,171.0,167.58,611.28,10
CPT,81232,"HC DIHYDROPYRIMIDINE DEHYDROGENASE (DPYD), 3 VARIANTS ARUP 2012166",1145.76,401.02,174.81,641.63,10
CPT,81232,HC DIHYDROPYRIMIDINE DEHYDROGENASE DYPD FULL GENE SEQUENCING VARIES ARUP TO MAYO DPYDZ,2550.24,892.59,174.81,1428.13,10
CPT,81233,BTK GENE COMMON VARIANTS,,,175.4,613.36,7
CPT,81234,HC DMPK GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES ARUP TO ATHENA 5506,1176.18,411.67,137.0,658.66,10
CPT,81234,HC MYOTONIC DYSTROPHY TYPE 1 (DMPK) CTG EXPANSION ARUP 3001907,1016.4,355.74,137.0,569.18,10
CPT,81235,HC COBAS EGFR TO PHENOPATH,2431.04,850.87,0.02,1361.38,10
CPT,81235,HC COBAS PLASMA (CFDNA) EGFR MUTATION TESTING TO PHENOPATH,2436.59,852.81,0.02,1364.49,10
CPT,81235,HC EGFR GENE COM VARIANTS ARUP 2008895,410.03,143.52,0.02,1135.02,10
CPT,81235,HC EGFR MUTATION DETECTION BY PYROSEQUENCING ARUP 2002440,1803.65,631.28,0.02,1135.02,10
CPT,81235,HC EGFR T790M MUT DETECT CIRCUL TUM DNA BY DIG DROP PCR-ARUP2012868,1469.16,514.21,0.02,1135.02,10
CPT,81235,HC HC EGFR GENE ANLS-COMMON VARIANTS,410.03,143.52,0.02,1135.02,10
CPT,81236,EZH2 GENE FULL GENE SEQUENCE,,,282.88,989.21,7
CPT,81237,EZH2 GENE COMMON VARIANTS,,,175.4,613.36,7
CPT,81238,F9 FULL GENE SEQUENCE,,,600.0,2098.14,7
CPT,81239,DMPK GENE CHARAC ALLELES,,,274.83,961.05,7
CPT,81240,HC FACTOR II PROTHROMBIN GENOTYPE,356.44,124.76,0.02,229.71,10
CPT,81240,HC PROTHROMBIN (F2) C.*97G>A (G20210A) PATHOGENIC VARIANT ARUP 0056060,369.45,129.31,0.02,229.71,10
CPT,81241,HC FACTOR V GENOTYPE LEIDEN,356.44,124.76,0.02,256.56,10
CPT,81241,HC REFLEX REFLEXED TO FACTOR V LEIDEN BY PCR ARUP 0031545,304.25,106.49,0.02,256.56,10
CPT,81242,HC FANCC GENE,978.1,342.34,0.02,547.74,10
CPT,81242,HC FANCC GENE ARUP 0051415,127.94,44.78,0.02,128.06,10
CPT,81242,HC FANCONI ANEMIA GRP-C (FANCC),973.67,340.79,0.02,545.26,10
CPT,81243,HC FMR1 ANALYSIS EVAL TO DETECT ABNORMAL ALLELES ARUP 2014314,266.71,93.35,0.02,199.45,10
CPT,81243,HC FMR1 GENE DETECTION TO CHILDREN'S MOLECULAR LAB,609.84,213.45,0.02,341.51,10
CPT,81243,HC FRAGILE X (FMR1) WITH REFLEX TO METHYLATION ANALYSIS ARUP 2009033,351.12,122.9,0.02,199.45,10
CPT,81243,HC FRAGILE X FMR1 ANALYSIS-DNA DX,1108.8,388.08,0.02,620.93,10
CPT,81244,HC FMR1 GENE CHARACTERIZATION TO CHILDREN'S MOLECULAR LAB,609.84,213.45,0.02,341.51,10
CPT,81244,HC REFLEX FRAGILE X METHYLATION ANALYSIS STATUS BY MPCR BILL,1700.16,595.06,0.02,952.09,10
CPT,81244,HC REFLEX FRAGILE X METHYLATION ANALYSIS STATUS BY MPCR BILL ARUP 2009031,1700.16,595.06,0.02,952.09,10
CPT,81245,HC FLT3 GENE ANALYSIS INTERNAL TANDEM DUP VARIANTS ARUP 3001161,480.48,168.17,0.02,578.77,10
CPT,81245,HC FLT3 GENE-ARUP2005400,609.84,213.45,0.02,578.77,10
CPT,81245,HC FLT3 MUTATION ANLS-ITD,609.84,213.45,0.02,578.77,10
CPT,81246,HC FLT3 GENE ANALYSIS-ARUP2005400,609.84,213.45,0.02,341.51,10
CPT,81246,HC FLT3 GENE ANLYS TYROSINE KINASE DOMAIN VARIANTS ARUP 3001161,480.48,168.17,0.02,290.24,10
CPT,81247,G6PD GENE ALYS CMN VARIANT,,,174.81,611.28,7
CPT,81248,HC REFLEX G6PD TARGETED SEQUENCING BILL ARUP 3000316,1108.8,388.08,375.25,1312.22,10
CPT,81249,HC G6PD GENE ANALYSIS FULL GENE SEQUENCE ARUP 2012052,851.25,297.94,291.98,2098.14,10
CPT,81249,HC GLUCOSE-6-PHOSPHATE DEHYDROGENASE DEFICIENCY (G6PD) SEQUENCING ARUP 3004457,2744.28,960.5,600.0,2098.14,10
CPT,81250,HC G6PC GENE ARUP 0051415,127.94,44.78,0.02,204.54,10
CPT,81251,HC GBA GENE ARUP 0051415,127.94,44.78,0.02,165.23,10
CPT,81252,HC GJB2 CONNEXIN 26 GENE ANALYSIS,1386.0,485.1,0.02,776.16,10
CPT,81253,HC REFLEX GJB2 TARGETED SEQUENCING BILL ARUP 2008389,1108.8,388.08,0.02,620.93,10
CPT,81254,HC GAUCHER DISEASE (GBA),973.67,340.79,0.02,545.26,10
CPT,81254,HC GJB6 CONNEXIN 30 GENE ANALYSIS,1386.0,485.1,0.02,776.16,10
CPT,81254,HC GJB6 GENE COM VARIANTS,41.27,14.45,0.02,122.39,10
CPT,81255,HC HEXA GENE ARUP 0051415,127.94,44.78,0.02,179.91,10
CPT,81255,HC TAY-SACHS (HEXA),973.67,340.79,0.02,545.26,10
CPT,81255,"HC TAY-SACHS DISEASE (HEXA), 7 VARIANTS ARUP 0051428",1062.6,371.91,0.02,595.06,10
CPT,81256,HC HEMOCHROMATOSIS (HFE) 3 VARIANTS ARUP 3019007,651.97,228.19,0.02,365.1,10
CPT,81257,HC REFLEX CONSTANT SPRING (HBCS) SEQUENCING BILL ARUP 3003672,1872.0,655.2,0.02,1048.32,10
CPT,81258,HC REFLEX HBA1/HBA2 TARGETED SEQUENCING BILL ARUP 3000317,1108.8,388.08,375.25,1312.22,10
CPT,81259,HC HBA1/HBA2 GENE ANALYSIS FULL GENE SEQUENCE ARUP 2011708,1240.8,434.28,425.59,2098.14,10
CPT,81259,HC REFLEX ALPHA THALASSEMIA HBA1 & HBA2 SEQ BILL ARUP 2005834,1663.2,582.12,570.48,2098.14,10
CPT,81260,HC FAMILIAL DYSAUTONOMIA (IKBKAP),973.67,340.79,0.02,545.26,10
CPT,81260,HC IKBKAP GENE ARUP 0051415,127.94,44.78,0.02,137.46,10
CPT,81261,HC IGH REARRANGE ABNORMAL CLONAL POP AMPLIFIED ARUP TO QUEST 91634,583.87,204.36,0.02,692.35,10
CPT,81261,HC IMMUNOGLOBULIN HEAVY CHAIN,831.6,291.06,0.02,692.35,10
CPT,81262,IGH GENE REARRANG DIR PROBE,,,0.02,239.72,7
CPT,81263,HC IGHV MUTATION ANALYSIS BY SEQUENCING ARUP 0040227,1718.64,601.53,0.02,1029.9,10
CPT,81264,HC IGK GENE REARRANGE DETECT ABNORMAL CLONAL POP ARUP TO QUEST 91634,583.87,204.36,0.02,604.03,10
CPT,81264,HC IMMUNOGLOBULIN KAPPA LT CHAIN,831.6,291.06,0.02,604.03,10
CPT,81265,HC COMPARATIVE ANAL STR MARKERS PATIENT&COMP SPEC ARUP 2013444,700.39,245.14,0.02,815.02,10
CPT,81265,HC COMPARATIVE ANAL STR MARKERS PATIENT&COMP SPEC ARUP 3004550,1320.0,462.0,0.02,815.02,10
CPT,81265,HC COMPARATIVE ANAL STR MARKERS PATIENT&COMP SPEC ARUP TO UCSF,593.58,207.76,0.02,815.02,10
CPT,81265,HC COMPARATIVE ANALYSIS USING STR MARKERS PT & COMPRARATIVE SPECIMEN (MCC) CO MOLECULAR CORRELATES L,1297.3,454.06,0.02,815.02,10
CPT,81265,"HC FAMILIAL MUTATION, TARGETED SEQUENCING, FETAL ARUP 2001980",550.7,192.75,0.02,815.02,10
CPT,81265,HC MOLAR PREGNANCY-16 DNA MARKERS,1404.48,491.57,0.02,815.02,10
CPT,81265,"HC REFLEX MATERNAL CELL CONTAMINATION, FETAL SAMPLE RFLX MCC-FETAL",554.4,194.04,0.02,815.02,10
CPT,81265,HC STR MARKERS SPECIMEN ANAL,1461.08,511.38,0.02,818.2,10
CPT,81265,HC STR MARKERS SPECIMEN ANAL ARUP 2002366,971.75,340.12,0.02,815.02,10
CPT,81266,STR MARKERS SPEC ANAL ADDL,,,0.02,1065.88,7
CPT,81267,CHIMERISM ANAL NO CELL SELEC,,,0.02,725.47,7
CPT,81268,CHIMERISM ANAL W/CELL SELECT,,,0.02,911.96,7
CPT,81269,HC ALPHA GLOBIN (HBA1 AND HBA2) DELETION/DUPLICATION ARUP 2011622,1663.2,582.12,202.4,931.39,10
CPT,81269,HC ALPHA THALASSEMIA (HBA1 AND HBA2) DEL/DUP WITH REFLEX TO HB CONSTANT SPRING ARUP 3003651,1380.0,483.0,202.4,772.8,10
CPT,81269,HC HBA1/HBA2 GENE ANALYSIS DUP/DEL VARIANTS ARUP 2011708,1240.8,434.28,202.4,707.78,10
CPT,81269,HC REFLEX BILL ALPHA GLOBIN (HBA1 AND HBA2) DELETION/DUPLICATION ARUP 2011646,1663.2,582.12,202.4,931.39,10
CPT,81270,HC JAK2 (V617F) MUT BY DDPCR QUAL WITH REF TO JAK2 EXON 12 MUT ANALYSIS BY PCR ARUP 3016840,598.4,209.44,0.02,335.1,10
CPT,81270,"HC JAK2 (V617F) MUTATION BY DDPCR, QUALITATIVE WITH REFLEX TO CALR (CALRETICULIN) ARUP  3016839",576.4,201.74,0.02,322.78,10
CPT,81270,"HC JAK2 GENE, V617F MUT QUAL W REF TO JAK2 EXON 12 MUT ANALYSIS BY PCR ARUP 2012085",1108.8,388.08,0.02,620.93,10
CPT,81270,"HC JAK2 GENE,V617F MUTATION QUANTITATIVE ARUP 0040168",1404.48,491.57,0.02,786.51,10
CPT,81270,HC JAK2 V617F MUTATION BY DDPCR QUALITATIVE ARUP 3004046,628.32,219.92,0.02,351.86,10
CPT,81270,HC JAK2 V617F W/RFLX CALR W/RFLX MPL ARUP 2012084,1108.8,388.08,0.02,620.93,10
CPT,81271,HC HUNTINGTON DISEASE (HD) CAG REPEAT EXPANSION ARUP 3016908,841.28,294.45,137.0,479.08,10
CPT,81272,HC KIT GENE ANALYSIS TARGETED SEQUENCE ANALYSIS ARUP 3017233,660.0,231.0,0.02,1152.26,10
CPT,81272,HC KIT GENE TARGETED SEQ ANALYS ARUP 3004279,1351.35,472.98,0.02,1152.26,10
CPT,81272,HC KIT GENE TARGETED SEQ ANALYS ARUP 3004283,1081.08,378.38,0.02,1152.26,10
CPT,81272,"HC KIT MUTATIONS, MELANOMA",2358.97,825.64,0.02,1321.02,10
CPT,81273,"HC KIT (D816V) MUTATION BY DDPCR, QUANTITATIVE ARUP 3002956",1049.66,367.39,0.02,587.81,10
CPT,81273,HC KIT (D816V) MUTATION BY PCR ARUP 0040137,1034.88,362.21,0.02,579.53,10
CPT,81274,HTT GENE CHARAC ALLELES,,,274.83,961.05,7
CPT,81275,HC HC KRAS GENE ANLS VAR CODONS 12/1,410.03,143.52,0.02,675.78,10
CPT,81275,HC KRAS GENE ANALYSIS VARIANTS IN EXON 2 ARUP 0040248,646.8,226.38,0.02,675.78,10
CPT,81275,HC KRAS GENE ANALYSIS VARIANTS IN EXON 2 ARUP 3017209,715.0,250.25,0.02,675.78,10
CPT,81275,HC KRAS GENE ANALYSIS VARIANTS IN EXON 2 ARUP 3017233,660.0,231.0,0.02,675.78,10
CPT,81275,HC KRAS GENE VARIANTS EXON 2 ARUP 2008895,410.03,143.52,0.02,675.78,10
CPT,81275,HC KRAS GENE VARIANTS EXON 2 ARUP 2011616,355.2,124.32,0.02,675.78,10
CPT,81276,HC KRAS GENE ADDL VARIANTS ARUP 2008895,410.03,143.52,0.02,675.78,10
CPT,81276,HC KRAS GENE ADDL VARIANTS ARUP 2011616,355.2,124.32,0.02,675.78,10
CPT,81276,HC KRAS GENE ANALYSIS ADDITIONAL VARIANT(S) ARUP 0040248,646.8,226.38,0.02,675.78,10
CPT,81276,HC KRAS GENE ANALYSIS ADDITIONAL VARIANT(S) ARUP 3017209,715.0,250.25,0.02,675.78,10
CPT,81276,HC KRAS GENE ANALYSIS ADDITIONAL VARIANT(S) ARUP 3017233,660.0,231.0,0.02,675.78,10
CPT,81277,HC CYTOGENOMIC NEO MICRORA ALYS ARUP 2010229,2079.0,727.65,713.1,4056.4,10
CPT,81278,IGH@/BCL2 TRANSLOCATION ALYS,,,207.31,724.94,7
CPT,81279,HC JAK2 EXON 12 MUTATION ANALYSIS BY PCR ARUP 2002357 3020079,1195.66,418.49,185.2,669.57,10
CPT,81279,HC REFLEX JAK2 EXON 12 MUTATION ANALYSIS BY PCR ARUP RFLX JAK2 EX12,1138.72,398.56,185.2,647.62,10
CPT,81283,IFNL3 GENE,,,73.37,256.56,7
CPT,81284,HC FRIEDRICH ATAXIA (FXN) REPEAT EXPANSION ARUP TO ATHENA DIAG 119,2120.58,742.21,137.0,1187.52,10
CPT,81285,FXN GENE CHARAC ALLELES,,,274.83,961.05,7
CPT,81286,FXN GENE FULL GENE SEQUENCE,,,274.83,961.05,7
CPT,81287,HC MGMT GENE PROMOTER METHYLATION ANALYSIS-CU MED,528.9,185.12,0.02,435.86,9
CPT,81287,HC MGMT PROMOTER METHYLATION DETECTION ARUP 2009310,1071.84,375.15,0.02,435.86,9
CPT,81287,HC MGMT PROMOTER METHYLATION DETECTION BY DDPCR ARUP 3005956,1056.0,369.6,0.02,435.86,9
CPT,81288,HC MLH1 PROMOTER METHYLATION ARUP 3004308,1073.69,375.8,0.02,672.53,10
CPT,81288,HC REFLEX MLH1 PROMOTER METHYLATION (REFLEX ONLY) ARUP 0051747,970.22,339.58,0.02,672.53,10
CPT,81288,HC REFLEX MLH1 PROMOTER METHYLATION REFLEX ONLY ARUP 0051747,1081.08,378.38,0.02,672.53,10
CPT,81289,FXN GENE KNOWN FAMIL VARIANT,,,185.2,647.62,7
CPT,81290,HC MCOLN1 GENE ARUP 0051415,127.94,44.78,0.02,137.46,10
CPT,81290,HC MUCOLIPIDOSIS IV (MCOLN1),973.67,340.79,0.02,545.26,10
CPT,81291,HC MTHFR C677T/A1298C MUTATIONS,388.08,135.83,0.02,228.5,10
CPT,81291,HC MTHFR GENE ANALYSIS COMMON VARIANTS ARUP 3004471,75.47,26.42,0.02,228.5,10
CPT,81292,HC MLH1 GENE ANALYSIS FULL SEQUENCE ANALYSIS ARUP 2010214,780.09,273.04,0.02,2361.81,10
CPT,81292,HC MLH1 GENE ANALYSIS FULL SEQUENCE ANALYSIS ARUP 3005686,742.94,260.03,0.02,2361.81,10
CPT,81293,HC REFLEX MLH1 TARGETED SEQUENCING BILL ARUP 2008159,1056.0,369.6,0.02,1157.47,10
CPT,81294,HC MLH1 GENE ANALYSIS DUPLICATION/DELETION VARIANTS ARUP 2010214,233.77,81.82,0.02,707.78,10
CPT,81294,HC MLH1 GENE ANALYSIS DUPLICATION/DELETION VARIANTS ARUP 3005686,222.64,77.93,0.02,707.78,10
CPT,81295,HC MSH2 GENE ANALYSIS FULL SEQUENCE ANALYSIS ARUP 2010214,440.87,154.31,0.02,1334.77,10
CPT,81295,HC MSH2 GENE ANALYSIS FULL SEQUENCE ANALYSIS ARUP 3005686,419.87,146.96,0.02,1334.77,10
CPT,81295,HC MSH2 GENE FULL SEQ-ARUP0051654,1559.25,545.74,0.02,1334.77,10
CPT,81296,HC REFLEX MSH2 TARGETED SEQUENCING BILL ARUP 2008160,1108.8,388.08,0.02,1181.02,10
CPT,81297,HC MSH2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS ARUP 2010214,246.37,86.23,0.02,745.89,10
CPT,81297,HC MSH2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS ARUP 3005686,234.63,82.13,0.02,745.89,10
CPT,81297,HC MSH2 GENE DUP/DELETE VARI-ARUP0051654,1559.25,545.74,0.02,873.18,10
CPT,81298,HC LYNCH SYND MSH6 SEQENCING ARUP 0051656,1688.06,590.83,0.02,2244.49,10
CPT,81298,HC MSH6 GENE ANALYSIS FULL SEQUENCE ANALYSIS ARUP 2010214,741.33,259.47,0.02,2244.49,10
CPT,81298,HC MSH6 GENE ANALYSIS FULL SEQUENCE ANALYSIS ARUP 3005686,706.04,247.12,0.02,2244.49,10
CPT,81299,HC REFLEX MSH6 TARGETED SEQUENCING BILL ARUP 2008157,1108.8,388.08,308.0,1077.05,10
CPT,81300,HC LYNCH SYND MSH6 DELETN/DUPLCTN ARUP 0051656,1430.44,500.66,0.02,832.26,10
CPT,81300,HC MSH6 GENE ANALYSIS DUPLICATION/DELETION VARIA ARUP 2010214,274.89,96.22,0.02,832.26,10
CPT,81300,HC MSH6 GENE ANALYSIS DUPLICATION/DELETION VARIA ARUP 3005686,261.8,91.63,0.02,832.26,10
CPT,81301,HC MICROSATELLITE INSTABILITY (MSI) HNPCC/LYNCH SYNDROME BY PCR ARUP 3004277,1090.32,381.62,0.02,1218.88,10
CPT,81302,HC MECP2 GENE ANALYSIS FULL SEQUENCE AMBRY GENETICS CORP 7028,609.69,213.4,0.02,1845.91,10
CPT,81302,HC MECP2 GENE ANALYSIS FULL SEQUENCE ARUP TO GENEDX T395,702.71,245.95,0.02,1845.91,10
CPT,81303,HC REFLEX MECP2 TARGETED SEQUENCING BILL ARUP 2008162,1108.8,388.08,0.02,620.93,10
CPT,81304,HC HC MECP2 GENE ANLS DUP/DEL,394.35,138.03,0.02,524.54,10
CPT,81304,HC MECP2 GENE DUP/DELET VARIANT AMBRY GENETICS CORP 7028,282.76,98.97,0.02,524.54,10
CPT,81305,"HC MYD88 L265P MUTATION DETECTION BY PCR, QUANTITATIVE ARUP 2009318",1182.72,413.96,175.4,662.32,10
CPT,81306,HC NUDT15 GENE COMMON VARIANTS ARUP 3001535,693.0,242.55,237.7,1018.85,10
CPT,81307,HC PALB2 GENE ANALYSIS FULL GENE SEQUENCE ARUP 3005686,744.15,260.46,255.24,2365.66,10
CPT,81308,PALB2 GENE KNOWN FAMIL VRNT,,,301.35,1053.78,7
CPT,81309,HC PIK3CA MUTATION ANALYSIS QUEST 16897,924.0,323.4,274.83,961.05,10
CPT,81310,HC NPM1 MUT-PCR & FRAG ANLS,1108.8,388.08,0.02,862.05,10
CPT,81310,"HC NPM1 MUTATION DETECTION BY RT-PCR, QUANTITATIVE ARUP 3000066",1081.08,378.38,0.02,862.05,10
CPT,81311,HC NRAS GENE ANALYSIS VARIANTS IN EXON 2&3 ARUP 3017209,715.0,250.25,0.02,1034.35,10
CPT,81311,HC NRAS GENE ANALYSIS VARIANTS IN EXON 2&3 ARUP 3017233,660.0,231.0,0.02,1034.35,10
CPT,81311,HC NRAS GENE VARIANTS EXON 2&3 ARUP 2011616,532.81,186.49,0.02,1034.35,10
CPT,81311,HC NRAS MUTATION DETECTION BY PYROSEQUENCING ARUP 2003123,1367.52,478.64,0.02,1034.35,10
CPT,81312,HC OCULOPHARYNGEAL MUSCULAR DYSTROPHY VIA THE PABPN1 GCN REPEAT EXPANSION ARUP TO PREVENTION GENETICS 6058,1344.0,470.4,137.0,752.64,10
CPT,81312,HC OPMD REPEAT EXPANSION TEST ARUP TO ATHENA DIAG 300,1968.12,688.85,137.0,1102.15,10
CPT,81313,PCA3 - PROSTATE CANCER BIOMARKER BY TRANSCRIPTION-MEDIATED AMPLIFICATION,1127.28,394.55,0.02,891.88,10
CPT,81314,HC PDGFRA GENE ARUP 3004279,1351.35,472.98,0.02,1152.26,10
CPT,81314,HC PDGFRA GENE ARUP 3004283,1081.08,378.38,0.02,1152.26,10
CPT,81315,"HC PML-RARA DETECTION BY RT-PCR, QUANTITATIVE ARUP 2002871",1275.12,446.3,0.02,724.94,10
CPT,81315,"HC PML-RARA TRANSLOCATION, T(15;17) BY RT-PCR, QUANTITATIVE",1293.6,452.76,0.02,724.94,10
CPT,81316,PML/RARALPHA 1 BREAKPOINT,,,0.02,724.94,7
CPT,81317,HC PMS2 GENE ANALYSIS FULL SEQUENCE ARUP 2010214,781.36,273.48,0.02,2365.66,10
CPT,81317,HC PMS2 GENE ANALYSIS FULL SEQUENCE ARUP 3005686,744.15,260.46,0.02,2365.66,10
CPT,81317,HC PMS2 GENE FULL SEQ ANALYSIS,1617.0,565.95,0.02,2365.66,10
CPT,81318,HC REFLEX PMS2 TARGETED SEQUENCING BILL ARUP 2008161,1108.8,388.08,0.02,1157.47,10
CPT,81319,HC PMS2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS ARUP 2010214,235.05,82.27,0.02,711.63,10
CPT,81319,HC PMS2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS ARUP 3005686,223.85,78.35,0.02,711.63,10
CPT,81319,HC PMS2 GENE DUP/DELET VARIANTS,1617.0,565.95,0.02,905.52,10
CPT,81320,PLCG2 GENE COMMON VARIANTS,,,291.36,1018.85,7
CPT,81321,HC PTEN GENE ANALYSIS FULL SEQUENCE ANALYSIS ARUP 2010214,693.0,242.55,0.02,2098.14,10
CPT,81321,HC PTEN GENE ANALYSIS FULL SEQUENCE ANALYSIS ARUP TO GENEDX T395,702.71,245.95,0.02,2098.14,10
CPT,81321,HC PTEN GENE FULL SEQUENCE AMBRY GENETICS CORP 7028,693.0,242.55,0.02,2098.14,10
CPT,81321,HC PTEN GENE FULL SEQUENCE ARUP 2002470,1761.38,616.49,0.02,2098.14,10
CPT,81321,HC PTEN-RELATED DISORDERS (PTEN) SEQUENCING ARUP 2002722,2744.28,960.5,0.02,2098.14,10
CPT,81322,HC REFLEX PTEN TARGETED SEQUENCING BILL ARUP 2008392,1108.8,388.08,0.02,620.93,10
CPT,81323,HC PTEN GENE ANALYSIS DUPLICATION/DELETION VARIANT ARUP 2010214,346.5,121.28,0.02,1049.07,10
CPT,81323,HC PTEN GENE ANALYSIS DUPLICATION/DELETION VARIANT ARUP TO GENEDX T395,702.71,245.95,0.02,1049.07,10
CPT,81323,HC PTEN GENE DUP/DELET VARIANT AMBRY GENETICS CORP 7028,346.5,121.28,0.02,1049.07,10
CPT,81323,HC PTEN GENE DUP/DELET VARIANT ARUP 2002470,1761.38,616.49,0.02,1049.07,10
CPT,81324,"HC CHARCOT-MARIE-TOOTH (CMT) & RELATED HEREDITARY NEUROPATHIES, PMP22 DEL/DUP W REFLEX ARUP 2012155",1455.3,509.36,0.02,2651.9,10
CPT,81324,HC CHARCOT-MARIE-TOOTH TYPE 1A/HNPP DELDUP ARUP 2012160,1483.02,519.06,0.02,2651.9,10
CPT,81324,HC PMP22 GENE DUP/DELET-CGH,1466.85,513.4,0.02,2651.9,10
CPT,81325,HC PMP22 GENE FULL SEQUENCE-CGH,1466.85,513.4,0.02,2691.14,10
CPT,81326,PMP22 GENE KNOWN FAM VARIANT,,,0.02,162.95,7
CPT,81327,SEPT9 GEN PRMTR MTHYLTN ALYS,,,192.0,671.4,7
CPT,81328,"HC SLCO1B1, 1 VARIANT ARUP 2008426",646.8,226.38,174.81,611.28,10
CPT,81329,HC SMN1 GENE ANALYSIS DOSAGE/DELET ALYS W/SMN2 ALYS ARUP 2013444,700.39,245.14,137.0,479.08,10
CPT,81329,HC SPINAL MUSCULAR ATROPHY (SMA) COPY NUMBER ANALYSIS ARUP 2013436,846.38,296.24,137.0,479.08,10
CPT,81330,HC NIEMANN-PICK TYPE-A (SMPD1),973.67,340.79,0.02,545.26,10
CPT,81330,HC SMPD1 GENE ANALYSIS COMMON VARIANTS ARUP TO EGL GENETICS MM340,1239.7,433.9,0.02,694.23,10
CPT,81330,HC SMPD1 GENE COMMON VARIANTS ARUP 0051415,127.94,44.78,0.02,164.35,10
CPT,81331,HC ANGELMAN SYNDROME AND PRADER-WILLI SYNDROME BY METHYLATION-SENSITIVE PCR ARUP 2005077,914.76,320.17,0.02,512.27,10
CPT,81331,HC ANGELMAN SYNDROME AND PRADER-WILLI SYNDROME BY METHYLATION-SPECIFIC MLPA ARUP 3006247,1330.56,465.7,0.02,745.11,10
CPT,81331,HC PRADER-WILLI SYNDROME METHYLATION ANALYSIS ARUP TO GENEDX 595,1644.72,575.66,0.02,921.04,10
CPT,81332,HC SERPINA1 GENE ANALYSIS COMMON VARIANTS ARUP TO EGL GENETICS MM340,1239.7,433.9,0.02,694.23,10
CPT,81332,HC SERPINA1 GENE ARUP 0051256,478.84,167.6,0.02,268.15,10
CPT,81333,TGFBI GENE COMMON VARIANTS,,,137.0,479.08,7
CPT,81334,RUNX1 GENE TARGETED SEQ ALYS,,,329.51,1152.26,7
CPT,81335,HC TPMT GENE COM VARIANTS ARUP 3001535,693.0,242.55,174.81,611.28,10
CPT,81336,SMN1 GENE FULL GENE SEQUENCE,,,301.35,1053.78,7
CPT,81337,SMN1 GEN NOWN FAMIL SEQ VRNT,,,185.2,647.62,7
CPT,81338,HC MPL MUTATION DETECTION BY CAPILLARY ELECTROPHORESIS ARUP 2005545,1434.05,501.92,150.33,803.07,10
CPT,81339,MPL GENE SEQ ALYS EXON 10,,,185.2,647.62,7
CPT,81340,HC T-CELL ANTIGEN RECEPTOR BETA UCSF,1033.33,361.67,0.02,730.57,10
CPT,81340,HC TRB REARRANGEMENT ANAL AMPLIFICATION METHOD ARUP TO MAYO TCGR,604.32,211.52,0.02,730.57,10
CPT,81340,HC TRB REARRANGEMENT ANAL AMPLIFICATION METHOD ARUP TO QUEST 91634,583.87,204.36,0.02,730.57,10
CPT,81341,TRB@ GENE REARRANGE DIRPROBE,,,0.02,173.41,7
CPT,81342,HC T-CELL ANTIGEN RECEPTOR GAMMA UCSF,1033.33,361.67,0.02,704.63,10
CPT,81342,HC T-CELL CLONALITY SCREENING BY PCR ARUP 0055567,1320.0,462.0,0.02,739.2,10
CPT,81342,HC TCELL CLONALITY SCREEN-PCR,1182.72,413.96,0.02,704.63,10
CPT,81342,HC TRG GENE REARRANGEMENT ANALYSIS ARUP TO MAYO TCGR,604.32,211.52,0.02,704.63,10
CPT,81342,HC TRG GENE REARRANGEMENT ANALYSIS ARUP TO QUEST 91634,583.87,204.36,0.02,704.63,10
CPT,81343,HC PPP2R2B GENE ANALYSIS EVAL DETC ABNORMAL ALLELES ARUP TO MNG MOL380,222.0,77.7,76.15,479.08,10
CPT,81344,HC TBP GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES ARUP TO ATHENA DIAG 6901,496.65,173.83,137.0,479.08,10
CPT,81344,HC TBP GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES ARUP TO MNG MOL380,222.0,77.7,76.15,479.08,10
CPT,81345,HC TERT GENE TARGETED SEQ ALYS CU MEDICINE,734.31,257.01,185.2,647.62,10
CPT,81346,TYMS GENE COM VARIANTS,,,174.81,611.28,7
CPT,81347,SF3B1 GENE COMMON VARIANTS,,,193.25,675.78,7
CPT,81348,SRSF2 GENE COMMON VARIANTS,,,175.4,613.36,7
CPT,81349,CYTOG ALYS CHRML ABNR LW-PS,,,1160.0,4056.4,7
CPT,81350,HC UDP GLUCURONOSYLTRANSFERASE 1A1 (UGT1A1) GENOTYPING ARUP 0051332,1101.41,385.5,0.02,818.27,10
CPT,81351,HC TP53 GENE ANALYSIS FULL GENE SEQUENCE ARUP 2010214,741.33,259.47,254.28,2244.49,10
CPT,81351,HC TP53 GENE ANALYSIS FULL GENE SEQUENCE ARUP 3005686,706.04,247.12,242.17,2244.49,10
CPT,81352,"HC TP53 SOMATIC MUTATION, PROGNOSTIC ARUP 2013484",2815.89,985.57,329.51,1576.9,10
CPT,81352,HC TP53(TUMOR PROTEIN 53)GENE TARGETED SEQUENCE ANALYSIS CU CO UNIV PHYSICIANS INC,1608.31,562.91,329.51,1152.26,10
CPT,81353,TP53 GENE KNOWN FAMIL VRNT,,,308.0,1077.05,7
CPT,81354,CYTOG ALYS CHRML ABNOR OGM,,,1263.53,2057.28,4
CPT,81355,HC VKORC1 GENE ANALYSIS COMMON VARIANT(S) ARUP 3001541,271.04,94.87,0.02,308.42,10
CPT,81357,U2AF1 GENE COMMON VARIANTS,,,193.25,675.78,7
CPT,81360,ZRSR2 GENE COMMON VARIANTS,,,193.25,675.78,7
CPT,81361,HC REFLEX BETA GLOBIN (HBB) MUTATIONS BILL ARUP 2005828,868.56,304.0,174.81,611.28,10
CPT,81362,HC REFLEX HBB TARGETED SEQUENCING BILL ARUP 3000318,1108.8,388.08,375.25,1312.22,10
CPT,81363,HC REFLEX BETA GLOBIN (HBB) DELETION/DUPLICATION BILL ARUP 2011857,1483.02,519.06,202.4,830.49,10
CPT,81364,HC BETA GLOBIN (HBB) GENE SEQUENCING ARUP 0050578,1829.52,640.34,324.58,1135.02,10
CPT,81364,HC HBB FULL GENE SEQUENCE ARUP 3004550,1320.0,462.0,324.58,1135.02,10
CPT,81364,HC HBB FULL GENE SEQUENCE ARUP 3005721,806.66,282.34,276.68,1135.02,10
CPT,81364,HC REFLEX BETA GLOBIN FULL GENE SEQUENCING BILL ARUP 2005830,1455.3,509.36,324.58,1135.02,10
CPT,81370,HLA I & II TYPING LR,,,0.02,1406.17,7
CPT,81371,HLA I & II TYPE VERIFY LR,,,0.02,1414.56,7
CPT,81372,"HC HLA CLASS I TYPING, LOW RESOLUTION; COMPLETE CLINIMMUNE HLA-ABCDR",665.28,232.85,0.02,1411.31,10
CPT,81373,HC VIT HLA PHENOTYPE,591.36,206.98,0.02,445.6,10
CPT,81374,HC ANKYLOSING SPLONDLITIS HLA-B27 ARUP 3019466,582.12,203.75,0.02,325.99,10
CPT,81374,HC HLA-B51 DETERMINATION ARUP TO BLOOD CENTER OF WI 2275,720.72,252.26,0.02,403.6,10
CPT,81375,HLA II TYPING AG EQUIV LR,,,0.02,771.9,7
CPT,81376,"HC HLA CLASS II TYPING, LOW RESOLUTION; ONE LOCUS EACH CLINIMMUNE HLA-ABCDR",665.28,232.85,0.02,427.39,10
CPT,81377,HC HLA II TYPING-LO RES 1,357.28,125.05,0.02,331.29,10
CPT,81377,HC HLA II TYPING-LO RES 2,357.28,125.05,0.02,331.29,10
CPT,81378,"HC HLA-A,B,DRB1 HR CLINIMMUNE HLA-ABDR-HR",1663.2,582.12,0.02,1208.43,10
CPT,81379,HC HLA CLASS I PANEL (ABC),2162.16,756.76,0.02,1210.81,10
CPT,81380,HC HLA-A GENOTYPE,1201.2,420.42,0.02,672.67,10
CPT,81381,HC HLA-B 5701,591.36,206.98,0.02,594.12,10
CPT,81381,"HC HLA-B*1502 GENOTYPING, CARBAMAZEPINE HYPERSENSITIVITY ARUP 2012049",887.04,310.47,0.02,594.12,10
CPT,81381,"HC HLA-B*5801 GENOTYPE, ALLOPURINOL HYPERSENSTIVITY, BLOOD ARUP TO MAYO MEDICAL LAB",682.77,238.97,0.02,594.12,10
CPT,81381,"HC HLA-B*58:01 GENOTYPING, ALLOPURINOL HYPERSENSITIVITY ARUP 3001393",887.04,310.47,0.02,594.12,10
CPT,81382,HC HLA CLASS II TYPING HIGH RESOLUTION ONE LOCUS EA ARUP 3004445,924.0,323.4,0.02,517.44,10
CPT,81382,HC HLA II TYPING 1 LOC HR 1,715.18,250.32,0.02,432.49,10
CPT,81382,HC HLA II TYPING 1 LOC HR 2,715.18,250.32,0.02,432.49,10
CPT,81382,HC HLA-DQ GENOTYPING ARUP 2014079,1349.04,472.17,0.02,755.46,10
CPT,81382,HC HLA-DR GENOTYPING ARUP 2002798,784.0,274.4,0.02,439.04,10
CPT,81383,HC HLA TYPING-DQA1,646.8,226.38,0.02,381.61,10
CPT,81383,HC HLA TYPING-DQB1,646.8,226.38,0.02,381.61,10
CPT,81383,HC HLA TYPING-HI RES,357.28,125.05,0.02,381.61,10
CPT,81383,HC NARCOLEPSY (HLA-DQB1*06:02) GENOTYPING ARUP 2005023,813.12,284.6,0.02,455.35,10
CPT,81383,HC NARCOLEPSY HLA-DQB2 GENOTYPE,1071.84,375.15,0.02,600.23,10
CPT,81400,HC DYSTONIA DNA MOLECULAR PATH 1,1663.2,582.12,0.02,931.39,10
CPT,81400,HC MOPATH PROCEDURE LEVEL 1 ARUP 0051415,127.94,44.78,0.02,223.67,10
CPT,81400,HC SPINAL MUSCULAR ATROPHY,1280.29,448.11,0.02,716.96,10
CPT,81401,HC ALK UCHEALTH MOLECULAR LAB,668.6,234.01,0.02,479.08,10
CPT,81401,"HC APOLIPOPROTEIN E (APOE) GENOTYPING, ALZHEIMER DISEASE RISK ARUP 2013341",406.56,142.3,0.02,479.08,10
CPT,81401,"HC APOLIPOPROTEIN E (APOE) GENOTYPING, CARDIOVASCULAR RISK ARUP 2013337",364.79,127.68,0.02,479.08,10
CPT,81401,"HC APOLIPOPROTEIN E GENOTYPING, BLOOD ARUP TO MAYO APOEG",1694.4,593.04,0.02,948.86,10
CPT,81401,HC EML4-ALK TRANSLOC BY RT-PCR,1293.6,452.76,0.02,724.42,10
CPT,81401,HC HC BECKWITH-WIEDEMANN SYNDRM ANLS,848.44,296.96,0.02,479.08,10
CPT,81401,HC HC MUTYH 2 MUTATIONS,1178.1,412.34,0.02,659.74,10
CPT,81401,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 2 ARUP 2004915,1178.1,412.34,0.02,659.74,10
CPT,81401,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 2 ARUP TO ATHENA DIAG 178,932.5,326.38,0.02,522.2,10
CPT,81401,HC MOPATH PROCEDURE LEVEL 2 ARUP 0051415,158.24,55.39,0.02,479.08,10
CPT,81401,HC PABPN1 REPEAT ANALYSIS ARUP TO GENEDX,1578.19,552.37,0.02,883.79,10
CPT,81401,HC REFLEX TARGETED SEQUENCING BILL 81401 ARUP 2013151,1108.8,388.08,0.02,620.93,10
CPT,81401,HC SCA3 (MJD/ATXN3) REPEAT EXPANSION TEST ARUP TO ATHENA DIAG 105,1981.98,693.7,0.02,1109.91,10
CPT,81401,HC TPMT GENOTYPE,1570.8,549.78,0.02,879.65,10
CPT,81402,HC CODON 515 MUT DET PYROSEQ QNT,1459.92,510.98,0.02,817.56,10
CPT,81402,HC KIT (D816V) MUTATION PCR,1034.88,362.21,0.02,579.53,10
CPT,81402,HC MPL CODON 515 MUTATION-QNT,1459.92,510.98,0.02,817.56,10
CPT,81402,HC REFLEX TARGETED SEQUENCING BILL 81402 ARUP 2013153,1108.8,388.08,0.02,620.93,10
CPT,81403,HC ASPM TARGETED MUTATION ANALYSIS,4158.0,1455.3,0.02,2328.48,10
CPT,81403,HC BETA GLOBIN (HBB) DEL/DUP BILL,1483.02,519.06,0.02,830.49,10
CPT,81403,HC CEBPA MUTATION DETECTION,1459.92,510.98,0.02,817.56,10
CPT,81403,HC HEMOPHILIA A F8 2 INVERSIONS W REF TO SEQ AND REF TO DEL/DUP ARUP 3004232,748.0,261.8,0.02,647.62,10
CPT,81403,HC HEREDITARY PERSIST FETAL HGB B,924.0,323.4,0.02,647.62,10
CPT,81403,HC IDH1 MUTATION ANALYSIS-EXON 4,914.76,320.17,0.02,647.62,10
CPT,81403,HC IDH2 MUTATION ANALYSIS-EXON 4,914.76,320.17,0.02,647.62,10
CPT,81403,HC JAK2 EXON 12 MUTATION ANLS-PCR,1256.64,439.83,0.02,703.72,10
CPT,81403,HC KCNE1 GENE TARGETED ANALYSIS FOR A SINGLE VARIANT GENEDX 9011-KCNH2,1293.6,452.76,0.02,724.42,10
CPT,81403,HC KCNH2 GENE TARGETED ANALYSIS FOR A SINGLE VARIANT GENEDX 9011-KCNH2,1663.2,582.12,0.02,931.39,10
CPT,81403,HC KCNJ11 GENE SEQUENCING,1521.83,532.65,0.02,852.22,10
CPT,81403,HC KELL K/K ANTIGEN (KEL) GENOTYPING ARUP 0051644,887.04,310.47,0.02,647.62,10
CPT,81403,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 4 ARUP 2002965,1275.12,446.3,0.02,714.07,10
CPT,81403,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 4 ARUP 2010183,790.02,276.51,0.02,647.62,10
CPT,81403,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 4 ARUP 3001633,457.18,160.02,0.02,647.62,10
CPT,81403,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 4 ARUP 3005686,203.72,71.31,0.02,647.62,10
CPT,81403,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 4 ARUP TO GENEDX J955,540.54,189.19,0.02,647.62,10
CPT,81403,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 4 ARUP TO MAYO AFTDP,366.88,128.41,0.02,647.62,10
CPT,81403,HC MOPATH PROCEDURE LEVEL 4,361.8,126.63,0.02,647.62,10
CPT,81403,HC MOPATH PROCEDURE LEVEL 4 AMBRY GENETICS CORP 7028,282.76,98.97,0.02,647.62,10
CPT,81403,HC MOPATH PROCEDURE LEVEL 4 ARUP 3001593,827.9,289.77,0.02,647.62,10
CPT,81403,HC MOPATH PROCEDURE LEVEL 4 ARUP TO COURTAGEN,361.8,126.63,0.02,647.62,10
CPT,81403,HC MOPATH PROCEDURE LEVEL 4 REF TO GENEDX,1994.63,698.13,0.02,1116.99,10
CPT,81403,HC NON-INVASIVE PRENATAL TESTING RHD GENOTYPING FETAL-ARUP 2009077,1585.58,554.96,0.02,887.92,10
CPT,81403,HC REFLEX TARGETED SEQUENCING BILL 81403 ARUP 2008163,1108.8,388.08,0.02,647.62,10
CPT,81403,HC UBA1 MUTATION TESTING  ARUP TO OHSU 4147,1478.4,517.44,0.02,827.9,10
CPT,81403,HC VIT MOLECULAR RED CELL TEST,646.8,226.38,0.02,647.62,10
CPT,81403,HC Y CHROMOSOME MICRODELETION ARUP 2001778,924.0,323.4,0.02,647.62,10
CPT,81404,HC FAMILIAL TRANSTHYRETIN AMYLOIDOSIS (TTR) SEQUENCING ARUP 2014035,1829.52,640.34,0.02,1024.53,10
CPT,81404,HC FAMILIALMEDITERANEAN FEVER SEQ,1309.72,458.405,0.02,991.76,20
CPT,81404,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 4 ARUP TO ATHENA DIAG 5504,624.42,218.55,0.02,961.05,10
CPT,81404,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 5 ARUP 2002965,1275.12,446.3,0.02,961.05,10
CPT,81404,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 5 ARUP 2007370,1774.08,620.93,0.02,993.48,10
CPT,81404,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 5 ARUP 2010183,790.02,276.51,0.02,961.05,10
CPT,81404,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 5 ARUP 2012052,851.25,297.94,0.02,961.05,10
CPT,81404,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 5 ARUP 3001633,457.18,160.02,0.02,961.05,10
CPT,81404,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 5 ARUP 3004480,952.88,333.51,0.02,961.05,10
CPT,81404,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 5 ARUP 3004788,2464.0,862.4,0.02,1379.84,10
CPT,81404,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 5 ARUP TO ATHENA 5506,1176.18,411.67,0.02,961.05,10
CPT,81404,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 5 ARUP TO EGL GENETICS MM340,1239.7,433.9,0.02,961.05,10
CPT,81404,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 5 ARUP TO GENEDX J955,540.54,189.19,0.02,961.05,10
CPT,81404,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 5 ARUP TO GENEDX T395,702.71,245.95,0.02,961.05,10
CPT,81404,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 5 ARUP TO INVITAE 03200,1170.4,409.64,0.02,961.05,10
CPT,81404,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 5 ARUP TO INVITAE CORP 3240,877.8,307.23,0.02,961.05,10
CPT,81404,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 5 ARUP TO MAYO AFTDP,366.88,128.41,0.02,961.05,10
CPT,81404,HC MOPATH PROCEDURE LEVEL 5 - GENEDX 481,2287.86,800.76,0.02,1281.2,10
CPT,81404,HC MOPATH PROCEDURE LEVEL 5 AMBRY GENETICS CORP 7028,317.43,111.11,0.02,961.05,10
CPT,81404,HC MOPATH PROCEDURE LEVEL 5 ARUP 2007535,2208.36,772.93,0.02,1236.68,10
CPT,81404,HC MOPATH PROCEDURE LEVEL 5 ARUP 2010876,1122.9,393.02,0.02,961.05,10
CPT,81404,HC MOPATH PROCEDURE LEVEL 5 ARUP 2011616,386.51,135.28,0.02,961.05,10
CPT,81404,HC MOPATH PROCEDURE LEVEL 5 ARUP 3001593,827.9,289.77,0.02,961.05,10
CPT,81404,HC MOPATH PROCEDURE LEVEL 5 ARUP 3005721,806.66,282.34,0.02,961.05,10
CPT,81404,HC MOPATH PROCEDURE LEVEL 5 ARUP TO COURTAGEN,386.51,135.28,0.02,961.05,10
CPT,81404,HC MOPATH PROCEDURE LEVEL 5 ARUP TO GENEDX 676,939.75,328.92,0.02,961.05,10
CPT,81404,HC MOPATH PROCEDURE LEVEL 5 ARUP TO INVITAE 3251,844.58,295.61,0.02,961.05,10
CPT,81404,HC MOPATH PROCEDURE LEVEL 5 ARUP TO MACHAON P3346,317.43,111.11,0.02,961.05,10
CPT,81404,HC MOPATH PROCEDURE LEVEL 5 ARUP TO U OF UTAH 04423,1755.6,614.46,0.02,983.14,10
CPT,81404,HC MOPATH PROCEDURE LEVEL 5 INVITAE PARKINSONS,391.93,137.18,0.02,961.05,10
CPT,81404,HC MOPATH PROCEDURE LEVEL 5 MAYO TEST HSPP,386.51,135.28,0.02,961.05,10
CPT,81404,HC MOPATH PROCEDURE LEVEL 5 REF TO GENEDX,1994.63,698.13,0.02,1116.99,10
CPT,81404,HC MYOTONIC DYSTROPHY ARUP MD U OF UTAH,1469.16,514.21,0.02,961.05,10
CPT,81404,HC PANCREATITIS (PRSS1) SEQUENCING ARUP 2002016,534.28,187.0,0.02,961.05,10
CPT,81404,HC PANCREATITIS (SPINK1) SEQUENCING ARUP 202012,1663.2,582.12,0.02,961.05,10
CPT,81404,HC UGT1A1 SEQUENCING ARUP 3001755,1829.52,640.34,0.02,1024.53,10
CPT,81405,HC ALPHA THALASSEMIA HBA1 & HBA2,1663.2,582.12,0.02,1053.78,10
CPT,81405,HC MEN2 RET GENE MUT BY SEQ,1663.2,582.12,0.02,1053.78,10
CPT,81405,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 6 ARUP 2009337,1774.08,620.93,0.02,1053.78,10
CPT,81405,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 6 ARUP 2010183,790.02,276.51,0.02,1053.78,10
CPT,81405,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 6 ARUP 2012015,1838.76,643.57,0.02,1053.78,10
CPT,81405,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 6 ARUP 2012052,851.25,297.94,0.02,1053.78,10
CPT,81405,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 6 ARUP 3001585,1848.0,646.8,0.02,1053.78,10
CPT,81405,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 6 ARUP 3001633,457.18,160.02,0.02,1053.78,10
CPT,81405,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 6 ARUP 3002100,1437.34,503.07,0.02,1053.78,10
CPT,81405,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 6 ARUP 3003927,1160.0,406.0,0.02,1053.78,10
CPT,81405,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 6 ARUP 3004480,952.88,333.51,0.02,1053.78,10
CPT,81405,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 6 ARUP 3004788,2464.0,862.4,0.02,1379.84,10
CPT,81405,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 6 ARUP TO ATHENA DIAG 5504,624.42,218.55,0.02,1053.78,10
CPT,81405,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 6 ARUP TO EGL GENETICS MM340,1239.7,433.9,0.02,1053.78,10
CPT,81405,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 6 ARUP TO GENEDX J553,1960.62,686.22,0.02,1097.95,10
CPT,81405,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 6 ARUP TO GENEDX T395,702.71,245.95,0.02,1053.78,10
CPT,81405,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 6 ARUP TO INVITAE 03200,1170.4,409.64,0.02,1053.78,10
CPT,81405,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 6 ARUP TO INVITAE CORP 3240,877.8,307.23,0.02,1053.78,10
CPT,81405,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 6 ARUP TO MAYO AFTDP,366.88,128.41,0.02,1053.78,10
CPT,81405,HC MOPATH PROCEDURE LEVEL 6,534.28,187.0,0.02,2056.82,40
CPT,81405,HC MOPATH PROCEDURE LEVEL 6 AMBRY GENETICS CORP 7028,348.06,121.83,0.02,1053.78,10
CPT,81405,HC MOPATH PROCEDURE LEVEL 6 ARUP 0051382,854.95,299.24,0.02,1053.78,10
CPT,81405,HC MOPATH PROCEDURE LEVEL 6 ARUP 2004203,2808.96,983.14,0.02,1573.02,10
CPT,81405,HC MOPATH PROCEDURE LEVEL 6 ARUP 2007535,2208.36,772.93,0.02,1236.68,10
CPT,81405,HC MOPATH PROCEDURE LEVEL 6 ARUP 2008347,1379.07,482.68,0.02,1053.78,10
CPT,81405,HC MOPATH PROCEDURE LEVEL 6 ARUP 2011906,1761.38,616.49,0.02,1053.78,10
CPT,81405,HC MOPATH PROCEDURE LEVEL 6 ARUP 3001593,827.9,289.77,0.02,1053.78,10
CPT,81405,HC MOPATH PROCEDURE LEVEL 6 ARUP TO ALABAMA HSF NFSP-NG,646.8,226.38,0.02,1053.78,10
CPT,81405,HC MOPATH PROCEDURE LEVEL 6 ARUP TO ATHENA 717,2543.89,890.37,0.02,1424.58,10
CPT,81405,HC MOPATH PROCEDURE LEVEL 6 ARUP TO COURTAGEN,2297.96,804.29,0.02,1286.86,10
CPT,81405,HC MOPATH PROCEDURE LEVEL 6 ARUP TO GENEDX 691,541.77,189.62,0.02,1053.78,10
CPT,81405,HC MOPATH PROCEDURE LEVEL 6 ARUP TO INVITAE 3251,844.58,295.61,0.02,1053.78,10
CPT,81405,HC MOPATH PROCEDURE LEVEL 6 ARUP TO INVITAE CORP 03280,541.77,189.62,0.02,1053.78,10
CPT,81405,HC MOPATH PROCEDURE LEVEL 6 ARUP TO MACHAON P3346,348.06,121.83,0.02,1053.78,10
CPT,81405,HC MOPATH PROCEDURE LEVEL 6 ARUP TO PREVENTION GENETICS 10387,348.06,121.83,0.02,1053.78,10
CPT,81405,HC MOPATH PROCEDURE LEVEL 6 ARUP TO U OF UTAH 04423,1755.6,614.46,0.02,1053.78,10
CPT,81405,HC MOPATH PROCEDURE LEVEL 6 INVITAE PARKINSONS,541.71,189.6,0.02,1053.78,10
CPT,81405,HC MOPATH PROCEDURE LEVEL 6 MAYO TEST HSPP,534.28,187.0,0.02,1053.78,10
CPT,81405,HC SMITH-LEMLI-OPITZ SYDROME DHCR,1772.93,620.53,0.02,1053.78,10
CPT,81405,HC STAT3 MUTATION ANALYSIS ARUP TO NEOGENOMICS LAB,1413.72,494.81,0.02,1053.78,10
CPT,81405,HC TYMP FULL GENE SEQUENCING ANALYSIS U OF UTAH MOL053,2259.18,790.72,0.02,1265.14,10
CPT,81406,HC  MOPATH PROCEDURE LEVEL 7-UTAH1913,658.35,230.43,0.02,989.21,10
CPT,81406,HC CDKL5 SEQUENCING,2887.5,1010.63,0.02,1617.0,10
CPT,81406,HC CEREBRAL AUTO DOM ARTERIOPATHY W/SUBCORTICAL INFARCTS & LEUKOENCEPHALOPATHY CADASIL ARUP 3000531,2979.9,1042.97,0.02,1668.74,10
CPT,81406,HC COMPLETE CADASIL EVALUATION ARUP TO ATHENA DIAGNOSTICS INC 421,6525.52,2283.94,0.02,3654.29,10
CPT,81406,"HC GALACTOSEMIA (GALT), SEQUENCING",2297.96,804.29,0.02,1286.86,10
CPT,81406,HC GCK GENE SEQUENCING,2297.96,804.29,0.02,1286.86,10
CPT,81406,HC GLUD1 GENE SEQUENCING,2744.83,960.7,0.02,1537.1,10
CPT,81406,HC INVITAE AMYOTROPHIC LATERAL SCLEROSIS PANEL ARUP TO INVITAE CORPORATION 03503,3511.2,1228.92,0.02,1966.27,10
CPT,81406,HC LHCGR-RELATED DISORDERS VIA THE LHCGR GENE-PREVENTIVE GENETICS 1514,2744.28,960.5,0.02,1536.8,10
CPT,81406,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 7 3004480,952.88,333.51,0.02,989.21,10
CPT,81406,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 7 ARUP 2009337,1774.08,620.93,0.02,993.48,10
CPT,81406,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 7 ARUP 2010183,790.02,276.51,0.02,989.21,10
CPT,81406,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 7 ARUP 3001585,1848.0,646.8,0.02,1034.88,10
CPT,81406,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 7 ARUP 3001633,457.18,160.02,0.02,989.21,10
CPT,81406,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 7 ARUP 3002100,1437.34,503.07,0.02,989.21,10
CPT,81406,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 7 ARUP 3002110,1232.0,431.2,0.02,989.21,10
CPT,81406,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 7 ARUP TO ATHENA 5506,1176.18,411.67,0.02,989.21,10
CPT,81406,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 7 ARUP TO ATHENA DIAG 5504,624.42,218.55,0.02,989.21,10
CPT,81406,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 7 ARUP TO EGL GENETICS MM340,1239.7,433.9,0.02,989.21,10
CPT,81406,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 7 ARUP TO GENEDX J553,1960.62,686.22,0.02,1097.95,10
CPT,81406,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 7 ARUP TO GENEDX J955,540.54,189.19,0.02,989.21,10
CPT,81406,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 7 ARUP TO GENEDX T395,702.71,245.95,0.02,989.21,10
CPT,81406,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 7 ARUP TO INVITAE 03200,1170.4,409.64,0.02,989.21,10
CPT,81406,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 7 ARUP TO INVITAE CORP 3240,877.8,307.23,0.02,989.21,10
CPT,81406,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 7 ARUP TO MAYO AFTDP,366.88,128.41,0.02,989.21,10
CPT,81406,HC MOPATH PROCEDURE 1- LEVEL 7,410.03,143.52,0.02,989.21,10
CPT,81406,HC MOPATH PROCEDURE LEVEL 6 -GENEDX 481,2287.86,800.76,0.02,1281.2,10
CPT,81406,HC MOPATH PROCEDURE LEVEL 7,2985.4300000000003,1044.905,0.02,2056.82,40
CPT,81406,HC MOPATH PROCEDURE LEVEL 7 AMBRY GENETICS CORP 7028,326.72,114.36,0.02,989.21,10
CPT,81406,HC MOPATH PROCEDURE LEVEL 7 ARUP 0051382,2297.96,804.29,0.02,1286.86,10
CPT,81406,HC MOPATH PROCEDURE LEVEL 7 ARUP 2007535,2208.36,772.93,0.02,1236.68,10
CPT,81406,HC MOPATH PROCEDURE LEVEL 7 ARUP 2012250,2353.46,823.72,0.02,1317.94,10
CPT,81406,HC MOPATH PROCEDURE LEVEL 7 ARUP 3001593,827.9,289.77,0.02,989.21,10
CPT,81406,HC MOPATH PROCEDURE LEVEL 7 ARUP TO ATHENA 717,2543.89,890.37,0.02,1424.58,10
CPT,81406,HC MOPATH PROCEDURE LEVEL 7 ARUP TO COURTAGEN,3266.75,1143.37,0.02,1829.38,10
CPT,81406,HC MOPATH PROCEDURE LEVEL 7 ARUP TO GENEDX 676,2330.16,815.56,0.02,1304.89,10
CPT,81406,HC MOPATH PROCEDURE LEVEL 7 ARUP TO GENEDX 691,2330.16,815.56,0.02,1304.89,10
CPT,81406,HC MOPATH PROCEDURE LEVEL 7 ARUP TO GENEDX 707,2297.96,804.29,0.02,1286.86,10
CPT,81406,HC MOPATH PROCEDURE LEVEL 7 ARUP TO GENEDX TG22,2333.1,816.59,0.02,1306.54,10
CPT,81406,HC MOPATH PROCEDURE LEVEL 7 ARUP TO INVITAE 3251,844.58,295.61,0.02,989.21,10
CPT,81406,HC MOPATH PROCEDURE LEVEL 7 ARUP TO INVITAE CORP 03280,2330.16,815.56,0.02,1304.89,10
CPT,81406,HC MOPATH PROCEDURE LEVEL 7 ARUP TO PGL 3249,326.72,114.36,0.02,989.21,10
CPT,81406,HC MOPATH PROCEDURE LEVEL 7 ARUP TO PREVENTION GENETICS 10387,326.72,114.36,0.02,989.21,10
CPT,81406,HC MOPATH PROCEDURE LEVEL 7 ARUP TO PREVENTION GENETICS 11407,2353.46,823.72,0.02,1317.94,10
CPT,81406,HC MOPATH PROCEDURE LEVEL 7 INVITAE PARKINSONS,2330.16,815.56,0.02,1304.89,10
CPT,81406,HC MOPATH PROCEDURE LEVEL 7 MAYO TEST HSPP,2297.96,804.29,0.02,1286.86,10
CPT,81406,HC MOPATH PROCEDURE LEVEL 7 REF TO GENEDX,2297.96,804.29,0.02,1286.86,10
CPT,81406,HC MULTIPLE ENDOCRINE NEOPLASIA TYPE 2 (MEN2) RET SEQUENCING ARUP 3004572,2160.0,756.0,0.02,1209.6,10
CPT,81406,HC NOD2 WHOLE GENE SEQUENCING ARUP TO DDC CLINIC FOR SPECIAL NEEDS CHILDREN,2716.56,950.8,0.02,1521.27,10
CPT,81406,HC NOONAN SYNDROME (PTPN11) SEQUENCING,2772.0,970.2,0.02,1552.32,10
CPT,81406,HC REFLEX F8 DELETION/DUPLICATION BILL ARUP 2001624,1414.02,494.91,0.02,989.21,10
CPT,81406,HC SOS1 SEQUENCING BILL,2656.5,929.78,0.02,1487.64,10
CPT,81406,HC WILSON DISEASE (ATP7B) SEQUENCING ARUP 2010716,2656.5,929.78,0.02,1487.64,10
CPT,81406,HC WILSON DISEASE (ATP7B) SEQUENCING ARUP 3004411,2744.28,960.5,0.02,1536.8,10
CPT,81407,HC MACROCEPHALY SEQUENCING PANEL-U OF C GSL1220,6976.2,2441.67,0.02,3906.67,10
CPT,81407,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 8 ARP TO MAYO AFTDP,846.27,296.2,0.02,2959.31,10
CPT,81407,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 8 ARUP 2010183,977.44,342.11,0.02,2959.31,10
CPT,81407,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 8 ARUP 3001633,930.9,325.82,0.02,2959.31,10
CPT,81407,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 8 ARUP 3002110,1232.0,431.2,0.02,2959.31,10
CPT,81407,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 8 ARUP TO ATHENA DIAG 5504,977.44,342.11,0.02,2959.31,10
CPT,81407,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 8 ARUP TO GENEDX J553,1960.62,686.22,0.02,2959.31,10
CPT,81407,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 8 ARUP TO GENEDX T395,977.44,342.11,0.02,2959.31,10
CPT,81407,HC MOPATH PROCEDURE 2- LEVEL 8,1732.5,606.38,0.02,2959.31,10
CPT,81407,HC MOPATH PROCEDURE LEVEL 8,3266.75,1143.37,0.02,2959.31,10
CPT,81407,HC MOPATH PROCEDURE LEVEL 8 -GENEDX 481,3266.75,1143.37,0.02,2959.31,10
CPT,81407,HC MOPATH PROCEDURE LEVEL 8 AMBRY GENETICS CORP 7028,977.44,342.11,0.02,2959.31,10
CPT,81407,HC MOPATH PROCEDURE LEVEL 8 ARUP 2007535,2208.36,772.93,0.02,2959.31,10
CPT,81407,HC MOPATH PROCEDURE LEVEL 8 ARUP 2012250,3345.66,1170.99,0.02,2959.31,10
CPT,81407,HC MOPATH PROCEDURE LEVEL 8 ARUP TO COURTAGEN,3111.19,1088.92,0.02,2959.31,10
CPT,81407,HC MOPATH PROCEDURE LEVEL 8 ARUP TO GENEDX 676,3312.54,1159.39,0.02,2959.31,10
CPT,81407,HC MOPATH PROCEDURE LEVEL 8 ARUP TO GENEDX 691,3312.54,1159.39,0.02,2959.31,10
CPT,81407,HC MOPATH PROCEDURE LEVEL 8 ARUP TO GENEDX TG22,2333.1,816.59,0.02,2959.31,10
CPT,81407,HC MOPATH PROCEDURE LEVEL 8 ARUP TO INVITAE 3251,977.44,342.11,0.02,2959.31,10
CPT,81407,HC MOPATH PROCEDURE LEVEL 8 ARUP TO INVITAE CORP 03280,3312.54,1159.39,0.02,2959.31,10
CPT,81407,HC MOPATH PROCEDURE LEVEL 8 ARUP TO PREVENTION GENETICS,3266.75,1143.37,0.02,2959.31,10
CPT,81407,HC MOPATH PROCEDURE LEVEL 8 ARUP TO PREVENTION GENETICS 10387,977.44,342.11,0.02,2959.31,10
CPT,81407,HC MOPATH PROCEDURE LEVEL 8 ARUP TO PREVENTION GENETICS 11407,3345.66,1170.99,0.02,2959.31,10
CPT,81407,HC MOPATH PROCEDURE LEVEL 8 MAYO TEST HSPP,3266.75,1143.37,0.02,2959.31,10
CPT,81407,HC REFLEX F8 NGS BILL ARUP 3004237,2600.0,910.0,0.02,2959.31,10
CPT,81407,MOLECULAR PATHOLOGY PROCEDURE LEVEL 8 ARUP 3002100,1437.34,503.07,0.02,2959.31,10
CPT,81408,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 9 ARUP 2010183,2310.0,808.5,0.02,6993.8,10
CPT,81408,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 9 ARUP 2012015,2310.0,808.5,0.02,6993.8,10
CPT,81408,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 9 ARUP 3001633,2200.0,770.0,0.02,6993.8,10
CPT,81408,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 9 ARUP 3002688,2310.0,808.5,0.02,6993.8,10
CPT,81408,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 9 ARUP 3003927,2000.0,700.0,0.02,6993.8,10
CPT,81408,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 9 ARUP 3004102,2310.0,808.5,0.02,6993.8,10
CPT,81408,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 9 ARUP 3005686,2200.0,770.0,0.02,6993.8,10
CPT,81408,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 9 ARUP TO ATHENA DIAG 5504,2310.0,808.5,0.02,6993.8,10
CPT,81408,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 9 ARUP TO GENEDX T395,2310.0,808.5,0.02,6993.8,10
CPT,81408,HC MOPATH LEVEL 9-ARUP2005584,4620.0,1617.0,0.02,6993.8,10
CPT,81408,HC MOPATH PROCEDURE LEVEL 9 AMBRY GENETICS CORP 7028,2310.0,808.5,0.02,6993.8,10
CPT,81408,HC MOPATH PROCEDURE LEVEL 9 ARUP TO ALABAMA HSF NFSP-NG,2310.0,808.5,0.02,6993.8,10
CPT,81408,HC MOPATH PROCEDURE LEVEL 9 ARUP TO GENEDX 691,2310.0,808.5,0.02,6993.8,10
CPT,81408,HC MOPATH PROCEDURE LEVEL 9 ARUP TO GENEDX TG22,2333.1,816.59,0.02,6993.8,10
CPT,81408,HC MOPATH PROCEDURE LEVEL 9 ARUP TO INVITAE CORP 03280,2310.0,808.5,0.02,6993.8,10
CPT,81408,HC MOPATH PROCEDURE LEVEL 9 ARUP TO PGL 3249,2310.0,808.5,0.02,6993.8,10
CPT,81408,HC MOPATH PROCEDURE LEVEL 9 ARUP TO PREVENTION GENETICS 10059,2310.0,808.5,0.02,6993.8,10
CPT,81408,HC MOPATH PROCEDURE LEVEL 9 ARUP TO PREVENTION GENETICS 10387,2310.0,808.5,0.02,6993.8,10
CPT,81408,HC MOPATH PROCEDURE LEVEL 9 INVITAE PARKINSONS,2310.0,808.5,0.02,6993.8,10
CPT,81408,HC MOPATH PROCEDURE LEVEL 9-ARUP 2007154,4620.0,1617.0,0.02,6993.8,10
CPT,81408,HC OSTEOGENESIS IMPERFECTA COL1A1 GENE ARUP TO PREVENTION GENETICS 4635,2310.0,808.5,0.02,6993.8,10
CPT,81408,HC OSTEOGENESIS IMPERFECTA COL1A2 GENE ARUP TO PREVENTION GENETICS 4637,2310.0,808.5,0.02,6993.8,10
CPT,81410,HC AORTIC DYSFUNCTION/DILATION GENOMIC SEQ ANALYSIS ARUP OT INVITAE CORP 02313,1755.6,614.46,0.02,1762.44,10
CPT,81410,HC AORTIC DYSFUNCTION/DILATION GENOMIC SEQ ANALYSIS ARUP TO INVITAE 02312,1755.6,614.46,0.02,1762.44,10
CPT,81410,HC AORTIC DYSFUNCTION/DILATION-CTGT 5078,3049.2,1067.22,0.02,1762.44,10
CPT,81411,HC AORTIC DYSFUNCTION/DILATION DUP/DEL ANALYSIS ARUP OT INVITAE CORP 02313,1755.6,614.46,0.02,4721.49,10
CPT,81411,HC AORTIC DYSFUNCTION/DILATION DUP/DEL ANALYSIS ARUP TO INVITAE 02312,1755.6,614.46,0.02,4721.49,10
CPT,81411,HC AORTIC DYSFUNCTION/DILATION DUP/DEL-CTGT 5078,3049.2,1067.22,0.02,4721.49,10
CPT,81412,ASHKENAZI JEWISH ASSOC DIS,,,0.02,8562.37,7
CPT,81413,HC CAR ION CHNNLPATH GENOMIC SEQ ALYS INC 10 GNS ARUP TO GENEDX 935,4519.52,1581.84,584.9,2530.93,10
CPT,81414,HC CAR ION CHNNLPATH DUP/DEL GN ALYS PANEL 2 GENES ARUP 2010183,790.02,276.51,270.98,2045.33,10
CPT,81414,HC CAR ION CHNNLPATH DUP/DEL GN ALYS PANEL 2 GENES GENEDX 935,4519.52,1581.84,584.9,2530.93,10
CPT,81414,HC CAR ION CHNNLPATH INC 2 GNS REF TO GENEDX,1994.63,698.13,584.9,2045.33,10
CPT,81415,HC EXOME SEQUENCE ANALYSIS ARUP 2006332,5520.9,1932.32,0.02,16715.18,10
CPT,81415,HC EXOME SEQUENCING ARUP 3016583,5258.0,1840.3,0.02,16715.18,10
CPT,81415,HC PGXOME DIAGNOSTIC ARUP U OR UTAH 5000,5798.1,2029.34,0.02,16715.18,10
CPT,81416,HC EACH ADDITIONAL FAMILY MEMBER PGXOME DIAGNOSTIC ARUP TO PREVENTION GENETICS 5000,13860.0,4851.0,0.02,41962.8,10
CPT,81416,HC EXOME SEQUENCE ANALYSIS EACH COMPARATOR EXOME ARUP 2006332,13860.0,4851.0,0.02,41962.8,10
CPT,81416,HC REFLEX BILL EXOME FAM ARUP 3016591,13200.0,4620.0,0.02,41962.8,10
CPT,81416,HC REFLEX BILL EXOME FRPT ARUP 3016583,13200.0,4620.0,0.02,41962.8,10
CPT,81417,EXOME RE-EVALUATION,,,0.02,1119.01,7
CPT,81418,RX METAB GEN SEQ ALYS PNL 6,,,917.08,1493.19,5
CPT,81419,HC EPILEPSY EXTENDED PANEL MAYO G116,6699.0,2344.65,2297.76,8562.37,10
CPT,81420,FETAL CHRMOML ANEUPLOIDY,,,0.02,2654.32,7
CPT,81422,FETAL CHRMOML MICRODELTJ,,,759.05,2654.32,7
CPT,81425,GENOME SEQUENCE ANALYSIS,,,0.02,17593.6,7
CPT,81426,GENOME SEQUENCE ANALYSIS,,,0.02,9476.43,7
CPT,81427,GENOME RE-EVALUATION,,,0.02,8174.54,7
CPT,81430,HC HEARING LOSS GENOMIC SEQ ANALYSIS 60 GENES ARUP TO U OF IOWA,1876.88,656.91,0.02,5682.46,10
CPT,81431,HC HEARING LOSS DUP/DEL ANALYS ARUP TO U OF IOWA,1634.33,572.02,0.02,2376.4,10
CPT,81432,"HC HEREDITARY BREAST AND GYNECOLOGICAL CANCERS PANEL, SEQUENCING AND DELETION/DUPLICATION ARUP 2012026",4680.0,1638.0,0.02,2620.8,10
CPT,81432,HC HEREDITARY BRST CA-RLATD DO GEN SEQ ALYS 5+ GEN ARUP 2012032,1620.0,567.0,0.02,2374.56,10
CPT,81433,Laboratory,,,438.93,1534.9,2
CPT,81433,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
CPT,81433,Outpatient Services,,,438.93,714.67,4
CPT,81434,HERED RTA DO GEN SEQ 15,,,0.02,2090.83,7
CPT,81435,HC HEREDITARY COLON CA-RELATED DO GEN SEQ ALYS 5+ ARUP 2012032,1620.0,567.0,0.02,2123.09,10
CPT,81435,"HC HEREDITARY GASTROINTESTINAL CANCER PANEL, SEQUENCING AND DELETION/DUPLICATION ARUP 2013449",4680.0,1638.0,0.02,2620.8,10
CPT,81436,Laboratory,,,584.9,2045.33,2
CPT,81436,Other Outpatient Services - CPT/HCPCS,,,837.88,837.88,1
CPT,81436,Outpatient Services,,,584.9,952.33,4
CPT,81437,HC HERED NEUROEND TUM-RELATED DO GEN SEQ ALYS 5+ ARUP 2012032,1620.0,567.0,0.02,2123.09,10
CPT,81437,HC INVITAE PARAGANGLIOMA/PHEOCHROMOCYTOMA PRIMARY GENE PANEL ARUP 01302,3511.2,1228.92,0.02,2123.09,10
CPT,81438,Laboratory,,,438.93,1534.9,2
CPT,81438,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
CPT,81438,Outpatient Services,,,438.93,714.67,4
CPT,81439,HRDTRY CARDMYPY GENE PANEL,,,584.9,2045.33,7
CPT,81440,MITOCHONDRIAL GENE,,,0.02,11623.7,7
CPT,81441,IBMFS SEQ ALYS PNL 30 GENES,,,2448.56,8562.37,7
CPT,81442,"HC NOONAN SPECTRUM DISORDERS PANEL, SEQUENCING, 15 GENES ARUP 2010772",4158.0,1455.3,0.02,7495.95,10
CPT,81443,HC ATAXIA COMP EVAL ARUP TO ATHENA DIAG 6930,23143.89,8100.37,2448.56,12960.58,10
CPT,81443,HC AUTOINFLAMMATORY PRIMARY IMMUNODEFICIENCY (PID) GENE PANEL VARIES ARUP TO MAYO AUTOP,5266.8,1843.38,1806.51,8562.37,10
CPT,81443,"HC COMPREHENSIVE DISTAL WEAKNESS GENE PANEL, VARIES ARUP TO MAYO DWPAN",6070.0,2124.5,2082.01,8562.37,10
CPT,81443,HC FOCAL EPILEPSY PANEL MAYO G122,3465.0,1212.75,1188.5,8562.37,10
CPT,81443,HC HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS (HLH) PANEL ARUP TO CINCINATTI CHILDRENS HOSP 7524935,9272.34,3245.32,2448.56,8562.37,10
CPT,81443,HC INHERITED ATAXIA GENE PANEL VARIES ARUP TO MAYO CLINIC LAB ATAXP,6342.8,2219.98,2175.58,8562.37,10
CPT,81443,HC INVITAE COMPREHENSIVE CARRIER SCREEN ARUP TO INVITAE CORP 60100,5821.2,2037.42,1996.67,8562.37,10
CPT,81445,HC GENOMIC SEQUENCING PROCEDURES & MOLECULAR MULTIANALYTE ASSAYS CU PHYSICIANS,2696.46,943.77,0.02,2090.83,10
CPT,81445,HC LUNG CANCER MUTATION PANEL ARUP 3017230,3400.0,1190.0,0.02,2090.83,10
CPT,81445,HC LUNG PANEL WITH REARRANGEMENT TUMOR MAYO LNGPR,6691.38,2341.99,0.02,3747.17,10
CPT,81445,HC SOLID TUMOR MUTATION PANEL NGS ARUP 3004294,4037.0,1412.95,0.02,2260.72,10
CPT,81448,"HC CHARCOT-MARIE-TOOTH (CMT) & RELATED HEREDITARY NEUROPATHIES PANEL, SEQUENCING ARUP 2012151",3782.63,1323.93,584.9,2118.27,10
CPT,81448,"HC HSP, COMPREHENSIVE EVALUATION ARUP TO ATHENA DIAG 6630",3395.7,1188.5,584.9,2045.33,10
CPT,81448,"HC INHERITED SPASTIC PARAPLEGIA GENE PANEL, VARIES ARUP TO MAYO ISPP",5566.0,1948.1,584.9,3116.96,10
CPT,81448,HC REFLEX CHARCOT-MARIE-TOOTH (CMT) SEQUENCE BILL ARUP 2012164,3696.0,1293.6,584.9,2069.76,10
CPT,81449,SO NEO GSAP 5-50 RNA ALYS,,,597.91,2090.83,7
CPT,81450,HC CHRONIC LYMPHOCYTIC LEUKEMIA MUTATION PANEL BY NGS ARUP 3001858,4463.5,1562.23,0.02,2656.0,10
CPT,81451,HL NEO GSAP 5-50 RNA ALYS,,,759.53,2656.0,7
CPT,81455,HC HC MYELOID MALIGN MUT PNL-NG SEQ,4608.45,1612.96,0.02,10209.55,10
CPT,81455,HC MYELOID MALIGNANCIES MUTATION PANEL NGS ARUP 2011117,4586.51,1605.28,0.02,10209.55,10
CPT,81456,SO/HL 51/>GSAP RNA ALYS,,,2919.6,10209.55,7
CPT,81457,HC MAYO COMPLETE GYN PANEL MAYO MCGYN,5437.0,1902.95,896.87,4050.57,9
CPT,81458,SO GSAP DNA CPY NMBR&MCRSTL,,,1046.35,1703.67,4
CPT,81459,SO NEO GSAP DNA/DNA&RNA,,,2989.55,4867.59,4
CPT,81460,HC MITOCHONDRIAL DISORDERS (MTDNA) SEQUENCING ARUP 2006065,4158.0,1455.3,0.02,4500.51,10
CPT,81460,HC WHOLE MITOCHONDRIAL GENOME ARUP 3001965,1486.49,520.28,0.02,4500.51,10
CPT,81462,SO GSAP CLL FR DNA/DNA&RNA,,,1195.83,1947.05,4
CPT,81463,SO GSAP CL FR CPY NMBR&MCRST,,,1345.31,2190.43,4
CPT,81464,SO GSAP CLL FR MCRSTL INS,,,3288.51,5354.35,4
CPT,81465,HC WHOLE MITOCHONDRIAL GENOME ANALYSIS PANEL ARUP 3001965,1202.36,420.83,0.02,3273.1,10
CPT,81470,HC X-LINKED INTELLECTUAL DBLT GENOMIC SEQ ANALYS ARUP TO GENEDX 952,7241.85,2534.65,0.02,4055.44,10
CPT,81471,HC X-LINKED INTELLECTUAL DBLT DUP/DEL GENE ANALYS ARUP TO GENEDX 952,7241.85,2534.65,0.02,4055.44,10
CPT,81479,HC AHUS GENETIC SUSCEPTIBILITY ARUP7409177/CCHMC,1180.97,413.34,338.23,879.82,6
CPT,81479,HC AORTOPATHY COMPREHENSIVE PANEL ARUP TO INVITAE CORP 02301,3511.2,1228.92,1005.61,2615.84,6
CPT,81479,HC APOLIPOPROTEIN 1 (APOL1) ARUP TO OREGON HEALTH & SCIENCE UNI 1050,1060.75,371.27,303.8,790.26,6
CPT,81479,HC BECKWITH WIEDEMANN SYNDROME VIA THE CDKN1C GENE ARUP TO PREVENTION GENETICS 10005,2244.0,785.4,642.68,1671.78,6
CPT,81479,HC BIRC2-MALT1 TRNSL T(11;18) PCR,1293.6,452.76,370.49,963.73,6
CPT,81479,HC BIRT-HOGG-DUBE SYNDROME (FLCN) SEQUENCING AND DELETION/DUPLICATION ARUP 3005703,2552.0,893.2,730.89,1901.24,6
CPT,81479,HC BIRT-HOGG-DUBE SYNDROME FULL GENE ANALYSIS ARUP TO MAYO FLCNZ,2688.84,941.1,770.08,2003.19,6
CPT,81479,HC C9ORF72 DNA TEST ARUP TO ATHENA 670,1496.88,523.91,428.71,1115.18,6
CPT,81479,HC CALR EXON 9 MUT ANLS PCR,1071.84,375.15,306.97,798.52,6
CPT,81479,HC CDC73 (HRPT2) GENE SEQUENCING & DEL/DUP ARUP TO GENEDX 721,6167.7,2158.7,1766.43,4594.94,6
CPT,81479,HC CDKL DELETION/DUPLICATION,1483.02,519.06,424.74,1104.85,6
CPT,81479,HC CHONDRODYSPLASIA PUNCTATA PANEL ARUP TO BLUEPRINT GENETICS MA2701,3280.2,1148.07,939.45,2443.75,6
CPT,81479,HC COMPREHENSIVE CONGENITAL HEART DISEASE PANEL ARUP TO PREVENTION GENETICS LLC 13008,3650.0,1277.5,1045.36,2719.25,6
CPT,81479,HC COMPREHENSIVE EPILEPSY PANEL SEQUENCING AND DELETION/DUPLICATION ARUP 3001591,3520.0,1232.0,1008.13,2622.4,6
CPT,81479,HC CTRC SEQUENCING,1732.5,606.38,496.19,1290.71,6
CPT,81479,HC CYP11B1/2 DNA CHIMERIC GENE FUSION TEST ARUP TO ATHENA DIAG 779,2413.95,844.89,691.36,1798.39,6
CPT,81479,HC DYSKERATOSIS CONGENITA PANEL ARUP TO GENEDX TB47,2059.2,720.72,589.75,1534.1,6
CPT,81479,"HC DYSKERATOSIS CONGENITA, X-LINKED (DKC1) SEQUENCING",4389.0,1536.15,1257.01,3269.81,6
CPT,81479,HC FABRY DISEASE TEST ARUP TO INVITAE CORP 02266,3511.2,1228.92,1005.61,2615.84,6
CPT,81479,HC FAMILIALMEDITERANEAN FEVER DEL,1771.0,619.85,507.21,1319.4,6
CPT,81479,HC FAMILIALMEDITERANEAN FEVER DUP,1771.0,619.85,507.21,1319.4,6
CPT,81479,HC FLT3-CAPILLARY ELECTPHORESIS,609.84,213.45,174.66,454.33,6
CPT,81479,"HC GATA-BINDING PROTEIN 2 (GATA2), FULL GENE, NGS, VARIES ARUP TO MAYO GATA2",5732.96,2006.54,1641.92,4271.06,6
CPT,81479,HC GCDH KNOWN MUTATION BGL L7205,1016.4,355.74,291.1,757.22,6
CPT,81479,HC GLANZMANN THROMBASTHENIA PANEL ARUP TO VERSITI WISCONSIN 4870,5151.3,1802.96,1475.33,3837.72,6
CPT,81479,HC GYRATE ATROPHY OF CHOROID AND RETINA VIA THE OAT GENE ARUP TO PREVENTION GENETICS 8339,2244.0,785.4,642.68,1671.78,6
CPT,81479,HC HEMOGLOBIN LEPORE (HBD/HBB) 3 MUT BILL ARUP 2005838,850.08,297.53,243.46,633.31,6
CPT,81479,"HC HEREDITARY MYELOID NEOPLASMS PANEL, SEQUENCING ARUP 3001842",4139.52,1448.84,1185.56,3083.94,6
CPT,81479,HC HEREDITARY SPASTIC PARAPLEGIA COMPREHENSIVE PANEL ARUP TO PREVENTION GENETICS 2673,2650.0,927.5,758.96,1974.25,6
CPT,81479,HC HUNTINGTON DISEASE-LIKE 2 TEST ARUP TO JOHN HOPKINS,1689.07,591.18,483.75,1258.36,6
CPT,81479,"HC INTERFERON-Y RECEPTOR DEFICIENCY: 2 GENE PROFILE (IFNGR1, IFNGR2) FGS ARUP TO LABCORP 252525",3534.3,1237.01,1012.22,2633.05,6
CPT,81479,HC INVITAE ARRHYTHMIA AND CARDIOMYOPATHY COMPREHENSIVE PANEL ARUP TO INVITAE 2101,2122.93,743.03,608.01,1581.58,6
CPT,81479,HC INVITAE COMPREHENSIVE MUSCULAR DYSTROPHY PANEL ARUP TO INVITAE  CODE 03291,3511.2,1228.92,1005.61,2615.84,6
CPT,81479,HC INVITAE COMPREHENSIVE MYOPATHY PANEL ARUP TO INVITAE  03361,3511.2,1228.92,1005.61,2615.84,6
CPT,81479,HC INVITAE DYSTONIA COMPREHENSIVE PANEL ARUP TO INVITAE 03351,3511.2,1228.92,1005.61,2615.84,6
CPT,81479,HC INVITAE EPILEPSY PANEL,3511.2,1228.92,1005.61,2615.84,6
CPT,81479,HC INVITAE HEREDITARY ALZHEIMER''''S DISEASE PANEL ARUP TO INVITAE CORP 03504,3511.2,1228.92,1005.61,2615.84,6
CPT,81479,HC INVITAE HEREDITARY ANGIOEDEMA PANEL ARUP TO INVITAE 55680,3511.2,1228.92,1005.61,2615.84,6
CPT,81479,HC INVITAE HEREDITARY RHABDOMYOLYSIS PANEL ARUP TO INVITAE CORP 53699,3511.2,1228.92,1005.61,2615.84,6
CPT,81479,HC INVITAE HYPERAMMONEMIA PANEL ARUP TO INVITAE CORP 06230,3511.2,1228.92,1005.61,2615.84,6
CPT,81479,HC INVITAE LIMB-GIRDLE MUSCULAR DYSTROPHY PANEL ARUP TO INVITAE CORP 03304,3511.2,1228.92,1005.61,2615.84,6
CPT,81479,HC INVITAE MUSCLE GLYCOGEN STORAGE DISEASE PANEL ARUP TO INVITAE CORP,3465.0,1212.75,992.38,2581.43,6
CPT,81479,HC INVITAE RETT & ANGELMAN SYNDROMES AND RELATED DISORDERS PANEL ARUP 03404,3511.2,1228.92,1005.61,2615.84,6
CPT,81479,HC INVITAE SMALL FIBER NEUROPATHY TEST ARUP TO INVITAE CORP 03220,2162.16,756.76,619.24,1610.81,6
CPT,81479,HC KABUKI SYNDROME SEQUENCING PANEL 81479 ARUP TO PREVENTION GENETICS 1911,996.3,348.71,285.34,742.24,6
CPT,81479,HC LMNA-RELATED DISORDERS (LMNA) DELETION/DUPLICATION ARUP 2004539,1580.04,553.02,452.52,1177.13,6
CPT,81479,HC MET EXON 14 DELETION ANALYSIS BY PCR ARUP 3003680,1737.12,608.0,497.51,1294.15,6
CPT,81479,HC MNGS PATHOGEN DX ARUP TO UNIV OF CA SAN FRAN P710,6883.8,2409.33,1971.52,5128.43,6
CPT,81479,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 9 ARUP 3003927,1160.0,406.0,332.22,864.2,6
CPT,81479,HC MOLECULAR UNLISTED ARUP 3001593,827.9,289.77,237.11,616.79,6
CPT,81479,HC MTM1 FULL GENE SEQ-EMORY GNT,5631.78,1971.13,1612.94,4195.68,6
CPT,81479,HC MYD88 REFLEX TO CXCR4 MUTATION DETECTION ARUP TO MAYO CXCFX,1882.19,658.77,539.06,1402.23,6
CPT,81479,HC NAIL-PATELLA SYNDROME VIA THE LMX1B GENE ARUP TO PREVENTION GENETICS 1458,1940.4,679.14,555.73,1445.6,6
CPT,81479,HC NGS NON-IMMUNE HYDROPS PANEL ARUP TO GREENWOOD GENETICS,8085.0,2829.75,2315.54,6023.33,6
CPT,81479,"HC NOTCH3 GENE, FULL GENE ANALYSIS, VARIES ARUP TO MAYO NTC3Z",4989.6,1746.36,1429.02,3717.25,6
CPT,81479,HC OCULOPHARYNGEAL MUSCULAR DYSTROPHY OPMD PABPN1 GCN REPEAT ANALYSIS EGL MPABP,1921.92,672.68,550.44,1431.83,6
CPT,81479,"HC OPIOID RECEPTOR, MU OPRM1 GENOTYPE, 1 VARIANT ARUP 2008767",724.42,253.55,207.47,539.69,6
CPT,81479,HC OTOSCOPE MOLECULAR PATH16,2772.0,970.2,793.9,2065.14,6
CPT,81479,HC OTOSCOPE MOLECULAR PATH17,6097.01,2133.96,1746.18,4542.27,6
CPT,81479,HC OVERGROWTH AND MACROCEPHALY SYNDROMES PANEL ARUP TO INVITAE CORP 04501,3511.2,1228.92,1005.61,2615.84,6
CPT,81479,HC PAX6 DEL-DUP EXONIC MICROARRAY CHILDRENS MOLECULAR LAB,2079.0,727.65,595.43,1548.86,6
CPT,81479,HC PDGFRB UCHEALTH MOLECULAR LAB,3.32,1.17,0.95,2.47,6
CPT,81479,"HC POLE MUTATION ANALYSIS, TUMOR MAYO CLINIC LAB POLET",3153.6,1103.76,903.19,2349.43,6
CPT,81479,HC PRENATAL KNOWN FAMILIAL MUTATION (INCLUDES MCC) ARUP TO GENEDX 902,3973.2,1390.62,1137.92,2960.03,6
CPT,81479,HC PRIMARY CILIARY DYSKINESIA BY NGS ARUP 3001621,3894.0,1362.9,1115.24,2901.03,6
CPT,81479,HC REFLEX CYP2D6 LONG RANGE PCR DUPLICATION BILL ARUP 3005480,1455.3,509.36,416.8,1084.2,6
CPT,81479,HC REFLEX GAMMA GLOBIN (HBG1 AND HBG20 SEQ BILL ARUP 3003509,1912.68,669.44,547.79,1424.95,6
CPT,81479,HC RET UCHEALTH MOLECULAR LAB,3.32,1.17,0.95,2.47,6
CPT,81479,HC RETINOBLASTOMA VIA THE RB1 GENE ARUP TO PREVENTION GENETICS 4501,2040.0,714.0,584.26,1519.8,6
CPT,81479,HC RHD ANTIGEN GENOTYPING,813.12,284.6,232.88,605.77,6
CPT,81479,HC ROS1 UCHEALTH MOLECULAR LAB,3.32,1.17,0.95,2.47,6
CPT,81479,HC SCID TREC SCREEN NEWBORN,23.56,8.25,6.75,17.55,6
CPT,81479,HC SEQUENCING & DEL/SUP ARUP TO FUIGENT THERAPEUTICS,1351.35,472.98,387.03,1006.76,6
CPT,81479,HC SINGLE GENE KANSL1 ARUP TO INVITAE CORP KANSL1,997.92,349.28,285.8,743.45,6
CPT,81479,HC SLC2A10 ARUP TO INVITAE CORP,3511.2,1228.92,1005.61,2615.84,6
CPT,81479,HC TELOMERE ANALYSIS,997.92,349.28,285.8,743.45,6
CPT,81479,HC THANATOPHORIC DYSPLASIS  1&2,1829.52,640.34,523.97,1362.99,6
CPT,81479,HC TUMOR MUTATION BURDEN NEXT GENERATION SEQUENCING (NGS) QUEST DISGNOSTICS,2887.5,1010.63,826.98,2151.19,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY,1461.08,511.38,418.45,1088.5,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY AMBRY GENETICS CORP 7028,282.76,98.97,80.98,210.66,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY ARUP 0051382,854.95,299.24,244.86,636.94,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY ARUP 0051415,127.94,44.78,36.64,95.32,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY ARUP 2004203,2808.96,983.14,804.49,2092.68,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY ARUP 2008347,1379.07,482.68,394.97,1027.41,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY ARUP 2010876,1122.9,393.02,321.6,836.56,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY ARUP 2011906,1761.38,616.49,504.46,1312.23,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY ARUP 2012250,395.76,138.52,113.35,294.84,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY ARUP 3005721,806.66,282.34,231.03,600.96,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY ARUP TO ALABAMA HSF NFSP-NG,646.8,226.38,185.24,481.87,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY ARUP TO GENEDX 676,939.75,328.92,269.14,700.11,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY ARUP TO GENEDX 707,167.61,58.67,48.0,124.87,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY ARUP TO MACHAON P3346,329.46,115.32,94.36,245.45,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY ARUP TO MAYO TCGR,604.32,211.52,173.08,450.22,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY ARUP TO PREVENTION GENETICS,116.46,40.77,33.35,86.76,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY ARUP TO PREVENTION GENETICS 10223,210.21,73.58,60.2,156.61,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY ARUP TO PREVENTION GENETICS 10387,26.42,9.25,7.57,19.68,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY ARUP TO PREVENTION GENETICS 1393,494.42,173.05,141.6,368.34,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROC CGL,1692.03,592.22,484.6,1260.56,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE - PGL 10289,114.65,40.13,32.84,85.41,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE ARUP 2007370,1774.08,620.93,508.1,1321.69,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE ARUP 2009337,1774.08,620.93,508.1,1321.69,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE ARUP 2010183,790.02,276.51,226.26,588.56,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE ARUP 2012015,1838.76,643.57,526.62,1369.88,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE ARUP 2012052,851.25,297.94,243.8,634.18,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE ARUP 3001501,277.2,97.02,79.39,206.51,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE ARUP 3001524,179.38,62.79,51.37,133.64,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE ARUP 3001541,271.04,94.87,77.63,201.92,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE ARUP 3001633,457.18,160.02,130.94,340.6,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE ARUP 3002110,1232.0,431.2,352.84,917.84,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE ARUP 3002688,1386.0,485.1,396.95,1032.57,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE ARUP 3004102,2162.16,756.76,619.24,1610.81,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE ARUP 3004471,684.5,239.58,196.04,509.95,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE ARUP 3004480,952.88,333.51,272.9,709.9,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE ARUP 3005686,671.45,235.01,192.3,500.23,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE ARUP TO ATHENA 5506,1176.18,411.67,336.86,876.25,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE ARUP TO FULGENT DIAGNOSTICS,1480.0,518.0,423.87,1102.6,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE ARUP TO GENEDX J955,540.54,189.19,154.81,402.7,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE ARUP TO INVITAE CORP 3240,877.8,307.23,251.4,653.96,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE ARUP TO MAYO AFTDP,366.88,128.41,105.07,273.33,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE ARUP TO MNG MOL380,222.0,77.7,63.58,165.39,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE ARUP TO PGL 3249,519.75,181.92,148.86,387.21,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE ARUP TO PREVENTION GENETICS 10059,42.5,14.88,12.17,31.66,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE ARUP TO PREVENTION GENETICS 990,1455.3,509.36,416.8,1084.2,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY-ARUP 2007154,2304.23,806.49,659.93,1716.65,6
CPT,81479,HC UNLISTED MOLECULAR PATHOLOGY-UTAH1913,658.35,230.43,188.55,490.47,6
CPT,81479,HC UNLISTED MOLELCULAR PATHOLOGY PROCEDURE TO CTGT 1798,1489.95,521.49,426.72,1110.01,6
CPT,81479,HC UNLSTD MOLECULAR PATH-ARUP2005584,2298.45,804.46,658.28,1712.35,6
CPT,81479,HYPERPLEXIA PANEL GLRA1 GLRB SLC6A5 ARUP TO MNG LABS MOL180,3060.75,1071.27,876.6,2280.26,6
CPT,81490,"Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score",,,0.02,2939.68,7
CPT,81493,"Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score",,,0.02,3671.75,7
CPT,81500,ONCO (OVAR) TWO PROTEINS,,,0.02,910.95,7
CPT,81503,ONCO (OVAR) FIVE PROTEINS,,,0.02,3136.72,7
CPT,81504,ONCOLOGY TISSUE OF ORIGIN,,,0.02,1818.39,7
CPT,81506,ENDO ASSAY SEVEN ANAL,,,0.02,241.01,7
CPT,81507,FETAL ANEUPLOIDY TRISOM RISK,,,0.02,2780.04,7
CPT,81508,HC MATERNAL SERUM SCREEN 1ST TRI,181.04,63.37,0.02,189.88,10
CPT,81509,FTL CGEN ABNOR 3 PROTEINS,,,0.02,5201.18,7
CPT,81510,FTL CGEN ABNOR THREE ANAL,,,0.02,194.22,7
CPT,81511,"HC MATERNAL SERUM SCREEN, ALPHA FETOPROTEIN, HCG, ESTRIOL, AND INHIBIN A (QUAD) ARUP 3000143",192.48,67.37,0.02,536.78,10
CPT,81512,FTL CGEN ABNOR FIVE ANAL,,,0.02,243.1,7
CPT,81513,NFCT DS BV RNA VAG FLU ALG,,,142.63,498.77,7
CPT,81514,NFCT DS BV&VAGINITIS DNA ALG,,,262.99,919.65,7
CPT,81515,NFCT DS BV&VAGINITIS DNA ALG,,,262.99,428.2,4
CPT,81517,HC ENHANCED LIVER FIBROSIS (ELF) SCORE ARUP TO QUEST 10350,1504.0,526.4,176.19,515.87,9
CPT,81517,HC ENHANCED LIVER FIBROSIS (ELF) TEST ARUP TO LABCORP SLC 550659,616.0,215.6,176.19,286.87,9
CPT,81518,ONC BRST MRNA 11 GENES,,,3873.0,13543.49,7
CPT,81519,ONCOLOGY BREAST MRNA,,,0.02,13543.49,7
CPT,81520,ONC BREAST MRNA 58 GENES,,,2510.21,8777.95,7
CPT,81521,ONC BREAST MRNA 70 GENES,,,3873.0,13543.49,7
CPT,81522,ONC BREAST MRNA 12 GENES,,,3873.0,13543.49,7
CPT,81523,ONC BRST MRNA 70 CNT 31 GENE,,,3873.0,13543.49,7
CPT,81525,"Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence ",,,0.02,10896.34,7
CPT,81528,"Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool",,,0.02,1779.47,7
CPT,81529,ONC CUTAN MLNMA MRNA 31 GENE,,,7193.0,25153.2,7
CPT,81535,"Oncology (gynecologic), live tumor cell culture and chemotherapeutic response by DAPI stain and morphology, predictive algorithm reported as a drug response score; first single drug or drug combinatio",,,0.02,2026.31,7
CPT,81536,ONCOLOGY GYNECOLOGIC,,,0.02,620.91,7
CPT,81538,"Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival",,,0.02,10039.6,7
CPT,81539,ONCOLOGY PROSTATE PROB SCORE,,,760.0,2657.64,7
CPT,81540,"Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing forma",,,0.02,13113.38,7
CPT,81541,ONC PROSTATE MRNA 46 GENES,,,3873.0,13543.49,7
CPT,81542,ONC PROSTATE MRNA 22 CNT GEN,,,3873.0,13543.49,7
CPT,81546,"ONC THYR MRNA 10,196 GEN ALG",,,3600.0,12588.84,7
CPT,81551,ONC PROSTATE 3 GENES,,,2030.0,7098.71,7
CPT,81552,ONC UVEAL MLNMA MRNA 15 GENE,,,7776.0,27191.89,7
CPT,81554,PULM DS IPF MRNA 190 GEN ALG,,,5409.6,19302.89,7
CPT,81558,TRNSPL REJ KDN MRNA QPCR 139,,,3240.0,5275.37,4
CPT,81560,TRNSPLJ PD LVR&BWL CD154+CLL,,,640.73,2240.58,7
CPT,81595,CARDIOLOGY HRT TRNSPL MRNA,,,0.02,11329.96,7
CPT,81596,NFCT DS CHRNC HCV 6 ASSAYS,,,72.19,252.45,7
CPT,82009,HC ACETONE,46.87,16.41,4.52,26.25,10
CPT,82010,HC B-HYDROXYBUTYRATE,26.73,9.36,8.17,28.57,10
CPT,82013,HC ACETYCHOLINESTERASE,73.9,25.87,12.29,42.97,10
CPT,82016,HC ACYLCARNITINE PROFILE QUAL - UHC LAB 82016,425.04,148.77,16.49,238.02,10
CPT,82016,"HC ACYLCARNITINE, PLASMA PROFILE ARUP TO CHILDRENS HOSP L6615",388.08,135.83,16.49,217.32,10
CPT,82017,HC ACYLCARNITINE QUANT PROFILE,517.44,181.11,16.87,289.77,10
CPT,82017,HC ACYLCARNITINE QUANTITATIVE PROFILE PLASMA ARUP 0040033,432.96,151.54,16.87,242.46,10
CPT,82017,HC ACYLCARNITINES QUANTIATIVE EACH SPECIMEN ARUP 2014314,266.71,93.35,16.87,149.36,10
CPT,82017,"HC ACYLCARNITINES, QUANT, EA SPEC",313.05,109.57,16.87,175.31,10
CPT,82024,HC ACTH LEVEL,227.12,79.5,38.62,135.05,10
CPT,82030,HC CYCLIC AMP,91.04,31.87,25.8,90.23,10
CPT,82040,HC ALBUMIN,52.27,18.3,4.95,29.27,10
CPT,82040,HC ALBUMIN (PICCOLO),52.27,18.3,4.95,29.27,10
CPT,82040,HC ALBUMIN SENDOUT,48.97,17.14,4.95,27.42,10
CPT,82040,HC ALBUMIN SERUM PLASMA/WHOLE BLOOD ARUP 0080440,73.33,25.67,4.95,41.06,10
CPT,82042,HC ALBUMIN CSF,48.93,17.13,7.78,27.4,10
CPT,82042,"HC ALBUMIN, URINE OR OTHER SOURCE",48.97,17.14,7.78,27.42,10
CPT,82042,HC OTHER SOURCE ALBUMIN QUANTITATIVE EACH SPECIMEN ARUP 0080440,73.33,25.67,7.78,41.06,10
CPT,82043,HC MICROALBUMIN URINE,76.91,26.92,5.78,43.07,10
CPT,82044,UR ALBUMIN SEMIQUANTITATIVE,,,6.23,21.79,7
CPT,82045,ALBUMIN ISCHEMIA MODIFIED,,,33.94,118.69,7
CPT,82075,HC BREATHALIZER TEST,57.67,20.19,0.02,104.91,10
CPT,82077,ASSAY SPEC XCP UR&BREATH IA,,,17.27,60.38,7
CPT,82085,HC ALDOLASE,72.7,25.45,9.71,40.71,10
CPT,82088,HC ALDOSTERONE,202.49,70.88,40.75,142.49,10
CPT,82088,"HC ALDOSTERONE, SERUM ARUP 0070015",72.0,25.2,24.7,142.49,10
CPT,82088,HC ASSAY OF ALDOSTERONE ARUP 0070073,86.92,30.43,29.81,142.49,10
CPT,82103,HC ALPHA 1 ANTITRYPSIN FECES,379.73,132.91,13.44,212.65,10
CPT,82103,HC ALPHA-1-ANTITRYPSIN ARUP 0050001,46.82,16.39,13.44,46.99,10
CPT,82103,HC ALPHA-1-ANTITRYPSIN QUANT BY ELISA RANDOM STOOL ARUP 2011041,225.46,78.92,13.44,126.26,10
CPT,82103,HC ALPHA-1-ANTITRYPSIN TOTAL ARUP 0051256,478.84,167.6,13.44,268.15,10
CPT,82103,HC ALPHA-1-ANTITRYPSIN TOTAL ARUP 0080500,53.59,18.76,13.44,46.99,10
CPT,82103,HC ALPHA-1-ANTITRYPSIN TOTAL ARUP 2011043,138.81,48.59,13.44,77.73,10
CPT,82103,"HC ALPHA-1-ANTITRYPSIN, TOTAL",83.82,29.34,13.44,46.99,10
CPT,82104,HC ALPHA-1-ANTITRYPSIN PHENOTYPE ARUP 0080500,53.59,18.76,14.46,50.56,10
CPT,82104,"HC ALPHA-1-ANTITRYPSIN, PHENO",396.55,138.8,14.46,222.07,10
CPT,82105,HC ALPHA FETO PROTEIN (AFP),113.56,39.75,16.77,63.59,10
CPT,82105,"HC MATERNAL SERUM SCREEN, ALPHA FETOPROTEIN ARUP 3000144",51.57,18.05,16.77,58.64,10
CPT,82106,HC ALPHA FETOPROTEIN AMFL RFLX,105.75,37.02,17.0,59.45,10
CPT,82106,HC ALPHA-FETOPROTEIN AMNIO,94.04,32.92,17.0,59.45,10
CPT,82107,ALPHA-FETOPROTEIN L3,,,64.41,225.24,7
CPT,82108,HC ALUMINUM,158.62,55.52,25.48,89.11,10
CPT,82120,AMINES VAGINAL FLUID QUAL,,,5.99,20.94,7
CPT,82127,AMINO ACID SINGLE QUAL,,,14.18,49.59,7
CPT,82128,"HC AMINO ACID, SERUM, QUAL",129.49,45.33,13.87,72.51,10
CPT,82128,"HC AMINO ACID, URIN, QUAL",129.49,45.33,13.87,72.51,10
CPT,82128,"HC AMINO ACIDS QUANTITATIVE, CSF CHILDREN'S HOSP LAB6608",665.28,232.85,13.87,372.56,10
CPT,82128,HC CARNITINE,46.27,16.2,13.87,48.51,10
CPT,82131,HC AMINO ACIDS 1 QUANTITATIVE EACH SPECIMEN ARUP 0080336,181.1,63.39,22.98,101.42,10
CPT,82131,HC ASPARTYLGLUCOSAMINE URINE,450.63,157.73,22.98,252.35,10
CPT,82131,HC CYSTINE 24 HR URINE,105.15,36.81,22.98,80.35,10
CPT,82131,HC CYSTINE URINE 24 HR QUANT,585.82,205.04,22.98,328.06,10
CPT,82131,HC S-SULFO-CYSTEINE URINE,450.63,157.73,22.98,252.35,10
CPT,82131,HC S-SULFOCYSTEINE W/CREAT URINE (CHILDRENS),425.04,148.77,22.98,238.02,10
CPT,82135,HC AMINOLEVULINIC ACID,112.35,39.33,16.45,62.92,10
CPT,82135,HC AMINOLEVULINIC ACID 24 HOUR,112.35,39.33,16.45,62.92,10
CPT,82136,HC AMINO ACIDS QUANT 2-5,310.98,108.85,19.61,174.15,10
CPT,82136,"HC GLYCINE, CSF",450.63,157.73,19.61,252.35,10
CPT,82139,"HC AMINO ACID, QUANT",359.6,125.86,16.87,201.38,10
CPT,82139,"HC AMINO ACID, URINE, QUANT",359.6,125.86,16.87,201.38,10
CPT,82139,HC AMINO ACIDS 6/> AMINO ACIDS QUANTITATIVE EA SPE ARUP 2014314,266.71,93.35,16.87,149.36,10
CPT,82139,"HC AMINO ACIDS QUANTITATIVE BY LC-MS/MS, PLASMA ARUP 2009389",303.62,106.27,16.87,170.03,10
CPT,82139,"HC AMINO ACIDS QUANTITATIVE, SERUM/PLASMA CHILDRENS HOSP CO LAB6606",665.28,232.85,16.87,372.56,10
CPT,82140,HC AMMONIA,116.41,40.75,14.57,69.15,20
CPT,82143,HC DELTA OD,140.6,49.21,9.35,78.74,10
CPT,82145,HC MDMA & METABOLITE URINE,142.07,49.73,40.69,105.84,5
CPT,82145,HC MECON AMPHET CONF CHARGE,501.88,175.66,143.74,373.9,5
CPT,82145,HC MECON BARB CONF CHARGE,100.29,35.11,28.72,74.72,5
CPT,82145,HC RFLX CONF/QNT AMPHETAM SP,278.12,97.35,79.65,207.2,5
CPT,82150,"HC AMYLASE, PANCREATIC",127.08,44.48,6.48,71.16,10
CPT,82150,"HC AMYLASE, TOTAL",101.995,35.7,6.48,71.16,20
CPT,82150,"HC AMYLASE, URINE",127.08,44.48,6.48,71.16,10
CPT,82150,"HC AMYLASE, URINE ARUP 3016646",60.8,21.28,6.48,34.05,10
CPT,82150,HC MACRO-AMYLASE,76.91,26.92,6.48,43.07,10
CPT,82150,"HC URINE, AMYLASE ARUP 3016646",40.83,14.3,6.48,22.86,10
CPT,82154,ANDROSTANEDIOL GLUCURONIDE,,,28.83,100.81,7
CPT,82157,HC ANDROSTENEDIONE,123.71,43.3,29.28,102.38,10
CPT,82157,HC ASSAY OF ANDROSTENEDIONE ARUP 2002283,98.88,34.61,29.28,102.38,10
CPT,82160,ASSAY OF ANDROSTERONE,,,25.55,89.35,7
CPT,82163,ASSAY OF ANGIOTENSIN II,,,20.52,71.75,7
CPT,82164,HC ANGIOTENSN-1-CONV EN,115.36,40.38,14.6,64.6,10
CPT,82166,ASSAY ANTI-MULLERIAN HORM,,,38.62,62.88,6
CPT,82172,HC APLIPOPROTEIN A-1,96.45,33.76,21.09,73.75,10
CPT,82172,HC APOLIPOPROTEIN B ARUP 0050029,64.68,22.64,21.09,73.75,10
CPT,82172,HC APOLIPOPROTEIN EACH ARUP 0050028,45.28,15.85,15.53,73.75,10
CPT,82172,"HC APOLIPOPROTEIN, EACH",103.05,36.07,21.09,73.75,10
CPT,82172,HC APOLPOPROTEIN B,96.45,33.76,21.09,73.75,10
CPT,82175,HC ARSENIC 24 HR URINE,118.16,41.36,18.97,66.33,10
CPT,82175,HC ARSENIC BLOOD,101.85,35.65,18.97,66.33,20
CPT,82175,HC ARSENIC FRACTIONATD URINE RFLX,465.7,163.0,18.97,260.79,10
CPT,82175,HC ARSENIC URINE RANDOM,130.69,45.75,18.97,73.19,10
CPT,82175,"HC ARSENIC, NAILS",221.17,77.41,18.97,123.86,10
CPT,82175,"HC ARSENIC, RANDOM URINE WITH REFLEX TO FRACTIONATED ARUP 2011478",49.28,17.25,16.9,66.33,10
CPT,82175,"HC ARSENIC, URINE WITH REFLEX TO FRACTIONATED ARUP 0025000",54.21,18.98,18.59,66.33,10
CPT,82175,HC ASSAY OF ARSENIC ARUP 0020572,54.05,18.92,18.54,66.33,10
CPT,82175,HC ASSAY OF ARSENIC ARUP 0025055,56.6,19.81,18.97,66.33,10
CPT,82175,"HC REFLEX ARSENIC, FRACTIONATED, URINE ARUP 0020734",465.7,163.0,18.97,260.79,10
CPT,82180,HC VITAMIN C,209.09,73.19,9.89,117.09,10
CPT,82190,ATOMIC ABSORPTION,,,15.9,55.6,7
CPT,82205,HC PENTOBARBITAL-BLOOD BY GCMS,646.8,226.38,185.24,481.87,5
CPT,82205,HC TOX-PENTOBARB,72.09,25.24,20.65,53.71,5
CPT,82232,"HC BETA-2 MICROGLOBULIN, CSF ARUP 0080054",51.74,18.11,16.18,56.59,10
CPT,82232,HC BETA2 MICROGLOBLIN,110.25,38.59,16.18,61.74,10
CPT,82233,BETA-AMYLOID 1-40 (ABETA 40),,,128.92,209.91,4
CPT,82234,BETA-AMYLOID 1-42 (ABETA 42),,,128.92,209.91,4
CPT,82239,"HC BILE ACIDS, TOTAL",54.37,19.03,17.12,59.86,10
CPT,82239,HC TOTAL BILE ACIDS,104.54,36.59,17.12,59.86,10
CPT,82240,HC CHOLYGLYCINE,79.62,27.87,26.58,92.94,10
CPT,82247,HC BILIRUBIN TOTAL ARUP 0020426,28.46,9.97,5.02,17.56,10
CPT,82247,HC BILIRUBIN TOTAL BODY FLUID ARUP 0020510,28.46,9.97,5.02,17.56,10
CPT,82247,"HC BILIRUBIN, TOTAL",37.4,13.09,5.02,20.94,10
CPT,82248,HC BILIRUBIN DIRECT ARUP 0020426,28.46,9.97,5.02,17.56,10
CPT,82248,"HC BILIRUBIN, DIRECT",65.8,23.03,5.02,36.85,10
CPT,82252,FECAL BILIRUBIN TEST,,,4.56,15.95,7
CPT,82261,HC BIOTINIDASE NEWBORN,48.11,16.84,16.5,59.0,10
CPT,82261,"HC BIOTINIDASE, SERUM (WITH PAIRED NORMAL CONTROL) ARUP 0093362",110.88,38.81,16.87,62.09,10
CPT,82270,HC OCCULT BLOOD FECES-CA SCREEN,23.43,8.21,4.38,15.32,10
CPT,82271,"HC OCCULT BLOOD, OTHER THAN FECES",36.96,12.94,5.32,20.7,10
CPT,82272,HC OCCULT BLOOD FECES-DIAGNOSTIC,27.07,9.48,4.23,15.16,10
CPT,82274,HC COLORECTAL CA SCRN-IFOBT,52.04,18.22,15.92,55.67,10
CPT,82274,HC FECAL IMMUNOASSAY/IFOBT-DX,52.04,18.22,15.92,55.67,10
CPT,82286,ASSAY OF BRADYKININ,,,5.16,18.05,7
CPT,82300,HC ASSAY OF CADMIUM ARUP 0020572,54.05,18.92,18.54,82.67,10
CPT,82300,HC ASSAY OF CADMIUM ARUP 0025055,56.6,19.81,19.41,82.67,10
CPT,82300,HC CADMIUM LEVEL,152.92,53.53,23.64,85.64,10
CPT,82300,"HC CADMIUM, URINE ARUP 0025040",57.66,20.19,19.78,82.67,10
CPT,82306,"HC 25-HYDROXYVITAMIN D2 AND D3 BY TANDEM MASS SPECTROMETRY, SERUM ARUP 2002348",168.17,58.86,29.6,103.5,10
CPT,82306,"HC VIT D3, 25-OH",90.44,31.66,29.6,103.5,10
CPT,82308,HC CALCITONIN,144.8,50.68,26.79,93.69,10
CPT,82310,"HC CALCIUM,  TOTAL",57.38,20.09,5.16,32.13,10
CPT,82310,"HC CALCIUM, TOTAL",48.07,16.83,5.16,26.92,10
CPT,82330,HC CALCIUM IONIZED - POCT,81.41,28.5,13.68,47.83,10
CPT,82331,CALCIUM INFUSION TEST,,,13.34,46.66,7
CPT,82340,HC CALCIUM UR QNT TIMED SPECIMEN,45.24,15.84,6.03,25.33,10
CPT,82340,HC CALCIUM URINE QUANTITATIVE TIMED SPECIMEN ARUP 0020843,39.27,13.75,6.03,21.99,10
CPT,82340,"HC CALCIUM, URINE",76.31,26.71,6.03,42.73,10
CPT,82355,CALCULUS ANALYSIS QUAL,,,11.58,40.49,7
CPT,82360,CALCULUS ASSAY QUANT,,,12.87,45.01,7
CPT,82365,HC STONE ANALYS INF SPECT,83.22,29.13,12.9,46.6,10
CPT,82370,HC CALCULUS XRAY DIFFRACTION 1,78.06,27.33,12.52,43.78,10
CPT,82370,HC CALCULUS XRAY DIFFRACTION 2,78.06,27.33,12.52,43.78,10
CPT,82370,HC CALCULUS XRAY DIFFRACTION 3,78.06,27.33,12.52,43.78,10
CPT,82370,HC STONE ANALYSIS NON KIDNEY,79.01,27.66,12.52,44.25,10
CPT,82373,HC CARBO DEFICIENT TRANS(ALC USE),265.57,92.95,18.06,148.72,20
CPT,82373,HC CARBO-DEF TRANSFERRIN ULTQNT,182.73,63.96,18.06,102.33,10
CPT,82373,HC CARBOHYDRATE DEFICIENT TRANSFERRIN ARUP TO EGL GENETICS BNGLY,486.64,170.33,18.06,272.52,10
CPT,82373,HC CARBOHYDRATE DEFICIENT TRANSFERRIN FOR ALCOHOL USE ARUP 0070412,595.06,208.28,18.06,333.23,10
CPT,82373,HC CARBOHYDRATE DEFICIENT TRANSFERRIN FOR CONGENITAL DISORDERS OF GLYCOSYLATION (CDG) ARUP 2002918,1077.01,376.96,18.06,603.13,10
CPT,82374,HC BICARBONATE HCO SUB:2 URIN,29.76,10.42,4.88,17.07,10
CPT,82374,HC CARBON DIOXIDE (CO2),56.49,19.78,4.88,31.63,10
CPT,82375,HC TOX-CARBON MONOXIDE,84.72,29.66,12.32,47.44,10
CPT,82376,ASSAY CARBOXYHB QUAL,,,14.07,49.2,7
CPT,82378,HC CARCINOEMBRYONIC AG FLUID,119.57,41.85,18.96,66.96,10
CPT,82378,HC CARCINOEMBRYONIC ANTIGEN,98.99000000000001,34.655,18.96,69.83,20
CPT,82379,HC CARBON MONOXIDE QUANTITATIVE,84.72,29.66,16.87,59.0,10
CPT,82379,HC CARNITINE QUANTITATIVE EA SPEC,106.35,37.23,16.87,59.56,10
CPT,82379,"HC CARNITINE, FREE & TOTAL (INCLUDES CARNITINE ESTERFIED) ARUP 0080068",108.66,38.04,16.87,60.85,10
CPT,82379,"HC CARNITINE, FREE AND TOTAL CHILDREN'S HOSP CO LAB8341",288.29,100.91,16.87,161.44,10
CPT,82379,"HC CARNITINE, FREE AND TOTAL, URINE ARUP 0081308",228.8,80.08,16.87,128.13,10
CPT,82379,HC CARNITINE-FREE&TOT-QNT-EA SPEC,313.05,109.57,16.87,175.31,10
CPT,82380,HC CAROTENE ARUP TO QUEST VALENCIA 311,388.08,135.83,9.22,217.32,10
CPT,82380,"HC CAROTENE, ALPHA",57.68,20.19,9.22,32.3,10
CPT,82380,"HC CAROTENE, BETA",57.68,20.19,9.22,32.3,10
CPT,82380,"HC CAROTENES, FRACTIONATED",194.04,67.92,9.22,108.66,10
CPT,82382,ASSAY URINE CATECHOLAMINES,,,27.3,95.46,7
CPT,82383,HC CHROM ANAL: HEMA DISORDER 1,157.77,55.22,29.08,101.69,10
CPT,82383,HC EPINEPHRINE PLASMA,119.88,41.96,29.08,101.69,10
CPT,82384,"HC 17-KETOSTEROIDS, URINE",90.55,31.7,25.25,88.3,10
CPT,82384,"HC CATECHOL, PL, FRC",158.93,55.63,25.25,89.0,10
CPT,82384,"HC CATECHOL, UR, FR",169.74,59.41,25.25,95.05,10
CPT,82384,"HC CATECHOLAMINES FRACTIONATED, PLASMA ARUP 0080216",142.3,49.81,25.25,88.3,10
CPT,82384,HC DOPAMINE,169.74,59.41,25.25,95.05,10
CPT,82384,HC NOREPINEPHRINE,169.74,59.41,25.25,95.05,10
CPT,82387,ASSAY OF CATHEPSIN-D,,,18.06,63.15,7
CPT,82390,HC CERULOPLASMIN,72.09,25.24,10.74,40.37,10
CPT,82397,CHEMILUMINESCENT ASSAY ARUP TO ESOTERIX 504567,600.0,210.0,14.12,336.0,10
CPT,82397,HC ALPHA SUBUNIT PITUITARY GLYCOP,612.06,214.23,14.12,342.75,10
CPT,82397,"HC ALPHA-SUBUNIT PITUITARY TUMOR MARKER, SERUM ARUP TO MAYO APGH",680.8,238.28,14.12,381.25,10
CPT,82397,HC CHEMILUMINESCENT ASSAY ARUP 3003676,525.76,184.02,14.12,294.43,10
CPT,82397,HC CHEMILUMINESCENT ASSAY ARUP 3016779,545.6,190.96,14.12,305.54,10
CPT,82397,HC CHEMILUMINESCENT ASSAY ARUP 804230,676.83,236.9,14.12,379.02,10
CPT,82397,HC CHEMILUMINESCENT ASSAY ARUP TO ESOTERIC 804627,776.16,271.66,14.12,434.65,10
CPT,82397,HC CHEMILUMINESCENT ASSAY ARUP TO ESOTERIX 504355,837.14,293.0,14.12,468.8,10
CPT,82397,HC CHEMILUMINESCENT ASSAY ARUP TO ESOTERIX ENDOCRINOLOGY 804594,776.16,271.66,14.12,434.65,10
CPT,82397,HC CHEMILUMINESCENT ASSAY ARUP TO LABCORP SLC 504245,834.5,292.08,14.12,467.32,10
CPT,82397,HC CHEMILUMINESCENT ASSAY ARUP TO MAYO VEDOZ,546.27,191.2,14.12,305.91,10
CPT,82397,"HC HEPATITIS B SURFACE ANTIGEN, QUANTITATIVE, MONITOR ARUP TO LABCORP 007130",1552.32,543.32,14.12,869.3,10
CPT,82397,HC HYPERGLYCOSYLATED HCG (H-HCG) ARUP TO QUEST SJ CAPISTRANO 11303,657.89,230.27,14.12,368.42,10
CPT,82397,HC IGF BINDING PROTEIN 3,36.06,12.63,12.37,49.37,10
CPT,82397,HC INTERLEUKIN - 6,356.9,124.92,14.12,199.86,10
CPT,82397,HC QUANTITATIVE ASSAY DRUG-ARUP/ESOTERIX-804230,676.83,236.9,14.12,379.02,10
CPT,82397,HC VASC ENDOTHELIAL GRWTH FACT,739.2,258.72,14.12,413.95,10
CPT,82415,HC CHLORAMPHENICOL,83.52,29.24,12.67,46.77,10
CPT,82435,HC CHLORIDE BLOOD,65.49,22.93,4.6,36.67,10
CPT,82436,HC ASSAY OF URINE CHLORIDE ARUP 0020498,33.64,11.78,5.75,20.1,10
CPT,82436,HC CHLORIDE URINE,37.72,13.21,5.75,21.12,10
CPT,82436,"HC CHLORIDE,URINE",67.61,23.67,5.75,37.86,10
CPT,82438,HC CHLORIDE FLUID ARUP 0020163,19.4,6.79,5.0,17.48,10
CPT,82438,HC CHLORIDE OTHER SOURCE,30.27,10.6,5.0,17.48,10
CPT,82438,HC CHLORIDE STOOL,60.39,21.14,5.0,33.82,10
CPT,82438,"HC CHLORIDE, O/T BLOOD OR URINE",60.39,21.14,5.0,33.82,10
CPT,82441,HC POLYCHLORINATED BIPHENYLS (PCB) PANEL CONGENERS SERUM OR PLASMA ARUP 2013230,450.91,157.82,6.01,252.51,10
CPT,82441,HC TEST FOR CHLOROHYDROCARBONS,39.36,13.78,6.01,22.04,10
CPT,82465,HC CHOLESTEROL,64.0,22.4,4.35,35.84,10
CPT,82465,HC CHOLESTEROL SERUM/WHOLE BLOOD TOTAL ARUP 0050021,128.06,44.83,4.35,71.71,10
CPT,82480,HC CHOLINESTERASE SERUM ARUP 0020159,55.25,19.34,7.87,30.94,10
CPT,82480,"HC CHOLINESTERASE, PLASMA",51.98,18.2,7.87,29.11,10
CPT,82480,HC PSEUDOCHOLINESTERASE TOTAL,44.63,15.63,7.87,27.53,10
CPT,82480,HC REF CHOLINESTERASE PLASMA,51.98,18.2,7.87,29.11,10
CPT,82482,"HC CHOLINESTERASE, RBC",50.78,17.78,9.81,34.3,10
CPT,82482,"HC CHOLINESTERASE, RBC - RATIO TO HEMOGLOBIN AURP 0020174",65.42,22.9,9.81,36.64,10
CPT,82482,HC TOX-CHOLINESTERASE RBC,50.78,17.78,9.81,34.3,10
CPT,82485,ASSAY CHONDROITIN SULFATE,,,20.65,72.22,7
CPT,82489,"HC TOX-DRUG SCREEN URINE, TLC",190.17,66.56,54.46,141.68,5
CPT,82491,HC CHROM QNT 1ANALYTE NES,1079.23,377.74,309.09,804.03,5
CPT,82491,HC CHROMOTOGRAPHY QUANT SIN ANAL,116.57,40.8,33.39,86.84,5
CPT,82491,HC CYCLOBENZAPRINE,113.56,39.75,32.52,84.6,5
CPT,82491,HC DEHYDROCHOLESTREROL,270.37,94.63,77.43,201.43,5
CPT,82491,HC DEOXYPYRIDINOLINE TOTAL,295.71,103.5,84.69,220.3,5
CPT,82491,HC DESMETHYLCLOMIPRAMINE,113.56,39.75,32.52,84.6,5
CPT,82491,HC DIPHENHYDRAMINE,113.56,39.75,32.52,84.6,5
CPT,82491,HC FELBAMATE,113.56,39.75,32.52,84.6,5
CPT,82491,HC FLUPHENZAINE,113.56,39.75,32.52,84.6,5
CPT,82491,HC IBUPROFEN,112.66,39.44,32.27,83.93,5
CPT,82491,HC LEXAPRO,113.56,39.75,32.52,84.6,5
CPT,82491,HC MEPHENYTOIN (MESATOIN),113.56,39.75,32.52,84.6,5
CPT,82491,HC MERCAPTOPURINE,112.66,39.44,32.27,83.93,5
CPT,82491,HC METANEPHRINES PLASMA,270.37,94.63,77.43,201.43,5
CPT,82491,HC MEXILETINE,256.86,89.91,73.56,191.36,5
CPT,82491,HC OLANZAPINE,112.48,39.37,32.21,83.8,5
CPT,82491,HC PAROXETINE,112.66,39.44,32.27,83.93,5
CPT,82491,HC PYRIDINOLINE TOTAL,295.71,103.5,84.69,220.3,5
CPT,82491,HC QUETIAPINE (SEROQUAL),113.56,39.75,32.52,84.6,5
CPT,82491,HC WARFARIN (COUMADIN),113.56,39.75,32.52,84.6,5
CPT,82492,HC DIURETIC SURVEY,443.52,155.24,127.02,330.42,5
CPT,82492,HC RBC PLASMALOGEN CONTENT,663.92,232.38,190.15,494.62,5
CPT,82495,"HC CHROMIUM, SERUM",65.92,23.08,20.28,70.91,10
CPT,82507,HC ASSAY OF CITRATE ARUP 0020843,39.27,13.75,13.47,97.22,10
CPT,82507,HC CITRIC ACID,182.66,63.94,27.8,102.29,10
CPT,82520,HC COCAINE CONF MECONIUM,340.22,119.08,97.44,253.46,5
CPT,82520,HC MECON COCAINE CONF CHARGE,340.22,119.08,97.44,253.46,5
CPT,82520,HC RFLX CONF/QNT COCAINE MET SP,278.12,97.35,79.65,207.2,5
CPT,82523,HC C-TELOPEPTIDE,117.77,41.22,18.68,65.95,10
CPT,82523,"HC C-TELOPEPTIDE, BETA-CROSS-LINKED, SERUM ARUP 0070416",362.21,126.78,18.68,202.84,10
CPT,82523,HC EHLERS-DANLOS SYNDROME TYPE VI SCREEN ARUP 0080351,543.31,190.16,18.68,304.25,10
CPT,82523,HC N-TELOPEPTIDE CROSS-LINKED SER,513.56,179.75,18.68,287.59,10
CPT,82523,HC N-TELOPEPTIDE/CREAT RATIO,87.73,30.71,18.68,65.32,10
CPT,82525,HC ASSAY OF COPPER ARUP 0025055,56.6,19.81,12.41,43.4,10
CPT,82525,HC COPPER FLUID ARUP TO NMS INC 1330FL,772.46,270.37,12.41,432.58,10
CPT,82525,HC COPPER LEVEL URINE ARUP 0020461,98.24,34.39,12.41,55.01,10
CPT,82525,HC COPPER LIVER - ARUP 0020694,480.48,168.17,12.41,269.07,10
CPT,82525,HC COPPER LIVER TISSUE,98.24,34.39,12.41,55.01,10
CPT,82525,"HC COPPER, LIVER TISSUE",236.78,82.88,12.41,132.6,10
CPT,82528,ASSAY OF CORTICOSTERONE,,,22.52,78.75,7
CPT,82530,HC CORTISOL FREE-ARUP0092100,71.15,24.91,16.71,58.44,10
CPT,82530,HC CORTISOL SERUM FREE ARUP 0097222,196.35,68.73,16.71,109.96,10
CPT,82530,HC CORTISOL URINE FREE BY LC-MS/MS ARUP 0097222,71.34,24.97,16.71,58.44,10
CPT,82530,"HC CORTISOL, FREE BY EQUILIBRIUM DIALYSIS/LC-MS/MS ARUP 2012697",249.48,87.32,16.71,139.71,10
CPT,82530,"HC CORTISOL, URINE",104.1,36.44,16.71,58.44,10
CPT,82533,HC CORTISOL 120 MIN POST DOSE BEAKER LAB2082,172.98,60.55,16.3,96.87,10
CPT,82533,HC CORTISOL 30 MIN POST DOSE BEAKER LAB2083,172.98,60.55,16.3,96.87,10
CPT,82533,HC CORTISOL 60 MIN POST DOSE BEAKER LAB2084,172.98,60.55,16.3,96.87,10
CPT,82533,HC CORTISOL AM BEAKER LAB2085,172.98,60.55,16.3,96.87,10
CPT,82533,HC CORTISOL BASELINE BEAKER LAB2086,172.98,60.55,16.3,96.87,10
CPT,82533,HC CORTISOL BEAKER LAB61,172.98,60.55,16.3,96.87,10
CPT,82533,"HC CORTISOL BY LC-MS/MS, SALIVARY ARUP 3016866",155.94,54.58,16.3,87.33,10
CPT,82533,HC CORTISOL REFLAB,101.54,35.54,16.3,57.0,10
CPT,82533,HC CORTISOL SALIVA,182.66,63.94,16.3,102.29,10
CPT,82533,HC CORTISOL TOTAL ARUP TO ESOTERIX ENDOCRINOLOGY 500080,205.13,71.8,16.3,114.87,10
CPT,82533,"HC CORTISOL, SERUM ARUP 0070030",28.9,10.12,9.91,57.0,10
CPT,82533,HC HIGH DOSE CORTISOL 60 MIN POST DOSE BEAKER LAB2089,172.98,60.55,16.3,96.87,10
CPT,82533,HC LOW DOSE CORTISOL 60 MIN POST DOSE BEAKER LAB2092,172.98,60.55,16.3,96.87,10
CPT,82540,HC ASSAY OF CREATINE ARUP 2002333,193.42,67.7,4.64,108.32,10
CPT,82540,HC ASSAY OF CREATINE ARUP 2014314,266.71,93.35,4.64,149.36,10
CPT,82540,HC CREATINE SERUM OR PLASMA ARUP 2002340,252.25,88.29,4.64,141.26,10
CPT,82540,"HC CREATINE, SERUM/PLASMA ARUP 2002328",277.2,97.02,4.64,155.23,10
CPT,82542,"HC 5-HYDROXYINDOLEACETIC ACID (5-HIAA), PLASMA ARUP 3000202",1201.2,420.42,24.09,672.67,10
CPT,82542,HC 7-DEHYDROCHOLESTEROL SMITH-LEMLI-OPITZ SYNDROME KENNEDY KRIEGER GENETICS LAB,665.28,232.85,24.09,372.56,10
CPT,82542,HC 7-DEHYDROCHOLESTEROL-SMITH-LEMLI-OPTIZ. SYN.,554.4,194.04,24.09,310.46,10
CPT,82542,HC ACYLGLYCINES QUANTITATIVE URINE-ARUP0081170,814.97,285.24,24.09,456.38,10
CPT,82542,HC ALPHA AMINO ADIPIC SEMIALDEHYD,850.08,297.53,24.09,476.04,10
CPT,82542,HC ALPHA-AMINOADIPIC SEMI-ALDEHYDE ARUP TO SCH AASA,813.12,284.6,24.09,455.35,10
CPT,82542,"HC BETA-AMYLOID 42/40 RATIO, CSF ARUP TO QUEST SAN CAPISTRANO 94627",2899.05,1014.67,24.09,1623.47,10
CPT,82542,"HC COENZYME Q10, TOTAL  ARUP 0081119",462.0,161.7,24.09,258.72,10
CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN ARUP 2002328,277.2,97.02,24.09,155.23,10
CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN ARUP 2002333,193.42,67.7,24.09,108.32,10
CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN ARUP TO DUKE UNIVERSITY LAB6422,406.56,142.3,24.09,227.67,10
CPT,82542,HC COL CHROMOTOGRAPHY QUAL/QUAN ARUP TO EGL GENETICS BOGLY,660.66,231.24,24.09,369.97,10
CPT,82542,HC COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC ARUP 2014314,266.71,93.35,24.09,149.36,10
CPT,82542,HC COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC ARUP TO MAYO HEX4,680.06,238.03,24.09,380.83,10
CPT,82542,HC CSF PYRIDOXAL 5' PHOSPHATE ARUP TO MNG NC05,776.16,271.66,24.09,434.65,10
CPT,82542,"HC DIETHYLENE GLYCOL, BLOOD ARUP TO NMS 1589B",1292.8,452.48,24.09,723.97,10
CPT,82542,"HC FATTY ACIDS PROFILE, ESSENTIAL (C12-C22)",1415.41,495.4,24.09,792.63,10
CPT,82542,"HC FATTY ACIDS PROFILE, ESSENTIAL IN RED BLOOD CELLS",1344.64,470.63,24.09,753.0,10
CPT,82542,"HC FATTY ACIDS PROFILE, ESSENTIAL SERUM OR PLASMA ARUP 2013518",1411.87,494.16,24.09,790.65,10
CPT,82542,HC GLUTARIC & 3-HYDROXYGLUTARIC ACIDS W/CREAT URINE CH BGL L6743,794.64,278.13,24.09,445.0,10
CPT,82542,"HC GLUTARIC & 3-HYDROXYGLUTARIC ACIDS, SERUM ARUP TO CHILDREN'S HOSP LAB6742",975.74,341.51,24.09,546.41,10
CPT,82542,HC GLUTARIC&3-HYDROXYGLUTARIC ACI,739.2,258.72,24.09,413.95,10
CPT,82542,HC GUANIDINOACETIC ACID & CREATINE URINE CHILDRENS HOSP CO,702.24,245.79,24.09,393.25,10
CPT,82542,"HC IPECAC USE MARKERS, URINE",229.31,80.26,24.09,128.41,10
CPT,82542,HC LACOSAMIDE LEVEL,194.04,67.92,24.09,108.66,10
CPT,82542,HC LEFLUNOMIDE,788.6,276.01,24.09,441.62,10
CPT,82542,"HC LEUKOTRIENE E4, 24-HOUR URINE ARUP 3004792",1013.82,354.84,24.09,567.74,10
CPT,82542,HC MASS SPECTRMETRY MAYO MSPTC,484.99,169.75,24.09,271.59,10
CPT,82542,HC MASS SPECTROMETRY MAYO MLCPC,1167.01,408.46,24.09,653.53,10
CPT,82542,HC MASS SPECTROMETRY QUAL,1268.88,444.11,24.09,710.57,10
CPT,82542,HC MECON THC CONF CHARGE,501.88,175.66,24.09,281.05,10
CPT,82542,HC METHYLMALONIC ACID - SERUM CHILDRENS HOSP L6750,554.4,194.04,24.09,310.46,10
CPT,82542,HC N-METHYLHISTAMINE 24-HOUR URINE ARUP 2011034,725.01,253.76,24.09,406.01,10
CPT,82542,HC OMEGACHECK ARUP TO CHL C302,179.01,62.66,24.09,100.25,10
CPT,82542,HC PAIN CLINIC DRUG MONITORING CHILDREN'S HOSP LAB5727,665.28,232.85,24.09,372.56,10
CPT,82542,"HC PARATHYROID HORMONE-RELATED PEPTIDE (PTHRP) BY LC-MS/MS, PLASMA",323.4,113.19,24.09,181.1,10
CPT,82542,HC PHENOTHIZAINE CONFIRMATION,116.5,40.78,24.09,84.24,10
CPT,82542,"HC PIPECOLIC ACID, SERUM OR PLASMA ARUP 2007406",633.86,221.86,24.09,354.96,20
CPT,82542,"HC PYRIDOXINE-DEPENDENT EPILEPSY PANEL, SERUM OR PLASMA",850.08,297.53,24.09,476.04,10
CPT,82542,"HC QUEST AD-DETECT, BETA-AMYLOID 42/40 RATIO, PLASMA ARUP TO QUEST SAN CAPISTRANO 11786",1441.44,504.51,24.09,807.21,10
CPT,82542,HC REFLEX TO PORPHYRINS FRACTIONATION PLASMA ARUP 2006596,780.01,273.01,24.09,436.81,10
CPT,82542,"HC S-SULFOCYSTEINE PANEL, URINE ARUP TO MAYO CLINIC SSCTU",946.18,331.17,24.09,529.86,10
CPT,82542,HC SULFONYLUREA HYPOGLYCEMICS QT,496.71,173.85,24.09,278.16,10
CPT,82542,HC THYMIDINE/DEOXYURIDINE ANALYTES (PLASMA) ARUP TO MNG LABS MET12,824.21,288.48,24.09,461.56,10
CPT,82543,HC GLUTARIC ACID,675.94,236.58,193.59,503.58,5
CPT,82543,HC URINE SUCCINYLACETONE,675.94,236.58,193.59,503.58,5
CPT,82544,"HC ACYLGLYCINES-QNT, URINE",305.06,106.78,87.37,227.27,5
CPT,82544,HC GC/MS HPLC/MS NES QNT-MULTIPLE,1415.41,495.4,405.37,1054.48,5
CPT,82544,HC GUANIDINOACETIC ACD + CREATINE,675.94,236.58,193.59,503.58,5
CPT,82550,HC ASSAY OF CK (CPK) ARUP 0020414,47.86,16.76,6.51,26.8,10
CPT,82550,HC CK CREATINE KINASE,111.46,39.02,6.51,62.42,10
CPT,82550,HC CREATINE KINASE TOTAL,21.55,7.55,6.51,22.76,10
CPT,82552,HC ASSAY OF CPK IN BLOOD ARUP 0020414,47.86,16.76,13.39,46.82,10
CPT,82552,HC CREATINE KINASE ISOENZYMES,44.33,15.52,13.39,46.82,10
CPT,82553,HC CK-MB ONLY,154.73,54.16,11.55,86.65,10
CPT,82554,CREATINE ISOFORMS,,,11.87,41.51,7
CPT,82565,HC ASSAY OF CREATININE ARUP 3018316,76.56,26.8,5.12,42.87,10
CPT,82565,HC CREATININE,56.49,19.78,5.12,31.63,10
CPT,82565,HC GLOMERULAR FILTRATION RATE (ESTIMATED) ARUP 3005478,29.19,10.22,5.12,17.9,10
CPT,82570,HC ASSAY OF URINE CREATININE ARUP 2002333,193.42,67.7,5.18,108.32,10
CPT,82570,HC ASSAY OF URINE CREATININE ARUP 2008682,246.4,86.24,5.18,137.98,10
CPT,82570,HC ASSAY OF URINE CREATININE ARUP TO DUKE UNIVERSITY LAB6422,406.56,142.3,5.18,227.67,10
CPT,82570,HC CREATININE OTHER SOURCE ARUP 2014314,266.71,93.35,5.18,149.36,10
CPT,82570,HC CREATININE OTHER SOURCE ARUP TO MAYO HEX4,680.06,238.03,5.18,380.83,10
CPT,82570,HC CREATININE OTHER SOURCE CHILDRENS HOSP CO LAB6619,360.36,126.13,5.18,201.8,10
CPT,82570,HC CREATININE URINE,48.51,16.98,5.18,27.17,10
CPT,82570,HC CREATININE URINE SENDOUT,32.44,11.36,5.18,18.17,10
CPT,82570,"HC CREATININE, OTHER SOURCE",68.81,24.09,5.18,38.53,10
CPT,82575,HC CREATININE CLEARANCE,112.96,39.54,9.46,63.26,10
CPT,82575,HC CREATININE CLEARANCE URINE ARUP 0020474,51.74,18.11,9.46,33.08,10
CPT,82585,HC CRYOFIBRINOGEN ARUP 0050190,34.93,12.23,11.98,49.44,10
CPT,82595,CRYOGLOBULIN SCREEN NATIONAL JEWISH CRYOS,205.38,71.89,6.47,115.01,10
CPT,82595,HC CRYOGLOBULIN % CRYOCRIT SERUM ARUP TO QUEST SJ 36562,203.28,71.15,6.47,113.84,10
CPT,82595,HC CRYOGLOBULIN QUAL W REF IFE TY,32.34,11.32,6.47,22.63,10
CPT,82595,HC CRYOGLOBULINS,55.28,19.35,6.47,30.96,10
CPT,82600,"HC CYANIDE, WHOLE BLOOD ARUP 3003039",314.16,109.96,19.4,175.93,10
CPT,82600,HC TOX-CYANIDE,127.69,44.7,19.4,71.51,10
CPT,82607,HC VITAMIN B12,90.12,31.55,15.08,52.73,10
CPT,82607,HC VITAMIN B12 ARUP 0070150,49.52,17.34,15.08,52.73,10
CPT,82607,"HC VITAMIN B12 WITH REFLEX TO METHYLMALONIC ACID, SERUM (VITAMIN B12 STATUS) ARUP 0055662",32.34,11.32,11.09,52.73,10
CPT,82608,B-12 BINDING CAPACITY,,,14.32,50.08,7
CPT,82610,HC CYSTATIN C ARUP 3018316,76.56,26.8,18.52,64.76,10
CPT,82615,HC CYSTINE HOMOCYSTINE URINE QUAL,61.24,21.44,9.55,34.29,10
CPT,82626,HC DEHYDROEPIANDROSTERONE,126.78,44.38,25.27,88.36,10
CPT,82626,HC DEHYDROEPIANDROSTERONE ARUP 2002283,98.88,34.61,25.27,88.36,10
CPT,82627,HC DHEA-SULFATE SERUM,44.17,15.46,15.15,77.74,10
CPT,82633,HC DEOXYCORTICOSTERONE,192.86,67.51,30.98,108.33,10
CPT,82634,"HC 11-DEOXYCORTISOL QUANT HPLC-MS/MS, SERUM/PLASMA-ARUP0092331",129.36,45.28,29.28,102.38,10
CPT,82634,"HC COMPOUND S(II DEOXYCORT, RIA)",160.41,56.15,29.28,102.38,10
CPT,82638,HC ASSAY OF DIBUCAINE NUMBER ARUP 0020159,55.25,19.34,12.25,42.84,10
CPT,82638,HC HC DIBUCAINE NUMBER,44.63,15.63,12.25,42.84,10
CPT,82642,"HC 5-A-DIHYDROTESTOSTERONE BY TANDEM MASS SPECTROMETRY, SERUM ARUP 2002349",161.7,56.6,29.28,102.38,10
CPT,82646,HC HYDROCODONE URINE QUANT,213.68,74.79,61.2,159.19,5
CPT,82651,HC 5-A-DIHYDROTESTOSTERONE MS/MS,161.7,56.6,46.31,120.47,5
CPT,82651,HC DIHYDROTESTOSTERONE,105.46,36.92,30.2,78.57,5
CPT,82652,"HC VITAMIN D, 1, 25-DIHYDROXY ARUP 0080385",94.62,33.12,32.45,134.64,10
CPT,82652,"HC VITAMIN D, 1,25 DI-OH",101.24,35.44,34.73,134.64,10
CPT,82653,"HC PANCREATIC ELASTASE, FECAL BY IMMUNOASSAY ARUP 3002858",493.42,172.7,22.97,276.32,10
CPT,82656,EL-1 FECAL QUAL/SEMIQ,,,11.53,40.32,7
CPT,82657,HC ALPHA-GALACTOSIDASE SERUM ARUP 2003204,1244.82,435.69,22.17,697.1,10
CPT,82657,"HC AMINOLEVULINIC ACID DEHYDRATASE (ALAD), BLOOD ARUP 2011012",1240.75,434.27,22.17,694.82,10
CPT,82657,HC ENZ ACT BLD NOS NON RAD SUB EA,153.81,53.84,22.17,86.13,10
CPT,82657,"HC GAUCHER DISEASE (GBA), ENZYME ACTIVITY IN LEUKOCYTES ARUP 2014459",554.4,194.04,22.17,310.46,10
CPT,82657,HC LYSOSOMAL ENZYME ASSAY,1802.49,630.88,22.17,1009.39,10
CPT,82657,HC NZYM ACTIV BLD CELLS/TISS NONRADACT SUBSTRATE EA  (MPS PANEL) U OF UTAH,471.24,164.94,22.17,263.89,10
CPT,82657,HC NZYM ACTIV BLD CELLS/TISS NONRADACT SUBSTRATE EA ARUP 0099603,1150.38,402.64,22.17,644.21,10
CPT,82657,"HC POMPE DISEASE (GAA), ENZYME ACTIVITY IN LEUKOCYTES ARUP 2014463",554.4,194.04,22.17,310.46,10
CPT,82657,"HC PORPHOBILINOGEN DEAMINASE,ERY",112.48,39.37,22.17,77.53,10
CPT,82657,"HC THIOPURINE METHYLTRANSFERASE, RBC",1006.79,352.38,22.17,563.8,10
CPT,82657,HC THYMIDINE PHOSPHORYLASE ENZYME ANALYSIS (BLOOD) MAYO NTRK,1164.24,407.49,22.17,651.97,10
CPT,82657,HC UROPORPHYRINOGEN ARUP TO MAYO UPGD,1326.13,464.15,22.17,742.63,10
CPT,82658,HC ENZ ACT TISS RADIOACT EA SP,113.56,39.75,38.95,153.98,10
CPT,82658,HC ERYTHRO HYPOX GUANINE PHOS/TSF,736.02,257.61,44.03,412.17,10
CPT,82658,HC NZYM ACTV BLOOD CELLS/TISS RADACT SUBSTRATE EA ARUP 0099603,1150.38,402.64,44.03,644.21,10
CPT,82664,HC CHYLOMICRON SCREEN,216.29,75.71,61.5,215.07,10
CPT,82664,"HC CHYLOMICRON SCREEN, BODY FLUID ARUP 0098457",103.49,36.23,35.5,215.07,10
CPT,82664,HC ELCTROPHORETIC TECHNIQUE NOT ELSEWHERE SPECIFIED ARUP 2014314,266.71,93.35,61.5,215.07,10
CPT,82664,HC ELECTROPHORETIC TEST ARUP 0081352,443.52,155.24,61.5,248.37,10
CPT,82668,HC ERYTHRPOIETIN,136.99,47.95,18.79,76.71,10
CPT,82670,HC ESTRADIOL,139.39,48.79,27.94,97.71,10
CPT,82670,"HC ESTRADIOL (ADULT MALES,CHILDREN,POSTMENO FEMALES OR INDIV ON ESTROGEN-SUP HORMONE) ARUP 0093247",100.42,35.15,27.94,97.71,10
CPT,82670,HC ESTRADIOL (ADULT PREMENOPAUSAL FEMALES OR INDIVIDUALS ON ESTROGEN HORMONE THERAPY) ARUP 0070045,55.44,19.41,19.02,97.71,10
CPT,82670,HC FREE ESTRADIOL BY ED/LC-MS/MS ARUP 2006160,750.29,262.61,27.94,420.16,10
CPT,82671,"HC ESTROGEN, FRCT",97.65,34.18,32.3,112.95,10
CPT,82671,"HC ESTROGENS, FRACTIONATED BY MASS SPEC ARUP 0093248",140.45,49.16,32.3,112.95,10
CPT,82672,"HC ESTROGENS TOTAL, 24 HR URINE",143.3,50.16,21.7,80.25,10
CPT,82672,"HC ESTROGENS TOTAL, 24 HR URINE Q",135.05,47.27,21.7,75.88,10
CPT,82672,"HC ESTROGENS, TOTAL BLOOD",130.09,45.54,21.7,75.88,10
CPT,82677,HC ESTRIOL,159.82,55.94,24.18,89.5,10
CPT,82677,"HC ESTRIOL, SERUM",150.65,52.73,24.18,84.56,10
CPT,82679,HC ESTRONE BY TANDEM MASS SPECTRO,129.36,45.28,24.95,87.25,10
CPT,82681,ASSAY DIR MEAS FR ESTRADIOL,,,27.94,97.71,7
CPT,82693,HC ETHYLENE GLYCOL,131.58,46.06,14.9,73.68,10
CPT,82696,ASSAY OF ETIOCHOLANOLONE,,,26.24,91.76,7
CPT,82705,"HC FAT, QUAL",65.2,22.82,5.1,36.51,10
CPT,82705,HC FECES EXAM,65.2,22.82,5.1,36.51,10
CPT,82710,"HC FAT, FECAL QUANTITATIVE 72-HOUR COLLECTION (INCLUDES HOMOGENIZATION) ARUP 2002356",355.74,124.51,16.8,199.21,10
CPT,82710,"HC FAT, FECAL QUANTITATIVE, HOMOGENIZED ALIQUOT ARUP 2002350",117.35,41.08,16.8,65.72,10
CPT,82710,"HC FAT,FECAL QUANTITATIVE 24HR COLLECTION (INCL HOMOGENIZATION)ARUP 2002354",226.38,79.24,16.8,126.77,10
CPT,82715,ASSAY OF FECAL FAT,,,22.97,80.32,7
CPT,82725,HC FREE FATTY ACIDS,88.02,30.81,18.77,65.64,10
CPT,82726,HC VERY LONG CHAIN FATTY ACIDS,743.53,260.24,19.75,416.38,10
CPT,82728,"HC FERRITIN, SERUM",96.73,33.86,13.63,54.17,10
CPT,82731,HC FETAL FIBRONECTIN,271.58,95.06,64.41,225.24,10
CPT,82735,HC FLUORIDE QUANTITATIVE SERUM OR PLASMA ARUP 0091341,399.17,139.71,18.54,223.54,10
CPT,82746,HC FOLATE SERUM,81.11,28.39,14.7,51.41,10
CPT,82747,"HC FOLATE, RBC",72.09,25.24,17.65,61.73,10
CPT,82757,HC FRUCTOSE QUAL SEMEN,74.5,26.08,17.34,60.64,10
CPT,82759,HC GALACTOKINASE,883.21,309.13,21.48,494.6,10
CPT,82760,HC GALACTOSE SERUM,355.99,124.6,11.2,199.35,10
CPT,82760,HC GALACTOSE URINE,355.99,124.6,11.2,199.35,10
CPT,82775,HC GAL-1-P URIDYLTRANSFERASE,739.02,258.66,21.07,413.85,10
CPT,82775,"HC GALACTOSE-1-PHOS, U",139.1,48.69,21.07,77.9,10
CPT,82775,"HC GALACTOSE-1-PHOSPHATE URIDYLTRANSFERASE (GALT ENZYME), RBC ARUP 3001790",497.85,174.25,21.07,278.8,10
CPT,82776,HC GALACTOSE-1-PHOSPHATE URIDYL NEWBORN,23.56,8.25,8.08,41.05,10
CPT,82777,GALECTIN-3,,,44.25,154.74,7
CPT,82784,HC ASSAY OF GAMMAGLOBULIN  IGM,63.69,22.3,9.3,35.67,10
CPT,82784,HC ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH ARUP 0080440,73.33,25.67,9.3,41.06,10
CPT,82784,HC IGA BEAKER LAB73,98.04,34.32,9.3,54.9,10
CPT,82784,HC IGD,63.69,22.3,9.3,35.67,10
CPT,82784,HC IGG,69.7,24.4,9.3,39.03,10
CPT,82784,HC IGG TOTAL,115.96,40.595,9.3,94.21,30
CPT,82784,HC IGM,69.7,24.4,9.3,39.03,10
CPT,82784,"HC IMMUNOGLOBULIN A, ARUP 0050340",25.87,9.06,8.87,32.52,10
CPT,82784,"HC IMMUNOGLOBULIN D, SERUM ARUP 3003486",27.95,9.79,9.3,32.52,10
CPT,82784,"HC IMMUNOGLOBULIN G, ARUP 0050350",32.15,11.26,9.3,32.52,10
CPT,82784,"HC IMMUNOGLOBULIN G, CSF ARUP 3003485",20.1,7.04,6.89,32.52,10
CPT,82784,"HC IMMUNOGLOBULIN M, ARUP 0050355",32.15,11.26,9.3,32.52,10
CPT,82784,"HC IMMUNOGLOBULIN M, CSF",28.53,9.99,9.3,32.52,10
CPT,82784,HC REFLEX IMMUNOGLOBULIN A ARUP RFLX IGA,22.4,7.84,7.68,32.52,10
CPT,82784,HC TOTAL IGA AB SERUM,36.05,12.62,9.3,32.52,20
CPT,82785,HC ASSAY OF GAMMAGLOBULIN IGE ARUP 2006399,22.88,8.01,7.85,57.56,10
CPT,82785,HC ASSAY OF IGE ARUP 2004243,48.51,16.98,16.46,57.56,10
CPT,82785,HC ASSAY OF IGE WEST KENTUCKY GROUP ARUP 0055218,18.57,6.5,6.37,57.56,10
CPT,82785,HC GAMMAGLOBULIN (IMMUNOGLOBULIN) IGE ARUP 3001721,22.64,7.93,7.77,57.56,10
CPT,82785,HC IGE,91.04,31.87,16.46,57.56,10
CPT,82787,HC GAMMAGLOBULIN IMMUNOGLOBULIN SUBCLASSES ARUP 0050577,61.25,21.44,8.02,34.3,10
CPT,82787,HC IGG SUBCLASS 1,168.23,58.89,8.02,94.21,10
CPT,82787,HC IGG SUBCLASS 2,168.23,58.89,8.02,94.21,10
CPT,82787,HC IGG SUBCLASS 3,168.23,58.89,8.02,94.21,10
CPT,82787,HC IGG SUBCLASS 4,168.23,58.89,8.02,94.21,10
CPT,82800,HC ABG (PH),85.31,29.86,11.0,47.77,10
CPT,82800,"HC GASES,BLOOD,PH ONLY",68.5,23.98,11.0,38.47,10
CPT,82803,HC BLOOD GAS PH PO2 &/OR PCO2,197.98,69.3,26.07,110.87,10
CPT,82805,HC BLOOD GASES W/O2 SATURATION,276.36,96.73,78.77,275.45,10
CPT,82810,HC O2 SATURATION MEAS,69.7,24.4,9.77,39.03,10
CPT,82810,HC OXYHEMOGLOBIN (O2HB%),80.85,28.3,9.77,45.28,10
CPT,82820,HC OXYGEN DISSOCATION P50 RBC,1783.27,624.15,13.34,998.63,10
CPT,82820,HC OXYGEN DISSOCIATION P50 ERYTHROCYTES ARUP TO MAYO MEDICAL LABS,2225.64,778.98,13.34,1246.36,10
CPT,82930,GASTRIC ANALY W/PH EA SPEC,,,6.71,23.47,7
CPT,82938,HC GASTRIN 10 MINUTE  ARUP 2012734,65.2,22.82,17.69,61.86,10
CPT,82938,HC GASTRIN 2 MINUTE ARUP 2012638,65.2,22.82,17.69,61.86,10
CPT,82938,HC GASTRIN 30 MINUTE ARUP 2012736,65.2,22.82,17.69,61.86,10
CPT,82938,HC GASTRIN 5 MINUTE ARUP 2012732,65.2,22.82,17.69,61.86,10
CPT,82941,HC GASTRIN,115.96,40.59,17.63,64.94,10
CPT,82943,HC GLUCAGON,86.53,30.29,14.29,49.97,10
CPT,82945,"HC GLUCOSE, BODY FLUID OTHER",65.8,23.03,3.93,36.85,10
CPT,82945,"HC GLUCOSE, URINE, QUANT",65.8,23.03,3.93,36.85,10
CPT,82946,GLUCAGON TOLERANCE TEST,,,17.77,62.14,7
CPT,82947,HC GLUCOSE QUAN,59.8,20.93,3.93,33.49,10
CPT,82948,HC REAGENT STRIP/BLOOD GLUCOSE,24.04,8.42,5.04,17.62,10
CPT,82950,"HC GLUCOSE, POST GLUCOSE DOSE",46.87,16.41,4.75,26.25,10
CPT,82951,"HC GLUCOSE,TOL TEST, 3 SPEC. EXPL",107.25,37.54,12.87,60.06,10
CPT,82952,"HC GLUCOSE,TOL TEST, EACH ADD SPE",40.25,14.09,3.92,22.54,10
CPT,82953,HC TOLBUTAMIDE,85.32,29.87,24.44,63.56,5
CPT,82955,HC GLU-6-PHOS DEHYDROGENASE,86.22,30.18,9.7,48.28,10
CPT,82960,TEST FOR G6PD ENZYME,,,6.05,21.15,7
CPT,82962,"HC GLUCOSE, STRIP",28.84,10.1,3.28,16.15,10
CPT,82963,ASSAY OF GLUCOSIDASE,,,21.48,75.12,7
CPT,82965,ASSAY OF GDH ENZYME,,,13.15,45.98,7
CPT,82977,HC ASSAY OF GGT-ARUP2005661,144.14,50.45,7.2,80.72,10
CPT,82977,HC GGT,56.49,19.78,7.2,31.63,10
CPT,82978,ASSAY OF GLUTATHIONE,,,15.45,54.02,7
CPT,82979,ASSAY RBC GLUTATHIONE,,,9.44,33.01,7
CPT,82985,HC FRUCTOSAMINE,94.93,33.23,16.76,58.61,10
CPT,83001,HC FOLLICLE STIMULATING HORMONE,113.56,39.75,18.58,64.96,10
CPT,83002,HC LUTEINIZING HORMONE,123.77,43.32,18.52,69.31,10
CPT,83003,HC GROWTH HORMONE,109.96,38.49,16.67,61.58,10
CPT,83006,GROWTH STIMULATION GENE 2,,,75.6,264.36,7
CPT,83009,H PYLORI (C-13) BLOOD,,,67.36,235.55,7
CPT,83010,HC HAPTOGLOBIN QUAN,93.13,32.6,12.58,52.15,10
CPT,83012,ASSAY OF HAPTOGLOBINS,,,26.89,94.02,7
CPT,83013,H PYLORI (C-13) BREATH,,,67.36,235.55,7
CPT,83014,H PYLORI DRUG ADMIN,,,7.86,27.49,7
CPT,83015,HC ARSENIC HAIR,117.47,41.12,20.94,73.23,10
CPT,83018,"HC COBALT, URINE ARUP 0025032",90.55,31.7,21.96,76.8,10
CPT,83018,HC GADOLINIUM SERUM ARUP TO MAYO GDS,687.83,240.75,21.96,385.18,10
CPT,83018,"HC HEAVY METAL, QUANT-EACH",71.4,24.99,21.96,76.8,10
CPT,83018,HC IODINE URINE ARUP 2007465,609.84,213.45,21.96,341.51,10
CPT,83018,HC IODINE-SERUM ARUP 2007463,609.84,213.45,21.96,341.51,10
CPT,83018,HC THALLIUM,145.1,50.79,21.96,81.26,10
CPT,83018,HC THALLIUM URINE ARUP TEST 0025019,81.14,28.4,21.96,76.8,10
CPT,83018,"HC THALLIUM, WHOLE BLOOD ARUP 0099610",90.09,31.54,21.96,76.8,10
CPT,83018,HC TITANIUM,313.34,109.67,21.96,175.47,10
CPT,83018,HC URANIUM,141.64,49.58,21.96,79.32,10
CPT,83020,HC  REFLEX BILL FOR CAPILLARY ELECTROPHORESIS REFLEX TESTING ARUP 2008995,122.89,43.02,12.87,68.82,10
CPT,83020,HC ALKALINE AGAR HGB ELECTRO,74.92,26.23,12.87,45.01,10
CPT,83020,HC CITRATE AGAR HGB ELECTRO,74.92,26.23,12.87,45.01,10
CPT,83020,HC HEMOGLOBIN A2,110.56,38.7,12.87,61.91,10
CPT,83020,HC HEMOGLOBIN ELECTROPHORESIS,110.56,38.7,12.87,61.91,10
CPT,83020,HC HEMOGLOBIN NEWBORN,23.56,8.25,8.08,45.01,10
CPT,83021,HC HEMOGLOBIN ELECTROPHORESIS,116.5,40.78,18.06,65.24,10
CPT,83021,HC HEMOGLOBIN EVALUATION REFLEXIVE CASCADE ARUP 2005792,135.83,47.55,18.06,76.06,10
CPT,83021,HC HEMOGLOBIN EVALUATION WITH REFLEX TO ELECTROPHORESIS AND/OR RBC SOLUBILITY ARUP 3017101,103.49,36.23,18.06,63.15,10
CPT,83026,HEMOGLOBIN COPPER SULFATE,,,4.01,14.03,7
CPT,83030,HC HEMOGLOBIN F,44.45,15.56,10.74,37.55,10
CPT,83033,HC FETAL HEMOGLOBIN APT TEST ARUP 0020156,25.87,9.06,8.0,27.98,10
CPT,83036,HC HEMOGLOBIN A1C,61.89,21.67,9.71,34.66,10
CPT,83037,HB GLYCOSYLATED A1C HOME DEV,,,9.71,33.96,7
CPT,83045,HGB METHEMOGLOBIN QUAL,,,6.49,22.7,7
CPT,83050,HC BLOOD METHEMOGLOBIN ASSAY ARUP TO MAYO MET,296.6,103.81,8.2,166.1,10
CPT,83050,HC METHEMOGLOBIN,137.75,48.215,8.2,111.37,20
CPT,83050,"HC METHEMOGLOBIN, QUAN",198.88,69.61,8.2,111.37,10
CPT,83051,"HC HEMOGLOBIN, PLASMA",107.56,37.65,7.31,60.23,10
CPT,83060,HC BLOOD SULFHEMOGLOBIN ASSAY ARUP TO MAYO MET,296.6,103.81,8.8,166.1,10
CPT,83060,HC SULFHEMOGLOBIN,224.1,78.44,8.8,125.5,10
CPT,83060,"HC SULFHEMOGLOBIN QUANTITATIVE, WHOLE BLOOD ARUP 0091568",683.76,239.32,8.8,382.91,10
CPT,83065,HEMOGLOBIN THERMOLABILE,,,9.0,31.47,7
CPT,83068,HEMOGLOBIN UNSTABLE SCREEN,,,9.47,33.12,7
CPT,83069,HEMOGLOBIN URINE,,,3.95,13.82,7
CPT,83070,HC HEMOSIDERIN,77.81,27.24,4.75,43.57,10
CPT,83080,HC HEXOS A PCT PLASMA W/RFLX TO HEXOS LEUK ARUP 2008129,857.47,300.12,16.87,480.18,10
CPT,83080,HC HEXOSAMINIDASE,727.91,254.77,16.87,407.63,10
CPT,83080,HC HEXOSAMINIDASE A PERCENT & TOTAL HEXOSAMINIDASE IN LEUKOCYTES ARUP 2008125,1186.42,415.25,16.87,664.4,10
CPT,83080,HC HEXOSAMINIDASE TOTAL SERUM,48.11,16.84,16.5,59.0,10
CPT,83080,HC REFLEX HEXOSAMINIDASE A PERCENT & TOTAL IN LEUKOCYTES ARUP 2008470,1186.42,415.25,16.87,664.4,10
CPT,83088,"HC HISTAMINE DETERMINATION, WHOLE BLOOD ARUP TO LABCORP 081315",1086.92,380.43,29.53,608.68,10
CPT,83088,HC HISTAMINE RANDOM URINE,89.53,31.34,29.53,103.26,10
CPT,83088,HC HISTAMINE WHOLE BLOOD ARUP 0070037,107.92,37.78,29.53,103.26,10
CPT,83088,"HC HISTAMINE, PLASMA ARUP 0070036",87.68,30.69,29.53,103.26,10
CPT,83090,HC HOMOCYSTEINE QUANT,114.28,40.0,17.92,64.0,10
CPT,83150,HC HOMOVANILLIC ACID,121.97,42.69,22.41,78.37,10
CPT,83491,HC 17-OH CORTICOSTEROIDS,115.67,40.49,17.9,64.78,10
CPT,83497,"HC 5-HYDROXYINDOLEACETIC ACID (HIAA), PLASMA ARUP 3016920",749.06,262.18,12.9,419.47,10
CPT,83497,HC HIAA URINE,96.73,33.86,12.9,54.17,10
CPT,83498,HC 17 HYDROXYPROGESTERONE NEWBORN,40.45,14.16,13.87,95.01,10
CPT,83498,"HC 17-HYDROXYPROGESTERONE QUANTITATIVE BY HPLC-MS/MS, SERUM OR PLASMA  ARUP 0092332",86.92,30.43,27.17,95.01,10
CPT,83498,"HC 17-HYDROXYPROGESTERONE, URINE  ARUP 0098378",665.28,232.85,27.17,372.56,10
CPT,83498,HC 17-OH PROGESTERONE,175.45,61.41,27.17,98.25,10
CPT,83498,HC ASSAY OF HYDROXYPROGESTERONE 17-D ARUP 2002283,98.88,34.61,27.17,95.01,10
CPT,83500,"HC HYDROXYPROLINE, FREE",149.61,52.37,22.65,83.78,10
CPT,83505,ASSAY TOTAL HYDROXYPROLINE,,,24.3,84.97,7
CPT,83516,HC 21-HYDROXYLASE AUTOANTIBODIES SERUM ARUP 3001962,288.29,100.91,11.53,161.44,10
CPT,83516,"HC 3-HYDROXY-3-METHYLGLUTARYL COENZYME A REDUCTASE (HMGCR) ANTIBODY, IGG",426.89,149.42,11.53,239.06,10
CPT,83516,HC ACETYLCHOL RECPTOR MOD ANTIB,187.57,65.65,11.53,105.04,10
CPT,83516,HC ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODY ARUP 0099580,130.24,45.59,11.53,72.93,10
CPT,83516,HC ACETYLCHOLINE RECPTOR BLOCK AB,143.44,50.21,11.53,80.33,10
CPT,83516,"HC ANTI-C1Q ANTIBODY, IGG ARUP 2007601",310.46,108.67,11.53,173.86,10
CPT,83516,HC ANTI-FIBRILLARIN(U3RNP) BY IPP,140.91,49.32,11.53,78.91,10
CPT,83516,HC ANTI-GMCSF ELISA NATIONAL JEWISH GMCSE,293.72,102.81,11.53,164.48,10
CPT,83516,HC ANTI-TH/TO ANTIBODY (RDL) ARUP TO LABCORP 520016,310.46,108.67,11.53,173.86,10
CPT,83516,HC ANTI-TH/TP BY IPP,140.91,49.32,11.53,78.91,10
CPT,83516,HC ANTI-TISSUE TRANSGLUTAMINASE IGA,80.05,28.02,11.53,44.83,10
CPT,83516,HC AQUAPORIN-4 RECEPTOR ANTIBODY,513.98,179.9,11.53,287.83,10
CPT,83516,HC CELIAC DISEASE DUAL ANTIGEN SCREEN,253.55,88.75,11.53,141.99,10
CPT,83516,"HC CHROMATIN ANTIBODY, IGG ARUP 2005287",177.41,62.1,11.53,99.35,10
CPT,83516,HC COLLAGEN TYPE VII ANTIBODY IGG BY ELISA ARUP 2010905,417.21,146.03,11.53,233.64,10
CPT,83516,HC CYTOSOLIC 5'-NUCLEOTIDASE 1A (CN-1A) ANTIBODY (IGG) ARUP TO QUEST SAN JUAN CAPISTRAN 10266,1038.4,363.44,11.53,581.5,10
CPT,83516,HC DESMOGLEIN-3 ANTIBODIES-IGG,361.75,126.62,11.53,202.58,10
CPT,83516,HC EJ (GLYCYL-TRNA SYNTHETASE) AB,109.46,38.32,11.53,61.3,10
CPT,83516,HC FETAL LUNG MATURITY,161.02,56.36,11.53,90.17,10
CPT,83516,HC GANGLIOSIDE ANTIBODY IGG,1057.98,370.3,11.53,592.47,10
CPT,83516,HC GANGLIOSIDE ANTIBODY IGM,187.57,65.65,11.53,105.04,10
CPT,83516,HC GANGLIOSIDE ASIALO-GM1 AUTOABS,49.63,17.38,11.53,40.32,10
CPT,83516,HC GANGLIOSIDE GD1A ANTIBODY,49.63,17.38,11.53,40.32,10
CPT,83516,HC GANGLIOSIDE GD1B AUTOABS,49.63,17.38,11.53,40.32,10
CPT,83516,HC GANGLIOSIDE GM1 AUTOABS,49.63,17.38,11.53,40.32,10
CPT,83516,HC GANGLIOSIDE GM2 ANTIBODY,49.63,17.38,11.53,40.32,10
CPT,83516,HC GANGLIOSIDE GQ1B ANTIBODY,49.63,17.38,11.53,40.32,10
CPT,83516,"HC GASTRIC PARIETAL CELL ANTIBODY, IGG ARUP 0050596",95.74,33.51,11.53,53.61,10
CPT,83516,HC GLIADIN IGA ABS,133.38,46.69,11.53,74.69,10
CPT,83516,HC GLIADIN IGG ABS,133.38,46.69,11.53,74.69,10
CPT,83516,HC GLOMERULAR BASEMENT MEMBRANE AB IGG BY MULTIPLEX BEAD ASSAY ARUP 0051000,86.92,30.43,11.53,48.68,10
CPT,83516,HC GLUTAMIC ACID DECARBOXY ABS,126.49,44.28,11.53,70.83,10
CPT,83516,HC HEAT SHOCK PROTEIN 70 IGG IMMUNOBLOT (HSP) ARUP  2013590,720.72,252.26,11.53,403.6,10
CPT,83516,"HC HISTONE ANTIBODY, IGG",51.74,18.11,11.53,40.32,10
CPT,83516,HC IMMUN ANAL QUAL NT INF AGT,161.02,56.36,11.53,90.17,10
CPT,83516,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE ARUP 2004998,114.27,40.0,11.53,63.99,10
CPT,83516,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP ARP 3003058,166.56,58.3,11.53,93.27,10
CPT,83516,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP ARUP 0090649,723.49,253.23,11.53,405.15,10
CPT,83516,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP ARUP 2004412,243.56,85.25,11.53,136.39,10
CPT,83516,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP ARUP 2005639,198.89,69.62,11.53,111.38,10
CPT,83516,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP ARUP 2007966,93.79,32.83,11.53,52.52,10
CPT,83516,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP ARUP 2013008,80.72,28.26,11.53,45.2,10
CPT,83516,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP ARUP 3001410,265.85,93.05,11.53,148.88,10
CPT,83516,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP ARUP 3001869,134.72,47.16,11.53,75.44,10
CPT,83516,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP ARUP 3002479,52.67,18.44,11.53,40.32,10
CPT,83516,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP ARUP 3003745,62.96,22.04,11.53,40.32,10
CPT,83516,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAN ARUP TO MAYO DMNES,167.0,58.45,11.53,93.52,10
CPT,83516,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAN MULTIPLE STEP ARP 0050591,107.18,37.52,11.53,60.02,10
CPT,83516,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAN MULTIPLE STEP ARUP 2007965,107.04,37.47,11.53,59.94,10
CPT,83516,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAN MULTIPLE STEP ARUP 2012729,162.57,56.9,11.53,91.04,10
CPT,83516,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAN MULTIPLE STEP ARUP 2013990,114.4,40.04,11.53,64.06,10
CPT,83516,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAN MULTIPLE STEP ARUP 3001409,216.21,75.68,11.53,121.08,10
CPT,83516,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAN MULTIPLE STEP ARUP 3001782,135.52,47.44,11.53,75.89,10
CPT,83516,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAN MULTIPLE STEP ARUP 3018867,54.26,19.0,11.53,40.32,10
CPT,83516,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAN MULTIPLE STEP ARUP TO LABCORP SLC 520080,89.1,31.19,11.53,49.9,10
CPT,83516,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAN MULTIPLE STEP ARUP TO MAYO NMS1,704.0,246.4,11.53,394.24,10
CPT,83516,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAN MULTIPLE STEP ARUP TO NATIONAL JEWISH GMCSE,73.63,25.78,11.53,41.23,10
CPT,83516,HC IMMUNOASSAY NONANTIBODY - ARUP 0051033,69.85,24.45,11.53,40.32,10
CPT,83516,HC IMMUNOASSAY NONANTIBODY 1,94.24,32.99,11.53,52.77,10
CPT,83516,HC IMMUNOASSAY NONANTIBODY 10,94.24,32.99,11.53,52.77,10
CPT,83516,HC IMMUNOASSAY NONANTIBODY 11,94.24,32.99,11.53,52.77,10
CPT,83516,HC IMMUNOASSAY NONANTIBODY 12,94.24,32.99,11.53,52.77,10
CPT,83516,HC IMMUNOASSAY NONANTIBODY 2,94.24,32.99,11.53,52.77,10
CPT,83516,HC IMMUNOASSAY NONANTIBODY 3,94.24,32.99,11.53,52.77,10
CPT,83516,HC IMMUNOASSAY NONANTIBODY 4,94.24,32.99,11.53,52.77,10
CPT,83516,HC IMMUNOASSAY NONANTIBODY 5,94.24,32.99,11.53,52.77,10
CPT,83516,HC IMMUNOASSAY NONANTIBODY 6,94.24,32.99,11.53,52.77,10
CPT,83516,HC IMMUNOASSAY NONANTIBODY 7,94.24,32.99,11.53,52.77,10
CPT,83516,HC IMMUNOASSAY NONANTIBODY 8,94.24,32.99,11.53,52.77,10
CPT,83516,HC IMMUNOASSAY NONANTIBODY 9,94.24,32.99,11.53,52.77,10
CPT,83516,HC IMMUNOASSAY NONANTIBODY ARUP 0090650,432.2,151.27,11.53,242.03,10
CPT,83516,HC IMMUNOASSAY NONANTIBODY ARUP 0092001,271.87,95.16,11.53,152.25,10
CPT,83516,HC IMMUNOASSAY NONANTIBODY ARUP 2007209,47.81,16.74,11.53,40.32,10
CPT,83516,HC IMMUNOASSAY NONANTIBODY ARUP 2013601,696.93,243.93,11.53,390.28,10
CPT,83516,HC IMMUNOASSAY NONANTIBODY ARUP 2013955,198.35,69.43,11.53,111.08,10
CPT,83516,HC IMMUNOASSAY NONANTIBODY ARUP 3000479,135.58,47.46,11.53,75.92,10
CPT,83516,HC IMMUNOASSAY NONANTIBODY ARUP 3000480,178.02,62.31,11.53,99.69,10
CPT,83516,HC IMMUNOASSAY NONANTIBODY ARUP TO U OF IOWA,423.19,148.12,11.53,236.99,10
CPT,83516,HC IMMUNOASSAY NONANTIBODY- ARUP 0092566,361.75,126.62,11.53,202.58,10
CPT,83516,HC IMMUNOASSAY NONANTIBODY-ARUP2013325,178.02,62.31,11.53,99.69,10
CPT,83516,HC IMNASSAY NOT N/IA AB/AG-QL/SQT,369.6,129.36,11.53,206.98,10
CPT,83516,HC KU ANTIBODY,109.46,38.32,11.53,61.3,10
CPT,83516,HC KU ARUP TO RDL 279,240.24,84.09,11.53,134.53,10
CPT,83516,"HC MA2EC MA2 AB ELISA, CSF MAYO CLINIC LAB",1200.0,420.0,11.53,672.0,10
CPT,83516,"HC MA2ES MA2 AB ELISA, SERUM MAYO CLINIC LAB",1200.0,420.0,11.53,672.0,10
CPT,83516,HC MDA-5 (P140) (CADM-140) ARUP TO U OF UTAH,591.36,206.98,11.53,331.16,10
CPT,83516,HC MI-2 (NUCLEAR HELICASE PROT),109.46,38.32,11.53,61.3,10
CPT,83516,HC MI-2 AUTOANTIBODIES ARUP TO RDL 237,240.24,84.09,11.53,134.53,10
CPT,83516,HC MITOCHONDRIAL(M2) IGG AUTOABS,73.29,25.66,11.53,41.04,10
CPT,83516,HC MYELIN ASSOCIATED GLYCOPROTEIN (MAG) ANTIBODY,100.9,35.32,11.53,56.5,10
CPT,83516,HC MYELIN ASSOCIATED GLYCOPROTEIN (MAG) ANTIBODY IGM ARUP 0051285,81.69,28.6,11.53,45.75,10
CPT,83516,HC MYELOPEROXIDASE AB,72.7,25.45,11.53,40.71,10
CPT,83516,HC NATALIZUMAB ANTIBODIES,1007.6,352.66,11.53,564.26,10
CPT,83516,HC NEURONAL AB IGG-HU/RI/YO/AMPH,261.45,91.51,11.53,146.41,10
CPT,83516,HC NEURONAL NUCLEAR AB IGG-IMMBL,611.88,214.16,11.53,342.65,10
CPT,83516,HC NNA IGG IMMUNOBLOT RFLX,516.14,180.65,11.53,289.04,10
CPT,83516,HC OJ (ISOLEUCYL-TRNA SYNTET) AB,109.46,38.32,11.53,61.3,10
CPT,83516,HC P155/140 (TIF1-?GAMMA) AB,109.46,38.32,11.53,61.3,10
CPT,83516,"HC PHOSPHATIDYLSERINE & PROTHROMBIN ANTIBDS, IGG & IGM-ARUP2009451",291.06,101.88,11.53,162.99,10
CPT,83516,HC PL-12 (ALANYL-TRA SYNTHET) AB,109.46,38.32,11.53,61.3,10
CPT,83516,HC PL-7(THREONYL-TRNA SYNTHET) A,109.46,38.32,11.53,61.3,10
CPT,83516,HC PM/SCL COMPLEX AB,109.46,38.32,11.53,61.3,10
CPT,83516,HC PR-3 ARUP 2006480,77.62,27.17,11.53,43.47,10
CPT,83516,"HC PROTHROMBIN ANTIBODY, IGG ARUP 0051302",213.6,74.76,11.53,119.62,10
CPT,83516,HC REFLEX 3-HYDROXY-3-METHYLGLUTARYL COENZYME A REDUCTASE (HMGCR) ANTIBODY IGG  ARUP RFLX HMGCR,432.0,151.2,11.53,241.92,10
CPT,83516,"HC REFLEX CHROMATIN ANTIBODY, IGG ARUP 2005287",177.41,62.1,11.53,99.35,10
CPT,83516,HC REFLEX NEURONAL NUCLEAR AB (HU RI YO) IGG BY IMMUNOBLOT CSF ARUP 2010847,516.14,180.65,11.53,289.04,10
CPT,83516,"HC REFLEX RNA POLYMERASE III ANTIBODY, IGG ARUP 2001601",243.2,85.12,11.53,136.19,10
CPT,83516,"HC RIBOSOMAL P ANTIBODY, CSF ARUP TO QUEST 90637",642.73,224.96,11.53,359.93,10
CPT,83516,HC RIBOSOMAL P PROTEIN ANTIBODY,103.49,36.23,11.53,57.95,10
CPT,83516,"HC RNA POLYMERASE III AB, IGG",175.15,61.31,11.53,98.08,10
CPT,83516,HC SERINE PROTEASE 3 AB,133.38,46.69,11.53,74.69,10
CPT,83516,HC SIGNAL RECOGNITION PARTICLE (SRP) ANTIBODY ARUP 2002098,277.2,97.02,11.53,155.23,10
CPT,83516,HC SMOOTH MUSCLE AB SCREEN,72.09,25.24,11.53,40.37,10
CPT,83516,HC SOLUBLE LIVER ANTIGEN ANTIBODY IGG ARUP 0055235,59.51,20.83,11.53,40.32,10
CPT,83516,HC SRP-SIGNL RECOGNITN PARTCLE AB,109.46,38.32,11.53,61.3,10
CPT,83516,HC TH/TO ANTIBODY-ARUP U OF UTAH 233,295.68,103.49,11.53,165.58,10
CPT,83516,HC TISSUE TRANSGLUTAMINASE IGG,121.72,42.61,11.53,68.16,10
CPT,83516,HC TRANSGLUTAMINASE IGA AB,38.16,13.36,11.53,40.32,10
CPT,83516,HC TSH RECEPTOR AB 3RD GEN,100.61,35.22,11.53,56.34,10
CPT,83516,HC TYSABRI AB,386.93,135.43,11.53,216.68,10
CPT,83516,HC U2 SN (SMALL NUCLEAR) RNP AB,109.46,38.32,11.53,61.3,10
CPT,83518,"HC ALPHA DEFENSIN, LATERAL FLOW ASSAY, SYNOVIAL FLUID ARUP TO MAYO ALDEF",1681.68,588.59,9.64,941.74,10
CPT,83519,HC ACETYL CHOLINE RECEP BINDING,85.02,29.76,18.4,64.35,10
CPT,83519,HC ACETYLCHOLINE RECEPTOR BINDING,143.44,50.21,18.4,80.33,10
CPT,83519,"HC ACETYLCHOLINE RECEPTOR BINDING AB W REFLEX TO MUSCLE-SPECIFIC KINASE (MUSK) AB, IGG ARUP 3001868",132.68,46.44,18.4,74.3,10
CPT,83519,HC ACH RECPTR (MUSCLE) BNDG AB,173.88,60.86,18.4,97.37,10
CPT,83519,HC ACHR GANGLIONIC NEURONAL AB,173.88,60.86,18.4,97.37,10
CPT,83519,HC ADRENAL 21-HYDROXYLASE AB,85.02,29.76,18.4,64.35,10
CPT,83519,HC ALPHA SUB UNIT,278.36,97.43,18.4,155.88,10
CPT,83519,HC CALCIUM CHAN BIND AB N-TYPE,126.49,44.28,18.4,70.83,10
CPT,83519,HC CALCIUM CHAN BIND AB P/Q-TYPE,126.49,44.28,18.4,70.83,10
CPT,83519,HC GANGLIONI ACHR ANTIBODY,1811.04,633.87,18.4,1014.18,10
CPT,83519,HC GANGLIONIC ACETYLCHOLINE RECEPTOR ANTIBODY ARUP 3003020,1090.32,381.62,18.4,610.58,10
CPT,83519,HC GH RELEASING HORMONE,734.45,257.06,18.4,411.29,10
CPT,83519,HC GROWTH HORMONE RELEASING HORMONE (GH-RH) ARUP TO INTERSCIENCE INSTITUTE,905.52,316.94,18.4,507.09,10
CPT,83519,HC IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY ARUP 2005639,198.89,69.62,18.4,111.38,10
CPT,83519,HC IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY ARUP 3001431,299.15,104.71,18.4,167.52,10
CPT,83519,HC IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY ARUP 3001869,134.72,47.16,18.4,75.44,10
CPT,83519,HC IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY ARUP 3002787,320.52,112.19,18.4,179.49,10
CPT,83519,HC IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY ARUP 3003058,166.56,58.3,18.4,93.27,10
CPT,83519,HC IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY ARUP 3006049,192.5,67.38,18.4,107.8,10
CPT,83519,HC IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY ARUP 3006050,192.92,67.53,18.4,108.04,10
CPT,83519,HC IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY ARUP TO MAYO DYS2,293.24,102.64,18.4,164.21,10
CPT,83519,HC IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY ARUP TO MAYO ENS2,242.44,84.86,18.4,135.77,10
CPT,83519,HC INSULIN-LIKE GROWTH FACTOR 2,388.08,135.83,18.4,217.32,10
CPT,83519,"HC MELANOCYTE STIMULATION HORMONE, ALPHA (A-MSH) ARUP 0098819",576.0,201.6,18.4,322.56,10
CPT,83519,HC MI-2 AUTOANTIBODIES,126.49,44.28,18.4,70.83,10
CPT,83519,"HC MUSCLE-SPECIFIC KINASE (MUSK) ANTIBODY, IGG ARUP 3001576",1275.12,446.3,18.4,714.07,10
CPT,83519,"HC MUSCLE-SPECIFIC KINASE (MUSK) AUTOANTIBODY, SERUM ARUP TO MAYO MUSK",2009.7,703.4,18.4,1125.43,10
CPT,83519,HC MUSCLE-SPECIFIC RECEPTOR TYROSINE KINASE (MUSK) ANTIBODY BY RIA ARUP 2012420,2644.49,925.58,18.4,1480.91,10
CPT,83519,HC MUSK ANTIBODY,1081.5,378.53,18.4,605.64,10
CPT,83519,HC MUSK ANTIBODY TEST-ATHENA,2688.84,941.1,18.4,1505.75,10
CPT,83519,HC MUSK QUANTITATIVE TITERS ANTIBODY TEST,2644.49,925.58,18.4,1480.91,10
CPT,83519,HC N-TYPE CALCIUM CHANNEL AB,173.88,60.86,18.4,97.37,10
CPT,83519,HC NEURONAL VGKC ANTIBODY,173.88,60.86,18.4,97.37,10
CPT,83519,"HC OREXIN-A/HYPOCRETIN-1, SPINAL FLUID ARUP TO MAYO ORXNA",2697.16,944.01,18.4,1510.41,10
CPT,83519,HC P/Q-TYPE CALCIUM CHANNEL AB,173.88,60.86,18.4,97.37,10
CPT,83519,HC PANCREATIC POLYPEPTIDE-RIA,197.51,69.13,18.4,110.61,10
CPT,83519,HC PARATHYROID HORMNE REL PEPTIDE,695.15,243.31,18.4,389.28,10
CPT,83519,HC PARATHYROID HORMONE (PTH) ANTIBODY ARUP 3000003,691.15,241.91,18.4,387.04,10
CPT,83519,HC PEPSINOGEN I (PG I) ARUP TO INTERSCIENCE INSTIT,720.72,252.26,18.4,403.6,10
CPT,83519,HC PEPSINOGEN II (PG II) ARUP TO INTERSCIENCE INSTIT,905.52,316.94,18.4,507.09,10
CPT,83519,HC PROCOLLAGEN TYPE 1 PROPEPTIDE,811.12,283.9,18.4,454.23,10
CPT,83519,HC PROCOLLAGEN TYPE I INTACT N-TERMINAL PROPEPTIDE ARUP 0070236,665.28,232.85,18.4,372.56,10
CPT,83519,"HC RADIOIMMUNASSAY-NIA/IA AB, QT",225.52,78.935,18.4,194.04,20
CPT,83519,HC RIA NONANTIBODY  ARUP TO UUHSC (PAVAL),168.25,58.89,18.4,94.22,10
CPT,83519,HC RIA NONANTIBODY ARUP 2013601,696.93,243.93,18.4,390.28,10
CPT,83519,HC RIA NONANTIBODY ARUP TO MAYO EPIEC,244.33,85.52,18.4,136.82,10
CPT,83519,HC RIA NONANTIBODY ARUP TO MAYO EPS1,267.96,93.79,18.4,150.06,10
CPT,83519,HC STRIATIONAL AB-STRIATED MUSCLE,173.88,60.86,18.4,97.37,10
CPT,83519,HC TBI IMMUNOGLOBULIN,126.49,44.28,18.4,70.83,10
CPT,83519,HC TRYPSIN ARUP 2014025,103.49,36.23,18.4,64.35,10
CPT,83519,"HC TRYPSIN, SERUM ARUP 3016694",144.0,50.4,18.4,80.64,10
CPT,83519,HC TSH RECEPTOR ANTIBODY,78.23,27.39,18.4,64.35,10
CPT,83519,HC VGKC AB-QUANT RADIOIMMUNOASSAY,769.69,269.4,18.4,431.03,10
CPT,83519,HC VGKC ANTIBODY,526.68,184.34,18.4,294.94,10
CPT,83519,HC VOLTAGE GATED CALCIUM IGG,126.49,44.28,18.4,70.83,10
CPT,83519,HC VOLTAGE-GATED CA CHANNEL AB,659.74,230.91,18.4,369.45,10
CPT,83519,"HC VOLTAGE-GATED POTASSIUM CHANNEL (VGKC) ANTIBODY, SERUM ARUP 2004890",809.8,283.43,18.4,453.49,10
CPT,83520,HC ADAMTS13 ANTIBODY ARUP 3000182,997.92,349.28,17.27,558.84,10
CPT,83520,"HC ALPHA SUBUNIT, PITUITARY GLYCOPROTEIN HORMONES (PGH)",364.24,127.49,17.27,203.97,10
CPT,83520,HC ALTERNARIA TENUIS IGG,133.38,46.69,17.27,74.69,10
CPT,83520,HC ANTI-68 KD (HSP-70) ABS,304.33,106.52,17.27,170.42,10
CPT,83520,HC ANTI-CN-1A AB (EIA)-U OF UTAH 520061,705.94,247.08,17.27,395.33,10
CPT,83520,HC ANTI-HUMAN NEUTROPHIL IGG,133.38,46.69,17.27,74.69,10
CPT,83520,HC ANTI-IGA ANTIBODY BY ELISA ARUP 2003126,623.15,218.11,17.27,348.96,10
CPT,83520,HC ANTI-MULLERIAN HORMONE,362.21,126.78,17.27,202.84,10
CPT,83520,HC ANTI-MULLERIAN HORMONE ARUP 2002656,269.81,94.44,17.27,151.09,10
CPT,83520,HC ANTI-SACC CEREVISIAE IGG,133.38,46.69,17.27,74.69,10
CPT,83520,HC ANTI-SACC CERREVISIAE IGA,133.38,46.69,17.27,74.69,10
CPT,83520,HC ANTIRIBOSOMAL P,133.38,46.69,17.27,74.69,10
CPT,83520,HC AUREOBASIDIUM PULLULANS IGG,133.38,46.69,17.27,74.69,10
CPT,83520,HC AUTOANTIBODY TO C1Q (C1Q-CLR) (C1QAB) NATIONAL JEWISH,285.74,100.01,17.27,160.01,10
CPT,83520,HC CHENODOXYCHOLIC ACID,133.38,46.69,17.27,74.69,10
CPT,83520,HC CHOLIC ACID,133.38,46.69,17.27,74.69,10
CPT,83520,HC CHROMOGRANIN A,330.46,115.67,17.27,185.06,10
CPT,83520,HC CLADOSPORIUM HERBARUM IGG,133.38,46.69,17.27,74.69,10
CPT,83520,HC COLLAGEN TYPE II IGG AB,133.38,46.69,17.27,74.69,10
CPT,83520,HC COLLAGEN TYPE IV IGG ATBS,133.38,46.69,17.27,74.69,10
CPT,83520,HC CRMP-5-IGG,173.88,60.86,17.27,97.37,10
CPT,83520,HC CSF NEURON CELL ABS,329.25,115.24,17.27,184.38,10
CPT,83520,HC CXCL9 ARP TO MACHAON DIAG P3420,1404.48,491.57,17.27,786.51,10
CPT,83520,HC CXCL9 ARUP TO CINCINNATI CHILDRENS HOSP 11660686,1519.06,531.68,17.27,850.67,10
CPT,83520,HC DEOXYCHOLIC ACID,104.54,36.59,17.27,60.38,10
CPT,83520,HC FIBROBLAST GROWTH FACTOR 23-PL,861.91,301.67,17.27,482.67,10
CPT,83520,HC GANGLIOSIDE GQ1B AUTOABS,133.38,46.69,17.27,74.69,10
CPT,83520,HC GM-CSF AUTOANTIBODY (GMAB) ARUP TO CINCINNATI CHILDRENS 10588967,1601.6,560.56,17.27,896.9,10
CPT,83520,HC GM1 AUTOANTIBODY,538.35,188.43,17.27,301.48,10
CPT,83520,HC GRANULOCYTE MACROPHAGE COLONY STIM FACTOR ARUP TO U OF MN PHYS GMCSFB,1233.54,431.74,17.27,690.78,10
CPT,83520,HC HU AUTOANTIBODY,826.75,289.37,17.27,462.98,10
CPT,83520,HC HU IMMUNOREACTIVITY,749.84,262.45,17.27,419.91,10
CPT,83520,HC HU TTG-IGA,133.38,46.69,17.27,74.69,10
CPT,83520,HC HUMAN ANTI-CHIMERIC ANTIBODY,507.1,177.49,17.27,283.98,10
CPT,83520,HC HUMAN ANTI-MOUSE ANTIBODY (HAMA) ELISA-ARUP 0098299,838.99,293.65,17.27,469.83,10
CPT,83520,HC HYALURONIC ACID ABS,133.38,46.69,17.27,74.69,10
CPT,83520,HC IMMUNO ASY NIA-AB/IA-AG-Q-NOS,892.58,312.41,17.27,499.84,10
CPT,83520,HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS ARUP 0051394,74.46,26.07,17.27,60.38,10
CPT,83520,HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS ARUP 3003259,83.88,29.36,17.27,60.38,10
CPT,83520,HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS ARUP 3005925,582.12,203.75,17.27,325.99,10
CPT,83520,HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS ARUP 3016444,1116.5,390.78,17.27,625.24,10
CPT,83520,HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS ARUP 3017043,545.6,190.96,17.27,305.54,10
CPT,83520,HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS ARUP 3017909,504.0,176.4,17.27,282.24,10
CPT,83520,HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS ARUP TO ATHENA DIAG 177,1108.8,388.08,17.27,620.93,10
CPT,83520,HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS ARUP TO ATHENA DIAG 178,932.5,326.38,17.27,522.2,10
CPT,83520,HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS ARUP TO ATHENA DIAGNOSTICS 210,817.74,286.21,17.27,457.93,10
CPT,83520,HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS ARUP TO LABCORP SLC 520080,89.1,31.19,17.27,60.38,10
CPT,83520,HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS ARUP TO MAYO ADEVL,852.0,298.2,17.27,477.12,10
CPT,83520,HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS ARUP TO MAYO DMNES,167.0,58.45,17.27,93.52,10
CPT,83520,HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS ARUP TO WASH USM,351.12,122.9,17.27,196.63,10
CPT,83520,HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS ARUP TO WASHINGTON UNI SCHOOL OF MEDICINE,400.4,140.14499999999998,17.27,269.07,20
CPT,83520,HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS ARUP TO WASHINGTON UNIV,334.49,117.07499999999999,17.27,269.07,20
CPT,83520,HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS ARUP TO WASHINGTON UNIV NEUROMUSCULAR CLINICAL LAB,153.81,53.84,17.27,86.13,10
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB  ARUP TO UUHSC (PAVAL),168.25,58.89,17.27,94.22,10
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB ARUP 30021004,124.74,43.66,17.27,69.85,10
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB ARUP TO MAYO PNEFS,665.01,232.76,17.27,372.41,10
CPT,83520,HC IMMUNOASSAY QUANT NOS NONAB ARUP TO MAYO USTEK,563.64,197.28,17.27,315.64,10
CPT,83520,HC IMMUNOREACTIVE TRYPSINOGEN (IRT) NEWBORN,23.56,8.25,8.08,60.38,10
CPT,83520,HC INFLIXIMAB LEVEL,507.1,177.49,17.27,283.98,10
CPT,83520,HC INHIBIN B,199.82,69.94,17.27,111.9,10
CPT,83520,HC INSULIN-LIKE GROWTH FACTOR 2 ARUP 2013599,388.08,135.83,17.27,217.32,10
CPT,83520,"HC INTACT FIBROBLAST GROWTH FACTOR 23 (FGF23), SERUM ARUP 3003816",942.48,329.87,17.27,527.79,10
CPT,83520,HC INTERFERON GAMMA ARUP 0051531,351.12,122.9,17.27,196.63,10
CPT,83520,HC INTERFERON-BETA AUTOABS,160.86,56.31,17.27,90.08,10
CPT,83520,HC INTERLEUKIN 10 ARUP 0051534,351.12,122.9,17.27,196.63,10
CPT,83520,HC INTERLEUKIN 2 RECEPTOR SOLUBLE SERUM ARUP 0051529,351.12,122.9,17.27,196.63,10
CPT,83520,"HC INTERLEUKIN 2 RECEPTOR, SOLUBLE, CSF ARUP 3003261",314.16,109.96,17.27,175.93,10
CPT,83520,HC INTERLEUKIN 2 RECPTR(CD25)-SOL,351.12,122.9,17.27,196.63,10
CPT,83520,"HC INTERLEUKIN 2, SERUM ARUP 0051588",314.16,109.96,17.27,175.93,10
CPT,83520,"HC INTERLEUKIN 8, FLUID ARUP TO INTERSCIENCE INSTITUTE INC8, FLUID",1224.0,428.4,17.27,685.44,10
CPT,83520,"HC LEPTIN, QUANTITATIVE BY CHEMILUMINESCENT IMMUNOASSAY ARUP 0070263",288.29,100.91,17.27,161.44,10
CPT,83520,HC MAG ANTIGENS,596.02,208.61,17.27,333.77,10
CPT,83520,HC MMUNOASSAY ANALYTE QUANTITATIVE NOS ARUP TO MOLECULERA LABS,375.84,131.55,17.27,210.47,10
CPT,83520,HC NEOPTERIN ARUP TO LAB CORP SLC 140335,596.67,208.84,17.27,334.14,10
CPT,83520,"HC NEUROFILAMENT LIGHT CHAIN, PLASMA ARUP TO LABCORP SLC 140555",806.08,282.13,17.27,451.4,10
CPT,83520,HC NEURONAL CELL ANTIBODIES CSF,276.34,96.72,17.27,154.75,10
CPT,83520,HC PENICILLIUM NOTATUM IGG,133.38,46.69,17.27,74.69,10
CPT,83520,HC PERIPHERAL NEUROPATHY  SYNDROME PANEL ARUP TO WUSM NEUROMSULCULAR LAB,162.2,56.77,17.27,90.83,10
CPT,83520,HC PHOMA SPP IGG,133.38,46.69,17.27,74.69,10
CPT,83520,HC PIGEON DROPPINGS IGG,133.38,46.69,17.27,74.69,10
CPT,83520,HC PORK IGG,133.38,46.69,17.27,74.69,10
CPT,83520,HC RECOMBX CAR (ANTI-RECOVERIN) AUTOANTIBODY TEST ARUP TO ATHENA DIAG 4684,1533.84,536.85,17.27,858.95,10
CPT,83520,HC RECOMBX MATA AUTOANTIBODY ARUP TO ATHENA DIAG 4683,1774.08,620.93,17.27,993.48,10
CPT,83520,HC RECOMBX MATA AUTOANTIBODY TEST (AUTOIMMUNE RAPIDLY PROGRESSIVE DEMENTIA) ARUP TO ATHENA 1716,1676.4,586.74,17.27,938.78,10
CPT,83520,HC RIBOSOMAL P PROTEIN AUTOABS,133.38,46.69,17.27,74.69,10
CPT,83520,"HC S100B, CSF ARUP 2013358",591.36,206.98,17.27,331.16,10
CPT,83520,HC SGPG ANTIGENS,596.02,208.61,17.27,333.77,10
CPT,83520,HC SMAC (C5B-9),1256.64,439.83,17.27,703.72,10
CPT,83520,HC STRIATIONAL ABS,513.56,179.75,17.27,287.59,10
CPT,83520,HC SUBSTANCE P BY EIA ARUP 0098275,522.61,182.92,17.27,292.66,10
CPT,83520,"HC THROMBOPOIETIN (TPO), SERUM ARUP 2013335",572.88,200.51,17.27,320.81,10
CPT,83520,HC THYROID STIM HORMONE RECPTR AB,148.76,52.07,17.27,83.31,10
CPT,83520,HC THYROID STIMULATING HORMONE RECEPTOR ANTIBODY (TRAB) ARUP 2002734,132.32,46.32,17.27,74.1,10
CPT,83520,"HC TRANSFORMING GROWTH FACTOR BETA1, PLASMA ARUP 3005863",448.0,156.8,17.27,250.88,10
CPT,83520,HC TRICHODERMA VIRIDE IGG,133.38,46.69,17.27,74.69,10
CPT,83520,HC TRYPTASE,43.68,15.29,14.98,60.38,10
CPT,83520,HC TSH RECEPTOR AB,274.24,95.99,17.27,153.57,10
CPT,83520,HC VASCULAR ENDOTHELIAL GROWTH FACTOR ARUP 0092660,739.2,258.72,17.27,413.95,10
CPT,83520,HC VASCULAR ENDOTHELIAL GROWTH FACTOR D ARUP TO CINCINNATI CHILDRENS 1113,1539.38,538.79,17.27,862.05,10
CPT,83520,HC VEGF-D QUANTITATION ARUP TO CINCINNATI CHILDREN'S HOSP 5334318,1755.6,614.46,17.27,983.14,10
CPT,83520,HC VEGF-D QUANTITATION ARUP TO CINCINNATI CHILDRENS TEST 55334318,1355.4,474.39,17.27,759.02,10
CPT,83520,HC YO IMMUNOREACTIVITY,749.84,262.45,17.27,419.91,10
CPT,83521,IG LIGHT CHAINS FREE EACH,,,17.27,60.38,7
CPT,83525,"HC INSULIN BOUND, TOTAL",71.2,24.92,11.43,39.96,10
CPT,83525,"HC INSULIN, RANDOM ARUP 0070107",35.85,12.55,11.43,39.96,10
CPT,83525,"HC INSULIN, TOTAL",71.2,24.92,11.43,39.96,10
CPT,83527,"HC INSULIN, FREE",78.72,27.56,12.95,45.29,10
CPT,83528,ASSAY OF INTRINSIC FACTOR,,,19.82,69.3,7
CPT,83529,HC ASSAY OF INTERLEUKIN-6 (IL-6) ARUP 0051394,74.46,26.07,17.27,60.38,10
CPT,83529,HC ASSAY OF INTERLEUKIN-6 (IL-6) ARUP 3003259,83.88,29.36,17.27,60.38,10
CPT,83529,HC INTERLEUKIN 6 SERUM ARUP 0051537,314.16,109.96,17.27,175.93,10
CPT,83540,HC ASSAY OF IRON ARUP 0020420,23.94,8.38,6.47,22.63,10
CPT,83540,HC IRON,62.19,21.77,6.47,34.83,10
CPT,83540,HC IRON LIVER TISSUE,680.75,238.27,6.47,381.22,10
CPT,83540,HC IRON PLASMA OR SERUM ARUP 0020037,27.81,9.74,6.47,22.63,10
CPT,83540,"HC IRON, LIVER ARUP 0028250",332.8,116.48,6.47,186.37,10
CPT,83550,HC IRON BINDING CAPACITY,63.69,22.3,8.74,35.67,10
CPT,83550,HC IRON BINDING TEST ARUP 0020420,23.94,8.38,8.21,30.56,10
CPT,83570,ASSAY OF IDH ENZYME,,,8.85,30.95,7
CPT,83582,ASSAY OF KETOGENIC STEROIDS,,,15.47,54.1,7
CPT,83586,"HC HC 17-KETOSTEROIDS, URINE",90.55,31.7,12.8,50.71,10
CPT,83593,"HC KETOSTEROIDS, FRAC",173.94,60.88,28.5,99.67,10
CPT,83605,HC ASSAY OF LACTATE ARUP 2007935,68.37,23.93,11.57,40.47,10
CPT,83605,HC D-LACTATE PLASMA,84.12,29.45,11.57,47.11,10
CPT,83605,"HC D-LACTATE, PLASMA ARUP  TO MAYO MEDICAL LAB DLAC",1092.39,382.34,11.57,611.74,10
CPT,83605,HC LACTATE,84.12,29.45,11.57,47.11,10
CPT,83605,HC LACTIC ACID,88.32,30.92,11.57,49.46,10
CPT,83605,HC LACTIC ACID (PICCOLO),88.32,30.92,11.57,49.46,10
CPT,83605,HC LACTIC ACID CSF,563.28,197.15,11.57,315.44,10
CPT,83605,HC LACTIC ACID CSF ARUP 0020516,31.04,10.87,10.65,40.47,10
CPT,83615,HC LACTATE (LD) (LDH) ENZYME ARUP 0020413,47.21,16.53,6.04,26.44,10
CPT,83615,"HC LACTATE DEHYDROGENASE TOTAL, BODY FLUID ARUP 0020505",32.53,11.39,6.04,21.11,10
CPT,83615,HC LD,82.31,28.81,6.04,46.09,10
CPT,83625,HC ASSAY OF LDH ENZYMES ARUP 0020413,47.21,16.53,12.79,44.73,10
CPT,83625,HC LD ISOENZYMES,122.57,42.9,12.79,68.64,10
CPT,83630,HC LACTOFERRIN FECAL BY ELISA,122.89,43.02,19.7,68.89,10
CPT,83631,LACTOFERRIN FECAL (QUANT),,,19.63,68.65,7
CPT,83632,HC HUMAN PLACENTAL LACTOGEN,257.57,90.15,20.22,144.24,10
CPT,83633,TEST URINE FOR LACTOSE,,,11.25,39.34,7
CPT,83655,HC ASSAY OF LEAD ARUP 0020572,54.05,18.92,12.11,42.36,10
CPT,83655,HC ASSAY OF LEAD ARUP 0025055,56.6,19.81,12.11,42.36,10
CPT,83655,HC LEAD 24 HR URNINE,76.31,26.71,12.11,42.73,10
CPT,83655,HC LEAD BLOOD,68.5,23.98,12.11,42.36,10
CPT,83655,HC LEAD URINE RANDOM,76.31,26.71,12.11,42.73,10
CPT,83655,"HC LEAD, CAPILLARY BLOOD",93.73,32.81,12.11,52.49,10
CPT,83661,HC L/S RATIO,413.68,144.79,21.99,231.66,10
CPT,83661,HC LECITHIN SPHINGOMYELIN RATIO-A,739.2,258.72,21.99,413.95,10
CPT,83662,FOAM STABILITY FETAL LUNG,,,18.91,66.12,7
CPT,83663,FLUORO POLARIZE FETAL LUNG,,,18.91,66.12,7
CPT,83664,HC LAMELLAR BODY COUNTS-ARUP 0080940,54.33,19.02,18.64,67.56,10
CPT,83670,HC LEUCINE AMINOPEPTIDASE,201.88,70.66,9.81,113.05,10
CPT,83690,HC LIPASE,80.21,28.08,6.89,44.92,10
CPT,83695,HC LIPOPROTEIN (A),81.41,28.5,14.32,50.08,10
CPT,83698,HC LIPOPROTEIN-ASSOC PLA2-PLAC,231.0,80.85,46.31,161.94,10
CPT,83700,HC LIPOPRO BLD ELECTROPHORETIC ARUP 0080503,111.25,38.94,11.26,62.3,10
CPT,83701,HC LIPOPROTEIN BLOOD HIGH RESOLTJ&QUANTJ SUBCLASS ARUP 0050021,128.06,44.83,33.86,118.41,10
CPT,83701,HC LIPOPROTEIN-BL HIRES FRACT/QNT,80.69,28.25,27.68,118.41,10
CPT,83704,"HC CARDIO IQ LIPOPROTEIN FRACTIONATION, ION MOBILITY ARUP TO CLEVELAND HEARTLAND 1346",192.67,67.44,34.19,119.57,10
CPT,83704,HC LIPOFIT BY NMR PARTICLE COUNT ONLY ARUP 2013715,129.36,45.28,34.19,119.57,10
CPT,83704,HC LIPOPROTEIN BLOOD QUAN NUMBERS & SUBCLASSES ARUP 2013716,64.68,22.64,22.19,119.57,10
CPT,83718,HC HDL CHOLESTEROL,105.75,37.02,8.19,59.22,10
CPT,83719,ASSAY OF BLOOD LIPOPROTEIN,,,12.75,44.58,7
CPT,83721,HC ASSAY OF BLOOD LIPOPROTEIN ARUP 0020468,66.58,23.31,10.5,37.28,10
CPT,83721,HC LDL CHOLESTEROL DIRECT,31.56,11.05,10.5,36.73,10
CPT,83722,LIPOPRTN DIR MEAS SD LDL CHL,,,34.19,119.57,7
CPT,83727,ASSAY OF LRH HORMONE,,,17.19,60.12,7
CPT,83735,HC ASSAY OF MAGNESIUM,270.235,94.585,6.7,259.76,20
CPT,83735,HC MAGNESIUM,76.62,26.82,6.7,42.91,10
CPT,83735,HC MAGNESIUM (PICCOLO),76.62,26.82,6.7,42.91,10
CPT,83735,"HC MAGNESIUM, FECAL ARUP 0020105",41.39,14.49,6.7,23.43,10
CPT,83735,"HC MAGNESIUM, URINE",76.62,26.82,6.7,42.91,10
CPT,83735,"HC MAGNESIUM, URINE ARUP 0020477",41.39,14.49,6.7,23.43,10
CPT,83775,ASSAY MALATE DEHYDROGENASE,,,7.37,25.77,7
CPT,83785,"HC MANGANESE, SERUM ARUP 0099265",64.68,22.64,22.19,93.2,10
CPT,83785,"HC MANGANESE, WHOLE BLOOD ARUP 0099272",64.68,22.64,22.19,93.2,10
CPT,83789,HC AMIODARONE AND METABOLITES,113.86,39.86,24.11,84.32,10
CPT,83789,HC BILE ACIDS FRACTIO & TOTAL BY LC-MS/MS-ARUP0092610,757.68,265.19,24.11,424.3,10
CPT,83789,HC CLOZAPINE & NORCLOZAPINE,85.32,29.87,24.11,84.32,10
CPT,83789,"HC CONGENITAL DISORDERS OF N-GLYCOSYLATION, SERUM ARUP TO MAYO CDGN",1755.6,614.46,24.11,983.14,10
CPT,83789,HC HYDROXY FATTY ACIDS,901.25,315.44,24.11,504.7,10
CPT,83789,"HC IODINE-RANDOM, URINE",202.13,70.75,24.11,113.19,10
CPT,83789,HC LSD CONFIRM-REFLEX-BILL ONLY,247.17,86.51,24.11,138.42,10
CPT,83789,HC MASS SPECTROMETRY QUAL/QUAN ARUP TO EGL GENETICS BNGLY,486.64,170.33,24.11,272.52,10
CPT,83789,HC MASS SPECTROMETRY QUAL/QUAN ARUP TO EGL GENETICS BOGLY,660.66,231.24,24.11,369.97,10
CPT,83789,HC MASS SPECTROMETRY QUAL/QUAN-ARUP0092100,71.15,24.91,24.11,84.32,10
CPT,83789,"HC MASS SPECTROMETRY-NES-QT,EA",340.03,119.02,24.11,190.42,10
CPT,83789,HC N-METHYLHISTAMINE-URINE,902.94,316.03,24.11,505.65,10
CPT,83789,HC PURINE & PYRIMIDINE URINE,927.69,324.7,24.11,519.51,10
CPT,83789,HC QUAD SCREEN NEWBORN,454.38,159.04,24.11,254.45,10
CPT,83789,HC SIROLIMUS MONITR,441.62,154.57,24.11,247.31,10
CPT,83789,HC THIOPURINE DRUG METABOLITES,997.92,349.28,24.11,558.84,10
CPT,83789,HC THYMIDINE DETERMINATION - PLASMA ARUP TO BAYLOR GENETICS 4330,813.12,284.6,24.11,455.35,10
CPT,83825,HC ASSAY OF MERCURY ARUP 0025055,56.6,19.81,16.26,56.87,10
CPT,83825,HC ASSAY OF MERCURY QUANTITATIVE ARUP 0020572,54.05,18.92,16.26,56.87,10
CPT,83825,HC MERCURY BLOOD,103.065,36.08,16.26,58.74,20
CPT,83825,HC MERCURY URINE,101.24,35.44,16.26,56.87,10
CPT,83835,HC EPINEPHRINE,119.88,41.96,16.94,67.13,10
CPT,83835,HC METANEPHRINE PLASMA FREE,112.66,39.44,16.94,63.09,10
CPT,83835,HC METANEPHRINES,112.06,39.23,16.94,62.75,10
CPT,83835,HC NORMETANEPHRINE PLASMA FREE,112.66,39.44,16.94,63.09,10
CPT,83840,HC METH META CONF/QUAN SERUM-PLAS,267.04,93.47,76.48,198.94,5
CPT,83840,HC METHADONE METAB CONFIRM URINE,168.17,58.86,48.16,125.29,5
CPT,83857,HC METHEMALBUMIN,70.9,24.82,10.74,39.7,10
CPT,83858,HC METHSUZIMIDE,93.45,32.71,26.76,69.62,5
CPT,83861,MICROFLUID ANALY TEARS,,,22.48,78.61,7
CPT,83864,HC BIOTINIDASE (MUCOPOLYSACC),213.54,74.74,28.5,119.58,10
CPT,83864,HC MUCOPOLYSACCHARIDES ACID QUANTITATIVE ARUP 2014314,266.71,93.35,28.5,149.36,10
CPT,83864,HC MUCOPOLYSACCHARIDES ARUP 0081352,443.52,155.24,28.5,248.37,10
CPT,83864,HC MUCOPOLYSACCHARIDES-QNT-URINE ARUP  0081357,665.28,232.85,28.5,372.56,10
CPT,83866,"HC MUCOPOLYSACHARIDE, URINE",225.31,78.86,64.53,167.86,5
CPT,83872,ASSAY SYNOVIAL FLUID MUCIN,,,5.86,20.5,7
CPT,83873,HC MYELIN BASIC PROTEIN ARUP 0080515,122.89,43.02,17.2,68.82,10
CPT,83873,HC MYELIN PROTEIN,115.67,40.49,17.2,64.78,10
CPT,83874,HC MYOGLOBIN,94.93,33.23,12.92,53.16,10
CPT,83876,ASSAY MYELOPEROXIDASE,,,50.86,177.86,7
CPT,83880,HC B-TYPE NATRIURETIC PEPTIDE,314.16,109.96,39.26,175.93,10
CPT,83880,HC BNP EVALUATOR,210.61,73.72,39.26,137.3,10
CPT,83880,HC NATRIURETIC PEPTIDE,107.9,37.77,37.01,137.3,10
CPT,83880,HC NATRIURETIC PEPTIDE UCH,158.93,55.63,39.26,137.3,10
CPT,83880,HC PROBRAIN NATRIURETC PEPTIDE-NT,314.16,109.96,39.26,175.93,10
CPT,83883,HC ASO TITER,35.76,12.52,12.27,47.55,10
CPT,83883,HC ASSAY NEPHELOMETRY NOT SPEC-ARUP2005661,144.14,50.45,13.6,80.72,10
CPT,83883,HC ASSAY NEPHELOMETRY NS-KAPPA/LAMBDA QT FREE LIGHT CHAINS (SER) W RATIO,83.28,29.15,13.6,47.55,10
CPT,83883,HC CSF PROTEIN PANEL,56.49,19.78,13.6,47.55,10
CPT,83883,"HC KAPPA LIGHT CHAIN QT, 24 HR UR",186.57,65.3,13.6,104.48,10
CPT,83883,HC NEPHELOMETRY KAPPA CHAIN,141.8,49.63,13.6,79.41,10
CPT,83883,HC NEPHELOMETRY LAMBDA CHAIN,141.8,49.63,13.6,79.41,10
CPT,83883,"HC NEPHELOMETRY,ANALYTE, NOS",56.18,19.67,13.6,47.55,10
CPT,83883,"HC NEPHELOMETRY,EACH ANALY,NES",56.49,19.78,13.6,47.55,10
CPT,83883,HC RETINOL BINDING PROTEIN ARUP 0050467,64.68,22.64,13.6,47.55,10
CPT,83883,HC SOLUBLE TRANSFERRIN RECEPTOR,133.38,46.69,13.6,74.69,10
CPT,83884,ASSAY NEURFLMNT LIGHT CHAIN,,,116.23,189.25,4
CPT,83885,HC NICKEL - SERUM,64.68,22.64,22.19,85.7,10
CPT,83915,HC 5' NUCLEOTIDASE,68.5,23.98,11.15,38.99,10
CPT,83916,HC OLIGOCLONAL BANDS,112.06,39.23,27.39,95.78,10
CPT,83916,HC OLIGOCLONAL IMMUNE ARUP 0080440,73.33,25.67,25.15,95.78,10
CPT,83918,HC GAMMA-HYDROXYBUTYRIC ACID,103.65,36.28,23.6,82.52,10
CPT,83918,HC GAMMA-HYDROXYBUTYRIC ACID URIN,103.65,36.28,23.6,82.52,10
CPT,83918,"HC HYDROXYGLUTARIC, GLUTARIC, ETHYLMALONIC, METHYLSUCCINIC ACID, PLASMA-MAYO HGEMP",535.92,187.58,23.6,300.12,10
CPT,83918,HC ORGANIC ACIDS TOTAL QUANTITATIVE EACH SPECIMEN ARUP 2014314,266.71,93.35,23.6,149.36,10
CPT,83918,"HC ORGANIC ACIDS, URINE ARUP 0098389",517.44,181.11,23.6,289.77,10
CPT,83919,"HC ORGANIC ACID, URINE, QUAL",270.37,94.63,16.45,151.41,10
CPT,83919,HC ORGANIC ACIDS QUALITATIVE EACH SPECIMEN CHILDRENS HOSP CO LAB6619,360.36,126.13,16.45,201.8,10
CPT,83919,"HC ORGANIC ACIDS, SERUM, QUAL",102.45,35.86,16.45,57.52,10
CPT,83921,HC METHYLHIPPURIC ACID URINE,102.52,35.89,21.21,74.16,10
CPT,83921,"HC METHYLMALONIC ACID (MMA) QUANTITATIVE, URINE ARUP 0083918",134.3,47.01,21.21,75.21,10
CPT,83921,"HC METHYLMALONIC ACID, SERUM OR PLASMA (METABOLIC DISORDERS) ARUP 2005255",78.61,27.52,21.21,74.16,10
CPT,83921,"HC METHYLMALONIC ACID, SERUM OR PLASMA (VITAMIN B12 STATUS) ARUP 009431",152.13,53.25,21.21,85.19,10
CPT,83921,HC ORGANIC ACID SINGLE QUANT,310.98,108.85,21.21,174.15,10
CPT,83921,HC ORGANIC ACID SINGLE QUANT 1,194.04,67.92,21.21,108.66,10
CPT,83921,HC ORGANIC ACID SINGLE QUANT 2,194.04,67.92,21.21,108.66,10
CPT,83921,HC ORGANIC ACID SINGLE QUANT-ARUP0092458,194.04,67.92,21.21,108.66,10
CPT,83921,HC OROTIC ACID URINE,714.99,250.25,21.21,400.39,10
CPT,83921,"HC OROTIC, ACID URINE ARUP 3000704",388.08,135.83,21.21,217.32,10
CPT,83921,"HC REFLEX REFLEXED TO METHYLMALONIC ACID , SERUM (VITAMIN B[12] DEFICIENCY) ARUP 0055665",152.13,53.25,21.21,85.19,10
CPT,83921,HC SUCCINYLACETONE QUANT-URINE,720.72,252.26,21.21,403.6,10
CPT,83925,HC BUPRENORPHINE/METAB-CONF/QT-SP,355.74,124.51,101.88,265.03,5
CPT,83925,HC BUPRENORPHINE/METAB-CONF/QT-UR,336.34,117.72,96.33,250.57,5
CPT,83925,HC CODEINE FREE SERUM,122.57,42.9,35.1,91.31,5
CPT,83925,HC DIHYDROCODEINE FREE SERUM,122.57,42.9,35.1,91.31,5
CPT,83925,HC ETHYLMORPHINE FREE SERUM,122.57,42.9,35.1,91.31,5
CPT,83925,HC HEROIN CONFIRMATION,293.37,102.68,84.02,218.56,5
CPT,83925,HC HYDROCODONE FREE SERUM,122.57,42.9,35.1,91.31,5
CPT,83925,HC HYDROMORPHONE FREE SERUM,122.57,42.9,35.1,91.31,5
CPT,83925,HC MECON OPIATE CONF CHARGE,530.15,185.56,151.83,394.96,5
CPT,83925,HC MORPHINE FREE SERUM,122.57,42.9,35.1,91.31,5
CPT,83925,HC NORCODEINE FREE SERUM,122.57,42.9,35.1,91.31,5
CPT,83925,HC OPIATE CONFIRMATION-URINE,153.76,53.82,44.04,114.55,5
CPT,83925,HC OXYCODONE FREE SERUM,122.57,42.9,35.1,91.31,5
CPT,83925,HC OXYCODONE URINE,125.51,43.93,35.95,93.5,5
CPT,83925,HC RFLX CONF/QNT OPIATES SP,278.12,97.35,79.65,207.2,5
CPT,83925,HC RFLX CONF/QNT PROPOXY SP,278.12,97.35,79.65,207.2,5
CPT,83930,HC OSMOLALITY BLOOD,73.9,25.87,6.61,41.38,10
CPT,83935,"HC OSMOLALITY, URINE",76.01,26.61,6.82,42.57,10
CPT,83937,HC OSTEOCALCIN,123.77,43.32,29.85,104.38,10
CPT,83937,HC OSTEOCALCIN BY ECLIA-QNT,195.34,68.37,29.85,109.39,10
CPT,83945,HC ASSAY OF OXALATE ARUP 0020843,39.27,13.75,13.47,50.53,10
CPT,83945,HC OXALATE PLASMA ARUP 2011697,284.59,99.61,14.45,159.37,10
CPT,83945,HC OXALATE TOTAL URINE ARUP 0020482,89.25,31.24,14.45,50.53,10
CPT,83945,"HC OXALATE, URINE",85.02,29.76,14.45,50.53,10
CPT,83950,ONCOPROTEIN HER-2/NEU,,,64.41,225.24,7
CPT,83951,ONCOPROTEIN DCP,,,64.41,225.24,7
CPT,83970,"HC PARATHYROID HORMONE, FINE NEEDLE ASPIRATION (FNA) ARUP 2001491",65.82,23.04,22.58,144.35,10
CPT,83970,"HC PARATHYROID HORMONE, INTACT ARUP 0070346",41.28,14.45,14.16,144.35,10
CPT,83970,HC PTH INTACT,144.51,50.58,41.28,144.35,10
CPT,83970,HC PTH RELATED PROTEIN,126.49,44.28,41.28,144.35,10
CPT,83986,HC PH BODY FLUID NOS,26.85,9.4,3.58,15.04,10
CPT,83986,HC PH FECAL,23.43,8.21,3.58,13.12,10
CPT,83986,HC PH STOOL,26.51,9.28,3.58,14.85,10
CPT,83986,"HC PH, BODY FLUID",44.45,15.56,3.58,24.89,10
CPT,83986,HC POCT PH,79.32,27.77,3.58,44.42,10
CPT,83987,EXHALED BREATH CONDENSATE,,,3.58,12.51,7
CPT,83992,HC ASSAY OF PHENCYCLIDINE ARUP 3004833,229.55,80.35,0.02,128.55,6
CPT,83992,HC MECON PCP CONF CHARGE,610.73,213.76,0.02,342.01,6
CPT,83992,"HC PHENCYCLIDINE (PCP), URINE, QUANTITATIVE ARUP 2010462",168.17,58.86,0.02,94.18,6
CPT,83992,"HC REFLEX PHENCYCLIDINE (PCP), SERUM OR PLASMA, QUANTITATIVE ARUP 2010460",278.12,97.35,0.02,155.75,6
CPT,83992,"HC REFLEX PHENCYCLIDINE CONF CHARGE, MEC ARUP 0092218",558.83,195.6,0.02,312.94,6
CPT,83992,HC RFLX CONF/QNT PHENCYCLID SP,278.12,97.35,0.02,155.75,6
CPT,83993,"HC CALPROTECTIN, FECAL BY IMMUNOASSAY ARUP 3002859",661.58,231.56,19.63,370.48,10
CPT,84022,HC CHLORPROMAZINE LEVEL,100.46,35.17,28.77,74.84,5
CPT,84022,HC PHENOTHIAZINES SCREEN,100.46,35.17,28.77,74.84,5
CPT,84030,HC ASSAY OF PHENYLALANINE BLOOD CHILDRENS HOSPITAL CO LAB1896,184.8,64.68,5.5,103.49,10
CPT,84030,HC PHENY/TYROSINE PROFILE,450.63,157.73,5.5,252.35,10
CPT,84030,HC PHENYLALALINE CHILDRENS HOSPITAL L1896,120.12,42.05,5.5,67.27,10
CPT,84030,HC PHENYLALANINE,228.32,79.92,5.5,127.86,10
CPT,84030,HC PHENYLALANINE NEWBORN,23.56,8.25,5.5,19.24,10
CPT,84035,ASSAY OF PHENYLKETONES,,,3.98,13.91,7
CPT,84060,HC ACID PHOSPHATASE,46.57,16.3,7.64,26.72,10
CPT,84066,"HC ACID PHOS, PROSTATIC",63.69,22.3,9.66,35.67,10
CPT,84075,HC ALK PHOSPHATASE,75.71,26.5,5.18,42.4,10
CPT,84075,HC ALKALINE PHOSPHATASE - OTHER ARUP TO UNIV OF IOWA ALPO,147.84,51.75,5.18,82.79,10
CPT,84075,HC ASSAY OF PHOSPHATASE ALKALINE ARUP 2005736,71.7,25.1,5.18,40.15,10
CPT,84075,"HC PHOSPHATASE, ALKALINE (TOTAL)",75.71,26.5,5.18,42.4,10
CPT,84078,ASSAY ALKALINE PHOSPHATASE,,,8.26,28.89,7
CPT,84080,HC ALK PHOS ISOENZYMES,97.93,34.28,14.78,54.84,10
CPT,84080,HC ASSAY OF PHOSPHATASE ALKALINE ISOENZYMES ARUP 2005736,71.7,25.1,14.78,51.69,10
CPT,84080,HC PHOSPHATASE-ALKALINE-ISOENZYME,168.67,59.04,14.78,94.46,10
CPT,84081,HC FETL LUNG MAT-PG-AMNOFL,739.2,258.72,16.52,413.95,10
CPT,84081,HC PHOSPHATIDYLGLYCEROL (PG),311.83,109.15,16.52,174.62,10
CPT,84085,ASSAY OF RBC PG6D ENZYME,,,9.44,33.01,7
CPT,84087,ASSAY PHOSPHOHEXOSE ENZYMES,,,10.73,37.53,7
CPT,84100,HC ASSAY OF PHOSPHORUS,463.85,162.35,4.74,259.76,10
CPT,84100,HC PHOSPHORUS,70.9,24.82,4.74,39.7,10
CPT,84100,HC PHOSPHORUS (PICCOLO),70.9,24.82,4.74,39.7,10
CPT,84100,HC PHOSPHORUS INORGANIC PHOSPHATE,638.08,223.33,4.74,357.32,10
CPT,84105,HC PHOSHORUS INORGANIC URINE,38.83,13.6,5.78,21.74,10
CPT,84105,"HC PHOSPHORUS, URINE",55.28,19.35,5.78,30.96,10
CPT,84105,"HC PHOSPHORUS, URINE ARUP 0020478",29.76,10.42,5.78,20.21,10
CPT,84106,HC PORPHOBILINOGEN QUAL,55.28,19.35,5.82,30.96,10
CPT,84110,HC PORPHOBILINOGEN(PBG)URINE ARUP 0080260,126.78,44.38,8.44,71.0,10
CPT,84110,"HC PORPHOBILINOGEN,QT",93.73,32.81,8.44,52.49,10
CPT,84112,HC PLACENTAL ALPHA MICROGLOBULIN,202.48,70.87,69.45,343.09,10
CPT,84112,HC RUPTURE OF FETAL MEMBRANES,204.12,71.45,70.01,343.09,10
CPT,84119,HC PORPHYRINS QUAL,66.09,23.14,13.36,46.71,10
CPT,84120,HC PORPHYRINS-FRACTIONATION&QT-UR,117.72,41.21,14.71,65.92,10
CPT,84126,HC COPROPORPHYRIL III STL,160.41,56.15,39.11,136.77,10
CPT,84126,HC COPROPORPHYRIN I STL,160.41,56.15,39.11,136.77,10
CPT,84126,HC COPROPORPHYRIN III COPOROPORPH,160.41,56.15,39.11,136.77,10
CPT,84126,HC DEUTERPORPHYRIN STL,160.41,56.15,39.11,136.77,10
CPT,84126,HC DICARBOXPORPHYRIN STI,160.41,56.15,39.11,136.77,10
CPT,84126,HC HEMATOPORPHYRIN STL,160.41,56.15,39.11,136.77,10
CPT,84126,HC HEPTACARBOXLY PORPHYRIN I STL,160.41,56.15,39.11,136.77,10
CPT,84126,HC HEPTACARBOXYPORPHYRIN STI,160.41,56.15,39.11,136.77,10
CPT,84126,HC HEXACARBOXLY PORPHYRIN I STL,160.41,56.15,39.11,136.77,10
CPT,84126,HC HEXACARBOXLY PORPHYRIN III STL,160.41,56.15,39.11,136.77,10
CPT,84126,HC ISOCOPROPORPHYRINS STL,160.41,56.15,39.11,136.77,10
CPT,84126,HC ISOHEPTACARBOXLY PORPHYRINS ST,160.41,56.15,39.11,136.77,10
CPT,84126,HC ISOHEXACARBOXLY PORPHYRINS STI,160.41,56.15,39.11,136.77,10
CPT,84126,HC ISOPENTACARBOXLY PORPHYRINS ST,160.41,56.15,39.11,136.77,10
CPT,84126,HC MESOPORPHYRIN STL,160.41,56.15,39.11,136.77,10
CPT,84126,HC OCTACARBOXYPORPHYRIN STI,160.41,56.15,39.11,136.77,10
CPT,84126,HC PENTACARBOXLY PORPHYRIN I STL,160.41,56.15,39.11,136.77,10
CPT,84126,HC PENTACARBOXLY PORPHYRIN III ST,160.41,56.15,39.11,136.77,10
CPT,84126,HC PORPHYRINS FECAL-QUANTITATIVE,542.85,190.0,39.11,304.0,10
CPT,84126,"HC PORPHYRINS, FECAL",543.31,190.16,39.11,304.25,10
CPT,84126,HC PROTOPORPHYRIN STL,160.41,56.15,39.11,136.77,10
CPT,84126,HC SP DEUTURPORPHYRIN STL,160.41,56.15,39.11,136.77,10
CPT,84126,HC TETRACARBOXPORPHYRIN STI,160.41,56.15,39.11,136.77,10
CPT,84126,HC UROPORPHYRIN I STL,160.41,56.15,39.11,136.77,10
CPT,84126,HC UROPORPHYRIN III STL,160.41,56.15,39.11,136.77,10
CPT,84132,HC POTASSIUM SERUM,55.28,19.35,4.76,30.96,10
CPT,84133,HC ASSAY OF URINE POTASSIUM ARUP 0020498,33.64,11.78,4.73,18.84,10
CPT,84133,HC POTASSIUM URINE,32.26,11.3,4.73,18.07,10
CPT,84133,"HC POTASSIUM, URINE",68.2,23.87,4.73,38.19,10
CPT,84134,HC PREALBUMIN,88.92,31.13,14.59,51.01,10
CPT,84135,ASSAY OF PREGNANEDIOL,,,21.27,74.37,7
CPT,84138,"HC PREGNANETRIOL, URINE",687.65,240.68,21.05,385.08,10
CPT,84140,HC PREGNENOLONE,92.84,32.5,20.67,72.28,10
CPT,84140,HC PREGNENOLONE BY LC-MS/MS SERUM OR PLASMA ARUP 0092334,130.66,45.74,20.67,73.17,10
CPT,84143,HC 17-HYDROXYPREGNENOLONE,90.44,31.66,22.81,79.76,10
CPT,84143,HC 17-HYDROXYPREGNENOLONE ARUP 2002283,98.88,34.61,22.81,79.76,10
CPT,84144,HC PROGESTERONE,82.92,29.03,20.86,72.95,10
CPT,84145,HC PROCALCITONIN,457.25,160.04,27.22,256.06,10
CPT,84146,HC ASSAY OF PROLACTIN ARUP 0020765,179.07,62.68,19.38,100.28,10
CPT,84146,HC PROLACTIN,159.35,55.775,19.38,101.42,20
CPT,84146,HC PROLACTIN MACROADENOMA,63.0,22.05,19.38,67.77,10
CPT,84146,"HC PROLACTIN, DILUTION STUDY ARUP 0020724",43.3,15.16,14.85,67.77,10
CPT,84146,"HC PROLACTIN, MONOMERIC",181.1,63.39,19.38,101.42,10
CPT,84150,HC 11 B-PROTAGLANDIND F2 ALP,803.51,281.23,41.77,449.97,10
CPT,84150,"HC 2,3 DINOR-11BETA-PROSTAGLANDIN F2 ALPHA, 24-HOUR URINE ARUP 3002337",850.08,297.53,41.77,476.04,10
CPT,84150,HC PROSTAGLANDIN D2 (PG D2) SERUM OR PLASMA ARUP 300219,1071.84,375.15,41.77,600.23,10
CPT,84152,"HC PROSTATE SPECIFIC ANTIGEN, COMPLEXED ARUP 2002930",432.43,151.36,18.39,242.16,10
CPT,84153,HC PROSTATE CA SCREEN-PSA-TOTAL,105.15,36.81,18.39,64.31,10
CPT,84153,"HC PROSTATE SPECIFIC ANTIGEN, ULTRASENSITIVE ARUP 0098581",74.98,26.25,18.39,64.31,10
CPT,84153,HC PSA MONITORING,119.88,41.96,18.39,67.13,10
CPT,84153,HC PSA SCREEN,119.88,41.96,18.39,67.13,10
CPT,84153,HC PSA TOTAL,104.85,36.7,18.39,64.31,10
CPT,84154,HC PROSTATE SPECIFIC ANTIGEN FREE,91.32,31.97,18.39,64.31,10
CPT,84155,"HC PROTEIN, BL TOTAL EXC REFRACT",56.49,19.78,3.67,31.63,10
CPT,84156,HC ASSAY OF PROTEIN URINE ARUP 3002104,124.74,43.66,3.67,69.85,10
CPT,84156,HC ASSAY OF PROTEIN URINE ARUP 3002105,109.65,38.38,3.67,61.4,10
CPT,84156,"HC PROTEIN, URINE, QUANT REFRACT",56.49,19.78,3.67,31.63,10
CPT,84157,"HC PROTEIN, CSF,EXC REFRAT",61.0,21.35,4.0,34.16,10
CPT,84160,HC PROTEIN TOTAL-BY REFRACTOMETR,29.11,10.19,5.61,19.62,10
CPT,84163,"HC MATERNAL SERUM SCREENING, INTEGRATED, SPECIMEN #1, PAPP-A, NT ARUP 3000147",184.8,64.68,15.05,103.49,10
CPT,84163,HC PREG-ASSC PLASMA PROT-A/PAPP-A,184.8,64.68,15.05,103.49,10
CPT,84165,HC PROT ELECTROPHORESIS,93.73,32.81,10.74,52.49,10
CPT,84165,HC PROTEIN-ELECTROPHOR FRACT/QNT,29.11,10.19,9.98,37.55,10
CPT,84166,HC PROTEIN E-PHORESIS/URINE/CSF ARUP 3002105,109.65,38.38,17.83,62.35,10
CPT,84166,HC PROTEIN ELECTROPHORESIS URINE,112.35,39.33,17.83,62.92,10
CPT,84166,HC PROTEIN-ELECTRPHR FRCT&QT BF-1,66.88,23.41,17.83,62.35,10
CPT,84166,HC PROTEIN-ELECTRPHR FRCT&QT BF-2,66.88,23.41,17.83,62.35,10
CPT,84166,HC PROTEIN-ELECTRPHR FRCT&QT BF-3,66.88,23.41,17.83,62.35,10
CPT,84166,HC PROTEIN-ELECTRPHR FRCT&QT BF-4,66.88,23.41,17.83,62.35,10
CPT,84181,HC ANNA WESTERN BLOT-CSF RFLX,554.4,194.04,17.03,310.46,10
CPT,84181,HC NEURONAL NUCLEAR,163.74,57.31,17.03,91.69,10
CPT,84181,HC NEURONAL NUCLEAR AUTOABS,163.74,57.31,17.03,91.69,10
CPT,84181,HC PROTEIN WESTRN BLOT I&R BLOOD/OTHER FLUID ARUP TO ATHENA 1481,859.32,300.77,17.03,481.22,10
CPT,84182,"HC AMPHIPHYSIN ANTIBODY, IGG ARUP 2008893",539.62,188.87,25.57,302.19,10
CPT,84182,HC ANTI-BESTROPHIN AUTOANTIBODIES ARUP TO OHSU TEST CODE BEST,396.8,138.88,25.57,222.21,10
CPT,84182,HC CAR PANEL BY IMMUNOBLOT AND IMMUNOHISTOCHEMISTRY (IHC) ARUP TO OREGON HEALTH SCIENCES UNI CARP,1940.4,679.14,25.57,1086.62,10
CPT,84182,HC CASPR-1 (IGG) ARUP TO WUSM NEURO,544.0,190.4,25.57,304.64,10
CPT,84182,HC COLLAPSIN RESPONSE-MEDIATOR PROTEIN-5-IGG CRMP-5-IGG WESTERN BLOT SPINAL FLUID ARUP TO MAYO CRMWC,1034.88,362.21,25.57,579.53,10
CPT,84182,HC CONTACTIN-1-IGG ARUP TO WASHINGTON UNIV SCHOOL OF MEDICINE,572.88,200.51,25.57,320.81,10
CPT,84182,HC CRMP-5 IGG WESTERN BLOT,220.51,77.18,25.57,123.49,10
CPT,84182,HC CYSTICERUS IGG ABS,113.26,39.65,25.57,102.14,10
CPT,84182,HC MA/TA ANTIBODY,569.42,199.3,25.57,318.88,10
CPT,84182,HC MA2/TA ANTIBODY IGG BY IMMUNOBLOT SERUM ARUP 3017441,1161.6,406.56,25.57,650.5,10
CPT,84182,"HC MA2/TA ANTIBODY, IGG BY IMMUNOBLOT, CSF ARUP 3017440",1161.6,406.56,25.57,650.5,10
CPT,84182,HC MAR PANEL BY IMMUNOBLOT AND IMMUNOHISTOCHEMISTRY (IHC) ARUP TO OREGON SCIENCES UNI MARP,1496.88,523.91,25.57,838.25,10
CPT,84182,HC PROTEIN WESTERN BLOT TEST ARUP 3002917,166.32,58.22,25.57,102.14,10
CPT,84182,HC PROTEIN WESTERN BLOT TEST ARUP 3016804,417.12,146.0,25.57,233.59,10
CPT,84182,HC PROTEIN WESTERN BLOT TEST ARUP TO MAYO LAB MDC2,165.08,57.78,25.57,102.14,10
CPT,84182,HC PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL ARUP 3001782,135.52,47.44,25.57,102.14,10
CPT,84182,HC PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL ARUP 3002929,180.18,63.07,25.57,102.14,10
CPT,84182,HC PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL ARUP 3003058,166.56,58.3,25.57,102.14,10
CPT,84182,HC PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL ARUP 3004517,180.18,63.07,25.57,102.14,10
CPT,84182,HC PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL ARUP 3004527,133.98,46.9,25.57,102.14,10
CPT,84182,HC PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL ARUP 3006201,192.92,67.53,25.57,108.04,10
CPT,84182,HC PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL ARUP 3006202,192.92,67.53,25.57,108.04,10
CPT,84182,HC PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL ARUP 3006204,195.46,68.42,25.57,109.46,10
CPT,84182,HC PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL ARUP 3006206,202.13,70.75,25.57,113.19,10
CPT,84182,HC PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL ARUP 3006208,236.78,82.88,25.57,132.6,10
CPT,84182,HC PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL ARUP 3018867,54.26,19.0,18.61,102.14,10
CPT,84182,HC PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL ARUP TO MAYO AIAES,258.72,90.56,25.57,144.88,10
CPT,84182,HC PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL ARUP TO MAYO LAB MDS2,231.42,81.0,25.57,129.6,10
CPT,84182,HC PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL ARUP TO MAYO MAS1,211.89,74.17,25.57,118.66,10
CPT,84182,HC PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL ARUP TO WASHINGTON UNIV,188.5,65.98,25.57,105.56,10
CPT,84182,HC PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL ARUP TO WASHINGTON UNIV NEUROMUSCULAR CLINICAL LAB,126.19,44.17,25.57,102.14,20
CPT,84182,"HC PROTEIN-WESTERN BLOT W/I&R, EA",415.8,145.53,25.57,232.85,10
CPT,84182,HC PURKINJE CELL (YO) RECOMBX,826.75,289.37,25.57,462.98,10
CPT,84182,HC RECOMBX CAR ANTIRECOVERIN AB,1349.04,472.17,25.57,755.46,10
CPT,84182,HC RECOVERIN ANTIBODY IGG BY IMMUNOBLOT SERUM ARUP 3016794,563.2,197.12,25.57,315.39,10
CPT,84182,"HC REFLEX NEURONAL NUCLEAR AB (TR/DNER) IGG, CSF ARUP 3006377",457.6,160.16,25.57,256.26,10
CPT,84182,"HC REFLEX NEURONAL NUCLEAR AB (TR/DNER) IGG, SER ARUP 3006378",457.6,160.16,25.57,256.26,10
CPT,84182,"HC REFLEX NEURONAL NUCLEAR AB IGG, IMMUNOBLOT, HU ARUP 3006278",457.6,160.16,25.57,256.26,10
CPT,84182,"HC REFLEX NEURONAL NUCLEAR AB, IMMUNOBLOT, HU CSFARUP 3006376",457.6,160.16,25.57,256.26,10
CPT,84182,HC WESTERN BLOT,220.51,77.18,25.57,123.49,10
CPT,84182,HC ZERO ANTIBODIES,116.11,40.64,25.57,102.14,10
CPT,84202,"HC ERYTHROCYTE PORPHYRIN (EP), WHOLE BLOOD ARUP 0020610",236.73,82.86,14.35,132.57,10
CPT,84202,HC ERYTHROCYTE PROTOPORPHYRIN,89.38,31.29,14.35,50.17,10
CPT,84202,HC ZINC PROTOPORPHYRIN,60.69,21.25,14.35,50.17,10
CPT,84202,"HC ZINC PROTOPORPHYRIN, RBC-QNT",58.21,20.38,14.35,50.17,10
CPT,84203,TEST RBC PROTOPORPHYRIN,,,9.74,34.05,7
CPT,84206,HC PROINSULIN,110.56,38.7,26.69,93.33,10
CPT,84207,HC PYRIDOXAL PHOSPHATE (VIT B-6),81.72,28.61,28.03,98.27,10
CPT,84210,HC ASSAY OF PYRUVATE ARUP 2007935,68.37,23.93,14.48,50.64,10
CPT,84210,HC PYRUVATE,70.09,24.54,14.48,50.64,10
CPT,84210,HC PYRUVIC ACID CSF,451.17,157.91,14.48,252.66,10
CPT,84220,HC PYRUVATE KINASE ARUP 0080290,168.17,58.86,9.44,94.18,10
CPT,84228,ASSAY OF QUININE,,,11.63,40.67,7
CPT,84233,ASSAY OF ESTROGEN,,,87.88,307.32,7
CPT,84234,HC PROGESTERONE RECEPTOR,404.06,141.43,64.88,226.89,10
CPT,84235,ASSAY OF ENDOCRINE HORMONE,,,71.23,249.08,7
CPT,84238,HC ACETYL CHOLINE RECEP BLK AB,95.24,33.34,32.67,127.89,10
CPT,84238,"HC RECEPTOR ASSAY, NON-ENDOCRINE",348.81,122.09,36.57,195.33,10
CPT,84238,HC SOLUBLE TRANSFERRIN RECEPTOR ARUP 3020070,72.26,25.3,24.79,127.89,10
CPT,84244,HC ASSAY OF RENIN ARUP 0070073,86.92,30.43,21.99,76.89,10
CPT,84244,HC RENIN,138.5,48.48,21.99,77.56,10
CPT,84252,HC VITAMIN B2 FUNCTIONAL ASSESS,125.88,44.06,20.24,70.78,10
CPT,84252,HC VITAMIN B2 H-P QNT LIQ CHROM,650.5,227.68,20.24,364.28,10
CPT,84255,"HC SELENIUM, SERUM",64.68,22.64,22.19,89.27,10
CPT,84260,HC SEROTONIN,536.24,187.69,30.98,300.29,10
CPT,84260,"HC SEROTONIN, SERUM",161.7,56.6,30.98,108.33,10
CPT,84270,HC ASSAY OF SEX HORMONE BINDING GLOBULIN ARUP 0081056,43.12,15.1,14.79,76.0,10
CPT,84270,HC ASSAY OF SEX HORMONE BINDING GLOBULIN ARUP 0081057,43.12,15.1,14.79,76.0,10
CPT,84270,HC SEX HORMONE BINDING GLOBULIN,147.27,51.55,21.73,82.47,10
CPT,84275,"HC SIALIC ACID, URINE",1459.71,510.9,13.44,817.44,10
CPT,84285,ASSAY OF SILICA,,,25.21,88.15,7
CPT,84295,HC SODIUM SERUM,57.98,20.3,4.81,32.47,10
CPT,84300,HC ASSAY OF URINE SODIUM ARUP 0020498,33.64,11.78,5.06,18.84,10
CPT,84300,HC SODIUM URINE,36.5,12.78,5.06,20.44,10
CPT,84300,"HC SODIUM, URINE",69.7,24.4,5.06,39.03,10
CPT,84300,"HC SODIUM, URINE, 24HR",69.7,24.4,5.06,39.03,10
CPT,84302,HC SODIUM STOOL,30.65,10.73,4.86,17.16,10
CPT,84302,"HC SODIUM, FLUID",30.65,10.73,4.86,17.16,10
CPT,84305,HC INSULIN-LIKE GROWTH FACTOR 2,126.49,44.28,21.26,74.35,10
CPT,84305,HC SOMATOMEDIN C,141.8,49.63,21.26,79.41,10
CPT,84307,HC SOMATOSTATIN,717.02,250.96,18.28,401.53,10
CPT,84311,HC ADENOSINE DEAMINASE IN CSF ARUP 3002982,144.14,50.45,8.1,80.72,10
CPT,84311,HC ADENOSINE DEAMINASE SERUM OR PLASMA ARUP 3002976,144.14,50.45,8.1,80.72,10
CPT,84311,"HC ADENOSINE DEAMINASE, PERICARDIAL FLUID ARUP 3002984",129.36,45.28,8.1,72.44,10
CPT,84311,"HC ADENOSINE DEAMINASE, PERITONEAL FLUID ARUP 3002980",129.36,45.28,8.1,72.44,10
CPT,84311,"HC ADENOSINE DEAMINASE, PLEURAL FLUID ARUP 3002978",129.36,45.28,8.1,72.44,10
CPT,84311,HC ARYLSULFATASE A LEUKOCYTES,407.73,142.71,8.1,228.33,10
CPT,84311,HC B1 NUTRITIONAL STATUS,46.27,16.2,8.1,28.33,10
CPT,84311,HC BETA-GALACTOSIDASE LEUK,753.75,263.82,8.1,422.1,10
CPT,84311,HC BETA-HYDROXYBUTYRATE,43.53,15.24,8.1,28.33,10
CPT,84311,"HC CHOLESTEROL, FLUID  ARUP 0020714",29.76,10.42,8.1,28.33,10
CPT,84311,HC FUNGITELL SPECTROPHOTOMETRY,207.9,72.77,8.1,116.42,10
CPT,84311,"HC HEMATOCRIT, BODY FLUID",67.51,23.63,8.1,37.81,10
CPT,84311,HC LACTASE,45.07,15.78,8.1,28.33,10
CPT,84311,HC MALTASE,45.07,15.78,8.1,28.33,10
CPT,84311,HC PALATINASE,45.07,15.78,8.1,28.33,10
CPT,84311,HC PHENOLPHTHALEIN FECES (17085Z) ARUP TO CHANTILLY 466918,183.33,64.17,8.1,102.66,10
CPT,84311,"HC PHENOLPHTHALEIN, STOOL",46.27,16.2,8.1,28.33,10
CPT,84311,HC PHY ACID COMMENT,186.25,65.19,8.1,104.3,10
CPT,84311,HC PHY ACID INTERPRETATION,186.25,65.19,8.1,104.3,10
CPT,84311,HC PHYTANIC ACID PROFILE,186.25,65.19,8.1,104.3,10
CPT,84311,HC PORPHYRINS TOTAL PLASMA,1276.17,446.66,8.1,714.66,10
CPT,84311,HC PORPHYRINS TOTAL W/ REFLEX TO FRACTIONATION ARUP 2006593,562.68,196.94,8.1,315.1,10
CPT,84311,HC SPECTROPHOTOMETRIC COMMENT,46.27,16.2,8.1,28.33,10
CPT,84311,HC SUCCINYLPURINE SCREEN,563.28,197.15,8.1,315.44,10
CPT,84311,HC SUCRASE,45.07,15.78,8.1,28.33,10
CPT,84315,HC SPEC GRAVITY O/T URINE,29.14,10.2,3.28,16.32,10
CPT,84375,HC CHROMATOGRAM ASSAY SUGARS ARUP TO EGL GENETICS BNGLY,486.64,170.33,39.0,272.52,10
CPT,84376,HC REDUCING SUBSTANCES STOOL,32.34,11.32,5.5,19.24,10
CPT,84377,"HC CARBOHYDRATE, URINE ARUP TO MAYO CHOU",561.06,196.38,5.5,314.19,10
CPT,84377,HC OLIGOSACCHARIDE URINE ANALYSIS - U OF UTAH,997.92,349.28,5.5,558.84,10
CPT,84377,"HC OLIGOSACCHARIDES, URINE",1392.02,487.21,5.5,779.53,10
CPT,84378,HC SUGARS SINGLE QUANT ARUP TO EGL GENETICS BOGLY,660.66,231.24,11.53,369.97,10
CPT,84379,SUGARS MULTIPLE QUANT,,,11.53,40.32,7
CPT,84392,HC SULFATE URINE,35.65,12.48,5.49,19.96,10
CPT,84393,TAU PHOSPHORYLATED EA,,,128.92,209.91,4
CPT,84394,TOTAL TAU,,,128.92,209.91,4
CPT,84402,HC ASSAY OF TESTOSTERONE FREE ARUP 0081056,43.12,15.1,14.79,89.07,10
CPT,84402,HC ASSAY OF TESTOSTERONE FREE ARUP 0081057,43.12,15.1,14.79,89.07,10
CPT,84402,HC ASSAY OF TESTOSTERONE FREE ARUP 2004246,116.42,40.75,25.47,89.07,10
CPT,84402,"HC TESTOSTERONE, FREE",164.63,57.63,25.47,92.19,10
CPT,84403,HC ASSAY OF TESTOSTERONE TOTAL ARUP 0081056,43.12,15.1,14.79,90.25,10
CPT,84403,HC ASSAY OF TESTOSTERONE TOTAL ARUP 0081057,43.12,15.1,14.79,90.25,10
CPT,84403,HC ASSAY OF TESTOSTERONE TOTAL ARUP 2004246,116.42,40.75,25.81,90.25,10
CPT,84403,"HC TESTOSTERONE, TOTAL",147.27,51.55,25.81,90.25,10
CPT,84410,TESTOSTERONE BIOAVAILABLE,,,51.28,179.31,7
CPT,84425,HC THIAMINE (VIT B-1),137.29,48.06,21.23,76.88,10
CPT,84425,HC VITAMIN B1 (THIAMINE) PLASMA ARUP 0080389,102.08,35.73,21.23,74.24,10
CPT,84425,HC VITAMIN B1 WHOLE BLOOD,118.67,41.54,21.23,74.24,10
CPT,84430,HC THIOCYANATE QUANTITATIVE SERUM OR PLASMA ARUP 3003041,391.78,137.13,11.63,219.4,10
CPT,84430,"HC THIOCYANATE, SERUM",265.87,93.06,11.63,148.89,10
CPT,84431,THROMBOXANE URINE,,,35.11,122.78,7
CPT,84432,HC ANTI-THYROGLOBULIN ANTIBODY (TGAB) & THYROGLOBULIN LEVEL (TG) TO USC ENDOCRINE LAB,251.33,87.97,16.06,140.74,10
CPT,84432,HC ASSAY OF THYROGLOBULIN ARUP TO USC,225.67,78.99,16.06,126.38,10
CPT,84432,HC REFLEX THYROGLOBULIN BY LC-MS/MS BILL ARUP 2006692,297.53,104.14,16.06,166.62,10
CPT,84432,"HC REFLEX THYROGLOBULIN, SERUM OR PLASMA BILL ARUP 2006685",69.19,24.22,16.06,56.16,10
CPT,84432,HC TGAB,175.56,61.45,16.06,98.31,10
CPT,84432,HC THYROGLOBULIN,96.13,33.65,16.06,56.16,10
CPT,84432,HC THYROGLOBULIN (TG),175.56,61.45,16.06,98.31,10
CPT,84432,HC THYROGLOBULIN BY CIA ARUP 2006694,69.19,24.22,16.06,56.16,10
CPT,84432,HC THYROGLOBULIN BY LC-MS/MS ARUP 2006692,297.53,104.14,16.06,166.62,10
CPT,84432,"HC THYROGLOBULIN BY LC-MS/MS, SERUM OR PLASMA ARUP 2006550",288.29,100.91,16.06,161.44,10
CPT,84432,HC THYROGLOBULIN LEVEL,118.99,41.65,16.06,66.63,10
CPT,84432,"HC THYROGLOBULIN, FINE NEEDLE ASPIRATION (FNA) ARUP 0020753",108.0,37.8,16.06,60.48,10
CPT,84433,ASY THIOPURIN S-MTHYLTRNSFRS,,,22.17,77.53,7
CPT,84436,"HC THYROXINE, TOTAL T4 ARUP 3005978",32.15,11.26,6.87,24.03,10
CPT,84436,HC THYROXINE; TOTAL ARUP 0070141,27.81,9.74,6.87,24.03,10
CPT,84437,HC THYROXINE (T4) NEWBORN,23.56,8.25,6.47,22.63,10
CPT,84439,HC FREE T4 (FT4),91.93,32.18,9.02,51.48,10
CPT,84439,HC FREE T4 BY EQUIL DIALYSIS-TMS,129.36,45.28,9.02,72.44,10
CPT,84439,HC THYROXINE FREE STANDOUT,52.58,18.41,9.02,31.55,10
CPT,84439,"HC THYROXINE, FREE BY EQUILIBRIUM DIALYSIS/HPLC-TANDEM MASS SPECTROMETRY ARUP 0093244",121.59,42.56,9.02,68.09,10
CPT,84442,HC THYROXINE BINDING GLOBULIN,58.21,20.38,14.78,51.69,10
CPT,84443,HC ASSAY THYROID STIM HORMONE NEWBORN REFLEX CDPHE,53.25,18.64,16.8,58.76,10
CPT,84443,HC THYROID STIMULATING HORMONE 3RD GENERATION ARUP 0070225,60.8,21.28,16.8,58.76,10
CPT,84443,HC TSH (HIGH SENSITIVITY),144.2,50.47,16.8,80.75,10
CPT,84443,HC TSH REFERENCE LAB,105.75,37.02,16.8,59.22,10
CPT,84445,HC TBI QUANTATIVE,325.05,113.77,50.86,182.03,10
CPT,84445,HC THYROID STIMULATING IMMUNOGLOBULIN ARUP 3002287,282.52,98.89,50.86,177.86,10
CPT,84445,HC TSI QUALITATIVE,388.14,135.85,50.86,217.36,10
CPT,84445,HC TSI QUANTITATIVE,325.05,113.77,50.86,182.03,10
CPT,84446,HC VITAMINE E LEVEL,89.22,31.23,14.18,49.96,10
CPT,84449,HC ASSAY OF TRANSCORTIN ARUP TO ESOTERIX ENDOCRINOLOGY 500080,205.13,71.8,18.0,5428.0,10
CPT,84450,HC AST,81.41,28.5,5.18,45.59,10
CPT,84450,HC TRANSFERASE (AST) (SGOT)-ARUP2005661,144.14,50.45,5.18,80.72,10
CPT,84460,HC ALANINE AMINO (ALT) (SGPT)-ARUP2005661,144.14,50.45,5.3,80.72,10
CPT,84460,HC ALT,73.9,25.87,5.3,41.38,10
CPT,84466,HC TAU-TRANSFERRIN,163.74,57.31,12.76,91.69,10
CPT,84466,HC TRANSFERRIN,83.22,29.13,12.76,46.6,10
CPT,84478,HC TRIGLYCERIDES,45.67,15.99,5.74,25.58,10
CPT,84478,HC TRIGLYCERIDES SERUM OR PLASMA ARUP 0020040,32.34,11.32,5.74,20.07,10
CPT,84479,HC T UPTAKE ARUP 3005977,28.83,10.1,6.47,22.63,10
CPT,84479,HC THYROID HORMONE (T3 OR T4) UPTAKE OR THYROID HORMONE BINDING RATIO (THBR) ARUP 0070141,27.81,9.74,6.47,22.63,10
CPT,84480,HC ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3 ARUP 2008406,85.01,29.76,14.18,49.59,10
CPT,84480,HC TOTAL T3 (TT3),105.75,37.02,14.18,59.22,10
CPT,84481,"HC T3, FREE",112.96,39.54,16.94,63.26,10
CPT,84482,HC T3 REVERSE,113.84,39.85,15.76,63.75,10
CPT,84482,"HC T3, REVERSE",104.25,36.49,15.76,58.38,10
CPT,84482,HC TRIIODOTHYRONINE T3 REVERSE ARUP 2008406,85.01,29.76,15.76,55.11,10
CPT,84482,"HC TRIIODOTHYRONINE, REVERSE BY TANDEM MASS SPECTROMETRY ARUP 2007918",92.77,32.47,15.76,55.11,10
CPT,84484,HC HIGH SENSITIVE TROPONIN I,133.46,46.72,12.47,74.74,10
CPT,84484,HC POC HIGH SENSITIVITY TROPONIN FOR ISTAT,183.67,64.29,12.47,102.86,10
CPT,84484,HC TROPONIN QUANT,143.61,50.27,12.47,80.42,20
CPT,84485,ASSAY DUODENAL FLUID TRYPSIN,,,7.2,25.17,7
CPT,84488,HC FECES TRYPSIN QUAL,43.57,15.25,7.3,25.53,10
CPT,84488,"HC TRYPSIN, FECAL-QUALITATIVE",45.28,15.85,7.3,25.53,10
CPT,84490,ASSAY OF FECES FOR TRYPSIN,,,9.93,34.73,7
CPT,84510,HC ASSAY OF TYROSINE ARUP 0080336,181.1,63.39,10.63,101.42,10
CPT,84510,HC ASSAY OF TYROSINE CHILDRENS HOSPITAL CO LAB1896,184.8,64.68,10.63,103.49,10
CPT,84510,HC TYROSINE CHILDRENS HOSPITAL L1896,120.12,42.05,10.63,67.27,10
CPT,84510,HC TYROSINE PLASMA ARUP 0080355,149.6,52.36,10.63,83.78,10
CPT,84512,ASSAY OF TROPONIN QUAL,,,10.09,35.29,7
CPT,84520,HC ASSAY OF UREA NITROGEN-ARUP2005661,144.14,50.45,3.95,80.72,10
CPT,84520,HC UREA NITROGEN (BUN)QUAN,61.28,21.45,3.95,34.32,10
CPT,84520,"HC UREA NITROGEN, BODY FLUID ARUP TO MAYO CLINIC LAB UEBF",242.46,84.87,3.95,135.78,10
CPT,84525,UREA NITROGEN SEMI-QUANT,,,5.13,17.93,7
CPT,84540,HC UREA NITROGEN URINE,35.65,12.48,5.56,19.96,10
CPT,84540,"HC UREA NITROGEN, URINE",68.2,23.87,5.56,38.19,10
CPT,84545,HC UREA CLEARANCE ARUP 2005207,58.21,20.38,7.2,32.6,10
CPT,84550,HC URIC ACID,84.12,29.45,4.52,47.11,10
CPT,84560,HC ASSAY OF URIC ACID OTHER SOURCE ARUP 0020843,39.27,13.75,5.08,21.99,10
CPT,84560,"HC URIC ACID, OTHER SOURCE",35.65,12.48,5.08,19.96,10
CPT,84560,"HC URIC ACID, URINE",57.08,19.98,5.08,31.96,10
CPT,84560,"HC URIC ACID, URINE ARUP 0020481",28.46,9.97,5.08,17.77,10
CPT,84577,HC FECES UROBILINOGEN QUANT,82.62,28.92,16.8,58.76,10
CPT,84578,TEST URINE UROBILINOGEN,,,4.47,15.63,7
CPT,84580,ASSAY OF URINE UROBILINOGEN,,,9.55,33.4,7
CPT,84583,ASSAY OF URINE UROBILINOGEN,,,6.05,21.15,7
CPT,84585,HC VMA,124.08,43.43,15.5,69.48,10
CPT,84586,HC VASOACTIVE INTEST PEPTIDE,95.84,33.55,32.87,123.55,10
CPT,84586,HC VASOACTIVE INTESTINAL POLYPEPTIDE (VIP) PLASMA ARUP TO LABCORP 010397,1051.14,367.9,35.33,588.64,10
CPT,84586,"HC VASOACTIVE INTESTINAL POLYPEPTIDE (VIP), PLASMA ARUP 3018202",122.08,42.73,35.33,123.55,10
CPT,84588,"HC COPEPTIN PROAVP, PLASMA ARUP 3018705",144.0,50.4,33.94,118.69,10
CPT,84590,HC VITAMIN A,76.91,26.92,11.61,43.07,10
CPT,84591,HC NIACIN VITAMIN B3,179.03,62.67,17.06,100.26,10
CPT,84591,"HC VITAMIN B5 (PANTOTHENIC ACID), SERUM ARUP 2006982",295.68,103.49,17.06,165.58,10
CPT,84591,HC VITAMIN B7-BIOTIN,388.08,135.83,17.06,217.32,10
CPT,84597,HC VITAMIN K,88.63,31.03,13.72,49.63,10
CPT,84597,HC VITAMIN K1 SERUM ARUP 0099225,168.96,59.14,13.72,94.62,10
CPT,84600,HC ASSAY OF VOLATILES,69.12,24.2,17.11,59.84,10
CPT,84600,HC BENZENE QUANTITATIVE-WB ARUP 3000136,317.86,111.26,17.11,178.0,10
CPT,84600,"HC CYCLOHEXANONE, URINE ARUP TO NATIONAL MEDICAL SERVICES 1409U",846.38,296.24,17.11,473.97,10
CPT,84600,HC HYDROCARBON/OXGENATD VOLATILES,391.78,137.13,17.11,219.4,10
CPT,84600,"HC PROPYLENE GLYCOL, SERUM OR PLASMA ARUP 0091538",495.26,173.35,17.11,277.35,10
CPT,84600,HC TOLUENE OCCUPATIONAL EXPOSURE WHOLE BLOOD ARUP TO MEDTOX LAB 70123,161.03,56.37,17.11,90.18,10
CPT,84600,"HC VOLATILES METHANOL,ISOPROPANOL",100.05,35.02,17.11,59.84,10
CPT,84620,HC XYLOSE ABSORPTION BLOOD 1 HR,78.11,27.34,12.91,45.14,10
CPT,84620,HC XYLOSE ABSORPTION BLOOD 2 HR,78.11,27.34,12.91,45.14,10
CPT,84620,HC XYLOSE ABSORPTION FASTING,78.11,27.34,12.91,45.14,10
CPT,84620,HC XYLOSE ABSORPTION URINE,78.11,27.34,12.91,45.14,10
CPT,84630,HC ASSAY OF ZINC ARUP 0025055,56.6,19.81,11.39,39.83,10
CPT,84630,HC ZINC,37.0,12.95,11.39,39.83,10
CPT,84630,HC ZINC TIMED URINE,73.61,25.77,11.39,41.22,10
CPT,84630,HC ZINC URINE,85.32,29.87,11.39,47.78,10
CPT,84630,"HC ZINC, RED BLOOD CELLS ARUP 3003758",192.19,67.27,11.39,107.63,10
CPT,84681,HC C-PEPTIDE ARUP 0070103,140.6,49.21,20.81,78.74,10
CPT,84681,"HC SERUM, C-PEPTIDE ARUP 0070103",46.2,16.17,15.85,72.76,10
CPT,84702,"HC BETA-HCG, QUANTITATIVE (TUMOR MARKER), CSF ARUP 0020730",70.96,24.84,15.05,52.62,10
CPT,84702,"HC HCG, QUANT",99.45,34.81,15.05,55.69,10
CPT,84702,"HC HCG, QUANT, SERUM",131.58,46.06,15.05,73.68,10
CPT,84703,HC HCG QL,76.62,26.82,7.52,42.91,10
CPT,84703,HC HCG QL (PREG),76.62,26.82,7.52,42.91,10
CPT,84703,HC URINE HCG,76.62,26.82,7.52,42.91,10
CPT,84704,"HC BETA-HCG, QUANTITATIVE (TUMOR MARKER) ARUP 0070029",51.26,17.95,15.29,53.46,10
CPT,84830,OVULATION TESTS,,,12.7,44.41,7
CPT,84999,HC BIOTIN,104.54,36.59,29.94,77.88,6
CPT,84999,HC BREAST CANCER ASSAY GENO HLTH,8327.52,2914.64,2385.0,6204.0,6
CPT,84999,HC FLUID CHOLESTEROL,27.41,9.6,7.85,20.42,6
CPT,84999,HC GALACTOSE-1 PHOSPHATE,69.71,24.4,19.96,51.93,6
CPT,84999,HC HEMOGLOBIN SENDOUT,69.71,24.4,19.96,51.93,6
CPT,84999,HC MYOTONIC DYSTROPHY MUTATION UL,104.54,36.59,29.94,77.88,6
CPT,84999,HC OSMOLALITY STOOL,104.54,36.59,29.94,77.88,6
CPT,84999,HC PHENOLPHTHALEIN FECAL,33.64,11.78,9.63,25.06,6
CPT,84999,HC POTASSIUM STOOL,49.87,17.46,14.28,37.15,12
CPT,84999,HC THALLIUM SERUM,104.54,36.59,29.94,77.88,6
CPT,84999,HC UNLISTED CHEMISTRY PROCEDURE ARUP TO QUEST 91634,583.87,204.36,167.22,434.98,6
CPT,84999,HC URINE REDUCING SUBSTANCE,25.04,8.77,7.17,18.65,6
CPT,85002,HC BLEEDING TIME,77.52,27.14,4.82,43.41,10
CPT,85004,AUTOMATED DIFF WBC COUNT,,,6.47,22.63,7
CPT,85007,HC BLOOD SMEAR MANL DIFFERENTIAL,50.48,17.67,3.8,28.27,20
CPT,85008,HC BLOOD SMEAR MICRO W/O MAN DIFF,28.84,10.1,3.43,16.15,10
CPT,85009,MANUAL DIFF WBC COUNT B-COAT,,,5.07,17.73,7
CPT,85013,HC HEMATOCRIT SPUN,43.25,15.14,7.0,24.48,20
CPT,85014,HC HEMATOCRIT NOT SPUN,36.36,12.73,2.37,20.36,10
CPT,85018,HC HEMOGLOBIN,31.56,11.05,2.37,17.67,10
CPT,85018,HC HEMOGLOBIN - HEMOCUE,31.56,11.05,2.37,17.67,10
CPT,85018,HC HEMOGLOBIN - POC,31.56,11.05,2.37,17.67,10
CPT,85018,HC TOTAL HEMOGLOBIN (THB),31.0,10.85,2.37,17.36,10
CPT,85025,"HC CBC,PLTC W/AUTO DIFF",76.01,26.61,7.77,42.57,10
CPT,85027,HC CBC AUTOMATED,69.09,24.19,6.47,38.69,10
CPT,85032,HC UNOPET,45.36,15.88,4.31,25.4,10
CPT,85041,AUTOMATED RBC COUNT,,,3.02,10.57,7
CPT,85044,MANUAL RETICULOCYTE COUNT,,,4.31,15.07,7
CPT,85045,HC RETIC HEMOGLOBIN CONTENT (CHR),43.87,15.36,3.99,24.57,10
CPT,85045,HC RETICULOCYTE COUNT AUTOMATED,43.87,15.36,3.99,24.57,10
CPT,85046,HC RETICULOCYE COUNT (RETIC),46.09,16.14,5.57,25.81,10
CPT,85046,HC RETICULOCYTE HEMOGLOBIN CONTNT,59.51,20.83,5.57,33.33,10
CPT,85048,HC WBC COUNT AUTOMATED,34.56,12.1,2.54,19.35,10
CPT,85048,HC WBC COUNT SENDOUT,34.56,12.1,2.54,19.35,10
CPT,85048,HC WBC TOTAL COUNT SENDOUT,34.56,12.1,2.54,19.35,10
CPT,85049,HC AUTOMATED PLATELET COUNT TO UCH,118.58,41.51,4.48,66.4,10
CPT,85049,HC PLATELET COUNT AUTO,54.08,18.93,4.48,30.28,10
CPT,85049,HC PLATELET COUNT SENDOUT,54.08,18.93,4.48,30.28,10
CPT,85055,HC IMMATURE PLATELET FRACTION IPF,92.33,32.32,31.67,124.97,10
CPT,85060,BLOOD SMEAR INTERPRETATION,,,19.3,1623.62,7
CPT,85097,HC BONE MARROW SMEAR INTR,1830.14,640.55,101.44,3242.45,10
CPT,85130,HC ARIXTRA (FONDAPARINUX) LEVEL-U OF UTAH 1009,388.08,135.83,11.89,217.32,10
CPT,85130,HC HEPARIN CO-FACTOR II,173.34,60.67,11.89,97.07,10
CPT,85170,BLOOD CLOT RETRACTION,,,16.3,57.0,7
CPT,85175,BLOOD CLOT LYSIS TIME,,,20.37,71.23,7
CPT,85210,HC CLOT FACTOR II PROTHROM SPEC  ARUP MAYO F21S,763.6,267.26,12.98,427.62,10
CPT,85210,HC CLOT FACTOR II PROTHROM SPEC (BETHESDA) ARUP 300724,166.32,58.22,12.98,93.14,10
CPT,85210,HC FACTOR II,115.36,40.38,12.98,64.6,10
CPT,85210,HC FACTOR II ACTIVITY TO UCH,351.12,122.9,12.98,196.63,10
CPT,85210,"HC FACTOR II, ACTIVITY (PROTHROMBIN) ARUP 0030007",169.28,59.25,12.98,94.8,10
CPT,85220,HC BLOOC CLOT FACTOR V TEST ARUYP TO BLOOD CENTER OF WI 1055,360.36,126.13,17.65,201.8,10
CPT,85220,HC FACTOR V (LABILE),132.5,46.38,17.65,74.2,10
CPT,85230,HC FACTOR VII,125.58,43.96,17.9,70.32,10
CPT,85240,HC CLOTTING FACTOR VIII AHG 1 STAGE ARUP 0030002,128.27,44.9,17.9,71.83,10
CPT,85240,HC FACTOR VIII ACTIVITY,137.6,48.16,17.9,77.06,10
CPT,85244,CLOT FACTOR VIII RELTD ANTGN,,,20.42,71.42,7
CPT,85245,HC CLOT FACTOR VIII VW RISTOCTN,155.23,54.34,22.94,86.93,10
CPT,85245,HC CLOTTING FACTOR VIII VW FACTOR RISTOCETIN COFACT ARUP 0030002,128.27,44.9,22.94,80.22,10
CPT,85245,HC RISTOCETIN COFACTOR,149.92,52.48,22.94,83.96,20
CPT,85245,HC VON WILLEBRAND FACTOR ACTIVITY (RISTOCETIN COFACTOR) ARUP 0030250,108.77,38.07,22.94,80.22,10
CPT,85246,HC CLOTTING FACTOR VIII VW FACTOR ANTIGEN ARUP 0030002,128.27,44.9,22.94,80.22,10
CPT,85246,"HC FACTOR VIII,VW FCTR AG",144.51,50.58,22.94,80.93,10
CPT,85246,HC VON WILLEBRAND ANTIGEN,144.51,50.58,22.94,80.93,10
CPT,85246,HC VON WILLEBRAND FACTOR COLLAGEN BINDING ARUP 2007136,639.41,223.8,22.94,358.07,10
CPT,85247,HC CLOTTING FACTOR VIII MULTIMETRIC ANALYSIS ARUP 0030002,128.27,44.9,22.94,80.22,10
CPT,85247,"HC FACTOR VIII,VW FCTR ML",213.29,74.66,22.94,119.44,10
CPT,85247,HC VON WILLEBRAND FACTOR MULTIMERS ARUP 0092281,255.02,89.26,22.94,142.81,10
CPT,85247,HC VON WILLEBRAND MULTIMERS,151.72,53.11,22.94,84.96,10
CPT,85250,HC CLOTTING FACTOR IX,170.64,59.73,19.04,95.56,10
CPT,85260,HC CLOTTING FACTOR X,139.39,48.79,17.9,78.06,10
CPT,85260,HC FACTOR X ACTIVITY (NOT ANTI-XA LEVEL)-UCH,240.24,84.09,17.9,134.53,10
CPT,85260,"HC FACTOR X, ACTIVITY ARUP 0030105",108.66,38.04,17.9,62.59,10
CPT,85270,HC FACTOR XI,164.33,57.52,17.9,92.02,10
CPT,85280,HC FACTOR XII,145.4,50.89,19.35,81.42,10
CPT,85280,HC FACTOR XII ACTIVITY ARUP 0030115,158.86,55.61,19.35,88.96,10
CPT,85290,HC FACTOR X111 ACT QUAL,103.33,36.17,16.34,57.86,10
CPT,85290,HC FACTOR X111 ACT QUANT,103.33,36.17,16.34,57.86,10
CPT,85291,CLOT FACTOR XIII FIBRIN SCRN,,,9.11,31.86,7
CPT,85292,"HC PREKALLIKREIN FACTOR, ACTIVITY",480.71,168.25,18.93,269.2,10
CPT,85293,HC HIGH MOLECULAR WEIGHT KININOGEN (HMWK),659.74,230.91,18.93,369.45,10
CPT,85300,HC ANTITHROMBIN III ACTIVITY,167.33,58.57,11.85,93.7,10
CPT,85300,HC REF ANITHROMBIN III ACTIVITY,117.81,41.24,11.85,65.97,10
CPT,85301,HC ANTI-THROMBIN III AG,277.29,97.06,10.81,155.28,10
CPT,85302,HC PROTEIN C ANTIGEN,75.71,26.5,12.01,42.4,10
CPT,85303,HC PROTEIN C ACTIVITY,119.57,41.85,13.84,66.96,10
CPT,85303,HC REF PROTEIN C ACTIVITY,119.21,41.73,13.84,66.76,10
CPT,85305,HC PROTEIN S ANTIGEN,76.62,26.82,11.61,42.91,10
CPT,85305,"HC REFLEX PROTEIN S, TOTAL ANTIGEN ARUP 0030112",64.68,22.64,11.61,40.6,10
CPT,85306,HC PROTEIN S ACTIVITY,96.45,33.76,15.32,54.01,10
CPT,85306,HC PROTEIN S FREE REFLEX TO PROTEIN S TOTAL ARUP 2002269,262.6,91.91,15.32,147.06,10
CPT,85306,"HC PROTEIN S FREE, ANTIGEN ARUP 0098894",214.37,75.03,15.32,120.05,10
CPT,85306,HC PROTEIN-S FREE,153.81,53.84,15.32,86.13,10
CPT,85307,HC ACTIVATED PROTEIN C RESISTANCE,208.45,72.96,15.32,116.73,10
CPT,85307,HC APC RESISTANCE PROFILE WITH REFLEX TO FACTOR V LEIDEN ARUP 0030192,108.66,38.04,15.32,60.85,10
CPT,85335,HC ACT PROTEIN C RESISTANCE,175.14,61.3,12.87,98.08,10
CPT,85335,HC ADAMTS13 INHIBITOR ARUP 3000228,720.72,252.26,12.87,403.6,10
CPT,85335,HC ADAMTS13 INHIBITOR ARUP TO BLOOD CENTER OF WISCONSIN,561.79,196.63,12.87,314.6,10
CPT,85335,HC APCRESISTANCE,110.25,38.59,12.87,61.74,10
CPT,85335,HC C1 ESTERAS INHIBITOR,56.18,19.67,12.87,45.01,10
CPT,85335,HC C1 ESTERASE INHIBITOR,103.33,36.17,12.87,57.86,10
CPT,85335,HC FACTOR INHIBITOR TEST  ARUP MAYO F21S,763.6,267.26,12.87,427.62,10
CPT,85335,HC FACTOR INHIBITOR TEST (BETHESDA) ARUP 300724,166.32,58.22,12.87,93.14,10
CPT,85335,HC FACTOR INHIBITOR TEST ARUP TO BLOOD CENTER OF WI 1055,360.36,126.13,12.87,201.8,10
CPT,85335,HC FACTOR IX INHIBITOR,385.04,134.77,12.87,215.62,10
CPT,85335,HC FACTOR VIII INHIBITOR,110.14,38.55,12.87,61.68,10
CPT,85335,HC REFLEX COAGULATION FACTOR II INHIBITOR SCREEN PLASMA ARUP MAYO F21S,649.02,227.16,12.87,363.45,10
CPT,85337,THROMBOMODULIN,,,17.27,60.38,7
CPT,85345,HC COAGULATION DETERMINATION,61.49,21.53,4.69,34.43,10
CPT,85347,HC COAGULATION TIME ACTIVATED,26.74,9.36,4.28,14.97,10
CPT,85347,HC COAGULATION TIME ACTIVATED (TEG GLOBAL HEMOSTASIS W LYSIS),98.38,34.44,4.28,55.09,10
CPT,85348,HC COAGULATION TIME,12.1,4.24,4.15,15.71,10
CPT,85360,HC EUGLOBULIN CLOT LYSIS TIME ARUP TO QUEST SAN JUAN CAPISTRANO 462,340.03,119.02,8.41,190.42,10
CPT,85360,HC EUGLOBULIN LYSIS TIME,275.89,96.57,8.41,154.5,10
CPT,85362,HC FIBRIN SPLIT PRODUCT,147.2,51.52,6.89,82.43,10
CPT,85362,HC FIBRIN SPLIT PRODUCTS (FSP),195.34,68.37,6.89,109.39,10
CPT,85366,FIBRINOGEN TEST,,,80.46,281.36,7
CPT,85370,FIBRINOGEN TEST,,,12.43,43.46,7
CPT,85378,FIBRIN DEGRADE SEMIQUANT,,,9.72,34.0,7
CPT,85379,HC D-DIMER,116.14,40.65,10.18,65.04,10
CPT,85380,FIBRIN DEGRADJ D-DIMER,,,10.18,35.6,7
CPT,85384,HC FIBRINOGEN ACTIVITY,81.41499999999999,28.5,9.72,61.24,20
CPT,85384,HC FIBRINOGEN ACTIVITY (TEG GLOBAL HEMOSTASIS W LYSIS),133.65,46.78,9.72,74.84,10
CPT,85385,FIBRINOGEN ANTIGEN,,,14.46,50.56,7
CPT,85390,HC COAGULAOPATHY SCREEN,32.44,11.36,11.13,54.14,10
CPT,85390,HC COAGULAPATHY SCRN INTER REPORT,26.74,9.36,9.17,54.14,10
CPT,85390,HC FIBRINOLYSINS/COAGULOPATHY SCREEN INTERP&REPOR (TEG GLOBAL HEMOSTASIS W LYSIS),86.9,30.42,15.48,54.14,10
CPT,85396,CLOTTING ASSAY WHOLE BLOOD,,,15.89,1310.02,7
CPT,85397,HC HC ADAMTS13 ACTIVITY,606.14,212.15,30.86,339.44,10
CPT,85400,FIBRINOLYTIC PLASMIN,,,7.71,26.97,7
CPT,85410,"HC ALPHA-2-ANTIPLASMIN, ACTIVITY",157.82,55.24,7.71,88.38,10
CPT,85415,HC PLASMINOGEN ACTIVATOR INHIBITR,153.15,53.61,17.19,85.76,10
CPT,85420,HC FACTOR VIII ACTIVITY,137.6,48.16,6.53,77.06,10
CPT,85420,HC PLASMINOGEN EXC ANTIGEN ASSAY,424.79,148.68,6.53,237.88,10
CPT,85421,FIBRINOLYTIC PLASMINOGEN,,,10.18,35.6,7
CPT,85441,HC HEINZ BODIES DIRECT,27.04,9.47,4.2,15.14,10
CPT,85445,HC HEINZ BODIES INDUCED,44.17,15.46,6.82,24.74,10
CPT,85460,HC APT TEST ARUP TO CHANTILLY 90854,178.33,62.42,7.73,99.86,10
CPT,85460,HC KLEIHAUER FETAL HGB,91.93,32.18,7.73,51.48,10
CPT,85460,HC VIT FETAL HEMOGLOBIN,588.82,206.09,7.73,329.74,10
CPT,85461,HC FETAL HEMOGLOBIN,88.63,31.03,9.36,49.63,10
CPT,85475,HEMOLYSIN ACID,,,8.87,31.02,7
CPT,85520,"HC HEPARIN ANTI-XA, UNFRACTIONATED ARUP 0030143",332.64,116.43,13.09,186.28,10
CPT,85520,HC HEPARIN ASSAY,67.0,23.45,13.09,45.78,10
CPT,85520,HC LOW MOLECULAR WT HEPARIN,251.12,87.9,13.09,140.63,10
CPT,85520,HC REFLEX REFLEXED TO ANTI-XA QUALITATIVE INTERPRETATION ARUP 3017039,193.6,67.76,13.09,108.42,10
CPT,85525,HC HEPARIN NEUTRALIZATION,110.74,38.76,11.84,62.01,10
CPT,85525,HC REFLEX REFLEXED TO HEPZYME TREATMENT ARUP 3017041,147.84,51.75,11.84,82.79,10
CPT,85530,HEPARIN-PROTAMINE TOLERANCE,,,13.09,45.78,7
CPT,85536,IRON STAIN PERIPHERAL BLOOD,,,6.88,24.07,7
CPT,85540,HC LEUKOCYTE ALKALINE PHOSPHATASE,258.72,90.56,8.6,144.88,10
CPT,85540,HC WBC ALK PHOSPHATASE,100.05,35.02,8.6,56.03,10
CPT,85547,RBC MECHANICAL FRAGILITY,,,8.6,30.07,7
CPT,85549,HC LYSOZYME,116.86,40.91,18.75,65.56,10
CPT,85555,"HC OSMOTIC FRAGILITY, ERYTHROCYTE  ARUP 2002257",277.2,97.02,7.47,155.23,10
CPT,85555,HC RBC OSMOTIC FRAGILITY,773.18,270.62,7.47,432.98,10
CPT,85557,RBC OSMOTIC FRAGILITY,,,13.36,46.71,7
CPT,85576,HC ADP AGG RESPONSE,135.19,47.32,24.91,87.1,10
CPT,85576,HC ARACHIDONIC ACID AGG RESPONSE,135.19,47.32,24.91,87.1,10
CPT,85576,HC BLOOD PLATELET AGGREGATION TO UCH,118.58,41.51,24.91,87.1,10
CPT,85576,HC COLLAGE AGG RESPONSE,135.19,47.32,24.91,87.1,10
CPT,85576,HC DONOR 1 PLT AGGREGATION,88.92,31.13,24.91,87.1,10
CPT,85576,HC DONOR 2 PLT AGGREGATION,88.92,31.13,24.91,87.1,10
CPT,85576,HC DONOR 3 PLT AGGREGATION,88.92,31.13,24.91,87.1,10
CPT,85576,HC DONOR 4 PLT AGGREGATION,88.92,31.13,24.91,87.1,10
CPT,85576,HC EPINEPHRINE AGG RESPONSE,135.19,47.32,24.91,87.1,10
CPT,85576,HC PLATELET AGGREGATION EA AGENT,135.19,47.32,24.91,87.1,10
CPT,85576,HC PLATELET AGGREGATION IN VITRO EACH AGENT (PLATELET MAPPING),218.22,76.38,24.91,122.2,10
CPT,85576,HC PLATELET AGGREGATION IN VITRO EACH AGENT (TEG GLOBAL HEMOSTASIS W LYSIS),218.22,76.38,24.91,122.2,10
CPT,85576,HC PLATELET AGGREGATION IN VITRO EACH AGENT W/MOD ((PLATELET MAPPING)),218.22,76.38,24.91,122.2,10
CPT,85576,HC PLATELET FUNCTION ANALYSIS-ADP,175.56,61.45,24.91,98.31,10
CPT,85576,HC RISTOCETIN AGG RESPONSE,135.19,47.32,24.91,87.1,10
CPT,85576,HC VERIFYNOW ADP REACTIVITY UCH,422.4,147.84,24.91,236.54,10
CPT,85597,HC PLATELET NEUTRALIZATION,166.87,58.41,17.98,93.45,10
CPT,85598,HC HEXAGONAL PHOSPHOLIPID NEUTRIL,323.4,113.19,17.98,181.1,10
CPT,85598,HC LUPUS ANTICOAGULANT:HEX PHASE,106.95,37.44,17.98,62.87,10
CPT,85598,HC REFLEX HEX PHOS REFLEX BILL ARUP 0030081,271.04,94.87,17.98,151.78,10
CPT,85610,HC PROTHROMBIN TIME,57.38,20.09,4.29,32.13,10
CPT,85610,HC PROTHROMBIN TIME (BETHESDA) ARUP 300724,166.32,58.22,4.29,93.14,10
CPT,85610,HC PROTHROMBIN TIME ARUP 3017009,39.19,13.72,4.29,21.95,10
CPT,85610,HC PROTIME/INR POINT OF CARE,57.38,20.09,4.29,32.13,10
CPT,85611,HC PROTHROMBIN TEST (BETHESDA) ARUP 300724,166.32,58.22,3.94,93.14,10
CPT,85611,HC PT SUBSTITUTION,57.98,20.3,3.94,32.47,10
CPT,85612,VIPER VENOM PROTHROMBIN TIME,,,17.49,61.17,7
CPT,85613,HC DILUTE RUSSLL VV TIME 1:1MIX,48.38,16.94,9.58,33.49,10
CPT,85613,"HC DILUTE RUSSLL VV, TIME CONFIRM",100.9,35.32,9.58,56.5,10
CPT,85613,HC REF RUSSELL VIPER VENOM TM,69.7,24.4,9.58,39.03,10
CPT,85613,"HC REFLEX REFLEXED TO DILUTE RUSSELL VIPER VENOM TIME (DRVVT) SCREEN RATIO, TREATED ARUP 3017035",137.28,48.05,9.58,76.88,10
CPT,85613,HC RUSSELL VIPER VENOM DILUTED 2,82.92,29.03,9.58,46.44,10
CPT,85613,HC RUSSELL VIPER VENOM TIME DILUTED ARUP 3017009,39.19,13.72,9.58,33.49,10
CPT,85613,HC RUSSELL VIPER VENOM TIME DILUTED ARUP ARUP 3017037,63.71,22.3,9.58,35.68,10
CPT,85613,HC RUSSELL VIPER VENOME TM,34.85,12.2,9.58,33.49,10
CPT,85635,HC REFLEX REFLEXED TO REPTILASE TIME 1:1 MIX ARUP 0030022,109.03,38.17,9.85,61.06,10
CPT,85635,HC REPTILASE TIME,119.01,41.66,9.85,66.65,10
CPT,85635,HC REPTILASE TIME WITH REFLEX TO REPTILASE TIME 1:1 MIX ARUP 0030295,107.18,37.52,9.85,60.02,10
CPT,85651,HC SED RATE NON-AUTO,22.23,7.79,4.27,14.92,10
CPT,85652,HC SED RATE AUTOMATED,34.85,12.2,2.7,19.52,10
CPT,85660,HC REFLEX SICKLE SOLUBILITY ARUP 0081271,99.79,34.93,5.51,55.88,10
CPT,85660,HC SICKLE CELL PREP,63.69,22.3,5.51,35.67,10
CPT,85660,HC SICKLE CELL SCREEN,55.9,19.57,5.51,31.3,10
CPT,85660,HC VIT HEMOGLOBIN S TEST,264.36,92.53,5.51,148.04,10
CPT,85670,HC REFLEX THROMBIN TIME REFLEX BILL 0030087,54.56,19.1,5.77,30.55,10
CPT,85670,HC THROMBIN TIME,80.655,28.235,5.77,54.84,20
CPT,85670,HC THROMBIN TIME PLASMA UCHEALTH,44.35,15.53,5.77,24.84,10
CPT,85670,HC THROMBIN TIME UCH,88.7,31.05,5.77,49.67,10
CPT,85675,HC THROMBIM TIME CORR TITER,52.88,18.51,6.85,29.61,10
CPT,85705,THROMBOPLASTIN INHIBITION,,,9.63,33.68,7
CPT,85730,HC APTT,72.7,25.45,6.01,40.71,10
CPT,85730,"HC INHIBITOR ASSAY, PTT WITH REFLEX TO PTT 1:1 MIX, WITH REFLEX TO 1-HOUR INCUBATION ARUP 2003266",47.31,16.56,6.01,26.49,10
CPT,85730,HC PTT REFLEX,56.13,19.65,6.01,31.43,10
CPT,85730,HC PTT SENDOUT,70.0,24.5,6.01,39.2,10
CPT,85730,"HC REFLEX REFLEXED TO PARTIAL THROMBOPLASTIN TIME RATIO, TREATED ARUP 3017033",140.8,49.28,6.01,78.85,10
CPT,85730,HC THROMBOPLASTIN TIME PARTIAL (BETHESDA) ARUP 300724,166.32,58.22,6.01,93.14,10
CPT,85730,HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD ARUP 2003272,43.24,15.14,6.01,24.21,10
CPT,85730,HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD ARUP 3017009,39.19,13.72,6.01,21.95,10
CPT,85732,HC APTT SUBSTITUTION,113.26,39.65,6.47,63.43,10
CPT,85732,HC HROMBOPLASTIN TIME PRTL SUBSTIT PLASMA FRCTJ EA ARUP 2003272,43.24,15.14,6.47,24.21,10
CPT,85732,HC PTT-D 1:1 MIX,106.7,37.35,6.47,59.75,10
CPT,85732,HC REFLEX PARTIAL THROMBOPLASTIN TIME 1:1 MIX (PERFORMED IF PTT > 48 SECONDS) ARUP 2003270,64.31,22.51,6.47,36.01,10
CPT,85810,"HC VISCOSITY, SERUM",64.89,22.72,11.67,40.8,10
CPT,85999,HC HANSEL STAIN,52.61,18.42,15.07,39.19,6
CPT,86000,HC BRUCELLA ANTIBODY,126.17,44.16,6.98,70.66,10
CPT,86000,HC REFLEX FRANCISELLA TULARENSIS AB AGGLUTINATION ARUP 3002915,155.23,54.34,6.98,86.93,10
CPT,86000,HC TULAREMIA ANTIBODY,87.12,30.5,6.98,48.79,10
CPT,86001,HC ALLERGEN SPECIFIC IGG -  ARUP MULTIPLE TESTS,79.02,27.66,7.82,44.25,10
CPT,86001,HC ALLERGEN SPECIFIC IGG ARUP 2007216,76.81,26.89,7.82,43.01,10
CPT,86001,HC ALLERGEN SPECIFIC IGG QUAN/SEMIQUAN EA ALLERGEN ARUP 2007214,62.48,21.87,7.82,34.99,10
CPT,86001,HC ALLERGEN SPECIFIC IGG QUAN/SEMIQUAN EA ALLERGEN ARUP 3004553,107.67,37.69,7.82,60.3,10
CPT,86001,HC EA ALLERGEN IGG OT/SEMIQT,30.04,10.52,7.82,27.34,10
CPT,86003,HC ALLERGEN BLACK BASS IGE ARUP 0099692,64.53,22.59,5.22,36.14,10
CPT,86003,HC ALLERGEN BRAZIL NUT IGE,17.6,6.16,5.22,18.25,10
CPT,86003,HC ALLERGEN COCKLEBUR IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC ALLERGEN FALSE RAGWEED,34.85,12.2,5.22,19.52,10
CPT,86003,HC ALLERGEN FOOD CHERRY IGE ARUP 0099466,22.18,7.77,5.22,18.25,10
CPT,86003,HC ALLERGEN FOOD COFFEE ARUP 0099757,22.18,7.77,5.22,18.25,10
CPT,86003,HC ALLERGEN FOOD CRAYFISH IGE ARUP 0097637,22.8,7.98,5.22,18.25,10
CPT,86003,HC ALLERGEN FOOD FIG IGE ARUP TO VIRACOR EUROFINS CLINICAL DIAG 32010E,79.59,27.86,5.22,44.57,10
CPT,86003,HC ALLERGEN FOOD GINGER IGE ARUP 2010824,22.8,7.98,5.22,18.25,10
CPT,86003,HC ALLERGEN FOOD OAT ARUP 0055040,22.18,7.77,5.22,18.25,10
CPT,86003,HC ALLERGEN FOOD PEPPER C. ANNUUM IGE ARUP 005502,22.8,7.98,5.22,18.25,10
CPT,86003,HC ALLERGEN FOOD PUMPKIN IGE ARUP 2010824,22.8,7.98,5.22,18.25,10
CPT,86003,HC ALLERGEN FOOD PUMPKIN SEED ARUP 2001921,22.8,7.98,5.22,18.25,10
CPT,86003,HC ALLERGEN GIANT RAGWEED,34.85,12.2,5.22,19.52,10
CPT,86003,HC ALLERGEN INSECT MOSQUITO IGE ARUP 0055210,22.8,7.98,5.22,18.25,10
CPT,86003,HC ALLERGEN LAMBS QUARTERS,34.85,12.2,5.22,19.52,10
CPT,86003,HC ALLERGEN SHORT RAGWEED,34.85,12.2,5.22,19.52,10
CPT,86003,HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH ARUP 0055125,22.8,7.98,5.22,18.25,10
CPT,86003,HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH ARUP 3003924,51.29,17.96,5.22,28.72,10
CPT,86003,HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH ARUP 3004553,107.67,37.69,5.22,60.3,10
CPT,86003,HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH ARUP TO LABCORP 062448,98.43,34.46,5.22,55.12,10
CPT,86003,HC ALLERGEN SPEC IGE CRUDEáWEST KENTUCKY GROUP ARUP 0055218,18.57,6.5,5.22,18.25,10
CPT,86003,HC ALLERGEN SPEC IGE QNT/SEMIQT1,18.875,6.609999999999999,5.22,18.25,20
CPT,86003,HC ALLERGEN SPEC IGE QNT/SEMIQT10,22.18,7.77,5.22,18.25,10
CPT,86003,HC ALLERGEN SPEC IGE QNT/SEMIQT11,22.18,7.77,5.22,18.25,10
CPT,86003,HC ALLERGEN SPEC IGE QNT/SEMIQT2,18.875,6.609999999999999,5.22,18.25,20
CPT,86003,HC ALLERGEN SPEC IGE QNT/SEMIQT3,18.875,6.609999999999999,5.22,18.25,20
CPT,86003,HC ALLERGEN SPEC IGE QNT/SEMIQT4,18.875,6.609999999999999,5.22,18.25,20
CPT,86003,HC ALLERGEN SPEC IGE QNT/SEMIQT5,18.875,6.609999999999999,5.22,18.25,20
CPT,86003,HC ALLERGEN SPEC IGE QNT/SEMIQT6,18.875,6.609999999999999,5.22,18.25,20
CPT,86003,HC ALLERGEN SPEC IGE QNT/SEMIQT7,18.875,6.609999999999999,5.22,18.25,20
CPT,86003,HC ALLERGEN SPEC IGE QNT/SEMIQT8,22.18,7.77,5.22,18.25,10
CPT,86003,HC ALLERGEN SPEC IGE QNT/SEMIQT9,22.18,7.77,5.22,18.25,10
CPT,86003,HC ALLERGEN SPECIFIC IGE -  ARUP MULTIPLE TESTS,22.18,7.77,5.22,18.25,10
CPT,86003,HC ALLERGEN SPECIFIC IGE 2,22.18,7.77,5.22,18.25,10
CPT,86003,HC ALLERGEN SPECIFIC IGE 3,22.18,7.77,5.22,18.25,10
CPT,86003,HC ALLERGEN SPECIFIC IGE 4,22.18,7.77,5.22,18.25,10
CPT,86003,HC ALLERGEN SPECIFIC IGE 5,22.18,7.77,5.22,18.25,10
CPT,86003,HC ALLERGEN SPECIFIC IGE 6,22.18,7.77,5.22,18.25,10
CPT,86003,HC ALLERGEN SPECIFIC IGE 7,22.18,7.77,5.22,18.25,10
CPT,86003,HC ALLERGEN SPECIFIC IGE 8,22.18,7.77,5.22,18.25,10
CPT,86003,HC ALLERGEN SPECIFIC IGE ARUP 0055170,22.18,7.77,5.22,18.25,10
CPT,86003,HC ALLERGEN SPECIFIC IGE ARUP 2004243,48.51,16.98,5.22,27.17,10
CPT,86003,HC ALLERGEN SPECIFIC IGE EA 1,22.18,7.77,5.22,18.25,10
CPT,86003,HC ALLERGEN SPECIFIC IGE QUAN/SEMIQUAN EA ALLERGEN ARUP 0050157,23.98,8.4,5.22,18.25,10
CPT,86003,HC ALLERGEN SPECIFIC IGE QUAN/SEMIQUAN EA ALLERGEN ARUP 2006399,22.88,8.01,5.22,18.25,10
CPT,86003,HC ALLERGEN SPECIFIC IGE QUANT OR SEMIQUANT CRUDE ALLERGEN EXTRACT EA ARUP 3001721,22.64,7.93,5.22,18.25,10
CPT,86003,HC ALLERGEN TILAPIA IGE,140.2,49.07,5.22,78.51,10
CPT,86003,HC ALLERGEN WALNUT IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC ALLERGEN WESTERN RAGWEED,34.85,12.2,5.22,19.52,10
CPT,86003,"HC ALLERGEN, EPIDERMALS  ANIMAL PROTEINS, SHEEP EPITHELIUM/WOOL ARUP 0055199",22.18,7.77,5.22,18.25,10
CPT,86003,"HC ALLERGEN, EPIDERMALS AND ANIMAL PROTEINS, GUINEA PIG EPITHELIUM IGE ARUP 0055190",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, EPIDERMALS AND ANIMAL PROTEINS, HAMSTER EPITHELIUM ARUP 0055189",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, EPIDERMALS AND ANIMAL PROTEINS, PARAKEET FEATHERS (BUDGERIGAR) ARUP 0055193",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, EPIDERMALS AND ANIMAL PROTEINS, RABBIT EPITHELIUM ARUP 0055190",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD HADDOCK IGE ARUP 0098864",16.0,5.6,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, ALMOND",22.18,7.77,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, ANCHOVY IGE ARUP 0093498",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, ANNATTO SEED IGE ARUP 2010720",88.83,31.1,5.22,49.74,10
CPT,86003,"HC ALLERGEN, FOOD, ARTICHOKE (CYNARA SCOLYMUS) IGE ARUP TO EUROFINS VIRACOR 30610S",61.46,21.52,5.22,34.42,10
CPT,86003,"HC ALLERGEN, FOOD, BANANA ARUP 0099634",22.18,7.77,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, BARLEY ARUP 0055056",22.18,7.77,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, BLACK BEAN IGE ARUP 2008599",88.83,31.1,5.22,49.74,10
CPT,86003,"HC ALLERGEN, FOOD, BLACK OLIVE IGE ARUP 2010826",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, BLACKBERRY IGE ARUP 2007629",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, BLUE MUSSEL ARUP 0055425",16.0,5.6,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, BROCCOLI ARUP 0098531",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, CABBAGE ARUP 0055094",21.71,7.6,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, CAULIFLOWER IGE ARUP 2010832",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, CELERY ARUP 0099054",16.0,5.6,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, CHESTNUT ARUP 0055254",22.18,7.77,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, COMMON MILLET IGE ARUP 2010828",22.18,7.77,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, CORIANDER/CILANTRO IGE ARUP 2007623",22.18,7.77,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, CRANBERRY IGE ARUP 0098874",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, DATE (PHOENIX DACTYLIFERA) IGE ARUP TO EUROFINS VIRACOR 31910A",129.92,45.48,5.22,72.76,10
CPT,86003,"HC ALLERGEN, FOOD, EGGPLANT ARUP 0055432",22.18,7.77,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, FLAXSEED/LINSEED IGE ARUP 2003298",18.37,6.43,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, GARLIC ARUP 0099479",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, GRAPEFRUIT ARUP 0099641",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, GREEK FENNEL, IGE, SERUM ARUP TO MAYO GRFE",208.45,72.96,5.22,116.73,10
CPT,86003,"HC ALLERGEN, FOOD, HONEY IGE ARUP 2007615",22.18,7.77,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, HONEYDEW MELON/CANTALOUPE ARUP 0055435",22.18,7.77,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, KIDNEY BEAN-ARUP 0055440",22.18,7.77,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, LEMON ARUP 0098270",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, LIMA BEAN/WHITE BEAN ARUP 0099766",112.13,39.25,5.22,62.79,10
CPT,86003,"HC ALLERGEN, FOOD, MINT IGE ARUP 2007613",16.0,5.6,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, MUSHROOM ARUP 0099770",22.18,7.77,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, MUSTARD  ARUP 0055443",22.18,7.77,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, NAVY BEAN ARUP 0055022",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, OCTOPUS IGE ARUP 2001919",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, ONION ARUP 0099474",22.18,7.77,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, ORANGE ARUP 0055023",22.18,7.77,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, OREGANO IGE ARUP 0093500",17.6,6.16,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, PEAR  ARUP 0055207",22.18,7.77,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, PLUM ARUP 0055448",22.18,7.77,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, POMEGRANATE IGE- 3310$",55.29,19.36,5.22,30.96,10
CPT,86003,"HC ALLERGEN, FOOD, ROSEMARY, IGE ARUP TO ALLERMETRIX F352-IGE",57.73,20.21,5.22,32.33,10
CPT,86003,"HC ALLERGEN, FOOD, RYE",22.18,7.77,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, SARDINE IGE ARUP 0097638",22.18,7.77,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, SPINACH ARUP 005208",22.18,7.77,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, SUMMER SQUASH ARUP 0099122",64.53,22.59,5.22,36.14,10
CPT,86003,"HC ALLERGEN, FOOD, TROUT ARUP 0099727",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, VANILLA ARUP 0055452",16.0,5.6,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, WATERMELON IGE -ARUP 55157",22.18,7.77,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, WHEAT ARUP 0055034",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, WHITE POLLOCK IGE ARUP 2010822",22.18,7.77,5.22,18.25,10
CPT,86003,"HC ALLERGEN, FOOD, ZUCCHINI IGE 0099134",64.53,22.59,5.22,36.14,10
CPT,86003,"HC ALLERGEN, FUNGI AND MOLDS, ALTERNARIA ALTERNATA (TENUIS) ARUP 0055001",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, GRASS, BENT GRASS/REDTOP GRASS ARUP 0055057",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, GRASS, BERMUDA ARUP 0055070",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, GRASS, CULTIVATED OAT POLLEN ARUP 0050533",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, GRASS, ORCHARD GRASS/COCKSFOOT ARUP 0055052",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, GRASS, SWEET VERNAL GRASS ARUP 0055449",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, MITES, D. FARINAE ARUP 0055064",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, MITES, D. PTERONYSSINUS  ARUP 0055063",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, TREE, ASPEN IGE ARUP 2007775",64.53,22.59,5.22,36.14,10
CPT,86003,"HC ALLERGEN, TREE, BIRCH TREE ARUP 0055058",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, TREE, BIRCH, RED/RIVER ARUP TO ALLERMETRIX T146",49.9,17.47,5.22,27.94,10
CPT,86003,"HC ALLERGEN, TREE, MOUNTAIN CEDAR (JUNIPER) TREE ARUP 0055007",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, TREE, PINE PONDEROSA IGE ARUP TO EUROFINS VIRACOR 65010S",55.29,19.36,5.22,30.96,10
CPT,86003,"HC ALLERGEN, TREE, VIRGINIA LIVE OAK TREE ARUP 0055449",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, WEED, COCKLEBUR ARUP 0099472",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, WEED, KOCHIA/FIREBUSH ARUP 0055018",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, WEED, LAMB'S QUARTERS ARUP 0055160",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, WEED, MARSHELDER BURWEED (IVA XANTHIFOLIA) IGE ARUP TO EUROFINS VIRACOR 70710S",55.29,19.36,5.22,30.96,10
CPT,86003,"HC ALLERGEN, WEED, PIGWEED ARUP 0055025",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, WEED, RUSSIAN THISTLE ARUP 0055027",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, WEED, SAGEBRUSH/WORMWOOD ARUP 0055029",22.8,7.98,5.22,18.25,10
CPT,86003,"HC ALLERGEN, WEED, SHEEP SORREL ARUP 0099785",22.8,7.98,5.22,18.25,10
CPT,86003,HC ALLERGEN-PUMPKIN SEED IGE,125.61,43.97,5.22,70.34,10
CPT,86003,HC ALLERGEN: FISH MIX IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC ALLERGEN: PECAN NUT IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC ALLERGN NAVYBEAN IGE QT/SEMIQT,78.32,27.42,5.22,43.86,10
CPT,86003,HC ALLG SPEC IGE CRUDE XTRC EA ARUP 0051830,22.18,7.77,5.22,18.25,10
CPT,86003,HC ALTERNIA TENUIS IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC ASH GREEN (FRAXINUS PENNSYLVANICA) IGE ARUP TO EUROFINS VIRACOR 64410S,79.59,27.86,5.22,44.57,10
CPT,86003,HC ASPERGILLUS FUMIGATUS IGE,30.04,10.52,5.22,18.25,10
CPT,86003,HC BEEF IGE,30.04,10.52,5.22,18.25,10
CPT,86003,HC BERMUADA GRASS IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC BOX ELDER IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC CANDIDA ALVICANS IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC CAT EPITH DANDER IGE,34.85,12.2,5.22,19.52,10
CPT,86003,"HC CAT EPITHELIUM, IGE, WITH REFLEX TO CAT EPITHELIUM COMPONENTS, IGE, SERUM ARUP TO MAYO CATPF",208.45,72.96,5.22,116.73,10
CPT,86003,HC CLADOSPORIUM HERBARUM IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC COCKROACH IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC COTTONWOOD IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC CUMIN ARUP TO LABCORP BURLINGTON 602807,164.47,57.57,5.22,92.1,10
CPT,86003,HC DANDELION IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC DERMATOPHAGO PTERONYSSINUS IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC DERMATOPHAGOIDES FARINAE IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC DOG DANDER IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC EA ALLERGEN IGE QT/SEMIQT,34.85,12.2,5.22,19.52,10
CPT,86003,HC ECHINOCOCCUS IGE ARUP TO COMMONWEALTH P002,140.45,49.16,5.22,78.65,10
CPT,86003,HC ELM IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC ENGLISH PLANTAIN IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC FEATHER MIX IGE,30.04,10.52,5.22,18.25,10
CPT,86003,HC FIREBUSH KOCHIA IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC GRAY ALDER IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC HONEY (F247) IGE ARUP TO QUEST VALENCIA 8930,112.13,39.25,5.22,62.79,10
CPT,86003,HC JOHNSON GRASS IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC JUNE GRASS IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC LOBSTER IGE,30.88,10.81,5.22,18.25,10
CPT,86003,"HC LUPIN, IGE, SERUM ARUP TO MAYO CLINIC LAB LUPN",268.93,94.13,5.22,150.6,10
CPT,86003,HC MARSH ELDER IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC MEADOW FESCUE IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC MOUNTAIN JUNIPER IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC MUCOR RACEMOSUS IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC MUGWORT IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC OAK IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC ORCHARD GRASS IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC PENICILLIUM NOTATUM IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC PHOMA BETAE IGE,30.04,10.52,5.22,18.25,10
CPT,86003,HC PIGWEED IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC PORK IGE,30.04,10.52,5.22,18.25,10
CPT,86003,HC REDTOP BENTGRASS IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC RUSSIAN THISTLE IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC RYE GRASS IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC SAGEBRUSH IGE,34.85,12.2,5.22,19.52,10
CPT,86003,HC SHEEP MILK (F325) IGE ARUP TO QUEST VALENCIA 11195,88.7,31.05,5.22,49.67,10
CPT,86003,HC TIMOTHY GRASS,34.85,12.2,5.22,19.52,10
CPT,86005,HC ALLERGEN SPECIFIC IGE QUAL MULTIALLERGEN SCREEN  ARUP 0050157,23.98,8.4,7.97,27.86,10
CPT,86005,HC ALLG SPEC IGE MULTIALLG SCR ARUP 0051830,22.18,7.77,7.61,27.86,10
CPT,86005,HC CAGED BIRDS MIX,81.72,28.61,7.97,45.76,10
CPT,86005,HC MIXED FEATHERS IGG,81.72,28.61,7.97,45.76,10
CPT,86005,"HC MULTI ALLERGEN, IGE, QUAL",43.57,15.25,7.97,27.86,10
CPT,86005,HC QUAL MULTI ALLERGEN SCREEN,81.72,28.61,7.97,45.76,10
CPT,86008,HC ALLERGEN SPEC IGE RECOMBINANT/PURIFIED COMPNT EA ARUP 3003924,51.29,17.96,17.59,62.7,10
CPT,86008,"HC ALLERGEN, FOOD, ALPHA-GAL (GALACTOSE-ALPHA-1,3 GALATOSE) IGE ARUP 3003923",136.75,47.87,17.93,76.58,10
CPT,86015,HC ACTIN SMOOTH MUSCLE ANTIBODY EACH ARUP 3002479,52.67,18.44,11.53,42.13,10
CPT,86015,HC F-ACTIN AB IGG EIA WITH RFLX TO ASM IFA ARUP 0051174,50.08,17.53,11.53,42.13,10
CPT,86021,HC ANCA IGA AUTOABS,94.93,33.23,15.05,53.16,10
CPT,86021,HC ANCA IGG AUTOABS,94.93,33.23,15.05,53.16,10
CPT,86021,HC ANCA IGM AUTOABS,94.93,33.23,15.05,53.16,10
CPT,86021,HC NEUTR GRANULOCYE AB,188.27,65.9,15.05,105.43,10
CPT,86021,HC NEUTROPHIL-ASSOCIATED ANTIBODIES-ARUP 0055506,332.64,116.43,15.05,186.28,10
CPT,86022,HC ANTIBODY IDENTIFICATION PLATELET ANTIBODIES ARUP 2007145,1611.46,564.02,18.37,902.42,10
CPT,86022,HC ANTIBODY IDENTIFICATION PLATELET ANTIBODIES ARUP 2013070,184.8,64.68,18.37,103.49,10
CPT,86022,HC DRUG-DEPENDENT PLATELET AB ARUP TO VERSITI WI INC 9000,798.34,279.42,18.37,447.07,10
CPT,86022,HC ENOXAPARIN HIGH DOSE,118.48,41.47,18.37,66.35,10
CPT,86022,HC ENOXAPARIN LOW DOSE,118.48,41.47,18.37,66.35,10
CPT,86022,HC HEP-IND THROMB PF4 IGG W/RFLX TO SRA ARUP 2012181,284.59,99.61,18.37,159.37,10
CPT,86022,HC HEPARIN INDUCED PLATELET AB,576.8,201.88,18.37,323.01,10
CPT,86022,HC HEPARIN-IND THRMBOCYTOPENIA AB,260.79,91.28,18.37,146.04,10
CPT,86022,HC HEPARIN-INDUCED THROMBOCYTOPENIA (HIT) PF4 ANTIBODY IGG ARUP 2012179,284.13,99.45,18.37,159.11,10
CPT,86022,HC HEPRAIN INDUCED THROMBO ASSAY,428.1,149.84,18.37,239.74,10
CPT,86022,HC LOVENOX LMWH,352.69,123.45,18.37,197.51,10
CPT,86022,HC PALTELET IGA AUTOABS,77.52,27.14,18.37,64.23,10
CPT,86022,"HC PLATELET ANTIBODIES, INDIRECT ARUP 0051050",325.99,114.1,18.37,182.55,10
CPT,86022,"HC PLATELET ANTIBODY, DRUG ASSOC.",492.68,172.44,18.37,275.9,10
CPT,86022,HC PLATELET AUTO HP-3A,77.52,27.14,18.37,64.23,10
CPT,86022,HC PLATELET AUTOABS HP-1A,77.52,27.14,18.37,64.23,10
CPT,86022,HC PLATELET AUTOABS HP-2A,77.52,27.14,18.37,64.23,10
CPT,86022,HC PLATELET AUTOABS HP-4A,77.52,27.14,18.37,64.23,10
CPT,86022,HC PLATELET IGG AUTOABS,77.52,27.14,18.37,64.23,10
CPT,86022,HC PLATELET IGM AUTOABS,77.52,27.14,18.37,64.23,10
CPT,86022,HC PLT GLYCO IA/IIA TOTAL AUTOABS,114.47,40.07,18.37,64.23,10
CPT,86022,HC PLT GLYCO IBIX AUTOABS,114.47,40.07,18.37,64.23,10
CPT,86022,HC PLT GLYCO IIB/IIIA AUTOABS,114.47,40.07,18.37,64.23,10
CPT,86022,HC PORCINE UNFRACTIONATED HEPARIN,352.69,123.45,18.37,197.51,10
CPT,86022,"HC REFLEX SRA, UNFRACTIONATED HEPARIN ARUP 2005631",1241.86,434.66,18.37,695.44,10
CPT,86022,HC SRA UNFRACTIONATED HEPARIN,1241.86,434.66,18.37,695.44,10
CPT,86022,HC SRA-PLATELET ANTIBODY1,609.84,213.45,18.37,341.51,10
CPT,86022,HC SRA-PLATELET ANTIBODY2,609.84,213.45,18.37,341.51,10
CPT,86022,HC UNFRACT HEPARIN HIGH DOSE,118.48,41.47,18.37,66.35,10
CPT,86022,HC UNFRACT HEPARIN LOW DOSE,118.48,41.47,18.37,66.35,10
CPT,86022,HC VIT PLATELET ANTIBODY SCREEN,861.17,301.41,18.37,482.26,10
CPT,86022,HC VIT PLATELET CROSSMATCH,299.38,104.79,18.37,167.65,10
CPT,86023,HC ANTI-PLATELET ANTIBODY,713.79,249.83,12.46,399.72,10
CPT,86023,HC IMMUNOGLOBULIN ASSAY ARUP 0095614,97.79,34.23,12.46,54.76,10
CPT,86023,HC PLT-ASSOC IGA AUTOABS,77.52,27.14,12.46,43.57,10
CPT,86023,HC PLT-ASSOC IGG AUTOABS,77.52,27.14,12.46,43.57,10
CPT,86023,HC PLT-ASSOC IGM AUTOABS,77.52,27.14,12.46,43.57,10
CPT,86036,HC ANTINEUTROPHIL CYTOPLASMIC ANTB SCREEN EA ANTB ARUP 3003745,62.96,22.04,12.05,42.13,10
CPT,86037,ANCA TITER EACH ANTIBODY,,,12.05,42.13,7
CPT,86038,HC ANA,77.98,27.3,12.09,43.67,10
CPT,86038,HC ANA REFLEXIVE PROFILE ARUP 0050317,31.04,10.87,10.65,42.28,10
CPT,86038,HC ANTINUCLEAR ANTIBODIES ANA ARUP 0050119,156.83,54.9,12.09,87.82,10
CPT,86038,HC ANTINUCLEAR ANTIBODY,87.12,30.5,12.09,48.79,10
CPT,86039,HC ANA TITER BY IFA,140.91,49.32,11.16,78.91,10
CPT,86039,HC ANTINUCLEAR ANTIBODIES (ANA) ARUP 3000480,178.02,62.31,11.16,99.69,10
CPT,86039,HC ANTINUCLEAR ANTIBODIES (ANA)-ARUP2013325,178.02,62.31,11.16,99.69,10
CPT,86039,HC ANTINUCLEAR ANTIBODIES ANA TITER ARUP 3000479,135.58,47.46,11.16,75.92,10
CPT,86039,HC ANTINUCLEAR ANTIBODIES ANA TITER ARUP 3002479,52.67,18.44,11.16,39.03,10
CPT,86039,HC ANTINUCLEAR ANTIBODIES ANA TITER ARUP 3018867,54.26,19.0,11.16,39.03,10
CPT,86039,HC ANTINUCLEAR ANTIBODIES TITER,68.5,23.98,11.16,39.03,10
CPT,86039,"HC ANTINUCLEAR ANTIBODY (ANA) W HEP-2 SUBSTRATE, IGG BY IFA WITH REF BY PATTERN ARUP 3000601",44.35,15.53,11.16,39.03,10
CPT,86039,"HC ANTINUCLEAR ANTIBODY (ANA) W/ HEP-2 SUBSTRATE, IGG BY IFA ARUP 3000082",58.21,20.38,11.16,39.03,10
CPT,86041,HC ACETYLCHOLINE RECEPTOR BINDING ANTIBODY ARUP 2001571,117.36,41.08,18.4,40.25,9
CPT,86042,HC ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODY ARUP 2001571,117.36,41.08,18.4,40.25,9
CPT,86043,HC REFLEX ACETYLCHOLINE RECEPTOR MODULATING ANTIBODY ARUP 0099521,146.96,51.44,12.05,50.41,9
CPT,86051,HC AQUAPORIN-4 RECEPTOR ANTIBODY ARUP 2003036,887.04,310.47,11.53,496.74,10
CPT,86052,"HC AQUAPORIN-4 (AQP4) ANTIBODY, IGG BY CBA-IFA WITH REFLEX TO TITER, CSF ARUP 2011699",1056.0,369.6,12.05,591.36,10
CPT,86052,HC AQUAPORIN-4 ANTIBODY CELL-BASED IMFLUOR ASSAY EA ARUP 3001283,582.12,203.75,12.05,325.99,10
CPT,86052,HC AQUAPORIN-4 ANTIBODY CELL-BASED IMFLUOR ASSAY EA ARUP 3001431,299.15,104.71,12.05,167.52,10
CPT,86052,HC AQUAPORIN-4 ANTIBODY CELL-BASED IMFLUOR ASSAY EA ARUP 3002787,320.52,112.19,12.05,179.49,10
CPT,86052,HC AQUAPORIN-4 ANTIBODY CELL-BASED IMFLUOR ASSAY EA ARUP 3006049,192.5,67.38,12.05,107.8,10
CPT,86052,HC AQUAPORIN-4 ANTIBODY CELL-BASED IMFLUOR ASSAY EA ARUP 3006050,192.92,67.53,12.05,108.04,10
CPT,86052,HC AQUAPORIN-4 ANTIBODY CELL-BASED IMFLUOR ASSAY EA ARUP 3006208,236.78,82.88,12.05,132.6,10
CPT,86052,HC AQUAPORIN-4 ANTIBODY CELL-BASED IMFLUOR ASSAY EA ARUP 3006210,215.95,75.59,12.05,120.93,10
CPT,86052,HC AQUAPORIN-4 ANTIBODY CELL-BASED IMFLUOR ASSAY EA ARUP 3006211,237.6,83.16,12.05,133.06,10
CPT,86052,"HC AQUAPORIN-4 ANTIBODY, IGG BY CBA-IFA WITH REFLEX TO TITER, SERUM ARUP 2013320",616.0,215.6,12.05,344.96,10
CPT,86052,HC NEUROMYELITIS OPTICA/AQP4-IGG CSF RFLX ARUP 201169,1201.2,420.42,12.05,672.67,10
CPT,86053,HC AQUAPORIN-4 ANTIBODY FLOW CYTOMETRY EACH ARUP TO MAYO MAS1,211.89,74.17,12.05,131.95,10
CPT,86053,HC AQUAPORIN-4 ANTIBODY FLOW CYTOMETRY EACH ARUP TO MAYO PCDEC,217.25,76.04,12.05,131.95,10
CPT,86053,HC MOG-IGG1 FACS ASSAY SERUM ARUP TO MAYO MOGFS,1510.74,528.76,12.05,846.01,10
CPT,86053,"HC NEUROMYELITIS OPTICA (NMO)/AQUAPORIN-4-IGG FACS ASSAY, SERUM ARUP TO MAYO NMOFS",1548.71,542.05,12.05,867.28,10
CPT,86053,"HC NEUROMYELITIS OPTICA (NMO)/AQUAPORIN-4-IGG FACS ASSAY, SPINAL FLUID  ARUP TO MAYO NMOFC",1548.71,542.05,12.05,867.28,10
CPT,86060,HC ASO SCREEN,101.32,35.47,7.3,56.74,10
CPT,86060,HC STREPTOLYSIN O ANTIBODY (ASO) ARUP 0050095,43.24,15.14,7.3,25.53,10
CPT,86063,HC ASO SCREEN,60.39,21.14,5.77,33.82,10
CPT,86077,HC MD SERVICES - DIFF XMATCH,123.49,43.23,25.23,3314.24,10
CPT,86078,HC MD SERVICES TRANS REACTION,301.96,105.69,77.49,3314.24,10
CPT,86079,PHYS BLOOD BANK SERV AUTHRJ,,,50.75,3338.37,7
CPT,86140,HC C REACTIVE PROTEIN (CRP),17.12,6.0,5.18,18.12,10
CPT,86140,HC C-REACTIVE PROTEIN,57.08,19.98,5.18,31.96,10
CPT,86140,HC C-REACTIVE PROTEIN ARUP 2013008,80.72,28.26,5.18,45.2,10
CPT,86141,HC C REACTIVE PROT ULTRA QT,53.17,18.61,12.95,45.29,10
CPT,86141,"HC C-REACTIVE PROTEIN, HIGH SENSITIVITY ARUP 0050182",71.81,25.14,12.95,45.29,10
CPT,86141,HC HI SENSITIVITY C-REACTIVE PROT,42.09,14.74,12.95,45.29,10
CPT,86146,HC BETA 2 GLY 1 IGA AUTOABS,72.63,25.43,24.91,88.99,10
CPT,86146,HC BETA 2 GLYCOPROTEIN I ANTIBODY EA ARUP 2002569,108.67,38.04,25.45,88.99,10
CPT,86146,HC BETA 2 GLYCOPROTEIN I ANTIBODY EACH ARUP 0050321,36.96,12.94,12.68,88.99,10
CPT,86146,HC BETA-2 GLYCOPROTEIN 1 AB IGG,58.28,20.4,19.99,88.99,10
CPT,86146,HC BETA-2 GLYCOPROTEIN 1 AB IGM,58.28,20.4,19.99,88.99,10
CPT,86147,HC CARDIOLIPIN ANTIBODY EACH IG CLASS ARUP 0099344,33.26,11.65,11.41,88.99,10
CPT,86147,HC CARDIOLIPIN IGA ABS,124.37,43.53,25.45,88.99,10
CPT,86147,HC CARDIOLIPIN IGG ABS,124.37,43.53,25.45,88.99,10
CPT,86147,HC CARDIOLIPIN IGM ABS,124.37,43.53,25.45,88.99,10
CPT,86147,"HC REF CARDIOLIPIN ANTIBODY, IGA",124.37,43.53,25.45,88.99,10
CPT,86147,"HC REF CARDIOLIPIN ANTIBODY, IGM",124.37,43.53,25.45,88.99,10
CPT,86147,HC REF CARDIOLIPIN IGA ABD,34.85,12.2,11.95,88.99,10
CPT,86147,HC REF CARDIOLIPIN IGG ABS,34.85,12.2,11.95,88.99,10
CPT,86147,HC REF CARDIOLIPIN IGG AUTOABS,124.37,43.53,25.45,88.99,10
CPT,86147,HC REF CARDIOLIPIN IGMABS,34.85,12.2,11.95,88.99,10
CPT,86148,HC ANTI-PHOSPHATIDYLSERINE ANTIBODY ARUP 2006495,53.59,18.76,16.07,56.19,10
CPT,86148,HC ANTI-PHOSPHATIDYLSERINE ANTIBODY ARUP 2012729,162.57,56.9,16.07,91.04,10
CPT,86148,HC REF PHOS ETHANOLAMINE IGA ABS,103.65,36.28,16.07,58.04,10
CPT,86148,HC REF PHOS ETHANOLAMINE IGG ABS,103.65,36.28,16.07,58.04,10
CPT,86148,HC REF PHOS ETHANOLAMINE IGM ABS,103.65,36.28,16.07,58.04,10
CPT,86148,HC REF PHOSPHATIDIC ACID IGA ABS,103.65,36.28,16.07,58.04,10
CPT,86148,HC REF PHOSPHATIDIC ACID IGG ABS,103.65,36.28,16.07,58.04,10
CPT,86148,HC REF PHOSPHATIDIC ACID IGM ABS,103.65,36.28,16.07,58.04,10
CPT,86148,HC REF PHOSPHATIDYCLCHOLINE IGA ABS,103.65,36.28,16.07,58.04,10
CPT,86148,HC REF PHOSPHATIDYLCHOLINE IGG ABS,103.65,36.28,16.07,58.04,10
CPT,86148,HC REF PHOSPHATIDYLCHOLINE IGM ABS,103.65,36.28,16.07,58.04,10
CPT,86148,HC REF PHOSPHATIDYLSERINE IGA ABD,103.65,36.28,16.07,58.04,10
CPT,86148,HC REF PHOSPHATIDYLSERINE IGG ABS,103.65,36.28,16.07,58.04,10
CPT,86148,HC REF PHOSPHATIDYLSERINE IGM ABS,103.65,36.28,16.07,58.04,10
CPT,86152,CELL ENUMERATION & ID,,,250.78,876.96,7
CPT,86153,CELL ENUMERATION PHYS INTERP,,,48.19,2254.86,2
CPT,86155,HC CHEMOTAXIS ASSAY SPECIFY METHOD NATIONAL JEWISH CHTX,431.95,151.19,15.99,241.89,10
CPT,86156,HC ARC COLD ANTIBODY SCREEN,221.76,77.62,8.07,124.19,10
CPT,86156,HC VIT PATHOLOGICAL COLD ANTIBODY,158.62,55.52,8.07,88.83,10
CPT,86157,HC COLD AGGLUTININS TITER,85.32,29.87,8.06,47.78,10
CPT,86160,HC C3 COMPLEMENT,87.15,30.51,12.0,48.8,10
CPT,86160,HC C3A DES ARG LEVEL NATL JEWISH C3AR,308.65,108.03,12.0,172.84,10
CPT,86160,HC COMPLEMENT ANTIGEN EACH COMPONENT ARUP 0050119,156.83,54.9,12.0,87.82,10
CPT,86160,HC COMPLEMENT ANTIGEN-ARUP0050139,74.0,25.9,12.0,41.96,10
CPT,86160,HC COMPLEMENT C4,96.13,33.65,12.0,53.83,10
CPT,86160,HC COMPLEMENT COMPONENT 2,155.23,54.34,12.0,86.93,10
CPT,86160,HC COMPLEMENT COMPONENT 5 ARUP 0050156,109.03,38.17,12.0,61.06,10
CPT,86160,HC COMPLEMENT FACTOR B ARUP 0051720,221.21,77.43,12.0,123.88,10
CPT,86160,HC COMPLEMENT FACTOR H LEVEL (B-1H)-ARUP 2009416,282.04,98.72,12.0,157.94,10
CPT,86160,HC FACTOR H ARUP TO CINCINNATI CHILDRENS HOSP 5000555,532.04,186.22,12.0,297.94,10
CPT,86160,HC FACTOR H AUTOANTIBODY ARUP TO NATIONAL JEWISH FHAB,343.48,120.22,12.0,192.35,10
CPT,86160,HC FACTOR I ARUP TO CINCINNATI CHILDRENS HOSP 644,482.86,169.01,12.0,270.4,10
CPT,86160,HC REF C1-ESTERASE INHIBITOR,60.8,21.28,12.0,41.96,10
CPT,86160,HC REF COMPLEMENT PROTEIN CONC: C1Q,77.52,27.14,12.0,43.41,10
CPT,86160,HC REF FACTOR B FUNCTION,74.76,26.17,12.0,41.96,10
CPT,86160,HC S-C5B9 LEVEL ARUP TO MACHAON DIAG M3364,1095.68,383.49,12.0,613.58,10
CPT,86160,HC SC5B-9 LEVEL -TERMINAL COMPLEMENT COMPLEX-ARUP/NATL JEWISH,343.48,120.22,12.0,192.35,10
CPT,86160,HC SC5B9 (SMAC) UCHEALTH,146.88,51.41,12.0,82.25,10
CPT,86161,HC ALTERNATIVE COMPLEMENT PATHWAY ACTIVITY (AH50) ARUP 2005373,256.42,89.75,12.0,143.6,10
CPT,86161,HC C1 ESTERASE COMPLEMENT FUNCT A,103.33,36.17,12.0,57.86,10
CPT,86161,HC C1-ESTERASE INHIBITOR FUNCTNL,117.72,41.21,12.0,65.92,10
CPT,86161,HC C2 COMPLEMENT FUNCTION,103.33,36.17,12.0,57.86,10
CPT,86161,HC C3 NEPHRITIC FACTOR NATL JEWISH C3NEF,308.65,108.03,12.0,172.84,10
CPT,86161,HC C3B:BB: PROPERDIN COMPLEX,103.33,36.17,12.0,57.86,10
CPT,86161,HC COMPLEMENT FUNCT ACT:C5,103.33,36.17,12.0,57.86,10
CPT,86161,HC COMPLEMENT/FUNCTION ACTIVITY ARUP TO U OF IOWA,423.19,148.12,12.0,236.99,10
CPT,86161,HC COMPLEMENT/FUNCTION ACTIVITY-ARUP0050139,74.0,25.9,12.0,41.96,10
CPT,86162,HC AH50 ALTERNATIVE COMPLEMENT PATHWAY ACTIVITY NATIONAL JEWISH,237.25,83.04,20.32,132.86,10
CPT,86162,HC CH50 CLASSICAL COMPLEMENT PATHWAY ACTIVITY NATIONAL JEWISH,129.14,45.2,20.32,72.32,10
CPT,86162,HC COMPLEMENT ACTIVITY TOTAL CH50 ARUP 3002575,110.88,38.81,20.32,71.06,10
CPT,86171,HC PARAINFLUENZA 1 ABS,63.09,22.09,10.01,35.33,10
CPT,86171,HC PARAINFLUENZA 2 ABS,63.09,22.09,10.01,35.33,10
CPT,86171,HC PARAINFLUENZA 3 ABS,63.09,22.09,10.01,35.33,10
CPT,86200,HC ANTI CCP IGG,76.23,26.69,12.95,45.29,10
CPT,86200,HC ANTI-CCP,79.93,27.98,12.95,45.29,10
CPT,86200,HC CCP ANTIBODY ARUP 2003277,74.84,26.2,12.95,45.29,10
CPT,86200,HC CCP IGG ANTIBODY ARUP 3016632,92.53,32.39,12.95,51.82,10
CPT,86215,HC DNASE B AB,87.73,30.71,13.25,49.13,10
CPT,86225,"HC ANTI-DNA ANTIBODY,DBL ST",91.32,31.97,13.74,51.14,10
CPT,86225,"HC DNA AB, DOUBLE STRAND",70.9,24.82,13.74,48.04,10
CPT,86225,HC REFLEX DSDNA AB IGG BY ELISA W REFLEX TO DSDNA AB IGG BY IFA ARUP 0050215,41.39,14.49,13.74,48.04,10
CPT,86226,"HC ANTI-DNA (SINGLE-STRANDED) ANTIBODIES, QUANTITATIVE, IGG LABCORP SLC 161422",544.97,190.74,12.11,305.18,10
CPT,86226,"HC DNA AUTOABS, SINGLE STRAND",232.83,81.5,12.11,130.38,10
CPT,86226,HC SSDNA ANTIBODY (IGG) ARUP TO SLC 14857,592.03,207.22,12.11,331.54,10
CPT,86226,HC SSDNA ANTIBODY IGG,82.79,28.98,12.11,46.36,10
CPT,86231,"HC REFLEX ENDOMYSIAL ANTIBODY, IGA BY IFA ARUP RFLX EMAR TITER",102.08,35.73,12.09,57.16,10
CPT,86235,HC ANTI J01,118.36,41.43,17.93,66.28,10
CPT,86235,HC ANTI-PM/SCL BY EIA,140.91,49.32,17.93,78.91,10
CPT,86235,HC ANTI-RNA POLYMERASEIII-IGG-EIA,140.91,49.32,17.93,78.91,10
CPT,86235,HC ANTI-SCL-70 EIA,140.91,49.32,17.93,78.91,10
CPT,86235,HC ANTI-U1 RNP AB (RDL) ARUP TO LABCORP 520034,240.24,84.09,17.93,134.53,10
CPT,86235,HC ANTI-U1 RNP BY EIA,140.91,49.32,17.93,78.91,10
CPT,86235,HC CHROMATIN ANTIBODY,80.22999999999999,28.085,17.93,62.7,20
CPT,86235,HC EXTRACTABLE NUC ANTI SMITH ANT,95.24,33.34,17.93,62.7,10
CPT,86235,HC EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD ARUP 2013990,114.4,40.04,17.93,64.06,10
CPT,86235,HC EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD ARUP 3018867,54.26,19.0,17.93,62.7,10
CPT,86235,HC EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD ARUP TO LABCORP SLC 520080,89.1,31.19,17.93,62.7,10
CPT,86235,"HC FIBRILLARIN (U3 RNP) ANTIBODY, IGG ARUP 2012173",342.8,119.98,17.93,191.97,10
CPT,86235,"HC JO-1 ANTIBODY, IGG",103.49,36.23,17.93,62.7,10
CPT,86235,HC JO-1(HISTIDYL-TRNA SYNTHET)-IG,109.46,38.32,17.93,62.7,10
CPT,86235,HC NUCLEAR ANTIGEN ANTIBODY 1,122.01,42.71,17.93,68.33,10
CPT,86235,HC NUCLEAR ANTIGEN ANTIBODY 2,122.01,42.71,17.93,68.33,10
CPT,86235,HC NUCLEAR ANTIGEN ANTIBODY 3,122.01,42.71,17.93,68.33,10
CPT,86235,HC NUCLEAR ANTIGEN ANTIBODY ARUP 0050652,36.51,12.78,12.52,62.7,10
CPT,86235,HC NUCLEAR ANTIGEN ANTIBODY ARUP 2012074,25.58,8.96,8.77,62.7,10
CPT,86235,HC NUCLEAR ANTIGEN ANTIBODY ARUP 3000460,52.15,18.26,17.89,62.7,10
CPT,86235,HC NUCLEAR ANTIGEN ANTIBODY ARUP 3000479,135.58,47.46,17.93,75.92,10
CPT,86235,HC NUCLEAR ANTIGEN ANTIBODY ARUP 3000480,178.02,62.31,17.93,99.69,10
CPT,86235,HC NUCLEAR ANTIGEN ANTIBODY ARUP TO U OF IOWA,423.19,148.12,17.93,236.99,10
CPT,86235,HC NUCLEAR ANTIGEN ANTIBODY I,23.51,8.23,8.06,62.7,10
CPT,86235,HC NUCLEAR ANTIGEN ANTIBODY II,23.51,8.23,8.06,62.7,10
CPT,86235,HC NUCLEAR ANTIGEN ANTIBODY-ARUP2013325,178.02,62.31,17.93,99.69,10
CPT,86235,"HC PM/SCL-100 ANTIBODY, IGG BY IMMUNOBLOT ARUP 2003040",258.72,90.56,17.93,144.88,10
CPT,86235,"HC REFLEX PM/SCL-100 ANTIBODY, IGG BY IMMUNOBLOT ARUP 2003040",258.72,90.56,17.93,144.88,10
CPT,86235,HC REFLEX RNP U1 ENA AB IGG ARUP 0050470,52.15,18.26,17.89,62.7,10
CPT,86235,"HC REFLEX SCLERODERMA (SCL-70) (ENA) ANTIBODY, IGG ARUP 0050599",65.2,22.82,17.93,62.7,10
CPT,86235,HC REFLEX SMITH ENA AB IGG ARUP 0050085,52.15,18.26,17.89,62.7,10
CPT,86235,HC REFLEX SSB LA ENA AB IGG ARUP 0050692,39.14,13.7,13.43,62.7,10
CPT,86235,HC RIBONECLEIC PROT (U1/ENA) IGG,109.46,38.32,17.93,62.7,10
CPT,86235,HC RNP ANTIBODIES,91.64,32.08,17.93,62.7,10
CPT,86235,HC SCL-70 IGG AUTOABS,91.64,32.08,17.93,62.7,10
CPT,86235,HC SCL-70 IGG AUTOABS QL,91.64,32.08,17.93,62.7,10
CPT,86235,HC SMITH IGG AUTOABS,91.64,32.08,17.93,62.7,10
CPT,86235,HC SS-A IGG AUTOABS EIA,70.9,24.82,17.93,62.7,10
CPT,86235,HC SS-B IGG ANTIBODIES EIA,70.9,24.82,17.93,62.7,10
CPT,86235,HC SSA 52&60 (RO/ENA) AB-IGG,109.46,38.32,17.93,62.7,10
CPT,86235,HC SSA ANTIBODIES,91.64,32.08,17.93,62.7,10
CPT,86235,HC U1 RNP/SNRNP IGG AUTOABS QT,91.64,32.08,17.93,62.7,10
CPT,86255,ANTITHROMBOSPONDIN TYPE-1 DOMAIN-CONTAINING 7A (THSD7A) AB IGG W REF TO TITER ARUP 3003480,1219.68,426.89,12.05,683.02,10
CPT,86255,HC ADRENAL ANTIBODY SCREEN W/ REFLEX TO TITER-U OF UTAH 4645X,332.64,116.43,12.05,186.28,10
CPT,86255,HC ADRENAL AUTO AB,95.24,33.34,12.05,53.33,10
CPT,86255,"HC ANTI-NEURONAL NUCLEAR AB,CSF",196.35,68.73,12.05,109.96,10
CPT,86255,HC ANTI-NEUTROPHIL CYTOPLASM ABY,92.38499999999999,32.34,12.05,52.15,20
CPT,86255,HC AQUAPORIN-4 RECEPTOR ANTIBODY,1293.6,452.76,12.05,724.42,10
CPT,86255,HC CENTROMERE AUTOABS,91.04,31.87,12.05,50.98,10
CPT,86255,"HC CONTACTIN-ASSOCIATED PROTEIN-2 ANTIBODY, IGG CBA-IFA WITH REFLEX TO TITER, CSF ARUP 3001986",399.17,139.71,12.05,223.54,10
CPT,86255,HC COPEPTIN ARUP TO QUEST 37740,982.96,344.04,12.05,550.46,10
CPT,86255,HC CV2.1 SCREEN BY CBA-IFA WITH REFLEX TO TITER ARUP 2013956,1016.4,355.74,12.05,569.18,10
CPT,86255,"HC CV2.1 SCREEN BY CBA-IFA WITH REFLEX TO TITER, CS ARUP 3002257",351.12,122.9,12.05,196.63,10
CPT,86255,HC ENDOMYSIAL AB,76.01,26.61,12.05,42.57,10
CPT,86255,HC ENDOMYSIAL IGA AB SCREEN,95.24,33.34,12.05,53.33,10
CPT,86255,"HC FIRST NIA AB TITR, EA AB OVARY",273.37,95.68,12.05,153.09,10
CPT,86255,HC FLUORESCENT ANTIBODY SCREEN  ARUP 2013601,696.93,243.93,12.05,390.28,10
CPT,86255,HC FLUORESCENT ANTIBODY SCREEN  ARUP TO UUHSC (PAVAL),168.25,58.89,12.05,94.22,10
CPT,86255,HC FLUORESCENT ANTIBODY SCREEN ARUP 2009460,390.39,136.64,12.05,218.62,10
CPT,86255,HC FLUORESCENT ANTIBODY SCREEN ARUP 2013270,113.84,39.85,12.05,63.75,10
CPT,86255,HC FLUORESCENT ANTIBODY SCREEN ARUP 2013955,198.35,69.43,12.05,111.08,10
CPT,86255,HC FLUORESCENT ANTIBODY SCREEN ARUP 3006050,192.92,67.53,12.05,108.04,10
CPT,86255,HC FLUORESCENT ANTIBODY SCREEN ARUP 3016804,417.12,146.0,12.05,233.59,10
CPT,86255,HC FLUORESCENT ANTIBODY SCREEN ARUP TO MAYO DMNES,167.0,58.45,12.05,93.52,10
CPT,86255,HC FLUORESCENT ANTIBODY SCREEN ARUP TO MAYO EPIEC,244.33,85.52,12.05,136.82,10
CPT,86255,HC FLUORESCENT ANTIBODY SCREEN ARUP TO MAYO EPS1,267.96,93.79,12.05,150.06,10
CPT,86255,HC FLUORESCENT ANTIBODY SCREEN ARUP TO MAYO LAB MDC2,165.08,57.78,12.05,92.44,10
CPT,86255,HC FLUORESCENT ANTIBODY SCREEN ARUP TO MAYO PNEFS,665.01,232.76,12.05,372.41,10
CPT,86255,HC FLUORESCENT ANTIBODY SCREEN ARUP TO MAYO SPPS,504.9,176.72,12.05,282.74,10
CPT,86255,HC FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY ARUP 2005639,198.89,69.62,12.05,111.38,10
CPT,86255,HC FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY ARUP 2007965,107.04,37.47,12.05,59.94,10
CPT,86255,HC FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY ARUP 2007966,93.79,32.83,12.05,52.52,10
CPT,86255,HC FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY ARUP 3001431,299.15,104.71,12.05,167.52,10
CPT,86255,HC FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY ARUP 3002787,320.52,112.19,12.05,179.49,10
CPT,86255,HC FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY ARUP 3002929,180.18,63.07,12.05,100.9,10
CPT,86255,HC FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY ARUP 3003058,166.56,58.3,12.05,93.27,10
CPT,86255,HC FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY ARUP 3004517,180.18,63.07,12.05,100.9,10
CPT,86255,HC FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY ARUP 3006049,192.5,67.38,12.05,107.8,10
CPT,86255,HC FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY ARUP 3006201,192.92,67.53,12.05,108.04,10
CPT,86255,HC FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY ARUP 3006202,192.92,67.53,12.05,108.04,10
CPT,86255,HC FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY ARUP 3006204,195.46,68.42,12.05,109.46,10
CPT,86255,HC FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY ARUP 3006206,202.13,70.75,12.05,113.19,10
CPT,86255,HC FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY ARUP 3006208,236.78,82.88,12.05,132.6,10
CPT,86255,HC FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY ARUP 3006210,215.95,75.59,12.05,120.93,10
CPT,86255,HC FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY ARUP 3006211,237.6,83.16,12.05,133.06,10
CPT,86255,HC FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY ARUP TO ATHENA 1481,859.32,300.77,12.05,481.22,10
CPT,86255,HC FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY ARUP TO MAYO AIAES,258.72,90.56,12.05,144.88,10
CPT,86255,HC FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY ARUP TO MAYO CIDP,798.0,279.3,12.05,446.88,10
CPT,86255,HC FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY ARUP TO MAYO DYS2,292.91,102.52,12.05,164.03,10
CPT,86255,HC FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY ARUP TO MAYO ENC2,212.925,74.53,12.05,135.77,20
CPT,86255,HC FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY ARUP TO MAYO LAB MDS2,231.42,81.0,12.05,129.6,10
CPT,86255,HC FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY ARUP TO MAYO MAS1,211.89,74.17,12.05,118.66,10
CPT,86255,HC FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY ARUP TO MAYO NMS1,704.0,246.4,12.05,394.24,10
CPT,86255,HC FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY ARUP TO MAYO PCDEC,217.25,76.04,12.05,121.66,10
CPT,86255,HC GABA-A RECEPTOR IGG CBA-IFA CSF W/RFLX ARUP 3006003,366.08,128.13,12.05,205.0,10
CPT,86255,"HC GAMMA-AMINOBUTYRIC ACID REC TYPE A (GABA-AR) AB IGG BY CBA-IFA W REF TO TITER, SER ARUP 3006008",443.52,155.24,12.05,248.37,10
CPT,86255,"HC GLYCINE RECEPTOR ALPHA1 IGG, CELL BINDING ASSAY, SERUM ARUP TO MAYO GYCS",1441.44,504.51,12.05,807.21,10
CPT,86255,"HC GLYCINE RECEPTOR ALPHA1 IGG, CELL BINDING ASSAY, SPINAL FLUID ARUP TO MAYO GLYCC",1441.44,504.51,12.05,807.21,10
CPT,86255,HC HEPA VACC PED/ADOL 2 DOSE IM ARUP 2009460,391.31,136.96,12.05,219.13,10
CPT,86255,HC HU ANTIBODY SCREEN WITH REFLEX TO TITER AND WESTERN BLOT ARUP TO QUEST SAN JUAN CAPISTRANO 37053,460.0,161.0,12.05,257.6,10
CPT,86255,"HC LEUCINE-RICH, GLIOMA-INACTIVATED PROTEIN 1 ANTIBODY, IGG WITH REFLEX TO TITER ARUP 2009456",413.95,144.89,12.05,231.81,10
CPT,86255,HC LRP4 AUTOANTIBODY ARUP TO  ATHENA 1483,2273.04,795.57,12.05,1272.9,10
CPT,86255,HC MUSCLE-SPECIFIC KINASE (MUSK) AB IGG BY CBA-IFA WITH REF TO TITER SERUM ARUP 3006198,1164.24,407.49,12.05,651.97,10
CPT,86255,HC MYELIN OLIGODENDROCYTE GLYCOPROTEIN (MOG) AB W REF TO TITER CSF ARUP TO QUEST 36954,1854.47,649.07,12.05,1038.5,10
CPT,86255,"HC MYELIN OLIGODENDROCYTE GLYCOPROTEIN (MOG) ANTIBODY, CBA WITH REF TO TITER ARUP TO ATHENA 1523",3361.49,1176.53,12.05,1882.43,10
CPT,86255,"HC N-METHYL-D-ASPARTATE RECEPTOR ANTIBODY, IGG, CSF WITH REFLEX TO TITER ARUP 2005164",672.67,235.44,12.05,376.7,10
CPT,86255,HC N-METHYL-D-ASPARTATE RECEPTR ANTIBODY IGG SERUM W/REFLEX TO TITER-ARUP2004221,640.64,224.23,12.05,358.76,10
CPT,86255,"HC NEUROFASCIN-155 IGG4, FLOW CYTOMETRY, SERUM ARUP TO MAYO CLINIC LAB NF4FS",1700.16,595.06,12.05,952.09,10
CPT,86255,HC NEURONAL NUCLEAR AB(HU)IFA-CSF,665.28,232.85,12.05,372.56,10
CPT,86255,"HC NMO-AQP4, CSF",1716.13,600.65,12.05,961.03,10
CPT,86255,HC PARANEOPLASTIC AB SCREEN,155.23,54.34,12.05,86.93,10
CPT,86255,HC PARANEOPLASTIC ABS W/RFLX CSF ARUP 2010841,155.23,54.34,12.05,86.93,10
CPT,86255,"HC PARANEOPLASTIC AUTOANTIBODY EVALUATION, SPINAL FLUID ARUP TO MAYO PAC1",243.32,85.17,12.05,136.26,10
CPT,86255,"HC PHOSPHOLIPASE A2 RECEPTOR (PLA2R) ANTIBODY, IGG WITH REFLEX TO TITER",591.36,206.98,12.05,331.16,10
CPT,86255,"HC REFLEX PCCA/ANNA BY IFA, SERUM ARUP RFLX ANNA/PCCAS",98.56,34.5,12.05,55.19,10
CPT,86255,HC RETICULIN IGA AB SCREEN,95.24,33.34,12.05,53.33,10
CPT,86255,"HC STRIATED MUSCLE ANTIBODIES, IGG WITH REFLEX TO TITER ARUP 0050746",71.15,24.91,12.05,42.13,10
CPT,86255,HC STRIATIONAL AUTOANTIBODIES,95.24,33.34,12.05,53.33,10
CPT,86255,HC THROMBOSPONDIN TYPE-1 DOMAIN-CONT 7 A AB SERUM ARUP TO MAYO THSD7,1164.24,407.49,12.05,651.97,10
CPT,86255,HC THSD7A ANTIBODY IGG ARUP 3003480,1219.68,426.89,12.05,683.02,10
CPT,86256,"HC  REFLEX SMOOTH MUSCLE ANTIBODY, IGG TITER ARUP RFLX ASM TITER",173.34,60.67,12.05,97.07,10
CPT,86256,HC AGNA-1,173.88,60.86,12.05,97.37,10
CPT,86256,HC AMPHIPHYSIN,125.845,44.05,12.05,97.37,20
CPT,86256,HC ANNA TITER-CSF REFLEX,443.52,155.24,12.05,248.37,10
CPT,86256,HC ANNA-1,125.845,44.05,12.05,97.37,20
CPT,86256,HC ANNA-2,125.845,44.05,12.05,97.37,20
CPT,86256,HC ANNA-3,125.845,44.05,12.05,97.37,20
CPT,86256,HC ANNA-IFA TITER IGG,258.72,90.56,12.05,144.88,10
CPT,86256,HC ANTI NEURONAL ABY TITER,109.05,38.17,12.05,61.07,10
CPT,86256,HC ANTI-CENTROMERE BY IFA,140.91,49.32,12.05,78.91,10
CPT,86256,HC ANTI-NEURONAL NUCLEAR AB-TITER,109.05,38.17,12.05,61.07,10
CPT,86256,HC CRMP-5 IGG,77.81,27.24,12.05,43.57,10
CPT,86256,HC DOUBLE-STRAND DNA AB IGG-IFA,87.97,30.79,12.05,49.26,10
CPT,86256,"HC DOUBLE-STRANDED DNA (DSDNA) ANTIBODY, IGG BY IFA (USING CRITHIDIA LUCILIAE) ARUP 2002693",107.18,37.52,12.05,60.02,10
CPT,86256,HC DSDNA C LUCILIAE AB IGG-IFA,87.97,30.79,12.05,49.26,10
CPT,86256,HC ENDOMYSIAL ANTIBODY IGA,173.34,60.67,12.05,97.07,10
CPT,86256,HC ENDOMYSIAL ANTIBODY IGG,232.85,81.5,12.05,130.4,10
CPT,86256,"HC FLUOR AB, TITER",109.05,38.17,12.05,61.07,10
CPT,86256,"HC FLUORESCENT AB, TITER,EACH AB",76.01,26.61,12.05,42.57,10
CPT,86256,HC FLUORESCENT NONNFCT AGT ANTB TITER EA ANTIBODY ARUP TO WASHINGTON UNIV NEUROMUSCULAR CLINICAL LAB,98.57,34.5,12.05,55.2,10
CPT,86256,HC MITOCHONDRIAL ABY,109.05,38.17,12.05,61.07,10
CPT,86256,HC MYOCARDIAL TOTAL AUTOABS,95.24,33.34,12.05,53.33,10
CPT,86256,HC N-METHYL-D-ASPARATE RCPTR-IGG,465.7,163.0,12.05,260.79,10
CPT,86256,HC NEURONAL NUCLEAR AUTOTABS,95.24,33.34,12.05,53.33,10
CPT,86256,HC NMO IGG,1212.19,424.27,12.05,678.83,10
CPT,86256,HC PCA-1,125.845,44.05,12.05,97.37,20
CPT,86256,HC PCA-2,125.845,44.05,12.05,97.37,20
CPT,86256,HC PCA-TR,125.845,44.05,12.05,97.37,20
CPT,86256,HC PURKINJE CEL AB TITER-CSF-RFLX,452.76,158.47,12.05,253.55,10
CPT,86256,HC PURKINJE CELL AUTOABS IB,163.74,57.31,12.05,91.69,10
CPT,86256,HC PURKINJE CELL AUTOABS IFA,95.24,33.34,12.05,53.33,10
CPT,86256,HC PURKINJE CELL TITER,173.34,60.67,12.05,97.07,10
CPT,86256,HC REF DIPEPTIDYL AMINOPEPTIDASE-LIKE PROTEIN 6 AB TITER IGG BY IFA SERUM ARUP 3004360,1127.28,394.55,12.05,631.28,10
CPT,86256,HC REF LEUCINE-RICH GLIOMA-INACT PROTEIN 1 AB IGG & CONTACTIN-ASSOC PROTEIN-2 AB IGG ARUP 2009458,808.5,282.98,12.05,452.76,10
CPT,86256,"HC REFLEX ALPHA-AMINO-3-HYDROXY-5-METHYL-4-ISOXAZOLEPROPIONIC ACID (AMPA) RECEPTOR ANTIBODY TITER, I",997.92,349.28,12.05,558.84,10
CPT,86256,HC REFLEX ALPHA-AMINO-3-HYDROXY-5-METHYL-4-ISOXAZOLEPROPIONIC ACID REC AB TIT IGG CBA-IFA CSF ARUP 3001263,950.4,332.64,12.05,532.22,10
CPT,86256,HC REFLEX ALPHA-AMINO-3-HYDROXY-5-METHYL-4-ISOXAZOLEPROPIONIC ACID REC AB TITER IGG SERUM ARUP 3001265,997.92,349.28,12.05,558.84,10
CPT,86256,HC REFLEX ANTITHROMBOSPONDIN TYPE-1 DOMAIN CONTAINING 7A THSD7A ANTIBODY IGG TITER ARUP 3003481,997.92,349.28,12.05,558.84,10
CPT,86256,HC REFLEX ANTITHROMBOSPONDIN TYPE-1 DOMAIN-CONTAINING 7A (THSD7A) AB IGG TITER ARUP 3003481,997.92,349.28,12.05,558.84,10
CPT,86256,"HC REFLEX AQUAPORIN-4 RECEPTOR ANTIBODY, IGG BY IFA, CSF TITER ARUP 2011701",628.32,219.92,12.05,351.86,10
CPT,86256,"HC REFLEX AQUAPORIN-4 RECEPTOR ANTIBODY, IGG BY IFA, SERUM TITER ARUP 2013323",628.32,219.92,12.05,351.86,10
CPT,86256,HC REFLEX CONTACTIN-ASSOCIATED PROTEIN-2 ANTIBODY TITER IGG BY IFA ARUP 2009454,756.76,264.87,12.05,423.79,10
CPT,86256,"HC REFLEX CONTACTIN-ASSOCIATED PROTEIN-2 ANTIBODY TITER, IGG BY IFA, CSF ARUP 3001989",1090.32,381.62,12.05,610.58,10
CPT,86256,"HC REFLEX CONTACTIN-ASSOCIATED PROTEIN-2 ANTIBODY TITER, IGG BY IFA, SERUM ARUP 2009454",756.76,264.87,12.05,423.79,10
CPT,86256,"HC REFLEX CV2 ANTIBODY TITER, IGG BY CBA-IFA, CSF ARUP 3017002",792.0,277.2,12.05,443.52,10
CPT,86256,"HC REFLEX CV2 ANTIBODY TITER, IGG BY CBA-IFA, SERUM ARUP 3017000",792.0,277.2,12.05,443.52,10
CPT,86256,"HC REFLEX CV2.1 ANTIBODY TITER IGG, CSF ARUP 3002258",1016.4,355.74,12.05,569.18,10
CPT,86256,"HC REFLEX CV2.1 ANTIBODY TITER, IGG ARUP 2013957",1955.18,684.32,12.05,1094.9,10
CPT,86256,"HC REFLEX DIPEPTIDYL AMINOPEPTIDASE-LIKE PROTEIN 6 (DPPX) ANTIBODY TITER, IGG BY CBA-IFA, CSF ARUP 3004515",1073.6,375.76,12.05,601.22,10
CPT,86256,HC REFLEX GABA-A RECEPTOR TYPE A (GABA-AR) ANTIBODY TITER IGG BY CBA-IFA CSF ARUP 3006006,1417.68,496.19,12.05,793.9,10
CPT,86256,"HC REFLEX GAMMA AMINOBUTYRIC ACID RECEPTOR , TYPE B (GABA-BR) ANTIBODY TITER, IGG, CSF ARUP 3001273",997.92,349.28,12.05,558.84,10
CPT,86256,"HC REFLEX GAMMA AMINOBUTYRIC ACID RECEPTOR, TYPE B (GABA-BR) ANTIBODY TITER, IGG, SERUM 3001275",997.92,349.28,12.05,558.84,10
CPT,86256,"HC REFLEX GAMMA-AMINOBUTYRIC ACID RECEPTOR, TYPE A (GABA-AR) ANTIBODY TITER, IGG BY CBA-IFA, CSF ARUP 3006006",1631.52,571.04,12.05,913.65,10
CPT,86256,"HC REFLEX GAMMA-AMINOBUTYRIC ACID RECEPTOR, TYPE A AB TITER IGG BY CBA-IFA SERUM ARUP 3006011",1713.1,599.59,12.05,959.34,10
CPT,86256,"HC REFLEX IGLON FAMILY MEMBER 5 (IGLON5) ANTIBODY TITER, IGG BY CBA-IFA, CSF ARUP 3006016",1866.48,653.27,12.05,1045.23,10
CPT,86256,"HC REFLEX IGLON FAMILY MEMBER 5 (IGLON5) ANTIBODY TITER, IGG BY CBA-IFA, SERUM 3006021",1959.8,685.93,12.05,1097.49,10
CPT,86256,HC REFLEX INOSITOL 1 4 5 TRISPHOSPHATE RECEPTOR TYPE 1 (ITPR1) AB TITER IGG BY CBA-IFA SERUM ARUP 3006036,2522.52,882.89,12.05,1412.61,10
CPT,86256,"HC REFLEX LEUCINE-RICH, GLIOMA-INACTIVATED PROTEIN 1 ANTIBODY TITER, IGG BY IFA ARUP 2009458",808.5,282.98,12.05,452.76,10
CPT,86256,"HC REFLEX LEUCINE-RICH, GLIOMA-INACTIVATED PROTEIN 1 ANTIBODY TITER, IGG BY IFA, CSF ARUP 3001994",1090.32,381.62,12.05,610.58,10
CPT,86256,"HC REFLEX LEUCINE-RICH, GLIOMA-INACTIVATED PROTEIN 1 ANTIBODY TITER, IGG BY IFA, SERUM ARUP 2009458",808.5,282.98,12.05,452.76,10
CPT,86256,"HC REFLEX METABOTROPIC GLUTAMATE RECEPTOR 1 (MGLUR1) AB TITER, IGG BY CBA-IFA, SERUM ARUP 3006047",1127.28,394.55,12.05,631.28,10
CPT,86256,"HC REFLEX METABOTROPIC GLUTAMATE RECEPTOR 1 (MGLUR1) ANTIBODY TITER, IGG BY CBA-IFA, CSF ARUP 3006042",1462.56,511.9,12.05,819.03,10
CPT,86256,"HC REFLEX MUSCLE-SPECIFIC KINASE (MUSK) ANTIBODY TITER, IGG BY CBA-IFA, SERUM ARUP 3006251",924.0,323.4,12.05,517.44,10
CPT,86256,"HC REFLEX MYELIN OLIGODENDROCYTE GLYCOPROTEIN (MOG) ANTIBODY TITER, IGG ARUP 3001280",997.92,349.28,12.05,558.84,10
CPT,86256,"HC REFLEX MYELIN OLIGODENDROCYTE GLYCOPROTEIN (MOG) ANTIBODY TITER, IGG, CSF ARUP 3016856",416.0,145.6,12.05,232.96,10
CPT,86256,"HC REFLEX N-METHYL-D-ASPARTATE RECEPTOR ANTIBODY, IGG, TITER ARUP 2006311",465.7,163.0,12.05,260.79,10
CPT,86256,HC REFLEX NEURONAL NUCLEAR AB (ANNA) IFA TITER IGG CSF ARUP 2010843,452.76,158.47,12.05,253.55,10
CPT,86256,"HC REFLEX NEURONAL NUCLEAR ANTIBODY (ANNA) IFA TITER, IGG  ARUP 005092",258.72,90.56,12.05,144.88,10
CPT,86256,"HC REFLEX NEURONAL NUCLEAR ANTIBODY (ANNA) IFA TITER, IGG ARUP 0050892",258.72,90.56,12.05,144.88,10
CPT,86256,HC REFLEX PHOSPHOLIPASE A2 RECEPTOR ANTIBODY IGG TITER ARUP 2011831,924.0,323.4,12.05,517.44,10
CPT,86256,HC REFLEX PURKINJE CELL AB TITER CSF ARUP 2010856,452.76,158.47,12.05,253.55,10
CPT,86256,"HC REFLEX PURKINJE CELL ANTIBODY, TITER ARUP 0059441",173.34,60.67,12.05,97.07,10
CPT,86256,"HC REFLEX PURKINJE CELL ANTIBODY, TITER, CSF ARUP 2010845",539.62,188.87,12.05,302.19,10
CPT,86256,HC REFLEX REFLEXED TO ANCA TITER  FROM ARUP 2006480,173.34,60.67,12.05,97.07,10
CPT,86256,HC REFLEX REFLEXED TO ANCA TITER ARUP 0050243,173.34,60.67,12.05,97.07,10
CPT,86256,HC REFLEX SMOOTH MUSCLE ANTIBODY IGG TITER ARUP 0051244,173.34,60.67,12.05,97.07,10
CPT,86256,HC REFLEX STRIATED MUSCLE ANTIBODIES IGG TITER ARUP 2012516,173.34,60.67,12.05,97.07,10
CPT,86256,HC RFLX ASM IGG TITER-ARUP0051244,173.34,60.67,12.05,97.07,10
CPT,86256,HC RFLX ENDOMYSIAL AB IGA BY IFA,173.34,60.67,12.05,97.07,10
CPT,86256,HC RI ANTIBODY,95.24,33.34,12.05,53.33,10
CPT,86256,HC SCLERODERMA ABY SCL-1,109.05,38.17,12.05,61.07,10
CPT,86256,HC SKIN AUTOABS DERMAL EPIDERMAL,75.41,26.4,12.05,42.23,10
CPT,86256,HC SKIN AUTOABS INTERCELLULAR,75.41,26.4,12.05,42.23,10
CPT,86256,HC SM MUSCLE ANTIBODY,109.05,38.17,12.05,61.07,10
CPT,86256,HC SMOOTH MUSCLE AB TITER,94.33,33.02,12.05,52.82,10
CPT,86258,"HC REFLEX DEAMIDATED GLIADIN PEPTIDE (DGP) ANTIBODY, IGA ARUP RFLX GLIADPEP A",41.18,14.42,11.53,42.13,10
CPT,86258,"HC REFLEX DEAMIDATED GLIADIN PEPTIDE (DGP) ANTIBODY, IGG ARUP RFLX GLIADPEP G",41.18,14.42,11.53,42.13,10
CPT,86277,GROWTH HORMONE ANTIBODY,,,15.74,55.03,7
CPT,86280,HEMAGGLUTINATION INHIBITION,,,8.19,28.65,7
CPT,86294,IMMUNOASSAY TUMOR QUAL,,,25.57,89.42,7
CPT,86300,HC CA 15-3,131.29,45.96,20.81,73.52,10
CPT,86300,HC CANCER ANTIGEN 15-3,102.62,35.92,20.81,72.76,10
CPT,86300,HC CANCER ANTIGEN 27.39,83.28,29.15,20.81,72.76,10
CPT,86301,HC CA 19-9 ARUP 0080461,131.29,45.96,20.81,73.52,10
CPT,86301,HC CANCER ANTIGEN 19-9,116.9,40.92,20.81,72.76,10
CPT,86304,HC CA-125,80.52,28.19,20.81,72.76,10
CPT,86304,HC CANCER ANTIGEN 125,118.82,41.59,20.81,72.76,10
CPT,86305,HUMAN EPIDIDYMIS PROTEIN 4,,,20.81,72.76,7
CPT,86308,"HC HETEROPHILE ANTIBODY (INFECTIOUS MONONUCLEOSIS) BY LATEX AGGLUTINATION, QUALITATIVE-ARUP50385",38.81,13.59,5.18,21.73,10
CPT,86308,HC MONO TEST,75.41,26.4,5.18,42.23,10
CPT,86309,HETEROPHILE ANTIBODY TITER,,,6.47,22.63,7
CPT,86310,HETEROPHILE ANTIBODY ABSRBJ,,,7.37,25.77,7
CPT,86316,"HC ALPHA FETOPROTEIN, CSF (TUMOR MARKER) ARUP 0020729",52.86,18.51,18.13,72.76,10
CPT,86316,HC CA 72-4,131.29,45.96,20.81,73.52,10
CPT,86316,"HC CHROMOGRANIN A, SERUM ARUP 3002867",186.9,65.42,20.81,104.66,10
CPT,86316,"HC IMMUNOASSAY, TUMOR OTHER",87.73,30.71,20.81,72.76,10
CPT,86316,HC NEURON SPECIFIC ENOLASE CSF-ARUP0081226,130.41,45.65,20.81,73.03,10
CPT,86316,"HC NEURON SPECIFIC ENOLASE, CSF ARUP 3004314",130.83,45.8,20.81,73.26,10
CPT,86316,"HC NEURON SPECIFIC ENOLASE, SERUM  ARUP 3004312",128.99,45.15,20.81,72.76,10
CPT,86316,HC S-100B PROTEIN TUMOR ASSAY,565.49,197.93,20.81,316.67,10
CPT,86316,HC TUMOR ANTIGEN,131.29,45.96,20.81,73.52,10
CPT,86317,HC ASPERGILLUS FUMIGATUS ANTIBODY IGG ARUP 3000876,211.66,74.09,14.99,118.53,10
CPT,86317,HC BARTONELLA ABS IGG,91.93,32.18,14.99,52.42,10
CPT,86317,HC BARTONELLA ABS IGM,91.93,32.18,14.99,52.42,10
CPT,86317,HC DIPHTHERIA ANTIBODY IGG,48.74,17.06,14.99,52.42,10
CPT,86317,HC GLIADIN AB,133.38,46.69,14.99,74.69,10
CPT,86317,HC HAEMOPHILUS INFLUENZAE B ANTIBODY,45.28,15.85,14.99,52.42,10
CPT,86317,HC IMMUNOASSAY INF AGT AB-QT-NOS1,48.74,17.06,14.99,52.42,10
CPT,86317,HC IMMUNOASSAY INF AGT AB-QT-NOS2,48.74,17.06,14.99,52.42,10
CPT,86317,HC IMMUNOASSAY INF AGT AB-QT-NOS3,48.74,17.06,14.99,52.42,10
CPT,86317,HC IMMUNOASSAY INF AGT AB-QT-NOS4,48.74,17.06,14.99,52.42,10
CPT,86317,HC IMMUNOASSAY INF AGT AB-QT-NOS5,48.74,17.06,14.99,52.42,10
CPT,86317,HC IMMUNOASSAY INF AGT AB-QT-NOS6,48.74,17.06,14.99,52.42,10
CPT,86317,HC IMMUNOASSAY INF AGT AB-QT-NOS7,48.74,17.06,14.99,52.42,10
CPT,86317,HC IMMUNOASSAY INF AGT AB-QT-NOS8,48.74,17.06,14.99,52.42,10
CPT,86317,HC IMMUNOASSAY INF AGT AB-QT-NOS9,48.74,17.06,14.99,52.42,10
CPT,86317,HC IMMUNOASSAY INFAGT AB-QT-NOS10,48.74,17.06,14.99,52.42,10
CPT,86317,HC IMMUNOASSAY INFAGT AB-QT-NOS11,48.74,17.06,14.99,52.42,10
CPT,86317,HC IMMUNOASSAY INFAGT AB-QT-NOS12,48.74,17.06,14.99,52.42,10
CPT,86317,HC IMMUNOASSAY INFAGT AB-QT-NOS13,48.74,17.06,14.99,52.42,10
CPT,86317,HC IMMUNOASSAY INFAGT AB-QT-NOS14,48.74,17.06,14.99,52.42,10
CPT,86317,HC IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS ARUP 0050779,58.64,20.53,14.99,52.42,10
CPT,86317,"HC REFLEX PRION MARKERS, 14-3-3 GAMMA BILL ARUP 3019874",103.07,36.08,14.99,57.72,10
CPT,86317,"HC REFLEX PRION MARKERS, BLOODY TOTAL TAU BILL ARUP 3019875",215.07,75.28,14.99,120.44,10
CPT,86317,"HC REFLEX PRION MARKERS, TOTAL TAU BILL ARUP 3019873",103.07,36.08,14.99,57.72,10
CPT,86317,HC RUBELLA IGG-IMMUNOASSAY QT,49.6,17.36,14.99,52.42,10
CPT,86317,HC TOXOPLASMA GONDII IGG,50.74,17.76,14.99,52.42,10
CPT,86317,HC TOXOPLASMA IGG-IMMUNOASSAY,49.6,17.36,14.99,52.42,10
CPT,86318,IA INFECTIOUS AGENT ANTIBODY,,,18.09,63.26,7
CPT,86320,SERUM IMMUNOELECTROPHORESIS,,,25.57,104.63,7
CPT,86325,OTHER IMMUNOELECTROPHORESIS,,,23.13,80.88,7
CPT,86327,Laboratory,,,29.92,104.63,2
CPT,86327,Other Outpatient Services - CPT/HCPCS,,,31.57,31.57,1
CPT,86327,Outpatient Services,,,29.92,48.72,4
CPT,86328,IA NFCT AB SARSCOV2 COVID19,,,45.28,158.33,7
CPT,86329,IMMUNODIFFUSION NES,,,14.05,49.12,7
CPT,86331,HC ASPERGILLUS FLAVUS,75.71,26.5,11.98,42.4,10
CPT,86331,HC ASPERGILLUS FUMIGATUS #6,75.71,26.5,11.98,42.4,10
CPT,86331,HC ASPERGILLUS FUMIGATUS#2,75.71,26.5,11.98,42.4,10
CPT,86331,HC ASPERGILLUS FUMIGATUS#3,75.71,26.5,11.98,42.4,10
CPT,86331,HC AUREOBASIDIUM PULLULAMS,75.71,26.5,11.98,42.4,10
CPT,86331,HC FEATHER MIX IGE,75.71,26.5,11.98,42.4,10
CPT,86331,HC IMMUNODIFFUSION GEL DIFFUSION QUAL EA AG/ANTBDY ARUP 3006065,25.14,8.8,8.62,41.89,10
CPT,86331,HC IMMUNODIFFUSION OUCHTERLONY,75.41,26.4,11.98,42.23,10
CPT,86331,HC IMMUNODIFFUSION OUCHTERLONY ARUP 0050157,23.98,8.4,8.23,41.89,10
CPT,86331,HC MICROPOLYSPORA FAENI,75.71,26.5,11.98,42.4,10
CPT,86331,HC PARAKEET SERUM PRECIPITIN,74.5,26.08,11.98,41.89,10
CPT,86331,HC PARROT SERUM PRECIPITIN,74.5,26.08,11.98,41.89,10
CPT,86331,HC PIGEON SERUM,75.71,26.5,11.98,42.4,10
CPT,86331,HC PIGEON SERUM PRECIPITIN,74.5,26.08,11.98,41.89,10
CPT,86331,HC PM-SCL AUTOABS,75.41,26.4,11.98,42.23,10
CPT,86331,HC SACCHAROMONOSPORA VIRIDIS,75.71,26.5,11.98,42.4,10
CPT,86331,HC THEMOACTINOMYCES VOLGARIS,75.71,26.5,11.98,42.4,10
CPT,86331,HC THERMOACTINOMYCES CANIDUS,75.71,26.5,11.98,42.4,10
CPT,86331,HC THERMOTINOMYCES SACCHARI,75.71,26.5,11.98,42.4,10
CPT,86332,HC IMMUNE COMPLX-C10,108.46,37.97,24.37,85.22,10
CPT,86332,HC IMMUNE COMPLX-RAJI,110.86,38.81,24.37,85.22,10
CPT,86332,HC POLYETHYLENE GLYCOL IMM COMP,110.86,38.81,24.37,85.22,10
CPT,86334,HC IMMUNOFIX E-PHORESIS SERUM ARUP TO U OF IOWA,423.19,148.12,22.34,236.99,10
CPT,86334,HC IMMUNOFIXATION ELECTRO SERUM,140.6,49.21,22.34,78.74,10
CPT,86334,"HC IMMUNOFIXATION ELECTROPHORESIS, SERUM ARUP 2012572",61.44,21.51,21.07,78.13,10
CPT,86334,HC SERUM BETA 2 TRANSFERRIN,140.6,49.21,22.34,78.74,10
CPT,86335,"HC BETA 2 TRANSFERRIN, CSF",1116.94,390.93,25.57,625.49,10
CPT,86335,HC BETA-2 TRANSFERRIN ARUP 0050047,323.4,113.19,25.57,181.1,10
CPT,86335,HC BETA-2 TRANSFERRIN ARUP TO QUEST 10640,1466.17,513.16,25.57,821.06,10
CPT,86335,HC IMMUNFIX E-PHORSIS/URINE/CSF ARUP 3002104,124.74,43.66,25.57,102.63,10
CPT,86335,HC IMMUNFIX E-PHORSIS/URINE/CSF ARUP 3002105,109.65,38.38,25.57,102.63,10
CPT,86335,HC IMMUNOFIXATION ELECTRO URINE,139.03,48.665,25.57,102.63,20
CPT,86336,HC INHIBIN A,454.22,158.98,15.59,254.36,10
CPT,86337,HC INSULIN ANTIBODIES-ARUP 2002862,171.01,59.86,21.41,95.77,10
CPT,86337,HC INSULIN ANTIBODY,106.95,37.44,21.41,74.87,10
CPT,86337,HC INSULIN AUTOANTIBODIES (IAA) ARUP TO LABCORP SLC 141598,297.06,103.98,21.41,166.35,10
CPT,86340,HC INTRINSIC FACTOR BLOCKING AUTO,100.65,35.23,15.08,56.36,10
CPT,86341,HC GAD65 AB,86.82,30.39,23.57,82.43,10
CPT,86341,HC GAD65 AB ASSAY-CSF,975.74,341.51,23.57,546.41,10
CPT,86341,HC GLUTAMIC ACID DECARBOXYLASE (GAD65) AB ASSAY SPINAL FLUID ARUP U OF UTAH,915.31,320.36,23.57,512.57,10
CPT,86341,"HC GLUTAMIC ACID DECARBOXYLASE (GAD65) ANTIBODY ASSAY, SERUM ARUP TO MAYO GD65S",959.49,335.83,23.57,537.31,10
CPT,86341,HC GLUTAMIC ACID DECARBOXYLASE ANTIBODY ARUP 2001771,173.87,60.86,23.57,97.37,10
CPT,86341,"HC GLUTAMIC ACID DECARBOXYLASE ANTIBODY, CSF ARUP 3002788",218.06,76.33,23.57,122.11,10
CPT,86341,HC IA-2 ANTIBODY,750.29,262.61,23.57,420.16,10
CPT,86341,"HC ISLET ANTIGEN-2 (IA-2) AUTOANTIBODY, SERUM ARUP 3001499",750.29,262.61,23.57,420.16,10
CPT,86341,HC ISLET CELL ANTIBODY  ARUP 2013601,696.93,243.93,23.57,390.28,10
CPT,86341,HC ISLET CELL ANTIBODY ARUP 2002862,171.01,59.86,23.57,95.77,10
CPT,86341,HC ISLET CELL ANTIBODY ARUP 3001431,299.15,104.71,23.57,167.52,10
CPT,86341,HC ISLET CELL ANTIBODY ARUP 3002787,320.52,112.19,23.57,179.49,10
CPT,86341,HC ISLET CELL ANTIBODY ARUP 3003058,166.56,58.3,23.57,93.27,10
CPT,86341,HC ISLET CELL ANTIBODY ARUP 3006049,192.5,67.38,23.57,107.8,10
CPT,86341,HC ISLET CELL ANTIBODY ARUP 3006050,192.92,67.53,23.57,108.04,10
CPT,86341,HC ISLET CELL ANTIBODY ARUP 3006201,192.92,67.53,23.57,108.04,10
CPT,86341,HC ISLET CELL ANTIBODY ARUP 3006202,192.92,67.53,23.57,108.04,10
CPT,86341,HC ISLET CELL ANTIBODY ARUP 3006204,195.46,68.42,23.57,109.46,10
CPT,86341,HC ISLET CELL ANTIBODY ARUP 3006206,202.13,70.75,23.57,113.19,10
CPT,86341,HC ISLET CELL ANTIBODY ARUP 3006208,236.78,82.88,23.57,132.6,10
CPT,86341,HC ISLET CELL ANTIBODY ARUP 3006210,215.95,75.59,23.57,120.93,10
CPT,86341,HC ISLET CELL ANTIBODY ARUP 3006211,237.6,83.16,23.57,133.06,10
CPT,86341,HC ISLET CELL ANTIBODY ARUP TO MAYO ENC2,212.925,74.53,23.57,135.77,20
CPT,86341,HC ISLET CELL ANTIBODY ARUP TO MAYO EPIEC,244.33,85.52,23.57,136.82,10
CPT,86341,HC ISLET CELL ANTIBODY ARUP TO MAYO EPS1,267.96,93.79,23.57,150.06,10
CPT,86341,HC ISLET CELL ANTIBODY ARUP TO MAYO LAB MDC2,165.08,57.78,23.57,92.44,10
CPT,86341,HC ISLET CELL ANTIBODY ARUP TO MAYO LAB MDS2,231.42,81.0,23.57,129.6,10
CPT,86341,HC ISLET CELL ANTIBODY ARUP TO MAYO MAS1,211.89,74.17,23.57,118.66,10
CPT,86341,HC ISLET CELL ANTIBODY ARUP TO MAYO PCDEC,217.25,76.04,23.57,121.66,10
CPT,86341,HC ISLET CELL ANTIBODY ARUP TO MAYO PNEFS,665.01,232.76,23.57,372.41,10
CPT,86341,HC ISLET CELL ANTIBODY ARUP TO MAYO SPPS,504.9,176.72,23.57,282.74,10
CPT,86341,HC ISLET CELL CYTOPLAS ANTI IGG,99.98,35.0,23.57,82.43,10
CPT,86341,HC ZINC TRANSPORTER 8 ANTIBODY,776.16,271.66,23.57,434.65,10
CPT,86343,LEUKOCYTE HISTAMINE RELEASE,,,12.46,43.57,7
CPT,86344,HC BACTERICIDAL ASSAY NATIONAL JEWISH BACT,1198.27,419.4,10.39,671.03,10
CPT,86352,HC CELL FUNCTION ASSAY W/STIM-ARUP8/CCHMC,278.59,97.51,95.56,475.09,10
CPT,86352,HC CELLULAR FUNCTION ASSAY STIMUL&DETECT BIOMARKE ARUP TO MOLECULERA LABS,375.84,131.55,128.91,475.09,10
CPT,86352,HC NEUTROPHIL OXIDATIVE BURST (DHR) ARUP TO CINCINNATI CHILDREN'S HOSPITAL 2800315,720.0,252.0,135.86,475.09,10
CPT,86352,HC NEUTROPHIL OXIDATIVE BURST ASSAY (DHR)  ARUP 0096657,739.2,258.72,135.86,475.09,10
CPT,86353,HC BERYLLIUM INDUCED LYMPH PROLIF,1133.18,396.62,49.03,634.58,10
CPT,86353,HC LYMPHOCYTE TR MITOGEN/AG INDUCED BLASTOGENESIS ARUP TO NATIONAL JEWISH GMCSE,73.63,25.78,25.26,171.46,10
CPT,86355,HC B CELL TOTAL COUNT,111.76,39.12,37.73,131.95,10
CPT,86355,HC B CELLS TOTAL COUNT ARUP 0095892,111.57,39.05,37.73,131.95,10
CPT,86355,HC B CELLS TOTAL COUNT ARUP 2008901,187.57,65.65,37.73,131.95,10
CPT,86355,HC B CELLS TOTAL COUNT ARUP 3002216,147.84,51.75,37.73,131.95,10
CPT,86355,HC B CELLS TOTAL COUNT ARUP 3016431,325.6,113.96,37.73,182.34,10
CPT,86356,HC MONONUCLEAR CELL AG-QT-NOS EA1,65.49,22.93,22.46,93.65,10
CPT,86356,HC MONONUCLEAR CELL AG-QT-NOS EA2,65.49,22.93,22.46,93.65,10
CPT,86356,HC MONONUCLEAR CELL AG-QT-NOS EA3,65.49,22.93,22.46,93.65,10
CPT,86356,HC MONONUCLEAR CELL AG-QT-NOS EA4,65.49,22.93,22.46,93.65,10
CPT,86356,HC MONONUCLEAR CELL AG-QT-NOS EA5,65.49,22.93,22.46,93.65,10
CPT,86356,HC MONONUCLEAR CELL AG-QT-NOS EA6,65.49,22.93,22.46,93.65,10
CPT,86356,HC MONONUCLEAR CELL AG-QT-NOS EA7,65.49,22.93,22.46,93.65,10
CPT,86356,HC MONONUCLEAR CELL AG-QT-NOS EA8,65.49,22.93,22.46,93.65,10
CPT,86356,"HC MONONUCLEAR CELL AG-QT-NOS,EA1",209.29,73.26,26.78,117.2,20
CPT,86356,"HC MONONUCLEAR CELL AG-QT-NOS,EA2",209.29,73.26,26.78,117.2,20
CPT,86356,"HC MONONUCLEAR CELL AG-QT-NOS,EA3",209.29,73.26,26.78,117.2,20
CPT,86356,"HC MONONUCLEAR CELL AG-QT-NOS,EA4",209.29,73.26,26.78,117.2,20
CPT,86356,"HC MONONUCLEAR CELL AG-QT-NOS,EA5",209.29,73.26,26.78,117.2,20
CPT,86356,"HC MONONUCLEAR CELL AG-QT-NOS,EA6",209.29,73.26,26.78,117.2,20
CPT,86356,"HC MONONUCLEAR CELL AG-QT-NOS,EA7",209.29,73.26,26.78,117.2,20
CPT,86356,HC MONONUCLEAR CELL ANTIGEN ARUP 2008912,355.74,124.51,26.78,199.21,10
CPT,86356,HC MONONUCLEAR CELL ANTIGEN QUANT NOS EA ARUP 2008901,187.57,65.65,26.78,105.04,10
CPT,86356,HC MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA ARUP 2013805,131.58,46.06,26.78,93.65,10
CPT,86356,HC MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA ARUP 2014513,364.06,127.43,26.78,203.87,10
CPT,86356,HC MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA ARUP 3002216,147.84,51.75,26.78,93.65,10
CPT,86356,HC MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA ARUP 3016431,325.6,113.96,26.78,182.34,10
CPT,86356,HC MONONUCLEAR CELL ANTIGEN-ARUP0093420,68.99,24.15,23.66,93.65,10
CPT,86356,HC MONONUCLEAR CELL ANTIGEN-ARUP2005006,209.29,73.26,26.78,117.2,10
CPT,86356,"HC PAROXYSMAL NOCTURNAL HEMOGLOBINURIA (PNH), HIGH SENSITIVITY, RBC AND WBC",209.29,73.26,26.78,117.2,10
CPT,86357,HC NATURAL KILLER CELLS TOTAL COUNT ARUP 0095892,111.57,39.05,37.73,131.95,10
CPT,86357,HC NATURAL KILLER CELLS TOTAL COUNT ARUP 2013805,131.58,46.06,37.73,131.95,10
CPT,86357,"HC NATURAL KILLER CELLS, TOT CNT",254.1,88.94,37.73,142.3,10
CPT,86359,HC T CELLS TOTAL COUNT,103.49,36.23,35.5,131.95,10
CPT,86359,HC T CELLS TOTAL COUNT ARUP 0095892,111.57,39.05,37.73,131.95,10
CPT,86359,HC T CELLS TOTAL COUNT ARUP 0095950,103.49,36.23,35.5,131.95,10
CPT,86359,HC T CELLS TOTAL COUNT ARUP 2013805,131.58,46.06,37.73,131.95,10
CPT,86359,HC T CELLS TOTAL COUNT I,114.32,40.02,37.73,131.95,10
CPT,86359,HC T-CELLS TOTAL COUNT,93.81,32.84,32.18,131.95,10
CPT,86360,HC ABSOLUTE CD4/CD8 COUNT/RATIO,93.81,32.84,32.18,164.28,10
CPT,86360,HC T CELL ABSOLUTE COUNT/RATIO,103.49,36.23,35.5,164.28,10
CPT,86360,HC T CELL ABSOLUTE COUNT/RATIO ARUP 0095892,111.57,39.05,38.27,164.28,10
CPT,86360,HC T CELL ABSOLUTE COUNT/RATIO ARUP 0095950,103.49,36.23,35.5,164.28,10
CPT,86360,HC T CELL ABSOLUTE COUNT/RATIO I,153.21,53.63,46.98,164.28,10
CPT,86361,HC CD4 CELL COUNT,116.72,40.86,26.78,93.65,10
CPT,86361,HC LYMPHOCYTE SUBSET PANEL 2 - CD4  PERCENT AND ABSOLUTE ARUP 0095885,155.23,54.34,26.78,93.65,10
CPT,86362,HC MOG IGG ANTIBODY SERUM WITH REFLEX ARUP 3001277,591.36,206.98,12.05,331.16,10
CPT,86362,HC MOG-IGG1 ANTIBODY CELL-BASED IMFLUOR ASSAY EACH ARUP 3001283,582.12,203.75,12.05,325.99,10
CPT,86362,HC MOG-IGG1 ANTIBODY CELL-BASED IMFLUOR ASSAY EACH ARUP 3001431,299.15,104.71,12.05,167.52,10
CPT,86362,HC MOG-IGG1 ANTIBODY CELL-BASED IMFLUOR ASSAY EACH ARUP 3006050,192.92,67.53,12.05,108.04,10
CPT,86362,HC MOG-IGG1 ANTIBODY CELL-BASED IMFLUOR ASSAY EACH ARUP 3006208,236.78,82.88,12.05,132.6,10
CPT,86362,HC MOG-IGG1 ANTIBODY CELL-BASED IMFLUOR ASSAY EACH ARUP 3006210,215.95,75.59,12.05,120.93,10
CPT,86362,"HC MYELIN OLIGODENDROCYTE GLYCOPROTEIN (MOG) AB, IGG BY CBA-IFA WITH REF TO TITER, CSF ARUP 3016853",560.0,196.0,12.05,313.6,10
CPT,86363,HC MOG-IGG1 ANTIBODY FLOW CYTOMETRY EACH ARUP TO MAYO MAS1,211.89,74.17,12.05,131.95,10
CPT,86364,"HC CELIAC DISEASE REFLEXIVE CASCADE, SERUM ARUP 3016817",28.16,9.86,9.66,40.32,10
CPT,86364,"HC REFLEX TISSUE TRANSGLUTAMINASE ANTIBODY, IGG ARUP RFLX TTG G",82.72,28.96,11.53,46.32,10
CPT,86364,"HC TISSUE TRANSGLUTAMINASE ANTIBODY, IGA ARUP 3016860",28.16,9.86,9.66,40.32,10
CPT,86366,HC MUSK IGG AB CBA SERUM WITH RFLX ARUP 3006198,1038.4,363.44,18.4,356.17,9
CPT,86367,STEM CELLS TOTAL COUNT,,,77.78,271.99,7
CPT,86376,"HC LIVER-KIDNEY MICROSOME - 1 ANTIBODY, IGG ARUP 0055241",65.2,22.82,14.55,50.88,10
CPT,86376,HC LIVER-KIDNEY MICROSOME ANTIBODY IGG ARUP 0099270,65.2,22.82,14.55,50.88,10
CPT,86376,HC LIVER-KIDNEY MICROSOME AUTOABS,96.13,33.65,14.55,53.83,10
CPT,86376,HC MICROSOMAL ANTIBODIES EACH ARUP 3002479,52.67,18.44,14.55,50.88,10
CPT,86376,HC THYROID MICRSMAL ABY,94.33,33.02,14.55,52.82,10
CPT,86376,HC THYROID PEROXIDASE (TPO) AB-ARUP 0050075,38.81,13.59,13.31,50.88,10
CPT,86376,HC THYROID PEROXIDASE AUTOABS,96.13,33.65,14.55,53.83,10
CPT,86381,HC MITOCHONDRIAL ANTIBODY EACH ARUP 3002479,52.67,18.44,18.07,88.99,10
CPT,86382,HC RABIES ANTIBODY SCREEN (RFFIT) ARUP 2014351,284.59,99.61,16.91,159.37,10
CPT,86384,HC NITROBLUETETRAZOLIUM,164.63,57.63,13.61,92.19,10
CPT,86386,NUCLEAR MATRIX PROTEIN 22,,,21.78,76.17,7
CPT,86403,HC B TOXIN,43.44,15.21,11.54,40.35,10
CPT,86403,HC TSS TOXIN,43.44,15.21,11.54,40.35,10
CPT,86406,HC PARTICLE AGGLUT ANTBDY TITR ARUP TO PALO ALTO MEDICAL FOUNDATION,371.45,130.01,10.64,208.01,10
CPT,86408,NEUTRLZG ANTB SARSCOV2 SCR,,,42.13,147.32,7
CPT,86409,NEUTRLZG ANTB SARSCOV2 TITER,,,79.59,201.18,6
CPT,86413,SARS-COV-2 ANTB QUANTITATIVE,,,42.22,83.74,6
CPT,86430,"HC RA FACTOR, QUAL",70.0,24.5,6.14,39.2,10
CPT,86431,HC RA TITER,80.52,28.19,5.67,45.09,10
CPT,86431,HC RHEUMATOID FACTOR QUANT  ARUP 2003277,74.84,26.2,5.67,41.91,10
CPT,86431,HC RHEUMATOID FACTOR QUANTITATIVE ARUP 0050119,156.79,54.88,5.67,87.8,10
CPT,86480,HC QUANTIFERON,399.78,139.93,61.98,223.88,10
CPT,86480,"HC QUANTIFERON TB-GOLD PLUS, 4-TUBE ARUP 3017562",190.96,66.84,61.98,216.73,10
CPT,86480,HC QUANTIFERON-TB GOLD IN TUBE-ARUP0051729,258.72,90.56,61.98,216.73,10
CPT,86481,HC T-SPOT TO NATIONAL JEWISH,384.38,134.54,100.0,349.69,10
CPT,86481,HC TB INTERFERON GAMMA RELEASE,384.38,134.54,100.0,349.69,10
CPT,86481,HC TUBERCULOSIS INTERFERON GAMMA RELEASE ASSAY  TSPOT (NATIONAL JEWISH),384.38,134.54,100.0,349.69,10
CPT,86485,SKIN TEST CANDIDA,,,25.23,49.68,6
CPT,86486,SKIN TEST UNLISTED ANTIGN EA,,,9.57,446.88,7
CPT,86490,Laboratory,,,56.85,56.85,1
CPT,86490,Mammogram,,,5549.62,5549.62,1
CPT,86490,Other Outpatient Services - CPT/HCPCS,,,118.63,118.63,1
CPT,86510,HISTOPLASMOSIS SKIN TEST,,,11.1,518.67,7
CPT,86580,HC TUBERCULIN TEST INTRADERM,63.38,22.19,15.17,709.64,10
CPT,86581,"HC STREPTOCOCCUS PNEUMONIAE ANTIBODIES, IGG (14 SEROTYPES) ARUP 0050725",114.53,40.09,32.8,149.84,9
CPT,86581,"HC STREPTOCOCCUS PNEUMONIAE ANTIBODIES, IGG (23 SEROTYPES) ARUP 2005779",225.12,78.8,64.47,167.71,9
CPT,86581,"HC STREPTOCOCCUS PNEUMONIAE ANTIBODIES, IGG (9 SEROTYPES) ARUP 2008919",110.6,38.71,31.68,149.84,9
CPT,86590,STREPTOKINASE ANTIBODY,,,12.66,44.26,7
CPT,86592,HC RAPID PLASMA REAGIN (RPR) W REF TO RPR TITER OR T PALLIDUM ANTIBODY BY PARTICLE AGGLUTINATION ARUP 2007443,19.14,6.7,4.27,14.92,10
CPT,86592,HC RAPID PLASMA REAGIN (RPR) WITH REFLEX TO TITER AND FTA-ABS ARUP 0050011,23.29,8.16,4.27,14.92,10
CPT,86592,"HC TEST SYPHILIS, QUAL",28.84,10.1,4.27,16.15,10
CPT,86592,"HC TREPONEMA PALLIDUM (VDRL), CSF W REFLEX TO TITER ARUP 0050206",25.87,9.06,4.27,14.92,10
CPT,86593,HC REFLEX RAPID PLASMA REAGIN TITER ARUP 2003239,99.79,34.93,4.4,55.88,10
CPT,86593,"HC REFLEX TREPONEMA PALLIDUM (VDRL), CEREBRAL FLUID TITER ARUP 2012513",82.3,28.81,4.4,46.09,10
CPT,86593,HC RPR TITER,27.64,9.68,4.4,15.48,10
CPT,86593,"HC TREPONEMA PALLIDUM (VDRL), SERUM WITH REFLEX TO TITER",91.85,32.15,4.4,51.44,10
CPT,86593,HC TREPONEMA PALLIDUM IGM AB,212.41,74.35,4.4,118.95,10
CPT,86596,HC VOLTAGE-GATED CALCIUM CHANNEL ANTIBODY EACH ARUP 3002046,644.95,225.74,12.05,361.17,10
CPT,86596,HC VOLTAGE-GATED CALCIUM CHANNEL ANTIBODY EACH ARUP 3006206,202.13,70.75,12.05,113.19,10
CPT,86596,HC VOLTAGE-GATED CALCIUM CHANNEL ANTIBODY EACH ARUP TO MAYO LAB MDS2,231.42,81.0,12.05,129.6,10
CPT,86602,ANTINOMYCES ANTIBODY,,,10.18,35.6,7
CPT,86603,HC ADENOVIRUS ANTIBODIES,79.62,27.87,12.87,45.01,10
CPT,86606,HC ANTIBODY ASPERGILLUS ARUP 0050164,36.82,12.89,12.63,52.62,10
CPT,86606,HC ANTIBODY ASPERGILLUS ARUP 3006065,25.14,8.8,8.62,52.62,10
CPT,86606,HC ASPERFILLUS FLAVUS AB,87.65,30.68,15.05,52.62,10
CPT,86606,HC ASPERFILLUS FUMIGATUS 1,87.65,30.68,15.05,52.62,10
CPT,86606,HC ASPERGILLUS AB,92.53,32.39,15.05,52.62,10
CPT,86606,HC ASPERGILLUS ANTIBODY ARUP 0050157,23.98,8.4,8.23,52.62,10
CPT,86606,HC ASPERGILLUS ANTIBODY ARUP 2004243,48.51,16.98,15.05,52.62,10
CPT,86606,HC ASPERGILLUS ANTIBODY BY CF ARUP 0050100,43.24,15.14,14.83,52.62,10
CPT,86606,HC ASPERGILLUS FUMIGATUS #6,87.65,30.68,15.05,52.62,10
CPT,86606,HC ASPERGILLUS FUMIGATUS#2,87.65,30.68,15.05,52.62,10
CPT,86606,HC ASPERGILLUS FUMIGATUS#3,87.65,30.68,15.05,52.62,10
CPT,86606,HC ASPERGILLUS NIGER AB,87.65,30.68,15.05,52.62,10
CPT,86609,HC BARTONELLA HENSELAE ANTIBODIES,80.21,28.08,12.88,45.05,10
CPT,86609,HC BARTONELLA QUINTANA ANTIBODIES,80.21,28.08,12.88,45.05,10
CPT,86609,HC EHRLICHIA EQUI IGG ABS,80.21,28.08,12.88,45.05,10
CPT,86609,HC EHRLICHIA EQUI IGM ABS,80.21,28.08,12.88,45.05,10
CPT,86609,HC RICKETTSIA TYPHI IGG ABS SNGLE,80.21,28.08,12.88,45.05,10
CPT,86611,HC BARTONELLA ABS IGG,63.39,22.19,10.18,35.6,10
CPT,86611,HC BARTONELLA ABS IGM,63.39,22.19,10.18,35.6,10
CPT,86612,HC ANTIBODY BLASTOMYCES ARUP 0050164,36.82,12.89,12.63,45.1,10
CPT,86612,HC BLASTOMYCES AB,72.09,25.24,12.9,45.1,10
CPT,86612,HC BLASTOMYCES AB WITH REFLEX SERUM ARUP 3000236,60.83,21.3,12.9,45.1,10
CPT,86612,HC BLASTOMYCES ANTIBODY ARUP 0050626,58.0,20.3,12.9,45.1,10
CPT,86612,HC REFLEX BLASTOMYCES DERMATITIDIS ANTIBODIES BY IMMUNODIFFUSION ARUP 0050172,55.19,19.32,12.9,45.1,10
CPT,86615,HC BORDETELLA PERTUSSIS IGG,135.83,47.55,13.19,76.06,10
CPT,86615,HC BORDETELLA PERTUSSIS IGM,135.83,47.55,13.19,76.06,10
CPT,86617,HC AB BORRELIA BURGDORFERI CONFIRMATORY TST ARUP 0050254,65.2,22.82,15.49,54.17,10
CPT,86617,HC ANTIBODY BORRELIA BURGDORFERI CONFIRMATORY TST ARUP RFLX LYMEWBCSFR,68.99,24.15,15.49,54.17,10
CPT,86617,HC BORRELIA BURG IGM ABS,96.45,33.76,15.49,54.17,10
CPT,86617,"HC REFLEX BORRELIA BURGDORFERI ANTIBODY, IGG BY IMMUNOBLOT ARUP 0050255",67.58,23.66,15.49,54.17,10
CPT,86617,"HC REFLEX BORRELIA BURGDORFERI ANTIBODY, IGM BY IMMUNOBLOT ARUP 0050255",67.58,23.66,15.49,54.17,10
CPT,86618,HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE ARUP 3006188,110.88,38.81,17.03,62.09,10
CPT,86618,HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE ARUP 3006367,113.39,39.69,17.03,63.5,10
CPT,86618,HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE ARUP RFLX LYME MGR,110.88,38.81,17.03,62.09,10
CPT,86618,"HC B BURGDORFERI QUAL IGG, CSF",89.22,31.23,17.03,59.56,10
CPT,86618,"HC B BURGDORFERI QUAL IGM, CSF",89.22,31.23,17.03,59.56,10
CPT,86618,HC BORRELIA BURG C6 PEPTDE AB-TO,271.66,95.09,17.03,152.13,10
CPT,86618,HC BORRELIA BURGDORFERI AB-TOTAL,42.8,14.98,14.68,59.56,10
CPT,86618,HC BORRELIA BURGDORFERI VLSE1/PEPC10 AB CSF TOTAL BY ELISA W REF TO IGM&IGG BY IMMUNOBLOT ARUP 3016760,205.92,72.08,17.03,115.32,10
CPT,86618,"HC BORRELIA BURGDORFERI VLSE1/PEPC10 AB, TOTAL BY ELISA WITH REF TO IGM AND IGG BY ELISA ARUP 3006053",216.22,75.68,17.03,121.08,10
CPT,86618,HC BORRELIA BURGDORFERI(LYME DISEASE) REFLEXIVE PANEL(CSF)-ARUP 2007335,42.8,14.98,14.68,59.56,10
CPT,86619,HC BORRELIA ANTIBODY ARUP TO IMUGEN BMMG,138.6,48.51,13.38,77.62,10
CPT,86619,HC BORRELIA HERMSII AB IGG-IFA,340.41,119.15,13.38,190.63,10
CPT,86619,HC BORRELIA HERMSII AB IGM-IFA,340.41,119.15,13.38,190.63,10
CPT,86622,HC BRUC ABORT IGA ABS,57.98,20.3,8.93,32.47,10
CPT,86622,HC BRUC ABORT IGG ABS,50.97,17.84,8.93,31.23,10
CPT,86622,HC BRUC ABORT IGM ABS,50.97,17.84,8.93,31.23,10
CPT,86622,HC BRUCELLA AB TOTAL-AGGLUTINATN,206.98,72.45,8.93,115.91,10
CPT,86622,HC BRUCELLA ABORTUS IGG ABS,57.98,20.3,8.93,32.47,10
CPT,86622,HC BRUCELLA ABORTUS IGM ABS,57.98,20.3,8.93,32.47,10
CPT,86622,HC BRUCELLA ANTIBODY (TOTAL) BY AGGLUTINATION ARUP 0050135,47.52,16.64,8.93,31.23,10
CPT,86622,HC BRUCELLA ANTIBODY IGG,206.98,72.45,8.93,115.91,10
CPT,86622,HC BRUCELLA ANTIBODY IGM,206.98,72.45,8.93,115.91,10
CPT,86622,HC BRUCELLA CANIS IGG ABS,57.98,20.3,8.93,32.47,20
CPT,86625,"HC CAMPYLOBACTER JEJUNI ANTIBODY, ELISA ARUP TO QUEST SAN CAPISTRANO 10718",598.08,209.33,13.12,334.92,10
CPT,86628,HC CANDIDA ANTIBODY ARUP 0095200,79.6,27.86,12.01,44.58,10
CPT,86631,HC ANTIBODY CHLAMYDIA ARUP 0065100,35.49,12.43,11.82,41.33,10
CPT,86631,HC C PNEUMONIAE IGA,74.5,26.08,11.82,41.72,10
CPT,86631,HC C PNEUMONIAE IGG,74.5,26.08,11.82,41.72,10
CPT,86631,HC C PSITTACI IGA,79.92,27.98,11.82,44.76,10
CPT,86631,HC C PSITTACI IGG,74.5,26.08,11.82,41.72,10
CPT,86631,HC C TRACHAMATIS DK IGA,73.68,25.79,11.82,41.33,10
CPT,86631,HC C TRACHAMATIS L2 IGG,73.68,25.79,11.82,41.33,10
CPT,86631,HC C TRACHOMATIS DK IGG,73.68,25.79,11.82,41.33,10
CPT,86631,HC CHLAMYDIA AB,74.5,26.08,11.82,41.72,10
CPT,86631,HC CHLAMYDIA ANTIBODY ARUP 0065139,42.8,14.98,11.82,41.33,10
CPT,86631,HC CHLAMYDIA ANTIBODY ARUP 0098880,32.77,11.47,11.24,41.33,10
CPT,86631,HC CHLAMYDIA ANTIBODY ARUP TO QUEST 29479,120.12,42.05,11.82,67.27,10
CPT,86632,HC ANTIBODY CHLAMYDIA IGM ARUP 0065100,35.49,12.43,12.17,44.34,10
CPT,86632,HC ANTIBODY CHLAMYDIA IGM ARUP TO QUEST 29479,120.12,42.05,12.68,67.27,10
CPT,86632,HC C PNEUMONIAE IGM,79.08,27.68,12.68,44.34,10
CPT,86632,HC C PSITTACI IGM,79.08,27.68,12.68,44.34,10
CPT,86632,HC C TRACHAMATIS L2 IGA,73.68,25.79,12.68,44.34,10
CPT,86632,HC C TRACHOMATIS DK IGM,79.08,27.68,12.68,44.34,10
CPT,86632,HC C TRACHOMATIS L2 IGM,79.08,27.68,12.68,44.34,10
CPT,86632,HC CHLAMYDIA IGM ANTIBODY ARUP 0098880,32.77,11.47,11.24,44.34,10
CPT,86632,HC CHLAMYDIA PNEUMONIAE IGM ANTIB,79.92,27.98,12.68,44.76,10
CPT,86632,HC CHLAMYDIA PSITTACI IGM AB,79.92,27.98,12.68,44.76,10
CPT,86632,HC CHLAMYDIA TRACHOMATIS IGM ABS,79.01,27.66,12.68,44.34,10
CPT,86635,HC ANTIBODY COCCIDIOIDES ARUP 0050137,32.59,11.41,11.18,40.11,10
CPT,86635,HC ANTIBODY COCCIDIOIDES ARUP 0050164,36.82,12.89,11.47,40.11,10
CPT,86635,HC ANTIBODY COCCIDIOIDES ARUP 0050183,32.59,11.41,11.18,40.11,10
CPT,86635,HC ANTIBODY COCCIDIOIDES ARUP 3000061,49.52,17.34,11.47,40.11,10
CPT,86635,HC ANTIBODY COCCIDIOIDES ARUP 3001982,65.2,22.82,11.47,40.11,10
CPT,86635,HC ANTIBODY COCCIDIOIDES ARUP 3001983,166.32,58.22,11.47,93.14,10
CPT,86635,HC COCCIDIOIDES AB,96.13,33.65,11.47,53.83,10
CPT,86635,HC COCCIDIOIDES ANTIBODIES BY COMPLEMENT FIXATION CSF ARUP 3000059,43.24,15.14,11.47,40.11,10
CPT,86635,HC COCCIDIOIDES ANTIBODY (QUEST VIA ARUP),136.11,47.64,11.47,76.22,10
CPT,86635,HC COCCIDIOIDES ANTIBODY ARUP 0050588,32.59,11.41,11.18,40.11,10
CPT,86635,HC COCCIDIOIDES ANTIBODY ARUP 0050710,32.59,11.41,11.18,40.11,10
CPT,86635,HC COCCIDIOIDES ANTIBODY BY CF,32.59,11.41,11.18,40.11,10
CPT,86635,HC COCCIDIOIDES IGA ABS,96.13,33.65,11.47,53.83,10
CPT,86635,HC COCCIDIOIDES IGG ABS,96.13,33.65,11.47,53.83,10
CPT,86635,HC COCCIDIOIDES IGM ABS,96.13,33.65,11.47,53.83,10
CPT,86635,HC PARACOCCIDIOIDES BRASILIENSIS TOTAT (IGG/IGM) AB ARUP TO LABCORP 138452,239.13,83.7,11.47,133.91,10
CPT,86638,HC  Q FEVER ANTIBODY -ARUP 2012634,58.21,20.38,12.12,42.37,10
CPT,86638,HC COX BURNETII IGA ABS PHASE 1,49.87,17.46,12.12,42.37,10
CPT,86638,HC COX BURNETII IGA ABS PHASE 2,49.87,17.46,12.12,42.37,10
CPT,86638,HC COX BURNETII IGG ABS PHASE 1,49.87,17.46,12.12,42.37,10
CPT,86638,HC COX BURNETII IGG ABS PHASE 2,49.87,17.46,12.12,42.37,10
CPT,86638,HC COX BURNETII IGG ABS PHASE I,171.31,59.96,12.12,95.93,10
CPT,86638,HC COX BURNETII IGG ABS PHASE II,171.31,59.96,12.12,95.93,10
CPT,86638,HC COX BURNETII IGG PHASE I-TITR,240.61,84.22,12.12,134.74,10
CPT,86638,HC COX BURNETII IGG PHASE II-TITR,240.61,84.22,12.12,134.74,10
CPT,86638,HC COX BURNETII IGM ABS PHASE 1,49.87,17.46,12.12,42.37,10
CPT,86638,HC COX BURNETII IGM ABS PHASE 2,49.87,17.46,12.12,42.37,10
CPT,86638,HC COX BURNETII IGM ABS PHASE I,171.31,59.96,12.12,95.93,10
CPT,86638,HC COX BURNETII IGM ABS PHASE II,171.31,59.96,12.12,95.93,10
CPT,86638,HC COX BURNETII IGM PHASE I-TITR,240.61,84.22,12.12,134.74,10
CPT,86638,HC COX BURNETII IGM PHASE II-TITR,240.61,84.22,12.12,134.74,10
CPT,86638,HC Q FEVER ANTIBODY ARUP TO MAYO QFP,249.29,87.26,12.12,139.6,10
CPT,86641,CRYPTOCOCCUS ANTIBODY,,,14.41,50.4,7
CPT,86644,HC CMV ANTIBODY-ARUP0050772,46.61,16.32,14.39,50.32,10
CPT,86644,HC CYTOMEGALOVIRUS ABY IGG,91.32,31.97,14.39,51.14,10
CPT,86644,HC CYTOMEGALOVIRUS ANTIBODY IGG AVIDITY - ARUP 2011813,506.35,177.23,14.39,283.56,10
CPT,86644,HC REF CYTOMEGALOVIRUS ABY IGG,91.32,31.97,14.39,51.14,10
CPT,86645,HC ANTIBODY CYTOMEGALOVIRUS CMV IGM ARUP 3017749,39.24,13.74,13.46,58.92,10
CPT,86645,HC CMV IGM ABS,101.54,35.54,16.85,58.92,10
CPT,86645,HC CYTOMEGALOVIRUS ABY IGM,101.54,35.54,16.85,58.92,10
CPT,86645,HC CYTOMEGALOVIRUS IGM AB,101.54,35.54,16.85,58.92,10
CPT,86648,HC DIPTHERIA TOXOID IGG ABS,94.64,33.13,15.21,53.18,10
CPT,86651,HC ANTIBODY ENCEPHALITIS CALIFORNIA LA CROSSE ARUP TO MAYO ABOPC,161.7,56.6,13.19,90.55,10
CPT,86651,HC ENCEPHALITIS CALIFORN ANTBDY ARUP 2001594,93.64,32.78,13.19,52.44,10
CPT,86651,HC ENCEPHALITIS CALIFORN ANTBDY ARUP 2001597,93.64,32.78,13.19,52.44,10
CPT,86652,HC ANTIBODY ENCEPHALITIS EASTERN EQUINE ARUP TO MAYO ABOPC,161.7,56.6,13.19,90.55,10
CPT,86652,HC EAST EQUINE ENC TATAL ABS ACUT,70.29,24.61,13.19,46.13,10
CPT,86652,HC EAST EQUINE ENC TOTAL ABS CONV,70.29,24.61,13.19,46.13,10
CPT,86652,HC EASTERN EQUINE ENCEPH IGM ABS,70.29,24.61,13.19,46.13,10
CPT,86652,HC ENCEPHALITIS-EASTRN EQUINE IGG,65.2,22.82,13.19,46.13,10
CPT,86652,HC ENCEPHALITIS-EASTRN EQUINE IGM,130.1,45.54,13.19,72.86,10
CPT,86652,HC ENCEPHALTIS EAST EQNE ANBDY ARUP 2001594,93.64,32.78,13.19,52.44,10
CPT,86652,HC ENCEPHALTIS EAST EQNE ANBDY ARUP 2001597,93.64,32.78,13.19,52.44,10
CPT,86653,HC ANTIBODY ENCEPHALITIS ST. LOUIS ARUP TO MAYO ABOPC,161.7,56.6,13.19,90.55,10
CPT,86653,"HC ENCEPH, ST. LOUIS",87.12,30.5,13.19,48.79,10
CPT,86653,HC ENCEPHALTIS ST LOUIS ANTBODY ARUP 2001594,93.64,32.78,13.19,52.44,10
CPT,86653,HC ENCEPHALTIS ST LOUIS ANTBODY ARUP 2001597,93.64,32.78,13.19,52.44,10
CPT,86654,HC ANTIBODY ENCEPHALITIS WESTRN EQUINE ARUP TO MAYO ABOPC,161.7,56.6,13.19,90.55,10
CPT,86654,"HC ENCEPH, W. EQUINE",87.12,30.5,13.19,48.79,10
CPT,86654,HC ENCEPHALTIS WEST EQNE ANTBDY ARUP 2001594,93.64,32.78,13.19,52.44,10
CPT,86654,HC ENCEPHALTIS WEST EQNE ANTBDY ARUP 2001597,93.64,32.78,13.19,52.44,10
CPT,86658,HC COXSACKIE A TYPE 2 AB,69.7,24.4,13.03,45.57,10
CPT,86658,HC COXSACKIE A TYPE 4 AB,69.7,24.4,13.03,45.57,10
CPT,86658,HC COXSACKIEVIRUS A10 ABS,69.7,24.4,13.03,45.57,10
CPT,86658,HC COXSACKIEVIRUS A16 ABS,69.7,24.4,13.03,45.57,10
CPT,86658,HC COXSACKIEVIRUS A7 ABS,69.7,24.4,13.03,45.57,10
CPT,86658,HC COXSACKIEVIRUS A9 ABS,69.7,24.4,13.03,45.57,10
CPT,86658,HC COXSACKIEVIRUS B1 ABS,69.7,24.4,13.03,45.57,10
CPT,86658,HC COXSACKIEVIRUS B2 ABS,69.7,24.4,13.03,45.57,10
CPT,86658,HC COXSACKIEVIRUS B3 ABS,69.7,24.4,13.03,45.57,10
CPT,86658,HC COXSACKIEVIRUS B4 ABS,69.7,24.4,13.03,45.57,10
CPT,86658,HC COXSACKIEVIRUS B5 ABS,69.7,24.4,13.03,45.57,10
CPT,86658,HC COXSACKIEVIRUS B6 ABS,69.7,24.4,13.03,45.57,10
CPT,86658,HC ECHOVIRUS TYPE 11,72.72,25.46,13.03,45.57,10
CPT,86658,HC ECHOVIRUS TYPE 30,72.72,25.46,13.03,45.57,10
CPT,86658,HC ECHOVIRUS TYPE 4,72.37,25.33,13.03,45.57,10
CPT,86658,HC ECHOVIRUS TYPE 7,72.72,25.46,13.03,45.57,10
CPT,86658,HC ECHOVIRUS TYPE 9,72.72,25.46,13.03,45.57,10
CPT,86658,HC ENTEROVIRUS ANTIBODY ARUP 2014107,184.99,64.75,13.03,103.59,10
CPT,86658,HC ENTEROVIRUS ANTIBODY ARUP 2014108,114.84,40.2,13.03,64.31,10
CPT,86658,HC POLIOVIRUS TYPE 1 AB,69.7,24.4,13.03,45.57,10
CPT,86658,HC POLIOVIRUS TYPE 2 AB,69.7,24.4,13.03,45.57,10
CPT,86658,HC POLIOVIRUS TYPE 3 AB,69.7,24.4,13.03,45.57,10
CPT,86663,HC ANTIBODY EPSTEIN-BARR EB VIRUS EARLY ANTIGEN EA ARUP 0050600,41.87,14.66,13.12,45.87,10
CPT,86663,HC EPSTEIN-BAR VIRUS EARLY ANTIGE,87.42,30.6,13.12,48.96,10
CPT,86663,"HC EPSTEIN-BARR VIRUS ANTIBODY TO EARLY D ANTIGEN (EA-D), IGG ARUP 0050225",42.88,15.01,13.12,45.87,10
CPT,86664,HC ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA ARUP 0050600,41.87,14.66,14.36,53.46,10
CPT,86664,"HC EPSTEIN-BARR VIRUS AB TO NUCLEAR ANTIGEN, IGG ARUP 0050245",39.11,13.69,13.41,53.46,10
CPT,86664,HC EPSTEIN-BARR VIRUS NUC AG AB,97.04,33.97,15.29,54.34,10
CPT,86665,HC ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA ARUP 00500600,41.87,14.66,14.36,63.43,10
CPT,86665,HC ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA ARUP 0050602,42.88,15.01,14.71,63.43,10
CPT,86665,HC EPSTEIN-BAR VIRUS CAPSID ANTIG,86.22,30.18,18.14,63.43,10
CPT,86665,"HC EPSTEIN-BARR VIRUS ANTIBODY TO VIRAL CAPSID ANTIGEN, IGM ARUP 0050240",42.88,15.01,14.71,63.43,10
CPT,86666,HC ANAPLASMA PHAGOCYTOPHILUM (HGA) ANTIBODY IGG ARUP 0097317,102.02,35.71,10.18,57.13,10
CPT,86666,HC ANTIBODY EHRLICHIA ARUP 3006367,113.39,39.69,10.18,63.5,10
CPT,86666,HC EHRLICHIA ANTIBODY ARUP 0051002,51.06,17.88,10.18,35.6,10
CPT,86666,HC EHRLICHIA ANTIBODY ARUP 0097303,295.27,103.35,10.18,165.35,10
CPT,86666,HC EHRLICHIA CHAGG IGG ABS,352.99,123.55,10.18,197.67,10
CPT,86666,HC EHRLICHIA CHAGG IGM ABS,352.99,123.55,10.18,197.67,10
CPT,86668,HC ANTIBODY FRANCISELLA TULARENSIS ARUP 3018856,80.0,28.0,14.16,49.52,10
CPT,86671,HC FUNGUS NES ANTIBODY ARUP 2013270,113.84,39.85,12.25,63.75,10
CPT,86671,"HC FUNGUS, NOT ELSEWHERE SPECIFIE",72.09,25.24,12.25,42.84,10
CPT,86671,HC SACCARAMYCES CEREVISIAG IGG,141.2,49.42,12.25,79.07,10
CPT,86671,HC SACCHAROMYCES CEREVISIAE EGA,141.2,49.42,12.25,79.07,10
CPT,86671,HC SPOROTHRIX IGA ABS,69.7,24.4,12.25,42.84,10
CPT,86671,HC SPOROTHRIX IGG ABS,69.7,24.4,12.25,42.84,10
CPT,86671,HC SPOROTHRIX IGM ABS,69.7,24.4,12.25,42.84,10
CPT,86674,HC GIARDIA LAMBLIA AB IGA-ELISA,158.93,55.63,14.72,89.0,10
CPT,86674,HC GIARDIA LAMBLIA AB IGG-ELISA,158.93,55.63,14.72,89.0,10
CPT,86674,HC GIARDIA LAMBLIA AB IGM-ELISA,158.93,55.63,14.72,89.0,10
CPT,86677,"HC HELICOBACTER PYLORI AB, IGM",51.74,18.11,16.85,58.92,10
CPT,86677,HC HELICOBACTER PYLORI IG,120.77,42.27,16.85,67.63,10
CPT,86682,"HC ANTIBODY, HELMINTH, NEC",194.04,67.92,13.01,108.66,10
CPT,86682,HC CYSTICERCOSIS ANTI IGG ELISA ARUP 0055285,80.2,28.07,13.01,45.5,10
CPT,86682,"HC CYSTICERCOSIS ANTIBODY, IGG BY ELISA ARUP 0055284",85.75,30.02,13.01,48.02,10
CPT,86682,HC CYSTICERCUS IGG AB WESTERN BLOT SERUM ARUP TO QUEST DIAG ID 34279,483.25,169.14,13.01,270.62,10
CPT,86682,"HC CYSTICERCUS IGG ANTIBODY, WB (SERUM) ARUP TO FOCUS 40352",454.23,158.99,13.01,254.37,10
CPT,86682,HC ECHINOCOCCUS ANTIBODY IGG,84.08,29.43,13.01,47.08,10
CPT,86682,"HC ECHINOCOCCUS ANTIBODY, IGG ARUP 2007220",79.84,27.95,13.01,45.5,10
CPT,86682,"HC ECHINOCOCCUS ANTIBODY, IGG, SERUM ARUP TO MAYO ECHNG",350.4,122.64,13.01,196.22,10
CPT,86682,HC FASCIOLIASIS AB,337.98,118.3,13.01,189.27,10
CPT,86682,"HC FILARIA ANTIBODY IGG4 BY ELISA, SERUM ARUP 2014093",342.25,119.79,13.01,191.66,10
CPT,86682,HC FILARIA IGG4 ABS,102.14,35.75,13.01,57.2,10
CPT,86682,HC HELICOBACTER PYLORI IGG,93.38,32.69,13.01,52.29,10
CPT,86682,"HC HELMINTH, NOS",102.14,35.75,13.01,57.2,10
CPT,86682,HC PARAGONIMUS ARUP TO PDC,535.92,187.58,13.01,300.12,10
CPT,86682,HC SCHISTOSOMA ANTIBODY IGG BY ELISA  ARUP 3004472,332.64,116.43,13.01,186.28,10
CPT,86682,HC SCHISTOSOMA IGG BEAKER INHOUSE,117.0,40.95,13.01,65.52,10
CPT,86682,HC STRONGYLOIDES,128.7,45.05,13.01,72.07,10
CPT,86682,HC STRONGYLOIDES RATTI IGG,81.68,28.59,13.01,45.74,10
CPT,86682,HC TOXOCARA AB IGG-ELISA,103.49,36.23,13.01,57.95,10
CPT,86682,"HC TOXOCARA ANTIBODIES, IGG BY ELISA ARUP 3006066",365.9,128.07,13.01,204.9,10
CPT,86682,"HC TOXOCARA ANTIBODY, ELISA, FLUID ARUP TO QUEST 60945",399.91,139.97,13.01,223.95,10
CPT,86684,HC HEMOPHILUS INFLUENZA B IGG ABS,246.05,86.12,15.84,137.79,10
CPT,86687,HTLV-I ANTIBODY,,,9.09,31.79,7
CPT,86688,HTLV-II ANTIBODY,,,14.0,48.96,7
CPT,86689,HC HIV 1 WESTERN BLOT (STATE),120.48,42.17,19.35,67.66,10
CPT,86689,HC HIV ABS IMMUNOBLOT W BANDS,468.66,164.04,19.35,262.45,10
CPT,86689,"HC HIV-2 ANTIBODY CONFIRMATION, SERUM",333.75,116.82,19.35,186.9,10
CPT,86689,HC HTLV I/II CONFIRMATION-WBLOT,206.75,72.37,19.35,115.78,10
CPT,86689,HC HUMAN IMMUNODEFICIENCY VIRUS TYPE 1 (HIV-1) ANTIBODY CONFIRMATION BY WESTERN BLOT ARUP 0020284,238.02,83.31,19.35,133.29,10
CPT,86689,"HC HUMAN T-LYMPHOTROPIC VIRUS TYPES I/II ANTIBODIES, WESTERN BLOT ARUP 0020642",254.18,88.97,19.35,142.34,10
CPT,86692,HC HEPATITIS D IGM AB-EIA,326.36,114.23,17.16,182.76,10
CPT,86692,HC HEPATITIS DELTA AB,119.57,41.85,17.16,66.96,10
CPT,86692,HC HEPATITIS DELTA ANTIBODY BY ELISA ARUP 3006379,56.55,19.8,17.16,60.01,10
CPT,86692,HC HEPATITIS DELTA VIRUS AB,119.57,41.85,17.16,66.96,10
CPT,86694,HC ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST ARUP 0050291,57.07,19.98,14.39,50.32,10
CPT,86694,HC ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST ARUP 0050364,77.62,27.17,14.39,50.32,10
CPT,86694,HC HERPES SIMP VIRUS TYPE 1 &/OR 2 AB IGG WITH REF TO TYPE 1 & 2 GLYCOPROTEIN G-SPEC ARUP 0051708,57.07,19.98,14.39,50.32,10
CPT,86694,HC HERPES SIMPLEX NES ANTBDY-ARUP0050772,46.61,16.32,14.39,50.32,10
CPT,86694,"HC HERPES SIMPLEX VIRUS TYPE 1 AND/OR 2 ANTIBODIES, IGG ARUP 0050293",56.91,19.92,14.39,50.32,10
CPT,86694,"HC HERPES SIMPLEX VIRUS TYPE 1 AND/OR 2 ANTIBODIES, IGG, CSF ARUP 0050394",77.62,27.17,14.39,50.32,10
CPT,86694,"HC HERPES SIMPLEX VIRUS TYPE 1 AND/OR 2 ANTIBODIES, IGM BY ELISA, CSF  ARUP 0050408",77.62,27.17,14.39,50.32,10
CPT,86694,HC HSV 1 2 AB SCREEN IGG CSF,57.07,19.98,14.39,50.32,10
CPT,86695,"HC AB, HERPES SIMPLEX TYPE 1",43.64,15.28,13.19,46.13,10
CPT,86695,HC ANTIBODY HERPES SMPLX TYPE 1 ARUP TO UNIV OF WASHINGTON MEDICAL CENTER HSWB,505.09,176.79,13.19,282.85,10
CPT,86695,HC HSV 1 IGG ABS,90.12,31.55,13.19,50.47,10
CPT,86695,HC HSV 1 IGG ANTIBODIES,90.12,31.55,13.19,50.47,10
CPT,86695,HC HSV 1 IGM ANTIBODIES,90.12,31.55,13.19,50.47,10
CPT,86695,"HC REFLEX HERPES SIMPLEX VIRUS TYPE 1 GLYCOPROTEIN G-SPECIFIC ANTIBODY, IGG BY CIA ARUP 0050292",96.99,33.95,13.19,54.31,10
CPT,86695,"HC REFLEX HERPES SIMPLEX VIRUS TYPE 1 GLYCOPROTEIN G-SPECIFIC ANTIBODY, IGG BY ELISA (HERPESELECT(R)",105.34,36.87,13.19,58.99,10
CPT,86696,"HC AB, HERPES SIMPLEX TYPE 2",64.03,22.42,19.35,67.66,10
CPT,86696,HC ANTIBODY HERPES SMPLX TYPE 2 ARUP TO UNIV OF WASHINGTON MEDICAL CENTER HSWB,505.09,176.79,19.35,282.85,10
CPT,86696,"HC HERPES SIMPLEX VIRUS TYPE 2 GLYCOPROTEIN G-SPECIFIC ANTIBODY, IGG BY CIA ARUP 0050294",96.99,33.95,19.35,67.66,10
CPT,86696,HC HSV 2 IGG ABS,90.12,31.55,19.35,67.66,10
CPT,86696,HC HSV 2 IGM ABS,90.12,31.55,19.35,67.66,10
CPT,86696,"HC REFLEX HERPES SIMPLEX VIRUS TYPE 2 GLYCOPROTEIN G-SPECIFIC ANTIBODY, IGG BY ELISA, CSF ARUP 00503",105.34,36.87,19.35,67.66,10
CPT,86698,HC ANTIBODY HISTOPLASMA ARUP 0050164,36.82,12.89,12.63,48.23,10
CPT,86698,HC HISTOPLASMA AB IMMUNODUFFUSION,69.85,24.45,13.79,48.23,10
CPT,86698,"HC HISTOPLASMA AB, CSF MAYO CHIST",299.27,104.75,13.79,167.59,10
CPT,86698,HC HISTOPLASMA MYCEL AB CF,72.4,25.34,13.79,48.23,10
CPT,86698,HC HISTOPLASMA MYCEL ANTIBODIES,72.4,25.34,13.79,48.23,10
CPT,86698,HC HISTOPLASMA YEAST AB CF,72.4,25.34,13.79,48.23,10
CPT,86698,HC HISTOPLASMA YEAST ANTIBODIES,72.4,25.34,13.79,48.23,10
CPT,86701,HC ANTIBODY HIV-1 ARUP 2012669,378.91,132.62,8.89,212.19,10
CPT,86701,HC HIV -1 ANTIBODY ARUP 2013107,189.45,66.31,8.89,106.09,10
CPT,86701,HC HIV 1 ANTIBODY (STATE),55.88,19.56,8.89,31.29,10
CPT,86701,HC HIV-1ANTIBODY,74.38,26.04,8.89,41.65,10
CPT,86701,HC RAPID HIV ANTIBODY,55.88,19.56,8.89,31.29,10
CPT,86701,HC REF HIV1 RAPID TEST,284.26,99.5,8.89,159.19,10
CPT,86702,HC ANTIBODY HIV-2 ARUP 2012669,378.91,132.62,13.52,212.19,10
CPT,86702,HC HIV - 2 ANTIVODY ARUP 213107,189.45,66.31,13.52,106.09,10
CPT,86702,HC HIV 2 ANTIBODY (STATE),62.8,21.98,13.52,47.27,10
CPT,86702,HC HIV 2 IGG AB,62.8,21.98,13.52,47.27,10
CPT,86702,HC HIV-2 AB ELISA-REFLEX1,378.91,132.62,13.52,212.19,10
CPT,86702,HC HIV-2 ANTIBODY,76.0,26.6,13.52,47.27,10
CPT,86702,HC HUMAN IMMUNODEFICIENCY VIRUS 2 (HIV-2) AB EIA ARUP TO LABCORP BURLINGTON 163550,656.04,229.62,13.52,367.38,10
CPT,86703,HC ANTIBODY HIV-1&HIV-2 SINGLE RESULT (HIV-SYPHILIS RAPID TEST),146.3,51.21,13.71,81.93,10
CPT,86703,HC HIV 1/0/2 ANTIBODY,64.37,22.53,13.71,47.95,10
CPT,86703,HC HIV-1/HIV-2 AB-SINGLE RESULT,90.96,31.84,13.71,50.94,10
CPT,86704,HC HEPATITIS B CORE ANTIBODY HBCAB TOTAL ARUP TO LABCORP 255505,173.32,60.67,12.05,97.06,10
CPT,86704,HC HEPATITIS B CORE TOTAL ABS,76.01,26.61,12.05,42.57,10
CPT,86704,HC HEPATITIS B VIRUS CORE ANTIBODIES (TOTAL) ARUP 0020091,35.49,12.43,12.05,42.13,10
CPT,86704,HC REF HEPATITIS B CORE TOTAL ABS,77.81,27.24,12.05,43.57,10
CPT,86705,HC HEPATITIS B CORE AB - IGM (HBC,125.58,43.96,11.77,70.32,10
CPT,86705,HC HEPATITIS B CORE ANTIBODY HBCAB IGM ANTIBODY ARUP TO LABCORP 255505,173.32,60.67,11.77,97.06,10
CPT,86706,HC HEPATITIS B SURF ANTIBODY HBSAB ARUP TO LABCORP 255505,173.32,60.67,10.74,97.06,10
CPT,86706,HC HEPATITIS B SURFACE AB,70.9,24.82,10.74,39.7,10
CPT,86706,HC HEPATITIS B VIRUS SURFACE ANTIBODY ARUP 0020090,32.34,11.32,10.74,37.55,10
CPT,86707,HC HEPATITIS BE AB,73.29,25.66,11.57,41.04,10
CPT,86707,HC HEPATITIS BE ANTIBODY HBEAB ARUP TO LABCORP 255505,173.32,60.67,11.57,97.06,10
CPT,86707,HC HEPATITIS BE VIRUS ANTIBODIES,63.69,22.3,11.57,40.47,10
CPT,86708,HC HEPATITIS A TOTAL ABS,79.93,27.98,12.39,44.76,10
CPT,86708,HC REF HEPATITIS A VIRUS TOTAL ABS,95.24,33.34,12.39,53.33,10
CPT,86709,HC HEPATITIS A AB-IGM (HAV),72.62,25.42,11.26,40.67,10
CPT,86710,HC INFLUENZA A IGA ABS,85.32,29.87,13.55,47.78,10
CPT,86710,HC INFLUENZA A IGG ABS,85.32,29.87,13.55,47.78,10
CPT,86710,HC INFLUENZA A IGM,85.32,29.87,13.55,47.78,10
CPT,86710,HC INFLUENZA A IGM ABS,85.32,29.87,13.55,47.78,10
CPT,86710,HC INFLUENZA B IGG ABS,85.32,29.87,13.55,47.78,10
CPT,86710,HC INFLUENZA B IGM,85.32,29.87,13.55,47.78,10
CPT,86710,HC INFLUENZA B IGM ABS,85.32,29.87,13.55,47.78,10
CPT,86710,HC INFLUENZA TYPE A,85.32,29.87,13.55,47.78,10
CPT,86710,HC INFLUENZA TYPE B,85.32,29.87,13.55,47.78,10
CPT,86710,HC INFLUNZA B IGA ABS,85.32,29.87,13.55,47.78,10
CPT,86711,HC JC VIRUS ANTIBODY BY ELISA SERUM WITH REFLEX TO INHIBITION ASSAY ARUP 3006254,110.88,38.81,16.89,62.09,10
CPT,86711,HC REFLEX JC VIRUS INHIBITION ASSAY SERUM ARUP 3006257,16.89,5.92,5.79,59.05,10
CPT,86711,HC STRATIFY JCV ANTIBODY W/ INDEX W/ REFLEX TO INHIBITION ASSAY ARUP TO QUEST 91665,3273.46,1145.72,16.89,1833.14,10
CPT,86713,HC L. PNEUMOPHILIA 1 IGG ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC L. PNEUMOPHILIA 1 IGM ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC L. PNEUMOPHILIA 10 IGG ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC L. PNEUMOPHILIA 11 IGG ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC L. PNEUMOPHILIA 11 IGM ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC L. PNEUMOPHILIA 12 IGG ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC L. PNEUMOPHILIA 12 IGM ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC L. PNEUMOPHILIA 13 IGG ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC L. PNEUMOPHILIA 13 IGM ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC L. PNEUMOPHILIA 14 IGG ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC L. PNEUMOPHILIA 14 IGM ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC L. PNEUMOPHILIA 2 IGG ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC L. PNEUMOPHILIA 2 IGM ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC L. PNEUMOPHILIA 3 IGG ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC L. PNEUMOPHILIA 3 IGM ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC L. PNEUMOPHILIA 4 IGG ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC L. PNEUMOPHILIA 4 IGM ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC L. PNEUMOPHILIA 5 IGG ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC L. PNEUMOPHILIA 5 IGM ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC L. PNEUMOPHILIA 6 IGG ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC L. PNEUMOPHILIA 7 IGG ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC L. PNEUMOPHILIA 7 IGM ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC L. PNEUMOPHILIA 8 IGG ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC L. PNEUMOPHILIA 8 IGM ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC L. PNEUMOPHILIA 9 IGG ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC L. PNEUMOPHILIA 9 IGM ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC L. PNEUMOPHLIA 10 IGM ABS,64.28,22.5,15.3,53.5,10
CPT,86713,HC LEGIONELLA PNEUMOPHILA AB (TYPES 1-6) IGG BY IFA ARUP 0050365,47.86,16.76,15.3,53.5,10
CPT,86713,"HC LEGIONELLA PNEUMOPHILA ANTIBODIES (TYPES 1-6), IGG, IGM, AND IGA BY ELISA ARUP 3005200",92.4,32.34,15.3,53.5,10
CPT,86717,HC LEISHMANIA,81.11,28.39,12.25,45.42,10
CPT,86720,HC LEPTOSPIRA,87.12,30.5,16.2,56.64,10
CPT,86720,HC LEPTOSPIRA ANTIBODY,122.89,43.02,16.2,68.82,10
CPT,86720,"HC LEPTOSPIRA ANTIBODY, IGM BY DOT BLOT ARUP 0055233",181.1,63.39,16.2,101.42,10
CPT,86720,HC LEPTOSPIRA IGG ABS,87.12,30.5,16.2,56.64,10
CPT,86720,HC LEPTOSPIRA IGM ABS,87.12,30.5,16.2,56.64,10
CPT,86723,HC LISTERIA ANTIBODY,324.46,113.57,13.19,181.7,10
CPT,86727,HC ANTIBODY LYMPHOCYTIC CHORIOMENINGITIS ARUP 2001628,79.84,27.95,12.87,45.01,10
CPT,86727,HC ANTIBODY LYMPHOCYTIC CHORIOMENINGITIS ARUP 2001635,79.84,27.95,12.87,45.01,10
CPT,86727,HC LCM AB IGG,69.7,24.4,12.87,45.01,10
CPT,86727,HC LCM AB IGM,69.7,24.4,12.87,45.01,10
CPT,86727,HC LYMPH CHORIOMENINGITIS ABS,72.36,25.33,12.87,45.01,10
CPT,86727,"HC LYMPHOCYTIC CHORIOMENINGITIS (LCM) VIRUS ANTIBODY, IGM ARUP 2001634",70.22,24.58,12.87,45.01,10
CPT,86732,MUCORMYCOSIS ANTIBODY,,,15.0,52.45,7
CPT,86735,HC MUMPS ABY,70.9,24.82,13.05,45.63,10
CPT,86735,HC MUMPS ANTIBODY ARUP 2011375,41.76,14.62,13.05,45.63,10
CPT,86735,HC MUMPS IGG AB,80.815,28.29,13.05,50.81,30
CPT,86735,HC MUMPS VIRUS AB IGG,44.03,15.42,13.05,45.63,10
CPT,86735,"HC MUMPS VIRUS ANTIBODY, IGM ARUP 0099589",39.11,13.69,13.05,45.63,10
CPT,86738,HC ANTIBODY MYCOPLSM-ARUP0050399,20.98,7.35,7.2,46.3,10
CPT,86738,HC MYCOPL PNEU IGM ABS ACUTE,106.66,37.34,13.24,59.73,10
CPT,86738,HC MYCOPLASMA ANTIBODY IGG,49.93,17.48,13.24,46.3,10
CPT,86738,HC MYCOPLASMA ANTIBODY IGM,49.93,17.48,13.24,46.3,10
CPT,86738,HC MYCOPLASMA PNEU IGG ABS,106.66,37.34,13.24,59.73,10
CPT,86738,HC MYCOPLASMA PNEU IGM ABS,106.66,37.34,13.24,59.73,10
CPT,86741,HC ANTIBODY NEISSERIA MENINGITIDIS ARUP 2001603,188.32,65.92,13.19,105.46,10
CPT,86744,NOCARDIA ANTIBODY,,,15.99,55.91,7
CPT,86747,HC PARVOVIRUS B19 IGG ABS,66.4,23.24,15.03,52.57,10
CPT,86747,HC PARVOVIRUS B19 IGM ANTIB,66.4,23.24,15.03,52.57,10
CPT,86750,MALARIA ANTIBODY,,,13.19,46.13,7
CPT,86753,HC ANTIBODY PROTOZOA NES ARUP 3006367,113.39,39.69,12.39,63.5,10
CPT,86753,HC ANTIBODY PROTOZOA NES ARUP 3020058,75.01,26.26,12.39,43.33,10
CPT,86753,"HC ANTIBODY, PROTOZA-NEC",77.62,27.17,12.39,43.47,10
CPT,86753,HC BABESIA MICROTI ANTIBDY IGG,77.62,27.17,12.39,43.47,10
CPT,86753,HC BABESIA MICROTI ANTIBDY IGM,77.62,27.17,12.39,43.47,10
CPT,86753,HC BABESIA MICROTI IGG ABS,67.0,23.45,12.39,43.33,10
CPT,86753,HC BABESIA MICROTI IGM ABS,67.0,23.45,12.39,43.33,10
CPT,86753,HC DONOR CHAGAS SCREEN ARUP TO QUEST CHANTILLY 91986,375.52,131.44,12.39,210.29,10
CPT,86753,"HC ENTAM HISTO IGG, IGM,IGA ABS",415.48,145.42,12.39,232.67,10
CPT,86753,HC ENTAM HISTOLYTICA IGA ABS,64.47,22.57,12.39,43.33,10
CPT,86753,HC ENTAM HISTOLYTICA IGG ABS,64.47,22.57,12.39,43.33,10
CPT,86753,HC ENTAM HISTOLYTICA IGM ABS,64.47,22.57,12.39,43.33,10
CPT,86753,HC ENTAMOEBA HISTOLYTICA IGG ABS,64.47,22.57,12.39,43.33,10
CPT,86753,HC TRYPAN CRUZI AGG ABS,64.6,22.61,12.39,43.33,10
CPT,86753,"HC TRYPANOSOMA CRUZI AB, IGM",77.62,27.17,12.39,43.47,10
CPT,86756,RESPIRATORY VIRUS ANTIBODY,,,15.89,55.56,7
CPT,86757,HC ANTIBODY RICKETTSIA ARUP 0050371,60.25,21.09,19.35,67.66,10
CPT,86757,HC ANTIBODY RICKETTSIA ARUP 0050384,65.42,22.9,19.35,67.66,10
CPT,86757,"HC RICKETTSIA RICKETTSII (ROCKY MOUNTAIN SPOTTED FEVER) ANTIBODY, IGG ARUP 0050369",60.25,21.09,19.35,67.66,10
CPT,86757,"HC RICKETTSIA RICKETTSII (ROCKY MOUNTAIN SPOTTED FEVER) ANTIBODY, IGM ARUP 0050372",60.25,21.09,19.35,67.66,10
CPT,86757,HC RICKETTSIA TYPHI IGG ABS,80.21,28.08,19.35,67.66,10
CPT,86757,HC RICKETTSIA TYPHI IGM ABS,80.21,28.08,19.35,67.66,10
CPT,86759,ROTAVIRUS ANTIBODY,,,18.23,63.75,7
CPT,86762,HC ANTIBODY RUBELLA ARUP 3017749,39.24,13.74,13.46,50.32,10
CPT,86762,HC RUBELA IGG ABS,106.35,37.23,14.39,59.56,10
CPT,86762,HC RUBELLA ANTIBODY ARUP 2011375,41.76,14.62,14.32,50.32,10
CPT,86762,HC RUBELLA ANTIBODY-ARUP0050772,46.61,16.32,14.39,50.32,10
CPT,86762,HC RUBELLA IGG AB,81.11,28.39,14.39,50.32,10
CPT,86762,HC RUBELLA IGM ABS,106.35,37.23,14.39,59.56,10
CPT,86762,HC RUBELLA SCREEN,106.35,37.23,14.39,59.56,10
CPT,86765,HC HC MEASLES IGM TO CDPHE,351.12,122.9,12.88,196.63,10
CPT,86765,"HC MEASLES (RUBEOLA) ANTIBODY, IGM ARUP 0099597",43.84,15.35,12.88,45.05,10
CPT,86765,HC MEASLES IGG AB,82.02,28.71,12.88,45.93,10
CPT,86765,HC MEASLES-RUBEOLA IGG AB,41.88,14.66,12.88,45.05,10
CPT,86765,HC RUBEOLA AB IGG,81.11,28.39,12.88,45.42,10
CPT,86765,HC RUBEOLA AB IGM,81.11,28.39,12.88,45.42,10
CPT,86765,HC RUBEOLA ANTIBODY ARUP 2011375,41.76,14.62,12.88,45.05,10
CPT,86765,HC RUBEOLA TITER,76.31,26.71,12.88,45.05,10
CPT,86768,HC SALMONELLA TYPHI AND PARATYPHI ANTIBODIES,46.57,16.3,13.19,46.13,10
CPT,86769,"HC COVID-19 IGG, QUALITATIVE BY CIA ARUP 3002776",121.97,42.69,41.84,147.32,9
CPT,86769,"HC SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS (SARS-COV-2), IGG ANTIBODY",97.32,34.07,33.38,147.32,9
CPT,86771,SHIGELLA ANTIBODY,,,24.48,85.61,7
CPT,86774,HC TETANUS TOXOID IGG ABS,92.24,32.29,14.8,51.76,10
CPT,86777,HC ANTIBODY TOXOPLASMA,122.17,42.76,14.39,68.42,10
CPT,86777,HC ANTIBODY TOXOPLASMA ARUP TO PALO ALTO MEDICAL FOUNDATION,495.26,173.35,14.39,277.35,20
CPT,86777,HC ANTIBODY TOXOPLASMA ARUP TO PAMF REMINGTON LAB,134.75,47.17,14.39,75.46,20
CPT,86777,"HC TOXOPLASMA ABY, IGG",112.96,39.54,14.39,63.26,10
CPT,86777,HC TOXOPLASMA ANTIBODY ARUP 0050521,45.28,15.85,14.39,50.32,10
CPT,86777,HC TOXOPLASMA ANTIBODY ARUP TO PALO ALTO MEDICAL FOUNDATION,423.655,148.285,14.39,266.48,30
CPT,86777,HC TOXOPLASMA ANTIBODY-ARUP0050772,46.61,16.32,14.39,50.32,10
CPT,86777,"HC TOXOPLASMA GONDII AB-IGG, CSF",324.87,113.71,14.39,181.93,10
CPT,86777,HC TOXOPLASMA GONDII ANTIBODY IGA BY ELISA SERUM ARUP 2013890,739.2,258.72,14.39,413.95,10
CPT,86777,HC TOXOPLASMA ICG ABS,112.96,39.54,14.39,63.26,10
CPT,86778,HC ANTIBODY TOXOPLASMA IGM,116.6,40.81,14.41,65.3,10
CPT,86778,HC ANTIBODY TOXOPLASMA IGM ARUP 3017749,39.24,13.74,13.46,50.4,10
CPT,86778,HC ANTIBODY TOXOPLASMA IGM ARUP TO PALO ALTO MEDICAL FOUNDATION,495.26,173.35,14.41,277.35,10
CPT,86778,HC ANTIBODY TOXOPLASMA IGM ARUP TO PAMF REMINGTON LAB,134.75,47.17,14.41,75.46,10
CPT,86778,"HC TOXOPLASMA ABY,IGM",91.32,31.97,14.41,51.14,10
CPT,86778,HC TOXOPLASMA ANTIBODY IGM ARUP 0050521,45.28,15.85,14.41,50.4,10
CPT,86778,HC TOXOPLASMA ANTIBODY IGM ARUP TO PALO ALTO MEDICAL FOUNDATION,423.655,148.285,14.41,266.48,20
CPT,86778,"HC TOXOPLASMA GONDII ANTIBODY, IGM ARUP 0050557",43.62,15.27,14.41,50.4,10
CPT,86778,HC TOXOPLASMA GONDII IGM,73.58,25.76,14.41,50.4,10
CPT,86778,HC TOXOPLASMA IGM ABS,91.32,31.97,14.41,51.14,10
CPT,86780,HC ANTIBODY TREPONEMA PALLIDUM (HIV-SYPHILIS RAPID TEST,96.8,33.88,13.24,54.21,10
CPT,86780,HC REFLEX TREPONEMA PALLIDUM ANTIBODY BY TP-PA ARUP 0050777,44.96,15.74,13.24,46.3,10
CPT,86780,"HC REFLEX TREPONEMA PALLIDUM ANTIBODY, IGG BY IFA (FTA-ABS) SERUM ARUP 0050477",42.5,14.88,13.24,46.3,10
CPT,86780,HC SYPHILIS CONFIRM ASSAY,87.12,30.5,13.24,48.79,10
CPT,86780,HC SYPHILIS TPPA TO CHPHE,33.26,11.65,11.41,46.3,10
CPT,86780,HC TPPA,64.48,22.57,13.24,46.3,10
CPT,86780,HC TREPONEMA PALLIDUM AB - EIA,43.32,15.17,13.24,46.3,10
CPT,86780,HC TREPONEMA PALLIDUM ANTIBODY BY TP-PA-ARUP0050777,67.27,23.55,13.24,46.3,10
CPT,86780,HC TREPONEMA PALLIDUM ANTIBODY IGG BY IFA CSF ARUP 0055273,45.28,15.85,13.24,46.3,10
CPT,86780,"HC TREPONEMA PALLIDUM ANTIBODY, IGG BY ELISA ARUP 0050920",91.85,32.15,13.24,51.44,10
CPT,86780,"HC TREPONEMA PALLIDUM ANTIBODY, IGG BY IFA (FTA-ABS), SERUM ARUP 0050477",45.28,15.85,13.24,46.3,10
CPT,86780,HC TREPONEMA PALLIDUM IGG ARUP 0093067,116.42,40.75,13.24,65.2,10
CPT,86780,HC TREPONEMA PALLIDUM IGM ARUP 0093067,116.42,40.75,13.24,65.2,10
CPT,86784,HC TRICHINELLA AB - ELISA,191.46,67.02,12.56,107.22,10
CPT,86787,HC ANTIBODY VARICELLA-ZOSTER ARUP 0050162,43.34,15.17,12.88,45.05,10
CPT,86787,HC VARICELLA ZOSTER  VIRUS IGM AN,89.84,31.45,12.88,50.31,10
CPT,86787,HC VARICELLA ZOSTER IGG ABS,89.84,31.45,12.88,50.31,10
CPT,86787,HC VARICELLA ZOSTER IGM ABS,89.84,31.45,12.88,50.31,10
CPT,86787,HC VARICELLA-ZOSTER ANTIBODY ARUP 2011375,41.76,14.62,12.88,45.05,10
CPT,86787,"HC VARICELLA-ZOSTER VIRUS ANTIBODY, IGG ARUP 0050167",45.65,15.98,12.88,45.05,10
CPT,86787,"HC VARICELLA-ZOSTER VIRUS ANTIBODY, IGG, CSF ARUP 0054444",63.76,22.32,12.88,45.05,10
CPT,86787,"HC VARICELLA-ZOSTER VIRUS ANTIBODY, IGM ARUP 0099314",42.5,14.88,12.88,45.05,10
CPT,86787,"HC VARICELLA-ZOSTER VIRUS ANTIBODY, IGM BY ELISA (CSF) ARUP 0054445",63.76,22.32,12.88,45.05,10
CPT,86788,HC WEST NILE VIRUS AB IGM ARUP 0050228/0050226,24.26,8.5,8.32,58.92,10
CPT,86788,HC WEST NILE VIRUS AB IGM ARUP 2001594,93.64,32.78,16.85,58.92,10
CPT,86788,HC WEST NILE VIRUS AB IGM ARUP 2001597,93.64,32.78,16.85,58.92,10
CPT,86788,HC WESTERN NILE VIRUS IGM AB,89.84,31.45,16.85,58.92,10
CPT,86789,HC WEST NILE VIRUS ANTIBODY ARUP 0050228/0050226,24.26,8.5,8.32,50.32,10
CPT,86789,HC WEST NILE VIRUS ANTIBODY ARUP 2001594,93.64,32.78,14.39,52.44,10
CPT,86789,HC WEST NILE VIRUS ANTIBODY ARUP 2001597,93.64,32.78,14.39,52.44,10
CPT,86789,HC WEST NILE VIRUS IGG AB,90.73,31.76,14.39,50.81,10
CPT,86790,HC ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED ARUP 2012023,157.08,54.98,12.88,87.96,10
CPT,86790,HC ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED ARUP TO MED DIAG LAB 282,124.93,43.73,12.88,69.96,10
CPT,86790,HC ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED ARUP TO QUEST 34986,225.28,78.85,12.88,126.16,10
CPT,86790,"HC CHIKUNGUNYA ANTIBODY, IGG ARUP 2011808",144.8,50.68,12.88,81.09,10
CPT,86790,"HC CHIKUNGUNYA ANTIBODY, IGM ARUP 2011810",144.8,50.68,12.88,81.09,10
CPT,86790,HC DENGUE FEVER AB IGG,84.77,29.67,12.88,47.47,10
CPT,86790,HC DENGUE FEVER AB IGM,84.77,29.67,12.88,47.47,10
CPT,86790,HC DENGUE FEVER VIRUS ANTIBODIES IGG AND IGM ARUP TEST 0093096,60.9,21.32,12.88,45.05,10
CPT,86790,HC DENGUE VIRUS TOTAL ABS,84.77,29.67,12.88,47.47,10
CPT,86790,HC HANTAVIR PUUMALA IGG ABS CONV,80.52,28.19,12.88,45.09,10
CPT,86790,"HC HANTAVIRUS ANTIBODIES, IGG AND IGM ARUP 2001540",175.56,61.45,12.88,98.31,10
CPT,86790,HC HANTAVIRUS HANT IGG ABS ACUTE,80.21,28.08,12.88,45.05,10
CPT,86790,HC HANTAVIRUS HANT IGG ABS CONV,80.52,28.19,12.88,45.09,10
CPT,86790,HC HANTAVIRUS HANT IGM ABS,80.52,28.19,12.88,45.09,10
CPT,86790,HC HANTAVIRUS HANT IGM ABS CONV,80.52,28.19,12.88,45.09,10
CPT,86790,HC HANTAVIRUS PUUMALA IGM ABS,80.52,28.19,12.88,45.09,10
CPT,86790,HC HEPATITIS E ANTIBDY IGG,194.41,68.05,12.88,108.87,10
CPT,86790,HC HEPATITIS E ANTIBODY IGG,194.41,68.05,12.88,108.87,10
CPT,86790,HC HEPATITIS E IGG ABS,80.21,28.08,12.88,45.05,10
CPT,86790,HC HEPATITIS E IGM ABS,80.21,28.08,12.88,45.05,10
CPT,86790,HC HERPES VIRUS 6 AB IGM BY IFA,333.38,116.69,12.88,186.69,10
CPT,86790,HC HERPESVIRUS 6 AB IGM SCREEN WITH REF TO TITER BY IFA ARUP 2011420,194.04,67.92,12.88,108.66,10
CPT,86790,"HC HERPESVIRUS 6 ANTIBODY, IGG ARUP 2013423",369.6,129.36,12.88,206.98,10
CPT,86790,"HC HERPESVIRUS 6 ANTIBODY, IGM BY IFA, SERUM ARUP 3001284",508.68,178.04,12.88,284.86,10
CPT,86790,"HC HERPESVIRUS 7 IGM ANTIBODY, IFA ARUP TO QUEST 40541",542.94,190.03,12.88,304.05,10
CPT,86790,HC HERPESVIRUS- 6 IGG,80.21,28.08,12.88,45.05,10
CPT,86790,HC HERPESVIRUS- 6 IGM,80.21,28.08,12.88,45.05,10
CPT,86790,"HC HERPESVIRUS-8, HUMAN ABS",545.26,190.85,12.88,305.35,10
CPT,86790,HC HTLV I/II IGG ANTIBODIES,80.21,28.08,12.88,45.05,10
CPT,86790,HC HUMAN T-CELL LYMPHOTROPIC VIRUS TYPES 1&2 AB SCRN W/CONFIRM SPINAL FLUID ARUP TO MAYO HTLVC,710.37,248.63,12.88,397.81,10
CPT,86790,HC RABIES AB-IGG (IZ RESPONSE),95.24,33.34,12.88,53.33,10
CPT,86790,HC REFLEX HERPESVIRUS 6 AB IGM TITER ARUP 2011422,221.76,77.62,12.88,124.19,10
CPT,86790,HC VIRUS ANTIBODY NOS-ARUP 2011812,142.3,49.81,12.88,79.69,10
CPT,86790,"HC VIRUS ANTIBODY-NES, IGG",480.48,168.17,12.88,269.07,10
CPT,86790,"HC VIRUS ANTIBODY-NES, IGM",480.48,168.17,12.88,269.07,10
CPT,86793,HC ANTIBODY YERSINIA ARUP 0051241,162.62,56.92,13.19,91.07,10
CPT,86793,HC YERSINIA IGA ABS,130.98,45.85,13.19,73.35,10
CPT,86793,HC YERSINIA IGG ABS,130.98,45.85,13.19,73.35,10
CPT,86793,HC YERSINIA IGM ABS,130.98,45.85,13.19,73.35,10
CPT,86794,HC ZIKA VIRUS IGM ANTIBODY CAPTURE (MAC) BY ELISA ARUP 2013942,369.6,129.36,16.85,206.98,10
CPT,86800,HC THYROGLOBULIN ABS,75.41,26.4,15.91,55.63,10
CPT,86800,HC THYROGLOBULIN ANTIBODY,75.41,26.4,15.91,55.63,10
CPT,86800,HC THYROGLOBULIN ANTIBODY ARUP 0050105,38.81,13.59,13.31,55.63,10
CPT,86800,HC THYROGLOBULIN ANTIBODY ARUP TO USC,225.67,78.99,15.91,126.38,10
CPT,86800,"HC THYROGLOBULIN, SERUM OR PLASMA WITH REFLEX TO LC-MS/MS OR CIA ARUP 2006685",38.81,13.59,13.31,55.63,10
CPT,86803,HC HEPATITIS C AB RAPID-HI RISK,94.77,33.17,14.27,53.07,10
CPT,86803,HC HEPATITIS C ANTIBODY,116.57,40.8,14.27,65.28,10
CPT,86803,HC HEPATITIS C ANTIBODY ARUP TO LABCORP 255505,173.32,60.67,14.27,97.06,10
CPT,86803,HC HEPATITIS C VIRUS IGG ABS,116.57,40.8,14.27,65.28,10
CPT,86804,HEP C AB TEST CONFIRM,,,15.49,54.17,7
CPT,86805,LYMPHOCYTOTOXICITY ASSAY,,,189.51,662.69,7
CPT,86806,LYMPHOCYTOTOXICITY ASSAY,,,47.59,166.41,7
CPT,86807,CYTOTOXIC ANTIBODY SCREENING,,,78.65,275.04,7
CPT,86808,CYTOTOXIC ANTIBODY SCREENING,,,29.68,103.79,7
CPT,86812,HC HLA TESTING,144.2,50.47,25.81,90.25,10
CPT,86812,HC HLA-A2 HIGH RESOLUTION,743.53,260.24,25.81,416.38,10
CPT,86812,HC HLA-B27 ARUP 0095840,139.08,48.68,25.81,90.25,10
CPT,86812,HC HLA-B51,158.93,55.63,25.81,90.25,10
CPT,86813,"HC HLA TYPING A,B,C MULT ANTIGENS",198.87,69.61,58.0,202.82,10
CPT,86813,"HC HLA: A & B TYPING, COMPLETE",425.99,149.1,58.0,238.55,10
CPT,86816,HLA TYPING DR/DQ,,,30.17,105.51,7
CPT,86817,"HC DR/DQ, MULTIPLE ANTIGENS",400.97,140.34,106.14,371.16,10
CPT,86817,HC HLA DR/DQ BY PCR,1892.62,662.42,106.14,1059.87,10
CPT,86821,LYMPHOCYTE CULTURE MIXED,,,36.56,127.85,7
CPT,86825,HLA X-MATH NON-CYTOTOXIC,,,109.49,382.88,7
CPT,86826,HLA X-MATCH NONCYTOTOXC ADDL,,,36.53,127.74,7
CPT,86828,HC VIT TRALI WORKUP,702.24,245.79,64.19,393.25,10
CPT,86829,HLA CLASS I/II ANTIBODY QUAL,,,64.19,224.47,7
CPT,86830,HLA CLASS I PHENOTYPE QUAL,,,95.52,334.02,7
CPT,86831,HLA CLASS II PHENOTYPE QUAL,,,81.88,286.33,7
CPT,86832,HC HLA CLASS I HIGH DEFIN QUAL,794.64,278.13,272.56,1132.12,10
CPT,86832,HC HLA CLASS I HIGH DEFIN QUAL CLINIMMUNE PRA-HD,794.64,278.13,272.56,1132.12,10
CPT,86832,HC VIT HLA ANTIBODY ID PRA,1700.16,595.06,323.75,1132.12,10
CPT,86833,HC HLA CLASS II HIGH DEFIN QUAL,794.64,278.13,272.56,1139.3,10
CPT,86833,HC HLA CLASS II HIGH DEFIN QUAL CLINIMMUNE PRA-HD,794.64,278.13,272.56,1139.3,10
CPT,86834,HLA CLASS I SEMIQUANT PANEL,,,357.56,1250.36,7
CPT,86835,HLA CLASS II SEMIQUANT PANEL,,,322.96,1129.37,7
CPT,86849,HC INTERFERON BETA-1A OR 1B AB,622.55,217.9,178.3,463.8,6
CPT,86849,HC PROTHROMBIN AB - IGM,285.89,100.07,81.88,212.99,6
CPT,86849,HC TRYPTASE,126.49,44.28,36.23,94.24,6
CPT,86850,HC ANTIBODY DETECTION RBC WITH REFLEX TO ID ARUP 0010004,454.98,159.25,9.77,254.79,10
CPT,86850,HC ANTIBODY SCREEN,91.04,31.87,9.77,89.5,10
CPT,86850,HC ARC ANTIBODY SCREEN,180.73,63.26,9.77,101.21,10
CPT,86850,HC VIT ANTIBODY SCREEN,156.21,54.68,9.77,89.5,10
CPT,86850,HC VIT COLD ANTIBODY SCREEN,204.28,71.5,9.77,114.4,10
CPT,86850,HC VIT PREWARMED ANTIBODY SCREEN,175.45,61.41,9.77,98.25,10
CPT,86860,HC ARC ELUTION,277.2,97.02,46.39,292.62,10
CPT,86860,HC ELUTION,473.46,165.72,46.39,292.62,10
CPT,86860,HC VIT ELUTION,363.53,127.24,46.39,292.62,10
CPT,86870,HC ANTIBODY ID PANEL,765.02,267.76,63.72,615.65,10
CPT,86870,HC ARC ANTIBODY ID,765.02,267.76,63.72,615.65,10
CPT,86870,HC BBC ALLOGEN ABSORP RECENT TRAN,994.97,348.24,63.72,615.65,10
CPT,86870,"HC BBC REST,WARM, AUTO-EACH",627.26,219.55,63.72,615.65,10
CPT,86870,HC THERMAL AMPLITUDE TEST ARUP 0013410,554.4,194.04,63.72,615.65,10
CPT,86870,"HC VIT ANTIBODY ID, ADDITIONAL PANEL",765.02,267.76,63.72,615.65,10
CPT,86880,HC ARC DAT,88.13,30.85,5.39,101.32,10
CPT,86880,HC DAT,66.21,23.18,5.39,101.32,10
CPT,86880,"HC VIT DAT, POLY",81.72,28.61,5.39,101.32,10
CPT,86885,HC ARC ANTIBODY ID SELECT CELLS,238.07,83.33,5.72,292.62,10
CPT,86885,"HC COOMBS TEST, INDIRECT,QUALITAT",257.53,90.14,5.72,292.62,10
CPT,86886,HC ANTIBODY TITER,242.74,84.96,5.18,292.62,10
CPT,86886,HC VIT HTLA TITER,478.26,167.4,5.18,292.62,10
CPT,86890,HC AUTO/DIR NOT TRNSFD,503.62,176.27,144.24,292.62,10
CPT,86891,HC AUTOLOGOUS; CELL SALVAGE EACH UNIT,1830.14,640.55,205.92,1383.8,10
CPT,86900,HC ABO TYPE,193.29,67.66,2.99,228.52,10
CPT,86900,HC ARC ABO TYPE,193.29,67.66,2.99,228.52,10
CPT,86900,HC VIT ABO DISCREPANCY,193.29,67.66,2.99,228.52,10
CPT,86900,HC VIT ABO TYPE,193.29,67.66,2.99,228.52,10
CPT,86901,HC ARC RH TYPE,73.92,25.88,2.99,64.15,10
CPT,86901,HC RH TYPE,51.98,18.2,2.99,64.15,10
CPT,86901,HC VIT RH TYPE,128.03,44.82,2.99,71.7,10
CPT,86902,HC DONOR ANTIGEN TYPE,502.89,176.02,6.35,615.65,10
CPT,86902,HC RARE UNIT ANTIGEN SCRN,872.41,305.35,6.35,615.65,10
CPT,86902,HC VIT DONOR ANTIGEN SCREEN 1-50,502.89,176.02,6.35,615.65,10
CPT,86904,BLOOD TYPING PATIENT SERUM,,,16.34,101.32,7
CPT,86905,HC ARC PATIENT ANTIGEN TYPE,765.03,267.77,3.83,615.65,10
CPT,86905,HC BB EXTENDED PHENOTYPE-RARE,742.9,260.02,3.83,615.65,10
CPT,86905,"HC BBC SINGLE ANTIGEN TYPING, PT",765.03,267.77,3.83,615.65,10
CPT,86905,HC FYA ANTIGEN TYPING - PATIENT ARUP 2007717,397.66,139.19,3.83,615.65,10
CPT,86905,HC FYB ANTIGEN TYPING - PATIENT ARUP 2007725,382.51,133.88,3.83,615.65,10
CPT,86905,HC PATIENT ANTIGEN TYPE,502.89,176.02,3.83,615.65,10
CPT,86905,HC VIT EXTENDED PATIENT PHENOTYPING,956.29,334.71,3.83,615.65,10
CPT,86905,HC VIT PATIENT ANTIGEN TYPING,1071.04,374.87,3.83,615.65,10
CPT,86906,BLD TYPING SEROLOGIC RH PHNT,,,7.75,64.15,7
CPT,86910,BLOOD TYPING PATERNITY TEST,,,25.95,37.72,2
CPT,86911,BLOOD TYPING ANTIGEN SYSTEM,,,22.49,32.62,2
CPT,86920,"HC CROSSMATCH, IMMED SPIN",301.96,105.69,51.49,292.62,10
CPT,86920,"HC VIT CROSSMATCH, IMMED SPIN",363.53,127.24,51.49,292.62,10
CPT,86921,HC COMPATIBILITY TEST INCUBATION,454.41,159.05,46.39,292.62,10
CPT,86922,"HC CROSSMATCH, AHG",304.0,106.4,55.05,292.62,10
CPT,86922,HC PLATELET CROSSMATCH,363.53,127.24,55.05,292.62,10
CPT,86922,"HC VIT CROSSMATCH, AHG",363.53,127.24,55.05,292.62,10
CPT,86923,"HC CROSSMATCH, ELECTRONIC",331.9,116.17,41.29,292.62,10
CPT,86927,"HC FROZEN PLASMA PROCESS, THAW",290.81,101.79,29.05,292.62,10
CPT,86930,FROZEN BLOOD PREP,,,171.77,297.45,6
CPT,86931,FROZEN BLOOD THAW,,,128.96,297.45,6
CPT,86932,HC DEGLYCING RARE UNIT,528.74,185.06,34.57,296.09,10
CPT,86940,HC HEMOLYSINS&AGGLUTININS AUTO SCREEN EA ARUP 0013039,141.0,49.35,8.77,78.96,10
CPT,86940,HC ISOHEMAGGLUTININ TITER,74.21,25.98,8.77,41.56,10
CPT,86941,HC HEMOLYSINS&AGGLUTININS INCUBATED ARUP 0013039,141.0,49.35,12.11,78.96,10
CPT,86945,HC IRRADIATION PROCEDURE,173.04,60.57,34.57,96.9,10
CPT,86950,LEUKACYTE TRANSFUSION,,,111.62,292.62,6
CPT,86960,VOL REDUCTION OF BLOOD/PROD,,,47.92,292.62,6
CPT,86965,HC POOLING OF BLOOD PRODUCT,363.53,127.24,47.92,292.62,10
CPT,86970,HC VIT ACID TREATMENT OF RBC,173.04,60.57,34.57,101.32,10
CPT,86970,HC VIT RBC PRE-TREATMENT,170.02,59.51,34.57,101.32,10
CPT,86971,RBC PRETX INCUBATJ W/ENZYMES,,,34.15,297.45,6
CPT,86972,HC VIT MICROHCT CELL SEPARATION,415.78,145.53,60.15,292.62,10
CPT,86975,RBC SERUM PRETX INCUBJ DRUGS,,,46.39,767.28,6
CPT,86976,RBC SERUM PRETX ID DILUTION,,,25.23,51.49,6
CPT,86977,HC VIT ANTIBODY NEUTRALIZATION,310.02,108.51,51.49,292.62,10
CPT,86978,HC ARC ADSORPTION,291.98,102.2,34.57,163.51,10
CPT,86978,HC VIT ADSORPTION,349.27,122.25,34.57,195.59,10
CPT,86985,HC SPLITTING OF BLOOD PRODUCT,293.1,102.59,37.72,292.62,10
CPT,86999,HC PLATELET WASHING,572.88,200.51,25.23,343.73,10
CPT,86999,HC VIT CELL SEPARATION MICROHEMATOCRIT,369.6,129.36,25.23,221.76,10
CPT,87003,SMALL ANIMAL INOCULATION,,,16.84,58.89,7
CPT,87015,HC AFB CONCENTRATION-BO7,129.36,45.28,6.68,72.44,10
CPT,87015,HC AFB ISOLATION-BO9,646.8,226.38,6.68,362.21,10
CPT,87015,HC CONCENTRATION FOR INFECT AGT,59.49,20.83,6.68,33.31,10
CPT,87015,HC CONCENTRATION INFECTIOUS AGENTS ARUP 2009226,58.8,20.58,6.68,32.93,10
CPT,87015,HC CONCENTRATION INFECTIOUS AGENTS ARUP TO MAYO MTBS,331.53,116.04,6.68,185.66,10
CPT,87015,HC MICROSPORIDIUM CONCENTRATION,50.769999999999996,17.775,6.68,33.31,20
CPT,87015,HC MYCOBACTERIA CULTURE CONC - MAYO TBT,192.93,67.53,6.68,108.04,10
CPT,87015,HC REF MICROSPORIDIUM CONCENTRATION,42.05,14.72,6.68,23.55,10
CPT,87015,HC SPECIMEN INFECT AGNT CONCNTJ-PNEUMOCYSTIS FA,40.79,14.28,6.68,23.36,10
CPT,87040,"HC CULTURE, BLOOD",177.24,62.04,10.32,99.25,10
CPT,87045,HC CUL BACT STOOL AEROBIC ISOL SALMONELLA&SHIGELL ARUP 0060134,49.87,17.46,9.44,33.01,10
CPT,87045,HC CULTURE BACTERIA STOOL AEROBIC ISOLATION SALMONELLA&SHIGELL,151.4,52.99,9.44,84.78,10
CPT,87046,HC CUL BACT STOOL AEROBIC ADDL PATHOGENS&ID EA ARUP 0060134,49.87,17.46,9.44,33.01,10
CPT,87046,HC E. COLI 0157 CULTURE CDPHE,332.64,116.43,9.44,186.28,10
CPT,87046,HC STOOL CULTURE AEROBIC BACTERIAL EACH,30.68,10.74,9.44,33.01,10
CPT,87046,"HC STOOL CULTURE, CAMPYLOBACTER ARUP 0060135",150.06,52.53,9.44,84.03,10
CPT,87046,HC STOOL CULTURE-E. COLI 0157,30.68,10.74,9.44,33.01,10
CPT,87046,HC YERSINIA STOOL CULT,61.28,21.45,9.44,34.32,10
CPT,87070,HC CATHETER TIP CULTURE,144.51,50.58,8.62,80.93,10
CPT,87070,HC CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL ARUP 2006686,90.55,31.7,8.62,50.71,10
CPT,87070,HC CULT BACT ANY OTHER SOURCE,144.51,50.58,8.62,80.93,10
CPT,87070,HC NOCARDIA CULTURE & GRAM STAIN ARUP 0060093,160.78,56.28,8.62,90.04,10
CPT,87070,HC THROAT CULTURE,97.02,33.96,8.62,54.33,10
CPT,87070,HC TISSUE CULTURE,144.51,50.58,8.62,80.93,10
CPT,87071,HC QUANT RESPIRATORY CULTURE,122.28,42.8,9.89,68.48,10
CPT,87071,HC QUANT TISSUE CULTURE,122.28,42.8,9.89,68.48,10
CPT,87073,HC ANAEROBIC CULTURE,89.75,31.42,9.66,50.26,10
CPT,87075,HC ANAEROBIC CULT ISO/PRESUMPT ID,73.01,25.56,9.47,40.89,10
CPT,87075,HC CLOSTRIDIUM DIFFICILE CULTURE,104.25,36.49,9.47,58.38,10
CPT,87075,"HC CULTR BACTERIA,EXCEPT BLOOD",147.27,51.55,9.47,82.47,10
CPT,87075,HC STREP AGALACTIAE AG,68.2,23.87,9.47,38.19,10
CPT,87076,HC ANAEROBE ID 2,65.8,23.03,8.08,36.85,10
CPT,87076,HC ANAEROBE ID 3,65.8,23.03,8.08,36.85,10
CPT,87076,HC ANAEROBE ID 4,65.8,23.03,8.08,36.85,10
CPT,87076,HC ANAEROBE ID ONE,65.8,23.03,8.08,36.85,10
CPT,87076,HC MALDI CULTURE ANAEROBE IDENT EACH,76.54,26.79,8.08,42.86,10
CPT,87077,HC AEROBIC ISOLATE DEFINITIVE ID,73.01,25.56,8.08,40.89,10
CPT,87077,HC AEROBIC ISOLATE DEFINITIVE ID1,73.01,25.56,8.08,40.89,10
CPT,87077,HC AEROBIC ISOLATE DEFINITIVE ID2,73.01,25.56,8.08,40.89,10
CPT,87077,HC AEROBIC ISOLATE DEFINITVE ID 4,73.01,25.56,8.08,40.89,10
CPT,87077,HC AEROBIC ORGANISM IDENTIFICATION BY BACTERIAL CULTURE ARUP 0060115,181.1,63.39,8.08,101.42,10
CPT,87077,HC BACILLUS ID-BO12,181.1,63.39,8.08,101.42,10
CPT,87077,HC BACTERIAL ID-BO13,181.1,63.39,8.08,101.42,10
CPT,87077,HC BILL TASK BACTERIAL ID BY MALDI-TOF MS ARUP 0060201 2005162,262.94,92.03,8.08,147.25,10
CPT,87077,HC BILL TASK BACTERIAL ID BY MALDI-TOF MS ARUP 2005162,276.09,96.64,8.08,154.61,10
CPT,87077,HC BILL TASK BACTERIAL IDENTIFICATION - BACILLUS ARUP 0060201 TASK BAC,172.48,60.37,8.08,96.59,10
CPT,87077,HC BILL TASK BACTERIAL IDENTIFICATION - CYSTIC PSEUDOMONAS ARUP 0060201 TASK CF PSE,172.48,60.37,8.08,96.59,10
CPT,87077,HC BILL TASK BACTERIAL IDENTIFICATION - GRAM NEGATIVE (PHOENIX) ARUP 0060201 TASK NID,172.48,60.37,8.08,96.59,10
CPT,87077,HC BILL TASK BACTERIAL IDENTIFICATION - GRAM POSITIVE ARUP 0060201 TASK PID,172.48,60.37,8.08,96.59,10
CPT,87077,HC BILL TASK BACTERIAL IDENTIFICATION - PSEUDOMONAS ARUP 0060201 TASK PSE,172.48,60.37,8.08,96.59,10
CPT,87077,HC BILL TASK BACTERIAL IDENTIFICATION ARUP 0060201 TASK BID,172.48,60.37,8.08,96.59,10
CPT,87077,HC BILL TASK GRAM NEGATIVE ID & MIC PANEL (PHOENIX) ARUP 0060201 2013217,172.48,60.37,8.08,96.59,10
CPT,87077,HC BILL TASK GRAM NEGATIVE ID & MIC PANEL (PHOENIX) ARUP 0060201 3002869,172.48,60.37,8.08,96.59,10
CPT,87077,HC BIOCHEMICAL CHG 1,73.01,25.56,8.08,40.89,10
CPT,87077,HC BIOCHEMICAL CHG 2,73.01,25.56,8.08,40.89,10
CPT,87077,HC BIOCHEMICAL CHG 3,73.01,25.56,8.08,40.89,10
CPT,87077,HC BIOCHEMICAL CHG 4,73.01,25.56,8.08,40.89,10
CPT,87077,HC CLO TEST,73.01,25.56,8.08,40.89,10
CPT,87077,HC CULTURE AEROBIC IDENTIFY ARUP 0065070,289.76,101.42,8.08,162.27,10
CPT,87077,HC CYSTIC PSEUDOMONAS ID-BO10,181.1,63.39,8.08,101.42,10
CPT,87077,HC GRAM NEGATIVE ID-BO11,181.1,63.39,8.08,101.42,10
CPT,87077,HC GRAM NEGATIVE ID/MIC PNL-BO14,181.1,63.39,8.08,101.42,10
CPT,87077,HC GRAM POSITIVE ID-BO15,181.1,63.39,8.08,101.42,10
CPT,87077,HC IDX 3 AEROBIC ISOLATE DEFINITI,73.01,25.56,8.08,40.89,10
CPT,87077,HC MALDI CULTURE AEROBIC IDENTIFY,93.09,32.59,8.08,52.13,10
CPT,87077,HC PSEUDOMONAS ID-BO16,181.1,63.39,8.08,101.42,10
CPT,87077,HC SALMONELLA CULTURE/TYPHOID STOOL CULTURE-CDPHE,332.64,116.43,8.08,186.28,10
CPT,87081,HC CORYNEBACTERIUM DIPHTHERIAE CULTURE,166.87,58.41,6.63,93.45,10
CPT,87081,"HC CULTURE, SINGLE ORGANISM",104.25,36.49,6.63,58.38,10
CPT,87081,HC GC CULTURE (K8 STUDY),19.58,6.86,6.63,23.19,10
CPT,87081,HC GROUP A STREP CULTURE,68.73,24.06,6.63,38.49,10
CPT,87081,HC LEGIONELLA CULTURE,103.755,36.32,6.63,60.85,20
CPT,87081,HC LEPTOSPIROSIS CULTURE,67.89,23.77,6.63,38.02,10
CPT,87081,HC NEISSERIA GONORRHEA CULT,104.25,36.49,6.63,58.38,10
CPT,87081,HC PERTUSSIS CULTURE,104.25,36.49,6.63,58.38,10
CPT,87084,CULTURE OF SPECIMEN BY KIT,,,27.07,94.66,7
CPT,87086,"HC URINE CULTURE,QUAN",50.17,17.56,8.07,28.22,10
CPT,87088,"HC URINE CULTURE, ISOL AND ID",50.48,17.67,8.09,28.29,10
CPT,87088,HC URINE IDENTIFICATION ID 1,50.48,17.67,8.09,28.29,10
CPT,87088,HC URINE IDENTIFICATION ID 3,50.48,17.67,8.09,28.29,10
CPT,87088,HC URINE IDENTIFICATION ID 4,50.48,17.67,8.09,28.29,10
CPT,87088,HC URINE IDENTIFICATION ID 5,50.48,17.67,8.09,28.29,10
CPT,87088,HC URINE IDENTIFICATION ID2,50.48,17.67,8.09,28.29,10
CPT,87101,HC CULTURE DERMATOPHYTE,90.12,31.55,7.71,50.47,10
CPT,87102,HC FUNGAL CULT PRESUMP ID NOT BLD,72.7,25.45,8.41,40.71,10
CPT,87103,HC FUNGUS BLD CULT ISO PRESUMP ID,258.67,90.54,20.46,144.86,10
CPT,87106,HC BILL TASK YEAST IDENTIFICATION ARUP 2009257 0062148,306.77,107.37,10.32,171.79,10
CPT,87106,HC BLASTOMYCES DERMATIDIS,64.28,22.5,10.32,36.09,10
CPT,87106,HC COCCIDIOIDES IMMITIS,64.28,22.5,10.32,36.09,10
CPT,87106,"HC FUNGAL CULTURE, REFERENCE",64.28,22.5,10.32,36.09,10
CPT,87106,HC FUNGAL ID CHARGE,72.7,25.45,10.32,40.71,10
CPT,87106,HC HISTOPLASMA CAPSULATUM,64.28,22.5,10.32,36.09,10
CPT,87106,HC ID CHARGE FUNGUS CHARGE 2,72.7,25.45,10.32,40.71,10
CPT,87106,HC ID CHARGE FUNGUS CHARGE 3,72.7,25.45,10.32,40.71,10
CPT,87106,HC ID CHARGE FUNGUS CHARGE 4,72.7,25.45,10.32,40.71,10
CPT,87106,HC MALDI FUNGI IDENTIFICATION YEAST,79.63,27.88,10.32,44.59,10
CPT,87106,HC YEAST DEFIN ID1 FUNGAL CULT,72.7,25.45,10.32,40.71,10
CPT,87106,HC YEAST ID,72.7,25.45,10.32,40.71,10
CPT,87107,HC BILL TASK MOULD IDENTIFICATION ARUP 2009257 0062149,404.71,141.65,10.32,226.64,10
CPT,87107,HC MALDI FUNGI IDENTIFICATION MOLD,75.2,26.32,10.32,42.11,10
CPT,87107,HC MOLD ID,60.08,21.03,10.32,36.09,10
CPT,87109,HC MYCOPLASMA CULTURE,106.95,37.44,15.39,59.89,10
CPT,87109,HC MYCOPLASMA HOMINIS CULTURE UROGENITAL SOURCE ARUP 2003294,154.46,54.07,15.39,86.5,10
CPT,87109,HC UREAPLASMA SPECIES AND MYCOPLASMA HOMINIS CULTURE  ARUP 0065031,168.17,58.86,15.39,94.18,10
CPT,87110,HC CHLAMYDIA CULTURE,114.16,39.96,19.6,68.54,10
CPT,87110,HC CULTURE CHLAMYDIA ANY SOURCE ARUP 0060850,95.04,33.27,19.6,68.54,10
CPT,87110,"HC CULTURE, CHLAMYDIA",64.82,22.69,19.6,68.54,10
CPT,87116,HC AFB CULT AND PRESUMP ID,141.8,49.63,10.8,79.41,10
CPT,87118,HC AFB DEFINITIVE ID 2 NON PROBE,73.01,25.56,14.61,51.09,10
CPT,87118,HC AFB DEFINITIVE ID 3 NON PROBE,73.01,25.56,14.61,51.09,10
CPT,87118,HC AFB DEFINITIVE ID 4 NON PROBE,73.01,25.56,14.61,51.09,10
CPT,87118,HC AFB DEFINITIVE ID NON PROBE,73.01,25.56,14.61,51.09,10
CPT,87118,HC AFB ID MTB BY SEQUENCING,562.39,196.84,14.61,314.94,10
CPT,87118,HC AFB IDENTIFICATION 1,73.01,25.56,14.61,51.09,10
CPT,87118,HC MALDI MYCOBACTERIC IDENTIFICATION,102.69,35.95,14.61,57.51,10
CPT,87140,"HC CULT, TYPE IFM, ANTISERUM",18.44,6.46,5.57,19.49,10
CPT,87140,HC CULTURE TYPING IMMUNOFLUORESCENT EACH ANTISERUM ARUP 0060850,95.04,33.27,5.57,53.22,10
CPT,87140,"HC FA TYPING, 1 ANTISERUM",35.16,12.31,5.57,19.69,10
CPT,87140,"HC FA TYPING, 2 ANTISERUM",35.16,12.31,5.57,19.69,10
CPT,87140,"HC FA TYPING, 3 ANTISERUM",35.16,12.31,5.57,19.69,10
CPT,87140,"HC FA TYPING, 4 ANTISERUM",35.16,12.31,5.57,19.69,10
CPT,87140,HC HSV TYPE 1 IF EACH ANTISERUM,35.16,12.31,5.57,19.69,10
CPT,87140,HC HSV TYPE 2 IF EACH ANTISERUM,35.16,12.31,5.57,19.69,10
CPT,87143,HC AFB SPECIES IDENTIFICATION,441.62,154.57,12.52,247.31,10
CPT,87147,HC PBP2 PENICILLIN BINDING PROTEIN TO UNIV OF CO,133.06,46.58,5.18,74.51,10
CPT,87147,HC SEROLOGIC AGG 1,51.68,18.09,5.18,28.94,10
CPT,87147,HC SEROLOGIC AGG 10,51.68,18.09,5.18,28.94,10
CPT,87147,HC SEROLOGIC AGG 11,51.68,18.09,5.18,28.94,10
CPT,87147,HC SEROLOGIC AGG 12,51.68,18.09,5.18,28.94,10
CPT,87147,HC SEROLOGIC AGG 2,51.68,18.09,5.18,28.94,10
CPT,87147,HC SEROLOGIC AGG 3,51.68,18.09,5.18,28.94,10
CPT,87147,HC SEROLOGIC AGG 4,51.68,18.09,5.18,28.94,10
CPT,87147,HC SEROLOGIC AGG 5,51.68,18.09,5.18,28.94,10
CPT,87147,HC SEROLOGIC AGG 6,51.68,18.09,5.18,28.94,10
CPT,87147,HC SEROLOGIC AGG 7,51.68,18.09,5.18,28.94,10
CPT,87147,HC SEROLOGIC AGG 8,51.68,18.09,5.18,28.94,10
CPT,87147,HC SEROLOGIC AGG 9,51.68,18.09,5.18,28.94,10
CPT,87149,HC ACU-PROBE ID 2,126.17,44.16,20.05,70.66,10
CPT,87149,HC ACU-PROBE ID 3,126.17,44.16,20.05,70.66,10
CPT,87149,HC ACU-PROBE ID 4,126.17,44.16,20.05,70.66,10
CPT,87149,HC ACU-PROBE ID 5,126.17,44.16,20.05,70.66,10
CPT,87149,HC ACU-PROBE ID 6,126.17,44.16,20.05,70.66,10
CPT,87149,"HC ACU-PROBE ID, ONE",126.17,44.16,20.05,70.66,10
CPT,87149,HC AFB ID MTB DNA PROBE,494.48,173.07,20.05,276.91,10
CPT,87149,HC M. GORDONAE ID PCR-BO17,443.71,155.3,20.05,248.48,10
CPT,87149,HC M. TUBERCULOSIS DNA PROBE-BO2,443.71,155.3,20.05,248.48,10
CPT,87149,HC MYCOBACT AVIUM DNA PROBE-BO3,341.51,119.53,20.05,191.25,10
CPT,87149,HC MYCOBACTERIA DNA PROBES,104.3,36.51,20.05,70.11,10
CPT,87150,HC DNA/RNA AMPLIFIED PROBE,110.33,38.62,35.09,122.71,10
CPT,87150,HC MTB COMPLX SPECIATION- AMP PRB,813.12,284.6,35.09,455.35,10
CPT,87152,CULTURE TYPE PULSE FIELD GEL,,,7.74,27.06,7
CPT,87153,HC AEROBIC ORGANISM IDENTIFICATION BY GENETIC ANALYSIS ARUP 0060115,640.33,224.12,115.36,403.4,10
CPT,87153,HC AFB DNA SEQUENCING ID-BO1,504.5,176.58,115.36,403.4,10
CPT,87153,HC BILL TASK DNA SEQUENCING - BACTERIAL IDENTIFICATION ARUP 0060201 0060719,520.96,182.34,115.36,403.4,10
CPT,87153,HC BILL TASK DNA SEQUENCING - FUNGAL IDENTIFICATIONáARUP 2009257 0060757,654.19,228.97,115.36,403.4,10
CPT,87153,HC BILL TASK DNA SEQUENCING BACTERIAL IDENTIFICATION ARUP 0060709,547.01,191.46,115.36,403.4,10
CPT,87153,HC CULT TYPE ID NA SEQ EA ISOLATE,381.66,133.59,115.36,403.4,10
CPT,87153,HC FUNGAL (MOLD/YEAST) IDENTIFICATION (DNA SEQUENCING) TO ARUP 0060163 TASK YSTSEQ,840.84,294.3,115.36,470.87,10
CPT,87153,HC FUNGAL IDENTIFICATION BY ITS RDNA SEQUENCING ARUP 0060756,840.84,294.3,115.36,470.87,10
CPT,87153,HC ORGANISM ID 16S R-DNA SEQENCNG,640.33,224.12,115.36,403.4,20
CPT,87154,HC BLOOD CULTURE IDENTIFICATION 2 (BCID) PANEL,503.72,176.31,172.78,762.53,10
CPT,87158,HC BILL TASK FUNGAL IDENTIFICATION BY MALDI-TOF MS ARUP 2009257 2007693,276.09,96.64,7.74,154.61,10
CPT,87164,DARK FIELD EXAM SPEC COLLJ,,,10.74,37.55,7
CPT,87166,HC LEPTOSPIROSIS DF MICROSCOPY,35.51,12.43,11.3,39.51,10
CPT,87168,HC MACROSCOPIC EXAM ARTHROPOD,26.74,9.36,4.27,14.97,10
CPT,87169,HC MACROSCOPIC EXAM PARASITE,26.74,9.36,4.31,15.07,10
CPT,87172,HC SCOTCH TAPE PREP,46.87,16.41,4.27,26.25,10
CPT,87176,HC TISSUE GRINDING,34.56,12.1,5.88,20.57,10
CPT,87177,HC ACANTHAMOEBA CULTURE,81.11,28.39,8.9,45.42,10
CPT,87177,HC OVA AND PARASITES SMEARS ARUP 2002277,153.38,53.69,8.9,85.89,10
CPT,87177,HC OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID ARUP 3001663,127.51,44.63,8.9,71.41,10
CPT,87177,HC OVA&PARASITES-DIRSMEAR-CONC&ID,153.38,53.69,8.9,85.89,10
CPT,87181,HC BILL TASK SUSCEPTIBILITY - SINGLE DRUG BY ETEST ARUP 0060201 0062228,274.56,96.1,4.75,153.75,10
CPT,87181,HC E-TEST (K8 STUDY),9.53,3.34,3.27,16.61,10
CPT,87181,"HC ETEST 1,SUSC,AGAR DIULTION MTD",36.05,12.62,4.75,20.19,10
CPT,87181,"HC ETEST 2,SUSC,AGAR DILUTION MTD",36.05,12.62,4.75,20.19,10
CPT,87181,"HC ETEST 3,SUSC,AGAR DIULTION MTD",36.05,12.62,4.75,20.19,10
CPT,87181,HC MICROBE SUSCEPTIBLE DIFFUSE NATIONAL JEWISH NTM10,443.52,155.24,4.75,248.37,10
CPT,87181,HC NOCARDIA AGAR DIFFUSION,36.05,12.62,4.75,20.19,10
CPT,87181,HC RAPID GROWER BILL ONLY 1,30.04,10.52,4.75,16.82,10
CPT,87181,"HC SUSC, AGAR DILUTN/AGT-ADL 1",173.25,60.64,4.75,97.02,10
CPT,87181,"HC SUSC,AGAR DILUTN/AGT-1ST",173.25,60.64,4.75,97.02,10
CPT,87181,"HC SUSC,AGAR DILUTN/AGT-ADL 2",173.25,60.64,4.75,97.02,10
CPT,87183,SC STD CARBAPENEM RESIST GEN,,,35.09,57.13,4
CPT,87184,HC ANTIMICRSUSC CARBAPENEM RSIST1,191.46,67.02,7.48,107.22,10
CPT,87184,HC ANTIMICRSUSC CARBAPENEM RSIST2,191.46,67.02,7.48,107.22,10
CPT,87184,HC BACTERIAL SENS,47.17,16.51,7.48,26.42,10
CPT,87184,HC BILL TASK SUSCEPTIBILITY - AUTOMATED DISK DIFFUSION ARUP 0060201 0060722,145.38,50.89,7.48,81.41,10
CPT,87184,HC BILL TASK SUSCEPTIBILITY - DISK DIFFUSION ARUP 0060201 0060418,145.38,50.89,7.48,81.41,10
CPT,87184,HC BILL TASK SUSCEPTIBILITY - MODIFIED CARBAPENEM INACTIVATION METHOD ARUP 0060201 3000754,145.38,50.89,7.48,81.41,10
CPT,87184,HC RAPID GROWER BILL ONLY 2,43.57,15.25,7.48,26.16,10
CPT,87185,HC BILL TASK SUSCEPTIBILITY - BETA-LACTAMASE ARUP 0060201 0060401,68.99,24.15,4.75,38.63,10
CPT,87185,HC SUSC BETA LACTAMASE ONE ENZYME,36.05,12.62,4.75,20.19,10
CPT,87185,HC SUSC BETA LACTAMASE THREE ENZY,36.05,12.62,4.75,20.19,10
CPT,87185,HC SUSC BETA LACTAMASE TWO ENZYME,36.05,12.62,4.75,20.19,10
CPT,87186,HC AFB/NOCARDIA DILUT-SUSCEPTBLTY,288.48,100.97,8.65,161.55,10
CPT,87186,HC ANTIMICROBIAL SUSCEPTIBILITY - ANAEROBE ARUP 0060202,288.29,100.91,8.65,161.44,10
CPT,87186,HC ANTIMICROBIAL SUSCEPTIBILITY - GRAM POSITIVE ROD ARUP 0060346,284.59,99.61,8.65,159.37,10
CPT,87186,HC BILL TASK SUSCEPTIBILITY - ANAEROBE BY BROTH DILUTION ARUP 0060201 0060402,274.56,96.1,8.65,153.75,10
CPT,87186,HC BILL TASK SUSCEPTIBILITY - AUTOMATED BROTH DILUTION ARUP 0060201 0060790,204.16,71.46,8.65,114.33,10
CPT,87186,HC BILL TASK SUSCEPTIBILITY - BROTH DILUTION PANEL 2 ARUP 0060201 3002632,274.56,96.1,8.65,153.75,10
CPT,87186,HC BILL TASK SUSCEPTIBILITY - BROTH DILUTION PANEL ARUP 0060201 0060408,274.56,96.1,8.65,153.75,10
CPT,87186,HC BILL TASK SUSCEPTIBILITY - MOULD BY BROTH DILUTION ARUP 2009257 0061010,469.39,164.29,8.65,262.86,10
CPT,87186,HC BILL TASK SUSCEPTIBILITY - NOCARDIA BY BROTH DILUTION ARUP 0060201 3005188,380.16,133.06,8.65,212.89,10
CPT,87186,HC BILL TASK SUSCEPTIBILITY - NOCARDIA BY BROTH DILUTIONáARUP 2009257 3005188,399.17,139.71,8.65,223.54,10
CPT,87186,HC BILL TASK SUSCEPTIBILITY - SINGLE DRUG BY BROTH DILUTION ARUP 0060201 0062229,274.56,96.1,8.65,153.75,10
CPT,87186,HC BILL TASK SUSCEPTIBILITY - YEAST BY BROTH DILUTION ARUP 2009257 0061009,336.71,117.85,8.65,188.56,10
CPT,87186,HC FUNGAL SENSITIVITY,113.26,39.65,8.65,63.43,10
CPT,87186,HC HOMOGENIZATION TISSUE CULTURE ARUP 2006686,90.55,31.7,8.65,50.71,10
CPT,87186,HC MICROBE SUSCEPTIBLE MIC ARUP 0065070,289.76,101.42,8.65,162.27,10
CPT,87186,HC MICROBE SUSCEPTIBLE MIC NATIONAL JEWISH NTM10,443.52,155.24,8.65,248.37,10
CPT,87186,HC NOCARDIA MIC,107.86,37.76,8.65,60.4,10
CPT,87186,"HC SENSIT,ANY# OF ANTIBIOTICS",107.86,37.76,8.65,60.4,10
CPT,87186,HC SINGLE DRUG MIC (MTB6),221.76,77.62,8.65,124.19,10
CPT,87186,HC SUSC STUDY MIC EA PER PLATE 1,107.86,37.76,8.65,60.4,10
CPT,87186,HC SUSC STUDY MIC EA PER PLATE 10,107.86,37.76,8.65,60.4,10
CPT,87186,HC SUSC STUDY MIC EA PER PLATE 11,107.86,37.76,8.65,60.4,10
CPT,87186,HC SUSC STUDY MIC EA PER PLATE 12,107.86,37.76,8.65,60.4,10
CPT,87186,HC SUSC STUDY MIC EA PER PLATE 13,107.86,37.76,8.65,60.4,10
CPT,87186,HC SUSC STUDY MIC EA PER PLATE 14,106.055,37.125,8.65,60.4,20
CPT,87186,HC SUSC STUDY MIC EA PER PLATE 15,107.86,37.76,8.65,60.4,10
CPT,87186,HC SUSC STUDY MIC EA PER PLATE 16,107.86,37.76,8.65,60.4,10
CPT,87186,HC SUSC STUDY MIC EA PER PLATE 17,107.86,37.76,8.65,60.4,10
CPT,87186,HC SUSC STUDY MIC EA PER PLATE 18,107.86,37.76,8.65,60.4,10
CPT,87186,HC SUSC STUDY MIC EA PER PLATE 19,107.86,37.76,8.65,60.4,10
CPT,87186,HC SUSC STUDY MIC EA PER PLATE 2,107.86,37.76,8.65,60.4,10
CPT,87186,HC SUSC STUDY MIC EA PER PLATE 20,107.86,37.76,8.65,60.4,10
CPT,87186,HC SUSC STUDY MIC EA PER PLATE 21,107.86,37.76,8.65,60.4,10
CPT,87186,HC SUSC STUDY MIC EA PER PLATE 3,107.86,37.76,8.65,60.4,10
CPT,87186,HC SUSC STUDY MIC EA PER PLATE 4,107.86,37.76,8.65,60.4,10
CPT,87186,HC SUSC STUDY MIC EA PER PLATE 5,107.86,37.76,8.65,60.4,10
CPT,87186,HC SUSC STUDY MIC EA PER PLATE 6,107.86,37.76,8.65,60.4,10
CPT,87186,HC SUSC STUDY MIC EA PER PLATE 8,107.86,37.76,8.65,60.4,10
CPT,87186,HC SUSC STUDY MIC EA PER PLATE 9,107.86,37.76,8.65,60.4,10
CPT,87186,HC SUSC STUDY MIC PER PLATE 7,107.86,37.76,8.65,60.4,10
CPT,87186,HC SUSCEPIBILTY-ANTIMICROBIAL AGT,420.42,147.15,8.65,235.44,10
CPT,87186,HC SUSCEPTIBILITY - BROTH DILUTION PANEL ARUP 0060408,284.59,99.61,8.65,159.37,10
CPT,87186,HC SUSCEPTIBILITY: MOLD-VORICONAZ,107.86,37.76,8.65,60.4,10
CPT,87187,HC AMPHOTERICIN B SUSCEPTIBILITY,83.94,29.38,28.79,140.47,10
CPT,87188,HC AMIKACIN MAC,59.49,20.83,6.64,33.31,10
CPT,87188,HC CIPROFLOXACIN MAC,59.49,20.83,6.64,33.31,10
CPT,87188,HC CLARITHROMYCIN MAC,59.49,20.83,6.64,33.31,10
CPT,87188,HC CLOFAZIMINE MAC,59.49,20.83,6.64,33.31,10
CPT,87188,HC CYCLOSERINE MAC,59.49,20.83,6.64,33.31,10
CPT,87188,HC ETHAMBOTOL COMBO,59.49,20.83,6.64,33.31,10
CPT,87188,HC ETHAMBUTOL 1 MIC,41.77,14.62,6.64,23.39,10
CPT,87188,HC ETHAMBUTOL MAC,59.49,20.83,6.64,33.31,10
CPT,87188,HC ETHIONAMIDE MAC,59.49,20.83,6.64,33.31,10
CPT,87188,HC FLUCONAZOLE SUSCEPTIBILITY,121.88,42.66,6.64,68.25,10
CPT,87188,HC ITRACONAZOLE SUSCEPTIBILITY,121.88,42.66,6.64,68.25,10
CPT,87188,HC KANAMYCIN MAC,59.49,20.83,6.64,33.31,10
CPT,87188,HC LEVOFLOXACIN,161.02,56.36,6.64,90.17,10
CPT,87188,HC MOXIFLOXACIN,59.49,20.83,6.64,33.31,10
CPT,87188,HC POSACONAZOLE SUSCEPTIBILTY,121.88,42.66,6.64,68.25,10
CPT,87188,HC RADIOMETRIC MIS SINGLE DRUG,59.49,20.83,6.64,33.31,10
CPT,87188,HC RIFABUTIN MAC,59.49,20.83,6.64,33.31,10
CPT,87188,HC RIFAMPIN 1 MIC,41.77,14.62,6.64,23.39,10
CPT,87188,HC RIFAMPIN COMBO,59.49,20.83,6.64,33.31,10
CPT,87188,HC RIFAMPIN MAC,59.49,20.83,6.64,33.31,10
CPT,87188,HC STREPTOMYCIN MAC,59.49,20.83,6.64,33.31,10
CPT,87188,HC SUSCEPTIBILTY-MCROBRTH DILUTN1,194.04,67.92,6.64,108.66,10
CPT,87188,HC SUSCEPTIBILTY-MCROBRTH DILUTN2,194.04,67.92,6.64,108.66,10
CPT,87188,HC SUSCEPTIBILTY-MCROBRTH DILUTN3,194.04,67.92,6.64,108.66,10
CPT,87188,HC SUSCEPTIBILTY-MCROBRTH DILUTN4,194.04,67.92,6.64,108.66,10
CPT,87188,HC VORICONAZOLE SUSCEPTIBILITY,121.88,42.66,6.64,68.25,10
CPT,87190,HC 10-DRUG AGAR PROPORTION (MTB COMPLEX) ARUP TO NATIONAL JEWISH MTB1 (3A),50.49,17.68,7.31,28.27,10
CPT,87190,HC AMIKACIN SUSC,111.46,39.02,7.31,62.42,10
CPT,87190,HC CAPREMYCIN SUSC,111.46,39.02,7.31,62.42,10
CPT,87190,HC CYCLOSERINE SUSC,111.46,39.02,7.31,62.42,10
CPT,87190,HC ETHAMBUTOL SUSC,111.46,39.02,7.31,62.42,10
CPT,87190,HC ETHIONAMIDE SUSC,111.46,39.02,7.31,62.42,10
CPT,87190,HC ISONIAZID SUSC,111.46,39.02,7.31,62.42,10
CPT,87190,HC KANAMYCIN SUSC,111.46,39.02,7.31,62.42,10
CPT,87190,HC PASS SUSC,111.46,39.02,7.31,62.42,10
CPT,87190,HC RIFAMPIN SUSC,111.46,39.02,7.31,62.42,10
CPT,87190,HC STREPTOMYCIN SUSC,111.46,39.02,7.31,62.42,10
CPT,87197,HC SERUM BACTERICIDAL TITER,93.56,32.75,15.02,52.53,10
CPT,87197,HC SERUM BACTERISTATIC TITER,94.64,33.13,15.02,53.0,10
CPT,87205,HC GRAM STAIN/BUFFY COAT UCHEALTH,25.6,8.96,4.27,14.92,10
CPT,87205,"HC SMEAR PRIMARY SOURCE,  GRAM",49.27,17.25,4.27,27.59,10
CPT,87206,HC COLORADO TICK VIRUS,387.54,135.64,5.39,217.02,10
CPT,87206,HC FLUOR OR ACID FAST STAIN,78.72,27.56,5.39,44.08,10
CPT,87206,"HC FUNGAL STAIN, KOH WITH CALCOFLUOR WHITE ARUP 2004589",135.83,47.55,5.39,76.06,10
CPT,87206,HC LEPTOSPIROSIS DF MICROSCOPY,83.52,29.24,5.39,46.77,10
CPT,87206,HC PERTUSSIS SMEAR,78.72,27.56,5.39,44.08,10
CPT,87206,HC SMEAR SOURCE FLUORES ACID FAST,78.72,27.56,5.39,44.08,10
CPT,87207,HC MALARIA SMEAR,94.93,33.23,5.99,53.16,10
CPT,87207,HC MICROSPORIDIUM STAIN,36.05,12.62,5.99,25.57,10
CPT,87207,"HC SMEAR, PRIMARY SOURCE W INTERP",348.16,121.86,5.99,194.97,10
CPT,87207,HC SMR PRIM SRC SPEC STAIN BODIES/PARASITS ARUP TO MAYO MTBS,331.53,116.04,5.99,185.66,10
CPT,87207,HC SPECIAL STAIN INTRACELL PARASI,94.93,33.23,5.99,53.16,10
CPT,87209,HC SMEAR COMPLEX STAIN ARUP 2002277,153.38,53.69,17.98,85.89,10
CPT,87209,HC SMEAR&INTRP-CMPLEX SPEC STAIN,153.38,53.69,17.98,85.89,10
CPT,87209,HC SMEARW/INTRP-COMPLX SPEC STAIN,56.02,19.61,17.98,62.87,10
CPT,87209,HC SMR PRIM SRC CPLX SPEC STAIN OVA&PARASITS ARUP 3001663,127.51,44.63,17.98,71.41,10
CPT,87210,"HC SMEAR, WET MOUNT W/SIMP STAIN",70.61,24.72,5.82,39.54,10
CPT,87220,HC KOH PREP,51.68,18.09,4.27,28.94,10
CPT,87230,HC C DIFF CYTOTOX CELL ASSAY RFLX,116.42,40.75,19.74,69.02,10
CPT,87230,HC C. DIFFICILE TOXIN,154.41,54.05,19.74,86.47,10
CPT,87230,HC CLOSTRIDIUM BOTULINUM TOXIN,127.36,44.58,19.74,71.32,10
CPT,87230,"HC TOXIN OR ANTITOXIN ASSAY, TC 9",630.87,220.81,19.74,353.29,10
CPT,87250,VIRUS INOCULATE EGGS/ANIMAL,,,19.56,68.4,7
CPT,87252,HC CMV CULTURE,168.23,58.89,26.07,94.21,10
CPT,87252,HC HERPES CULTURE,164.02,57.41,26.07,91.85,10
CPT,87252,HC HSV CUL BILL,240.33,84.12,26.07,134.58,10
CPT,87252,HC REFLEX VIRUS INOCULATION TISSUE ARUP 0060285,132.59,46.41,26.07,91.16,10
CPT,87252,HC TISSUE CULT INOC & OBS 1,168.23,58.89,26.07,94.21,10
CPT,87252,HC TISSUE CULT INOC & OBSV 1,168.23,58.89,26.07,94.21,10
CPT,87252,HC VIRAL CULTURE,168.23,58.89,26.07,94.21,10
CPT,87252,HC VIRAL CULTURE NON-RESPIRATORY,252.25,88.29,26.07,141.26,10
CPT,87252,HC VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT ARUP 2010866,607.2,212.52,26.07,340.03,10
CPT,87253,"HC TISSUE CULT ADD STUDY,EA ISOS1",180.25,63.09,20.2,100.94,10
CPT,87253,"HC TISSUE CULT ADD STUDY,EA ISOS2",125.88,44.06,20.2,70.63,10
CPT,87253,HC VIRAL ISOL-TISSUE CULT DEF ID,160.78,56.28,20.2,90.04,10
CPT,87254,HC CYTOMEGALOVIRUS RAPID CULTURE,282.01,98.71,19.56,157.93,10
CPT,87254,HC HSV SHELL VIAL FA,54.98,19.25,18.86,68.4,10
CPT,87254,HC INFLUENZA VIRUS A AND B RAPID CULTURE,284.59,99.61,19.56,159.37,10
CPT,87254,HC REFLEX  VIRUS INOCULATION SHELL VIA ARUP 0060285,132.59,46.41,19.56,74.25,10
CPT,87254,"HC SHELL VIAL IF STAIN,EACH VIRUS",30.35,10.63,10.41,68.4,10
CPT,87254,HC VARICELLA (VZC) CULTURE TO UCH,462.0,161.7,19.56,258.72,10
CPT,87254,"HC VIRUS INNOC SHELL, VIAL 1",54.98,19.25,18.86,68.4,10
CPT,87254,"HC VIRUS INNOC, SHELL VIAL 2",54.98,19.25,18.86,68.4,10
CPT,87254,"HC VIRUS INNOC, SHELL VIAL 3",54.98,19.25,18.86,68.4,10
CPT,87254,"HC VIRUS INNOC, SHELL VIAL 4",54.98,19.25,18.86,68.4,10
CPT,87254,"HC VIRUS INNOC, SHELL VIAL 5",54.98,19.25,18.86,68.4,10
CPT,87254,"HC VIRUS INNOC, SHELL VIAL 6",54.98,19.25,18.86,68.4,10
CPT,87254,"HC VIRUS INNOC, SHELL VIAL 7",54.98,19.25,18.86,68.4,10
CPT,87254,HC VIRUS ISO-SHELL VIAL W/ID-IF,184.8,64.68,19.56,103.49,10
CPT,87255,HC HERPES CULTURE SENDOUT,213.29,74.66,33.86,119.44,10
CPT,87260,HC ADEVORIRUS ANTIGEN,75.41,26.4,14.43,50.45,10
CPT,87265,HC PERTUSSIS FA,53.48,18.72,11.98,41.89,10
CPT,87267,ENTEROVIRUS ANTIBODY DFA,,,13.42,46.94,7
CPT,87269,HC GIARDIA FA,77.52,27.14,13.61,47.59,10
CPT,87270,HC CHLAMYDIA DFA,75.11,26.29,11.98,42.06,10
CPT,87271,HC CYTOMEGALOVIRUS AG DETECTION,75.41,26.4,13.42,46.94,10
CPT,87272,HC CRYPTOSPORIDIUM FA,77.52,27.14,11.98,43.41,10
CPT,87273,HC HERPES SIMP VIR TYPE 2 AG,75.41,26.4,11.98,42.23,10
CPT,87274,HC HERPES SIMP VIR TYPE 1 AG,75.41,26.4,11.98,42.23,10
CPT,87274,"HC HERPES SIMPLEX VIRUS, FA",33.04,11.57,11.33,41.89,10
CPT,87275,HC INFLUENZA B AG IF,99.61,34.87,12.25,55.78,10
CPT,87276,HC INFLUENZA A AG IF,99.61,34.87,16.07,56.19,10
CPT,87278,HC LEGIONELLA FA,103.94,36.38,15.6,58.21,10
CPT,87278,HC LEGIONELLA PNEUMOPHILA DFA ARUP 2004598,144.14,50.45,15.6,80.72,10
CPT,87279,HC INFLUENZA A ANTIGEN,75.41,26.4,16.43,57.45,10
CPT,87280,HC RESPIRATORY SYNCYTIAL VIRUS AG,75.41,26.4,13.42,46.94,10
CPT,87281,HC IAADI PNEUMOCUSTIS CARINII ARUP 2009226,58.8,20.58,11.98,41.89,10
CPT,87281,HC PNEUMOCYSTIS CARINII AG IF -PNEUMOCYSTIS FA,93.79,32.83,11.98,52.52,10
CPT,87283,RUBEOLA AG IF,,,60.8,212.62,7
CPT,87285,TREPONEMA PALLIDUM AG IF,,,12.18,42.6,7
CPT,87290,HC VARICELLA ZOSTER ANTIGEN,74.5,26.08,13.42,46.94,10
CPT,87290,HC VARICELLA-ZOSTER VIRUS DFA WITH REFLEX TO VARICELLA-ZOSTER VIRUS CULTURE ARUP 0060282,195.34,68.37,13.42,109.39,10
CPT,87299,HC CO TICK FEVER AB,75.41,26.4,16.1,56.31,10
CPT,87299,HC INFECTIOUS AGENT AG DETECTION1,66.09,23.14,16.1,56.31,10
CPT,87299,HC INFECTIOUS AGENT AG DETECTION2,66.09,23.14,16.1,56.31,10
CPT,87299,HC INFECTIOUS AGENT AG DETECTION3,66.09,23.14,16.1,56.31,10
CPT,87299,HC INFECTIOUS AGENT AG DETECTION4,66.09,23.14,16.1,56.31,10
CPT,87299,HC INFECTIOUS AGENT AG DETECTIONS,66.09,23.14,16.1,56.31,10
CPT,87299,HC INFLUENZA B ANTIGEN,75.41,26.4,16.1,56.31,10
CPT,87299,HC PARAINFLUENZA 1 ANTIGEN,75.41,26.4,16.1,56.31,10
CPT,87299,HC PARAINFLUENZA 2 ANTIGEN,75.41,26.4,16.1,56.31,10
CPT,87299,HC PARAINFLUENZA 3 ANTIGEN,75.41,26.4,16.1,56.31,10
CPT,87300,AG DETECTION POLYVAL IF,,,11.98,41.89,7
CPT,87301,HC ADENOVIRUS 40-41 AG FECES,78.95,27.64,11.98,44.21,10
CPT,87305,HC ASPERGILLUS ANTIGEN,363.51,127.23,11.98,203.57,10
CPT,87305,HC ASPERGILLUS GALACTOMANNAN ANTIGEN BY EIA BRONCHOSCOPY ARUP 2003150,362.21,126.78,11.98,202.84,10
CPT,87305,"HC ASPERGILLUS GALACTOMANNAN ANTIGEN DETECTION, CEREBROSPINAL FLUID ARUP TO LABCORP SLC 183858",875.95,306.59,11.98,490.53,10
CPT,87305,HC ASPERGILLUS GALACTOMANNAN EIA ARUP TO MIRA VISTA DIAG 309,462.0,161.7,11.98,258.72,10
CPT,87320,HC CHLAMYDIA-EIA,89.84,31.45,15.0,52.45,10
CPT,87324,HC CLOSTRIDIUM AG EIA,77.4,27.09,11.98,43.34,10
CPT,87324,HC CLOSTRIDIUM AG IA ARUP 3001801,77.62,27.17,11.98,43.47,10
CPT,87327,CRYPTOCOCCUS NEOFORM AG IA,,,13.42,46.94,7
CPT,87328,CRYPTOSPORIDIUM AG IA,,,13.82,48.32,7
CPT,87329,GIARDIA AG IA,,,11.98,41.89,7
CPT,87332,CYTOMEGALOVIRUS AG IA,,,11.98,41.89,7
CPT,87335,E COLI 0157 AG IA,,,12.66,44.26,7
CPT,87336,ENTAMOEB HIST DISPR AG IA,,,16.0,55.95,7
CPT,87337,HC ENTAMBOEBA HISTOLYTICA ANTIGEN,77.62,27.17,11.98,43.47,10
CPT,87338,"HC H. PYLORI AG EIA-MULTISTEP, ST",217.66,76.19,14.38,121.89,10
CPT,87338,HC HELICO PYLORI ANTIGEN STOOL,217.66,76.19,14.38,121.89,10
CPT,87338,"HC HELICOBACTER PYLORI ANTIGEN, FECAL BY EIA ARUP 0065147",164.56,57.6,14.38,92.15,10
CPT,87339,HC HELICO PYLORI STOOL AG,77.61,27.17,16.0,55.95,10
CPT,87340,HC HEP B ANTIGEN,71.5,25.03,10.33,40.04,10
CPT,87340,HC HEPATITIS B VIRUS SURFACE ANTIGEN WITH REFLEX TO CONFIRMATION ARUP 0020089,25.63,8.98,8.79,36.13,10
CPT,87340,HC IAAD IA HEPATITIS B SURFACE ANTIGEN ARUP TO LABCORP 255505,173.32,60.67,10.33,97.06,10
CPT,87341,HC HBSAG NEUTRALIZATION,64.89,22.72,10.33,36.34,10
CPT,87341,"HC REFLEX HEPATITIS B VIRUS SURFACE ANTIGEN, CONFIRMATION ARUP 0020128",122.85,43.0,10.33,68.8,10
CPT,87350,HC HEPATITIS BE AG,85.32,29.87,11.53,47.78,10
CPT,87350,HC IAAD IA HEPATITIS BE ANTIGEN ARUP TO LABCORP 255505,173.32,60.67,11.53,97.06,10
CPT,87380,HC HEPATITIS DELTA AG-ELISA,462.0,161.7,18.36,258.72,10
CPT,87385,HC HISTO PLASMA ANTIGEN,419.08,146.68,13.25,234.68,10
CPT,87385,HC HISTOPLASMA ANTIGEN-EIA SERUM,413.95,144.89,13.25,231.81,10
CPT,87385,HC HISTOPLASMA GALACTOM AG QT EIA,388.08,135.83,13.25,217.32,10
CPT,87385,"HC HISTOPLASMA GALACTOMANNAN ANTIGEN BY EIA, QUANTITATIVE, BODY FLUID ARUP 3005941",421.34,147.47,13.25,235.95,10
CPT,87385,"HC HISTOPLASMA GALACTOMANNAN ANTIGEN QUANTITATIVE BY EIA, URINE ARUP 2009418",288.29,100.91,13.25,161.44,10
CPT,87385,"HC MVISTA HISTOPLASMA AG, CSF MAYO FHSAG",439.82,153.94,13.25,246.3,10
CPT,87389,HC HIV AGN/GBY COMBO 4TH GEN,83.28,29.15,24.08,84.21,10
CPT,87389,"HC HIV COMBO ANTIGEN/ANTIBODY (HIV-1/O/2) BY CIA, REFLEXIVE PANEL ARUP 2012674",103.49,36.23,24.08,84.21,10
CPT,87389,HC HIV COMBO ANTIGEN/ANTIBODY (HIV-1/O/2) BY ELISA W REF TO HIV-1 ARUP 2013333,103.49,36.23,24.08,84.21,10
CPT,87390,HC HIV-1 AG IA,55.9,19.57,19.17,84.13,10
CPT,87391,HIV-2 AG IA,,,21.9,76.58,7
CPT,87400,HC H. FLU ANTIGEN,68.2,23.87,14.13,49.41,10
CPT,87420,HC RSV RAPID ANTIGEN,118.36,41.43,13.91,66.28,10
CPT,87425,HC ROTAVIRUS,113.56,39.75,11.98,63.59,10
CPT,87426,SARSCOV CORONAVIRUS AG IA,,,35.33,123.55,7
CPT,87427,HC REFLEX E. COLI SHIGA-LIKE TOXIN BY EIA ARUP 0060047,59.84,20.95,11.98,41.89,10
CPT,87428,SARSCOV & INF VIR A&B AG IA,,,30.94,140.37,6
CPT,87430,HC STREP PNEUMONIAE ANTIGEN,68.2,23.87,16.81,58.77,10
CPT,87449,HC 1 3-BETA-D-GLUCAN FUNGITELL,609.84,213.45,11.98,341.51,10
CPT,87449,HC AG DETECT NOS EIA MULT,77.4,27.09,11.98,43.34,10
CPT,87449,HC AG DETECT NOS EIA MULT-EA ORGN,469.39,164.29,11.98,262.86,10
CPT,87449,"HC BLASTOMYCES ANTIGEN QUANTITATIVE BY EIA, URINE ARUP 3001798",351.12,122.9,11.98,196.63,10
CPT,87449,HC COCCIDIOIDES ANTIGEN QUANTITATIVE BY EIA ARUP 2011075,469.39,164.29,11.98,262.86,10
CPT,87449,HC FUNGITELL ARUP TO VIRACOR EUROFINS CLINICAL DIAGNOSTICS 1700,509.61,178.37,11.98,285.38,10
CPT,87449,HC FUNGITELL ASSAY ARUP TO BEACON,761.38,266.49,11.98,426.37,10
CPT,87449,HC HIV-1 FREE ANTIGEN,354.19,123.97,11.98,198.35,10
CPT,87449,HC LEGIONELLA ANTIGEN-UR,65.49,22.93,11.98,41.89,10
CPT,87449,"HC LEGIONELLA PNEUMOPHILIA AG, UR",74.5,26.08,11.98,41.89,10
CPT,87449,HC STREPTOCOCCUS PNEUMONIAE AG-UR,65.49,22.93,11.98,41.89,10
CPT,87451,POLYVALENT MULT ORG EA AG IA,,,10.51,36.75,7
CPT,87467,HEPATITIS B SURFACE AG QUAN,,,15.05,52.62,7
CPT,87468,HC IADNA ANAPLASMA PHAGOCYTOPHILUM AMPLIFED PRB TQ ARUP 2007862,194.96,68.24,35.09,122.71,9
CPT,87469,BABESIA MICROTI AMP PRB,,,35.09,122.71,7
CPT,87471,HC BARTONELLA DNA PCR,905.0,316.75,35.09,506.8,10
CPT,87471,HC BARTONELLA SPECIES BY PCR ARUP 0093057,813.12,284.6,35.09,455.35,10
CPT,87472,HC BARTONELLA QUINTANA DNA,266.77,93.37,42.84,149.81,10
CPT,87475,LYME DIS DNA DIR PROBE,,,20.05,70.11,7
CPT,87476,HC BORRELIA SPECIES BY PCR (LYME DISEASE) ARUP 0055570,413.95,144.89,35.09,231.81,10
CPT,87478,BORRELIA MIYAMOTOI AMP PRB,,,35.09,122.71,7
CPT,87480,CANDIDA DNA DIR PROBE,,,20.05,70.11,7
CPT,87481,CANDIDA DNA AMP PROBE,,,35.09,122.71,7
CPT,87482,CANDIDA DNA QUANT,,,55.74,194.91,7
CPT,87483,HC MULTIPLEX MENINGITIS/ENCEPHALITIS PANEL,1320.67,462.24,416.78,1457.44,10
CPT,87484,HC IADNA EHRLICHIA CHAFFEENSIS AMPLIFIED PROBE TQ ARUP 2007862,194.96,68.24,35.09,122.71,9
CPT,87485,CHLMYD PNEUM DNA DIR PROBE,,,20.05,70.11,7
CPT,87486,HC CHLAMYDIA PNEUMONIAE PCR,218.7,76.55,35.09,122.71,10
CPT,87487,CHLMYD PNEUM DNA QUANT,,,42.84,149.81,7
CPT,87490,CHLMYD TRACH DNA DIR PROBE,,,22.75,79.55,7
CPT,87491,HC CHLAMYDIA TRACH AMP (DHP),233.12,81.6,35.09,130.55,10
CPT,87491,HC CHLAMYDIA TRACHOMATIS BY TMA ARUP 0060243,93.14,32.6,31.95,122.71,10
CPT,87491,HC CHLAMYDIA TRACHOMATIS L SEROVARS (LGV) BY PCR  - ARUP RFLXCT,646.8,226.38,35.09,362.21,10
CPT,87491,HC CHLAMYDIA TRACHOMATIS PCR,85.92,30.08,29.47,122.71,10
CPT,87491,HC IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ ARUP 0060241,79.28,27.75,27.19,122.71,10
CPT,87491,HC IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ ARUP 2011164,79.28,27.75,27.19,122.71,10
CPT,87491,HC IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ ARUP 3005674,225.28,78.85,35.09,126.16,10
CPT,87491,HC IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ BY PCR,200.46,70.17,35.09,122.71,10
CPT,87491,HC REFLEX CHLAMYDIA TRACHOMATIS CONFIRMATION BY TMA ARUP 3000300,55.07,19.28,18.89,122.71,10
CPT,87492,CHLMYD TRACH DNA QUANT,,,53.47,186.98,7
CPT,87493,HC C DIFFICILE TOXIN B GENE PCR,114.09,39.94,37.27,130.32,10
CPT,87493,HC REFLEX C. DIFFICILE TOXIN B GENE BY PCR STOOL ARUP 3001922,400.64,140.23,37.27,224.36,10
CPT,87494,CHLMY TRCH&NEISRA GONOR MULT,,,70.18,114.27,4
CPT,87495,CYTOMEG DNA DIR PROBE,,,30.03,105.02,7
CPT,87496,HC CMV BY PCR QUALITATIVE UCH CLINICAL LABORATORY,332.64,116.43,35.09,186.28,10
CPT,87496,HC CMV PCR QUANT,218.56,76.5,35.09,122.71,10
CPT,87496,HC CONGENITAL CMV BY PCR,315.32,110.37,35.09,176.58,10
CPT,87496,HC CYTOMEGALOVIRUS BY QUAL PCR,406.56,142.3,35.09,227.67,10
CPT,87497,HC CMV BY PCR TO UCH,332.64,116.43,42.84,186.28,10
CPT,87497,"HC CMV DNA HYBRID CAPTURE, QNT",218.56,76.5,42.84,149.81,10
CPT,87497,"HC CYTOMEGALOVIRUS BY QUANTITATIVE NAAT, PLASMA ARUP 3005895",411.84,144.15,42.84,230.63,10
CPT,87498,HC ENTEROVIRUS BY PCR ARUP 50249,438.4,153.44,35.09,245.5,10
CPT,87498,HC ENTEROVIRUS PCR,231.02,80.86,35.09,129.37,10
CPT,87500,VANOMYCIN DNA AMP PROBE,,,35.09,122.71,7
CPT,87501,INFLUENZA DNA AMP PROB 1+,,,51.31,179.43,7
CPT,87502,HC NASOPHARYNGEAL WASH,406.56,142.3,95.8,335.01,10
CPT,87503,INFLUENZA DNA AMP PROB ADDL,,,29.22,102.18,7
CPT,87505,NFCT AGENT DETECTION GI,,,128.29,448.61,7
CPT,87506,HC GASTROINTESTINAL BACTERIAL PANEL BY PCR ARUP 2012678,1034.88,362.21,262.99,919.65,10
CPT,87506,HC GASTROINTESTINAL VIRAL PANEL BY PCR ARUP 2013577,924.0,323.4,262.99,919.65,10
CPT,87507,HC GI MULTIPLEX PCR,1310.19,458.57,416.78,1457.44,10
CPT,87510,GARDNER VAG DNA DIR PROBE,,,20.05,70.11,7
CPT,87511,GARDNER VAG DNA AMP PROBE,,,35.09,122.71,7
CPT,87512,GARDNER VAG DNA QUANT,,,41.76,146.03,7
CPT,87513,H PYLRI CLRTHMCN RST AMP PRB,,,35.09,57.13,4
CPT,87516,HC HEP B VIRUS DNA DETECTOR,229.82,80.44,35.09,128.7,10
CPT,87517,HC HBV DNA QUANT BY PCR,236.9,82.92,42.84,149.81,10
CPT,87517,HC HEPATITIS B VIRUS (HBV) BY QUANTITATIVE NAAT ARUP 3000863,332.64,116.43,42.84,186.28,10
CPT,87517,HC HEPATITIS B VIRUS DNA ULTRAQNT,179.34,62.77,42.84,149.81,10
CPT,87520,HEPATITIS C RNA DIR PROBE,,,31.22,109.17,7
CPT,87521,HC HEPATITIS C VIRUS RNA QUAL,138.19,48.37,35.09,122.71,10
CPT,87522,HC HEP C BDNA ACCQNT W/O REFX,245.14,85.8,42.84,149.81,10
CPT,87522,HC HEP C RNA ULTRAQT W REFLEX,179.34,62.77,42.84,149.81,10
CPT,87522,HC HEPATITIS C RNA ACCQUNT W/REFL,245.14,85.8,42.84,149.81,10
CPT,87522,HC HEPATITIS C VIRUS ACCUQUANT,245.14,85.8,42.84,149.81,10
CPT,87522,HC HEPATITIS C VIRUS BY QUANTITATIVE PCR ARUP 0098268,391.18,136.92,42.84,219.06,10
CPT,87522,HC HEPATITIS C VIRUS ULTRAQUANT,501.09,175.39,42.84,280.61,10
CPT,87523,HC HEPATITIS DELTA VIRUS BY QUANTITATIVE PCR ARUP 2013881,968.0,338.8,42.84,332.02,9
CPT,87525,HEPATITIS G DNA DIR PROBE,,,29.8,104.22,7
CPT,87526,HEPATITIS G DNA AMP PROBE,,,39.26,137.3,7
CPT,87527,HEPATITIS G DNA QUANT,,,41.76,146.03,7
CPT,87528,HSV DNA DIR PROBE,,,20.05,70.11,7
CPT,87529,HC HERPES SIMPLEX VIRUS-1 PCR,114.83,40.2,35.09,122.71,10
CPT,87529,HC HERPES SIMPLEX VIRUS-2 PCR,114.83,40.2,35.09,122.71,10
CPT,87529,HC IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ (HSV 1/2 BY PCR),247.17,86.51,35.09,138.42,10
CPT,87529,HC IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ ARUP 2010095,448.14,156.85,35.09,250.96,10
CPT,87529,HC IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ ARUP 3005674,225.28,78.85,35.09,126.16,10
CPT,87529,HC IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ ARUP 3017665,245.33,85.87,35.09,137.38,10
CPT,87529,HC IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ UCHEALTH,158.4,55.44,35.09,122.71,10
CPT,87530,HC IADNA HERPES SOMPLX VIRUS QUANTIFICATION ARUP TO QUEST 19502,482.77,168.97,42.84,270.35,10
CPT,87531,HHV-6 DNA DIR PROBE,,,58.0,202.82,7
CPT,87532,HHV-6 DNA AMP PROBE,,,35.09,122.71,7
CPT,87533,HC HHV-6 QUAL BY PCR,269.27,94.25,41.76,150.79,10
CPT,87533,"HC HHV-6, DNA, QUANT (AKA HERPES VIRUS 6)",332.64,116.43,41.76,186.28,10
CPT,87533,HC HUMAN HERPESVIRUS 6 (HHV-6A AND HHV-6B) BY QUANTITATIVE PCR ARUP 0060071,853.78,298.83,41.76,478.12,10
CPT,87534,HIV-1 DNA DIR PROBE,,,21.92,76.65,7
CPT,87535,HC HIV 1 PCR QUALITATIVE,901.31,315.46,35.09,504.73,10
CPT,87535,HC HIV-1 DNA AND RNA QUALITATIVE DETECTION BY PCR PLASMA ARUP TO MAYO HIVP,1296.56,453.8,35.09,726.07,10
CPT,87535,"HC HIV-1 PRO-VIRAL DNA, QUALITATIVE PCR ARUP TO QUEST CHANTILLY 8401",1264.44,442.56,35.09,708.09,10
CPT,87535,HC HUMAN IMMUNODEFICIENCY VIRUS (HIV-1) BY QUALITATIVE NAAT ARUP 3003760,443.52,155.24,35.09,248.37,10
CPT,87536,HC HIVI QUANTITATION,290.81,101.79,85.1,297.59,10
CPT,87536,HC HUMAN IMMUNODEFICIENCY VIRUS 1 (HIV-1) BY QUANTITATIVE NAAT CSF ARUP 3000872,362.21,126.78,85.1,297.59,10
CPT,87536,HC HUMAN IMMUNODEFICIENCY VIRUS 1 BY QUANTITATIVE PCR ARUP 0055598,434.65,152.13,85.1,297.59,10
CPT,87536,"HC REFLEX HUMAN IMMUNODEFICIENCY VIRUS 1 (HIV-1) BY QUANTITATIVE NAAT, PLASMA ARUP 3000867",434.65,152.13,85.1,297.59,10
CPT,87537,HIV-2 DNA DIR PROBE,,,21.92,76.65,7
CPT,87538,HIV-2 PROBE&REVRSE TRNSCRIPJ,,,35.09,122.71,7
CPT,87539,HC HIV-2 RNA QUANTITATION UNIV WASHINGTON HIV2VL,1180.87,413.31,58.62,661.29,10
CPT,87540,LEGION PNEUMO DNA DIR PROB,,,20.05,70.11,7
CPT,87541,HC LEGION PNEUMO DNA AMP PROB ARUP 2010125,420.42,147.15,35.09,235.44,10
CPT,87542,LEGION PNEUMO DNA QUANT,,,41.76,146.03,7
CPT,87550,MYCOBACTERIA DNA DIR PROBE,,,20.05,70.11,7
CPT,87551,HC MYCOBACTERIUM AFB NON-TB PCR,1130.57,395.7,48.24,633.12,10
CPT,87552,MYCOBACTERIA DNA QUANT,,,42.84,149.81,7
CPT,87555,M.TUBERCULO DNA DIR PROBE,,,26.88,94.0,7
CPT,87556,HC M TUBERCULOSIS PCR,233.13,81.6,41.68,145.75,10
CPT,87556,HC MYCOBACTERIUM AFB-TB PCR,748.99,262.15,41.68,419.43,10
CPT,87556,HC MYCOBACTERIUM TB PCR,226.82,79.39,41.68,145.75,10
CPT,87556,HC MYCOBACTERIUM TUBERCULOSIS COMPLEX MOLECULAR DETECTION PCR - MAYO MTBRP,1457.7,510.2,41.68,816.31,10
CPT,87556,HC NUCLEIC ACID AMPLIFICATION TEST (NAAT) NATIONAL JEWISH AFB2,761.05,266.37,41.68,426.19,10
CPT,87557,M.TUBERCULO DNA QUANT,,,42.84,149.81,7
CPT,87560,M.AVIUM-INTRA DNA DIR PROB,,,27.29,95.43,7
CPT,87561,M.AVIUM-INTRA DNA AMP PROB,,,35.09,122.71,7
CPT,87562,M.AVIUM-INTRA DNA QUANT,,,42.84,149.81,7
CPT,87563,HC IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH ARUP 2011172,397.32,139.07,35.09,222.5,10
CPT,87563,HC IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH ARUP 3006344,352.0,123.2,35.09,197.12,10
CPT,87563,HC MYCOPLASMA GENITALIUM BY PCR,193.0,67.55,35.09,122.71,10
CPT,87563,"HC MYCOPLASMA GENITALIUM, NAA, URINE ARUP TO LABCORP SLC 180025",406.56,142.3,35.09,227.67,10
CPT,87564,HC IADNA MTB RIFAMPIN RESISTANCE AMP PRB TQ,460.62,161.22,76.77,343.16,9
CPT,87564,HC MYCOBACTERIUM TUBERCULOSIS COMPLEX DETECTION AND RIFAMPIN RESISTANCE BY PCR ARUP 2010775,588.0,205.8,76.77,438.06,9
CPT,87580,M.PNEUMON DNA DIR PROBE,,,20.05,70.11,7
CPT,87581,HC MYCOPLASMA PNEUMONIAE BY PCR ARUP 0060256,413.95,144.89,35.09,231.81,10
CPT,87581,HC MYCOPLASMA PNEUMONIAE PCR,231.02,80.86,35.09,129.37,10
CPT,87581,HC REF MYCOPLASMA PNEUMONIAE PCR,231.02,80.86,35.09,129.37,10
CPT,87582,M.PNEUMON DNA QUANT,,,302.62,1058.23,7
CPT,87590,N.GONORRHOEAE DNA DIR PROB,,,26.88,94.0,7
CPT,87591,HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ ARUP 0060241,79.28,27.75,27.19,122.71,10
CPT,87591,HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ ARUP 2011164,79.28,27.75,27.19,122.71,10
CPT,87591,HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ BY PCR,196.35,68.73,35.09,122.71,10
CPT,87591,HC N GONORRHEA AMP (DPH),233.12,81.6,35.09,130.55,10
CPT,87591,HC NEIS GONORRHOEAE DNA URINE,218.56,76.5,35.09,122.71,10
CPT,87591,HC NEISSERIA GONORRHOEAE BY TRANSCRIPTION-MEDIATED AMPLIFICATION (TMA) ARUP 0060244,157.08,54.98,35.09,122.71,10
CPT,87591,HC REFLEX NEISSERIA GONORRHOEAE CONFIRMATION BY TMA ARUP 3000302,55.07,19.28,18.89,122.71,10
CPT,87592,N.GONORRHOEAE DNA QUANT,,,42.84,149.81,7
CPT,87593,HC IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA MONKEYPOX,141.57,49.55,40.55,98.0,9
CPT,87593,HC ORTHOPOXVIRUS (INCLUDES MONKEYPOX VIRUS) BY PCR ARUP 3005716,314.16,109.96,51.17,107.76,9
CPT,87594,HC PNEUMOCYSTIS JIROVECII BY PCR ARUP 2006254,640.0,224.0,35.09,476.8,9
CPT,87623,HPV LOW-RISK TYPES,,,35.09,122.71,7
CPT,87624,HC HPV (AMPLIFIED PROBE TECH),221.1,77.39,35.09,123.82,10
CPT,87625,HC HPV GENOTYPING REFLEX,118.04,41.32,40.49,141.8,10
CPT,87626,HC HPV DETECTION AND GENTOTYPING W/RFX TO PAP SMEAR LAB3272,421.2,147.42,70.2,313.79,9
CPT,87627,JT SPC PTHGN&RX RSIST GEN26+,,,679.77,1106.8,4
CPT,87631,HC INFLUENZA RSV,245.3,85.86,84.14,498.77,10
CPT,87631,HC RESPIRATORY VIRUS MINI PANEL BY PCR ARUP 0060764,680.06,238.03,142.63,498.77,10
CPT,87632,RESP VIRUS 6-11 TARGETS,,,218.06,762.53,7
CPT,87633,HC PNEUMONIA PCR PANEL,1444.15,505.46,416.78,1457.44,10
CPT,87633,HC RESP VIRUS PCR 12-25 TARGETS,1323.42,463.2,416.78,1457.44,10
CPT,87633,HC RESPIRATORY MULTIPLEX PCR,1444.15,505.46,416.78,1457.44,10
CPT,87634,RSV DNA/RNA AMP PROBE,,,70.2,245.47,7
CPT,87635,HC COVD2 PCR NATL JEWISH LAB,387.2,135.52,51.31,179.43,9
CPT,87635,HC SARS-COV-2 BY PCR,177.79,62.23,51.31,179.43,9
CPT,87636,SARSCOV2 & INF A&B AMP PRB,,,142.63,498.77,7
CPT,87637,"HC INFLUENZA A/B, RSV, AND SARS-COV2 BY PCR (FLUVID)",157.96,55.29,54.18,498.77,9
CPT,87640,STAPH A DNA AMP PROBE,,,35.09,122.71,7
CPT,87641,HC BILL TASK SUSCEPTIBILITY- MECA/MECC GENE DETECTION BY PCR ARUP 0060201 3000097,524.48,183.57,35.09,293.71,10
CPT,87641,HC METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS MRSA BY PCR NASAL ARUP 3002032,665.28,232.85,35.09,372.56,10
CPT,87650,STREP A DNA DIR PROBE,,,20.05,70.11,7
CPT,87651,HC STREP A BY PCR,152.48,53.37,35.09,122.71,10
CPT,87652,STREP A DNA QUANT,,,41.76,146.03,7
CPT,87653,HC STREPTOCOCCUS B BY PCR,90.07,31.53,30.89,122.71,10
CPT,87660,TRICHOMONAS VAGIN DIR PROBE,,,20.05,70.11,7
CPT,87661,HC TRICHOMONAS VAGINALIS BY PCR,115.62,40.47,35.09,122.71,10
CPT,87661,HC TRICHOMONAS VAGINALIS BY TRANSCRIPTION-MEDIATED AMPLIFI (TMA) ARUP 2005506,270.92,94.83,35.09,151.72,10
CPT,87662,"HC ZIKA VIRUS BY PCR, BLOOD ARUP 2014065",683.76,239.32,51.31,382.91,10
CPT,87662,"HC ZIKA VIRUS BY PCR, URINE ARUP 2014069",683.76,239.32,51.31,382.91,10
CPT,87797,HC INFCT AGNT DETCT X NUCACID NOS,104.54,36.59,30.03,105.02,10
CPT,87797,HC INFECTIOUS AGT BY NUC ACID NOS,41.16,14.41,14.12,105.02,10
CPT,87798,HC ADENOVIRUS BY QUALITATIVE PCR ARUP 2007473,658.24,230.39,35.09,368.61,10
CPT,87798,HC AMPLIFIED PROBE TECHNIQUE NOS,144.2,50.47,35.09,122.71,10
CPT,87798,HC ASPERGILLUS SPECIES BY PCR ARUP 3000265,1016.4,355.74,35.09,569.18,10
CPT,87798,HC BABESIA SPECIES BY PCR ARUP 2008665,554.4,194.04,35.09,310.46,10
CPT,87798,HC BARTONELLA HENSELAE DNA,218.56,76.5,35.09,122.71,10
CPT,87798,HC BARTONELLA QUINTANA DNA,218.56,76.5,35.09,122.71,10
CPT,87798,HC BK DNA DETECTR QUAL,600.83,210.3,35.09,336.46,10
CPT,87798,HC BORDETELLA PERTUSSIS PCR,111.43,39.01,35.09,122.71,10
CPT,87798,HC CHIKUNGUNYA BY PCR ARUP 2013085,702.24,245.79,35.09,393.25,10
CPT,87798,HC COCCIDIOIDES BY PCR ARUP 3016687,832.0,291.2,35.09,465.92,10
CPT,87798,"HC COCCIDIOIDES IMMITIS/POSADASII, MOLECULAR DETECTION, PCR ARUP TO MAYO CLINICAL LAB CIMRP",1367.89,478.77,35.09,766.02,10
CPT,87798,HC DETECT AGENT NOS DNA AMP ARUP 2010125,420.42,147.15,35.09,235.44,10
CPT,87798,HC ENTEROVIRUS PCR,218.56,76.5,35.09,122.71,10
CPT,87798,HC EPSTEIN BARR (EBV) MOLECULAR DETECTION PCR ARUP U OF UTAH,1373.44,480.71,35.09,769.13,10
CPT,87798,HC EPSTEIN-BARR VIRUS BY PCR ARUP 0050246,325.99,114.1,35.09,182.55,10
CPT,87798,"HC HEPATITIS D VIRUS RNA, QUALITATIVE REAL-TIME PCR ARUP TO FOCUS DIAG 27500",1175.33,411.37,35.09,658.18,10
CPT,87798,"HC HEPATITIS D VIRUS RNA, QUALITATIVE REAL-TIME PCR ARUP TO QUEST DIAG ID 34469",1036.96,362.94,35.09,580.7,10
CPT,87798,"HC HERPESVIRUS-8, HUM DNA DTR",144.2,50.47,35.09,122.71,10
CPT,87798,HC HHV-8 QUAL BY PCR,226.41,79.25,35.09,126.79,10
CPT,87798,HC HHV8 PCR,419.85,146.95,35.09,235.12,10
CPT,87798,HC HTLV-I DNA,144.2,50.47,35.09,122.71,10
CPT,87798,HC HTLV-II DNA,144.2,50.47,35.09,122.71,10
CPT,87798,HC IADNA DETECT AGENT NOS DNA AMP ARUP 2011172,397.32,139.07,35.09,222.5,10
CPT,87798,HC IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM (BORDATELLA PERTUSSIS/ PARAPERTUSSIS),254.07,88.93,35.09,142.28,10
CPT,87798,HC IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM ARUP 2003075,413.4,144.69,35.09,231.5,10
CPT,87798,HC IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM ARUP 2004963,221.76,77.62,35.09,124.19,10
CPT,87798,HC IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM ARUP 2007862,194.96,68.24,35.09,122.71,10
CPT,87798,HC IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM ARUP 2008670,657.89,230.27,35.09,368.42,10
CPT,87798,HC IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM ARUP 2013294,221.76,77.62,35.09,124.19,10
CPT,87798,HC IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM ARUP 2014546,313.28,109.65,35.09,175.44,10
CPT,87798,HC IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM ARUP 3005674,225.28,78.85,35.09,126.16,10
CPT,87798,HC IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM ARUP 3006344,352.0,123.2,35.09,197.12,10
CPT,87798,HC IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM ARUP 3017665,245.33,85.87,35.09,137.38,10
CPT,87798,HC IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM ARUP TO NATIONAL JEWISH AFB6,160.64,56.23,35.09,122.71,10
CPT,87798,HC INFCT AGENT DETECTN NA NOS PCR,1101.41,385.5,35.09,616.79,10
CPT,87798,HC INFECTIOUS AGNT DET NA-NOS-EA1,174.86,61.21,35.09,122.71,10
CPT,87798,HC INFECTIOUS AGNT DET NA-NOS-EA2,174.86,61.21,35.09,122.71,10
CPT,87798,HC INFECTIOUS AGNT DET NA-NOS-EA3,174.86,61.21,35.09,122.71,10
CPT,87798,HC INFECTIOUS AGNT DET NA-NOS-EA4,174.86,61.21,35.09,122.71,10
CPT,87798,HC INFECTIOUS AGNT DET NA-NOS-EA5,174.86,61.21,35.09,122.71,10
CPT,87798,HC INFECTIOUS AGNT DET NA-NOS-EA6,174.86,61.21,35.09,122.71,10
CPT,87798,HC INFECTIOUS AGNT DET NA-NOS-EA7,174.86,61.21,35.09,122.71,10
CPT,87798,HC INFECTIOUS AGNT DET NA-NOS-EA8,174.86,61.21,35.09,122.71,10
CPT,87798,HC INFECTIOUS AGNT DET NA-NOS-EA9,174.86,61.21,35.09,122.71,10
CPT,87798,HC INFECTIUS AGNT DET NA-NOS-EA10,174.86,61.21,35.09,122.71,10
CPT,87798,HC INFECTIUS AGNT DET NA-NOS-EA11,174.86,61.21,35.09,122.71,10
CPT,87798,HC INFECTIUS AGNT DET NA-NOS-EA12,174.86,61.21,35.09,122.71,10
CPT,87798,HC INFECTIUS AGNT DET NA-NOS-EA13,174.86,61.21,35.09,122.71,10
CPT,87798,HC INFECTIUS AGNT DET NA-NOS-EA14,174.86,61.21,35.09,122.71,10
CPT,87798,HC INFECTIUS AGNT DET NA-NOS-EA15,174.86,61.21,35.09,122.71,10
CPT,87798,HC INFECTIUS AGNT DET NA-NOS-EA16,174.86,61.21,35.09,122.71,10
CPT,87798,HC INFECTIUS AGNT DET NA-NOS-EA17,174.86,61.21,35.09,122.71,10
CPT,87798,HC INFECTIUS AGNT DET NA-NOS-EA18,174.86,61.21,35.09,122.71,10
CPT,87798,HC INFECTIUS AGNT DET NA-NOS-EA19,174.86,61.21,35.09,122.71,10
CPT,87798,HC INFECTIUS AGNT DET NA-NOS-EA20,174.86,61.21,35.09,122.71,10
CPT,87798,HC INFLUENZA A PCR,226.41,79.25,35.09,126.79,10
CPT,87798,HC INFLUENZA B PCR,226.41,79.25,35.09,126.79,10
CPT,87798,HC JC VIRUS BY PCR ARUP 0099169,360.36,126.13,35.09,201.8,10
CPT,87798,HC JC VIRUS PCR,174.85,61.2,35.09,122.71,10
CPT,87798,HC KINGELLA PCR CHILDRENS HOSP CO 472073,554.4,194.04,35.09,310.46,10
CPT,87798,"HC LEPTOSPIRA DNA, QUALITATIVE PCR ARUP TO QUEST 17875",1275.12,446.3,35.09,714.07,10
CPT,87798,HC M TUBERCULOSIS RIFAMPIN RESIST,141.49,49.53,35.09,122.71,10
CPT,87798,HC MEASLES PCR TO CDPHE,406.56,142.3,35.09,227.67,10
CPT,87798,HC MOLECULAR EXTENSIVELY  DRUG-RESISTANT (XDR) TB SCREEN (MTB5),213.44,74.71,35.09,122.71,10
CPT,87798,HC MOLECULAR MULTIDRUG RESISTANT (MDR) TB SCREEN (MTB4),320.19,112.07,35.09,179.31,10
CPT,87798,HC MUMPS VIRUS BY PCR ARUP 3000523,683.76,239.32,35.09,382.91,10
CPT,87798,HC MUMPS VIRUS RNA QUAL REAL-TIME,1212.29,424.31,35.09,678.88,10
CPT,87798,HC MUMPS VIRUS RT-PCR (TO CDPHE),406.56,142.3,35.09,227.67,10
CPT,87798,HC PARECHOVIRUS BY PCR ARUP 2005731,640.33,224.12,35.09,358.58,10
CPT,87798,HC PARVOVIRUS B19 BY QUALITATIVE PCR ARUP 0060043,360.36,126.13,35.09,201.8,10
CPT,87798,HC PARVOVIRUS B19 DETECTOR,1302.31,455.81,35.09,729.29,10
CPT,87798,HC PARVOVIRUS B19 PCR,218.7,76.55,35.09,122.71,10
CPT,87798,HC PERTUSSIS PCR,315.45,110.41,35.09,176.65,10
CPT,87798,HC RELAPSING FEVER BORRELIA SPECIES BY PCR ARUP 3000010,587.66,205.69,35.09,329.09,10
CPT,87798,HC RSV PCR,226.41,79.25,35.09,126.79,10
CPT,87798,HC TOXOPLASMA GONDII PCR,452.76,158.47,35.09,253.55,10
CPT,87798,HC TOXOPLASMA PCR,144.2,50.47,35.09,122.71,10
CPT,87798,HC TOXOPLASMA PCR ARUP TO PAMF REMINGTON LAB,1742.4,609.84,35.09,975.74,10
CPT,87798,HC TROPHERYMA WHIP DNA QUAL PCR,462.03,161.72,35.09,258.74,10
CPT,87798,HC TROPHERYMA WHIPPLEI PCR ARUP 2013290,702.24,245.79,35.09,393.25,10
CPT,87798,HC VARICELLA ZOSTER PCR,218.56,76.5,35.09,122.71,10
CPT,87798,HC VARICELLA ZOSTER VIRUS PCR,114.83,40.2,35.09,122.71,10
CPT,87798,HC VARICELLA-ZOSTER VIRUS BY PCR ARUP 0060042,360.36,126.13,35.09,201.8,10
CPT,87798,HC WEST NILE VIRUS BY PCR ARUP 0050229,789.1,276.19,35.09,441.9,10
CPT,87799,HC ADENOVIRUS QUANTITATIVE,269.78,94.43,42.84,151.08,10
CPT,87799,"HC ADENOVIRUS, QUANTITATIVE PCR ARUP 2007192",850.08,297.53,42.84,476.04,10
CPT,87799,"HC BK VIRUS BY QUANTITATIVE NAAT, PLASMA ARUP 3006076",500.81,175.29,42.84,280.45,10
CPT,87799,"HC BK VIRUS BY QUANTITATIVE NAAT, URINE ARUP 3006075",500.81,175.29,42.84,280.45,10
CPT,87799,HC CHAGAS (T.CRUZI) QPCR ARUP TO EUROFINS VIRACOR 33432,1323.97,463.39,42.84,741.42,10
CPT,87799,HC EBV QUANTITATIVE BY PCR ARUP TO UNIVERSITY OF WASHINGTON EBVQ,681.26,238.45,42.84,381.51,10
CPT,87799,HC EPSTEIN BARR PCR,269.78,94.43,42.84,151.08,10
CPT,87799,HC EPSTEIN BARR VIRUS DNA ULTRGNT,269.78,94.43,42.84,151.08,10
CPT,87799,"HC EPSTEIN-BARR VIRUS BY QUANTITATIVE NAAT, PLASMA ARUP 3006079",474.94,166.23,42.84,265.97,10
CPT,87799,HC HEPATITIS E VIRUS BY QUANTITATIVE PCR ARUP 2011654,711.48,249.02,42.84,398.43,10
CPT,87799,"HC HERPESVIRUS 7 (HHV-7) DNA, QUANTITATIVE REAL-TIME PCR ARUP TO QUEST DIAG INFECTIOUS DISEASE 19727",965.54,337.94,42.84,540.7,10
CPT,87799,HC HHV-8 QUANTITATIVE REAL-TIME PCR ARUP TO EUROFINS VIRACOR 8000,809.6,283.36,42.84,453.38,10
CPT,87799,HC HUMAN HERPESVIRUS 8 (HHV-8) BY QUANTITATIVE PCR ARUP 2013089,665.28,232.85,42.84,372.56,10
CPT,87799,HC HUMAN HERPESVIRUS 8 (HHV-8) BY QUNAT PRC,813.12,284.6,42.84,455.35,10
CPT,87799,HC JC VIRUS BY PCR UCH,332.64,116.43,42.84,186.28,10
CPT,87799,HC PARVOVIRUS B19 BY QUANTITATIVE PCR ARUP 20122043,646.8,226.38,42.84,362.21,10
CPT,87799,HC PNEUMOCYSTIS JIROVECII QUANTITATIVE REAL TIME PCR ARUP TO SAN CAPISTRANO 18834,1363.82,477.34,42.84,763.74,10
CPT,87800,HC C. TRACHOMATIS/N. GONORRHOEAE,128.56,45.0,43.67,152.7,10
CPT,87801,HC BACTERIAL DNA DET BY PCR W REF TO BACTERIAL DET BY 16S RRNA NGS ARUP TO UNIV WASH BCTDNA/NGS16S,1156.25,404.69,70.2,647.5,10
CPT,87801,HC BACTERIAL IDENTIFICATION PCR,1019.94,356.98,70.2,571.17,10
CPT,87801,HC BROAD RANGE BACTERIA PCR+SEQUENCING MAYO BRBPS,1285.1,449.79,70.2,719.66,10
CPT,87801,HC BROAD-RANGE PCR - FUNGI (FUNGAL) ARUP TO U OF WASH FUNPCR,1738.17,608.36,70.2,973.38,10
CPT,87801,HC CLOSTRIDIUM PERFRINGENS TOXIN- CDPHE,443.52,155.24,70.2,248.37,10
CPT,87801,HC FUNGAL IDENTIFICATION PCR,1664.25,582.49,70.2,931.98,10
CPT,87802,STREP B ASSAY W/OPTIC,,,12.73,44.52,7
CPT,87803,CLOSTRIDIUM TOXIN A W/OPTIC,,,16.0,55.95,7
CPT,87804,HC INFLUENZA A ANTIGEN,57.08,19.98,16.55,57.88,10
CPT,87804,HC INFLUENZA B ANTIGEN,57.08,19.98,16.55,57.88,10
CPT,87806,HIV AG W/HIV1&2 ANTB W/OPTIC,,,32.77,114.59,7
CPT,87807,RSV ASSAY W/OPTIC,,,13.1,45.82,7
CPT,87808,TRICHOMONAS ASSAY W/OPTIC,,,15.29,53.46,7
CPT,87809,ADENOVIRUS ASSAY W/OPTIC,,,21.76,76.09,7
CPT,87810,CHLMYD TRACH ASSAY W/OPTIC,,,35.29,123.4,7
CPT,87811,HC COVID RAPID ANTIGEN,95.59,33.46,32.79,144.7,9
CPT,87812,SARSCOV2&INF TYP A&B W/OPTIC,,,74.48,121.27,4
CPT,87850,N. GONORRHOEAE ASSAY W/OPTIC,,,24.56,85.89,7
CPT,87880,HC RAPID STREP BY DIR OPT OBS,60.46,21.17,16.53,57.8,10
CPT,87880,HC RAPID STREP TEST,60.46,21.17,16.53,57.8,10
CPT,87880,HC STREP A RAPID TEST (WAIVED),60.46,21.17,16.53,57.8,10
CPT,87899,HC AGENT NOS ASSAY W/OPTIC ARUP 3001801,77.62,27.17,16.07,56.19,10
CPT,87899,HC CRYPTOCOCCAL ANTIGEN,59.03,20.67,16.07,56.19,10
CPT,87899,HC HIV ANTGEN DETCTION-IA-DIR OBS,41.24,14.44,14.15,56.19,10
CPT,87899,HC INF AGNT IA-DIRECT OBSRVATN NO,362.21,126.78,16.07,202.84,10
CPT,87899,HC MALARIA-P.VIVAX/MALARIAE/OVALE,38.09,13.34,13.06,56.19,10
CPT,87899,HC RPD MALARIA-P.FALCIPARUM,38.09,13.34,13.06,56.19,10
CPT,87899,HC SHIGELLA TOXIN 1,39.25,13.74,13.46,56.19,10
CPT,87899,HC SHIGELLA TOXIN 2,39.25,13.74,13.46,56.19,10
CPT,87900,HC NFCT AGT DRUG SUSCEPT PHENOTYPE PREDICTION ARUP 3003853,548.24,191.89,130.35,455.81,10
CPT,87900,HC PHENOTYPE INFECT AGENT DRUG,907.06,317.48,130.35,507.95,10
CPT,87900,HC PHENOTYPE INFECT AGENT DRUG ARUP 2004331,907.06,317.48,130.35,507.95,10
CPT,87900,HC PHENOTYPE INFECT AGENT DRUG ARUP 2008438,1046.03,366.12,130.35,585.78,10
CPT,87900,HC PHENOTYPE INFECT AGENT DRUG ARUP 2010647,990.22,346.58,130.35,554.52,10
CPT,87900,HC PHENOTYPE INFECT AGENT DRUG ARUP 2010808,257.41,90.1,88.29,455.81,10
CPT,87900,HC PHENOTYPE INFECT AGENT DRUG ARUP 3002503,767.84,268.75,130.35,455.81,10
CPT,87900,HC PHENOTYPE INFECT AGENT DRUG ARUP TO LABCORP 551750,721.6,252.56,130.35,455.81,10
CPT,87900,HC PHENOTYPE INFECT AGENT DRUG ARUP TO QUEST 34949,795.04,278.27,130.35,455.81,10
CPT,87900,HC PHENOTYPE INFECT AGENT DRUG U OF UTAH 55177,784.53,274.59,130.35,455.81,10
CPT,87901,HC GENOTYPE DNA HIV REVERSE T  U OF UTAH 55177,784.53,274.59,257.45,900.27,10
CPT,87901,HC GENOTYPE DNA HIV REVERSE T ARUP 2004331,907.06,317.48,257.45,900.27,10
CPT,87901,HC GENOTYPE DNA HIV REVERSE T ARUP 20083438T,1046.03,366.12,257.45,900.27,10
CPT,87901,HC GENOTYPE DNA HIV REVERSE T ARUP 2010808,380.92,133.33,130.66,900.27,10
CPT,87901,HC GENOTYPE DNA HIV REVERSE T ARUP 3002503,767.84,268.75,257.45,900.27,10
CPT,87901,HC GENOTYPE DNA HIV REVERSE T ARUP TO QUEST 34949,795.04,278.27,257.45,900.27,10
CPT,87901,HC HIV-1 GENOTYPE/SEQENCING,1293.6,452.76,257.45,900.27,10
CPT,87901,HC NFCT GEXYP NUCLEIC ACID HIV REV TRNSCR&PROTEAS ARUP 3003853,548.24,191.89,188.05,900.27,10
CPT,87902,HC GENOTYPE DNA/RNA HEP C,907.06,317.48,257.45,900.27,10
CPT,87902,HC GENOTYPE DNA/RNA HEP C ARUP 2010647,990.22,346.58,257.45,900.27,10
CPT,87902,HC HCV GENOTYPE HIGH RESOLUTION,1090.32,381.62,257.45,900.27,10
CPT,87902,HC HCV GENOTYPING,734.21,256.98,251.83,900.27,10
CPT,87902,HC HEPATITIS C VIRUS (HCV) GENOTYPE WITH REFLEX TO HCV NS5A DRUG RESISTANCE BY SEQUENCING ARUP 20145,390.72,136.76,134.02,900.27,10
CPT,87902,HC HEPATITIS C VIRUS (HCV) NS5A DRUG RESISTANCE BY SEQUENCING ARUP 2014139,1441.44,504.51,257.45,900.27,10
CPT,87902,HC HEPATITIS C VIRUS GENOTYPE BY SEQUENCING ARUP 0055593,570.48,199.67,195.67,900.27,10
CPT,87902,HC HEPATITIS C VIRUS SUBTYPE,868.29,303.91,257.45,900.27,10
CPT,87903,HC PHENOTYPE DNA HIV W/CULTURE ARUP 2010808,723.24,253.14,248.07,1708.79,10
CPT,87904,HC NFCT PHEXYP RESIST TISS CUL HIV EA ADDL DRUG ARUP 2010808,257.41,90.1,26.07,144.15,10
CPT,87905,IA NZMTC ACTV OTH/THN VIRUS,,,12.22,42.73,7
CPT,87906,HC GENOTYPE DNA/RNA HIV  U OF UTAH 55177,784.53,274.59,128.73,450.17,10
CPT,87906,HC GENOTYPE DNA/RNA HIV ARUP 2008438,1046.03,366.12,128.73,585.78,10
CPT,87906,HC GENOTYPE DNA/RNA HIV ARUP 2010808,257.41,90.1,88.29,450.17,10
CPT,87906,HC GENOTYPE DNA/RNA HIV ARUP 3002503,767.84,268.75,128.73,450.17,10
CPT,87906,HC HIV-1 INTEGRASE GENOTYPE ARUP TO QUEST 16868,1590.05,556.52,128.73,890.43,10
CPT,87906,HC NFCT GEXYP DNA/RNA HIV 1 OTHER REGION ARUP 3003853,548.24,191.89,128.73,450.17,10
CPT,87910,HC CYTOMEGALOVIRUS ANTIVIRAL DRUG RESISTANCE BY SEQUENCING ARUP 2004760,2009.7,703.4,257.45,1125.43,10
CPT,87912,HC HEP B VIRUS GENOTYPE BY SEQ,1293.6,452.76,257.45,900.27,10
CPT,87912,HC NFCT AGENT GENOTYPE ALYS NUCLEIC ACD HEP B VIRUS ARUP TP LABCORP 551750,721.6,252.56,247.51,900.27,10
CPT,87913,NFCT AGT GNTYP ALYS SARSCOV2,,,0.02,900.27,7
CPT,87999,HC DARKFIELD WITHOUT COLLECTION,70.29,24.61,20.13,52.37,6
CPT,87999,HC HIV-1 TROFILE CO-RECEPTOR TROPISM ARUP 3001246,4596.9,1608.92,1316.55,3424.69,6
CPT,87999,HC TROFILE DNA CO-RECEPTOR TROPISM ASSAY ARUP 2004747,6170.47,2159.67,1767.22,4597.0,6
CPT,87999,HC VIRAL SUSCEPTIBITITY,550.07,192.53,157.54,409.8,6
CPT,88000,HC AUTOPSY GROSS NO CNS,260.66,91.24,74.65,317.54,6
CPT,88005,"HC NECROPSY (AUTOPSY), GROSS EXAMINATION ONLY; WITH BRAIN",401.98,140.7,115.13,370.56,6
CPT,88007,HC AUTOPSY GROSS BRAIN/SPINAL CORD,318.59,111.51,91.24,387.9,6
CPT,88012,HC AUTOPSY GROSS INFANT W BRAIN,260.66,91.24,74.65,317.54,6
CPT,88014,HC AUTOPSY GROSS STILLBORN,239.15,83.71,68.49,291.05,6
CPT,88016,HC AUTOPSY GROSS MACERATED STILL,333.07,116.58,95.39,405.72,6
CPT,88020,HC AUTOPSY GROSS/MICRO NO CNS,448.92,157.13,128.57,546.91,6
CPT,88025,HC AUTOPSY GROSS/MICRO W/BRAIN,434.45,152.06,124.43,529.09,6
CPT,88027,"HC NECROPSY (AUTOPSY), GROSS AND MICROSCOPIC; WITH BRAIN AND SPINAL CORD",612.57,214.4,175.44,564.25,6
CPT,88028,"HC NECROPSY (AUTOPSY), GROSS AND MICROSCOPIC, INFANT WITH BRAIN",344.42,120.55,98.64,317.54,6
CPT,88029,"HC NECROPSY (AUTOPSY), GROSS AND MICROSCOPIC; STILLBORN OR NEWBORN WITH BRAIN",344.42,120.55,98.64,317.54,6
CPT,88036,HC AUTOPSY LIMITED,130.33,45.62,37.33,158.53,6
CPT,88037,"HC NECROPSY (AUTOPSY), LIMITED, GROSS AND/OR MICROSCOPIC, SINGLE ORGAN",153.01,53.56,43.82,141.19,6
CPT,88040,FORENSIC AUTOPSY (NECROPSY),,,588.31,881.79,2
CPT,88045,HC AUTOPSY CORONER'S CALL,72.4,25.34,20.74,88.18,6
CPT,88099,HC AUTOPSY SLIDE,5.4,1.89,1.55,4.02,6
CPT,88104,CYTOPATH FL NONGYN SMEARS,,,34.57,3016.69,7
CPT,88106,CYTOPATH FL NONGYN FILTER,,,25.23,3618.41,7
CPT,88107,Mammogram,,,4357.45,4357.45,1
CPT,88108,"HC CYTO, FLUID PREP/CONC",72.09,25.24,24.73,3141.27,10
CPT,88112,"HC CYTOP,MONOLAYER W INT NONGYN",117.77,41.22,40.4,2831.71,10
CPT,88120,HC REFLEX CY 88120G UROVYSION FISH MANUAL ARUP 2001181 2004757,1685.38,589.89,152.32,38434.87,10
CPT,88121,HC BLADDER CANCER BY FISH ARUP 3016627,1605.12,561.8,179.72,26506.8,10
CPT,88121,HC REFLEX CY88121G BLADDER CANCER FISH ARUP RFLX CYBC88121G,1605.12,561.8,179.72,26506.8,10
CPT,88125,FORENSIC CYTOPATHOLOGY,,,22.31,1043.33,7
CPT,88130,SEX CHROMATIN IDENTIFICATION,,,17.98,62.87,7
CPT,88140,SEX CHROMATIN IDENTIFICATION,,,7.99,27.94,7
CPT,88141,HC CYTO-ABNORMAL PAP REVIEW,45.07,15.78,15.46,1588.7,10
CPT,88142,"HC CYTOP,MONOLAYER W/INT CX OR VG",130.98,45.85,20.26,73.35,10
CPT,88143,CYTOPATH C/V THIN LAYER REDO,,,23.04,80.56,7
CPT,88147,CYTOPATH C/V AUTOMATED,,,50.56,176.81,7
CPT,88148,CYTOPATH C/V AUTO RESCREEN,,,16.0,60.53,7
CPT,88150,CYTOPATH C/V MANUAL,,,15.92,60.53,7
CPT,88152,CYTOPATH C/V AUTO REDO,,,27.64,96.66,7
CPT,88153,CYTOPATH C/V REDO,,,24.03,84.04,7
CPT,88155,HC CYTO PAP SMEAR-MATUR INDEX,48.07,16.83,14.65,51.24,10
CPT,88160,HC CYTO-SMR/INTERP-NON-GYN,57.08,19.98,19.58,3541.35,10
CPT,88161,HC CYTO-PREP/SCREEN/INTERP,84.72,29.66,25.23,3684.07,10
CPT,88162,"HC CYTOP,SMEARS ANY SOURCE,EXT >5",118.36,41.43,40.6,5710.34,10
CPT,88164,HC CYTO-CYTOLOGY SMEAR (PAP),72.09,25.24,15.92,60.53,10
CPT,88165,CYTOPATH TBS C/V REDO,,,42.22,147.64,7
CPT,88166,CYTOPATH TBS C/V AUTO REDO,,,15.92,60.53,7
CPT,88167,CYTOPATH TBS C/V SELECT,,,15.92,60.53,7
CPT,88172,HC FNA ADEQUACY CHECK,301.96,105.69,31.48,1472.21,10
CPT,88173,HC CYTO-FINE NDL ASP-INTER &RP,203.08,71.08,50.75,6604.96,10
CPT,88174,CYTOPATH C/V AUTO IN FLUID,,,25.37,88.71,7
CPT,88175,HC CYTOPATH C/V AUTO-THNLAYR-DX,166.74,58.36,26.61,93.37,10
CPT,88175,HC CYTOPATH C/V AUTO-THNLAYR-SCRN,166.74,58.36,26.61,93.37,10
CPT,88177,"HC FNA ADEQUACY CHECK, EA ADDL",26.38,9.24,7.27,572.2,10
CPT,88182,HC PRODUCTS OF CONCEPTION PLOIDY,452.76,158.47,50.75,8679.49,10
CPT,88182,HC TELOMERE LENGTH MEASUREMENT ARUP TO JH LAB23526,1531.2,535.92,50.75,8679.49,10
CPT,88184,HC FC CELL/SURF/NUC MKR TC 1ST,765.02,267.76,112.9,5281.59,10
CPT,88184,HC FLOW CYTOMETRY 1ST MARKER ARUP 3001780,443.52,155.24,112.9,5281.59,10
CPT,88184,HC FLOW CYTOMETRY CELL SURF MARKER TECHL 1ST ARUP TO QUEST 34184,540.43,189.16,112.9,5281.59,10
CPT,88184,HC FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY 1ST ARUP 3001870,382.51,133.88,112.9,5281.59,10
CPT,88184,HC FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY 1ST ARUP 3001871,382.51,133.88,112.9,5281.59,10
CPT,88184,HC FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY 1ST ARUP 3003142,382.51,133.88,112.9,5281.59,10
CPT,88184,HC FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY 1ST ARUP TO NATONAL JEWISH GMCSE,361.51,126.53,112.9,5281.59,10
CPT,88184,HC FLOWCYTOMETRY/ TC 1 MARKER ARUP 2005416,361.51,126.53,112.9,5281.59,10
CPT,88184,HC FLOWCYTOMETRY/ TC 1 MARKER ARUP 3000886,361.51,126.53,112.9,5281.59,10
CPT,88184,HC FLOWCYTOMETRY/ TC 1 MARKER ARUP 3000887,361.51,126.53,112.9,5281.59,10
CPT,88184,HC FLOWCYTOMETRY/ TC 1 MARKER-ARUP0093199,503.6,176.26,112.9,5281.59,10
CPT,88184,HC FLOWCYTOMETRY/ TC 1 MARKER-ARUP8/CCHMC,361.51,126.53,112.9,5281.59,10
CPT,88184,HC HC FLOWCYTOMETRY/ TC 1 MARKER ARUP 3001780,503.6,176.26,112.9,5281.59,10
CPT,88184,HC IGE RECEPTOR ANTIBODY NATIONAL JEWISH CD203F,377.2,132.02,112.9,5281.59,10
CPT,88184,HC IMMUNOPHENOTYPING:  LEUKEMIA AND LYMPHOMA 88184 UCHEALTH,377.2,132.02,112.9,5281.59,10
CPT,88184,HC PERFORIN/GRANZYME B PROTEIN EXPRESSION-ARUP28/CCHMC,1774.08,620.93,112.9,5281.59,10
CPT,88184,HC RBC BAND 3 PROTEIN REDUCTION IN HEREDITARY SPHEROCYTOSIS -ARUP 2008460,413.95,144.89,112.9,5281.59,10
CPT,88185,HC FC CELL NUCLEAR MARKER TC ADDL,237.63,83.18,22.15,1692.58,10
CPT,88185,HC FLOW CYTOMETRY CELL SURF MARKER TECHL  EA ARUP TO QUEST 34184,540.43,189.16,22.15,1692.58,10
CPT,88185,HC FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY EA ARUP 3001870,39.26,13.75,13.47,1692.58,10
CPT,88185,HC FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY EA ARUP 3001871,39.26,13.75,13.47,1692.58,10
CPT,88185,HC FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY EA ARUP 3003142,100.79,35.28,22.15,1692.58,10
CPT,88185,HC FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY EA ARUP TO NATIONAL JEWISH GMCSE,73.63,25.78,22.15,1692.58,10
CPT,88185,HC FLOW CYTOMETRY EACH ADDITIONAL MARKER ARUP 3001780,36.96,12.94,12.68,1692.58,10
CPT,88185,HC FLOWCYTOMETRY 2ND MKR,172.48,60.37,22.15,1692.58,10
CPT,88185,HC FLOWCYTOMETRY 3RD MKR,172.48,60.37,22.15,1692.58,10
CPT,88185,HC FLOWCYTOMETRY/TC ADD-ON ARUP 2005416,94.85,33.2,22.15,1692.58,10
CPT,88185,HC FLOWCYTOMETRY/TC ADD-ON ARUP 3000886,147.32,51.57,22.15,1692.58,10
CPT,88185,HC FLOWCYTOMETRY/TC ADD-ON ARUP 3000887,90.64,31.73,22.15,1692.58,10
CPT,88185,HC FLOWCYTOMETRY/TC ADD-ON-ARUP0093199,53.72,18.81,18.43,1692.58,10
CPT,88185,HC FLOWCYTOMETRY/TC ADD-ON-ARUP8/CCHMC,278.59,97.51,22.15,1692.58,10
CPT,88185,HC HC FLOWCYTOMETRY/TC ADD-ON ARUP 3001780,56.32,19.72,19.32,1692.58,10
CPT,88185,HC IMMUNOPHENOTYPING:  LEUKEMIA AND LYMPHOMA 88185 UCHEALTH,147.84,51.75,22.15,1692.58,10
CPT,88187,HC FLOWCYTOMETRY/READ 2-8-ARUP8/CCHMC,278.59,97.51,35.78,2380.79,10
CPT,88187,HC REFLEX PROFESSIONAL CHARGE FOR LEUK/LYMPH PHENO 2-8 MARKERS ARUP 2008060,236.54,82.79,35.78,2380.79,10
CPT,88188,HC FLOW CYTOMETRY INTERP 9-15 MARKERS ARUP 3003142,100.79,35.28,34.57,4181.91,10
CPT,88188,HC FLOW CYTOMETRY INTERP 9-15MKRS,112.66,39.44,38.64,4181.91,10
CPT,88188,HC REFLEX PROFESSIONAL CHARGE FOR LEUK/LYMPH PHENO 9-15 MARKERS ARUP 2008062,310.46,108.67,59.59,4181.91,10
CPT,88189,FLOWCYTOMETRY/READ 16 & >,,,80.68,5645.41,7
CPT,88199,UNLISTED CYTOPATHOLOGY PX,,,50.75,89.5,5
CPT,88230,"HC CULTURE, LYMPHOCYTE",480.48,168.17,116.49,407.36,10
CPT,88230,HC TISS CUL NON-NEO DISORDERS LYMPHOCYTE ARUP TO MOLECULERA LABS,375.84,131.55,116.49,407.36,10
CPT,88230,HC TISSUE CULTURE LYMPHOCYTE 2,392.93,137.53,116.49,407.36,10
CPT,88230,HC TISSUE CULTURE LYMPHOCYTE ARUP 2002289,431.2,150.92,116.49,407.36,10
CPT,88230,HC TISSUE CULTURE NND-LYMPHOCYTE1,392.93,137.53,116.49,407.36,10
CPT,88230,HC TISSUE CULTURE; LYMPHOCYTES CGL,308.24,107.89,105.73,407.36,10
CPT,88233,HC CULTURE SKIN/SOLID TISSUE BX,606.14,212.15,140.73,492.13,10
CPT,88233,HC REFLEX TISSUE SUBCULTURING BILL (3 T-25 FLASKS) ARUP RFLX CPT88233S-3,831.6,291.06,140.73,492.13,10
CPT,88233,HC REFLEX TISSUE SUBCULTURING BILL (4 T-25 FLASKS) ARUP RFLX CPT88233S-4,1108.8,388.08,140.73,620.93,10
CPT,88233,HC REFLEX TISSUE SUBCULTURING FEE (2 T-25 FLASKS) ARUP RFLXCPT88233S,554.4,194.04,140.73,492.13,10
CPT,88233,"HC REFLEX TISSUE, NON-NEOPLASTIC CULTURE PROCESSING FEE ARUP 0093270",519.2,181.72,140.73,492.13,10
CPT,88233,"HC REFLEX TISSUE, NON-NEOPLASTIC CULTURE PROCESSING FEE ARUP RFLX CPT 88233",554.4,194.04,140.73,492.13,10
CPT,88233,HC TARGETED VARIANT TESTING CTBP1 ARUP -GENEDX 0040182,554.4,194.04,140.73,492.13,10
CPT,88233,HC TISS CULT NND SKIN/OST-BIOPSY1,430.495,150.68,132.51,492.13,20
CPT,88233,HC TISS CULT NND SKIN/OST-BIOPSY2,469.405,164.3,140.73,492.13,20
CPT,88233,"HC TISSUE CULTURE, SKIN OR SOLID TISSUE BIOPSY CGL",403.6,141.26,138.43,492.13,10
CPT,88233,HC TUSSUE CULTURE SENDOUT 1,464.15,162.46,140.73,492.13,10
CPT,88235,HC AMNIOTIC FLUID OR CHORIONIC VILLUS CELLS CGL,581.01,203.36,150.3,525.58,10
CPT,88235,HC CHROMOSOME CULTURE,392.94,137.53,134.78,525.58,10
CPT,88235,HC CULTURE AMNIO FL/CHRNIC VILLS,905.52,316.94,150.3,525.58,10
CPT,88235,HC REFLEX AMINO/CVS SUBCULTURING FEE (2 T-25 FLASKS) ARUP RFLX CPT88235S,462.0,161.7,150.3,525.58,10
CPT,88235,HC REFLEX AMNIOTIC FLUID CULTURE PROCESSING FEE ARUP RFLX CPT 88235,462.0,161.7,150.3,525.58,10
CPT,88235,HC REFLEX AMNIOTIC OR CVS SUBCULTURING BILL (3 T-25 FLASKS) ARUP RFLX CPT88235S-3,693.0,242.55,150.3,525.58,10
CPT,88235,HC REFLEX AMNIOTIC OR CVS SUBCULTURING BILL (5 T-25 FLASKS) ARUP RFLX CPT88235S-5,1155.0,404.25,150.3,646.8,10
CPT,88235,HC TISS CUL NON-NEO DISORDERS AMNIOTIC/CHORNC CELLS ARUP 2002293,720.72,252.26,150.3,525.58,10
CPT,88235,HC TISS CULT FOR NON-NEOPLASTIC DISD AMNIOTIC FL OR CHORN VILLUS CELLS ARUP TO PREVENTION GENETICS 990,1455.3,509.36,150.3,814.97,10
CPT,88235,HC TISSUE CULTURE (CV),463.23,162.14,150.3,525.58,10
CPT,88235,"HC TISSUE CULTURE, AF",463.23,162.14,150.3,525.58,10
CPT,88237,HC TISS CULT NND-BNMARR/BLD CELS1,867.64,303.68,143.75,502.67,10
CPT,88237,HC TISS CULT NND-BNMARR/BLD CELS2,867.64,303.68,143.75,502.67,10
CPT,88237,HC TISS CULT NPD BM/BL CELLS1,463.23,162.14,143.75,502.67,10
CPT,88237,HC TISS CULT NPD BM/BL CELLS2,463.23,162.14,143.75,502.67,10
CPT,88237,HC TISSUE CULTURE BONE MARROW,463.23,162.14,143.75,502.67,10
CPT,88237,HC TISSUE CULTURE BONE MARROW BLOOD CELLS ARUP 2002290,785.4,274.89,143.75,502.67,10
CPT,88237,"HC TISSUE CULTURE, BONE MARROW/BLOOD CELLS CGL",740.67,259.24,143.75,502.67,10
CPT,88239,"HC CULTURE ONLY, TUMOR",1419.47,496.82,147.52,794.9,10
CPT,88239,HC TISSUE CULT NND-SOLID TUMOR,1319.47,461.82,147.52,738.9,10
CPT,88239,HC TISSUE CULT NND-SOLID TUMOR1,1256.64,439.83,147.52,703.72,10
CPT,88239,HC TISSUE CULT NND-SOLID TUMOR2,989.6,346.36,147.52,554.18,10
CPT,88239,HC TISSUE CULTURE FOR SOLID TUMOR,650.71,227.75,147.52,515.86,10
CPT,88239,HC TISSUE CULTURE TUMOR CGL 88239,869.3,304.26,147.52,515.86,10
CPT,88240,HC CRYOPRESERV FRZ&STOR-EA CEL LN,90.12,31.55,13.07,50.47,10
CPT,88240,HC CRYOPRESERVATION,646.8,226.38,13.07,362.21,10
CPT,88240,HC REFLEX CRYOPRESERVATION ARUP RFLX CPT 88240,554.4,194.04,13.07,310.46,10
CPT,88241,"HC THAW&EXPAN FRZN CELLS,EA ALIQ",62.91,22.02,12.09,42.28,10
CPT,88245,CHROMOSOME ANALYSIS 20-25,,,173.17,605.56,7
CPT,88248,HC CHROMO ANAL FOR BRKG 50-100,1078.5,377.48,173.17,605.56,10
CPT,88248,HC CHROMOSOME ANALYSIS FOR FR X,1119.35,391.78,173.17,626.84,10
CPT,88249,HC CHROM ANAL BRKG CLASTOGEN STRS,1078.5,377.48,173.17,605.56,10
CPT,88261,"HC CHROMOSOME ANALYSIS, COUNT 5 CELLS, 1 KARYOTYPES CGL",747.33,261.57,256.33,924.38,10
CPT,88262,HC ANALYSIS 20 CELLS BONE MARROW,820.13,287.05,125.49,459.27,10
CPT,88262,"HC CHROMO ANAL 15-20,2K,W BAND",820.13,287.05,125.49,459.27,10
CPT,88262,"HC CHROMO ANLS 15-20,2K,W BAND",820.13,287.05,125.49,459.27,10
CPT,88262,HC CHROMOSOME ANALY 15-20 BLOOD,820.13,287.05,125.49,459.27,10
CPT,88262,HC CHROMOSOME ANALYSIS 15-20 ARUP 2002289,431.2,150.92,125.49,438.83,10
CPT,88262,"HC CHROMOSOME ANALYSIS 15-20 CELLS, 2 KARYOTYPES CGL",975.74,341.51,125.49,546.41,10
CPT,88262,HC CS ANLS 15-20 CELL/2KT W/BANDG,820.13,287.05,125.49,459.27,10
CPT,88263,"HC CHROMOSOME ANALYSIS, COUNT 45 CELLS, 2 KARYOTYPES (CGL)",1266.25,443.19,150.29,709.1,10
CPT,88264,HC CHROMO ANAL BONE MARROW,785.29,274.86,144.61,505.69,10
CPT,88264,HC CHROMOSOME ANALYSIS 20-25 CELLS ARUP 202290,785.4,274.89,144.61,505.69,10
CPT,88264,"HC CHROMOSOME ANALYSIS, ANALYZE 20-25 CELLS CGL",1428.13,499.85,144.61,799.75,10
CPT,88267,"HC CHROMOSOME ANLYSIS, 2",595.43,208.41,188.57,659.42,10
CPT,88269,HC CHRM ANLS-AF/6-12CLNY/1KT/BNDG,1681.68,588.59,173.66,941.74,10
CPT,88269,HC CHRMSM SITU AMNIOTIC CLL 6-12 COLONIES 1KARYOTYP ARUP 2002293,720.72,252.26,173.66,607.26,10
CPT,88269,"HC CHROMOSOME ANALYSIS, IN SITU, 6-12 COLONIES, 1 KARYOTYPE CGL",1077.76,377.22,173.66,607.26,10
CPT,88271,HC  CYTOGENETICS DNA PROBE-ARUP 2002378,303.9,106.37,21.42,170.18,10
CPT,88271,"HC CGL MOLECULAR CYTOGENETICS; DNA PROBE, EACH",157.45,55.11,21.42,88.17,10
CPT,88271,HC CYTOGENETICS DNA PROBE ARUP 2002299,469.71,164.4,21.42,263.04,10
CPT,88271,HC CYTOGENETICS DNA PROBE ARUP 2002363,369.6,129.36,21.42,206.98,10
CPT,88271,HC CYTOGENETICS DNA PROBE ARUP TO MAYO USPF,837.32,293.07,21.42,468.9,10
CPT,88271,HC CYTOGENETICS DNA PROBE CGL,178.38,62.44,21.42,99.89,10
CPT,88271,HC MOL CYTOGEN ISH 100-300CELL-1,465.7,163.0,21.42,260.79,10
CPT,88271,HC MOL CYTOGEN ISH 100-300CELL-2,465.7,163.0,21.42,260.79,10
CPT,88271,HC MOL CYTOGEN ISH 100-300CELL-3,465.7,163.0,21.42,260.79,10
CPT,88271,HC MOLECLAR CYTOGENTIC DNA PROB10,147.84,51.75,21.42,82.79,10
CPT,88271,HC MOLECLAR CYTOGENTIC DNA PROB11,147.84,51.75,21.42,82.79,10
CPT,88271,HC MOLECLAR CYTOGENTIC DNA PROB12,147.84,51.75,21.42,82.79,10
CPT,88271,HC MOLECULAR CYTOGENETICS DNA PROBE EA -MAYO PLASF,1386.0,485.1,21.42,776.16,10
CPT,88271,HC MOLECULAR CYTOGENETICS DNA PROBE EA ARUP 2002297,173.25,60.64,21.42,97.02,10
CPT,88271,HC MOLECULAR CYTOGENETICS DNA PROBE EACH ARUP 2002295,251.22,87.93,21.42,140.68,10
CPT,88271,HC MOLECULAR CYTOGENETICS DNA PROBE EACH ARUP 2002298,462.0,161.7,21.42,258.72,10
CPT,88271,HC MOLECULAR CYTOGENETICS DNA PROBE EACH ARUP TO MAYO EOSMF,707.78,247.73,21.42,396.36,10
CPT,88271,HC MOLECULAR CYTOGENETICS DNA PROBE EACH MAYO CLINIC LAB MDM2F,667.04,233.47,21.42,373.54,10
CPT,88271,HC MOLECULAR CYTOGENETICS DNA PROBE EACH MAYO FGFR2,1179.15,412.71,21.42,660.32,10
CPT,88271,HC MOLECULAR CYTOGENETICS DNA PROBE EACH MAYO MAMLF,831.75,291.12,21.42,465.78,10
CPT,88271,HC MOLECULAR CYTOGENETICS DNA PROBE EACH MAYO METF,1179.15,412.71,21.42,660.32,10
CPT,88271,HC MOLECULAR CYTOGENETICS DNA PROBE EACH MAYO PB02,92.4,32.34,21.42,74.91,10
CPT,88271,HC MOLECULAR CYTOGENETICS DNA PROBE EACH MAYO PB03,92.4,32.34,21.42,74.91,10
CPT,88271,HC MOLECULAR CYTOGENETICS DNA PROBE EACH MAYO PBCT,73.92,25.88,21.42,74.91,10
CPT,88271,HC MOLECULAR CYTOGENETICS DNA PROBE EACH MAYO PDGF,950.18,332.57,21.42,532.1,10
CPT,88271,HC MOLECULAR CYTOGENETICS DNA PROBE EACH MAYO RETF,1179.15,412.71,21.42,660.32,10
CPT,88271,HC MOLECULAR CYTOGENETICS DNA PROBE EACH MAYO TFEBF,1188.22,415.88,21.42,665.4,10
CPT,88271,"HC MOLECULAR CYTOGENETICS; DNA PROBE, EACH CGL",157.45,55.11,21.42,88.17,10
CPT,88271,HC MOLECULAR CYTOGENTIC DNA PROB1,162.625,56.925,21.42,99.35,20
CPT,88271,HC MOLECULAR CYTOGENTIC DNA PROB2,162.905,57.019999999999996,21.42,132.46,40
CPT,88271,HC MOLECULAR CYTOGENTIC DNA PROB3,148.4,51.94,21.42,99.35,30
CPT,88271,HC MOLECULAR CYTOGENTIC DNA PROB4,148.4,51.94,21.42,99.35,30
CPT,88271,HC MOLECULAR CYTOGENTIC DNA PROB5,148.4,51.94,21.42,99.35,30
CPT,88271,HC MOLECULAR CYTOGENTIC DNA PROB6,162.625,56.925,21.42,99.35,20
CPT,88271,HC MOLECULAR CYTOGENTIC DNA PROB7,147.84,51.75,21.42,82.79,10
CPT,88271,HC MOLECULAR CYTOGENTIC DNA PROB8,147.84,51.75,21.42,82.79,10
CPT,88271,HC MOLECULAR CYTOGENTIC DNA PROB9,147.84,51.75,21.42,82.79,10
CPT,88271,HC MOLECULAR CYTOGENTICS DNA PRBE,148.4,51.94,21.42,83.1,10
CPT,88271,HC MOLECULAR CYTOGNT DNA PROB-ADD,236.54,82.79,21.42,132.46,10
CPT,88271,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 6 MAYO EWSR1 EWSF,872.16,305.26,21.42,488.41,10
CPT,88271,"HC PROBE, +1 MAYO PADD",73.92,25.88,21.42,74.91,10
CPT,88272,"HC CHROMOSOMAL IN SITU HYBRIDIZATION, ANALYZE 3-5 CELLS CGL",321.55,112.55,40.7,180.07,10
CPT,88273,HC CGL MOLECULAR CYTOGENETICS; ANALYZE 10-30 CELLS,323.77,113.32,34.81,181.31,10
CPT,88273,HC CYTOGENETICS 10-30 ARUP 2002299,469.71,164.4,34.81,263.04,10
CPT,88274,HC CGL MOLECULAR CYTOGENETICS; ANALYZE 25-99 CELLS,350.38,122.64,42.38,196.21,10
CPT,88274,"HC INTERPHASE IN SITU HYBRIDIZATION, ANALYZE 25-99 CELLS CGL",350.38,122.64,42.38,196.21,10
CPT,88274,HC INTERPHASEINSITU HYBRID25-99,216.61,75.82,42.38,148.2,10
CPT,88274,"HC INTERPHASES, 25-99 MAYO IO99",111.57,39.05,38.27,148.2,10
CPT,88274,"HC INTERPHASES, <25 MAYO IL25",111.57,39.05,38.27,148.2,10
CPT,88275,HC CGL MOLECULAR CYTOGENETICS; ANALYZE 100-300 CELLS,410.26,143.6,51.19,229.75,10
CPT,88275,HC CYTOGENETICS 100-300 ARUP 2002363,369.6,129.36,51.19,206.98,10
CPT,88275,HC CYTOGENETICS 100-300 ARUP TO MAYO USPF,837.32,293.07,51.19,468.9,10
CPT,88275,HC CYTOGENETICS 100-300 CGL,178.38,62.44,51.19,179.02,10
CPT,88275,HC CYTOGENETICS 100-300-ARUP 2002378,303.9,106.37,51.19,179.02,10
CPT,88275,"HC INTERPHASES, 100-300 MAYO I300",111.57,39.05,38.27,179.02,10
CPT,88275,HC INTRPHS IN SITU HYB (100-300)3,249.94,87.48,51.19,179.02,10
CPT,88275,HC INTRPHS IN SITU HYB (100-300)4,249.94,87.48,51.19,179.02,10
CPT,88275,HC MOL CYTOGEN ISH 100-300CELL-1,319.01,111.655,51.19,217.32,20
CPT,88275,HC MOL CYTOGEN ISH 100-300CELL-2,319.01,111.655,51.19,217.32,20
CPT,88275,HC MOL CYTOGEN ISH 100-300CELL-3,388.08,135.83,51.19,217.32,10
CPT,88275,HC MOL CYTOGEN ISH 100-300CELL-4,388.08,135.83,51.19,217.32,10
CPT,88275,HC MOL CYTOGEN ISH 100-300CELL-5,388.08,135.83,51.19,217.32,10
CPT,88275,HC MOL CYTOGEN ISH 100-300CELL-6,388.08,135.83,51.19,217.32,10
CPT,88275,HC MOL CYTOGEN ISH 100-300CELL-EA,620.93,217.33,51.19,347.72,10
CPT,88275,HC MOLEC CYTG INTERPHASE ISH ANALYZE 100-300 CLL ARUP 2002295,251.22,87.93,51.19,179.02,10
CPT,88275,HC MOLEC CYTG INTERPHASE ISH ANALYZE 100-300 CLL ARUP 2002297,173.25,60.64,51.19,179.02,10
CPT,88275,HC MOLEC CYTG INTERPHASE ISH ANALYZE 100-300 CLL ARUP 2002298,462.0,161.7,51.19,258.72,10
CPT,88275,HC MOLEC CYTG INTERPHASE ISH ANALYZE 100-300 CLL ARUP TO MAYO EOSMF,707.78,247.73,51.19,396.36,10
CPT,88275,HC MOLECULAR CYTOHYBIRD 100-300 2,249.94,87.48,51.19,179.02,10
CPT,88280,HC ADDITIONAL KARYOTYPES CGL,168.54,58.99,33.47,117.04,10
CPT,88280,"HC CS ANLS-ADNL KARYOTYPES, EACH",163.13,57.1,33.47,117.04,10
CPT,88283,HC ADDITIONAL BANDING,431.99,151.2,68.6,241.91,10
CPT,88283,HC FISH PROBE,445.52,155.94,68.6,249.49,10
CPT,88285,HC ADDITIONAL CELLS COUNTED FOR CHROM ANALYSIS CGL,130.83,45.8,26.91,94.1,10
CPT,88289,HC ADD'L HIGH RESOLUTION STUDY,214.5,75.08,34.43,120.39,10
CPT,88289,HC ADDITIONAL HIGH RESOLUTION STUDY CGL,257.25,90.04,34.43,144.06,10
CPT,88291,HC CYTO/MOLECULAR REPORT ARUP 2002289,431.2,150.92,33.57,2223.99,10
CPT,88291,HC CYTO/MOLECULAR REPORT ARUP 2002363,369.6,129.36,33.57,2223.99,10
CPT,88291,HC CYTO/MOLECULAR REPORT-ARUP 2002378,303.9,106.37,33.57,2223.99,10
CPT,88291,HC CYTOGENETICS INTERPRETATION & REPORT CGL 88291,135.28,47.35,33.57,2223.99,10
CPT,88291,HC CYTOGENETICS&MOLEC CYTOGENETICS INTERP&REP MAYO CLINIC LAB MDM2F,667.04,233.47,33.57,2223.99,10
CPT,88291,HC CYTOGENETICS&MOLEC CYTOGENETICS INTERP&REP MAYO MAMLF,831.75,291.12,33.57,2223.99,10
CPT,88291,HC CYTOGENETICS&MOLEC CYTOGENETICS INTERP&REP MAYO PDGF,950.18,332.57,33.57,2223.99,10
CPT,88291,HC CYTOGENETICS&MOLEC CYTOGENETICS INTERP&REP-MAYO PLASF,1386.0,485.1,33.57,2223.99,10
CPT,88299,HC FIBROBLST TISS CULT STIM PROB,153.81,53.84,44.05,92.29,10
CPT,88300,"HC SURG PATH, LVL I GROSS ONLY",49.27,17.25,16.9,828.84,10
CPT,88302,"HC SURG PATH, LVL II GROSS/MICRO",86.53,30.29,25.23,1854.04,10
CPT,88304,"HC SURG PATH, LVL III GROSS/MICRO",118.36,41.43,40.6,2235.38,10
CPT,88305,"HC 88305-LEVEL IV, GROSS & MICRO ARUP 8900100",292.72,102.46,50.75,2473.89,10
CPT,88305,HC LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM ARUP 2013260,57.28,20.05,19.65,2473.89,10
CPT,88305,HC LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM ARUP 2013261,456.19,159.67,50.75,2473.89,10
CPT,88305,HC LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM UCH NEUROMUSCULAR LAB,1028.63,360.03,50.75,2473.89,10
CPT,88305,"HC SURG PATH, LVL IV GROSS/MICRO",208.59,73.01,50.75,2473.89,10
CPT,88305,HC SURGICAL PATHOLOGY - UHC NERVE & MUSCLE BIOPSY,262.04,91.72,50.75,2473.89,10
CPT,88307,"HC SURG PATH, LVL V GROSS/MICRO",987.99,345.8,297.45,14878.36,10
CPT,88309,"HC SURG PATH, LVL VI GROSS/MICRO",1830.14,640.55,449.58,21029.58,10
CPT,88311,HC HISTO-DECALCIFICATION,48.07,16.83,8.65,590.33,10
CPT,88312,HC HISTO-SPECIAL STAIN GROUP I,115.32,40.37,39.55,6145.21,10
CPT,88313,"HC AMYLOID PROTEIN ID, PAR, LC MS/MS MAYO AMPIP",480.0,168.0,34.57,4977.3,10
CPT,88313,"HC CONGO RED, STAIN",588.04,205.82,34.57,4977.3,10
CPT,88313,HC HISTO-SPECIAL STAIN GP II,204.0,71.4,34.57,4977.3,10
CPT,88313,HC JONES KIDNEY STAIN ARUP 8003210,182.95,64.04,34.57,4977.3,10
CPT,88313,HC MASSON TRICHROME STAIN ARUP 8003440,182.95,64.04,34.57,4977.3,10
CPT,88313,HC PERIODIC ACID SCHIFF ARUP 2000856,182.95,64.04,34.57,4977.3,10
CPT,88313,HC PUCH MOD OF BENHOLD ST,497.11,173.99,34.57,4977.3,10
CPT,88313,HC SPCL STN 2 I&R EXCPT MICROORG/ENZYME/IMCYT ARUP 2013260,129.54,45.34,34.57,4977.3,10
CPT,88313,HC SPCL STN 2 I&R EXCPT MICROORG/ENZYME/IMCYT ARUP 2013261,456.19,159.67,34.57,4977.3,10
CPT,88313,"HC SPECIAL STAIN, CONGO RED ARUP 2005924",138.82,48.59,34.57,4977.3,10
CPT,88313,"HC SPECIAL STAIN, OIL RED O ARUP 2005978",164.47,57.57,34.57,4977.3,10
CPT,88313,HC STAIN FONTANA-MASSON TC ARUP 2005939,184.8,64.68,34.57,4977.3,10
CPT,88314,HC HISTOCHEM STAIN W/FROZ SECTION,346.98,121.45,79.25,5001.43,10
CPT,88314,HC HISTOCHEMICAL STAINS ADD-ON-UHC NERVE BIOPSY,290.14,101.55,79.25,5001.43,10
CPT,88314,HC SPECIAL STAIN I&R HISTOCHEMICAL W/FROZEN TISSU ARUP 2013260,57.28,20.05,19.65,5001.43,10
CPT,88314,HC SPECIAL STAIN I&R HISTOCHEMICAL W/FROZEN TISSU UCH NEUROMUSCULAR LAB,1028.63,360.03,79.25,5001.43,10
CPT,88318,Mammogram,,,6717.53,6717.53,1
CPT,88319,HC SPECIAL STAIN I&R GROUP III ENZYME CONSITUENTS ARUP 2013260,820.97,287.34,165.92,7760.87,10
CPT,88319,HC SPECIAL STAIN I&R GROUP III ENZYME CONSITUENTS UCH NEUROMUSCULAR LAB,1830.14,640.55,165.92,7760.87,10
CPT,88321,HC HISTO-CONS/RPT REFER SLIDES,117.16,41.01,34.57,5628.63,10
CPT,88323,HC CONS/RPT W/SLIDE PREP,202.79,70.98,42.69,1996.87,10
CPT,88323,HC REF MICROSLIDE CONSULTATION,1722.34,602.82,42.69,1996.87,10
CPT,88325,HC REF COMPREHENSIVE REVIEW OF DATA,1722.34,602.82,152.32,8985.74,10
CPT,88329,HC HISTO-OR CONSULTATION,130.17,45.56,34.57,2388.14,10
CPT,88331,HC PATHCNSLT INTROP 1-BLK FS/SPEC,363.53,127.24,62.57,2926.89,10
CPT,88332,"HC PATH CNSULT INTRAOP, ADDL",99.74,34.91,24.57,1758.24,10
CPT,88333,HC CYTO EXAM DURING SURG-INITIAL,1830.14,640.55,48.8,2282.91,10
CPT,88334,HC CYTO EXAM DURING SURG-EA ADDL,69.03,24.17,19.38,1383.03,10
CPT,88341,"HC ACTIN, MUSCLE SPECIFIC-ADDL",215.15,75.31,61.6,4172.6,10
CPT,88341,HC ALPHA-FETOPROTEIN-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC AMERIPATH IHC-SENDOUT-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC BCL-2 ONCOPROTEIN-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC CALRETININ-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC CD10-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC CD117-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC CD15-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC CD20-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC CD23-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC CD3-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC CD30-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC CD34-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC CD43-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC CD45-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC CD5-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC CD56-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC CD68-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC CD99-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC CEA MONOCLONAL-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC CHROMOGRANIN A-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC CMV-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC CYTOKERATIN 20-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC CYTOKERATIN 7-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC CYTOKERATIN AE1/AE3 COCKTAIL-2,215.15,75.31,61.6,4172.6,10
CPT,88341,HC CYTOKERATIN-HI MOLECULR WGHT-2,215.15,75.31,61.6,4172.6,10
CPT,88341,HC DESMIN-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC HMB45-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC HSV-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,"HC IHC, EA ADDL ANTIBODY",410.03,143.52,61.6,4172.6,10
CPT,88341,HC IMHISTOCHEM/CYTCHM EA ADDL ANTIBODY SLIDE BRIGHAM WOMENS HOSPITAL,1777.78,622.23,61.6,4172.6,10
CPT,88341,HC IMMUNOHISTO ANTB ADDL SLIDE ARUP 2008895,410.03,143.52,61.6,4172.6,10
CPT,88341,HC IMMUNOHISTOCHEMISTRY ADDL AB,215.15,75.31,61.6,4172.6,10
CPT,88341,HC MYELOPEROXIDASE-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC NEURON SPECIFIC ENOLASE-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC PLACENTAL ALK PHOSPHATASE-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC PROSTATE SPECIFIC ANTIGEN-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC S-100 PROTEIN-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88341,HC THYROID TRANSCRIPTION FACTOR-2,215.15,75.31,61.6,4172.6,10
CPT,88341,HC VIMENTIN-ADDL,215.15,75.31,61.6,4172.6,10
CPT,88342,"HC ACTIN, MUSCLE SPECIFIC",294.29,103.01,100.29,4691.14,10
CPT,88342,HC ADENOVIRUS BY IMMUNOHISTOCHEMISTRY ARUP 2003430,277.2,97.02,95.08,4691.14,10
CPT,88342,HC ALK (D5F3) BY IMMUNOHISTOCHEMISTRY W REF TO ALK GENE REARRANGEMENTS BY FISH ARUP 2011431,316.8,110.88,100.29,4691.14,10
CPT,88342,HC ALK (D5F3) WITH INTERPRETATION BY IHC ARUP 2007324,351.12,122.9,100.29,4691.14,10
CPT,88342,HC ALPHA-FETOPROTEIN (AFP),294.29,103.01,100.29,4691.14,10
CPT,88342,HC AMERIPATH IHC - SENDOUT,294.29,103.01,100.29,4691.14,10
CPT,88342,HC BCL-2 ONCOPROTEIN,294.29,103.01,100.29,4691.14,10
CPT,88342,HC CALRETININ,294.29,103.01,100.29,4691.14,10
CPT,88342,HC CD10,294.29,103.01,100.29,4691.14,10
CPT,88342,HC CD117,294.29,103.01,100.29,4691.14,10
CPT,88342,HC CD15,294.29,103.01,100.29,4691.14,10
CPT,88342,HC CD20,294.29,103.01,100.29,4691.14,10
CPT,88342,HC CD23,294.29,103.01,100.29,4691.14,10
CPT,88342,HC CD3,294.29,103.01,100.29,4691.14,10
CPT,88342,HC CD30,294.29,103.01,100.29,4691.14,10
CPT,88342,HC CD34,294.29,103.01,100.29,4691.14,10
CPT,88342,HC CD43,294.29,103.01,100.29,4691.14,10
CPT,88342,HC CD45,294.29,103.01,100.29,4691.14,10
CPT,88342,HC CD5,294.29,103.01,100.29,4691.14,10
CPT,88342,HC CD56,294.29,103.01,100.29,4691.14,10
CPT,88342,HC CD68,294.29,103.01,100.29,4691.14,10
CPT,88342,HC CD79A,800.31,280.11,100.29,4691.14,10
CPT,88342,HC CD99,294.29,103.01,100.29,4691.14,10
CPT,88342,"HC CEA, MONOCLONAL",294.29,103.01,100.29,4691.14,10
CPT,88342,HC CHROMOGRANIN A,294.29,103.01,100.29,4691.14,10
CPT,88342,HC CMV,294.29,103.01,100.29,4691.14,10
CPT,88342,HC CYTOKERATIN 20,294.29,103.01,100.29,4691.14,10
CPT,88342,HC CYTOKERATIN 7,294.29,103.01,100.29,4691.14,10
CPT,88342,HC CYTOKERATIN AE1/AE3 COCKTAIL,294.29,103.01,100.29,4691.14,10
CPT,88342,"HC CYTOKERATIN, HI MOLECULAR WGHT",294.29,103.01,100.29,4691.14,10
CPT,88342,HC CYTOMEGALOVIRUS (CMV) BY IMMUNOHISTOCHEMISTRY ARUP 2003833,235.2,82.32,80.67,4691.14,10
CPT,88342,HC DESMIN,294.29,103.01,100.29,4691.14,10
CPT,88342,HC GALECTIN-3 IMMUNOHISTOCHEMICAL,294.29,103.01,100.29,4691.14,10
CPT,88342,HC GLIAL FIBRILLARY ACIDIC PROTEIN (GFAP) BY IMMUNOHISTOCHEMISTRY ARP 2003899,235.2,82.32,80.67,4691.14,10
CPT,88342,HC HEPATOCYTE IMMUNOHISTOCHEMICAL,294.29,103.01,100.29,4691.14,10
CPT,88342,HC HSV,294.29,103.01,100.29,4691.14,10
CPT,88342,HC IDH1 R132H POINT MUTATION BY ICH W/RFLX ARUP 3002134,345.58,120.96,100.29,4691.14,10
CPT,88342,HC IHC BILLG C4D ARUP 2000645,345.58,120.96,100.29,4691.14,10
CPT,88342,HC IHC BILLG SV40 ARUP 2002056,345.58,120.96,100.29,4691.14,10
CPT,88342,HC IHC EA-PER BLOCK 1ST PER SLIDE,294.29,103.01,100.29,4691.14,10
CPT,88342,"HC IHC, INITIAL SNGL ANTIBODY",294.29,103.01,100.29,4691.14,10
CPT,88342,HC IMHISTOCHEM/CYTCHM INIT ANTIBODY STAIN PROCEDURE BRIGHAM WOMENS HOSPITAL,1788.86,626.11,100.29,4691.14,10
CPT,88342,HC IMMUNOHISTO ANTB 1ST STAIN ARUP 2008895,410.03,143.52,100.29,4691.14,10
CPT,88342,HC IMMUNOHISTOCHEMISTRY-EA AB,294.29,103.01,100.29,4691.14,10
CPT,88342,HC MYELOPEROXIDASE,294.29,103.01,100.29,4691.14,10
CPT,88342,HC NEURON SPECIFIC ENOLASE,294.29,103.01,100.29,4691.14,10
CPT,88342,HC PLACENTAL ALKALINE PHOSPHATASE,294.29,103.01,100.29,4691.14,10
CPT,88342,HC ROS1 BY IHC WITH FISH CONFIRMATION ARUP 2008414,351.12,122.9,100.29,4691.14,10
CPT,88342,HC S-100 PROTEIN,294.29,103.01,100.29,4691.14,10
CPT,88342,HC THYROID TRANSCRIPTION FACTOR,294.29,103.01,100.29,4691.14,10
CPT,88342,HC VARICELLA ZOSTER -VZV,591.36,206.98,100.29,4691.14,10
CPT,88342,HC VIMENTIN,294.29,103.01,100.29,4691.14,10
CPT,88344,HC IHC 3 ANTIBODY STAINS,765.02,267.76,198.66,9292.61,10
CPT,88344,HC IHC EA-PER BLOCK 2ND PER SLIDE,765.03,267.77,198.66,9292.61,10
CPT,88344,HC IHC EA-PER BLOCK 3RD PER SLIDE,765.02,267.76,198.66,9292.61,10
CPT,88346,HC IF BILLG C4D ARUP 2004723,406.56,142.3,139.45,8314.93,10
CPT,88346,HC IF BILLG PLA2R ARUP 2011885,406.56,142.3,139.45,8314.93,10
CPT,88346,HC IMMUNOFLUOR ANTB 1ST STAIN,529.83,185.45,177.76,8314.93,10
CPT,88346,HC IMMUNOFLUOR ANTB 1ST STAIN ARUP 0090650,432.2,151.27,148.24,8314.93,10
CPT,88346,HC IMMUNOFLUOR ANTB 1ST STAIN ARUP 0092001,343.55,120.25,117.84,8314.93,10
CPT,88346,HC IMMUNOFLUOR ANTB 1ST STAIN ARUP 0092572,370.48,129.67,127.07,8314.93,10
CPT,88346,HC IMMUNOFLUOR ANTB 1ST STAIN ARUP 2013259,335.25,117.34,114.99,8314.93,10
CPT,88346,HC IMMUNOFLUOR ANTB 1ST STAIN ARUP TO CHILDRENS HOSP PHILADELPHIA,543.85,190.35,177.76,8314.93,10
CPT,88346,HC IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN ARUP 3001410,343.55,120.25,117.84,8314.93,10
CPT,88346,HC IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN ARUP TO CHILDREN'S HOSP OF PHILADELPHIA,568.05,198.82,177.76,8314.93,10
CPT,88346,HC IMMUNOFLUORESCENCE PER SPEC 1ST SINGLE ANTB STN ARUP 0092057,467.2,163.52,160.25,8314.93,10
CPT,88346,HC IMMUNOFLUORESCENCE PER SPEC 1ST SINGLE ANTB STN ARUP 3001409,216.21,75.68,74.16,8314.93,10
CPT,88346,"HC IMMUNOFLUORESCENT, DIRECT",503.6,176.26,172.73,8314.93,10
CPT,88347,HC EMA-IGA,170.94,59.83,58.63,3332.25,5
CPT,88347,HC IFA EA AB INDIRECT METHOD1,92.58,32.41,31.75,3332.25,5
CPT,88347,HC IFA EA AB INDIRECT METHOD2,92.58,32.41,31.75,3332.25,5
CPT,88348,HC ELECTRON MICROSCOPY,1830.14,640.55,603.52,28230.98,10
CPT,88348,HC ELECTRON MICROSCOPY ARUP 2013259,1988.91,696.12,603.52,28230.98,10
CPT,88348,HC ELECTRON MICROSCOPY DIAGNOSTIC ARUP 2013261,2711.1,948.89,603.52,28230.98,10
CPT,88348,"HC ELECTRON MICROSCOPY, DIAGN",1830.14,640.55,603.52,28230.98,10
CPT,88348,HC ELECTRON MICROSCOPY-CHILDREN'S HOSP,1649.34,577.27,565.72,28230.98,10
CPT,88348,HC HISTO-ELECTRON MICROSCOPY,1830.14,640.55,603.52,28230.98,10
CPT,88348,HC REFLEX COMPREHENSIVE MUSCLE BIOPSY WORKUP REFLEX TO EM ARUP 2013260,2182.95,764.04,603.52,28230.98,10
CPT,88349,Mammogram,,,24439.0,24439.0,1
CPT,88350,HC IMMUNOFLUOR ANTB ADDL STAIN,529.83,185.45,91.01,6264.53,10
CPT,88350,HC IMMUNOFLUOR ANTB ADDL STAIN ARUP 0090650,432.2,151.27,91.01,6264.53,10
CPT,88350,HC IMMUNOFLUOR ANTB ADDL STAIN ARUP 0092001,271.87,95.16,91.01,6264.53,10
CPT,88350,HC IMMUNOFLUOR ANTB ADDL STAIN ARUP 0092572,370.48,129.67,91.01,6264.53,10
CPT,88350,HC IMMUNOFLUOR ANTB ADDL STAIN ARUP 2013259,246.5,86.28,84.55,6264.53,10
CPT,88350,HC IMMUNOFLUOR ANTB ADDL STAIN ARUP TO CHILDRENS HOSP PHILADELPHIA,543.85,190.35,91.01,6264.53,10
CPT,88350,HC IMMUNOFLUORESCENCE PER SPEC ADD SINGL ANTB STAIN ARUP 3001410,265.85,93.05,91.01,6264.53,10
CPT,88350,HC IMMUNOFLUORESCENCE PER SPEC ADD SINGL ANTB STAIN ARUP TO CHILDREN'S HOSP OF PHILADELPHIA,568.05,198.82,91.01,6264.53,10
CPT,88350,HC IMMUNOFLUORESCENCE PR SPEC EA ADD SINGL ANTB STN ARUP 0092057,467.2,163.52,91.01,6264.53,10
CPT,88350,HC IMMUNOFLUORESCENCE PR SPEC EA ADD SINGL ANTB STN ARUP 3001409,216.21,75.68,74.16,6264.53,10
CPT,88355,HC MORPHOMETRIC ANALYSIS SKELETAL MUSCLE UCH NEUROMUSCULAR LAB,1028.63,360.03,92.0,4303.92,10
CPT,88356,ANALYSIS NERVE,,,50.75,7964.46,7
CPT,88358,ANALYSIS TUMOR,,,138.02,6455.51,7
CPT,88360,"HC CEA, POLYCLONAL",430.31,150.61,117.62,5501.97,10
CPT,88360,HC CLAUDIN 18 (CLDN18) (43-14A) SEMQUANT IHC MANUAL MAYO CLD18,1260.48,441.17,117.62,5501.97,10
CPT,88360,HC ESTROGEN RECEPTOR IHC,430.31,150.61,117.62,5501.97,10
CPT,88360,"HC FOLATE RECEPTOR ALPHA (FOLR1), SEMI-QUANTITATIVE IMMUNOHISTOCHEMISTRY, MANUAL MAYO AFOLR",1260.48,441.17,117.62,5501.97,10
CPT,88360,HC HER - 2/NEU GENE (IHC),503.6,176.26,117.62,5501.97,10
CPT,88360,HC HER 2/NEU IHC,430.31,150.61,117.62,5501.97,10
CPT,88360,HC IMMUNOCHEMISTRY ANTIBODY 1,503.6,176.26,117.62,5501.97,10
CPT,88360,"HC KI-67, MIB-1, BY IMMUNOHISTOCHEMISTRY ARUP 2004519",235.2,82.32,80.67,5501.97,10
CPT,88360,HC M/PHMTRC ALYS TUMOR IMHCEM EA ANTIBODY MANUAL BRIGHAM WOMENS HOSPITAL,1762.99,617.05,117.62,5501.97,10
CPT,88360,HC MIB-1,430.31,150.61,117.62,5501.97,10
CPT,88360,HC PD-L1 22C3 BY IHC ARUP 3017615,1003.2,351.12,117.62,5501.97,10
CPT,88360,HC PD-L1 22C3 BY IHC W CPS INTRPT PEMBROLIZUMAB (KEYTRUDA) ARUP 3017681,1003.2,351.12,117.62,5501.97,10
CPT,88360,HC PD-L1 22C3 BY IHC W/TPS INTRPT PEMBROLIZUMAB &CEMIPLIMAB-RWLC ARUP 3017680,1003.2,351.12,117.62,5501.97,10
CPT,88360,HC PDL1 22C3 COMBINED POSITIVE SCORE ARUP 3000197,1090.32,381.62,117.62,5501.97,10
CPT,88360,HC PDL1 28-8 BY IHC WITH INTERPRETATION ARUP 2013684,1090.32,381.62,117.62,5501.97,10
CPT,88360,HC PROGESTERONE RECEPTOR IHC,396.91999999999996,138.925,117.62,5501.97,20
CPT,88360,"HC REF PD-L1 22C3 BY IHC W CPS INTERPRETATION, PEMBROLIZUMAB ARUP 3017615 RFLX 22C3 CPS",1003.2,351.12,117.62,5501.97,10
CPT,88360,"HC REF PD-L1 22C3 BY IHC W/TPS INT, PEMBROLIZUMAB & CEMIPLIMAB-RWLC ARUP 3017615 RFLX 22C3 TPS",1003.2,351.12,117.62,5501.97,10
CPT,88360,HC SDHB WITH INTERPRETATION BY IMMUNOHISTOCHEMISTRY,351.12,122.9,117.62,5501.97,10
CPT,88361,TUMOR IMMUNOHISTOCHEM/COMPUT,,,114.56,5358.64,7
CPT,88362,NERVE TEASING PREPARATIONS,,,182.5,8536.05,7
CPT,88363,HC RETRIEVE SLIDE/TISSUE-FOR TEST,63.38,22.19,21.74,1310.02,10
CPT,88364,HC IN SITU HYBRIDIZATION EA ADDL PROBE STAIN BRIGHAM WOMENS HOSPITAL,2109.49,738.33,105.89,7338.0,10
CPT,88364,HC INSITU HYBRIDIZATION (FISH),122.87,43.01,42.14,7338.0,10
CPT,88365,HC CYTOGENETIC INTER&RPT 2,363.53,127.24,124.69,9835.4,10
CPT,88365,HC EBER IN SITU STAIN,363.53,127.24,124.69,9835.4,10
CPT,88365,HC EPSTEIN-BARR VIRUS (EBV) BY IN SITU HYBRIDIZATION ON PARAFFIN ARUP 3003016,1312.08,459.23,152.32,9835.4,10
CPT,88365,HC HER-2 NEU STAIN,363.53,127.24,124.69,9835.4,10
CPT,88365,HC HPV BY ISH PARAFFIN ADDTL-LOW RISK (ARUP 3002008) & HIGH RISK (ARUP 3002009),1459.92,510.98,152.32,9835.4,10
CPT,88365,HC HPV BY ISH PARAFFIN INITIAL-LOW RISK (ARUP 3002008) & HIGH RISK (ARUP 3002009),1459.92,510.98,152.32,9835.4,10
CPT,88365,HC HPV IN SITU HYBRIDIZ/ISH1,517.44,181.11,152.32,9835.4,10
CPT,88365,HC HPV IN SITU HYBRIDIZ/ISH2,517.44,181.11,152.32,9835.4,10
CPT,88365,HC HPV STAIN THIN PREP,363.53,127.24,124.69,9835.4,10
CPT,88365,HC HPV STAIN TISSUE HISTOLOGY,363.53,127.24,124.69,9835.4,10
CPT,88365,HC IN SITU HYBRIDIZATION EACH PROBE BRIGHAM WOMENS HOSPITAL,2084.54,729.59,152.32,9835.4,10
CPT,88365,HC INTERPRETATION BONE MARROW,363.53,127.24,124.69,9835.4,10
CPT,88365,HC JC VIRUS DETECTION BY IN SITU HYBRIDIZATION ARUP TO MAYO JCV,1746.73,611.36,152.32,9835.4,10
CPT,88365,HC KAPPA IN SITU STAIN,363.53,127.24,124.69,9835.4,10
CPT,88365,HC LAMBDA IN SITU STAIN,363.53,127.24,124.69,9835.4,10
CPT,88365,HC TISSUE HYBRIDIZATION,363.53,127.24,124.69,9835.4,10
CPT,88366,HC ALK BY FISH-LUNG,1814.3,635.01,179.72,15509.6,10
CPT,88366,HC IGH-BCL2 FUSION T(14;18) BY FISH ARUP 3001298,1280.0,448.0,179.72,15509.6,10
CPT,88366,"HC IRF4/DUSP22 (6P25), FISH ARUP 3001568",1811.04,633.87,179.72,15509.6,10
CPT,88366,"HC REFLEX ALK GENE REARRANGEMENTS BY FISH, LUNG ARUP 3001302",1720.4,602.14,179.72,15509.6,10
CPT,88366,HC REFLEX ROS1 BY FISH ARUP 2008418,1616.08,565.63,179.72,15509.6,10
CPT,88366,HC REFLEX ROS1 BY FISH ARUP 3001308,1542.62,539.92,179.72,15509.6,10
CPT,88366,HC RET GENE REARRANGEMENTS BY FISH ARUP 3001312,1515.36,530.38,179.72,15509.6,10
CPT,88366,HC ROS1 BY FISH,1616.08,565.63,179.72,15509.6,10
CPT,88366,HC TFE3 GENE REARRANGEMENT BY FISH ARUP 3002633,1372.8,480.48,179.72,15509.6,10
CPT,88367,HC PROBE EA MORPHO AMAL CAT 2,765.02,267.76,123.23,5763.99,10
CPT,88367,HC PROBE EA MORPHO ANAL CAT 1,765.02,267.76,123.23,5763.99,10
CPT,88368,HC M/PHMTRC ALYS IN SITU HYBRIDIZATION EA PROBE MNL ARUP 3003525,720.72,252.26,154.19,7212.68,10
CPT,88368,HC MRPHMETRIC ANLS ISH EA PR MAN1,693.0,242.55,154.19,7212.68,10
CPT,88368,HC MRPHMETRIC ANLS ISH EA PR MAN2,693.0,242.55,154.19,7212.68,10
CPT,88369,HC M/PHMTRC ALYS ISH QUANT/SEMIQ MNL PER SPEC EACH ARUP 3003525,720.72,252.26,84.79,6383.84,10
CPT,88371,PROTEIN WESTERN BLOT TISSUE,,,22.23,77.74,7
CPT,88372,PROTEIN ANALYSIS W/PROBE,,,25.57,91.69,7
CPT,88373,M/PHMTRC ALYS ISHQUANT/SEMIQ,,,44.64,3123.26,7
CPT,88374,M/PHMTRC ALYS ISHQUANT/SEMIQ,,,152.32,18591.21,7
CPT,88375,OPTICAL ENDOMICROSCPY INTERP,,,45.96,3221.75,7
CPT,88377,HC ERBB2 (HER2/NEU) BY FISH,1552.32,543.32,152.32,23735.36,10
CPT,88377,HC MDM2 GENE AMPLIFICATION BY FISH ARUP 3001301,1374.12,480.95,152.32,23735.36,10
CPT,88380,HC MICRODISSECTION LASER,1268.88,444.11,74.75,5042.96,10
CPT,88380,HC MICRODISSECTION LASER MAYO MLCPC,1167.01,408.46,74.75,5042.96,10
CPT,88381,HC MICRODISSECTION CU CO UNIV PHYSICIANS INC,819.96,286.99,189.99,12685.24,10
CPT,88381,HC MICRODISSECTION MANUAL ARUP 2008895,410.03,143.52,140.64,12685.24,10
CPT,88381,HC MICRODISSECTION MANUAL ARUP 2010229,2079.0,727.65,189.99,12685.24,10
CPT,88381,HC MICRODISSECTION MANUAL ARUP 2011616,116.33,40.72,39.9,12685.24,10
CPT,88381,HC MICRODISSECTION MANUAL ARUP TO LABCORP 485113,1293.6,452.76,189.99,12685.24,10
CPT,88381,HC MICRODISSECTION PREP IDENTIFIED TARGET MANUAL ARUP TO UCSF,593.58,207.76,189.99,12685.24,10
CPT,88381,HC MICRODISSECTION PREP IDENTIFIED TARGET MANUAL CU MEDICINE,734.31,257.01,189.99,12685.24,10
CPT,88381,HC MICRODISSECTION PREP IDENTIFIED TARGET MANUAL-CU MED,528.9,185.12,181.41,12685.24,10
CPT,88381,HC MICRODISSECTION UCHEALTH MOLECULAR LAB,608.73,213.06,189.99,12685.24,10
CPT,88381,HC MICRODISSECTION UCSF,1033.33,361.67,189.99,12685.24,10
CPT,88381,"HC MICRODISSECTION, MANUAL",410.03,143.52,140.64,12685.24,10
CPT,88385,Mammogram,,,34172.48,34172.48,1
CPT,88386,Mammogram,,,37796.89,37796.89,1
CPT,88387,MACROSCOPIC XM DSJ&PREP TISS,,,7.96,542.8,7
CPT,88388,Laboratory,,,14.53,14.53,1
CPT,88388,Mammogram,,,971.67,971.67,1
CPT,88388,Other Outpatient Services - CPT/HCPCS,,,20.78,20.78,1
CPT,88399,HC IF BILLG COLLAGEN PANEL ARUP 2002260,345.58,120.96,50.75,207.35,10
CPT,88399,HC LABEL&TREAT HARVEST CELLS 2,153.81,53.84,44.05,92.29,10
CPT,88720,HC BILIRUBIN TOTAL TRANSCUT,23.19,8.12,5.02,17.56,10
CPT,88738,HGB QUANT TRANSCUTANEOUS,,,5.02,17.56,7
CPT,88740,TRANSCUTANEOUS CARBOXYHB,,,9.37,32.76,7
CPT,88741,TRANSCUTANEOUS METHB,,,9.37,32.76,7
CPT,89049,CHCT FOR MAL HYPERTHERMIA,,,152.32,4122.25,7
CPT,89050,HC CELL COUNT-MISC BODY FLUID,26.43,9.26,4.72,16.51,10
CPT,89050,HC FLUID CELL COUNT,65.8,23.03,4.72,36.85,10
CPT,89051,HC FLUID COUNT/DIFF,133.98,46.9,5.6,75.03,10
CPT,89055,HC LEUKOCYTE COUNT FECAL,24.04,8.42,4.27,14.92,10
CPT,89060,HC CRYSTAL I.D.,74.21,25.98,7.33,41.56,10
CPT,89060,HC FLUID-CRYSTALS,74.21,25.98,7.33,41.56,10
CPT,89060,HC LABORATORY FERN TEST,63.88,22.36,7.33,35.77,10
CPT,89100,Mammogram,,,2544.33,2544.33,1
CPT,89105,Mammogram,,,2155.02,2155.02,1
CPT,89125,HC URINE FAT,34.24,11.99,5.88,20.57,10
CPT,89130,Mammogram,,,1873.52,1873.52,1
CPT,89132,Mammogram,,,1167.3,1167.3,1
CPT,89135,Mammogram,,,3282.02,3282.02,1
CPT,89136,Mammogram,,,1141.09,1141.09,1
CPT,89140,Mammogram,,,3385.9,3385.9,1
CPT,89141,Mammogram,,,3180.22,3180.22,1
CPT,89160,EXAM FECES FOR MEAT FIBERS,,,4.85,16.96,7
CPT,89190,HC EOSINOPHIL SMEAR,47.77,16.72,5.79,26.75,10
CPT,89220,SPUTUM SPECIMEN COLLECTION,,,27.41,1281.84,7
CPT,89230,HC COLLECTION BY IONTOPHORESIS,152.32,53.32,3.95,184.98,10
CPT,89240,UNLISTED MISC PATH TEST,,,50.75,89.5,5
CPT,89250,CULTR OOCYTE/EMBRYO <4 DAYS,,,152.32,1636.16,6
CPT,89251,CULTR OOCYTE/EMBRYO <4 DAYS,,,152.32,1701.91,6
CPT,89253,EMBRYO HATCHING,,,152.32,300.82,6
CPT,89254,OOCYTE IDENTIFICATION,,,152.32,550.18,6
CPT,89255,PREPARE EMBRYO FOR TRANSFER,,,50.75,434.35,6
CPT,89257,SPERM IDENTIFICATION,,,50.75,386.13,6
CPT,89258,CRYOPRESERVATION EMBRYO(S),,,669.29,1383.8,6
CPT,89259,CRYOPRESERVATION SPERM,,,152.32,376.23,6
CPT,89260,SPERM ISOLATION SIMPLE,,,50.75,142.91,6
CPT,89261,SPERM ISOLATION COMPLEX,,,50.75,139.01,6
CPT,89264,IDENTIFY SPERM TISSUE,,,50.75,458.15,6
CPT,89268,INSEMINATION OF OOCYTES,,,152.32,564.5,6
CPT,89272,EXTENDED CULTURE OF OOCYTES,,,669.29,1383.8,6
CPT,89280,ASSIST OOCYTE FERTILIZATION,,,669.29,1383.8,6
CPT,89281,ASSIST OOCYTE FERTILIZATION,,,152.32,1193.31,6
CPT,89290,BIOPSY OOCYTE POLAR BODY <=5,,,152.32,1200.47,6
CPT,89291,BIOPSY OOCYTE POLAR BODY,,,152.32,1510.07,6
CPT,89300,SEMEN ANALYSIS W/HUHNER,,,9.84,34.41,7
CPT,89310,HC SEMEN ANAL NOT INCL HUHNER TST,79.31,27.76,8.61,44.41,10
CPT,89320,HC SEMEN ANAL VOL/COUNT/MOT,117.87,41.26,12.31,66.01,10
CPT,89321,"HC SEMEN COUNT, POST VASECT",55.88,19.56,12.05,42.13,10
CPT,89322,SEMEN ANAL STRICT CRITERIA,,,15.5,54.21,7
CPT,89325,SPERM ANTIBODY TEST,,,10.67,37.31,7
CPT,89329,SPERM EVALUATION TEST,,,19.59,68.5,7
CPT,89330,EVALUATION CERVICAL MUCUS,,,10.38,36.3,7
CPT,89331,RETROGRADE EJACULATION ANAL,,,19.59,68.5,7
CPT,89335,CRYOPRESERVE TESTICULAR TISS,,,50.75,203.03,6
CPT,89337,CRYOPRESERVATION OOCYTE(S),,,152.32,790.43,6
CPT,89342,STORAGE/YEAR EMBRYO(S),,,152.32,298.23,6
CPT,89343,STORAGE/YEAR SPERM/SEMEN,,,152.32,332.28,6
CPT,89344,STORAGE/YEAR REPROD TISSUE,,,152.32,292.62,6
CPT,89346,STORAGE/YEAR OOCYTE(S),,,179.72,417.83,6
CPT,89352,THAWING CRYOPRESRVED EMBRYO,,,16.16,292.62,6
CPT,89353,THAWING CRYOPRESRVED SPERM,,,16.16,89.5,6
CPT,89354,THAW CRYOPRSVRD REPROD TISS,,,16.16,292.62,6
CPT,89356,THAWING CRYOPRESRVED OOCYTE,,,11.52,292.62,6
CPT,89398,UNLISTED REPROD MED LAB PROC,,,50.75,89.5,5
CPT,9001F,AORTIC ANEURYSM<5CM DIAM CT,,,0.02,0.02,1
CPT,9002F,AORTIC ANEURYSM 5-5.4CM DIAM,,,0.02,0.02,1
CPT,9003F,AORTIC ANRYSM5.5-5.9CM DIAM,,,0.02,0.02,1
CPT,9004F,AORTIC ANRYSM 6/> CM DIAM,,,0.02,0.02,1
CPT,9005F,ASYMPT CAROT/VRTBRBAS STEN,,,0.02,0.02,1
CPT,9006F,SYMPT STEN-TIA/STRK<120DAYS,,,0.02,0.02,1
CPT,9007F,OTHER CAROT STEN 120 DAYS/>,,,0.02,0.02,1
CPT,90281,HUMAN IG IM,,,92.8,440.14,4
CPT,90283,HUMAN IG IV,,,93.42,277.62,4
CPT,90284,HUMAN IG SC,,,24.13,71.68,4
CPT,90288,BOTULISM IG IV,,,84259.65,87669.0,2
CPT,90291,CMV IG IV,,,3100.14,9213.11,4
CPT,90371,hepatitis B immune globulin greatr than 312 unit/mL solution 1 mL Vial,472.815,165.49,140.21,717.07,20
CPT,90371,hepatitis b immune globulin per 0.5 mL,2123.835,743.3499999999999,140.21,767.74,30
CPT,90375,rabies immune globulin 300 unit/mL solution 1 mL Vial,1927.18,674.52,275.18,1492.9,10
CPT,90375,rabies immune globulin 300 unit/mL solution 5 mL Vial,9635.79,3372.53,275.18,3305.08,10
CPT,90376,RABIES IG HEAT TREATED,,,352.44,1311.51,8
CPT,90377,rabies immune globulin 150 unit/mL solution 2 mL Vial,2111.59,739.06,242.18,1227.6,20
CPT,90378,palivizumab 100 mg/mL solution 1 mL Vial,9736.18,3407.67,436.75,9547.72,20
CPT,90378,palivizumab 50 mg/0.5 mL solution 0.5 mL Vial,5156.1,1804.64,436.75,9547.72,20
CPT,90380,nirsevimab 50 mg/0.5 mL syringe 0.5 mL Syringe,1574.96,551.24,451.07,1960.2,12
CPT,90381,nirsevimab 100 mg/mL syringe 1 mL Syringe,1574.96,551.24,451.07,1047.81,12
CPT,90384,RH IG FULL-DOSE IM,,,135.11,401.55,4
CPT,90385,RH IG MINIDOSE IM,,,51.8,153.91,8
CPT,90386,RH IG IV,,,17.14,1057.67,4
CPT,90389,TETANUS IG IM,,,1112.15,3305.16,4
CPT,90396,varicella-zoster immune globulin 125 unit/1.2 mL solution 1.2 mL Vial,6181.03,2163.37,2120.09,11445.63,20
CPT,90399,UNLISTED IMMUNE GLOBULIN,,,706.02,179999.58,2
CPT,90460,HC IMMUNIZ ADMIN THRU AGE 18 ANY ROUTE W COUNSEL 1ST VACCINE/TOXOID,21.68,7.59,7.44,1561.26,9
CPT,90461,HC IMMUNIZ ADMIN THRU AGE 18 ANY ROUTE W COUNSEL EA ADD VACCINE/TOXOID,21.68,7.59,7.44,690.9,9
CPT,90465,Mammogram,,,1383.76,1383.76,1
CPT,90466,Mammogram,,,503.23,503.23,1
CPT,90467,Mammogram,,,620.46,620.46,1
CPT,90468,Mammogram,,,479.83,479.83,1
CPT,90470,Mammogram,,,1359.63,1359.63,1
CPT,90471,HC ADMIN HEP B 1 VACC,63.32,22.17,19.03,1407.16,9
CPT,90471,HC ADMIN INFLUENZA 1 VACC,21.68,7.59,7.44,1407.16,9
CPT,90471,HC ADMIN NON-SPEC VACCINE 1 VAC,63.32,22.17,19.03,1407.16,9
CPT,90471,HC ADMIN PNEUMOVAC 1 VACC,63.32,22.17,19.03,1407.16,9
CPT,90472,HC ADMIN HEP B ADDL VACC,21.68,7.59,7.44,1004.5,9
CPT,90472,HC ADMIN INFLUENZA ADDL VACC,21.68,7.59,7.44,1004.5,9
CPT,90472,HC ADMIN PNEUMOVAC ADDL VACC,21.68,7.59,7.44,1004.5,9
CPT,90472,"HC IMMUNIZATION ADMIN, EACH ADD",21.68,7.59,7.44,1004.5,9
CPT,90473,HC ADMIN ORAL/NASAL,63.32,22.17,5.19,1145.13,9
CPT,90473,HC FLU NASAL ADMIN,21.68,7.59,5.19,1145.13,9
CPT,90474,HC ADMIN ORAL/NASAL ADDL,21.68,7.59,7.44,813.52,9
CPT,90476,ADENOVIRUS VACCINE TYPE 4,,,75.9,75.9,1
CPT,90480,HC IMM ADMN SARSCOV2 VACC 1 DOSE MODERNA,61.77,21.62,17.69,71.24,9
CPT,90482,IMM CNSL NOT ADMN SM 3<10,,,15.03,24.47,4
CPT,90483,IMM CNSL NOT ADMN SM>10<20,,,28.96,47.15,4
CPT,90484,IMM CNSL NOT ADMN SM>20,,,42.2,68.71,4
CPT,90581,ANTHRAX VACCINE SC OR IM,,,174.7,519.17,4
CPT,90585,BCG VACCINE PERCUT,,,277.16,823.69,4
CPT,90586,BCG live 50 mg suspension for reconstitution 1 each Vial,500.32,175.12,171.61,758.88,6
CPT,90586,BCG vaccine (LIVE) 50 mg suspension for reconstitution 1 each Vial,444.81,155.69,152.57,758.88,6
CPT,90587,DENGUE VACC QUAD 3 DOSE SUBQ,,,133.05,519.17,4
CPT,90611,SMALLPOX&MONKEYPOX VAC 0.5ML,,,0.01,544.32,8
CPT,90619,meningococcal vaccine 10 mcg/0.5 mL solution 0.5 mL Vial,486.67,170.34,166.93,818.65,18
CPT,90620,"mening A conj vacc,2 of 2 (PF) 10 mcg /0.5 mL (final) recon soln 1 each Vial",407.97,142.79,139.93,1108.18,6
CPT,90620,meningococcal B vaccine 50-50-50-25 mcg/0.5 mL syringe 0.5 mL Syringe,589.235,206.235,174.0,1108.18,12
CPT,90621,meningococcal B vaccine 120 mcg/0.5 mL syringe 0.5 mL Syringe,586.77,205.37,201.26,942.36,6
CPT,90622,VACCINIA VRS VAC 0.3 ML PERQ,,,0.01,0.05,8
CPT,90623,meningococcal vaccine 10-5 mcg/0.5 mL kit 0.5 mL Vial,471.87,165.16,135.14,465.2,12
CPT,90623,meningococcal vaccine 10-5 mcg/0.5 mL kit 1 each KIT,407.97,142.79,116.84,465.2,6
CPT,90625,cholera vaccine 4x10exp8 to 2x 10exp9 CF unit suspension for reconstitution 100 mL Packet,778.8,272.58,218.56,1442.13,18
CPT,90626,TIC-BRN ENCEPH VAC 0.25ML IM,,,495.85,1473.59,3
CPT,90627,TIC-BRN ENCEPH VAC 0.5ML IM,,,495.85,1473.59,3
CPT,90630,Drugs - Other,,,0.05,0.05,1
CPT,90630,Oncology Drugs,,,36.24,36.24,1
CPT,90630,Other Outpatient Services - CPT/HCPCS,,,31.49,31.49,1
CPT,90632,hepatitis A vaccine (ADULT) 1 mL Syringe,240.20499999999998,84.08,81.22,376.8,18
CPT,90632,hepatitis A vaccine (ADULT) 1 mL Vial,236.78,82.88,67.45,376.8,18
CPT,90633,hepatitis A vaccine (PEDIATRIC) suspension 0.5 mL Syringe,110.45,38.66,37.88,182.76,12
CPT,90633,hepatitis A vaccine (PEDIATRIC) suspension 0.5 mL Vial,102.84,36.0,31.83,182.76,24
CPT,90634,HEPA VACC PED/ADOL 3 DOSE,,,48.63,53.2,2
CPT,90636,hepatitis A and B vaccine 720 ELISA unit- 20 mcg/mL syringe 1 mL Syringe,374.34,131.02,128.4,636.64,12
CPT,90644,HIB-MENCY VACC 6WK-18M0 IM,,,0.05,49.83,4
CPT,90647,HIB vaccine 0.5 mL solution 0.5 mL Vial,88.78,31.08,30.45,151.39,12
CPT,90647,HIB vaccine 7.5 mcg/0.5 mL solution 0.5 mL Vial,72.17,25.26,24.75,151.39,12
CPT,90648,HIB pediatric vaccine 10 mcg/0.5 mL recon soln 1 each Vial,43.33,15.17,8.23,65.29,18
CPT,90648,HIB vaccine 0.5 mL solution 1 each Vial,198.33,69.42,12.9,123.15,30
CPT,90649,human papillomavirus vaccine 20-40-40-20 mcg/0.5 mL suspension 0.5 mL Vial,451.47,158.02,0.05,322.91,6
CPT,90650,2VHPV VACCINE 3 DOSE IM,,,0.05,267.3,3
CPT,90651,HPV9 vaccine 0.5 mL suspension 0.5 mL Vial,643.38,225.19,220.68,1409.45,12
CPT,90651,HPV9 vaccine 0.5 mL syringe 0.5 mL Syringe,931.63,326.08,319.55,1409.45,6
CPT,90653,influenza vaccine 45 mcg (15 mcg x 3)/0.5 mL syringe 0.5 mL Syringe,78.32,27.42,0.05,159.82,20
CPT,90654,Drugs - Other,,,0.05,0.05,1
CPT,90654,Oncology Drugs,,,33.72,33.72,1
CPT,90654,Other Outpatient Services - CPT/HCPCS,,,29.27,29.27,1
CPT,90655,IIV3 VACC NO PRSV 0.25 ML IM,,,0.05,28.2,4
CPT,90656,influenza vaccine (6 months or more) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,28.32,9.92,0.05,39.78,60
CPT,90656,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,28.32,9.92,0.05,39.78,60
CPT,90657,IIV3 VACCINE SPLT 0.25 ML IM,,,0.05,21.62,8
CPT,90658,IIV3 VACCINE SPLT 0.5 ML IM,,,0.05,38.91,8
CPT,90660,influenza nasal spray syringe 1 each Syringe,28.32,9.92,0.02,51.3,20
CPT,90661,CCIIV3 VAC ABX FR 0.5 ML IM,,,0.05,80.59,7
CPT,90662,influenza vaccine 180 mcg/0.5 mL syringe 0.5 mL Syringe,48.16,16.86,6.17,366.77,40
CPT,90662,influenza vaccine 240 mcg/0.7 mL syringe 0.7 mL Syringe,53.0,18.55,17.15,366.77,60
CPT,90662,infuenza vaccine 180 mcg/0.5 mL syringe 0.5 mL Syringe,139.13,48.7,47.72,366.77,20
CPT,90662,infuenza vaccine 240 mcg/0.7 mL syringe 0.7 mL Syringe,51.38,17.99,17.62,366.77,20
CPT,90664,LAIV VACC PANDEMIC INTRANASL,,,0.02,0.02,1
CPT,90670,pneumococcal 13-valent vaccine 0.5 mL syringe 0.5 mL Syringe,650.9200000000001,227.825,219.83,1352.93,30
CPT,90671,PCV15 VACCINE IM,,,269.31,1291.1,8
CPT,90672,LAIV4 VACCINE INTRANASAL,,,45.85,140.97,4
CPT,90673,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,78.32,27.42,0.05,159.82,20
CPT,90674,CCIIV4 VAC NO PRSV 0.5 ML IM,,,56.38,169.28,4
CPT,90675,rabies vaccine 2.5 unit recon soln 1 each Vial,1059.64,370.88,315.22,1730.51,30
CPT,90675,rabies vaccine per 1 mL,1152.13,403.25,315.22,1730.51,20
CPT,90676,RABIES VACCINE ID,,,136.67,460.6,6
CPT,90677,pneumococcal 20-valent vaccine 0.5 mL syringe 0.5 mL Syringe,789.5050000000001,276.33500000000004,266.62,1513.76,30
CPT,90678,RSV vaccine 120 mcg/0.5 mL recon soln 1 each Vial,868.86,304.11,248.84,594.72,24
CPT,90679,RSV VACC PREF RECOMB ADJT IM,,,494.09,592.71,3
CPT,90680,rotavirus vaccine 2 mL solution 2 mL Tube,290.61,101.72,99.68,474.6,12
CPT,90681,rotavirus vaccine 1 mL suspension for reconstitution 1 mL Vial,416.01,145.61,142.69,706.49,18
CPT,90681,rotavirus vaccine 1.5 mL suspension 1.5 mL Syringe,416.01,145.61,142.69,706.49,12
CPT,90682,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,20.66,7.234999999999999,6.17,366.77,60
CPT,90683,RSV VACC MRNA LIPID NANO IM,,,584.64,584.64,1
CPT,90684,PCV21 VACCINE IM,,,344.25,580.11,5
CPT,90685,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.25 mL Syringe,18.0,6.3,6.17,100.21,12
CPT,90686,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,20.66,7.234999999999999,6.17,112.85,60
CPT,90686,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Vial,18.0,6.3,6.17,112.85,12
CPT,90686,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,20.66,7.234999999999999,6.17,112.85,84
CPT,90686,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Vial,18.0,6.3,6.17,112.85,12
CPT,90687,IIV4 VACCINE SPLT 0.25 ML IM,,,17.23,53.7,4
CPT,90688,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 5 mL Vial,18.0,6.3,6.17,107.4,72
CPT,90688,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 5 mL Vial,18.0,6.3,6.17,107.4,72
CPT,90690,TYPHOID VACCINE ORAL,,,148.91,520.38,4
CPT,90691,typhoid vi polysaccharide vacc per 0.5 mL,315.62,110.47,108.26,442.13,12
CPT,90694,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,375.9,24
CPT,90694,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,375.9,24
CPT,90696,DTaP-IPV 25 Lf-58 mcg-10 Lf/0.5 mL syringe 0.5 mL Syringe,176.49,61.78,60.54,311.44,12
CPT,90696,DTaP-IPV 25 Lf-58 mcg-10 Lf/0.5 mL syringe 0.5 mL Vial,150.42,52.65,51.59,311.44,12
CPT,90697,DTAP-IPV-HIB-HEPB VACCINE IM,,,266.44,768.73,4
CPT,90698,DTaP-IPV-HIB pediatric vaccine 15 Lf unit-20 mcg-5 Lf/0.5 mL kit 1 each KIT,298.92,104.63,102.53,583.68,6
CPT,90700,DTaP pediatric vaccine 25-58-10 Lf-mcg-Lf/0.5mL suspension 0.5 mL Vial,70.83,24.8,24.29,146.95,12
CPT,90700,diphth-acell pertussis-tetanus per 0.5 mL,82.74,28.96,28.38,146.95,12
CPT,90702,Td vaccine 5-25 Lf unit/0.5 mL suspension 0.5 mL Vial,186.46,65.27,28.1,346.59,6
CPT,90707,"measles, mumps & rubella vac per 0.5 mL",264.945,92.735,86.93,471.28,24
CPT,90710,MMRV vaccine 10exp3-4.3-3- 3.99 TCID50/0.5 suspension for reconstitution 1 each Vial,817.51,286.13,218.94,1375.9,6
CPT,90713,poliovirus vaccine 40-8-32 unit/0.5 mL suspension 5 mL Vial,126.33,44.22,43.33,213.13,12
CPT,90714,Td vaccine 0.5 mL 0.5 mL Syringe,118.93,41.63,40.79,162.82,12
CPT,90714,Td vaccine 0.5 mL 0.5 mL Vial,99.09,34.685,27.18,162.82,18
CPT,90715,TDAP (BOOSTRIX) VACCINE,136.99,47.95,43.15,203.21,36
CPT,90716,"varicella vaccine 1,350 unit/0.5 mL suspension for reconstitution 1 each Vial",543.72,190.31,186.5,839.01,12
CPT,90717,yellow fever vaccine per 0.5 mL,266.1,93.14,48.02,737.63,24
CPT,90723,DTaP-HepB-IPV pediatric vaccine 10 mcg-25Lf-25 mcg-10Lf/0.5 mL syringe 0.5 mL Syringe,291.68,102.09,100.05,472.22,12
CPT,90732,pneumococcal vac plyvalent per 0.5 mL,331.57,116.05,113.73,699.94,20
CPT,90732,pneumococcal vac polyvalent per 0.5 mL,331.57,116.05,113.73,699.94,20
CPT,90733,meningococcal vaccine 50 mcg recon soln 1 each Vial,346.68,121.34,0.05,248.31,6
CPT,90734,meningococcal vaccine 10-5 mcg/0.5 mL kit 0.5 mL Vial,420.16,147.06,144.11,778.69,12
CPT,90734,meningococcal vaccine 10-5 mcg/0.5 mL kit 1 each KIT,407.97,142.79,139.93,778.69,12
CPT,90734,meningococcal vaccine 10-5 mcg/0.5 mL kit 1 each Vial,407.97,142.79,139.93,778.69,6
CPT,90734,meningococcal vaccine 10-5 mcg/0.5 mL solution 0.5 mL Vial,471.87,165.16,161.85,778.69,12
CPT,90734,meningococcal vaccine 4 mcg/0.5 mL solution 0.5 mL Vial,471.87,165.16,144.37,778.69,30
CPT,90734,meningococcal vaccine 4 mcg/0.5 mL solution 1 each KIT,407.97,142.79,139.93,778.69,6
CPT,90736,"zoster vaccine 19,400 unit/0.65 mL suspension for reconstitution 1 each Vial",617.0699999999999,215.98000000000002,0.05,428.75,12
CPT,90738,INACTIVATED JE VACC IM,,,504.42,1508.19,4
CPT,90739,HEPB VACC 2/4 DOSE ADULT IM,,,177.56,840.52,8
CPT,90740,HEPB VACC 3 DOSE IMMUNSUP IM,,,164.42,797.72,8
CPT,90743,HEPB VACC 2 DOSE ADOLESC IM,,,75.15,387.28,8
CPT,90744,hepatitis B vaccine (pediatric) 0.5 mL syringe 0.5 mL Syringe,82.49,28.88,28.29,156.8,20
CPT,90744,hepatitis B vaccine (pediatric) 0.5 mL syringe 0.5 mL Vial,82.52,28.89,28.3,156.8,20
CPT,90746,hepatitis B vaccine (adult) 20 mcg/mL 1 mL Syringe,204.23,71.49,70.05,369.08,20
CPT,90746,hepatitis B vaccine (adult) 20 mcg/mL 1 mL Vial,204.15,71.46,64.03,369.08,50
CPT,90747,HEPB VACC 4 DOSE IMMUNSUP IM,,,164.42,738.11,8
CPT,90748,HIB-HEPB VACCINE IM,,,0.05,84.8,4
CPT,90750,varicella-zoster vaccine 50 mcg/0.5 mL suspension for reconstitution 1 each KIT,509.345,178.275,140.07,961.82,12
CPT,90750,varicella-zoster vaccine 50 mcg/0.5 mL suspension for reconstitution 1 each Vial,509.345,178.275,140.07,961.82,12
CPT,90756,CCIIV4 VACC ABX FREE IM,,,53.41,160.37,4
CPT,90759,HEP B VAC 3AG 10MCG 3 DOS IM,,,73.82,387.12,8
CPT,90760,Mammogram,,,3781.21,3781.21,1
CPT,90761,Mammogram,,,1135.82,1135.82,1
CPT,90765,Mammogram,,,4635.52,4635.52,1
CPT,90766,Mammogram,,,1484.21,1484.21,1
CPT,90767,Mammogram,,,2389.49,2389.49,1
CPT,90768,Mammogram,,,1390.38,1390.38,1
CPT,90769,Mammogram,,,9958.03,9958.03,1
CPT,90770,Mammogram,,,1007.81,1007.81,1
CPT,90771,Mammogram,,,4452.63,4452.63,1
CPT,90772,Mammogram,,,1311.98,1311.98,1
CPT,90773,Mammogram,,,1163.26,1163.26,1
CPT,90774,Mammogram,,,3630.41,3630.41,1
CPT,90775,Mammogram,,,1588.09,1588.09,1
CPT,90785,HC PSYTX COMPLEX INTERACTIVE,276.44,96.76,15.06,412.0,8
CPT,90786,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90787,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90788,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90789,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90790,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90791,HC PSYCH DIAGNOSTIC EVALUATION,508.99,178.15,174.58,412.0,8
CPT,90792,HC PSYCH DIAG EVAL W/MED SRVCS,526.61,184.32,180.63,412.0,8
CPT,90793,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90794,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90795,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90796,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90797,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90798,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90799,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90800,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90801,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90802,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90803,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90804,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90805,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90806,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90807,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90808,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90809,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90810,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90811,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90812,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90813,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90814,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90815,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90816,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90817,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90818,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90819,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90820,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90821,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90822,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90823,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90824,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90825,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90826,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90827,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90828,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90829,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90830,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90831,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90832,HC PSYTX PT&/FAM 30 (16-37) MIN,552.87,193.51,187.24,412.0,8
CPT,90833,HC PSYTX PT&/FAM W/E&M 30 MIN,276.44,96.76,83.08,412.0,8
CPT,90834,HC PSYTX PT&/FAMILY 45(38-52) MIN,580.53,203.19,187.24,432.49,8
CPT,90835,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90836,HC PSYTX PT&/FAM W/E&M 45 MIN,276.44,96.76,94.82,412.0,8
CPT,90837,HC PSYTX PT&/FAMILY 60 (53+) MIN,608.17,212.86,187.24,453.09,8
CPT,90838,HC PSYTX PT&/FAM W/E&M 60 MIN,276.44,96.76,94.82,412.0,8
CPT,90839,HC PSYTX CRISIS INITIAL 60 MIN,552.87,193.51,187.24,412.0,8
CPT,90840,HC PSYTX CRISIS EA ADDL 30 MIN,276.44,96.76,78.94,412.0,8
CPT,90841,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90842,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90843,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90844,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90845,PSYCHOANALYSIS,,,175.23,412.0,6
CPT,90846,HC FAMILY PSYTX W/O PATIENT,316.99,110.95,108.73,412.0,8
CPT,90847,HC FAMILY PSYTX W/PATIENT,353.62,123.77,121.29,412.0,8
CPT,90848,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90849,HC HC MULTIPLE FAMILY GROUP PSYTX,472.2,165.27,69.81,412.0,9
CPT,90850,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90851,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90852,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90853,HC GROUP PSYCHOTHERAPY,552.87,193.51,107.17,412.0,8
CPT,90854,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90855,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90856,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90857,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90858,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90859,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90860,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90861,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90862,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90863,HC PHARMACOLOGIC MGMT W/PSYTX,276.44,96.76,26.6,412.0,8
CPT,90865,NARCOSYNTHESIS,,,187.24,412.0,6
CPT,90866,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90867,TCRANIAL MAGN STIM TX PLAN,,,227.77,458.81,6
CPT,90868,TCRANIAL MAGN STIM TX DELI,,,227.77,412.0,6
CPT,90869,TCRAN MAGN STIM REDETEMINE,,,227.77,419.37,6
CPT,90870,HC ELECTROCONVULSIVE THERAPY,1650.0,577.5,324.86,1474.94,11
CPT,90871,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90872,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90873,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90874,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90875,HC INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN,289.76,101.42,61.58,412.0,9
CPT,90876,HC INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN,289.76,101.42,99.39,412.0,9
CPT,90877,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90878,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90879,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90880,HYPNOTHERAPY,,,107.17,412.0,6
CPT,90882,ENVRN IVNTJ MED MGMT PSYC PT,,,156.31,412.0,2
CPT,90883,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90884,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90885,PSY EVALUATION OF RECORDS,,,49.28,412.0,6
CPT,90886,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90887,INTERPJ/EXPLNAJ RSLT PSYC XM,,,90.85,412.0,6
CPT,90888,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90889,PREPARATION OF REPORT,,,131.51,412.0,2
CPT,90890,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90891,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90892,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90893,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90894,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90895,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90896,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90897,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90898,Chemical Dependency IOP,,,412.0,412.0,1
CPT,90899,UNLISTED PSYC SVC/THERAPY,,,39.52,412.0,5
CPT,90901,BIOFEEDBACK TRAIN ANY METH,,,42.91,1287.23,6
CPT,90911,Mammogram,,,2878.63,2878.63,1
CPT,90912,BFB TRAINING 1ST 15 MIN,,,85.39,2889.41,6
CPT,90913,BFB TRAINING EA ADDL 15 MIN,,,33.68,1642.36,6
CPT,90935,HC CVVHD,1856.57,649.8,132.73,4821.85,9
CPT,90937,HC ACUTE HEMODIALYSIS,1856.57,649.8,89.37,6868.33,9
CPT,90940,HEMODIALYSIS ACCESS STUDY,,,76.64,76.64,1
CPT,90945,HC DIALYSIS ONE EVALUATION,933.66,326.79,159.42,5791.43,9
CPT,90947,HC CONTIN VENOUS VEIN DIALYSIS,1856.57,649.8,107.13,8245.97,9
CPT,90951,ESRD SERV 4 VISITS P MO <2YR,,,1204.14,79178.73,6
CPT,90952,ESRD SERV 2-3 VSTS P MO <2YR,,,1592.98,1592.98,1
CPT,90953,ESRD SERV 1 VISIT P MO <2YRS,,,1062.05,1062.05,1
CPT,90954,ESRD SERV 4 VSTS P MO 2-11,,,1052.02,67898.08,6
CPT,90955,ESRD SRV 2-3 VSTS P MO 2-11,,,548.91,35180.9,6
CPT,90956,ESRD SRV 1 VISIT P MO 2-11,,,374.81,23494.15,6
CPT,90957,ESRD SRV 4 VSTS P MO 12-19,,,811.83,51966.95,6
CPT,90958,ESRD SRV 2-3 VSTS P MO 12-19,,,529.01,33814.04,6
CPT,90959,ESRD SERV 1 VST P MO 12-19,,,346.28,21989.85,6
CPT,90960,ESRD SRV 4 VISITS P MO 20+,,,380.79,23898.28,6
CPT,90961,ESRD SRV 2-3 VSTS P MO 20+,,,317.52,19887.88,6
CPT,90962,ESRD SERV 1 VISIT P MO 20+,,,220.59,13719.14,6
CPT,90963,ESRD HOME PT SERV P MO <2YRS,,,638.26,41011.29,6
CPT,90964,ESRD HOME PT SERV P MO 2-11,,,544.6,35201.11,6
CPT,90965,ESRD HOME PT SERV P MO 12-19,,,526.38,33731.6,6
CPT,90966,ESRD HOME PT SERV P MO 20+,,,317.16,19864.36,6
CPT,90967,ESRD SVC PR DAY PT <2,,,18.75,1192.78,6
CPT,90968,ESRD SVC PR DAY PT 2-11,,,18.06,1170.0,6
CPT,90969,ESRD SVC PR DAY PT 12-19,,,17.72,1147.21,6
CPT,90970,ESRD SVC PR DAY PT 20+,,,10.25,643.25,6
CPT,90989,DIALYSIS TRAINING COMPLETE,,,796.56,796.56,1
CPT,90993,DIALYSIS TRAINING INCOMPL,,,173.91,173.91,1
CPT,90997,HEMOPERFUSION,,,76.88,5924.1,6
CPT,91000,Mammogram,,,3690.07,3690.07,1
CPT,91010,ESOPHAGUS MOTILITY STUDY,,,393.64,11290.09,7
CPT,91011,Mammogram,,,10556.32,10556.32,1
CPT,91012,Mammogram,,,10961.79,10961.79,1
CPT,91013,ESOPHGL MOTIL W/STIM/PERFUS,,,29.8,2444.0,7
CPT,91020,GASTRIC MOTILITY STUDIES,,,393.64,14556.06,7
CPT,91022,DUODENAL MOTILITY STUDY,,,393.64,7165.15,7
CPT,91030,ACID PERFUSION OF ESOPHAGUS,,,393.64,7069.97,7
CPT,91034,GASTROESOPHAGEAL REFLUX TEST,,,393.64,10264.89,7
CPT,91035,G-ESOPH REFLX TST W/ELECTROD,,,905.87,27341.02,7
CPT,91037,ESOPH IMPED FUNCTION TEST,,,227.77,8619.22,7
CPT,91038,ESOPH IMPED FUNCT TEST > 1HR,,,393.64,25357.01,7
CPT,91040,ESOPH BALLOON DISTENSION TST,,,393.64,34208.0,7
CPT,91052,Mammogram,,,5263.46,5263.46,1
CPT,91055,Mammogram,,,5621.28,5621.28,1
CPT,91060,Mammogram,,,4399.1,4399.1,1
CPT,91065,HC SMALL INTESTINAL BACTERIAL OVERGROWTH (SIBO) - 2 HOUR ARUP TO GENOVA DIAG 2306,794.64,278.13,145.35,5310.99,9
CPT,91100,Mammogram,,,3306.77,3306.77,1
CPT,91105,Mammogram,,,1071.51,1071.51,1
CPT,91110,HC GI TRACT CAPSULE ENDOSCOPY,2154.36,754.03,738.95,45390.17,9
CPT,91111,GI TRC IMG INTRAL ESOPHAGUS,,,956.76,60696.79,7
CPT,91112,GI WIRELESS CAPSULE MEASURE,,,956.76,110449.8,7
CPT,91113,GI TRC IMG INTRAL COLON I&R,,,981.0,56757.31,6
CPT,91117,COLON MOTILITY 6 HR STUDY,,,227.77,9183.34,7
CPT,91120,Ambulatory Surgery Groups,,,5428.0,5428.0,1
CPT,91120,Ambulatory Surgery Groups - CPT/HCPCS,,,2444.0,2444.0,1
CPT,91120,Mammogram,,,33158.67,33158.67,1
CPT,91122,Ambulatory Surgery Groups,,,5428.0,5428.0,1
CPT,91122,Ambulatory Surgery Groups - CPT/HCPCS,,,2444.0,2444.0,1
CPT,91122,Mammogram,,,13435.68,13435.68,1
CPT,91124,RCT SNSATN TONE&CMPLIANC STD,,,227.77,370.86,4
CPT,91125,ANRCT MANO RCT SNSATN&BALO,,,393.64,640.92,4
CPT,91132,ELECTROGASTROGRAPHY,,,227.77,30012.01,7
CPT,91133,ELECTROGASTROGRAPHY W/TEST,,,140.35,31204.06,7
CPT,91200,"HC LIVER ELASTOGRAPHY, MECHANICALLY INDUCED SHEAR WAVE, W/O IMAGING, W/ INTERP & RPT (VCTE)",319.98,112.0,38.99,1424.55,9
CPT,91299,UNLISTED DX GI PROCEDURE,,,135.74,2444.0,5
CPT,91301,COVID-19 vaccine 100 mcg/0.5 mL suspension 5 mL Vial,24.0,8.4,6.87,17.88,10
CPT,91302,Drugs - Other,,,0.05,0.05,1
CPT,91303,Drugs - Other,,,0.05,0.05,1
CPT,91304,"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, 5 mcg/0.5 mL dosage, for intramus",,,0.05,312.48,8
CPT,91307,COVID-19 vaccine 10 mcg/0.2 mL suspension for reconstitution 2 mL Vial,24.0,8.4,6.87,17.88,20
CPT,91310,Drugs - Other,,,0.05,0.05,1
CPT,91312,Drugs - Other,,,0.05,0.05,1
CPT,91313,Drugs - Other,,,0.05,0.05,1
CPT,91314,Drugs - Other,,,0.05,0.05,1
CPT,91315,Drugs - Other,,,0.05,0.05,1
CPT,91316,Drugs - Other,,,0.05,0.05,1
CPT,91317,Drugs - Other,,,0.05,0.05,1
CPT,91318,SARSCOV2 VAC 3MCG TRS-SUC IM,,,65.55,115.92,7
CPT,91319,SARSCV2 VAC 10MCG TRS-SUC IM,,,94.8,155.24,7
CPT,91320,SARSCV2 VAC 30MCG TRS-SUC IM,,,168.37,275.69,7
CPT,91321,COVID vaccine 25 mcg/0.25 mL suspension 0.25 mL Vial,302.79,105.98,86.72,260.07,20
CPT,91321,COVID vaccine 25 mcg/0.25 mL syringe 0.25 mL Syringe,287.32,100.565,47.25,260.07,60
CPT,91321,COVID-19 vaccine 25 mcg/0.25 mL suspension 0.25 mL Vial,302.79,105.98,86.72,260.07,20
CPT,91322,COVID-19 vaccine 50 mcg/0.5 mL suspension 0.5 mL Syringe,306.33,107.22,87.73,285.87,30
CPT,91322,COVID-19 vaccine 50 mcg/0.5 mL suspension 0.5 mL Vial,302.79,105.98,86.72,285.87,20
CPT,91322,COVID-19 vaccine 50 mcg/0.5 mL syringe 0.5 mL Syringe,287.325,100.565,47.26,285.87,50
CPT,91323,SARSCOV2 VAC 10 MCG/0.2ML IM,,,201.91,328.75,4
CPT,92002,"HC EYE EXAM/EVAL, INTERMED NEW PT",234.85,82.2,80.55,228.67,6
CPT,92004,HC EYE EXAM/EVAL COMPREH NEW PT,234.85,82.2,80.55,228.67,6
CPT,92012,"HC EYE EXAM/EVAL, INTERMED EST PT",281.35,98.48,96.5,228.67,6
CPT,92014,HC EYE EXAM/EVAL COMPREH EST PT,281.35,98.48,96.5,228.67,6
CPT,92015,HC DETERMINE REFRACTIVE STATE,59.73,20.91,19.43,1261.14,9
CPT,92018,COMPL OPH EXAM GENERAL ANES,,,2507.97,9414.62,7
CPT,92019,LMTD OPH EXAM GENERAL ANES,,,133.38,6090.0,7
CPT,92020,HC GONIOSCOPY (EYE EXAM),245.54,85.94,52.32,1387.07,9
CPT,92025,HC CORNEAL TOPOGRAPHY,149.72,52.41,33.11,1210.18,9
CPT,92060,HC SPECIAL EYE EVALUATION,138.26,48.4,47.42,1901.69,9
CPT,92065,ORTHOP TRAING PFRMD PHYS/QHP,,,16.16,590.33,6
CPT,92066,HC ORTHOPTIC TRAINING UNDER SUPERVISION OF PHYS/QHP,199.17,69.71,50.08,1830.03,9
CPT,92070,Mammogram,,,2552.29,2552.29,1
CPT,92071,HC CONTACT LENS FITTING FOR TX,66.69,23.35,22.87,59.94,6
CPT,92072,HC FIT CONTAC LENS FOR MANAGMNT,86.28,30.2,29.59,202.73,6
CPT,92081,HC EYE SERVICE OR PROCEDURE,138.26,48.4,33.77,1234.31,9
CPT,92082,"HC VISUAL FIELD EXAM, INTERMEDIAT",124.22,43.48,42.61,101.32,6
CPT,92083,"HC VISUAL FIELD EXAM, EXTENDED",207.83,72.75,69.67,2545.67,9
CPT,92100,HC SERIAL TONOMETRY EXAM(S),83.7,29.3,28.71,2191.16,9
CPT,92120,Mammogram,,,2916.11,2916.11,1
CPT,92130,Mammogram,,,2993.9,2993.9,1
CPT,92132,HC CMPTR OPHTH DX IMG ANT SEGMT,124.22,43.48,29.86,1090.86,9
CPT,92133,HC CMPTR OPHTH IMG OPTIC NERVE,124.22,43.48,29.86,1090.86,9
CPT,92134,HC CPTR OPHTH DX IMG POST SEGMT,124.22,43.48,30.52,1115.0,9
CPT,92135,Mammogram,,,1663.18,1663.18,1
CPT,92136,HC OPHTHALMIC BIOMETRY,271.87,95.16,33.11,1210.18,9
CPT,92137,HC CPTRIZD OPH DX IMG PST SGM UNI/BI RTA OCT ANGRPH,1868.4,653.94,227.77,1391.96,9
CPT,92140,Mammogram,,,1743.54,1743.54,1
CPT,92145,CORNEAL HYSTERESIS DETER,,,14.2,518.67,6
CPT,92201,HC OPSCPY EXTND RTA DRAWING & SCL DEPRSN I&R UNI/BI,127.24,44.54,43.64,101.32,6
CPT,92202,OPSCPY EXTND OPTIC NRV/MACULA DRAWING I&R UNI/BI,127.24,44.54,43.64,101.32,6
CPT,92225,Mammogram,,,1409.85,1409.85,1
CPT,92226,Mammogram,,,1248.4,1248.4,1
CPT,92227,IMG RTA DETCJ/MNTR DS STAFF,,,32.47,1186.66,6
CPT,92228,IMG RTA DETC/MNTR DS PHY/QHP,,,24.64,900.62,6
CPT,92229,HC IMG RTA DETC/MNTR DS POC ALY,128.14,44.85,43.95,101.32,6
CPT,92230,HC FLUOROSCEIN ANGIOSCOPY,1054.82,369.19,216.28,2347.96,9
CPT,92235,HC FLUORESCEIN ANGIOGRAPHY,668.05,233.82,185.8,6789.2,9
CPT,92240,HC ICG ANGIOGRAPHY,668.05,233.82,227.77,10246.15,9
CPT,92242,FLUORESCEIN&ICG ANGIOGRAPHY,,,227.77,14585.46,6
CPT,92250,HC FUNDUS PHOTOGRAPHY,274.6,96.11,31.81,1162.53,9
CPT,92260,HC OPHTHALMOSCOPY/DYNAMOMETRY,80.82,28.29,27.72,712.95,9
CPT,92265,HC EYE MUSCLE EVALUATION,148.2,51.87,50.83,2951.03,9
CPT,92270,HC ELECTRO-OCULOGRAPHY,279.91,97.97,96.01,4804.45,9
CPT,92273,FULL FIELD ERG W/I&R,,,176.51,6449.5,6
CPT,92274,MULTIFOCAL ERG W/I&R,,,109.46,3999.63,6
CPT,92275,Mammogram,,,6425.98,6425.98,1
CPT,92283,HC COLOR VISION EXAMINATION,241.54,84.54,62.23,3213.05,9
CPT,92284,HC DARK ADAPTATION EYE EXAM,897.82,314.24,89.89,3206.93,9
CPT,92285,"HC PHOTOGRAPHY, EXT OR SLIT LAMP",117.26,41.05,39.4,64.15,6
CPT,92286,HC INTERNAL EYE PHOTOGRAPHY,367.36,128.58,34.43,1257.71,9
CPT,92287,ANT SGM IMG IR FLRSCN ANGRPH,,,140.35,7719.22,6
CPT,92288,SCR DARK ADAPTATION MEAS I&R,,,24.84,40.45,4
CPT,92310,HC CONTACT LENS FITTING,346.03,121.12,104.68,170.45,6
CPT,92311,HC CORNEAL LENS APHAKIA 1 EYE,771.43,270.01,264.6,767.28,6
CPT,92312,HC CONTACT LENS FITTING,243.33,85.17,83.46,4085.5,9
CPT,92313,HC RX & FITTING OF CORNEOSCLERAL CONTACT LENS W/ MED SUPERVISION OF ADAPTATION,280.68,98.24,96.27,228.52,6
CPT,92314,C-LENS FITG TECH OU,,,92.28,2291.0,6
CPT,92315,C-LENS FITG TECH APHAKIA 1,,,140.35,1426.64,6
CPT,92316,C-LENS FITG TECH APHAKIA OU,,,140.35,2142.28,6
CPT,92317,C-LENS FITG TECH CORNEOSCLRL,,,39.4,1426.64,6
CPT,92325,MODIFICATION OF CONTACT LENS,,,87.94,3213.05,6
CPT,92326,REPLACEMENT OF CONTACT LENS,,,62.23,2760.05,6
CPT,92340,FIT SPECTACLES MONOFOCAL,,,37.21,1214.22,6
CPT,92341,FIT SPECTACLES BIFOCAL,,,42.27,1574.0,6
CPT,92342,FIT SPECTACLES MULTIFOCAL,,,45.37,1782.38,6
CPT,92352,FIT APHAKIA SPECTCL MONOFOCL,,,62.23,1214.22,6
CPT,92353,FIT APHAKIA SPECTCL MULTIFOC,,,62.23,1666.49,6
CPT,92354,FITG SPECT LOW VIS 1SYSTEM,,,25.95,948.15,6
CPT,92355,FITG SPECT LW VIS CMPND LENS,,,39.4,1472.21,6
CPT,92358,APHAKIA PROSTH SERVICE TEMP,,,21.38,781.31,6
CPT,92370,RPR&REFITG SPECT XCP APHAKIA,,,31.97,1052.64,6
CPT,92371,RPR&REFIT SPCT PRSTH APHAKIA,,,22.68,828.84,6
CPT,92499,HC EYE SERVICE OR PROCEDURE,196.24,68.69,30.51,146.2,9
CPT,92499,HC PACHYMETRY THRU OCT C1,141.64,49.58,30.51,105.52,9
CPT,92502,EAR AND THROAT EXAMINATION,,,568.93,6487.72,7
CPT,92504,HC MICROSCOPY EAR EXAM,99.02,34.66,30.16,643.25,9
CPT,92506,Mammogram,,,15118.95,15118.95,1
CPT,92507,HC INDIV. TX OF SPEECH/LANG/AUD,300.7,105.25,78.68,5280.24,10
CPT,92508,HC TX SPEECH LANGUAGE VOICE COMMJ AUDITRY 2/>INDIV,55.69,19.5,19.1,1653.02,10
CPT,92511,HC NASOPHARYNGOSCOPY,421.58,147.56,144.6,3000.0,9
CPT,92512,NASAL FUNCTION STUDIES,,,121.15,1852.08,6
CPT,92516,HC FACIAL NERVE FUNCTN STUDY,668.05,233.82,136.5,1554.53,9
CPT,92517,HC VEMP TEST I&R CERVICAL,321.26,112.45,110.19,2875.32,9
CPT,92518,HC VEMP TEST I&R OCULAR,321.26,112.45,110.19,2899.45,9
CPT,92519,HC VEMP TST I&R CERVICAL&OCULAR,608.81,213.09,208.82,4360.88,9
CPT,92520,HC LARYNGEAL FUNCTN STUDY,319.87,111.96,109.72,2713.87,10
CPT,92521,HC EVALUATION OF SPEECH FLUENCY,474.62,166.12,137.81,9178.07,10
CPT,92522,HC EVALUATE SPEECH PRODUCTION,395.87,138.56,115.34,7655.64,10
CPT,92523,HC SPEECH SOUND LANG COMPREHEN,813.88,284.86,234.19,15739.41,10
CPT,92524,HC BEHAVRAL QUALIT ANALYS VOICE,390.93,136.83,112.95,7559.84,10
CPT,92526,HC TX OF SWALLOW/ORAL FUNC.,158.84,55.6,54.48,5872.53,10
CPT,92531,SPONTANEOUS NYSTAGMUS STUDY,,,29.31,29.31,1
CPT,92532,HC POSITIONAL NYSTAGMUS,79.12,27.7,22.66,58.94,5
CPT,92533,CALORIC VESTIBULAR TEST,,,49.1,49.1,1
CPT,92534,OPTOKINETIC NYSTAGMUS TEST,,,37.02,37.02,1
CPT,92537,HC CALORIC VSTBLR TEST W/REC - BILATERAL-BITHERMAL,524.47,183.57,18.77,685.51,9
CPT,92538,HC CALORIC VSTBLR TEST W/REC- BI -MONOTHERMAL,524.47,183.57,12.89,471.01,9
CPT,92540,HC BASIC VESTIBULAR EVAL,341.5,119.53,61.83,2259.51,9
CPT,92541,SPONTANEOUS NYSTAGMUS TEST,,,8.32,304.17,6
CPT,92542,POSITIONAL NYSTAGMUS TEST,,,8.32,304.17,6
CPT,92543,Mammogram,,,685.51,685.51,1
CPT,92544,OPTOKINETIC NYSTAGMUS TEST,,,7.02,256.64,6
CPT,92545,OSCILLATING TRACKING TEST,,,7.02,370.86,6
CPT,92546,SINUSOIDAL ROTATIONAL TEST,,,135.74,7975.85,6
CPT,92547,SUPPLEMENTAL ELECTRICAL TEST,,,11.73,763.18,6
CPT,92548,CDP-SOT 6 COND W/I&R,,,27.25,995.68,6
CPT,92549,CDP-SOT 6 CONDITIONS W/I&R W/MCT & ADT,252.16,88.26,39.65,1448.69,9
CPT,92550,HC TYPANOMETRY RELEX THRESH,318.65,111.53,41.94,1531.74,9
CPT,92551,HC AUDIOMETRY,30.47,10.67,10.45,852.36,9
CPT,92551,HC HEARING SCREENING,76.1,26.64,14.12,852.36,9
CPT,92552,HC HEARING SCREENING - PURETONE,245.54,85.94,69.01,2521.54,9
CPT,92553,HC PURE TONE AIR AND BONE,332.45,116.36,84.67,3093.74,9
CPT,92555,HC SPEECH THRESHOLD ONLY,130.17,45.56,44.65,1949.22,9
CPT,92556,HC SPEECH THRESHOLD W/RECOGNITION,114.29,40.01,39.2,3022.08,9
CPT,92557,HC COMPREHEN THRESHOLD EVAL&SPEEC,251.43,88.01,69.79,2168.37,9
CPT,92558,HC EVOKED AUDITORY TEST QUAL,86.28,30.2,9.92,572.93,9
CPT,92561,Mammogram,,,2730.53,2730.53,1
CPT,92562,LOUDNESS BALANCE TEST,,,93.14,3404.03,6
CPT,92563,TONE DECAY HEARING TEST,,,39.4,2354.7,6
CPT,92564,Mammogram,,,1639.66,1639.66,1
CPT,92565,HC STENGER TEST,130.17,45.56,38.99,1424.55,9
CPT,92567,HC TYMPANOMETRY,99.35,34.78,31.26,737.08,9
CPT,92568,HC ACOUSTIC REFLEX TEST,86.9,30.42,28.89,1031.94,9
CPT,92569,Mammogram,,,909.93,909.93,1
CPT,92570,HC ACOUSTIC IMMITTANCE TEST,332.45,116.36,60.79,1982.79,9
CPT,92571,FILTERED SPEECH TEST,,,39.4,2140.2,6
CPT,92572,STAGGERED SPONDAIC WORD TEST,,,91.85,3355.77,6
CPT,92573,Mammogram,,,906.62,906.62,1
CPT,92575,SENSORINEURAL ACUITY LVL TST,,,39.4,5305.6,6
CPT,92576,SYNTHETIC SENTENCE ID TEST,,,39.4,2831.71,6
CPT,92577,STENGER TEST SPEECH,,,39.65,1448.69,6
CPT,92579,HC VRA,332.45,116.36,85.17,2539.55,9
CPT,92582,HC CONDITIONING PLAY AUDIOMETRY,332.45,116.36,114.03,5835.66,9
CPT,92583,HC SELECT PICTURE AUDIOMETRY,130.17,45.56,44.65,3856.91,9
CPT,92584,HC ELECTROCOCHLEOGRAPHY,445.72,156.01,135.74,7933.71,9
CPT,92585,Mammogram,,,7284.34,7284.34,1
CPT,92586,Mammogram,,,6378.45,6378.45,1
CPT,92587,"HC EVOKED AUDITORY TEST, LIMITED DISTORTED (AKA OTOACOUSTIC)",651.86,228.16,7.68,485.64,9
CPT,92588,EVOKED AUDITORY TST COMPLETE,,,10.28,640.92,6
CPT,92590,Other Outpatient Services - CPT/HCPCS,,,107.23,107.23,1
CPT,92591,Other Outpatient Services - CPT/HCPCS,,,136.53,136.53,1
CPT,92592,Other Outpatient Services - CPT/HCPCS,,,42.82,42.82,1
CPT,92593,Other Outpatient Services - CPT/HCPCS,,,70.2,70.2,1
CPT,92594,Other Outpatient Services - CPT/HCPCS,,,40.9,40.9,1
CPT,92595,Other Outpatient Services - CPT/HCPCS,,,87.43,87.43,1
CPT,92596,EAR PROTECTOR EVALUATION,,,39.4,5215.81,6
CPT,92597,HC EVAL VOICE PROSTHSIS,300.7,105.25,73.37,4950.47,9
CPT,92597,HC ORAL SPEECH DEVICE EVAL,300.7,105.25,73.37,4950.47,9
CPT,92601,HC ANALYSIS COCHLEAR IMPLT PT <7 YR PRGRMG,319.98,112.0,109.75,8385.37,9
CPT,92602,HC ANALYSIS COCHLEAR IMPLT PT <7 YR SBSQ REPRGRMG,363.83,127.35,124.79,4755.57,9
CPT,92603,HC ANALYSIS COCHLEAR IMPLT 7 YR/> PRGRMG,379.46,132.82,130.15,8152.13,9
CPT,92604,HC ANALYSIS COCHLEAR IMPLT 7 YR/> SBSQ REPRGRMG,319.98,112.0,109.75,4546.47,9
CPT,92605,HC EVAL RX NON-SPEECH COMM DEVICE,300.7,105.25,95.07,5814.22,10
CPT,92606,HC THERAPEUTIC SVC NON-SPEECH GEN,281.19,98.42,81.45,4626.83,10
CPT,92607,HC EVAL RX SPEECH GEN COMM DEVICE,300.7,105.25,103.14,8585.66,10
CPT,92608,EX FOR SPEECH DEVICE RX ADDL,,,49.6,3373.77,6
CPT,92609,HC THERAPEUTIC SVC SPEECH GEN DEV,370.61,129.72,106.4,7167.11,10
CPT,92610,HC EVAL OF SWALLOWING/ORAL FUNC,300.7,105.25,87.92,4803.1,10
CPT,92611,HC MOTION FLUOROSCOP EVAL SWALLOW,361.09,126.39,94.63,6326.15,10
CPT,92612,HC FLEX FIB ENDO EVAL SWALLOWING,716.46,250.77,209.89,5428.0,10
CPT,92613,ENDOSCOPY SWALLOW (FEES) I&R,,,36.45,2503.41,6
CPT,92614,HC FLEXIBLE ENDOSCOPIC EVAL LARYN SENSORY C/V REC,320.65,112.23,109.98,5428.0,10
CPT,92615,LARYNGOSCOPIC SENSORY I&R,,,32.68,2225.34,6
CPT,92616,HC FLEXIBLE NDSC EVAL SWLNG&LARYN SENS C/V REC,714.36,250.03,239.6,6736.28,10
CPT,92617,FEES W/LARYNGEAL SENSE I&R,,,40.48,2757.35,6
CPT,92618,EX FOR NONSPEECH DEV RX ADD,,,33.68,2151.59,6
CPT,92620,AUDITORY FUNCTION 60 MIN,,,135.74,5414.87,6
CPT,92621,AUDITORY FUNCTION + 15 MIN,,,21.78,1269.84,6
CPT,92622,HC DX ALY PRGRMG&VERIF AUD OI SOUND PROCESSR 1ST 60,499.19,174.72,135.74,371.9,9
CPT,92623,HC DX ALY PRGRMG&VERIF AUD OI SOUND PROCESSR EA ADL,166.4,58.24,20.75,123.97,9
CPT,92625,TINNITUS ASSESSMENT,,,128.61,4175.29,6
CPT,92626,HC EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV 1ST HR,319.98,112.0,109.75,5103.35,9
CPT,92627,HC EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV EA ADDL 15,92.98,32.55,20.75,1200.13,9
CPT,92630,AUD REHAB PRE-LING HEAR LOSS,,,159.33,159.33,1
CPT,92633,AUD REHAB POSTLING HEAR LOSS,,,92.9,92.9,1
CPT,92640,AUD BRAINSTEM IMPLT PROGRAMG,,,135.74,6401.24,6
CPT,92650,HC AEP SCR AUDITORY POTENTIAL,321.26,112.45,28.18,1941.87,9
CPT,92651,HC AEP HEARING STATUS DETER I&R,1002.06,350.73,161.65,5906.71,9
CPT,92652,HC AEP THRSHLD EST MLT FREQ I&R,608.81,213.09,208.82,7859.36,9
CPT,92653,HC AEP NEURODIAGNOSTIC I&R,608.81,213.09,160.54,5866.53,9
CPT,92700,HC  VESTIBULAR EVOKED MYOGENIC POT,657.99,230.3,30.51,5428.0,9
CPT,92700,HC EVAL OF SPEECH REHAB STATUS W VOICE PROSTHETIC DEVICE FIRST HOUR,318.69,111.55,30.51,5428.0,10
CPT,92700,HC UNLISTED OTORHINOLARYNGOLOGICAL SERVICE UPSIT SMELL TEST,61.45,21.51,17.6,5428.0,9
CPT,92700,HC UNLISTED OTORHINOLARYNGOLOGICAL SERVICE-BEHAVIORAL OBSERVATION AUDIOMETRY,319.98,112.0,30.51,5428.0,9
CPT,92920,HC PRQ CARDIAC ANGIOPLAST 1 ART,10627.8,3719.73,3645.34,22133.0,10
CPT,92921,HC PRQ CARDIAC ANGIO ADDL ART,9744.33,3410.52,2790.78,15400.0,6
CPT,92924,HC PRQ CARD ANGIO/ATHRECT 1 ART,18580.57,6503.2,6373.14,30380.0,10
CPT,92925,HC PRQ CARD ANGIO/ATHRECT ADDL,18580.57,6503.2,3000.0,15400.0,6
CPT,92928,HC PRQ CARD STENT W/ANGIO 1 VSL,23414.18,8194.97,7740.0,30380.0,10
CPT,92929,HC PRQ CARD STENT W/ANGIO ADDL,14800.27,5180.1,3000.0,21563.0,6
CPT,92930,PRQ TCAT PLMT NTRAC ST 2+LES,,,19337.75,31485.72,4
CPT,92933,HC PRQ CARD STENT/ATH/ANGIO,37448.62,13107.02,7740.0,52872.0,10
CPT,92934,HC PRQ CARD STENT/ATH/ANGIO,14800.27,5180.1,3000.0,21563.0,6
CPT,92937,HC PRQ REVASC BYP GRAFT 1 VSL,23414.18,8194.97,7740.0,30380.0,10
CPT,92938,HC PRQ REVASC BYP GRAFT ADDL,14800.27,5180.1,3000.0,21563.0,6
CPT,92941,HC PRQ CARD REVASC MI 1 VSL,15334.77,5367.17,578.31,30380.0,10
CPT,92943,HC PRQ CARD REVASC CHRONIC 1VSL,23414.18,8194.97,7740.0,30380.0,10
CPT,92944,HC PRQ CARD REVASC CHRONIC ADDL,14800.27,5180.1,3000.0,21563.0,6
CPT,92945,PRQ TRL RVS CH OCC ANT&RTRGR,,,12177.78,19827.86,4
CPT,92950,HC HEART/LUNG RESUSCITATION CPR,836.98,292.95,227.77,12200.02,10
CPT,92953,HC TEMP PACER-EXTERNAL,1385.16,484.81,1.76,3603.0,9
CPT,92960,HC CARDIOVERSION-ELECTIVE,2137.48,748.12,293.18,7303.82,9
CPT,92961,HC CARDIOVERSION ELECTRIC INT,1063.44,372.21,364.76,16104.59,10
CPT,92970,CARDIOASSIST INTERNAL,,,159.74,12277.07,7
CPT,92971,CARDIOASSIST EXTERNAL,,,86.23,6575.43,7
CPT,92972,HC PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY,128.21,44.88,36.72,7740.0,10
CPT,92973,"HC CORONARY THROMBECTOMY, PERC",7785.99,2725.1,79.96,11458.28,10
CPT,92974,CATH PLACE CARDIO BRACHYTX,,,136.06,10496.05,7
CPT,92975,Ambulatory Surgery Groups,,,3500.0,5428.0,2
CPT,92975,Ambulatory Surgery Groups - CPT/HCPCS,,,4344.0,4344.0,1
CPT,92977,Ambulatory Surgery Groups,,,3500.0,5428.0,2
CPT,92977,Ambulatory Surgery Groups - CPT/HCPCS,,,2444.0,2444.0,1
CPT,92978,HC ENDOLUMINAL IMAGING INTIAL VESSEL (IVUS/OCT),6131.69,2146.1,1756.12,7740.0,6
CPT,92979,HC IVUS ADD VESESL,3507.04,1227.47,1004.42,7740.0,6
CPT,92980,Mammogram,,,55299.93,55299.93,1
CPT,92981,Mammogram,,,15366.16,15366.16,1
CPT,92982,Mammogram,,,41001.24,41001.24,1
CPT,92984,Mammogram,,,10963.75,10963.75,1
CPT,92986,REVISION OF AORTIC VALVE,,,6003.94,22133.0,7
CPT,92987,REVISION OF MITRAL VALVE,,,11244.0,30380.0,7
CPT,92990,REVISION OF PULMONARY VALVE,,,11244.0,30380.0,7
CPT,92995,Mammogram,,,45130.84,45130.84,1
CPT,92996,Mammogram,,,12038.57,12038.57,1
CPT,92997,PUL ART BALLOON REPR PERCUT,,,11244.0,41742.98,7
CPT,92998,PUL ART BALLOON REPR PERCUT,,,269.96,20765.59,7
CPT,93000,ELECTROCARDIOGRAM COMPLETE,,,15.86,996.42,6
CPT,93005,HC EKG 12 LEAD TRACING ONLY,289.77,101.42,12.66,446.88,9
CPT,93010,ELECTROCARDIOGRAM REPORT,,,8.49,548.8,6
CPT,93012,Mammogram,,,10961.79,10961.79,1
CPT,93014,Mammogram,,,1747.59,1747.59,1
CPT,93015,CV STRESS TEST SUPVJ I&R,,,76.54,4906.98,6
CPT,93016,CV STRESS TEST SUPVJ ONLY,,,21.18,1426.64,6
CPT,93017,HC STRESS TEST CARDIOVASCULAR,691.19,241.92,71.9,2539.55,9
CPT,93018,CV STRESS TEST I&R ONLY,,,13.97,941.41,6
CPT,93024,ERGONOVINE PROVOCATION TEST,,,111.43,3934.7,6
CPT,93025,MICROVOLT T-WAVE ASSESS,,,135.74,6044.76,6
CPT,93040,RHYTHM ECG WITH REPORT,,,15.54,879.18,6
CPT,93041,HC RHY EKG 1-3 LEADS TRAC/INT&REP,289.77,101.42,11.99,423.48,9
CPT,93042,RHYTHM ECG REPORT,,,7.11,455.7,6
CPT,93050,ART PRESSURE WAVEFORM ANALYS,,,15.36,542.8,6
CPT,93145,INTERROG CRTD SINS BAT IP WO,,,135.74,221.0,4
CPT,93146,INTERROG CRTD SINS BAT IP W/,,,135.74,221.0,4
CPT,93150,THERAPY ACTIVATION IPNSS,,,100.29,192.39,5
CPT,93151,INTERROG&PRGRMG IPNSS,,,100.29,167.67,5
CPT,93152,INTERROG&PRGRMG IPNSS POLYSM,,,301.88,527.53,5
CPT,93153,INTERROG W/O PRGRMG IPNSS,,,99.63,163.29,5
CPT,93224,XTRNL ECG REC UP TO 48 HRS,,,74.04,5116.7,6
CPT,93225,HC ECG MONITOR/RECORD 24 HR,271.87,95.16,36.96,1305.36,9
CPT,93226,HC ECG MONITOR/REPORT 24 HRS,188.21,65.88,62.23,2569.07,9
CPT,93227,XTRNL ECG REC<48 HR R&I,,,18.08,1241.66,6
CPT,93228,REMOTE 30 DAY ECG REV/REPORT,,,25.55,1716.1,6
CPT,93229,REMOTE 30 DAY ECG TECH SUPP,,,393.64,59715.08,6
CPT,93230,Mammogram,,,7011.04,7011.04,1
CPT,93231,Mammogram,,,1949.22,1949.22,1
CPT,93232,Mammogram,,,3355.77,3355.77,1
CPT,93233,Mammogram,,,1705.32,1705.32,1
CPT,93235,Mammogram,,,7968.5,7968.5,1
CPT,93236,Mammogram,,,6523.86,6523.86,1
CPT,93237,Mammogram,,,1539.83,1539.83,1
CPT,93241,XTRNL ECG REC>48HR<7D,,,295.87,18737.36,6
CPT,93242,HC EXT ECG>48HR<7D RECORDING,77.89,27.27,24.15,852.36,9
CPT,93243,HC EXT ECG>48HR<7D SCAN A/R,405.38,141.89,139.05,16302.3,9
CPT,93244,EXT ECG>48HR<7D REV&INTERPJ,,,23.13,1582.7,6
CPT,93245,EXT ECG>7D<15D REC SCAN A/R,,,306.8,19733.77,6
CPT,93246,HC EXT ECG>7D<15D RECORDING,128.14,44.85,24.15,852.36,9
CPT,93247,HC EXT ECG>7D<15D SCAN A/R,257.73,90.21,88.4,17137.14,9
CPT,93248,EXT ECG>7D<15D REV&INTERPJ,,,25.17,1744.16,6
CPT,93260,PRGRMG DEV EVAL IMPLTBL SYS,,,39.37,2497.41,6
CPT,93261,HC INTERROGATE SUB Q DEFIB,81.2,28.42,27.85,2473.89,9
CPT,93264,HC REMOTE MONITOR WIRELESS P-ART PRS SNR UP TO 30 DAYS,187.4,65.59,39.37,2368.05,9
CPT,93268,ECG RECORD/REVIEW,,,179.27,12631.59,6
CPT,93270,HC REMOTE 30 DAY ECG REV/REPORT,874.75,306.17,16.72,651.69,9
CPT,93271,HC  ECG/MONITORING AND ANALYSIS,538.51,188.48,100.29,10413.6,9
CPT,93272,ECG/REVIEW INTERPRET ONLY,,,24.16,1628.27,6
CPT,93278,ECG/SIGNAL-AVERAGED,,,33.6,1186.66,6
CPT,93279,HC EA 1C PACER W/REPROGRAM,124.09,43.44,39.37,2640.73,9
CPT,93280,HC EA 2C INT PACER W/ REPROGRAM,132.76,46.47,39.37,3069.61,9
CPT,93281,HC DUAL CHAMBER W/REPROGRAMMING,127.19,44.52,39.37,3117.87,9
CPT,93282,HC EA CARDIOVERT/DEFIB W/REPROGRA,102.73,35.96,35.24,2831.71,9
CPT,93283,HC CARDIOVERT/DEFIB W/REPROGRAM D,109.21,38.23,37.46,3093.74,9
CPT,93284,HC BIV ICD W/ REPROGRAMMING,109.21,38.23,37.46,3308.11,9
CPT,93285,HC PROGRAM LOOP RECORDER,126.1,44.14,39.37,2545.67,9
CPT,93286,PERI-PX EVAL PM/LDLS PM IP,,,46.57,2259.51,6
CPT,93287,PERI-PX DEVICE EVAL & PRGR,,,54.04,2259.51,6
CPT,93288,HC EA 2C INT PACER W/O REPROGRAM,121.3,42.46,39.37,2593.2,9
CPT,93289,HC EA CARDIOVERT/DEFIB W/O REPRO,119.75,41.92,39.37,2616.6,9
CPT,93290,INTERROG DEV EVAL ICPMS IP,,,39.37,2354.7,6
CPT,93291,HC LOOP RECORDER REPROGRAM,87.11,30.49,29.88,2282.91,9
CPT,93292,WCD DEVICE INTERROGATE,,,39.37,2187.85,6
CPT,93293,HC TELEPHONE ANALY PACEMAKER,111.0,38.85,38.07,2235.38,9
CPT,93294,REM INTERROG EVL PM/LDLS PM,,,29.87,2013.53,6
CPT,93295,DEV INTERROG REMOTE 1/2/MLT,,,36.66,2476.58,6
CPT,93296,HC REMOTE INTERROGA ICD-TECH REVI,109.21,38.23,37.46,1591.4,9
CPT,93297,HC ICM DEVICE INTERROGATE REMOTE,42.67,14.94,14.64,1736.19,9
CPT,93298,HC ILR DEVICE INTERROGAT REMOTE,49.27,17.25,16.9,1759.59,9
CPT,93303,HC ECHO TRANSTHO COMP,1432.35,501.33,322.74,11397.28,9
CPT,93304,HC ECHO TRANSTHO LIMIT,1206.23,422.19,242.04,8548.17,9
CPT,93306,HC TTE W/DOPPLER COMPLETE,2727.88,954.76,259.26,9156.63,9
CPT,93307,"HC ECHO,COMPLETE W/O SPECTRAL/COLOR DOP",1049.11,367.19,189.38,6688.01,9
CPT,93308,HC TTE F-UP OR LMTD,604.04,211.42,148.87,5257.46,9
CPT,93312,HC TEE TRANSESOPHAGEAL ECHO,2276.89,796.92,265.67,9382.4,9
CPT,93313,ECHO TRANSESOPHAGEAL,,,21.19,938.5,6
CPT,93314,ECHO TRANSESOPHAGEAL,,,241.45,9954.6,6
CPT,93315,HC TRANSESOPHAGEAL ECHO FOR CONGENITAL CARDIAC ANOMALIES,3504.27,1226.5,576.4,2610.68,9
CPT,93316,ECHO TRANSESOPHAGEAL,,,48.24,1703.98,6
CPT,93317,ECHO TRANSESOPHAGEAL,,,172.07,172.07,1
CPT,93318,"HC ECHOCARDIOGRAPHY, TRANESOPHAGEAL FOR MONITORING PURPOSES",2285.36,799.88,576.4,1702.59,9
CPT,93319,HC 3D ECHO IMG&PST-PXESSING TEE/TTE CGEN CAR ANOMAL,563.95,197.39,58.12,1618.96,9
CPT,93320,HC DOPPLER-COMPREHENSIVE,379.68,132.89,53.9,2354.7,9
CPT,93321,HC ECHO DOPPLER LTD,276.64,96.83,26.65,1287.23,9
CPT,93325,HC COLOR FLOW MAPPING,360.8,126.28,25.11,1454.08,9
CPT,93350,HC STRESS ECHO,1331.77,466.12,238.0,8404.73,9
CPT,93351,STRESS TTE COMPLETE,,,303.83,10729.9,6
CPT,93352,HC ADMIN ECG CONTRAST AGENT,374.74,131.16,37.51,2377.48,9
CPT,93355,ECHO TRANSESOPHAGEAL (TEE),,,193.25,15010.29,6
CPT,93356,HC MYOCRD STRAIN IMG SPECKLE TRCK ASSMT MYOCRD MECH,556.88,194.91,38.5,774.57,9
CPT,93451,HC RIGHT HEART CATH,6710.28,2348.6,2301.63,9836.0,10
CPT,93452,HC LT HRT CATH W/VENTRCIGRPHY,6641.42,2324.5,2278.01,9836.0,10
CPT,93453,HC R&L HRT CATH W/VENTRICLGRPHY,8162.66,2856.94,2799.79,9836.0,10
CPT,93454,HC CORONARY ARTERY ANGIO S&I,6710.28,2348.6,2301.63,9836.0,10
CPT,93455,HC CORONARY ART/GRFT ANGIO S&I,7153.01,2503.56,2453.48,9836.0,10
CPT,93456,HC R HRT CORONARY ARTERY ANGIO,8369.57,2929.35,2870.76,9836.0,10
CPT,93457,HC R HRT ART/GRFT ANGIO,9144.49,3200.58,3136.56,9836.0,10
CPT,93458,HC LT HRT ARTERY/VENTRICLE ANGIO,16188.6,5666.01,3419.86,9836.0,10
CPT,93459,HC LT HRT ART/GRFT ANGIO,9385.6,3284.96,3219.26,9836.0,10
CPT,93460,HC RT/LT HRT ART/VENTRICLE ANGIO,9935.3,3477.36,3407.81,9836.0,10
CPT,93461,HC R&L HRT ART/VENTRICLE ANGIO,10409.44,3643.31,3419.86,9836.0,10
CPT,93462,HC LT HRT CATH TRNSPTL PUNCTURE,6710.28,2348.6,202.33,9836.0,10
CPT,93463,HC PHARMACOLOGIC AGENT ADMINISTRATION,1015.85,355.55,97.29,7740.0,10
CPT,93464,EXERCISE W/HEMODYNAMIC MEAS,,,233.68,9436.05,7
CPT,93501,Mammogram,,,37474.59,37474.59,1
CPT,93503,HC INSERT SWAN-GANZ CATH,3243.41,1135.2,1112.49,8110.0,10
CPT,93504,Cardiac Cath,,,8110.0,8110.0,1
CPT,93505,HC CARDIAC BIOPSY,6120.24,2142.09,2099.24,12001.0,10
CPT,93508,Mammogram,,,51893.33,51893.33,1
CPT,93510,Mammogram,,,61620.81,61620.81,1
CPT,93511,Mammogram,,,90053.43,90053.43,1
CPT,93514,Mammogram,,,25811.98,25811.98,1
CPT,93524,Mammogram,,,117731.57,117731.57,1
CPT,93526,Mammogram,,,77214.08,77214.08,1
CPT,93527,Mammogram,,,117731.57,117731.57,1
CPT,93528,Mammogram,,,117731.57,117731.57,1
CPT,93529,Mammogram,,,117731.57,117731.57,1
CPT,93530,Cardiac Cath,,,8110.0,8110.0,1
CPT,93531,Cardiac Cath,,,8110.0,8110.0,1
CPT,93532,Cardiac Cath,,,8110.0,8110.0,1
CPT,93533,Cardiac Cath,,,8110.0,8110.0,1
CPT,93539,Mammogram,,,1401.77,1401.77,1
CPT,93540,Mammogram,,,1494.26,1494.26,1
CPT,93541,Mammogram,,,989.68,989.68,1
CPT,93542,Mammogram,,,989.68,989.68,1
CPT,93543,Mammogram,,,989.68,989.68,1
CPT,93544,Mammogram,,,874.41,874.41,1
CPT,93545,Mammogram,,,1401.77,1401.77,1
CPT,93555,Mammogram,,,3141.27,3141.27,1
CPT,93556,Mammogram,,,5263.46,5263.46,1
CPT,93563,NJX CGEN CAR CTH SLCTV C ANG,,,50.45,8110.0,7
CPT,93564,NJX CGEN CAR CATH SLCTV OPAC,,,52.95,8110.0,7
CPT,93565,NJX CAR CTH SLCTV LV/LA ANG,,,26.09,8110.0,7
CPT,93566,HC INJECT VENTR/ATRIAL ANGIO,139.06,48.68,25.4,9836.0,10
CPT,93567,HC INJECT SUPRVLV AORTOGRAPHY,737.85,258.25,36.4,9836.0,10
CPT,93568,HC INJ PROCEDURE DURING CARDIAC CATH FOR PULMONARY ANGIOGRAPHY,3255.76,1139.52,45.49,9836.0,10
CPT,93569,HC NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY UNI,3417.02,1195.96,37.56,7740.0,10
CPT,93571,HC INTRAVASCULAR DOPP/FLOW WIRE,3730.21,1305.58,252.65,7740.0,6
CPT,93572,HC HEART FLOW RESERVE MEAS EA ADD,1865.37,652.88,111.46,7740.0,6
CPT,93573,HC NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY BI,3417.02,1195.96,62.07,7740.0,10
CPT,93574,HC NJX DRG C-CATHJ SLCTV PULM VEN ANGIOGRAPHY,3417.02,1195.96,68.15,7740.0,10
CPT,93575,HC NJX DRG C-CATHJ SLCTV PULM ANGRPH MAPCA CHD EA,3417.02,1195.96,91.48,7740.0,10
CPT,93580,HC TRANSCATH CLOSURE OF ASD,29407.48,10292.62,7740.0,52872.0,10
CPT,93581,TRANSCATH CLOSURE OF VSD,,,15181.0,52872.0,7
CPT,93582,HC PERQ TRANSCATH CLOSURE PDA,30814.5,10785.08,7740.0,52872.0,10
CPT,93583,PERQ TRANSCATH SEPTAL REDUXN,,,628.45,52872.0,7
CPT,93584,VNGRPH CHD ANOM/PERSIST SVC,,,49.19,3000.0,5
CPT,93585,VNGRPH CHD AZYGS/HEMIAZYGS,,,46.47,3000.0,5
CPT,93586,VNGRPH CHD CORONARY SINUS,,,60.09,3000.0,5
CPT,93587,VNGRPH CHD VNVN CLTRL AT/ABV,,,87.05,3000.0,5
CPT,93588,VNGRPH CHD VNVN CLTRL BELOW,,,87.73,3000.0,5
CPT,93590,PERQ TRANSCATH CLS MITRAL,,,8110.0,52872.0,7
CPT,93591,PERQ TRANSCATH CLS AORTIC,,,8110.0,52872.0,7
CPT,93592,PERQ TRANSCATH CLOSURE EACH,,,329.27,25941.95,7
CPT,93593,R HRT CATH CHD NML NT CNJ,,,3419.86,12001.0,7
CPT,93594,R HRT CATH CHD ABNL NT CNJ,,,3419.86,12001.0,7
CPT,93595,L HRT CATH CHD NM/ABN NT CNJ,,,3419.86,12001.0,7
CPT,93596,R&L HRT CATH CHD NML NT CNJ,,,3419.86,12001.0,7
CPT,93597,R&L HRT CATH CHD ABNL NT CNJ,,,3419.86,12001.0,7
CPT,93598,CAR OUTP MEAS DRG CATH CHD,,,2444.0,5428.0,2
CPT,93600,HC BUNDLE OF HIS RECORDING,15894.81,5563.19,4552.27,18587.0,9
CPT,93602,INTRA-ATRIAL RECORDING,,,5428.0,18587.0,6
CPT,93603,RIGHT VENTRICULAR RECORDING,,,1284.36,18587.0,6
CPT,93609,"HC MAPPING TACHYCARDIA SUIT, NO3D",15338.16,5368.36,4392.85,18587.0,5
CPT,93610,INTRA-ATRIAL PACING,,,5428.0,18587.0,6
CPT,93612,HC INTRAVENTRICULAR PACING,15894.81,5563.19,4552.27,18587.0,10
CPT,93613,"HC ELECTROPHYS MAP, 3D, ADD-ON",15338.16,5368.36,243.4,19309.55,9
CPT,93615,ESOPHAGEAL RECORDING,,,1284.36,18587.0,6
CPT,93616,ESOPHAGEAL RECORDING W/PACG,,,1284.36,18587.0,6
CPT,93618,HC INDUCTION OF ARRHYTHMIA BY ELECTRICAL PACING,5419.26,1896.75,1284.36,18587.0,10
CPT,93619,HC COMPREH EVAL W/O ARRHYTHMIA,15894.81,5563.19,4552.27,18587.0,9
CPT,93620,HC COMP EVAL W/ARRHYTHMIA,15894.81,5563.19,4552.27,18587.0,9
CPT,93621,HC COMP EVAL W/L ATRIAL RECRD,10909.1,3818.19,3124.37,18587.0,5
CPT,93622,HC COMP EVAL W/LV RECORD,13086.15,4580.16,3747.87,18587.0,5
CPT,93623,HC STIMUL/PACING AFTR IV DRUG INF,9642.6,3374.91,2761.64,18587.0,5
CPT,93624,HC F/U STUDY POST ABLATION,15894.81,5563.19,4552.27,18587.0,9
CPT,93631,NTRAOP EPICAR&ENDCAR PAC&MAP,,,2444.0,5428.0,2
CPT,93640,HC ICD TEST INITIAL IMPLANT,1979.82,692.94,567.02,18587.0,5
CPT,93641,HC ICD TEST PULSE GENERATOR,1956.02,684.61,560.2,18587.0,5
CPT,93642,HC ICD TEST NIPS,2218.02,776.31,760.78,18587.0,9
CPT,93644,EP EVAL SUBQ IMPL DFB,,,98.37,18587.0,7
CPT,93650,HC AV ABLATION,15894.81,5563.19,5451.92,22133.0,9
CPT,93651,Mammogram,,,59895.27,59895.27,1
CPT,93652,Mammogram,,,65198.91,65198.91,1
CPT,93653,HC EP & ABLATE SUPRAVENT ARRHYT,50548.92,17692.13,7740.0,52872.0,10
CPT,93654,HC EP & ABLATE VENTRIC TACHY,50548.92,17692.13,7740.0,52872.0,10
CPT,93655,HC ABLATE ARRHYTHMIA ADD ON,13498.18,4724.37,256.24,20344.19,10
CPT,93656,HC TX ATRIAL FIB PULM VEIN ISOL,50548.92,17692.13,7740.0,52872.0,10
CPT,93657,HC TX L/R ATRIAL FIB ADDL,13498.18,4724.37,256.24,20344.19,10
CPT,93660,HC TILT TABLE EVALUATION,2146.98,751.45,136.39,4984.04,9
CPT,93662,HC ICE PROCEDURE,3735.97,1307.59,1069.98,7740.0,11
CPT,93668,HC PERIPHERAL VASCULAR REHAB,130.17,45.56,27.89,1019.2,9
CPT,93701,BIOIMPEDANCE CV ANALYSIS,,,37.68,1639.66,6
CPT,93702,BIS XTRACELL FLUID ANALYSIS,,,135.74,9143.89,6
CPT,93720,Mammogram,,,3404.64,3404.64,1
CPT,93721,Mammogram,,,2855.23,2855.23,1
CPT,93722,Mammogram,,,548.8,548.8,1
CPT,93724,HC ANALYZE PACEMAKER SYSTEM,649.69,227.4,90.53,3308.11,9
CPT,93727,Mammogram,,,2223.99,2223.99,1
CPT,93731,Mammogram,,,1311.98,1311.98,1
CPT,93732,Mammogram,,,1478.82,1478.82,1
CPT,93733,Mammogram,,,1992.1,1992.1,1
CPT,93734,Mammogram,,,1061.34,1061.34,1
CPT,93735,Mammogram,,,1288.58,1288.58,1
CPT,93736,Mammogram,,,1849.38,1849.38,1
CPT,93740,TEMPERATURE GRADIENT STUDIES,,,135.74,5428.0,6
CPT,93741,Mammogram,,,1574.74,1574.74,1
CPT,93742,Mammogram,,,1669.8,1669.8,1
CPT,93743,Mammogram,,,1717.45,1717.45,1
CPT,93744,Mammogram,,,1717.45,1717.45,1
CPT,93745,SET-UP CARDIOVERT-DEFIBRILL,,,68.89,2444.0,6
CPT,93750,INTERROGATION VAD IN PERSON,,,93.89,2667.56,7
CPT,93770,DETERMINATION VENOUS PRESS,,,1.28,526.02,6
CPT,93784,AMBL BP MNTR W/SOFTWARE,,,49.89,3186.23,6
CPT,93786,AMBL BP MNTR W/SW REC ONLY,,,43.56,1591.4,6
CPT,93788,AMBL BP MNTR W/SW A/R,,,10.29,375.95,6
CPT,93790,AMBL BP MNTR W/SW I&R,,,18.45,1218.88,6
CPT,93792,PT/CAREGIVER TRAING HOME INR,,,76.84,4984.04,6
CPT,93793,ANTICOAG MGMT PT WARFARIN,,,12.03,786.7,6
CPT,93797,HC CARDIAC REHAB W/O CONT ECG,254.91,89.22,31.97,595.72,9
CPT,93798,HC CARDIAC REHAB / MONITOR,254.91,89.22,48.49,913.36,9
CPT,93799,HC NON-INVAS CARDIAC OUTPUT(NICO),481.4,168.49,135.74,2444.0,9
CPT,93875,Mammogram,,,6646.48,6646.48,1
CPT,93880,HC US DUPX EXCRANIAL ART BILAT,764.29,267.51,251.7,10944.4,10
CPT,93882,HC DUPLEX EXTRACRANIAL UNILAT,520.48,182.17,110.28,7165.15,10
CPT,93886,HC US TRNSCRN DPLR INTRCRNL ART C,521.52,182.54,178.88,16070.41,10
CPT,93888,HC US TRNSCRN DPLR INTRCRNL LMT,351.91,123.17,110.28,9596.77,10
CPT,93890,Mammogram,,,16284.78,16284.78,1
CPT,93890,Other Outpatient Services - CPT/HCPCS,,,461.14,461.14,1
CPT,93892,TCD EMBOLI DETECT W/O INJ,,,110.28,18597.95,6
CPT,93893,TCD STD ICR ART VEN-ART SHNT,,,110.28,23985.99,6
CPT,93895,CAROTID INTIMA ATHEROMA EVAL,,,164.07,164.07,1
CPT,93896,HC VASOREACTIVITY STUDY W/TCD ICR ARTERIES COMPLETE,237.06,82.98,67.89,321.15,9
CPT,93897,HC EMBOLI DETCJ W/O IV MBUBB NJX TCD ICR ART COMPL,237.06,82.98,67.89,408.17,9
CPT,93898,HC VEN-ARTL SHNT DETC IV MBUB NJX TCD ICR ART COMPL,237.06,82.98,67.89,451.23,9
CPT,93922,HC UPR/L XTREMITY ART 2 LEVELS,356.42,124.75,122.25,4995.43,10
CPT,93923,HC UPR/LXTR ART STDY 3 LVLS,524.32,183.52,179.84,7618.03,10
CPT,93924,HC LWR XTR VASC STDY BILAT,587.93,205.78,201.66,9537.85,10
CPT,93925,HC US DUPLX LE ART COMP BILAT,701.79,245.63,240.71,14520.54,10
CPT,93926,HC DUPLEX LOWER EXT ART LIMTED,589.15,206.21,110.28,8595.7,10
CPT,93930,HC US DUPLX UE ART COMP BILAT,701.79,245.63,240.71,11302.1,10
CPT,93931,HC DUPLEX UP EXT ART UNILAT/LMTD,466.94,163.43,110.28,7188.55,10
CPT,93965,Mammogram,,,6932.64,6932.64,1
CPT,93970,HC US DUPLX E VINE COMP BILAT,1200.64,420.23,251.7,11111.24,10
CPT,93971,HC DUPLEX VENOUS EXT UNILAT/LMTD,866.16,303.16,110.28,7021.7,10
CPT,93975,HC DUPLEX ART/VEN ABD/PEL COMP,785.29,274.86,251.7,15092.74,10
CPT,93976,HC DUPLEX ABD/PEL/RETRO LTD,560.95,196.34,110.28,8643.36,10
CPT,93978,HC US DUPLX AORT/IVC/ILIAC COMP,645.39,225.89,221.37,10205.23,10
CPT,93979,HC DUPLEX VASCULAR STUDY,240.57,84.2,82.52,6735.54,10
CPT,93980,PENILE VASCULAR STUDY,,,110.28,4094.81,6
CPT,93981,PENILE VASCULAR STUDY,,,99.08,3499.09,6
CPT,93982,Mammogram,,,2926.89,2926.89,1
CPT,93985,HC DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL BI STD,538.92,188.63,184.85,15045.21,10
CPT,93986,HC DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL UNI STD,259.2,90.72,88.91,8881.86,10
CPT,93990,HC HEMODIALYSIS ACCESS DOPPLER,240.57,84.2,82.52,8810.2,10
CPT,93998,UNLISTD NONINVAS VASC DX STD,,,30.51,161.96,5
CPT,94002,"HC VENT SET UP, ASSIST & MGT",1039.69,363.9,167.93,6136.52,10
CPT,94003,HC VENTILATION DAILY,1039.69,363.9,117.76,4303.18,10
CPT,94004,VENT MGMT NF PER DAY,,,44.16,3189.53,6
CPT,94005,HOME VENT MGMT SUPERVISION,,,96.15,6155.26,6
CPT,94010,HC SPIROMETRY,332.3,116.31,36.38,1329.37,9
CPT,94011,SPIROMETRY UP TO 2 YRS OLD,,,135.74,5736.55,6
CPT,94012,SPIRMTRY W/BRNCHDIL INF-2 YR,,,227.77,9303.26,6
CPT,94013,MEAS LUNG VOL THRU 2 YRS,,,34.76,1270.45,6
CPT,94014,PATIENT RECORDED SPIROMETRY,,,62.76,3839.52,6
CPT,94015,PATIENT RECORDED SPIROMETRY,,,59.88,2187.85,6
CPT,94016,REVIEW PATIENT SPIROMETRY,,,25.22,1651.79,6
CPT,94060,"HC SPIROMETRY, BEFORE/AFTER BRONC",668.05,233.82,55.31,2021.01,9
CPT,94070,HC METHACHOLINE CHALLENGE,668.05,233.82,65.74,2402.23,9
CPT,94150,HC VITAL CAPACITY / PEAK FLOW,318.65,111.53,40.95,1496.34,9
CPT,94200,LUNG FUNCTION TEST (MBC/MVV),,,23.34,852.36,6
CPT,94240,Mammogram,,,1949.22,1949.22,1
CPT,94250,Mammogram,,,1448.69,1448.69,1
CPT,94260,Mammogram,,,1854.04,1854.04,1
CPT,94350,Mammogram,,,1568.0,1568.0,1
CPT,94360,Mammogram,,,2259.51,2259.51,1
CPT,94370,Mammogram,,,1543.87,1543.87,1
CPT,94375,HC FLOW VOLUME LOOP,1386.58,485.31,46.81,1710.71,9
CPT,94400,Mammogram,,,2467.89,2467.89,1
CPT,94450,BREATHING RESPONSE HYPOXIA,,,121.71,4447.24,6
CPT,94452,HAST W/I&R PHYS/QHP,,,67.69,2473.89,6
CPT,94453,HAST W/SUPPL OXYGEN TITRJ,,,93.64,3422.04,6
CPT,94610,HC SURFACTANT ADMIN,435.66,152.49,103.82,3793.34,10
CPT,94617,HC EXERCISE TST BRNCSPSM WITH ELECTROCARDIOGRPAHIC RECORDING,245.53,85.94,84.22,3970.23,9
CPT,94618,HC PULMONARY STRESS TESTING,245.53,85.94,22.68,828.84,9
CPT,94619,HC EXERCISE TST BRNCSPSM WO ECG,128.14,44.85,43.95,3850.91,9
CPT,94620,Mammogram,,,1710.71,1710.71,1
CPT,94621,HC PULM STRESS TEST/COMPLEX,803.45,281.21,167.07,6104.42,9
CPT,94625,HC PHYS/QHP SVCS OP PULM REHAB WO CONT OXIMTRY MNTR,129.94,45.48,44.57,1132.39,9
CPT,94626,HC PHYS/QHP SVCS OP PULM REHAB W/CONT OXIMTRY MNTR,129.94,45.48,44.57,1827.33,9
CPT,94640,HC AIRWAY INHALATION TREATMENT,435.66,152.49,17.46,637.86,10
CPT,94642,HC AEROSOL INHAL PENTAMIDINE,453.96,158.89,79.84,406.0,10
CPT,94644,"HC CBT, 1ST HOUR",271.87,95.16,93.25,4238.26,10
CPT,94645,HC CBT EACH ADD HOUR,120.24,42.09,17.67,1115.0,10
CPT,94656,Mammogram,,,3655.89,3655.89,1
CPT,94657,Mammogram,,,2562.33,2562.33,1
CPT,94660,HC CPAP INITIATION & MGMT,344.41,120.55,118.13,2486.63,10
CPT,94662,Mammogram,,,2343.92,2343.92,1
CPT,94662,Other Outpatient Services - CPT/HCPCS,,,64.13,64.13,1
CPT,94664,HC METERED DOSE INHALER INSTRU,435.66,152.49,33.11,1210.18,10
CPT,94667,"HC CHEST PHYSIOTHERAPY, INITIAL",245.54,85.94,45.36,1657.79,10
CPT,94668,"HC CHEST PHYSIOTHERAPY, SUBSEQUEN",245.54,85.94,70.81,2587.2,10
CPT,94669,HC MECHANICAL CHEST WALL OSCILL,355.73,124.51,37.52,1371.63,10
CPT,94680,HC O2 CONSUMPTION,435.64,152.48,77.99,2849.84,9
CPT,94681,O2 UPTK CO2 OUTP % O2 XTRC,,,72.76,2658.86,6
CPT,94690,HC CALORIMETER (EXHALED AIR ANALY,112.86,39.51,38.71,3117.87,9
CPT,94720,Mammogram,,,2807.58,2807.58,1
CPT,94725,Mammogram,,,3308.11,3308.11,1
CPT,94726,HC PULM FUNCT TST PLETHYSMOGRAP,1121.4,392.49,82.56,3016.69,9
CPT,94727,HC PULM FUNCT TST BY GAS,315.0,110.25,61.83,2259.51,9
CPT,94728,AIRWY RESIST BY OSCILLOMETRY,,,53.35,1949.22,6
CPT,94729,HC C02/MEMBANE DIFFUSE CAPACITY,152.35,53.33,52.26,3404.03,9
CPT,94750,Mammogram,,,5168.28,5168.28,1
CPT,94760,N-INVAS EAR/PLS OXIMETRY 1,,,4.17,160.84,6
CPT,94761,N-INVAS EAR/PLS OXIMETRY MLT,,,4.53,256.64,6
CPT,94762,HC NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR,271.95,95.19,49.44,1806.51,9
CPT,94770,Mammogram,,,1782.38,1782.38,1
CPT,94772,CIRCADIAN RESPIR PATTERN REC,,,356.1,640.92,5
CPT,94774,PED HOME APNEA MNTR EVNT REC,,,592.92,592.92,1
CPT,94775,PED HOME APNEA MNTR ATT ONLY,,,93.84,221.0,5
CPT,94776,PED HOME APNEA MNTR DL&ALYS,,,135.74,444.16,5
CPT,94777,PED HOME APNEA MNTR RVW I&R,,,55.55,55.55,1
CPT,94780,CARS/BD TST INFT-12MO 60 MIN,,,39.4,1596.79,6
CPT,94781,CARS/BD TST INFT-12MO +30MIN,,,23.07,548.8,6
CPT,94799,HC EXTUBATION,332.45,116.36,95.21,406.0,10
CPT,94799,HC INHALED NITRIC OXIDE / 1 HOUR OR 1 PER DAY,298.5,104.48,85.49,406.0,10
CPT,94799,HC RE-TAPE ENDOTRACHEAL TUBE,318.65,111.53,91.26,406.0,10
CPT,94799,HC ROUTINE SUCTIONING,318.65,111.53,91.26,406.0,10
CPT,95004,HC PERC TEST W/AL EXT IMMED RX,14.36,5.03,4.93,1474.94,9
CPT,95010,Mammogram,,,364.56,364.56,1
CPT,95012,HC NITRIC OXIDE EXPIRED GAS DETERMINATION,105.11,36.79,36.05,1329.37,9
CPT,95015,Mammogram,,,202.98,202.98,1
CPT,95017,ALL TSTG PERQ&IQ W/VENOMS,,,16.61,249.29,6
CPT,95018,ALL TSTG PERQ&IQ DRUGS/BIOL,,,38.6,480.45,6
CPT,95024,IQ TESTS W/ALLERGENIC XTRCS,,,15.47,101.32,6
CPT,95027,IQ TSTS SEQL&INCRL AIRBORNE,,,9.6,351.09,6
CPT,95028,IQ TSTS ALLERGY DELAYED RXN,,,24.64,900.62,6
CPT,95044,HC PATCH TESTS EACH,13.56,4.75,4.65,1474.94,9
CPT,95052,PHOTO PATCH TESTS,,,12.25,446.88,6
CPT,95056,PHOTO TESTS,,,98.87,3612.4,6
CPT,95060,OPH MUCOUS MEMBRANE TESTS,,,72.92,2664.87,6
CPT,95065,DIR NSL MUCOUS MEMBRANE TEST,,,39.4,1973.35,6
CPT,95070,HC BRONCHIAL ALLERGY TESTS,943.78,330.33,66.9,2444.49,9
CPT,95071,Mammogram,,,2521.54,2521.54,1
CPT,95075,Mammogram,,,3122.53,3122.53,1
CPT,95076,HC INGESTION CHALLENGE TEST INITIAL 120 MINUTES,1054.83,369.2,229.76,4986.0,9
CPT,95078,Mammogram,,,632.59,632.59,1
CPT,95079,INGEST CHALLENGE ADDL 60 MIN,,,87.4,4592.65,6
CPT,95115,IMMUNOTHERAPY ONE INJECTION,,,19.41,709.64,6
CPT,95117,HC IMMUNOTHERAPY INJECTIONS =>2,101.09,35.39,34.67,80.43,6
CPT,95120,IMMUNOTHERAPY ONE INJECTION,,,23.03,23.03,1
CPT,95125,IMMUNOTHERAPY 2/> INJECTIONS,,,28.67,28.67,1
CPT,95130,IMMNTX 1 STING INSECT,,,39.62,39.62,1
CPT,95131,IMMNTX 2 STING INSECTS,,,49.75,49.75,1
CPT,95132,IMMNTX 3 STING INSECTS,,,60.07,60.07,1
CPT,95133,IMMNTX 4 STING INSECTS,,,72.78,72.78,1
CPT,95134,IMMNTX 5 STING INSECTS,,,87.43,87.43,1
CPT,95144,ANTIGEN THERAPY SERVICES,,,32.3,226.5,6
CPT,95145,ANTIGEN THERAPY SERVICES,,,49.4,202.98,6
CPT,95146,ANTIGEN THERAPY SERVICES,,,49.4,202.98,6
CPT,95147,ANTIGEN THERAPY SERVICES,,,75.95,202.98,6
CPT,95148,ANTIGEN THERAPY SERVICES,,,75.95,202.98,6
CPT,95149,ANTIGEN THERAPY SERVICES,,,75.95,224.14,6
CPT,95165,ANTIGEN THERAPY SERVICES,,,29.03,226.5,6
CPT,95170,ANTIGEN THERAPY SERVICES,,,21.87,202.98,6
CPT,95180,RAPID DESENSITIZATION,,,258.69,6925.17,6
CPT,95199,UNLISTED ALL/IMMLG SVC/PX,,,30.51,49.68,4
CPT,95249,HC CONT GLUC MNTR PT PROV EQP,130.81,45.79,44.87,4316.66,9
CPT,95250,HC CONT GLUCOSE MNTR PHYSICIAN/QHP PROVIDED EQUIPMENT,479.33,167.77,140.44,10324.55,9
CPT,95251,CONT GLUC MNTR ANALYSIS I&R,,,35.66,2337.18,6
CPT,95700,HC EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS,651.48,228.02,186.58,485.35,9
CPT,95705,HC EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED,651.48,228.02,186.58,485.35,9
CPT,95706,EEG W/O VIDEO BY TECH 2-12 HR INTERMITTENT MNTR,651.48,228.02,186.58,711.57,9
CPT,95707,HC EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS R-T MNTR,651.48,228.02,186.58,818.79,9
CPT,95708,HC EEG W/O VID BY TECH EA INCR 12-26HR UNMONITORED,1249.93,437.48,357.98,931.2,9
CPT,95709,HC EEG W/O VID BY TECH EA INCR 12-26 HR INTMT MNTR,1249.93,437.48,357.98,1353.08,9
CPT,95710,EEG W/O VID TECH EA INCR 12-26 HR CONT R-T MNTR,1249.93,437.48,357.98,1676.04,9
CPT,95711,HC VEEG BY TECH 2-12 HOURS UNMONITORED,651.48,228.02,186.58,485.35,9
CPT,95712,HC VEEG BY TECH 2-12 HR INTERMITTENT MONITORING,651.48,228.02,186.58,866.12,9
CPT,95713,VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING,1249.93,437.48,357.98,1097.15,9
CPT,95714,HC VEEG BY TECH EA INCR 12-26 HR UNMONITORED,1249.93,437.48,357.98,931.2,9
CPT,95715,HC VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR,1249.93,437.48,357.98,1580.25,9
CPT,95716,HC VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR,2339.61,818.87,670.06,2096.55,9
CPT,95717,EEG PHYS/QHP 2-12 HR W/O VID,,,112.02,6807.94,6
CPT,95718,EEG PHYS/QHP 2-12 HR W/VEEG,,,140.65,8934.17,6
CPT,95719,EEG PHYS/QHP EA INCR W/O VID,,,168.3,10534.27,6
CPT,95720,EEG PHY/QHP EA INCR W/VEEG,,,216.3,13810.28,6
CPT,95721,EEG PHY/QHP>36<60 HR W/O VID,,,222.6,13744.62,6
CPT,95722,EEG PHY/QHP>36<60 HR W/VEEG,,,268.64,16735.83,6
CPT,95723,EEG PHY/QHP>60<84 HR W/O VID,,,269.81,16813.49,6
CPT,95724,EEG PHY/QHP>60<84 HR W/VEEG,,,340.62,21211.86,6
CPT,95725,EEG PHY/QHP>84 HR W/O VID,,,311.02,19192.32,6
CPT,95726,EEG PHY/QHP>84 HR W/VEEG,,,434.99,26931.01,6
CPT,95782,POLYSOM <6 YRS 4/> PARAMTRS,,,905.87,58937.81,6
CPT,95783,POLYSOM <6 YRS CPAP/BILVL,,,905.87,62174.26,6
CPT,95800,SLP STDY UNATTENDED,,,227.77,7760.87,5
CPT,95801,SLP STDY UNATND W/ANAL,,,62.23,3755.73,6
CPT,95803,ACTIGRAPHY TESTING,,,62.23,6908.51,6
CPT,95805,MULTIPLE SLEEP LATENCY TEST,,,849.12,25734.19,6
CPT,95806,HC SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT,876.1,306.64,113.7,3445.56,9
CPT,95807,HC SLEEP STUDY >=3 PARAMETERS,2173.19,760.62,393.64,23355.48,9
CPT,95808,POLYSOM ANY AGE 1-3> PARAM,,,905.87,33262.55,6
CPT,95810,POLYSOM 6/> YRS 4/> PARAM,,,905.87,34920.34,6
CPT,95811,POLYSOM 6/>YRS CPAP 4/> PARM,,,905.87,36595.53,6
CPT,95812,HC EEG MONITORING UP TO 1 HR,1247.08,436.48,227.77,20648.36,9
CPT,95813,HC EEG MONITORING > 1 HR,1491.17,521.91,227.77,24582.32,9
CPT,95816,HC EEG REC AW&DROWSY W/STIM,1065.99,373.1,227.77,23318.61,9
CPT,95819,HC EEG REC AW&SLEEP W/STIM,1209.26,423.25,227.77,27681.45,9
CPT,95822,HC EEG SLEEP ONLY,1006.93,352.43,227.77,25655.18,9
CPT,95824,"HC EEG, CEREB DEATH EVAL",1074.59,376.11,114.72,800.57,9
CPT,95827,Mammogram,,,37106.72,37106.72,1
CPT,95829,SURGERY ELECTROCORTICOGRAM,,,2085.14,103084.36,6
CPT,95830,INSERT ELECTRODES FOR EEG,,,759.16,6159.3,6
CPT,95831,Mammogram,,,955.5,955.5,1
CPT,95832,Mammogram,,,1043.95,1043.95,1
CPT,95833,Mammogram,,,1442.68,1442.68,1
CPT,95834,Mammogram,,,2037.67,2037.67,1
CPT,95836,HC ECOG IMPLTD BRN NPGT <30 D,95.82,33.54,32.87,7132.93,9
CPT,95851,RANGE OF MOTION MEASUREMENTS,,,27.35,526.02,6
CPT,95852,RANGE OF MOTION MEASUREMENTS,,,22.46,364.56,6
CPT,95857,HC CHOLINESTERASE INIHIBITOR CHALLENGE TEST,616.61,215.82,119.25,1925.82,9
CPT,95860,HC EMG - 01 EXTREMITY,250.01,87.51,85.75,4452.63,9
CPT,95861,HC EMG - 02 EXTREMITIES,517.98,181.3,140.35,5763.99,9
CPT,95863,HC EMG - 03 EXTREMITIES,447.14,156.5,135.74,7933.71,9
CPT,95864,HC EMG - 04 EXTREMITIES,906.0,317.1,135.74,9269.21,9
CPT,95865,NEEDLE EMG LARYNX,,,134.27,4905.64,6
CPT,95866,NEEDLE EMG HEMIDIAPHRAGM,,,124.47,4548.43,6
CPT,95867,HC EMG NEEDLE CRANIAL UNILAT,604.43,211.56,129.04,4715.27,9
CPT,95868,NDL EMG CRANIAL NRV MUSC BI,,,153.17,5597.15,6
CPT,95869,"HC EMG, NEEDLE, THORACIC MUSCLES",1002.06,350.73,149.26,5454.44,9
CPT,95870,HC EMG NEEDLE  OTHER MUSCLES,271.87,95.16,93.25,4571.95,9
CPT,95872,NDL EMG SINGLE FIBER ELTRD,,,97.07,3546.74,6
CPT,95873,HC GUIDE NERV DESTR ELEC STIM,128.45,44.96,44.06,3767.12,9
CPT,95874,"HC GUIDE NERV DESTR, NEEDLE EMG",118.21,41.38,40.55,4148.46,9
CPT,95875,LIMB EXERCISE TEST,,,135.74,5692.33,6
CPT,95885,HC MUSC TST DONE W/NERV TST LIM,193.37,67.68,66.33,3147.39,9
CPT,95886,HC MUSC TEST DONE W/N TEST COMP,211.38,73.99,72.5,3767.12,9
CPT,95887,HC MUSC TST DONE W/N TST NONEXT,189.08,66.18,64.85,3361.77,9
CPT,95900,Mammogram,,,2998.56,2998.56,1
CPT,95903,Mammogram,,,3117.87,3117.87,1
CPT,95904,Mammogram,,,2760.05,2760.05,1
CPT,95905,MOTOR &/ SENS NRVE CNDJ TEST,,,61.83,2259.51,6
CPT,95907,HC NERVE CONDUCT 1-2 STUDY,332.45,116.36,73.58,2688.39,9
CPT,95908,HC NERVE CONDUCT 3-4 STUDY,1279.05,447.67,91.19,3332.25,9
CPT,95909,HC NERVE CONDUCT 5-6 STUDY,1002.06,350.73,109.46,3999.63,9
CPT,95910,HC NERVE CONDUCT 7-8 STUDY,668.05,233.82,140.13,5120.01,9
CPT,95911,HC NERVE CONDUCT 9-10 STUDY,3447.44,1206.61,161.01,5883.31,9
CPT,95912,HC NERVE CONDUCT 11-12 STUDY,4133.87,1446.86,181.08,6616.96,9
CPT,95913,HC NERVE CONDUCT 13 + STUDY,4873.64,1705.78,200.01,7307.86,9
CPT,95919,HC QUANTITATIVE PUPILLOMETRY PHYS/QHP I&R UNI/BI,402.33,140.82,10.93,399.35,9
CPT,95920,Mammogram,,,4190.6,4190.6,1
CPT,95921,AUTONOMIC NRV PARASYM INERVJ,,,84.67,3093.74,6
CPT,95922,AUTONOMIC NRV ADRENRG INERVJ,,,100.17,3659.93,6
CPT,95923,HC TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION,647.7,226.7,140.35,5644.68,9
CPT,95924,ANS PARASYMP & SYMP W/TILT,,,128.23,4685.14,6
CPT,95925,HC SOMATOSENS EVOKED POT UPPER,596.89,208.92,204.73,10682.37,9
CPT,95926,HC SOMATOSENSORY TESTING LOWER LIMBS,700.16,245.06,227.77,9132.5,9
CPT,95927,HC SOMATOSENS EVOKED POT TRUNK,668.05,233.82,227.77,9919.07,9
CPT,95928,C MOTOR EVOKED UPPR LIMBS,,,308.32,11265.96,6
CPT,95929,C MOTOR EVOKED LWR LIMBS,,,316.14,11552.12,6
CPT,95930,VISUAL EP TEST CNS W/I&R,,,93.8,3427.43,6
CPT,95933,HC BLINK REFLEX (ORBICULARIS OCULI) BY ELECTRODIAGNOSTIC TESTING,481.25,168.44,62.23,3665.94,9
CPT,95934,Mammogram,,,2521.54,2521.54,1
CPT,95936,Mammogram,,,1543.87,1543.87,1
CPT,95937,HC REPETITIVE STIMULATION -EA,332.45,116.36,114.03,5096.61,9
CPT,95938,SOMATOSENSORY TESTING,,,623.16,22770.55,6
CPT,95939,C MOTOR EVOKED UPR&LWR LIMBS,,,838.48,30638.48,6
CPT,95940,HC IONM IN OPERATNG ROOM 15 MIN,248.04,86.82,27.11,2180.38,9
CPT,95941,IONM REMOTE/>1 PT OR PER HR,,,518.55,518.55,1
CPT,95950,Mammogram,,,14359.7,14359.7,1
CPT,95953,Mammogram,,,18770.8,18770.8,1
CPT,95954,EEG MONITORING/GIVING DRUGS,,,393.64,21131.5,6
CPT,95955,EEG DURING SURGERY,,,208.21,10008.25,6
CPT,95956,Mammogram,,,85198.75,85198.75,1
CPT,95957,HC DIGITAL ANALYSIS EEG,1127.01,394.46,325.41,12494.27,9
CPT,95958,HC WADA ACT TST HEMI FNCT W EEG,2225.26,778.85,763.26,32069.77,9
CPT,95961,ELECTRODE STIMULATION BRAIN,,,301.14,11003.93,6
CPT,95962,ELECTRODE STIM BRAIN ADD-ON,,,198.05,7236.81,6
CPT,95965,MEG SPONTANEOUS,,,905.87,3112.36,5
CPT,95966,MEG EVOKED SINGLE,,,905.87,1588.4,5
CPT,95967,MEG EVOKED EACH ADDL,,,1392.41,1392.41,1
CPT,95970,HC ANALYZE NEUROSTIM W/O PROG,528.99,185.15,34.93,1252.32,9
CPT,95971,HC ELECT ANALY NEUROSTIM GEN SIMPLE,780.42,273.15,89.37,2621.99,9
CPT,95972,ALYS CPLX SP/PN NPGT W/PRGRM,,,100.29,2721.83,6
CPT,95973,Mammogram,,,1691.24,1691.24,1
CPT,95974,Mammogram,,,10685.06,10685.06,1
CPT,95975,Mammogram,,,6058.12,6058.12,1
CPT,95976,HC ALYS SMPL CN NPGT PRGRMG,95.82,33.54,32.87,2627.38,9
CPT,95977,HC ALYS CPLX CN NPGT PRGRMG,272.33,95.32,93.41,3515.26,9
CPT,95978,Mammogram,,,12572.67,12572.67,1
CPT,95979,Mammogram,,,5826.35,5826.35,1
CPT,95980,IO ANAL GAST N-STIM INIT,,,40.92,3028.08,6
CPT,95981,IO ANAL GAST N-STIM SUBSQ,,,62.23,1198.79,6
CPT,95982,IO GA N-STIM SUBSQ W/REPROG,,,39.37,2439.71,6
CPT,95983,HC ELEC ANALYSIS OF IMPLT BRAIN NEUROSTIMULATOR PULSE G/T WITH PRGRMG 1ST 15 MIN,262.35,91.83,89.99,3330.29,9
CPT,95984,HC ELECTRONIC ANALYSIS IMPLANTED BRAIN NPGT PROGRAMING EA ADD 15 MINUTES,92.98,32.55,31.89,2924.2,9
CPT,95990,SPIN/BRAIN PUMP REFIL & MAIN,,,348.43,6367.06,7
CPT,95991,SPIN/BRAIN PUMP REFIL & MAIN,,,323.8,5428.0,7
CPT,95992,HC CANALITH REPOSITIONING,94.09,32.94,32.27,2451.84,10
CPT,95999,HC CORTICAPTED NEUROLOGICAL OR NEUROMUSCULAR DIAGNOSTIC PROCEDURE,1011.76,354.12,135.74,753.76,9
CPT,96000,MOTION ANALYSIS VIDEO/3D,,,154.54,5646.76,6
CPT,96001,MOTION TEST W/FT PRESS MEAS,,,204.04,7455.23,6
CPT,96002,DYNAMIC SURFACE EMG,,,39.98,1460.81,6
CPT,96003,Mammogram,,,1125.04,1125.04,1
CPT,96003,Other Outpatient Services - CPT/HCPCS,,,30.78,30.78,1
CPT,96004,PHYS REVIEW OF MOTION TESTS,,,108.06,7337.38,6
CPT,96020,FUNCTIONAL BRAIN MAPPING,,,200.99,200.99,1
CPT,96040,Mammogram,,,3458.3,3458.3,1
CPT,96040,Other Outpatient Services - CPT/HCPCS,,,94.63,94.63,1
CPT,96041,HC MED GENETICS&GENETIC COUNSELING SVCS EACH 30 MIN,195.18,68.32,58.26,94.86,6
CPT,96101,Mammogram,,,5110.7,5110.7,1
CPT,96102,Mammogram,,,1529.17,1529.17,1
CPT,96103,Mammogram,,,1713.41,1713.41,1
CPT,96105,HC ASSESSMENT OF APHASIA/HR,369.45,129.31,99.91,6677.97,10
CPT,96110,HC DEVELOPMENTAL SCREEN W/SCORE,128.13,44.85,13.05,43.95,6
CPT,96111,Mammogram,,,8213.14,8213.14,1
CPT,96112,HC DEVEL TST PHYS/QHP 1ST HR,511.71,179.1,135.74,221.0,6
CPT,96113,HC DEVEL TST PHYS/QHP EA ADDL,255.86,89.56,57.41,93.47,6
CPT,96116,HC NEUROBEHAVIORAL STATUS EXAM/HR,668.05,233.82,227.77,5414.87,8
CPT,96118,Mammogram,,,5062.44,5062.44,1
CPT,96119,Mammogram,,,1529.78,1529.78,1
CPT,96120,Mammogram,,,1671.15,1671.15,1
CPT,96121,HC NUBHVL XM PHY/QHP EA ADDL HR,255.86,89.56,77.25,4523.07,8
CPT,96125,HC STND COGNITIVE TEST PER HR,288.08,100.83,98.81,7063.96,10
CPT,96127,HC BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT,74.43,26.06,25.53,328.3,8
CPT,96130,HC PSYCL TST EVAL PHYS/QHP 1ST,511.71,179.1,175.52,7334.69,8
CPT,96131,HC PSYCL TST EVAL PHYS/QHP EA,255.86,89.56,87.76,5164.97,8
CPT,96132,HC NRPSYC TST EVAL PHYS/QHP 1ST,1687.85,590.75,393.64,7143.71,8
CPT,96133,HC NRPSYC TST EVAL PHYS/QHP EA,255.86,89.56,87.76,5164.97,8
CPT,96136,HC PSYCL/NRPSYC TST PHY/QHP 1ST,511.71,179.1,140.35,1577.31,8
CPT,96137,HC PSYCL/NRPSYC TST PHY/QHP EA,255.86,89.56,38.65,1210.79,8
CPT,96138,HC PSYCL/NRPSYC TECH 1ST,848.01,296.81,290.87,2402.23,8
CPT,96139,HC PSYCL/NRPSYC TST TECH EA,255.86,89.56,37.67,2473.89,8
CPT,96146,HC PSYCL/NRPSYC TST AUTO RESULT,511.71,179.1,30.51,381.22,8
CPT,96150,Mammogram,,,1368.33,1368.33,1
CPT,96151,Mammogram,,,1364.28,1364.28,1
CPT,96152,Mammogram,,,1253.05,1253.05,1
CPT,96153,Mammogram,,,269.99,269.99,1
CPT,96154,Mammogram,,,1206.14,1206.14,1
CPT,96155,Mammogram,,,1463.39,1463.39,1
CPT,96156,HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT,181.63,63.58,62.3,5687.55,8
CPT,96158,HC HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN,339.34,118.77,116.39,3858.26,8
CPT,96159,HC HEALTH BEHAVIOR IVNTJ INDIV F2F EA ADDL 15 MIN,90.82,31.79,26.02,1326.06,8
CPT,96160,HC PT-FOCUSED HLTH RISK ASSMT,58.84,20.6,5.22,190.98,9
CPT,96161,HC CAREGIVER HEALTH RISK ASSMT,58.84,20.6,5.22,190.98,9
CPT,96164,HC HEALTH BEHAVIOR IVNTJ GROUP F2F 1ST 30 MIN,63.18,22.12,21.67,593.02,8
CPT,96165,HC HEALTH BEHAVIOR IVNTJ GROUP F2F EA ADDL 15 MIN,31.59,11.06,5.14,276.12,8
CPT,96167,HEALTH BEHAVIOR IVNTJ FAM W/PT F2F 1ST 30 MIN,63.18,22.12,21.67,4086.11,8
CPT,96168,HC HEALTH BEHAVIOR IVNTJ FAM W/PT F2F EA ADD 15 MIN,31.59,11.06,10.84,1439.99,8
CPT,96170,HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F 1ST 30 MIN,77.86,27.26,26.71,4986.73,8
CPT,96171,HC HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F EA ADDL 15,38.94,13.63,13.36,1805.16,8
CPT,96202,MLT FAM GRP BHV TRAIN 1ST 60,,,20.48,1458.73,6
CPT,96203,MLT FAM GRP BHV TRAIN EA ADD,,,5.38,411.48,6
CPT,96360,HC IV FLUIDS 1ST HR,456.18,159.67,62.66,365.33,9
CPT,96361,HC IV FLUIDS- EA ADD HR,159.71,55.9,24.39,327.0,9
CPT,96365,HC IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR,477.02,166.96,123.42,365.33,9
CPT,96366,HC THER/PROPH/DIAG INJ ADD ON IV,159.71,55.9,39.15,327.0,9
CPT,96367,HC TX/PROPH/DG ADDL SEQ IV INF,133.24,46.64,45.7,327.0,9
CPT,96368,HC THER/DIAG CONCURRENT INF,43.67,15.29,14.98,327.0,9
CPT,96369,"HC SUBQ INF. FOR THERAPY OR PROPHYLAXIS, INITIAL UP TO 1 HR, PUMP SETUP &EST SUBQ INFUSION SITE",446.71,156.35,153.22,365.33,9
CPT,96370,HC EA ADDITIONAL HOUR SUBQ INFUSION FOR THERAPY OR PROPHYLAXIS,108.79,38.08,29.36,327.0,9
CPT,96371,SC THER INFUSION RESET PUMP,,,75.95,327.0,6
CPT,96372,HC THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM,149.93,52.48,26.78,327.0,9
CPT,96373,THER/PROPH/DIAG INJ IA,,,34.6,365.33,6
CPT,96374,HC THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG,427.37,149.58,71.6,365.33,9
CPT,96375,HC TX/PRO/DX INJ NEW DRUG ADDON,129.67,45.39,29.58,327.0,9
CPT,96376,HC TX/PRO/DX INJ SAME DRUG ADDON,119.28,41.75,18.53,327.0,5
CPT,96377,HC APP OF ON-BODY INJ (INCL CANNULA INSERT) FOR TIMED SUBCUTANEOUS INJ,87.76,30.72,30.1,3000.0,9
CPT,96379,UNL THER/PROP/DIAG INJ/INF,,,49.4,327.0,6
CPT,96380,HC ADMN RSV MONOC ANTB SEASONAL DOS IM CNSL PHY/QHP,21.68,7.59,6.21,50.98,9
CPT,96381,HC ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX,21.68,7.59,6.21,41.61,9
CPT,96401,HC CHEMO ANTI-NEOPL SQ/IM,255.2,89.32,75.95,872.0,10
CPT,96402,HC CHEMO HORMON ANTINEOPL SQ/IM,245.01,85.76,75.95,872.0,10
CPT,96405,CHEMO INTRALESIONAL UP TO 7,,,75.95,1974.09,6
CPT,96406,CHEMO INTRALESIONAL OVER 7,,,224.38,3030.77,6
CPT,96409,"HC CHEMO, IV PUSH, SNGL DRUG",720.79,252.28,237.68,872.0,10
CPT,96411,"HC CHEMO, IV PUSH, ADDL DRUG",245.01,85.76,75.95,872.0,10
CPT,96413,"HC CHEMO, IV INFUSIN, 1ST HR",721.79,252.63,247.57,872.0,10
CPT,96415,"HC CHEMO, IV INFUSION, ADDL HR",245.01,85.76,65.84,872.0,10
CPT,96416,HC CHEMO PROLONG INFUS W/PUMP,721.79,252.63,247.57,872.0,10
CPT,96417,HC CHEMO IV INFUS EACH ADDL SEQ,245.01,85.76,75.95,872.0,10
CPT,96420,"HC CHEMOTHERAPY ADMINISTRATION, INTRA-ARTERIAL; PUSH TECHNIQUE",716.08,250.63,242.69,872.0,10
CPT,96422,CHEMO IA INFUSION UP TO 1 HR,,,348.43,11178.86,6
CPT,96423,CHEMO IA INFUSE EACH ADDL HR,,,49.4,5157.62,6
CPT,96425,CHEMOTHERAPY INFUSION METHOD,,,348.43,11983.56,6
CPT,96440,CHMOTX ADMN PLRL CAV THRCNTS,,,348.43,9096.97,6
CPT,96445,Mammogram,,,7485.36,7485.36,1
CPT,96446,CHEMOTX ADMN PERTL CAV IMPL,,,348.43,1652.4,6
CPT,96450,HC CHEMOTHERAPY ADMIN INTO CNS REQUIRING AND INCLUDING SPINAL PUNCTURE,759.99,266.0,260.68,872.0,10
CPT,96521,REFILL/MAINT PORTABLE PUMP,,,224.38,8926.7,6
CPT,96522,HC REFILL & MAINTENANCE PUMP DRUG DLVR SYSTEMIC,446.71,156.35,153.22,872.0,10
CPT,96523,HC IRRIG DRUG DELIVERY DEVICE,217.17,76.01,60.18,1802.47,9
CPT,96542,CHEMOTHERAPY INJECTION,,,304.39,2845.19,6
CPT,96547,INTRAOP HIPEC PX 1ST 60 MIN,,,325.06,2444.0,5
CPT,96548,NTRAOP HIPEC PX EA ADD 30MIN,,,149.61,2444.0,5
CPT,96549,HC CONCURRENT CHEMOTHERAPY,110.57,38.7,0.66,82.37,9
CPT,96567,PDT DSTR PRMLG LES SKN,,,211.65,10031.65,7
CPT,96570,PHOTODYNMC TX 30 MIN ADD-ON,,,53.13,5428.0,7
CPT,96571,PHOTODYNAMIC TX ADDL 15 MIN,,,27.0,5428.0,7
CPT,96573,HC PDT DSTR PRMLG LES PHYS/QHP,439.55,153.85,150.77,16390.75,9
CPT,96574,HC DBRDMT PRMLG LES W/PDT,439.55,153.85,150.77,3500.0,9
CPT,96900,HC ACTINOTHRPY/ULTRAVIOLET LIGHT,89.99,31.5,30.87,1734.85,9
CPT,96902,MCRSCP XM HAIR PLUCK/CLIPPED,,,22.57,1353.5,6
CPT,96904,WHOLE BODY PHOTOGRAPHY,,,70.27,5001.43,6
CPT,96910,PHOTCHMTX TAR&UVB/PTRLTM&UVB,,,62.23,8404.73,6
CPT,96912,PHOTOCHEMOTHERAPY PUVA,,,62.23,7170.42,6
CPT,96913,PHOTOCHEMOTX SEV DERMATOSES,,,297.23,10860.61,6
CPT,96920,EXCIMER LSR PSRIASIS<250SQCM,,,211.65,3500.0,6
CPT,96921,HC LASER TX INFLAMMATORY SKIN DISEASE  250-500 SQ CM,426.09,149.14,146.15,3500.0,9
CPT,96922,EXCIMER LSR PSRIASIS>500SQCM,,,428.83,3500.0,6
CPT,96931,RCM IMG ACQUISJ&I&R 1ST LES,,,173.47,12120.27,6
CPT,96932,RCM IMG ACQUISJ ONLY 1ST LES,,,130.33,9125.76,6
CPT,96933,RCM I&R ONLY 1ST LESION,,,43.14,2994.51,6
CPT,96934,RCM IMG ACQUISJ&I&R EA ADDL,,,121.39,8387.33,6
CPT,96935,RCM IMG ACQUISJ ONLY EA ADDL,,,81.03,5555.62,6
CPT,96936,RCM I&R ONLY EA ADDL LESION,,,40.37,2831.71,6
CPT,96999,UNLISTED SPEC DERM SVC/PX,,,211.65,344.6,4
CPT,97001,Mammogram,,,4902.94,4902.94,1
CPT,97002,Mammogram,,,2740.57,2740.57,1
CPT,97003,Mammogram,,,5546.92,5546.92,1
CPT,97004,Mammogram,,,3455.6,3455.6,1
CPT,97007,MCHNL SCLP COOL MEAS FITG,,,1497.67,2438.51,4
CPT,97008,MCHNL SCLP COOL PREP PLMT,,,10.57,17.21,4
CPT,97009,MCHNL SCLP COOL AFTER CHEMO,,,6.75,10.99,4
CPT,97010,HC HOT OR COLD PACK SINGLE UNIT,59.53,20.84,6.91,440.88,10
CPT,97012,"HC TRACTION, MECHANICAL",90.41,31.65,14.77,993.72,10
CPT,97014,HC ELECTRIC STIMULATION UNATTD,91.72,32.11,13.1,857.75,10
CPT,97016,HC WC JOBST (VASOPNEUM),53.9,18.87,12.39,810.09,10
CPT,97018,HC PARAFFIN SINGLE UNIT,30.8,10.78,6.2,393.35,10
CPT,97022,HC WHIRLPOOL,136.06,47.63,16.31,1192.78,10
CPT,97024,DIATHERMY EG MICROWAVE,,,7.62,512.66,6
CPT,97026,HC INFRARED,69.11,24.19,6.91,465.01,10
CPT,97028,HC ULTRAVIOLET THERAPY,66.65,23.33,8.65,582.24,10
CPT,97032,HC ELECTRIC STIM EA 15 MIN 1+ AREAS,93.12,32.6,15.11,993.72,10
CPT,97033,HC IONTOPHORESIS EA 15 MIN 1+ AREAS,87.88,30.76,19.71,1374.33,10
CPT,97034,HC CONTRAST BATH,51.68,18.09,14.47,997.76,10
CPT,97035,HC ULTRASOUND EA 15 MINUTES 1+ AREAS,64.36,22.53,14.82,997.76,10
CPT,97036,APP MDLTY 1+HUBBRD TNK EA 15,,,36.38,2445.1,6
CPT,97037,HC APPL MODALITY 1+ AREAS LLLT PO PAIN REDUCTION,128.21,44.88,36.72,269.0,10
CPT,97039,HC FLUIDO THERAPY (REPORT REQUIRE,112.04,39.22,20.23,269.0,6
CPT,97110,HC THERAPY EXERCISE EA 15 MIN,115.9,40.57,30.04,2046.36,10
CPT,97112,HC NEURO DEVELOP ACTIVITY EA 15 MIN,187.57,65.65,33.86,2351.27,10
CPT,97113,AQUATIC THERAPY/EXERCISES,,,38.52,2567.72,6
CPT,97116,HC GAIT TRAINING EA 15 MINUTES,104.76,36.67,30.04,2046.36,10
CPT,97124,HC MASSAGE EA 15 MINUTES,64.9,22.72,22.26,2104.06,10
CPT,97129,HC THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES,106.22,37.18,22.85,1517.04,10
CPT,97130,HC THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES,53.11,18.59,18.22,1470.86,10
CPT,97139,HC K-TAPE,40.71,14.25,13.96,13.96,2
CPT,97140,HC MANUAL THRPY 1/> REGIONS EA 15 MIN,115.52,40.44,28.66,1881.6,10
CPT,97150,HC GROUP THERAPY PROCEDURES,58.18,20.37,18.59,1228.31,10
CPT,97151,BHV ID ASSMT BY PHYS/QHP,,,34.01,174.49,5
CPT,97152,BHV ID SUPRT ASSMT BY 1 TECH,,,25.06,174.49,5
CPT,97153,ADAPTIVE BEHAVIOR TX BY TECH,,,26.85,174.49,5
CPT,97154,GRP ADAPT BHV TX BY TECH,,,25.06,64.35,5
CPT,97155,ADAPT BEHAVIOR TX PHYS/QHP,,,34.01,304.86,5
CPT,97156,FAM ADAPT BHV TX GDN PHY/QHP,,,34.01,64.35,5
CPT,97157,MULT FAM ADAPT BHV TX GDN,,,32.22,64.35,5
CPT,97158,GRP ADAPT BHV TX BY PHY/QHP,,,34.01,64.35,5
CPT,97161,HC PT EVAL LOW COMPLEX 20 MIN,315.15,110.31,101.36,6972.09,10
CPT,97162,HC PT EVAL MOD COMPLEX 30 MIN,362.0,126.7,101.36,6972.09,10
CPT,97163,HC PT EVAL HIGH COMPLEX 45 MIN,411.06,143.88,101.36,6972.09,10
CPT,97164,HC PT RE-EVAL EST PLAN CARE,250.1,87.54,70.03,4837.89,10
CPT,97165,HC OT EVAL LOW COMPLEX 30 MIN,336.1,117.64,104.2,6972.09,10
CPT,97166,HC OT EVAL MOD COMPLEX 45 MIN,383.66,134.29,104.2,6972.09,10
CPT,97167,HC OT EVAL HIGH COMPLEX 60 MIN,450.0,157.5,104.2,6972.09,10
CPT,97168,HC OT RE-EVAL EST PLAN CARE,274.04,95.92,71.09,4814.5,10
CPT,97169,ATHLETIC TRN EVAL LOW CMPLX,,,81.66,81.66,1
CPT,97170,ATHLETIC TRN EVAL MOD CMPLX,,,81.66,81.66,1
CPT,97171,ATHLETIC TRN EVAL HIGH CMPLX,,,81.66,81.66,1
CPT,97172,ATHLETIC TRN RE-EVAL PLAN CR,,,41.35,41.35,1
CPT,97530,HC THERAPEUTIC ACTIVITIES EA 15 MIN,113.37,39.68,36.46,2595.9,10
CPT,97532,Mammogram,,,1403.85,1403.85,1
CPT,97533,SENSORY INTEGRATION,,,63.75,4475.42,6
CPT,97535,HC SELF CARE/HOME MGMT EA 15 MIN,91.72,32.11,31.46,2284.99,10
CPT,97537,HC COMM/WRK REINTEGRATION EA 15 MIN,64.36,22.53,22.08,2209.9,10
CPT,97542,HC WLCHAIR MGMT PROPULSN TRAIN,59.41,20.8,20.38,2209.9,10
CPT,97545,WORK HARDENING,,,259.55,259.55,1
CPT,97546,WORK HARDENING ADD-ON,,,103.43,103.43,1
CPT,97550,HC CAREGIVER TRAINING STRATEGIES & TQ 1ST 30 MINUTES,175.33,61.37,50.21,130.62,9
CPT,97551,HC CAREGIVER TRAINING STRATEGIES & TQ EA ADDL 15 MIN,87.02,30.46,24.92,64.83,9
CPT,97552,HC GROUP CAREGIVER TRAINING STRATEGIES & TECHNIQUE,74.88,26.21,21.45,55.79,9
CPT,97597,HC DEBRIDE WOUND INITIAL <20CM,456.58,159.81,156.61,3500.0,9
CPT,97598,HC DEBRIDE WOUND EACH ADDL 20 SQ CM,541.97,189.69,49.4,3000.0,9
CPT,97602,HC WOUND(S) CARE NON-SELECTIVE,455.03,159.27,156.08,3500.0,9
CPT,97605,HC NEG PRESS WOUND TX < 50 CM,455.03,159.27,81.17,1678.5,9
CPT,97606,"HC NEG PRESSURE WOUND THER UTILIZING DME >50 SQ CM., INCLUD TOPICAL APP WOUND",809.92,283.48,97.35,1816.55,9
CPT,97607,"HC NEGATIVE PRESSURE WOUND THERAPY, DISPOSABLE",759.81,265.94,260.61,1467.43,9
CPT,97608,NEG PRS WND THER NDME>50SQCM,,,428.83,1683.89,6
CPT,97610,LOW FREQUENCY NON-THERMAL US,,,211.65,1216.92,6
CPT,97750,HC FUNCTION CAPACITY EVAL,61.89,21.67,21.23,2356.66,10
CPT,97755,ASSISTIVE TECHNOLOGY ASSESS,,,38.99,2666.95,6
CPT,97760,HC ORTHOTIC TRAIN EA 15MIN,101.39,35.49,34.78,3400.6,10
CPT,97761,"HC PROSTHETIC TRAINING, 15 MIN",102.49,35.88,35.15,2923.59,10
CPT,97762,Mammogram,,,3210.97,3210.97,1
CPT,97763,HC ORTHC/PROSTC MGMT SBSQ ENC,193.19,67.62,52.38,3736.37,10
CPT,97799,HC DESENSITIZATION THERAPY (REPT,72.11,25.24,20.65,269.0,6
CPT,97802,HC MED NUTRITION INDIV INIT EA 15,131.29,45.96,38.08,2228.64,9
CPT,97803,HC MED NUTRITION INDIV SUBSQ EA15,52.17,18.26,17.89,1879.52,9
CPT,97804,HC MEDICAL NUTRITION GROUP,30.55,10.7,10.48,1065.38,9
CPT,97810,HC ACUPUNCT W/O STIM INT 15 MIN,78.5,27.48,26.93,2085.32,9
CPT,97811,HC ACUPUN W/O STIM ADD EA 15 MIN,65.43,22.91,22.44,1761.67,9
CPT,97813,HC ACUPUNCT W/STIMUL 15 MIN,84.33,29.52,28.93,2270.91,9
CPT,97814,ACUP 1/> W/ESTIM EA ADDL 15,,,29.46,1923.74,6
CPT,98000,HC SYNCHRONOUS AUDIO-VIDEO VISIT NEW SF MDM 15 MIN,162.25,56.79,54.68,89.03,6
CPT,98001,HC SYNCHRONOUS AUDIO-VIDEO VISIT NEW LOW MDM 30 MIN,213.51,74.73,73.23,145.11,6
CPT,98002,HC SYNCHRONOUS AUDIO-VIDEO VISIT NEW MOD MDM 45 MIN,282.9,99.02,97.03,232.06,6
CPT,98003,HC SYNCHRONOUS AUDIO-VIDEO VST NEW HIGH MDM 60 MIN,387.07,135.48,132.77,308.01,6
CPT,98004,HC SYNCHRONOUS AUDIO-VIDEO VISIT EST SF MDM 10 MIN,127.88,44.76,42.12,68.58,6
CPT,98005,HC SYNCHRONOUS AUDIO-VIDEO VISIT EST LOW MDM 20 MIN,153.46,53.72,52.64,119.08,6
CPT,98006,HC SYNCHRONOUS AUDIO-VIDEO VISIT EST MOD MDM 30 MIN,166.25,58.19,57.02,175.57,6
CPT,98007,HC SYNCHRONOUS AUDIO-VIDEO VST EST HIGH MDM 40 MIN,179.04,62.67,61.41,232.63,6
CPT,98008,HC SYNCHRONOUS AUDIO-ONLY VISIT NEW SF MDM 15 MIN,97.35,34.08,33.39,84.48,6
CPT,98009,HC SYNCHRONOUS AUDIO-ONLY VISIT NEW LOW MDM 30 MIN,128.11,44.84,43.94,139.47,6
CPT,98010,HC SYNCHRONOUS AUDIO-ONLY VISIT NEW MOD MDM 45 MIN,169.74,59.41,58.22,215.36,6
CPT,98011,HC SYNCHRONOUS AUDIO-ONLY VISIT NEW HIGH MDM 60 MIN,232.24,81.29,79.66,281.82,6
CPT,98012,HC SYNCHRONOUS AUDIO-ONLY VISIT EST SF MDM 10 MIN,76.73,26.86,26.32,62.93,6
CPT,98013,HC SYNCHRONOUS AUDIO-ONLY VISIT EST LOW MDM 20 MIN,92.08,32.23,31.58,109.52,6
CPT,98014,HC SYNCHRONOUS AUDIO-ONLY VISIT EST MOD MDM 30 MIN,99.75,34.92,34.21,158.85,6
CPT,98015,HC SYNCHRONOUS AUDIO-ONLY VISIT EST HIGH MDM 40 MIN,107.42,37.6,36.85,230.9,6
CPT,98016,HC BRIEF COMMUNICATION TECH-BSD SVC EST PT 5-10 MIN,76.73,26.86,17.77,28.93,6
CPT,98925,HC OSTEOPATH MANJ 1-2 REGIONS,52.03,18.22,17.85,1575.35,9
CPT,98926,HC OSTEOPATH MANJ 3-4 REGIONS,57.37,20.08,19.68,2359.96,9
CPT,98927,HC OSTEOPATH MANJ 5-6 REGIONS,60.09,21.04,20.61,3097.78,9
CPT,98928,HC OSTEOPATH MANJ 7-8 REGIONS,62.82,21.99,21.55,3936.66,9
CPT,98929,HC OSTEOPATH MANJ 9-10 REGIONS,65.55,22.95,22.48,4716.62,9
CPT,98940,HC CHIROPRACT MANJ 1-2 REGIONS,149.04,52.17,22.78,1496.95,9
CPT,98941,HC CHIROPRACT MANJ 3-4 REGIONS,171.4,59.99,22.78,2305.7,9
CPT,98942,CHIROPRACTIC MANJ 5 REGIONS,,,22.78,3115.18,6
CPT,98943,HC CHIROPRACT MANJ XTRSPINL 1/>,139.73,48.91,27.01,1551.22,9
CPT,98960,EDU&TRN PT SELF-MGMT NQHP 1,,,35.35,2062.53,6
CPT,98961,HC SELF-MGMT EDUC/TRAIN 2-4 PT,121.58,42.56,16.61,995.68,9
CPT,98962,EDU&TRN PT SLF-MGMT NQHP 5-8,,,12.7,733.04,6
CPT,98966,HC NON PHYSICIAN TELEPHONE ASSESSMENT 5-10 MIN,23.22,8.13,7.96,22.86,6
CPT,98967,HC NON PHYSICIAN TELEPHONE ASSESSMENT 11-20 MIN,46.37,16.23,15.9,41.68,6
CPT,98968,HC NON PHYSICIAN TELEPHONE ASSESSMENT 21-30 MIN,69.01,24.16,23.67,57.75,6
CPT,98970,NQHP OL DIG ASSMT&MGMT 5-10,,,12.62,779.35,6
CPT,98971,NQHP OL DIG ASSMT&MGMT 11-20,,,23.57,1356.2,6
CPT,98972,NQHP OL DIG ASSMT&MGMT 21+,,,35.12,2088.01,6
CPT,98975,HC REMOTE THERAPEUTIC MNTR 1ST SETUP&PT EDUCAJ EQP,277.37,97.08,95.14,228.67,6
CPT,98976,HC REM THER MNTR DEV SUPPLY W/REC RESPIR SYS EA 30D,86.92,30.43,29.81,3522.61,9
CPT,98977,HC REM THER MNTR DEV SPLY W/REC MUSCSKEL SYS EA 30D,86.92,30.43,29.81,3522.61,10
CPT,98978,RTM DEV SPLY CBT 16-30 D,,,39.37,87.68,5
CPT,98979,RTM TX MGMT 1ST 10 MIN,,,27.44,44.68,4
CPT,98980,RTM TX MGMT 1ST 20 MIN,,,56.21,2083.24,6
CPT,98981,RTM TX MGMT EA ADDL 20 MIN,,,42.72,2036.32,6
CPT,98984,RTM DEV SPLY RESP SYS 2-15 D,,,39.37,64.1,4
CPT,98985,RTM DEV SPLY MSCSK SYS 2-15D,,,39.37,64.1,4
CPT,98986,RTM DEV SPLY CBT 2-15 D,,,39.37,64.1,4
CPT,99000,SPECIMEN HANDLING OFFICE-LAB,,,5.54,12.11,2
CPT,99001,HC SPECIMEN HANDLING,43.32,15.17,6.58,22.49,5
CPT,99002,DEVICE HANDLING PHYS/QHP,,,14.01,14.01,1
CPT,99024,POSTOP FOLLOW-UP VISIT,,,5.86,5.86,1
CPT,99026,IN-HOSPITAL ON CALL SERVICE,,,67.35,67.35,1
CPT,99027,OUT-OF-HOSP ON CALL SERVICE,,,67.35,67.35,1
CPT,99050,MEDICAL SERVICES AFTER HRS,,,17.3,17.3,1
CPT,99051,MED SERV EVE/WKEND/HOLIDAY,,,17.3,17.3,1
CPT,99053,MED SERV 10PM-8AM 24 HR FAC,,,17.3,17.3,1
CPT,99056,MED SERVICE OUT OF OFFICE,,,17.3,17.3,1
CPT,99058,OFFICE EMERGENCY CARE,,,17.3,17.3,1
CPT,99060,OUT OF OFFICE EMERG MED SERV,,,17.3,17.3,1
CPT,99070,SPECIAL SUPPLIES PHYS/QHP,,,28.55,28.55,1
CPT,99071,PATIENT EDUCATION MATERIALS,,,11.4,11.4,1
CPT,99075,MEDICAL TESTIMONY,,,553.6,553.6,1
CPT,99078,GROUP HEALTH EDUCATION,,,43.25,43.25,1
CPT,99080,SPECIAL REPORTS OR FORMS,,,16.37,16.37,1
CPT,99082,UNUSUAL PHYSICIAN TRAVEL,,,52.96,52.96,1
CPT,99091,COLLJ & INTERPJ DATA EA 30 D,,,56.42,3656.63,6
CPT,99100,ANES PT EXTEME AGE<1 YR&>70,,,64.01,64.01,1
CPT,99116,ANES COMP TOT BDY HYPTHRM,,,64.01,64.01,1
CPT,99135,ANES COMP CTRLD HYPOTENSION,,,64.01,64.01,1
CPT,99140,ANES COMP EMERGENCY COND,,,64.01,64.01,1
CPT,99151,HC MOD SEDAT PHYS/QHP INT 15-MIN <5 YRS,290.53,101.69,64.95,1642.36,9
CPT,99152,HC MOD SED SAME PHYS/QHP INT 15-MIN 5/>YRS,297.1,103.99,54.01,833.61,9
CPT,99153,HC MOD SED SAME PHYS/QHP EA 15 MINS,117.24,41.04,12.96,775.3,9
CPT,99155,HC MOD SED DIFF PHYS/QHP INT 15 MIN <5 YRS,200.54,70.19,68.79,5508.7,9
CPT,99156,HC MOD SED DIFF PHYS/QHP INT 15-MIN 5/>YRS,276.82,96.89,71.04,5068.44,9
CPT,99157,HC MOD SED DIFF PHYS/QHP ADD ON EA 15-MIN,98.3,34.41,33.72,4172.6,9
CPT,99170,"HC ANOGENITAL EXAM, CHILD",375.65,131.48,128.85,347.24,6
CPT,99172,OCULAR FUNCTION SCREEN,,,26.07,26.07,1
CPT,99173,HC VISION SCREENING - SNELLEN,49.39,17.29,3.46,209.11,9
CPT,99174,OCULAR INSTRUMNT SCREEN BIL,,,7.01,423.48,6
CPT,99175,INDUCTION OF VOMITING,,,48.59,2140.2,6
CPT,99177,OCULAR INSTRUMNT SCREEN BIL,,,5.59,328.3,6
CPT,99183,HYPERBARIC OXYGEN THERAPY,,,110.53,7121.54,6
CPT,99184,HYPOTHERMIA ILL NEONATE,,,185.36,14460.27,6
CPT,99185,Mammogram,,,3696.19,3696.19,1
CPT,99186,Mammogram,,,4795.75,4795.75,1
CPT,99188,APP TOPICAL FLUORIDE VARNISH,,,12.35,665.42,6
CPT,99190,SPECIAL PUMP SERVICES,,,820.71,820.71,1
CPT,99191,SPECIAL PUMP SERVICES,,,574.41,574.41,1
CPT,99192,SPECIAL PUMP SERVICES,,,410.37,410.37,1
CPT,99195,"HC PHLEBOTOMY, THERAPEUTIC",271.87,95.16,93.25,6879.6,9
CPT,99201,Mammogram,,,1710.71,1710.71,1
CPT,99202,HC NEW OUTPT VISIT 15-29 MINUTES,178.48,62.47,61.22,126.49,6
CPT,99203,HC NEW OUTPT VISIT 30-44 MINUTES,234.86,82.21,80.56,196.69,6
CPT,99204,HC NEW OUTPT VISIT 45-59 MINUTES,311.19,108.92,106.74,296.21,6
CPT,99205,HC NEW OUTPT VISIT 60-74 MINUTES,425.78,149.03,146.04,394.82,6
CPT,99211,HC OFFICE/OUTPATIENT ESTABLISHED MINIMAL PROBLEM(S),140.67,49.24,25.54,48.25,6
CPT,99212,HC OFFICE/OUTPATIENT ESTABLISHED SF MDM 10-19 MIN,154.74,54.16,53.08,100.09,6
CPT,99213,HC OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN,168.81,59.09,57.9,159.85,6
CPT,99214,HC OFFICE/OUTPATIENT ESTABLISHED LOW MDM 30-39 MIN,182.88,64.01,62.73,227.34,6
CPT,99215,HC OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40-54 MIN,196.94,68.93,67.55,322.15,6
CPT,99217,Mammogram,,,4752.88,4752.88,1
CPT,99218,Mammogram,,,6447.42,6447.42,1
CPT,99219,Mammogram,,,8751.16,8751.16,1
CPT,99220,Mammogram,,,11818.8,11818.8,1
CPT,99221,1ST HOSP IP/OBS SF/LOW 40,,,74.62,5595.19,6
CPT,99222,1ST HOSP IP/OBS MODERATE 55,,,117.7,8787.42,6
CPT,99223,1ST HOSP IP/OBS HIGH 75,,,157.59,11724.35,6
CPT,99224,Mammogram,,,2576.42,2576.42,1
CPT,99225,Mammogram,,,4688.57,4688.57,1
CPT,99226,Mammogram,,,6688.75,6688.75,1
CPT,99231,SBSQ HOSP IP/OBS SF/LOW 25,,,44.42,3344.99,6
CPT,99232,SBSQ HOSP IP/OBS MODERATE 35,,,71.09,5347.86,6
CPT,99233,SBSQ HOSP IP/OBS HIGH 50,,,107.85,8043.6,6
CPT,99234,HOSP IP/OBS SM DT SF/LOW 45,,,88.65,6654.57,6
CPT,99235,HOSP IP/OBS SAME DATE MOD 70,,,144.11,10766.77,6
CPT,99236,HOSP IP/OBS SAME DATE HI 85,,,190.99,14099.02,6
CPT,99238,HOSP IP/OBS DSCHRG MGMT 30/<,,,75.87,5481.88,6
CPT,99239,HOSP IP/OBS DSCHRG MGMT >30,,,108.12,7765.52,6
CPT,99241,Mammogram,,,2123.42,2123.42,1
CPT,99242,HC OFFICE CONSULT 20 MIN,111.09,38.89,38.1,126.06,6
CPT,99243,HC OFFICE CONSULTATION 30 MIN,155.86,54.56,53.46,188.22,6
CPT,99244,HC OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN,249.48,87.32,85.57,268.68,6
CPT,99245,HC  OFFICE CONSULTATION NEW/ESTAB PATIENT 80 MIN,312.54,109.39,107.2,348.82,6
CPT,99251,Mammogram,,,3207.66,3207.66,1
CPT,99252,IP/OBS CONSLTJ NEW/EST SF 35,,,12.51,4844.02,6
CPT,99253,IP/OBS CNSLTJ NEW/EST LOW 45,,,17.51,6783.81,6
CPT,99254,IP/OBS CNSLTJ NEW/EST MOD 60,,,24.39,9447.45,6
CPT,99255,IP/OBS CONSLTJ NEW/EST HI 80,,,32.63,12640.29,6
CPT,99281,HC EMER VISIT LEVEL I,589.63,206.38,88.95,2178.0,10
CPT,99281,HC PES EMER VISIT LEVEL I,589.63,206.38,88.95,2178.0,10
CPT,99282,HC EMER VISIT LEVEL II,1223.44,428.21,161.97,2178.0,10
CPT,99282,HC PES EMER VISIT LEVEL II,1223.44,428.21,161.97,2178.0,10
CPT,99283,HC EMER VISIT LEVEL III,2616.77,915.87,287.96,2178.0,10
CPT,99283,HC PES EMER VISIT LEVEL III,2616.77,915.87,287.96,2178.0,10
CPT,99284,HC EMER VISIT LEVEL IV,4390.16,1536.56,440.16,4300.0,10
CPT,99284,HC PES EMER VISIT LEVEL IV,4390.16,1536.56,440.16,4300.0,10
CPT,99285,HC EMER VISIT LEVEL V,8196.71,2868.85,628.22,8490.0,10
CPT,99285,HC PES EMER VISIT LEVEL V,8196.71,2868.85,628.22,8490.0,10
CPT,99288,DIRECT ADVANCED LIFE SUPPORT,,,84.34,84.34,1
CPT,99289,Mammogram,,,14369.74,14369.74,1
CPT,99290,Mammogram,,,7720.56,7720.56,1
CPT,99291,HC ER CRITICAL CARE 1ST 30-103 MIN,8222.8,2877.98,617.0,17706.0,10
CPT,99292,HC ER CRITICAL CARE EA ADD'L 30',3761.98,1316.7,136.43,7202.02,10
CPT,99293,Mammogram,,,48674.89,48674.89,1
CPT,99294,Mammogram,,,23888.24,23888.24,1
CPT,99295,Mammogram,,,56075.85,56075.85,1
CPT,99296,Mammogram,,,24296.28,24296.28,1
CPT,99298,Mammogram,,,8490.48,8490.48,1
CPT,99299,Mammogram,,,7711.25,7711.25,1
CPT,99300,Mammogram,,,7583.85,7583.85,1
CPT,99304,1ST NF CARE SF/LOW MDM 25,,,82.9,5457.74,6
CPT,99305,1ST NF CARE MODERATE MDM 35,,,143.93,9035.23,6
CPT,99306,1ST NF CARE HIGH MDM 50,,,197.16,12343.47,6
CPT,99307,SBSQ NF CARE SF MDM 10,,,43.09,2695.0,6
CPT,99308,SBSQ NF CARE LOW MDM 20,,,80.86,5055.09,6
CPT,99309,SBSQ NF CARE MODERATE MDM 30,,,117.24,7245.51,6
CPT,99310,SBSQ NF CARE HIGH MDM 45,,,166.94,10405.64,6
CPT,99315,NF DSCHRG MGMT 30 MIN/LESS,,,87.88,5535.53,6
CPT,99316,NF DSCHRG MGMT 30 MIN+,,,141.18,8891.91,6
CPT,99318,Mammogram,,,6318.8,6318.8,1
CPT,99324,Mammogram,,,3587.54,3587.54,1
CPT,99325,Mammogram,,,5229.28,5229.28,1
CPT,99326,Mammogram,,,9080.19,9080.19,1
CPT,99327,Mammogram,,,12215.46,12215.46,1
CPT,99328,Mammogram,,,14363.74,14363.74,1
CPT,99334,Mammogram,,,4023.15,4023.15,1
CPT,99335,Mammogram,,,6323.45,6323.45,1
CPT,99336,Mammogram,,,8942.87,8942.87,1
CPT,99337,Mammogram,,,12787.65,12787.65,1
CPT,99339,Mammogram,,,5108.01,5108.01,1
CPT,99340,Mammogram,,,7150.33,7150.33,1
CPT,99341,HOME/RES VST NEW SF MDM 15,,,50.13,3308.11,6
CPT,99342,HOME/RES VST NEW LOW MDM 30,,,80.34,5269.46,6
CPT,99343,Mammogram,,,8279.41,8279.41,1
CPT,99344,HOME/RES VST NEW MOD MDM 60,,,149.52,9736.18,6
CPT,99345,HOME/RES VST NEW HIGH MDM 75,,,214.44,13717.8,6
CPT,99347,HOME/RES VST EST SF MDM 20,,,47.1,3032.12,6
CPT,99348,HOME/RES VST EST LOW MDM 30,,,80.6,5165.58,6
CPT,99349,HOME/RES VST EST MOD MDM 40,,,134.98,8641.27,6
CPT,99350,HOME/RES VST EST HIGH MDM 60,,,196.89,12602.07,6
CPT,99354,Mammogram,,,7937.76,7937.76,1
CPT,99355,Mammogram,,,5597.15,5597.15,1
CPT,99356,Mammogram,,,5985.11,5985.11,1
CPT,99357,Mammogram,,,6008.5,6008.5,1
CPT,99358,PROLONG SERVICE W/O CONTACT,,,93.56,6126.47,6
CPT,99359,PROLONG SERV W/O CONTACT ADD,,,39.8,2910.85,6
CPT,99360,PHYSICIAN STANDBY SERVICES,,,51.98,3962.14,6
CPT,99363,Mammogram,,,5448.43,5448.43,1
CPT,99364,Mammogram,,,2082.62,2082.62,1
CPT,99366,HC CASE MGMT =>30 MIN W/PT,102.73,35.96,35.24,2706.39,8
CPT,99367,HC CASE MGMT =>30MIN W/O PT,123.99,43.4,42.53,3662.02,8
CPT,99368,HC CASE MGMT-TEAM=>30 MINS W/O PT,206.7,72.35,31.07,2382.75,10
CPT,99374,HOME HEALTH CARE SUPERVISION,,,72.77,3662.02,6
CPT,99375,HOME HEALTH CARE SUPERVISION,,,108.26,5726.51,6
CPT,99377,HOSPICE CARE SUPERVISION,,,72.77,3662.02,6
CPT,99378,HOSPICE CARE SUPERVISION,,,108.26,5726.51,6
CPT,99379,NURSING FAC CARE SUPERVISION,,,72.77,3662.02,6
CPT,99380,NURSING FAC CARE SUPERVISION,,,108.26,5726.51,6
CPT,99381,HC INITIAL EVAL NEWBORN <1 YR,210.85,73.8,72.32,191.26,6
CPT,99382,HC NEW PT. 1-4 YR WELL CHILD,241.18,84.42,82.72,199.51,6
CPT,99383,HC NEW PT. 5-11 YR WELL CHILD,290.11,101.54,99.51,208.17,6
CPT,99384,HC NEW PT. 12-17 YR WELL CHILD,271.51,95.03,93.13,232.63,6
CPT,99385,HC NEW PT. 18-39 WELL ADULT,254.83,89.2,87.41,225.91,6
CPT,99386,HC NEW PT. 40-64 WELL ADULT,312.16,109.26,107.07,260.75,6
CPT,99387,HC NEW PT. 65 OR > WELL ADU,341.58,119.56,117.16,282.68,6
CPT,99391,HC PREVENT MED ESTAB <1Y,181.4,63.49,62.22,172.54,6
CPT,99392,HC PREV VISIT EST AGE 1-4,210.85,73.8,72.32,183.16,6
CPT,99393,HC PREV VISIT EST AGE 5-11,210.85,73.8,72.32,182.58,6
CPT,99394,HC PREV VISIT EST AGE 12-17,241.18,84.42,82.72,200.07,6
CPT,99395,HC PREV VISIT EST AGE 18-39,226.91,79.42,77.83,203.98,6
CPT,99396,HC PREV VISIT EST AGE 40-64,254.83,89.2,87.41,216.13,6
CPT,99397,HC PER PM REEVAL EST PAT 65+ YR,284.26,99.5,97.5,233.21,6
CPT,99401,HC PREVENT. IND COUN. 15 MIN,81.0,28.35,27.78,67.04,6
CPT,99402,HC PREVENT. IND COUN. 30 MIN,162.0,56.7,55.57,108.56,6
CPT,99403,HC PREVENT. IND COUN. 45 MIN,243.0,85.05,83.35,147.4,6
CPT,99404,HC PERVENT. IND COUN. 60 MIN,323.99,113.4,111.13,188.8,6
CPT,99406,HC SYMP TOBACCO COUNSEL 3-10 MIN,57.65,20.18,19.77,798.7,9
CPT,99407,HC SYMP TOBACCO COUNSEL >10 MIN,60.53,21.19,20.76,1689.89,9
CPT,99408,HC ALCOHOL/SUBS INTERV 15-30MN,118.37,41.43,35.81,2151.59,9
CPT,99409,HC COMMUNITY DETOX NM 003,968.0,338.8,68.87,4303.92,9
CPT,99411,HC PREVENT. GP. COUN. 30 MIN,25.19,8.82,8.64,34.72,6
CPT,99412,PREVENTIVE COUNSELING GROUP,,,26.39,845.01,6
CPT,99415,PROLNG CLIN STAFF SVC 1ST HR,,,24.43,1329.37,6
CPT,99416,PROLNG CLIN STAFF SVC EA ADD,,,13.41,614.46,6
CPT,99417,HC PROLNG OFF/OP E/M EA 15 MIN,136.68,47.84,32.68,53.21,6
CPT,99418,PROLNG IP/OBS E/M EA 15 MIN,,,35.08,2660.21,6
CPT,99420,Mammogram,,,733.04,733.04,1
CPT,99421,OL DIG E/M SVC 5-10 MIN,,,16.08,869.14,6
CPT,99422,OL DIG E/M SVC 11-20 MIN,,,31.45,1714.02,6
CPT,99423,OL DIG E/M SVC 21+ MIN,,,50.02,2721.22,6
CPT,99424,PRIN CARE MGMT PHYS 1ST 30,,,89.55,4967.99,6
CPT,99425,PRIN CARE MGMT PHYS EA ADDL,,,62.99,3434.17,6
CPT,99426,PRIN CARE MGMT STAFF 1ST 30,,,100.06,3308.85,6
CPT,99427,PRIN CARE MGMT STAFF EA ADDL,,,55.87,2348.57,6
CPT,99431,Mammogram,,,3523.22,3523.22,1
CPT,99432,Mammogram,,,3812.69,3812.69,1
CPT,99433,Mammogram,,,1904.39,1904.39,1
CPT,99435,Mammogram,,,4819.15,4819.15,1
CPT,99436,Mammogram,,,4485.46,4485.46,1
CPT,99437,CHRNC CARE MGMT PHYS EA ADDL,,,64.77,3410.03,6
CPT,99439,CHRNC CARE MGMT STAF EA ADDL,,,51.97,2361.31,6
CPT,99440,Mammogram,,,8810.81,8810.81,1
CPT,99441,Mammogram,,,2361.31,2361.31,1
CPT,99441,Other Outpatient Services - CPT/HCPCS,,,88.77,88.77,1
CPT,99442,Mammogram,,,4458.63,4458.63,1
CPT,99442,Other Outpatient Services - CPT/HCPCS,,,142.45,142.45,1
CPT,99443,Mammogram,,,6554.0,6554.0,1
CPT,99443,Other Outpatient Services - CPT/HCPCS,,,200.46,200.46,1
CPT,99445,REM MNTR PHYSIOL PARAM 2-15,,,39.37,64.1,4
CPT,99446,NTRPROF PH1/NTRNET/EHR 5-10,,,19.27,1204.79,6
CPT,99447,NTRPROF PH1/NTRNET/EHR 11-20,,,38.64,2397.57,6
CPT,99448,NTRPROF PH1/NTRNET/EHR 21-30,,,57.74,3649.89,6
CPT,99449,NTRPROF PH1/NTRNET/EHR 31/>,,,77.46,4847.94,6
CPT,99450,BASIC LIFE DISABILITY EXAM,,,34.6,34.6,1
CPT,99451,NTRPROF PH1/NTRNET/EHR 5/>,,,35.98,2408.96,6
CPT,99452,NTRPROF PH1/NTRNET/EHR RFRL,,,37.76,2242.12,6
CPT,99453,REM MNTR PHYSIOL PARAM SETUP,,,30.97,1347.5,6
CPT,99454,REM MNTR PHYSIOL PARAM 16-30,,,39.37,3522.61,6
CPT,99455,HC IMPAIRMENT EXAM BY TREATING DR,495.08,173.28,169.81,169.81,2
CPT,99456,HC IMPAIR EXAM OTHER TREATING DR,928.29,324.91,318.4,318.4,2
CPT,99457,RPM TX MGMT 1ST 20 MIN,,,53.65,2036.32,6
CPT,99458,RPM TX MGMT EA ADDL 20 MIN,,,42.63,2036.32,6
CPT,99459,HC PELVIC EXAMINATION,140.82,49.29,18.48,48.3,6
CPT,99460,INIT NB EM PER DAY HOSP,,,140.44,6267.84,6
CPT,99461,INIT NB EM PER DAY NON-FAC,,,97.01,4153.12,6
CPT,99462,SBSQ NB EM PER DAY HOSP,,,35.74,2764.7,6
CPT,99463,SAME DAY NB DISCHARGE,,,140.44,7362.13,6
CPT,99464,ATTENDANCE AT DELIVERY,,,63.81,4915.68,6
CPT,99465,NB RESUSCITATION,,,219.61,9557.33,6
CPT,99466,PED CRIT CARE TRANSPORT,,,203.69,15640.92,6
CPT,99467,PED CRIT CARE TRANSPORT ADDL,,,102.1,7900.88,6
CPT,99468,NEONATE CRIT CARE INITIAL,,,785.57,60369.1,6
CPT,99469,NEONATE CRIT CARE SUBSQ,,,339.81,26124.84,6
CPT,99470,RPM TX MGMT 1ST 10 MIN,,,26.99,43.95,4
CPT,99471,PED CRITICAL CARE INITIAL,,,680.41,52237.68,6
CPT,99472,PED CRITICAL CARE SUBSQ,,,354.86,26472.01,6
CPT,99473,SELF-MEAS BP PT EDUCAJ/TRAIN,,,20.69,900.62,6
CPT,99474,SELF-MEAS BP 2 READG BID 30D,,,19.14,595.72,6
CPT,99475,PED CRIT CARE AGE 2-5 INIT,,,478.32,37601.99,6
CPT,99476,PED CRIT CARE AGE 2-5 SUBSQ,,,308.97,22669.97,6
CPT,99477,INIT DAY HOSP NEONATE CARE,,,297.94,22886.43,6
CPT,99478,"SBSQ IC VLBW INF<1,500 GM",,,116.94,9003.75,6
CPT,99479,"SBSQ IC LBW INF 1,500-2,500",,,106.19,8200.4,6
CPT,99480,"SBSQ IC INF PBW 2,501-5,000",,,102.1,7900.88,6
CPT,99483,HC ASSMT & CARE PLN PT COG IMP,168.17,58.86,57.68,174.49,6
CPT,99484,CARE MGMT SVC BHVL HLTH COND,,,39.52,1988.79,6
CPT,99485,SUPRV INTERFACILTY TRANSPORT,,,64.52,4986.73,6
CPT,99486,SUPRV INTERFAC TRNSPORT ADDL,,,56.07,4303.92,6
CPT,99487,CPLX CHRNC CARE 1ST 60 MIN,,,187.24,6135.9,6
CPT,99489,CPLX CHRNC CARE EA ADDL 30,,,80.76,3386.51,6
CPT,99490,CHRNC CARE MGMT STAFF 1ST 20,,,98.07,3410.03,6
CPT,99491,CHRNC CARE MGMT PHYS 1ST 30,,,91.43,5105.92,6
CPT,99492,1ST PSYC COLLAB CARE MGMT,,,107.17,6271.88,6
CPT,99493,SBSQ PSYC COLLAB CARE MGMT,,,107.17,6850.2,6
CPT,99494,1ST/SBSQ PSYC COLLAB CARE,,,63.4,2742.65,6
CPT,99495,TRANSJ CARE MGMT MOD F2F 14D,,,140.44,9459.45,6
CPT,99496,TRANSJ CARE MGMT HIGH F2F 7D,,,140.44,12892.27,6
CPT,99497,HC ADVANCE CARE PLANNING FIRST 30 MINS,182.45,63.86,62.58,174.49,6
CPT,99498,ADVNCD CARE PLAN ADDL 30 MIN,,,79.88,4829.93,6
CPT,99500,HOME VISIT PRENATAL,,,86.5,86.5,1
CPT,99501,HOME VISIT POSTNATAL,,,86.5,86.5,1
CPT,99502,HOME VISIT NB CARE,,,86.5,86.5,1
CPT,99503,HOME VISIT RESP THERAPY,,,43.25,43.25,1
CPT,99504,HOME VISIT MECH VENTILATOR,,,43.25,43.25,1
CPT,99505,HOME VISIT STOMA CARE,,,43.25,43.25,1
CPT,99506,HOME VISIT IM INJECTION,,,43.25,43.25,1
CPT,99507,HOME VISIT CATH MAINTAIN,,,43.25,43.25,1
CPT,99509,HOME VISIT DAY LIFE ACTIVITY,,,17.3,17.3,1
CPT,99510,HOME VISIT SING/M/FAM COUNS,,,141.48,141.48,1
CPT,99511,HOME VISIT FECAL/ENEMA MGMT,,,43.25,43.25,1
CPT,99512,HOME VISIT FOR HEMODIALYSIS,,,43.25,43.25,1
CPT,99600,UNLISTED HOME VISIT SVC/PX,,,43.25,43.25,1
CPT,99601,HOME NFS VISIT <2 HRS,,,103.8,103.8,1
CPT,99602,HOME NFS VISIT EACH ADDL HR,,,51.9,51.9,1
CPT,99605,MTMS BY PHARM NP 15 MIN,,,116.86,116.86,1
CPT,99606,MTMS BY PHARM EST 15 MIN,,,58.63,58.63,1
CPT,99607,MTMS BY PHARM ADDL 15 MIN,,,78.35,78.35,1
CPT,G0380,Emergency Level 1,,,490.0,490.0,1
CPT,G0381,Emergency Level 2,,,980.0,980.0,1
CPT,G0382,Emergency Level 3,,,2156.0,2156.0,1
CPT,G0383,Emergency Level 4,,,4300.0,4300.0,1
CPT,G0384,Emergency Level 5,,,8490.0,8490.0,1
DRG,001,Medical/Surgical,,,4617.0,4617.0,1
DRG,002,Medical/Surgical,,,4617.0,4617.0,1
DRG,003,Medical/Surgical,,,4617.0,4617.0,1
DRG,004,Medical/Surgical,,,4617.0,4617.0,1
DRG,005,Medical/Surgical,,,4617.0,4617.0,1
DRG,006,Medical/Surgical,,,4617.0,4617.0,1
DRG,007,Medical/Surgical,,,4617.0,4617.0,1
DRG,008,Medical/Surgical,,,4617.0,4617.0,1
DRG,009,Medical/Surgical,,,4617.0,4617.0,1
DRG,010,Medical/Surgical,,,4617.0,4617.0,1
DRG,011,Medical/Surgical,,,4617.0,4617.0,1
DRG,012,Medical/Surgical,,,4617.0,4617.0,1
DRG,013,Medical/Surgical,,,4617.0,4617.0,1
DRG,014,Medical/Surgical,,,4617.0,4617.0,1
DRG,015,Medical/Surgical,,,4617.0,4617.0,1
DRG,016,Medical/Surgical,,,4617.0,4617.0,1
DRG,017,Medical/Surgical,,,4617.0,4617.0,1
DRG,018,Medical/Surgical,,,4617.0,4617.0,1
DRG,019,Medical/Surgical,,,4617.0,4617.0,1
DRG,020,Medical/Surgical,,,4617.0,4617.0,1
DRG,021,Medical/Surgical,,,4617.0,4617.0,1
DRG,022,Medical/Surgical,,,4617.0,4617.0,1
DRG,023,Medical/Surgical,,,4617.0,4617.0,1
DRG,024,Medical/Surgical,,,4617.0,4617.0,1
DRG,025,Medical/Surgical,,,4617.0,4617.0,1
DRG,026,Medical/Surgical,,,4617.0,4617.0,1
DRG,027,Medical/Surgical,,,4617.0,4617.0,1
DRG,028,Medical/Surgical,,,4617.0,4617.0,1
DRG,029,Medical/Surgical,,,4617.0,4617.0,1
DRG,030,Medical/Surgical,,,4617.0,4617.0,1
DRG,031,Medical/Surgical,,,4617.0,4617.0,1
DRG,032,Medical/Surgical,,,4617.0,4617.0,1
DRG,033,Medical/Surgical,,,4617.0,4617.0,1
DRG,034,Medical/Surgical,,,4617.0,4617.0,1
DRG,035,Medical/Surgical,,,4617.0,4617.0,1
DRG,036,Medical/Surgical,,,4617.0,4617.0,1
DRG,037,Medical/Surgical,,,4617.0,4617.0,1
DRG,038,Medical/Surgical,,,4617.0,4617.0,1
DRG,039,Medical/Surgical,,,4617.0,4617.0,1
DRG,040,Medical/Surgical,,,4617.0,4617.0,1
DRG,041,Medical/Surgical,,,4617.0,4617.0,1
DRG,042,Medical/Surgical,,,4617.0,4617.0,1
DRG,043,Medical/Surgical,,,4617.0,4617.0,1
DRG,044,Medical/Surgical,,,4617.0,4617.0,1
DRG,045,Medical/Surgical,,,4617.0,4617.0,1
DRG,046,Medical/Surgical,,,4617.0,4617.0,1
DRG,047,Medical/Surgical,,,4617.0,4617.0,1
DRG,048,Medical/Surgical,,,4617.0,4617.0,1
DRG,049,Medical/Surgical,,,4617.0,4617.0,1
DRG,050,Medical/Surgical,,,4617.0,4617.0,1
DRG,051,Medical/Surgical,,,4617.0,4617.0,1
DRG,052,Medical/Surgical,,,4617.0,4617.0,1
DRG,053,Medical/Surgical,,,4617.0,4617.0,1
DRG,054,Medical/Surgical,,,4617.0,4617.0,1
DRG,055,Medical/Surgical,,,4617.0,4617.0,1
DRG,056,Medical/Surgical,,,4617.0,4617.0,1
DRG,057,Medical/Surgical,,,4617.0,4617.0,1
DRG,058,Medical/Surgical,,,4617.0,4617.0,1
DRG,059,Medical/Surgical,,,4617.0,4617.0,1
DRG,060,Medical/Surgical,,,4617.0,4617.0,1
DRG,061,Medical/Surgical,,,4617.0,4617.0,1
DRG,062,Medical/Surgical,,,4617.0,4617.0,1
DRG,063,Medical/Surgical,,,4617.0,4617.0,1
DRG,064,Medical/Surgical,,,4617.0,4617.0,1
DRG,065,Medical/Surgical,,,4617.0,4617.0,1
DRG,066,Medical/Surgical,,,4617.0,4617.0,1
DRG,067,Medical/Surgical,,,4617.0,4617.0,1
DRG,068,Medical/Surgical,,,4617.0,4617.0,1
DRG,069,Medical/Surgical,,,4617.0,4617.0,1
DRG,070,Medical/Surgical,,,4617.0,4617.0,1
DRG,071,Medical/Surgical,,,4617.0,4617.0,1
DRG,072,Medical/Surgical,,,4617.0,4617.0,1
DRG,073,Medical/Surgical,,,4617.0,4617.0,1
DRG,074,Medical/Surgical,,,4617.0,4617.0,1
DRG,075,Medical/Surgical,,,4617.0,4617.0,1
DRG,076,Medical/Surgical,,,4617.0,4617.0,1
DRG,077,Medical/Surgical,,,4617.0,4617.0,1
DRG,078,Medical/Surgical,,,4617.0,4617.0,1
DRG,079,Medical/Surgical,,,4617.0,4617.0,1
DRG,080,Medical/Surgical,,,4617.0,4617.0,1
DRG,081,Medical/Surgical,,,4617.0,4617.0,1
DRG,082,Medical/Surgical,,,4617.0,4617.0,1
DRG,083,Medical/Surgical,,,4617.0,4617.0,1
DRG,084,Medical/Surgical,,,4617.0,4617.0,1
DRG,085,Medical/Surgical,,,4617.0,4617.0,1
DRG,086,Medical/Surgical,,,4617.0,4617.0,1
DRG,087,Medical/Surgical,,,4617.0,4617.0,1
DRG,088,Medical/Surgical,,,4617.0,4617.0,1
DRG,089,Medical/Surgical,,,4617.0,4617.0,1
DRG,090,Medical/Surgical,,,4617.0,4617.0,1
DRG,091,Medical/Surgical,,,4617.0,4617.0,1
DRG,092,Medical/Surgical,,,4617.0,4617.0,1
DRG,093,Medical/Surgical,,,4617.0,4617.0,1
DRG,094,Medical/Surgical,,,4617.0,4617.0,1
DRG,095,Medical/Surgical,,,4617.0,4617.0,1
DRG,096,Medical/Surgical,,,4617.0,4617.0,1
DRG,097,Medical/Surgical,,,4617.0,4617.0,1
DRG,098,Medical/Surgical,,,4617.0,4617.0,1
DRG,099,Medical/Surgical,,,4617.0,4617.0,1
DRG,100,Medical/Surgical,,,4617.0,4617.0,1
DRG,101,Medical/Surgical,,,4617.0,4617.0,1
DRG,102,Medical/Surgical,,,4617.0,4617.0,1
DRG,103,Medical/Surgical,,,4617.0,4617.0,1
DRG,104,Medical/Surgical,,,4617.0,4617.0,1
DRG,105,Medical/Surgical,,,4617.0,4617.0,1
DRG,106,Medical/Surgical,,,4617.0,4617.0,1
DRG,107,Medical/Surgical,,,4617.0,4617.0,1
DRG,108,Medical/Surgical,,,4617.0,4617.0,1
DRG,109,Medical/Surgical,,,4617.0,4617.0,1
DRG,110,Medical/Surgical,,,4617.0,4617.0,1
DRG,111,Medical/Surgical,,,4617.0,4617.0,1
DRG,112,Medical/Surgical,,,4617.0,4617.0,1
DRG,113,Medical/Surgical,,,4617.0,4617.0,1
DRG,114,Medical/Surgical,,,4617.0,4617.0,1
DRG,115,Medical/Surgical,,,4617.0,4617.0,1
DRG,116,Medical/Surgical,,,4617.0,4617.0,1
DRG,117,Medical/Surgical,,,4617.0,4617.0,1
DRG,118,Medical/Surgical,,,4617.0,4617.0,1
DRG,119,Medical/Surgical,,,4617.0,4617.0,1
DRG,120,Medical/Surgical,,,4617.0,4617.0,1
DRG,121,Medical/Surgical,,,4617.0,4617.0,1
DRG,122,Medical/Surgical,,,4617.0,4617.0,1
DRG,123,Medical/Surgical,,,4617.0,4617.0,1
DRG,124,Medical/Surgical,,,4617.0,4617.0,1
DRG,125,Medical/Surgical,,,4617.0,4617.0,1
DRG,126,Medical/Surgical,,,4617.0,4617.0,1
DRG,127,Medical/Surgical,,,4617.0,4617.0,1
DRG,128,Medical/Surgical,,,4617.0,4617.0,1
DRG,129,Medical/Surgical,,,4617.0,4617.0,1
DRG,130,Medical/Surgical,,,4617.0,4617.0,1
DRG,131,Medical/Surgical,,,4617.0,4617.0,1
DRG,132,Medical/Surgical,,,4617.0,4617.0,1
DRG,133,Medical/Surgical,,,4617.0,4617.0,1
DRG,134,Medical/Surgical,,,4617.0,4617.0,1
DRG,135,Medical/Surgical,,,4617.0,4617.0,1
DRG,136,Medical/Surgical,,,4617.0,4617.0,1
DRG,137,Medical/Surgical,,,4617.0,4617.0,1
DRG,138,Medical/Surgical,,,4617.0,4617.0,1
DRG,139,Medical/Surgical,,,4617.0,4617.0,1
DRG,140,Medical/Surgical,,,4617.0,4617.0,1
DRG,141,Medical/Surgical,,,4617.0,4617.0,1
DRG,142,Medical/Surgical,,,4617.0,4617.0,1
DRG,143,Medical/Surgical,,,4617.0,4617.0,1
DRG,144,Medical/Surgical,,,4617.0,4617.0,1
DRG,145,Medical/Surgical,,,4617.0,4617.0,1
DRG,146,Medical/Surgical,,,4617.0,4617.0,1
DRG,147,Medical/Surgical,,,4617.0,4617.0,1
DRG,148,Medical/Surgical,,,4617.0,4617.0,1
DRG,149,Medical/Surgical,,,4617.0,4617.0,1
DRG,150,Medical/Surgical,,,4617.0,4617.0,1
DRG,151,Medical/Surgical,,,4617.0,4617.0,1
DRG,152,Medical/Surgical,,,4617.0,4617.0,1
DRG,153,Medical/Surgical,,,4617.0,4617.0,1
DRG,154,Medical/Surgical,,,4617.0,4617.0,1
DRG,155,Medical/Surgical,,,4617.0,4617.0,1
DRG,156,Medical/Surgical,,,4617.0,4617.0,1
DRG,157,Medical/Surgical,,,4617.0,4617.0,1
DRG,158,Medical/Surgical,,,4617.0,4617.0,1
DRG,159,Medical/Surgical,,,4617.0,4617.0,1
DRG,160,Medical/Surgical,,,4617.0,4617.0,1
DRG,161,Medical/Surgical,,,4617.0,4617.0,1
DRG,162,Medical/Surgical,,,4617.0,4617.0,1
DRG,163,Medical/Surgical,,,4617.0,4617.0,1
DRG,164,Medical/Surgical,,,4617.0,4617.0,1
DRG,165,Medical/Surgical,,,4617.0,4617.0,1
DRG,166,Medical/Surgical,,,4617.0,4617.0,1
DRG,167,Medical/Surgical,,,4617.0,4617.0,1
DRG,168,Medical/Surgical,,,4617.0,4617.0,1
DRG,169,Medical/Surgical,,,4617.0,4617.0,1
DRG,170,Medical/Surgical,,,4617.0,4617.0,1
DRG,171,Medical/Surgical,,,4617.0,4617.0,1
DRG,172,Medical/Surgical,,,4617.0,4617.0,1
DRG,173,Medical/Surgical,,,4617.0,4617.0,1
DRG,174,Medical/Surgical,,,4617.0,4617.0,1
DRG,175,Medical/Surgical,,,4617.0,4617.0,1
DRG,176,Medical/Surgical,,,4617.0,4617.0,1
DRG,177,Medical/Surgical,,,4617.0,4617.0,1
DRG,178,Medical/Surgical,,,4617.0,4617.0,1
DRG,179,Medical/Surgical,,,4617.0,4617.0,1
DRG,180,Medical/Surgical,,,4617.0,4617.0,1
DRG,181,Medical/Surgical,,,4617.0,4617.0,1
DRG,182,Medical/Surgical,,,4617.0,4617.0,1
DRG,183,Medical/Surgical,,,4617.0,4617.0,1
DRG,184,Medical/Surgical,,,4617.0,4617.0,1
DRG,185,Medical/Surgical,,,4617.0,4617.0,1
DRG,186,Medical/Surgical,,,4617.0,4617.0,1
DRG,187,Medical/Surgical,,,4617.0,4617.0,1
DRG,188,Medical/Surgical,,,4617.0,4617.0,1
DRG,189,Medical/Surgical,,,4617.0,4617.0,1
DRG,190,Medical/Surgical,,,4617.0,4617.0,1
DRG,191,Medical/Surgical,,,4617.0,4617.0,1
DRG,192,Medical/Surgical,,,4617.0,4617.0,1
DRG,193,Medical/Surgical,,,4617.0,4617.0,1
DRG,194,Medical/Surgical,,,4617.0,4617.0,1
DRG,195,Medical/Surgical,,,4617.0,4617.0,1
DRG,196,Medical/Surgical,,,4617.0,4617.0,1
DRG,197,Medical/Surgical,,,4617.0,4617.0,1
DRG,198,Medical/Surgical,,,4617.0,4617.0,1
DRG,199,Medical/Surgical,,,4617.0,4617.0,1
DRG,200,Medical/Surgical,,,4617.0,4617.0,1
DRG,201,Medical/Surgical,,,4617.0,4617.0,1
DRG,202,Medical/Surgical,,,4617.0,4617.0,1
DRG,203,Medical/Surgical,,,4617.0,4617.0,1
DRG,204,Medical/Surgical,,,4617.0,4617.0,1
DRG,205,Medical/Surgical,,,4617.0,4617.0,1
DRG,206,Medical/Surgical,,,4617.0,4617.0,1
DRG,207,Medical/Surgical,,,4617.0,4617.0,1
DRG,208,Medical/Surgical,,,4617.0,4617.0,1
DRG,209,Medical/Surgical,,,4617.0,4617.0,1
DRG,210,Medical/Surgical,,,4617.0,4617.0,1
DRG,211,Medical/Surgical,,,4617.0,4617.0,1
DRG,212,Medical/Surgical,,,4617.0,4617.0,1
DRG,213,Medical/Surgical,,,4617.0,4617.0,1
DRG,214,Medical/Surgical,,,4617.0,4617.0,1
DRG,215,Medical/Surgical,,,4617.0,4617.0,1
DRG,216,Medical/Surgical,,,4617.0,4617.0,1
DRG,217,Medical/Surgical,,,4617.0,4617.0,1
DRG,218,Medical/Surgical,,,4617.0,4617.0,1
DRG,219,Medical/Surgical,,,4617.0,4617.0,1
DRG,220,Medical/Surgical,,,4617.0,4617.0,1
DRG,221,Medical/Surgical,,,4617.0,4617.0,1
DRG,222,Medical/Surgical,,,4617.0,4617.0,1
DRG,223,Medical/Surgical,,,4617.0,4617.0,1
DRG,224,Medical/Surgical,,,4617.0,4617.0,1
DRG,225,Medical/Surgical,,,4617.0,4617.0,1
DRG,226,Medical/Surgical,,,4617.0,4617.0,1
DRG,227,Medical/Surgical,,,4617.0,4617.0,1
DRG,228,Medical/Surgical,,,4617.0,4617.0,1
DRG,229,Medical/Surgical,,,4617.0,4617.0,1
DRG,230,Medical/Surgical,,,4617.0,4617.0,1
DRG,231,Medical/Surgical,,,4617.0,4617.0,1
DRG,232,Medical/Surgical,,,4617.0,4617.0,1
DRG,233,Medical/Surgical,,,4617.0,4617.0,1
DRG,234,Medical/Surgical,,,4617.0,4617.0,1
DRG,235,Medical/Surgical,,,4617.0,4617.0,1
DRG,236,Medical/Surgical,,,4617.0,4617.0,1
DRG,237,Medical/Surgical,,,4617.0,4617.0,1
DRG,238,Medical/Surgical,,,4617.0,4617.0,1
DRG,239,Medical/Surgical,,,4617.0,4617.0,1
DRG,240,Medical/Surgical,,,4617.0,4617.0,1
DRG,241,Medical/Surgical,,,4617.0,4617.0,1
DRG,242,Medical/Surgical,,,4617.0,4617.0,1
DRG,243,Medical/Surgical,,,4617.0,4617.0,1
DRG,244,Medical/Surgical,,,4617.0,4617.0,1
DRG,245,Medical/Surgical,,,4617.0,4617.0,1
DRG,246,Medical/Surgical,,,4617.0,4617.0,1
DRG,247,Medical/Surgical,,,4617.0,4617.0,1
DRG,248,Medical/Surgical,,,4617.0,4617.0,1
DRG,249,Medical/Surgical,,,4617.0,4617.0,1
DRG,250,Medical/Surgical,,,4617.0,4617.0,1
DRG,251,Medical/Surgical,,,4617.0,4617.0,1
DRG,252,Medical/Surgical,,,4617.0,4617.0,1
DRG,253,Medical/Surgical,,,4617.0,4617.0,1
DRG,254,Medical/Surgical,,,4617.0,4617.0,1
DRG,255,Medical/Surgical,,,4617.0,4617.0,1
DRG,256,Medical/Surgical,,,4617.0,4617.0,1
DRG,257,Medical/Surgical,,,4617.0,4617.0,1
DRG,258,Medical/Surgical,,,4617.0,4617.0,1
DRG,259,Medical/Surgical,,,4617.0,4617.0,1
DRG,260,Medical/Surgical,,,4617.0,4617.0,1
DRG,261,Medical/Surgical,,,4617.0,4617.0,1
DRG,262,Medical/Surgical,,,4617.0,4617.0,1
DRG,263,Medical/Surgical,,,4617.0,4617.0,1
DRG,264,Medical/Surgical,,,4617.0,4617.0,1
DRG,265,Medical/Surgical,,,4617.0,4617.0,1
DRG,266,Medical/Surgical,,,4617.0,4617.0,1
DRG,267,Medical/Surgical,,,4617.0,4617.0,1
DRG,268,Medical/Surgical,,,4617.0,4617.0,1
DRG,269,Medical/Surgical,,,4617.0,4617.0,1
DRG,270,Medical/Surgical,,,4617.0,4617.0,1
DRG,271,Medical/Surgical,,,4617.0,4617.0,1
DRG,272,Medical/Surgical,,,4617.0,4617.0,1
DRG,273,Medical/Surgical,,,4617.0,4617.0,1
DRG,274,Medical/Surgical,,,4617.0,4617.0,1
DRG,275,Medical/Surgical,,,4617.0,4617.0,1
DRG,276,Medical/Surgical,,,4617.0,4617.0,1
DRG,277,Medical/Surgical,,,4617.0,4617.0,1
DRG,278,Medical/Surgical,,,4617.0,4617.0,1
DRG,279,Medical/Surgical,,,4617.0,4617.0,1
DRG,280,Medical/Surgical,,,4617.0,4617.0,1
DRG,281,Medical/Surgical,,,4617.0,4617.0,1
DRG,282,Medical/Surgical,,,4617.0,4617.0,1
DRG,283,Medical/Surgical,,,4617.0,4617.0,1
DRG,284,Medical/Surgical,,,4617.0,4617.0,1
DRG,285,Medical/Surgical,,,4617.0,4617.0,1
DRG,286,Medical/Surgical,,,4617.0,4617.0,1
DRG,287,Medical/Surgical,,,4617.0,4617.0,1
DRG,288,Medical/Surgical,,,4617.0,4617.0,1
DRG,289,Medical/Surgical,,,4617.0,4617.0,1
DRG,290,Medical/Surgical,,,4617.0,4617.0,1
DRG,291,Medical/Surgical,,,4617.0,4617.0,1
DRG,292,Medical/Surgical,,,4617.0,4617.0,1
DRG,293,Medical/Surgical,,,4617.0,4617.0,1
DRG,294,Medical/Surgical,,,4617.0,4617.0,1
DRG,295,Medical/Surgical,,,4617.0,4617.0,1
DRG,296,Medical/Surgical,,,4617.0,4617.0,1
DRG,297,Medical/Surgical,,,4617.0,4617.0,1
DRG,298,Medical/Surgical,,,4617.0,4617.0,1
DRG,299,Medical/Surgical,,,4617.0,4617.0,1
DRG,300,Medical/Surgical,,,4617.0,4617.0,1
DRG,301,Medical/Surgical,,,4617.0,4617.0,1
DRG,302,Medical/Surgical,,,4617.0,4617.0,1
DRG,303,Medical/Surgical,,,4617.0,4617.0,1
DRG,304,Medical/Surgical,,,4617.0,4617.0,1
DRG,305,Medical/Surgical,,,4617.0,4617.0,1
DRG,306,Medical/Surgical,,,4617.0,4617.0,1
DRG,307,Medical/Surgical,,,4617.0,4617.0,1
DRG,308,Medical/Surgical,,,4617.0,4617.0,1
DRG,309,Medical/Surgical,,,4617.0,4617.0,1
DRG,310,Medical/Surgical,,,4617.0,4617.0,1
DRG,311,Medical/Surgical,,,4617.0,4617.0,1
DRG,312,Medical/Surgical,,,4617.0,4617.0,1
DRG,313,Medical/Surgical,,,4617.0,4617.0,1
DRG,314,Medical/Surgical,,,4617.0,4617.0,1
DRG,315,Medical/Surgical,,,4617.0,4617.0,1
DRG,316,Medical/Surgical,,,4617.0,4617.0,1
DRG,317,Medical/Surgical,,,4617.0,4617.0,1
DRG,318,Medical/Surgical,,,4617.0,4617.0,1
DRG,319,Medical/Surgical,,,4617.0,4617.0,1
DRG,320,Medical/Surgical,,,4617.0,4617.0,1
DRG,321,Medical/Surgical,,,4617.0,4617.0,1
DRG,322,Medical/Surgical,,,4617.0,4617.0,1
DRG,323,Medical/Surgical,,,4617.0,4617.0,1
DRG,324,Medical/Surgical,,,4617.0,4617.0,1
DRG,325,Medical/Surgical,,,4617.0,4617.0,1
DRG,326,Medical/Surgical,,,4617.0,4617.0,1
DRG,327,Medical/Surgical,,,4617.0,4617.0,1
DRG,328,Medical/Surgical,,,4617.0,4617.0,1
DRG,329,Medical/Surgical,,,4617.0,4617.0,1
DRG,330,Medical/Surgical,,,4617.0,4617.0,1
DRG,331,Medical/Surgical,,,4617.0,4617.0,1
DRG,332,Medical/Surgical,,,4617.0,4617.0,1
DRG,333,Medical/Surgical,,,4617.0,4617.0,1
DRG,334,Medical/Surgical,,,4617.0,4617.0,1
DRG,335,Medical/Surgical,,,4617.0,4617.0,1
DRG,336,Medical/Surgical,,,4617.0,4617.0,1
DRG,337,Medical/Surgical,,,4617.0,4617.0,1
DRG,338,Medical/Surgical,,,4617.0,4617.0,1
DRG,339,Medical/Surgical,,,4617.0,4617.0,1
DRG,340,Medical/Surgical,,,4617.0,4617.0,1
DRG,341,Medical/Surgical,,,4617.0,4617.0,1
DRG,342,Medical/Surgical,,,4617.0,4617.0,1
DRG,343,Medical/Surgical,,,4617.0,4617.0,1
DRG,344,Medical/Surgical,,,4617.0,4617.0,1
DRG,345,Medical/Surgical,,,4617.0,4617.0,1
DRG,346,Medical/Surgical,,,4617.0,4617.0,1
DRG,347,Medical/Surgical,,,4617.0,4617.0,1
DRG,348,Medical/Surgical,,,4617.0,4617.0,1
DRG,349,Medical/Surgical,,,4617.0,4617.0,1
DRG,350,Medical/Surgical,,,4617.0,4617.0,1
DRG,351,Medical/Surgical,,,4617.0,4617.0,1
DRG,352,Medical/Surgical,,,4617.0,4617.0,1
DRG,353,Medical/Surgical,,,4617.0,4617.0,1
DRG,354,Medical/Surgical,,,4617.0,4617.0,1
DRG,355,Medical/Surgical,,,4617.0,4617.0,1
DRG,356,Medical/Surgical,,,4617.0,4617.0,1
DRG,357,Medical/Surgical,,,4617.0,4617.0,1
DRG,358,Medical/Surgical,,,4617.0,4617.0,1
DRG,359,Medical/Surgical,,,4617.0,4617.0,1
DRG,360,Medical/Surgical,,,4617.0,4617.0,1
DRG,361,Medical/Surgical,,,4617.0,4617.0,1
DRG,362,Medical/Surgical,,,4617.0,4617.0,1
DRG,363,Medical/Surgical,,,4617.0,4617.0,1
DRG,364,Medical/Surgical,,,4617.0,4617.0,1
DRG,365,Medical/Surgical,,,4617.0,4617.0,1
DRG,366,Medical/Surgical,,,4617.0,4617.0,1
DRG,367,Medical/Surgical,,,4617.0,4617.0,1
DRG,368,Medical/Surgical,,,4617.0,4617.0,1
DRG,369,Medical/Surgical,,,4617.0,4617.0,1
DRG,370,Medical/Surgical,,,4617.0,4617.0,1
DRG,371,Medical/Surgical,,,4617.0,4617.0,1
DRG,372,Medical/Surgical,,,4617.0,4617.0,1
DRG,373,Medical/Surgical,,,4617.0,4617.0,1
DRG,374,Medical/Surgical,,,4617.0,4617.0,1
DRG,375,Medical/Surgical,,,4617.0,4617.0,1
DRG,376,Medical/Surgical,,,4617.0,4617.0,1
DRG,377,Medical/Surgical,,,4617.0,4617.0,1
DRG,378,Medical/Surgical,,,4617.0,4617.0,1
DRG,379,Medical/Surgical,,,4617.0,4617.0,1
DRG,380,Medical/Surgical,,,4617.0,4617.0,1
DRG,381,Medical/Surgical,,,4617.0,4617.0,1
DRG,382,Medical/Surgical,,,4617.0,4617.0,1
DRG,383,Medical/Surgical,,,4617.0,4617.0,1
DRG,384,Medical/Surgical,,,4617.0,4617.0,1
DRG,385,Medical/Surgical,,,4617.0,4617.0,1
DRG,386,Medical/Surgical,,,4617.0,4617.0,1
DRG,387,Medical/Surgical,,,4617.0,4617.0,1
DRG,388,Medical/Surgical,,,4617.0,4617.0,1
DRG,389,Medical/Surgical,,,4617.0,4617.0,1
DRG,390,Medical/Surgical,,,4617.0,4617.0,1
DRG,391,Medical/Surgical,,,4617.0,4617.0,1
DRG,392,Medical/Surgical,,,4617.0,4617.0,1
DRG,393,Medical/Surgical,,,4617.0,4617.0,1
DRG,394,Medical/Surgical,,,4617.0,4617.0,1
DRG,395,Medical/Surgical,,,4617.0,4617.0,1
DRG,396,Medical/Surgical,,,4617.0,4617.0,1
DRG,397,Medical/Surgical,,,4617.0,4617.0,1
DRG,398,Medical/Surgical,,,4617.0,4617.0,1
DRG,399,Medical/Surgical,,,4617.0,4617.0,1
DRG,400,Medical/Surgical,,,4617.0,4617.0,1
DRG,401,Medical/Surgical,,,4617.0,4617.0,1
DRG,402,Medical/Surgical,,,4617.0,4617.0,1
DRG,403,Medical/Surgical,,,4617.0,4617.0,1
DRG,404,Medical/Surgical,,,4617.0,4617.0,1
DRG,405,Medical/Surgical,,,4617.0,4617.0,1
DRG,406,Medical/Surgical,,,4617.0,4617.0,1
DRG,407,Medical/Surgical,,,4617.0,4617.0,1
DRG,408,Medical/Surgical,,,4617.0,4617.0,1
DRG,409,Medical/Surgical,,,4617.0,4617.0,1
DRG,410,Medical/Surgical,,,4617.0,4617.0,1
DRG,411,Medical/Surgical,,,4617.0,4617.0,1
DRG,412,Medical/Surgical,,,4617.0,4617.0,1
DRG,413,Medical/Surgical,,,4617.0,4617.0,1
DRG,414,Medical/Surgical,,,4617.0,4617.0,1
DRG,415,Medical/Surgical,,,4617.0,4617.0,1
DRG,416,Medical/Surgical,,,4617.0,4617.0,1
DRG,417,Medical/Surgical,,,4617.0,4617.0,1
DRG,418,Medical/Surgical,,,4617.0,4617.0,1
DRG,419,Medical/Surgical,,,4617.0,4617.0,1
DRG,420,Medical/Surgical,,,4617.0,4617.0,1
DRG,421,Medical/Surgical,,,4617.0,4617.0,1
DRG,422,Medical/Surgical,,,4617.0,4617.0,1
DRG,423,Medical/Surgical,,,4617.0,4617.0,1
DRG,424,Medical/Surgical,,,4617.0,4617.0,1
DRG,425,Medical/Surgical,,,4617.0,4617.0,1
DRG,426,Medical/Surgical,,,4617.0,4617.0,1
DRG,427,Medical/Surgical,,,4617.0,4617.0,1
DRG,428,Medical/Surgical,,,4617.0,4617.0,1
DRG,429,Medical/Surgical,,,4617.0,4617.0,1
DRG,430,Medical/Surgical,,,4617.0,4617.0,1
DRG,431,Medical/Surgical,,,4617.0,4617.0,1
DRG,432,Medical/Surgical,,,4617.0,4617.0,1
DRG,433,Medical/Surgical,,,4617.0,4617.0,1
DRG,434,Medical/Surgical,,,4617.0,4617.0,1
DRG,435,Medical/Surgical,,,4617.0,4617.0,1
DRG,436,Medical/Surgical,,,4617.0,4617.0,1
DRG,437,Medical/Surgical,,,4617.0,4617.0,1
DRG,438,Medical/Surgical,,,4617.0,4617.0,1
DRG,439,Medical/Surgical,,,4617.0,4617.0,1
DRG,440,Medical/Surgical,,,4617.0,4617.0,1
DRG,441,Medical/Surgical,,,4617.0,4617.0,1
DRG,442,Medical/Surgical,,,4617.0,4617.0,1
DRG,443,Medical/Surgical,,,4617.0,4617.0,1
DRG,444,Medical/Surgical,,,4617.0,4617.0,1
DRG,445,Medical/Surgical,,,4617.0,4617.0,1
DRG,446,Medical/Surgical,,,4617.0,4617.0,1
DRG,447,Medical/Surgical,,,4617.0,4617.0,1
DRG,448,Medical/Surgical,,,4617.0,4617.0,1
DRG,449,Medical/Surgical,,,4617.0,4617.0,1
DRG,450,Medical/Surgical,,,4617.0,4617.0,1
DRG,451,Medical/Surgical,,,4617.0,4617.0,1
DRG,452,Medical/Surgical,,,4617.0,4617.0,1
DRG,453,Medical/Surgical,,,4617.0,4617.0,1
DRG,454,Medical/Surgical,,,4617.0,4617.0,1
DRG,455,Medical/Surgical,,,4617.0,4617.0,1
DRG,456,Medical/Surgical,,,4617.0,4617.0,1
DRG,457,Medical/Surgical,,,4617.0,4617.0,1
DRG,458,Medical/Surgical,,,4617.0,4617.0,1
DRG,459,Medical/Surgical,,,4617.0,4617.0,1
DRG,460,Medical/Surgical,,,4617.0,4617.0,1
DRG,461,Medical/Surgical,,,4617.0,4617.0,1
DRG,462,Medical/Surgical,,,4617.0,4617.0,1
DRG,463,Medical/Surgical,,,4617.0,4617.0,1
DRG,464,Medical/Surgical,,,4617.0,4617.0,1
DRG,465,Medical/Surgical,,,4617.0,4617.0,1
DRG,466,Medical/Surgical,,,4617.0,4617.0,1
DRG,467,Medical/Surgical,,,4617.0,4617.0,1
DRG,468,Medical/Surgical,,,4617.0,4617.0,1
DRG,469,Medical/Surgical,,,4617.0,4617.0,1
DRG,470,Medical/Surgical,,,4617.0,4617.0,1
DRG,471,Medical/Surgical,,,4617.0,4617.0,1
DRG,472,Medical/Surgical,,,4617.0,4617.0,1
DRG,473,Medical/Surgical,,,4617.0,4617.0,1
DRG,474,Medical/Surgical,,,4617.0,4617.0,1
DRG,475,Medical/Surgical,,,4617.0,4617.0,1
DRG,476,Medical/Surgical,,,4617.0,4617.0,1
DRG,477,Medical/Surgical,,,4617.0,4617.0,1
DRG,478,Medical/Surgical,,,4617.0,4617.0,1
DRG,479,Medical/Surgical,,,4617.0,4617.0,1
DRG,480,Medical/Surgical,,,4617.0,4617.0,1
DRG,481,Medical/Surgical,,,4617.0,4617.0,1
DRG,482,Medical/Surgical,,,4617.0,4617.0,1
DRG,483,Medical/Surgical,,,4617.0,4617.0,1
DRG,484,Medical/Surgical,,,4617.0,4617.0,1
DRG,485,Medical/Surgical,,,4617.0,4617.0,1
DRG,486,Medical/Surgical,,,4617.0,4617.0,1
DRG,487,Medical/Surgical,,,4617.0,4617.0,1
DRG,488,Medical/Surgical,,,4617.0,4617.0,1
DRG,489,Medical/Surgical,,,4617.0,4617.0,1
DRG,490,Medical/Surgical,,,4617.0,4617.0,1
DRG,491,Medical/Surgical,,,4617.0,4617.0,1
DRG,492,Medical/Surgical,,,4617.0,4617.0,1
DRG,493,Medical/Surgical,,,4617.0,4617.0,1
DRG,494,Medical/Surgical,,,4617.0,4617.0,1
DRG,495,Medical/Surgical,,,4617.0,4617.0,1
DRG,496,Medical/Surgical,,,4617.0,4617.0,1
DRG,497,Medical/Surgical,,,4617.0,4617.0,1
DRG,498,Medical/Surgical,,,4617.0,4617.0,1
DRG,499,Medical/Surgical,,,4617.0,4617.0,1
DRG,500,Medical/Surgical,,,4617.0,4617.0,1
DRG,501,Medical/Surgical,,,4617.0,4617.0,1
DRG,502,Medical/Surgical,,,4617.0,4617.0,1
DRG,503,Medical/Surgical,,,4617.0,4617.0,1
DRG,504,Medical/Surgical,,,4617.0,4617.0,1
DRG,505,Medical/Surgical,,,4617.0,4617.0,1
DRG,506,Medical/Surgical,,,4617.0,4617.0,1
DRG,507,Medical/Surgical,,,4617.0,4617.0,1
DRG,508,Medical/Surgical,,,4617.0,4617.0,1
DRG,509,Medical/Surgical,,,4617.0,4617.0,1
DRG,510,Medical/Surgical,,,4617.0,4617.0,1
DRG,511,Medical/Surgical,,,4617.0,4617.0,1
DRG,512,Medical/Surgical,,,4617.0,4617.0,1
DRG,513,Medical/Surgical,,,4617.0,4617.0,1
DRG,514,Medical/Surgical,,,4617.0,4617.0,1
DRG,515,Medical/Surgical,,,4617.0,4617.0,1
DRG,516,Medical/Surgical,,,4617.0,4617.0,1
DRG,517,Medical/Surgical,,,4617.0,4617.0,1
DRG,518,Medical/Surgical,,,4617.0,4617.0,1
DRG,519,Medical/Surgical,,,4617.0,4617.0,1
DRG,520,Medical/Surgical,,,4617.0,4617.0,1
DRG,521,Medical/Surgical,,,4617.0,4617.0,1
DRG,522,Medical/Surgical,,,4617.0,4617.0,1
DRG,523,Medical/Surgical,,,4617.0,4617.0,1
DRG,524,Medical/Surgical,,,4617.0,4617.0,1
DRG,525,Medical/Surgical,,,4617.0,4617.0,1
DRG,526,Medical/Surgical,,,4617.0,4617.0,1
DRG,527,Medical/Surgical,,,4617.0,4617.0,1
DRG,528,Medical/Surgical,,,4617.0,4617.0,1
DRG,529,Medical/Surgical,,,4617.0,4617.0,1
DRG,530,Medical/Surgical,,,4617.0,4617.0,1
DRG,531,Medical/Surgical,,,4617.0,4617.0,1
DRG,532,Medical/Surgical,,,4617.0,4617.0,1
DRG,533,Medical/Surgical,,,4617.0,4617.0,1
DRG,534,Medical/Surgical,,,4617.0,4617.0,1
DRG,535,Medical/Surgical,,,4617.0,4617.0,1
DRG,536,Medical/Surgical,,,4617.0,4617.0,1
DRG,537,Medical/Surgical,,,4617.0,4617.0,1
DRG,538,Medical/Surgical,,,4617.0,4617.0,1
DRG,539,Medical/Surgical,,,4617.0,4617.0,1
DRG,540,Medical/Surgical,,,4617.0,4617.0,1
DRG,541,Medical/Surgical,,,4617.0,4617.0,1
DRG,542,Medical/Surgical,,,4617.0,4617.0,1
DRG,543,Medical/Surgical,,,4617.0,4617.0,1
DRG,544,Medical/Surgical,,,4617.0,4617.0,1
DRG,545,Medical/Surgical,,,4617.0,4617.0,1
DRG,546,Medical/Surgical,,,4617.0,4617.0,1
DRG,547,Medical/Surgical,,,4617.0,4617.0,1
DRG,548,Medical/Surgical,,,4617.0,4617.0,1
DRG,549,Medical/Surgical,,,4617.0,4617.0,1
DRG,550,Medical/Surgical,,,4617.0,4617.0,1
DRG,551,Medical/Surgical,,,4617.0,4617.0,1
DRG,552,Medical/Surgical,,,4617.0,4617.0,1
DRG,553,Medical/Surgical,,,4617.0,4617.0,1
DRG,554,Medical/Surgical,,,4617.0,4617.0,1
DRG,555,Medical/Surgical,,,4617.0,4617.0,1
DRG,556,Medical/Surgical,,,4617.0,4617.0,1
DRG,557,Medical/Surgical,,,4617.0,4617.0,1
DRG,558,Medical/Surgical,,,4617.0,4617.0,1
DRG,559,Medical/Surgical,,,4617.0,4617.0,1
DRG,560,Medical/Surgical,,,4617.0,4617.0,1
DRG,561,Medical/Surgical,,,4617.0,4617.0,1
DRG,562,Medical/Surgical,,,4617.0,4617.0,1
DRG,563,Medical/Surgical,,,4617.0,4617.0,1
DRG,564,Medical/Surgical,,,4617.0,4617.0,1
DRG,565,Medical/Surgical,,,4617.0,4617.0,1
DRG,566,Medical/Surgical,,,4617.0,4617.0,1
DRG,567,Medical/Surgical,,,4617.0,4617.0,1
DRG,568,Medical/Surgical,,,4617.0,4617.0,1
DRG,569,Medical/Surgical,,,4617.0,4617.0,1
DRG,570,Medical/Surgical,,,4617.0,4617.0,1
DRG,571,Medical/Surgical,,,4617.0,4617.0,1
DRG,572,Medical/Surgical,,,4617.0,4617.0,1
DRG,573,Medical/Surgical,,,4617.0,4617.0,1
DRG,574,Medical/Surgical,,,4617.0,4617.0,1
DRG,575,Medical/Surgical,,,4617.0,4617.0,1
DRG,576,Medical/Surgical,,,4617.0,4617.0,1
DRG,577,Medical/Surgical,,,4617.0,4617.0,1
DRG,578,Medical/Surgical,,,4617.0,4617.0,1
DRG,579,Medical/Surgical,,,4617.0,4617.0,1
DRG,580,Medical/Surgical,,,4617.0,4617.0,1
DRG,581,Medical/Surgical,,,4617.0,4617.0,1
DRG,582,Medical/Surgical,,,4617.0,4617.0,1
DRG,583,Medical/Surgical,,,4617.0,4617.0,1
DRG,584,Medical/Surgical,,,4617.0,4617.0,1
DRG,585,Medical/Surgical,,,4617.0,4617.0,1
DRG,586,Medical/Surgical,,,4617.0,4617.0,1
DRG,587,Medical/Surgical,,,4617.0,4617.0,1
DRG,588,Medical/Surgical,,,4617.0,4617.0,1
DRG,589,Medical/Surgical,,,4617.0,4617.0,1
DRG,590,Medical/Surgical,,,4617.0,4617.0,1
DRG,591,Medical/Surgical,,,4617.0,4617.0,1
DRG,592,Medical/Surgical,,,4617.0,4617.0,1
DRG,593,Medical/Surgical,,,4617.0,4617.0,1
DRG,594,Medical/Surgical,,,4617.0,4617.0,1
DRG,595,Medical/Surgical,,,4617.0,4617.0,1
DRG,596,Medical/Surgical,,,4617.0,4617.0,1
DRG,597,Medical/Surgical,,,4617.0,4617.0,1
DRG,598,Medical/Surgical,,,4617.0,4617.0,1
DRG,599,Medical/Surgical,,,4617.0,4617.0,1
DRG,600,Medical/Surgical,,,4617.0,4617.0,1
DRG,601,Medical/Surgical,,,4617.0,4617.0,1
DRG,602,Medical/Surgical,,,4617.0,4617.0,1
DRG,603,Medical/Surgical,,,4617.0,4617.0,1
DRG,604,Medical/Surgical,,,4617.0,4617.0,1
DRG,605,Medical/Surgical,,,4617.0,4617.0,1
DRG,606,Medical/Surgical,,,4617.0,4617.0,1
DRG,607,Medical/Surgical,,,4617.0,4617.0,1
DRG,608,Medical/Surgical,,,4617.0,4617.0,1
DRG,609,Medical/Surgical,,,4617.0,4617.0,1
DRG,610,Medical/Surgical,,,4617.0,4617.0,1
DRG,611,Medical/Surgical,,,4617.0,4617.0,1
DRG,612,Medical/Surgical,,,4617.0,4617.0,1
DRG,613,Medical/Surgical,,,4617.0,4617.0,1
DRG,614,Medical/Surgical,,,4617.0,4617.0,1
DRG,615,Medical/Surgical,,,4617.0,4617.0,1
DRG,616,Medical/Surgical,,,4617.0,4617.0,1
DRG,617,Medical/Surgical,,,4617.0,4617.0,1
DRG,618,Medical/Surgical,,,4617.0,4617.0,1
DRG,619,Medical/Surgical,,,4617.0,4617.0,1
DRG,620,Medical/Surgical,,,4617.0,4617.0,1
DRG,621,Medical/Surgical,,,4617.0,4617.0,1
DRG,622,Medical/Surgical,,,4617.0,4617.0,1
DRG,623,Medical/Surgical,,,4617.0,4617.0,1
DRG,624,Medical/Surgical,,,4617.0,4617.0,1
DRG,625,Medical/Surgical,,,4617.0,4617.0,1
DRG,626,Medical/Surgical,,,4617.0,4617.0,1
DRG,627,Medical/Surgical,,,4617.0,4617.0,1
DRG,628,Medical/Surgical,,,4617.0,4617.0,1
DRG,629,Medical/Surgical,,,4617.0,4617.0,1
DRG,630,Medical/Surgical,,,4617.0,4617.0,1
DRG,631,Medical/Surgical,,,4617.0,4617.0,1
DRG,632,Medical/Surgical,,,4617.0,4617.0,1
DRG,633,Medical/Surgical,,,4617.0,4617.0,1
DRG,634,Medical/Surgical,,,4617.0,4617.0,1
DRG,635,Medical/Surgical,,,4617.0,4617.0,1
DRG,636,Medical/Surgical,,,4617.0,4617.0,1
DRG,637,Medical/Surgical,,,4617.0,4617.0,1
DRG,638,Medical/Surgical,,,4617.0,4617.0,1
DRG,639,Medical/Surgical,,,4617.0,4617.0,1
DRG,640,Medical/Surgical,,,4617.0,4617.0,1
DRG,641,Medical/Surgical,,,4617.0,4617.0,1
DRG,642,Medical/Surgical,,,4617.0,4617.0,1
DRG,643,Medical/Surgical,,,4617.0,4617.0,1
DRG,644,Medical/Surgical,,,4617.0,4617.0,1
DRG,645,Medical/Surgical,,,4617.0,4617.0,1
DRG,646,Medical/Surgical,,,4617.0,4617.0,1
DRG,647,Medical/Surgical,,,4617.0,4617.0,1
DRG,648,Medical/Surgical,,,4617.0,4617.0,1
DRG,649,Medical/Surgical,,,4617.0,4617.0,1
DRG,650,Medical/Surgical,,,4617.0,4617.0,1
DRG,651,Medical/Surgical,,,4617.0,4617.0,1
DRG,652,Medical/Surgical,,,4617.0,4617.0,1
DRG,653,Medical/Surgical,,,4617.0,4617.0,1
DRG,654,Medical/Surgical,,,4617.0,4617.0,1
DRG,655,Medical/Surgical,,,4617.0,4617.0,1
DRG,656,Medical/Surgical,,,4617.0,4617.0,1
DRG,657,Medical/Surgical,,,4617.0,4617.0,1
DRG,658,Medical/Surgical,,,4617.0,4617.0,1
DRG,659,Medical/Surgical,,,4617.0,4617.0,1
DRG,660,Medical/Surgical,,,4617.0,4617.0,1
DRG,661,Medical/Surgical,,,4617.0,4617.0,1
DRG,662,Medical/Surgical,,,4617.0,4617.0,1
DRG,663,Medical/Surgical,,,4617.0,4617.0,1
DRG,664,Medical/Surgical,,,4617.0,4617.0,1
DRG,665,Medical/Surgical,,,4617.0,4617.0,1
DRG,666,Medical/Surgical,,,4617.0,4617.0,1
DRG,667,Medical/Surgical,,,4617.0,4617.0,1
DRG,668,Medical/Surgical,,,4617.0,4617.0,1
DRG,669,Medical/Surgical,,,4617.0,4617.0,1
DRG,670,Medical/Surgical,,,4617.0,4617.0,1
DRG,671,Medical/Surgical,,,4617.0,4617.0,1
DRG,672,Medical/Surgical,,,4617.0,4617.0,1
DRG,673,Medical/Surgical,,,4617.0,4617.0,1
DRG,674,Medical/Surgical,,,4617.0,4617.0,1
DRG,675,Medical/Surgical,,,4617.0,4617.0,1
DRG,676,Medical/Surgical,,,4617.0,4617.0,1
DRG,677,Medical/Surgical,,,4617.0,4617.0,1
DRG,678,Medical/Surgical,,,4617.0,4617.0,1
DRG,679,Medical/Surgical,,,4617.0,4617.0,1
DRG,680,Medical/Surgical,,,4617.0,4617.0,1
DRG,681,Medical/Surgical,,,4617.0,4617.0,1
DRG,682,Medical/Surgical,,,4617.0,4617.0,1
DRG,683,Medical/Surgical,,,4617.0,4617.0,1
DRG,684,Medical/Surgical,,,4617.0,4617.0,1
DRG,685,Medical/Surgical,,,4617.0,4617.0,1
DRG,686,Medical/Surgical,,,4617.0,4617.0,1
DRG,687,Medical/Surgical,,,4617.0,4617.0,1
DRG,688,Medical/Surgical,,,4617.0,4617.0,1
DRG,689,Medical/Surgical,,,4617.0,4617.0,1
DRG,690,Medical/Surgical,,,4617.0,4617.0,1
DRG,691,Medical/Surgical,,,4617.0,4617.0,1
DRG,692,Medical/Surgical,,,4617.0,4617.0,1
DRG,693,Medical/Surgical,,,4617.0,4617.0,1
DRG,694,Medical/Surgical,,,4617.0,4617.0,1
DRG,695,Medical/Surgical,,,4617.0,4617.0,1
DRG,696,Medical/Surgical,,,4617.0,4617.0,1
DRG,697,Medical/Surgical,,,4617.0,4617.0,1
DRG,698,Medical/Surgical,,,4617.0,4617.0,1
DRG,699,Medical/Surgical,,,4617.0,4617.0,1
DRG,700,Medical/Surgical,,,4617.0,4617.0,1
DRG,701,Medical/Surgical,,,4617.0,4617.0,1
DRG,702,Medical/Surgical,,,4617.0,4617.0,1
DRG,703,Medical/Surgical,,,4617.0,4617.0,1
DRG,704,Medical/Surgical,,,4617.0,4617.0,1
DRG,705,Medical/Surgical,,,4617.0,4617.0,1
DRG,706,Medical/Surgical,,,4617.0,4617.0,1
DRG,707,Medical/Surgical,,,4617.0,4617.0,1
DRG,708,Medical/Surgical,,,4617.0,4617.0,1
DRG,709,Medical/Surgical,,,4617.0,4617.0,1
DRG,710,Medical/Surgical,,,4617.0,4617.0,1
DRG,711,Medical/Surgical,,,4617.0,4617.0,1
DRG,712,Medical/Surgical,,,4617.0,4617.0,1
DRG,713,Medical/Surgical,,,4617.0,4617.0,1
DRG,714,Medical/Surgical,,,4617.0,4617.0,1
DRG,715,Medical/Surgical,,,4617.0,4617.0,1
DRG,716,Medical/Surgical,,,4617.0,4617.0,1
DRG,717,Medical/Surgical,,,4617.0,4617.0,1
DRG,718,Medical/Surgical,,,4617.0,4617.0,1
DRG,719,Medical/Surgical,,,4617.0,4617.0,1
DRG,720,Medical/Surgical,,,4617.0,4617.0,1
DRG,721,Medical/Surgical,,,4617.0,4617.0,1
DRG,722,Medical/Surgical,,,4617.0,4617.0,1
DRG,723,Medical/Surgical,,,4617.0,4617.0,1
DRG,724,Medical/Surgical,,,4617.0,4617.0,1
DRG,725,Medical/Surgical,,,4617.0,4617.0,1
DRG,726,Medical/Surgical,,,4617.0,4617.0,1
DRG,727,Medical/Surgical,,,4617.0,4617.0,1
DRG,728,Medical/Surgical,,,4617.0,4617.0,1
DRG,729,Medical/Surgical,,,4617.0,4617.0,1
DRG,730,Medical/Surgical,,,4617.0,4617.0,1
DRG,731,Medical/Surgical,,,4617.0,4617.0,1
DRG,732,Medical/Surgical,,,4617.0,4617.0,1
DRG,733,Medical/Surgical,,,4617.0,4617.0,1
DRG,734,Medical/Surgical,,,4617.0,4617.0,1
DRG,735,Medical/Surgical,,,4617.0,4617.0,1
DRG,736,Medical/Surgical,,,4617.0,4617.0,1
DRG,737,Medical/Surgical,,,4617.0,4617.0,1
DRG,738,Medical/Surgical,,,4617.0,4617.0,1
DRG,739,Medical/Surgical,,,4617.0,4617.0,1
DRG,740,Medical/Surgical,,,4617.0,4617.0,1
DRG,741,Medical/Surgical,,,4617.0,4617.0,1
DRG,742,Medical/Surgical,,,4617.0,4617.0,1
DRG,743,Medical/Surgical,,,4617.0,4617.0,1
DRG,744,Medical/Surgical,,,4617.0,4617.0,1
DRG,745,Medical/Surgical,,,4617.0,4617.0,1
DRG,746,Medical/Surgical,,,4617.0,4617.0,1
DRG,747,Medical/Surgical,,,4617.0,4617.0,1
DRG,748,Medical/Surgical,,,4617.0,4617.0,1
DRG,749,Medical/Surgical,,,4617.0,4617.0,1
DRG,750,Medical/Surgical,,,4617.0,4617.0,1
DRG,751,Medical/Surgical,,,4617.0,4617.0,1
DRG,752,Medical/Surgical,,,4617.0,4617.0,1
DRG,753,Medical/Surgical,,,4617.0,4617.0,1
DRG,754,Medical/Surgical,,,4617.0,4617.0,1
DRG,755,Medical/Surgical,,,4617.0,4617.0,1
DRG,756,Medical/Surgical,,,4617.0,4617.0,1
DRG,757,Medical/Surgical,,,4617.0,4617.0,1
DRG,758,Medical/Surgical,,,4617.0,4617.0,1
DRG,759,Medical/Surgical,,,4617.0,4617.0,1
DRG,760,Medical/Surgical,,,4617.0,4617.0,1
DRG,761,Medical/Surgical,,,4617.0,4617.0,1
DRG,762,Medical/Surgical,,,4617.0,4617.0,1
DRG,763,Medical/Surgical,,,4617.0,4617.0,1
DRG,764,Medical/Surgical,,,4617.0,4617.0,1
DRG,765,Medical/Surgical,,,4617.0,4617.0,1
DRG,766,Medical/Surgical,,,4617.0,4617.0,1
DRG,767,Medical/Surgical,,,4617.0,4617.0,1
DRG,768,Medical/Surgical,,,4617.0,4617.0,1
DRG,769,Medical/Surgical,,,4617.0,4617.0,1
DRG,770,Medical/Surgical,,,4617.0,4617.0,1
DRG,771,Medical/Surgical,,,4617.0,4617.0,1
DRG,772,Medical/Surgical,,,4617.0,4617.0,1
DRG,773,Medical/Surgical,,,4617.0,4617.0,1
DRG,774,Medical/Surgical,,,4617.0,4617.0,1
DRG,775,Medical/Surgical,,,4617.0,4617.0,1
DRG,776,Medical/Surgical,,,4617.0,4617.0,1
DRG,777,Medical/Surgical,,,4617.0,4617.0,1
DRG,778,Medical/Surgical,,,4617.0,4617.0,1
DRG,779,Medical/Surgical,,,4617.0,4617.0,1
DRG,780,Medical/Surgical,,,4617.0,4617.0,1
DRG,781,Medical/Surgical,,,4617.0,4617.0,1
DRG,782,Medical/Surgical,,,4617.0,4617.0,1
DRG,783,Medical/Surgical,,,4617.0,4617.0,1
DRG,784,Medical/Surgical,,,4617.0,4617.0,1
DRG,785,Medical/Surgical,,,4617.0,4617.0,1
DRG,786,Medical/Surgical,,,4617.0,4617.0,1
DRG,787,Medical/Surgical,,,4617.0,4617.0,1
DRG,788,Medical/Surgical,,,4617.0,4617.0,1
DRG,789,Medical/Surgical,,,4617.0,4617.0,1
DRG,790,Medical/Surgical,,,4617.0,4617.0,1
DRG,791,Medical/Surgical,,,4617.0,4617.0,1
DRG,792,Medical/Surgical,,,4617.0,4617.0,1
DRG,793,Medical/Surgical,,,4617.0,4617.0,1
DRG,794,Medical/Surgical,,,4617.0,4617.0,1
DRG,795,Medical/Surgical,,,4617.0,4617.0,1
DRG,796,Medical/Surgical,,,4617.0,4617.0,1
DRG,797,Medical/Surgical,,,4617.0,4617.0,1
DRG,798,Medical/Surgical,,,4617.0,4617.0,1
DRG,799,Medical/Surgical,,,4617.0,4617.0,1
DRG,800,Medical/Surgical,,,4617.0,4617.0,1
DRG,801,Medical/Surgical,,,4617.0,4617.0,1
DRG,802,Medical/Surgical,,,4617.0,4617.0,1
DRG,803,Medical/Surgical,,,4617.0,4617.0,1
DRG,804,Medical/Surgical,,,4617.0,4617.0,1
DRG,805,Medical/Surgical,,,4617.0,4617.0,1
DRG,806,Medical/Surgical,,,4617.0,4617.0,1
DRG,807,Medical/Surgical,,,4617.0,4617.0,1
DRG,808,Medical/Surgical,,,4617.0,4617.0,1
DRG,809,Medical/Surgical,,,4617.0,4617.0,1
DRG,810,Medical/Surgical,,,4617.0,4617.0,1
DRG,811,Medical/Surgical,,,4617.0,4617.0,1
DRG,812,Medical/Surgical,,,4617.0,4617.0,1
DRG,813,Medical/Surgical,,,4617.0,4617.0,1
DRG,814,Medical/Surgical,,,4617.0,4617.0,1
DRG,815,Medical/Surgical,,,4617.0,4617.0,1
DRG,816,Medical/Surgical,,,4617.0,4617.0,1
DRG,817,Medical/Surgical,,,4617.0,4617.0,1
DRG,818,Medical/Surgical,,,4617.0,4617.0,1
DRG,819,Medical/Surgical,,,4617.0,4617.0,1
DRG,820,Medical/Surgical,,,4617.0,4617.0,1
DRG,821,Medical/Surgical,,,4617.0,4617.0,1
DRG,822,Medical/Surgical,,,4617.0,4617.0,1
DRG,823,Medical/Surgical,,,4617.0,4617.0,1
DRG,824,Medical/Surgical,,,4617.0,4617.0,1
DRG,825,Medical/Surgical,,,4617.0,4617.0,1
DRG,826,Medical/Surgical,,,4617.0,4617.0,1
DRG,827,Medical/Surgical,,,4617.0,4617.0,1
DRG,828,Medical/Surgical,,,4617.0,4617.0,1
DRG,829,Medical/Surgical,,,4617.0,4617.0,1
DRG,830,Medical/Surgical,,,4617.0,4617.0,1
DRG,831,Medical/Surgical,,,4617.0,4617.0,1
DRG,832,Medical/Surgical,,,4617.0,4617.0,1
DRG,833,Medical/Surgical,,,4617.0,4617.0,1
DRG,834,Medical/Surgical,,,4617.0,4617.0,1
DRG,835,Medical/Surgical,,,4617.0,4617.0,1
DRG,836,Medical/Surgical,,,4617.0,4617.0,1
DRG,837,Medical/Surgical,,,4617.0,4617.0,1
DRG,838,Medical/Surgical,,,4617.0,4617.0,1
DRG,839,Medical/Surgical,,,4617.0,4617.0,1
DRG,840,Medical/Surgical,,,4617.0,4617.0,1
DRG,841,Medical/Surgical,,,4617.0,4617.0,1
DRG,842,Medical/Surgical,,,4617.0,4617.0,1
DRG,843,Medical/Surgical,,,4617.0,4617.0,1
DRG,844,Medical/Surgical,,,4617.0,4617.0,1
DRG,845,Medical/Surgical,,,4617.0,4617.0,1
DRG,846,Medical/Surgical,,,4617.0,4617.0,1
DRG,847,Medical/Surgical,,,4617.0,4617.0,1
DRG,848,Medical/Surgical,,,4617.0,4617.0,1
DRG,849,Medical/Surgical,,,4617.0,4617.0,1
DRG,850,Medical/Surgical,,,4617.0,4617.0,1
DRG,851,Medical/Surgical,,,4617.0,4617.0,1
DRG,852,Medical/Surgical,,,4617.0,4617.0,1
DRG,853,Medical/Surgical,,,4617.0,4617.0,1
DRG,854,Medical/Surgical,,,4617.0,4617.0,1
DRG,855,Medical/Surgical,,,4617.0,4617.0,1
DRG,856,Medical/Surgical,,,4617.0,4617.0,1
DRG,857,Medical/Surgical,,,4617.0,4617.0,1
DRG,858,Medical/Surgical,,,4617.0,4617.0,1
DRG,859,Medical/Surgical,,,4617.0,4617.0,1
DRG,860,Medical/Surgical,,,4617.0,4617.0,1
DRG,861,Medical/Surgical,,,4617.0,4617.0,1
DRG,862,Medical/Surgical,,,4617.0,4617.0,1
DRG,863,Medical/Surgical,,,4617.0,4617.0,1
DRG,864,Medical/Surgical,,,4617.0,4617.0,1
DRG,865,Medical/Surgical,,,4617.0,4617.0,1
DRG,866,Medical/Surgical,,,4617.0,4617.0,1
DRG,867,Medical/Surgical,,,4617.0,4617.0,1
DRG,868,Medical/Surgical,,,4617.0,4617.0,1
DRG,869,Medical/Surgical,,,4617.0,4617.0,1
DRG,870,Medical/Surgical,,,4617.0,4617.0,1
DRG,871,Medical/Surgical,,,4617.0,4617.0,1
DRG,872,Medical/Surgical,,,4617.0,4617.0,1
DRG,873,Medical/Surgical,,,4617.0,4617.0,1
DRG,874,Medical/Surgical,,,4617.0,4617.0,1
DRG,875,Medical/Surgical,,,4617.0,4617.0,1
DRG,876,Medical/Surgical,,,4617.0,4617.0,1
DRG,877,Medical/Surgical,,,4617.0,4617.0,1
DRG,878,Medical/Surgical,,,4617.0,4617.0,1
DRG,879,Medical/Surgical,,,4617.0,4617.0,1
DRG,880,Medical/Surgical,,,4617.0,4617.0,1
DRG,881,Medical/Surgical,,,4617.0,4617.0,1
DRG,882,Medical/Surgical,,,4617.0,4617.0,1
DRG,883,Medical/Surgical,,,4617.0,4617.0,1
DRG,884,Medical/Surgical,,,4617.0,4617.0,1
DRG,885,Medical/Surgical,,,4617.0,4617.0,1
DRG,886,Medical/Surgical,,,4617.0,4617.0,1
DRG,887,Medical/Surgical,,,4617.0,4617.0,1
DRG,888,Medical/Surgical,,,4617.0,4617.0,1
DRG,889,Medical/Surgical,,,4617.0,4617.0,1
DRG,890,Medical/Surgical,,,4617.0,4617.0,1
DRG,891,Medical/Surgical,,,4617.0,4617.0,1
DRG,892,Medical/Surgical,,,4617.0,4617.0,1
DRG,893,Medical/Surgical,,,4617.0,4617.0,1
DRG,894,Medical/Surgical,,,4617.0,4617.0,1
DRG,895,Medical/Surgical,,,4617.0,4617.0,1
DRG,896,Medical/Surgical,,,4617.0,4617.0,1
DRG,897,Medical/Surgical,,,4617.0,4617.0,1
DRG,898,Medical/Surgical,,,4617.0,4617.0,1
DRG,899,Medical/Surgical,,,4617.0,4617.0,1
DRG,900,Medical/Surgical,,,4617.0,4617.0,1
DRG,901,Medical/Surgical,,,4617.0,4617.0,1
DRG,902,Medical/Surgical,,,4617.0,4617.0,1
DRG,903,Medical/Surgical,,,4617.0,4617.0,1
DRG,904,Medical/Surgical,,,4617.0,4617.0,1
DRG,905,Medical/Surgical,,,4617.0,4617.0,1
DRG,906,Medical/Surgical,,,4617.0,4617.0,1
DRG,907,Medical/Surgical,,,4617.0,4617.0,1
DRG,908,Medical/Surgical,,,4617.0,4617.0,1
DRG,909,Medical/Surgical,,,4617.0,4617.0,1
DRG,910,Medical/Surgical,,,4617.0,4617.0,1
DRG,911,Medical/Surgical,,,4617.0,4617.0,1
DRG,912,Medical/Surgical,,,4617.0,4617.0,1
DRG,913,Medical/Surgical,,,4617.0,4617.0,1
DRG,914,Medical/Surgical,,,4617.0,4617.0,1
DRG,915,Medical/Surgical,,,4617.0,4617.0,1
DRG,916,Medical/Surgical,,,4617.0,4617.0,1
DRG,917,Medical/Surgical,,,4617.0,4617.0,1
DRG,918,Medical/Surgical,,,4617.0,4617.0,1
DRG,919,Medical/Surgical,,,4617.0,4617.0,1
DRG,920,Medical/Surgical,,,4617.0,4617.0,1
DRG,921,Medical/Surgical,,,4617.0,4617.0,1
DRG,922,Medical/Surgical,,,4617.0,4617.0,1
DRG,923,Medical/Surgical,,,4617.0,4617.0,1
DRG,924,Medical/Surgical,,,4617.0,4617.0,1
DRG,925,Medical/Surgical,,,4617.0,4617.0,1
DRG,926,Medical/Surgical,,,4617.0,4617.0,1
DRG,927,Medical/Surgical,,,4617.0,4617.0,1
DRG,928,Medical/Surgical,,,4617.0,4617.0,1
DRG,929,Medical/Surgical,,,4617.0,4617.0,1
DRG,930,Medical/Surgical,,,4617.0,4617.0,1
DRG,931,Medical/Surgical,,,4617.0,4617.0,1
DRG,932,Medical/Surgical,,,4617.0,4617.0,1
DRG,933,Medical/Surgical,,,4617.0,4617.0,1
DRG,934,Medical/Surgical,,,4617.0,4617.0,1
DRG,935,Medical/Surgical,,,4617.0,4617.0,1
DRG,936,Medical/Surgical,,,4617.0,4617.0,1
DRG,937,Medical/Surgical,,,4617.0,4617.0,1
DRG,938,Medical/Surgical,,,4617.0,4617.0,1
DRG,939,Medical/Surgical,,,4617.0,4617.0,1
DRG,940,Medical/Surgical,,,4617.0,4617.0,1
DRG,941,Medical/Surgical,,,4617.0,4617.0,1
DRG,942,Medical/Surgical,,,4617.0,4617.0,1
DRG,943,Medical/Surgical,,,4617.0,4617.0,1
DRG,944,Medical/Surgical,,,4617.0,4617.0,1
DRG,945,Medical/Surgical,,,4617.0,4617.0,1
DRG,946,Medical/Surgical,,,4617.0,4617.0,1
DRG,947,Medical/Surgical,,,4617.0,4617.0,1
DRG,948,Medical/Surgical,,,4617.0,4617.0,1
DRG,949,Medical/Surgical,,,4617.0,4617.0,1
DRG,950,Medical/Surgical,,,4617.0,4617.0,1
DRG,951,Medical/Surgical,,,4617.0,4617.0,1
DRG,952,Medical/Surgical,,,4617.0,4617.0,1
DRG,953,Medical/Surgical,,,4617.0,4617.0,1
DRG,954,Medical/Surgical,,,4617.0,4617.0,1
DRG,955,Medical/Surgical,,,4617.0,4617.0,1
DRG,956,Medical/Surgical,,,4617.0,4617.0,1
DRG,957,Medical/Surgical,,,4617.0,4617.0,1
DRG,958,Medical/Surgical,,,4617.0,4617.0,1
DRG,959,Medical/Surgical,,,4617.0,4617.0,1
DRG,960,Medical/Surgical,,,4617.0,4617.0,1
DRG,961,Medical/Surgical,,,4617.0,4617.0,1
DRG,962,Medical/Surgical,,,4617.0,4617.0,1
DRG,963,Medical/Surgical,,,4617.0,4617.0,1
DRG,964,Medical/Surgical,,,4617.0,4617.0,1
DRG,965,Medical/Surgical,,,4617.0,4617.0,1
DRG,966,Medical/Surgical,,,4617.0,4617.0,1
DRG,967,Medical/Surgical,,,4617.0,4617.0,1
DRG,968,Medical/Surgical,,,4617.0,4617.0,1
DRG,969,Medical/Surgical,,,4617.0,4617.0,1
DRG,970,Medical/Surgical,,,4617.0,4617.0,1
DRG,971,Medical/Surgical,,,4617.0,4617.0,1
DRG,972,Medical/Surgical,,,4617.0,4617.0,1
DRG,973,Medical/Surgical,,,4617.0,4617.0,1
DRG,974,Medical/Surgical,,,4617.0,4617.0,1
DRG,975,Medical/Surgical,,,4617.0,4617.0,1
DRG,976,Medical/Surgical,,,4617.0,4617.0,1
DRG,977,Medical/Surgical,,,4617.0,4617.0,1
DRG,978,Medical/Surgical,,,4617.0,4617.0,1
DRG,979,Medical/Surgical,,,4617.0,4617.0,1
DRG,980,Medical/Surgical,,,4617.0,4617.0,1
DRG,981,Medical/Surgical,,,4617.0,4617.0,1
DRG,982,Medical/Surgical,,,4617.0,4617.0,1
DRG,983,Medical/Surgical,,,4617.0,4617.0,1
DRG,984,Medical/Surgical,,,4617.0,4617.0,1
DRG,985,Medical/Surgical,,,4617.0,4617.0,1
DRG,986,Medical/Surgical,,,4617.0,4617.0,1
DRG,987,Medical/Surgical,,,4617.0,4617.0,1
DRG,988,Medical/Surgical,,,4617.0,4617.0,1
DRG,989,Medical/Surgical,,,4617.0,4617.0,1
DRG,990,Medical/Surgical,,,4617.0,4617.0,1
DRG,991,Medical/Surgical,,,4617.0,4617.0,1
DRG,992,Medical/Surgical,,,4617.0,4617.0,1
DRG,993,Medical/Surgical,,,4617.0,4617.0,1
DRG,994,Medical/Surgical,,,4617.0,4617.0,1
DRG,995,Medical/Surgical,,,4617.0,4617.0,1
DRG,996,Medical/Surgical,,,4617.0,4617.0,1
DRG,997,Medical/Surgical,,,4617.0,4617.0,1
DRG,998,Medical/Surgical,,,4617.0,4617.0,1
DRG,999,Medical/Surgical,,,4617.0,4617.0,1
HCPCS,A0021,Outside state ambulance serv,,,11.57,11.57,1
HCPCS,A0080,Noninterest escort in non er,,,2.46,2.46,1
HCPCS,A0090,Interest escort in non er,,,0.31,0.31,1
HCPCS,A0100,Nonemergency transport taxi,,,7.18,7.18,1
HCPCS,A0110,Nonemergency transport bus,,,17.63,17.63,1
HCPCS,A0120,Noner transport mini-bus,,,43.37,43.37,1
HCPCS,A0130,Noner transport wheelch van,,,8.1,8.1,1
HCPCS,A0140,Nonemergency transport air,,,740.8,740.8,1
HCPCS,A0160,Noner transport case worker,,,0.61,0.61,1
HCPCS,A0180,Noner transport lodgng recip,,,0.31,0.31,1
HCPCS,A0190,Noner transport meals recip,,,16.54,16.54,1
HCPCS,A0200,Noner transport lodgng escrt,,,65.77,65.77,1
HCPCS,A0210,Noner transport meals escort,,,7.37,7.37,1
HCPCS,A0225,Neonatal emergency transport,,,659.37,659.37,1
HCPCS,A0380,Basic life support mileage,,,9.76,9.76,1
HCPCS,A0382,Basic support routine suppls,,,13.41,13.41,1
HCPCS,A0384,Bls defibrillation supplies,,,67.64,67.64,1
HCPCS,A0390,Advanced life support mileag,,,9.76,9.76,1
HCPCS,A0392,Als defibrillation supplies,,,67.64,67.64,1
HCPCS,A0394,Als IV drug therapy supplies,,,32.3,32.3,1
HCPCS,A0396,Als esophageal intub suppls,,,53.63,53.63,1
HCPCS,A0398,Als routine disposble suppls,,,13.41,13.41,1
HCPCS,A0420,Ambulance waiting 1/2 hr,,,49.44,49.44,1
HCPCS,A0422,Ambulance 02 life sustaining,,,49.98,49.98,1
HCPCS,A0424,Extra ambulance attendant,,,438.73,438.73,1
HCPCS,A0425,Ground mileage,,,9.76,9.76,1
HCPCS,A0426,Als 1,,,500.32,500.32,1
HCPCS,A0427,ALS1-emergency,,,525.92,525.92,1
HCPCS,A0428,bls,,,439.99,439.99,1
HCPCS,A0429,BLS-emergency,,,456.44,456.44,1
HCPCS,A0430,Fixed wing air transport,,,6176.1,6176.1,1
HCPCS,A0431,Rotary wing air transport,,,8779.8,8779.8,1
HCPCS,A0432,PI volunteer ambulance co,,,513.91,513.91,1
HCPCS,A0433,als 2,,,992.09,992.09,1
HCPCS,A0434,Specialty care transport,,,1594.75,1594.75,1
HCPCS,A0435,Fixed wing air mileage,,,36.47,36.47,1
HCPCS,A0436,Rotary wing air mileage,,,77.82,77.82,1
HCPCS,A0888,Noncovered ambulance mileage,,,4.6,4.6,1
HCPCS,A0998,Ambulance response/treatment,,,159.89,159.89,1
HCPCS,A2001,"Innovamatrix ac, per sq cm",,,131.27,2093.04,7
HCPCS,A2002,Mirragen adv wnd mat per sq,,,131.27,213.74,4
HCPCS,A2004,"Xcellistem, 1 mg",,,21.59,25.74,3
HCPCS,A2005,"Microlyte matrix, per sq cm",,,131.27,425.21,6
HCPCS,A2006,Novosorb synpath per sq cm,,,131.27,213.74,4
HCPCS,A2007,"Restrata, per sq cm",,,61.31,370.26,7
HCPCS,A2008,"Theragenesis, per sq cm",,,131.27,272.28,5
HCPCS,A2009,"Symphony, per sq cm",,,131.27,213.74,4
HCPCS,A2010,"Apis, per square centimeter",,,131.27,213.74,4
HCPCS,A2011,"Supra sdrm, per sq cm",,,131.27,213.74,4
HCPCS,A2012,"Suprathel, per sq cm",,,131.27,213.74,4
HCPCS,A2013,"Innovamatrix fs, per sq cm",,,131.27,2340.9,7
HCPCS,A2014,Omeza collag compl 100 mg,,,98.61,117.56,3
HCPCS,A2015,"Phoenix wnd mtrx, per sq cm",,,81.26,2373.79,6
HCPCS,A2016,"Permeaderm b, per sq cm",,,131.27,213.74,4
HCPCS,A2018,"Permeaderm c, per sq cm",,,131.27,213.74,4
HCPCS,A2019,Kerecis marigen shld sq cm,,,131.27,1039.5,7
HCPCS,A2021,Neomatrix per sq cm,,,131.27,3165.68,6
HCPCS,A2022,Innovabrn/innovamatx xl sqcm,,,131.27,2386.8,6
HCPCS,A2023,"Innovamatrix pd, 1 mg",,,24.91,27.54,2
HCPCS,A2024,Resolve or xenopatch sq cm,,,131.27,213.74,4
HCPCS,A2025,Miro3d per cubic cm,,,131.27,382.5,6
HCPCS,A2027,Matriderm per sq cm,,,131.27,213.74,4
HCPCS,A2028,Micromatrix flex per mg,,,1396.1,1396.1,1
HCPCS,A2029,Mirotract matrix sheet,,,131.27,765.0,5
HCPCS,A2031,"Mirodry, per sq cm",,,131.27,213.74,4
HCPCS,A2032,"Myriad matrix, per sq cm",,,135.4,220.46,4
HCPCS,A2034,"Found drs solo, per sq cm",,,135.4,220.46,4
HCPCS,A2036,Cohealyx col dml mx pr sq cm,,,131.27,213.74,4
HCPCS,A2038,"Marigen pacto, per sq cm",,,131.27,213.74,4
HCPCS,A2039,"Innovamatrix fd, per sq cm",,,131.27,213.74,4
HCPCS,A2040,Microlyte painguard pr sq cm,,,131.27,213.74,4
HCPCS,A2041,Foundation drs+ duo pr sq cm,,,131.27,213.74,4
HCPCS,A2042,"Foundation drs+ solo, sq cm",,,131.27,213.74,4
HCPCS,A2043,"Biobrane, per sq cm",,,131.27,213.74,4
HCPCS,A2045,Novashield/novogen pr sq cm,,,131.27,213.74,4
HCPCS,A4100,Nosht skin sub fda clrd nos,,,135.4,220.46,4
HCPCS,A4206,1 CC sterile syringe&needle,,,0.22,0.22,1
HCPCS,A4207,2 CC sterile syringe&needle,,,0.26,0.26,1
HCPCS,A4208,3 CC sterile syringe&needle,,,0.22,0.22,1
HCPCS,A4209,5+ CC sterile syringe&needle,,,0.22,0.22,1
HCPCS,A4210,Nonneedle injection device,,,393.11,393.11,1
HCPCS,A4211,Supp for self-adm injections,,,4.33,4.33,1
HCPCS,A4212,HC STYL INTUB 10FR HUDSON,5.41,1.9,1.55,4.03,5
HCPCS,A4212,HC STYL INTUB INF 2.5-4.5MM 6F,7.29,2.56,2.09,5.43,5
HCPCS,A4212,HC STYL SHER I SLIP PED HUDSON 5F,5.41,1.9,1.55,4.03,5
HCPCS,A4213,20+ CC syringe only,,,0.45,0.45,1
HCPCS,A4215,HC CATH SHEATH INTR 12F 038X40 RB,181.24,63.44,0.26,135.02,5
HCPCS,A4215,HC IO ADULT NEEDLE SET 25MM 15G,362.88,127.01,0.26,270.35,5
HCPCS,A4215,HC IO ADULT NEEDLE SET L,386.4,135.24,0.26,287.87,5
HCPCS,A4215,HC IO PED NEEDLE SET 15MM 15G,362.88,127.01,0.26,270.35,5
HCPCS,A4215,HC NDL PERCUT THINWALL PED 21X2.5,15.23,5.34,0.26,11.35,5
HCPCS,A4215,HC SET INFUS PWRLC 20GX.75 WYSITE,23.18,8.12,0.26,17.27,5
HCPCS,A4216,"Sterile water/saline, 10 ml",,,0.03,1.03,5
HCPCS,A4217,"Sterile water/saline, 500 ml",,,2.66,7.28,5
HCPCS,A4218,Sterile saline or water,,,3.03,3.03,1
HCPCS,A4220,Infusion pump refill kit,,,34.6,34.6,1
HCPCS,A4221,Supp non-insulin inf cath/wk,,,16.26,42.12,5
HCPCS,A4222,Infusion supplies with pump,,,31.66,79.9,5
HCPCS,A4223,Infusion supplies w/o pump,,,34.6,34.6,1
HCPCS,A4224,Supply insulin inf cath/wk,,,16.26,42.12,5
HCPCS,A4225,Sup/ext insulin inf pump syr,,,2.09,5.65,5
HCPCS,A4230,Infus insulin pump non needl,,,20.76,20.76,1
HCPCS,A4231,Infusion insulin pump needle,,,37.18,37.18,1
HCPCS,A4232,Syringe w/needle insulin 3cc,,,1.59,1.59,1
HCPCS,A4233,Alkalin batt for glucose mon,,,0.33,0.33,1
HCPCS,A4234,J-cell batt for glucose mon,,,1.51,1.51,1
HCPCS,A4235,Lithium batt for glucose mon,,,0.64,0.64,1
HCPCS,A4236,Silvr oxide batt glucose mon,,,0.74,0.74,1
HCPCS,A4238,Adju cgm supply allowance,,,190.33,190.33,1
HCPCS,A4239,Non-adju cgm supply allow,,,163.23,444.95,5
HCPCS,A4244,Alcohol or peroxide per pint,,,0.45,0.45,1
HCPCS,A4245,Alcohol wipes per box,,,1.37,1.37,1
HCPCS,A4246,Betadine/phisohex solution,,,1.37,1.37,1
HCPCS,A4247,Betadine/iodine swabs/wipes,,,2.04,2.04,1
HCPCS,A4248,Chlorhexidine antisept,,,0.03,0.11,3
HCPCS,A4250,Urine reagent strips/tablets,,,7.98,7.98,1
HCPCS,A4252,Blood ketone test or strip,,,4.53,4.53,1
HCPCS,A4253,Blood glucose/reagent strips,,,5.33,5.33,1
HCPCS,A4255,Glucose monitor platforms,,,3.49,9.52,5
HCPCS,A4256,Calibrator solution/chips,,,2.16,5.5,5
HCPCS,A4257,Replace Lensshield Cartridge,,,10.86,29.62,5
HCPCS,A4258,Lancet device each,,,1.35,3.45,5
HCPCS,A4259,Lancets per box,,,0.92,2.31,5
HCPCS,A4261,Cervical cap contraceptive,,,45.85,45.85,1
HCPCS,A4262,HC LACRIMAL PLUG,267.21,93.53,76.53,199.07,8
HCPCS,A4263,Permanent tear duct plug,,,18.22,18.22,1
HCPCS,A4264,Intratubal occlusion device,,,1411.44,1411.44,1
HCPCS,A4265,Paraffin,,,2.91,7.91,5
HCPCS,A4266,Diaphragm,,,55.84,55.84,1
HCPCS,A4267,Male condom,,,0.22,0.22,1
HCPCS,A4268,Female condom,,,1.66,1.66,1
HCPCS,A4269,Spermicide,,,0.45,0.45,1
HCPCS,A4270,Disposable endoscope sheath,,,0.21,0.21,1
HCPCS,A4271,Home lancing/test cartridges,,,34.1,55.52,4
HCPCS,A4280,Brst prsths adhsv attchmnt,,,4.55,12.44,5
HCPCS,A4281,Replacement breastpump tube,,,34.6,34.6,1
HCPCS,A4282,Replacement breastpump adpt,,,34.6,34.6,1
HCPCS,A4283,Replacement breastpump cap,,,17.3,17.3,1
HCPCS,A4284,Replcmnt breast pump shield,,,7.98,7.98,1
HCPCS,A4285,Replcmnt breast pump bottle,,,21.63,21.63,1
HCPCS,A4286,Replcmnt breastpump lok ring,,,17.3,17.3,1
HCPCS,A4290,Sacral nerve stim test lead,,,99.77,99.77,1
HCPCS,A4295,Straigh tip hydrophilic cath,,,2.19,3.57,4
HCPCS,A4296,Coude tip hydrophilic cath,,,8.88,14.46,4
HCPCS,A4297,Hydrophilic coat insert sup,,,9.99,16.27,4
HCPCS,A4300,HC CATH DIA ADLT PERIT W/TROCATH,50.98,17.85,14.6,37.98,8
HCPCS,A4301,Implantable access syst perc,,,59.67,59.67,1
HCPCS,A4305,Drug delivery system >=50 ML,,,5.92,5.92,1
HCPCS,A4306,Drug delivery system <=50 ml,,,8.2,8.2,1
HCPCS,A4310,Insert tray w/o bag/cath,,,6.57,17.93,5
HCPCS,A4311,Catheter w/o bag 2-way latex,,,11.18,30.46,5
HCPCS,A4312,Cath w/o bag 2-way silicone,,,13.04,35.58,5
HCPCS,A4313,Catheter w/bag 3-way,,,13.41,36.54,5
HCPCS,A4314,HC CATH FOLEY TRAY DRN BAG LF 14F,45.42,15.9,13.01,58.66,9
HCPCS,A4314,HC CATH FOLEY TRAY DRN BAG LF 16F,44.29,15.51,12.68,58.66,9
HCPCS,A4314,HC CATH FOLEY TRAY URN MTR LF 16F,68.54,23.99,19.63,58.66,9
HCPCS,A4315,HC CATH FOLEY TRAY LTX SFTYLK 16F,34.41,12.05,9.86,61.2,9
HCPCS,A4315,HC CATH FOLEY URN LTX VNYL GLV16F,54.26,19.0,15.54,61.2,9
HCPCS,A4316,Cath w/drainage 3-way,,,24.17,65.89,5
HCPCS,A4318,Fem urinary cup w/wo attch,,,9.08,14.78,4
HCPCS,A4320,Irrigation tray,,,4.5,12.24,5
HCPCS,A4321,Cath therapeutic irrig agent,,,2.27,2.27,1
HCPCS,A4322,Irrigation syringe,,,2.58,7.07,5
HCPCS,A4326,Male external catheter,,,8.3,22.63,5
HCPCS,A4327,Fem urinary collect dev cup,,,37.97,103.5,5
HCPCS,A4328,Fem urinary collect pouch,,,8.89,24.21,5
HCPCS,A4330,HC CONT FECAL INCONTINENCE STD,15.12,5.3,4.33,16.62,9
HCPCS,A4331,Extension drainage tubing,,,2.72,7.38,5
HCPCS,A4332,Lube sterile packet,,,0.1,0.24,5
HCPCS,A4333,Urinary cath anchor device,,,1.89,5.15,5
HCPCS,A4334,Urinary cath leg strap,,,4.19,11.41,5
HCPCS,A4336,Urethral insert,,,1.23,3.34,5
HCPCS,A4338,HC CATH FOLEY 16FR 5CC IC LUBRICA,33.76,11.82,9.67,28.46,9
HCPCS,A4338,HC CATH FOLEY 18FR 5CC 2WY COUDE,47.87,16.76,10.45,35.66,9
HCPCS,A4338,HC CATH FOLEY 24F 30CC,29.47,10.32,8.44,28.46,9
HCPCS,A4338,HC CATH FOLEY 26F 30CC,29.47,10.32,8.44,28.46,9
HCPCS,A4338,"HC CATH,FOLEY,6FR,1.5CC",63.87,22.36,10.45,47.58,9
HCPCS,A4340,HC CATH FOLEY 10F 3CC LF,22.23,7.79,6.37,73.68,9
HCPCS,A4341,Iduc valve pat inst repl,,,224.55,566.21,5
HCPCS,A4342,Iduc valve sply repl,,,566.99,1429.66,5
HCPCS,A4344,HC CATH FOLEY 18F 5CC SILICONE,24.97,8.74,7.15,36.78,9
HCPCS,A4346,HC CATH FOLEY 18F 5CC 3W,29.96,10.49,8.58,45.44,9
HCPCS,A4346,HC CATH FOLEY 22F 30CC 3W,49.25,17.24,14.11,45.44,9
HCPCS,A4346,HC CATH FOLEY 24FR 5CC IC LUBRICA,26.19,9.17,7.5,45.44,9
HCPCS,A4349,Disposable male external cat,,,1.71,4.67,5
HCPCS,A4351,HC CATH FOLEY 16F 30CC,29.47,10.32,1.31,21.96,9
HCPCS,A4352,HC CATH FOLEY 18F 30CC,8.05,2.82,2.31,14.46,9
HCPCS,A4353,HC CATH FOLEY 20F 30CC,8.05,2.82,2.31,16.27,9
HCPCS,A4353,HC CATH FOLEY INSERT TRAY,5.76,2.02,1.65,16.27,9
HCPCS,A4353,HC CATH ROBNEL TRAY 14F TRAY,6.0,2.1,1.72,16.27,9
HCPCS,A4354,HC CATH FOLEY 22F 30CC,29.47,10.32,8.44,27.4,9
HCPCS,A4354,HC CATH FOLEY URINE METER 16F 5CC,58.6,20.51,10.05,43.66,9
HCPCS,A4355,Bladder irrigation tubing,,,7.59,20.69,5
HCPCS,A4356,Ext ureth clmp or compr dvc,,,33.01,90.01,5
HCPCS,A4357,HC BAG DRN/IRR URIN CONTIN 4000CC,13.24,4.64,3.79,22.53,9
HCPCS,A4357,HC BAG URINE DRAIN 2000ML,8.6,3.01,2.46,22.53,9
HCPCS,A4357,HC BAG URINE DRAIN W/METER,21.0,7.35,6.01,22.53,9
HCPCS,A4358,HC BAG URINE 600CC LEG ADULT LF,17.12,6.0,4.9,15.4,9
HCPCS,A4358,HC BAG URINE LEG 250CC  S,5.38,1.89,1.54,15.4,9
HCPCS,A4358,HC CATH STRAP LEG VELCRO UNIV,9.47,3.32,2.71,15.4,9
HCPCS,A4360,Disposable ext urethral dev,,,0.35,0.98,5
HCPCS,A4361,Ostomy face plate,,,15.17,41.36,5
HCPCS,A4362,Solid skin barrier,,,2.96,8.06,5
HCPCS,A4363,"Ostomy clamp, replacement",,,2.02,5.5,5
HCPCS,A4364,HC SUT DURMABOND SKIN ADHESIVE,84.85,29.7,2.51,63.21,9
HCPCS,A4366,Ostomy vent,,,1.11,3.0,5
HCPCS,A4367,Ostomy belt,,,6.26,17.08,5
HCPCS,A4368,Ostomy filter,,,0.21,0.59,5
HCPCS,A4369,Skin barrier liquid per oz,,,2.08,5.63,5
HCPCS,A4371,HC OST POWDER PREM PUFF BTL 1OZ,8.94,3.13,2.56,8.47,9
HCPCS,A4372,Skin barrier solid 4x4 equiv,,,3.56,9.75,5
HCPCS,A4373,Skin barrier with flange,,,5.33,14.56,5
HCPCS,A4375,Drainable plastic pch w fcpl,,,14.62,39.84,5
HCPCS,A4376,Drainable rubber pch w fcplt,,,40.5,110.41,5
HCPCS,A4377,Drainable plstic pch w/o fp,,,3.65,9.95,5
HCPCS,A4378,Drainable rubber pch w/o fp,,,26.17,71.35,5
HCPCS,A4379,Urinary plastic pouch w fcpl,,,12.78,34.84,5
HCPCS,A4380,Urinary rubber pouch w fcplt,,,31.78,86.62,5
HCPCS,A4381,Urinary plastic pouch w/o fp,,,3.94,10.73,5
HCPCS,A4382,Urinary hvy plstc pch w/o fp,,,20.95,57.13,5
HCPCS,A4383,Urinary rubber pouch w/o fp,,,24.0,65.4,5
HCPCS,A4384,Ostomy faceplt/silicone ring,,,8.18,22.29,5
HCPCS,A4385,Ost skn barrier sld ext wear,,,4.33,11.82,5
HCPCS,A4387,Ost clsd pouch w att st barr,,,1.92,5.21,5
HCPCS,A4388,Drainable pch w ex wear barr,,,3.72,10.11,5
HCPCS,A4389,Drainable pch w st wear barr,,,5.29,14.39,5
HCPCS,A4390,Drainable pch ex wear convex,,,8.17,22.27,5
HCPCS,A4391,Urinary pouch w ex wear barr,,,6.02,16.4,5
HCPCS,A4392,Urinary pouch w st wear barr,,,6.95,18.97,5
HCPCS,A4393,Urine pch w ex wear bar conv,,,7.7,20.97,5
HCPCS,A4394,Ostomy pouch liq deodorant,,,2.21,6.01,5
HCPCS,A4395,Ostomy pouch solid deodorant,,,0.03,0.08,5
HCPCS,A4396,Peristomal hernia supprt blt,,,34.46,93.93,5
HCPCS,A4398,Ostomy irrigation bag,,,11.56,31.51,5
HCPCS,A4399,Ostomy irrig cone/cath w brs,,,10.45,28.46,5
HCPCS,A4400,Ostomy irrigation set,,,35.36,96.39,5
HCPCS,A4402,Lubricant per ounce,,,1.35,3.7,5
HCPCS,A4404,HC OST BARER RNG 1-13/16IN,10.89,3.82,1.44,8.11,9
HCPCS,A4404,HC OST RING CNVX STRETCH 22X38,10.89,3.82,1.44,8.11,9
HCPCS,A4404,HC OST RING FLAT,9.95,3.49,1.44,7.41,9
HCPCS,A4405,Nonpectin based ostomy paste,,,2.91,7.93,5
HCPCS,A4406,Pectin based ostomy paste,,,4.88,13.29,5
HCPCS,A4407,"Ext wear ost skn barr <=4sq""",,,7.46,20.32,5
HCPCS,A4408,"Ext wear ost skn barr >4sq""",,,8.41,22.91,5
HCPCS,A4409,Ost skn barr convex <=4 sq i,,,5.29,14.39,5
HCPCS,A4410,Ost skn barr extnd >4 sq,,,7.7,20.97,5
HCPCS,A4411,Ost skn barr extnd =4sq,,,4.33,11.82,5
HCPCS,A4412,Ost pouch drain high output,,,2.3,6.28,5
HCPCS,A4413,2 pc drainable ost pouch,,,4.69,12.78,5
HCPCS,A4414,Ost sknbar w/o conv<=4 sq in,,,4.19,11.41,5
HCPCS,A4415,HC OST BARER WAFER 4IN FLANG FLEX,7.23,2.54,2.07,13.92,9
HCPCS,A4416,Ost pch clsd w barrier/filtr,,,2.34,6.4,5
HCPCS,A4417,Ost pch w bar/bltinconv/fltr,,,3.18,8.65,5
HCPCS,A4418,Ost pch clsd w/o bar w filtr,,,1.54,4.2,5
HCPCS,A4419,Ost pch for bar w flange/flt,,,1.47,4.01,5
HCPCS,A4420,Ost pch clsd for bar w lk fl,,,1.18,1.18,1
HCPCS,A4421,HC OST BELT 29-49IN L,8.75,3.07,2.51,8.65,5
HCPCS,A4421,HC OST POUCH NEWBORN POUCHKINS,6.48,2.27,1.86,8.65,5
HCPCS,A4422,Ost pouch absorbent material,,,0.1,0.24,5
HCPCS,A4423,Ost pch for bar w lk fl/fltr,,,1.57,4.3,5
HCPCS,A4424,Ost pch drain w bar & filter,,,4.05,11.04,5
HCPCS,A4425,Ost pch drain for barrier fl,,,3.04,8.3,5
HCPCS,A4426,Ost pch drain 2 piece system,,,2.32,6.33,5
HCPCS,A4427,Ost pch drain/barr lk flng/f,,,2.37,6.48,5
HCPCS,A4428,HC OST BARER FLANGE 4 CUT TO FIT,8.97,3.14,2.57,15.13,9
HCPCS,A4429,Urine ost pouch w bltinconv,,,7.02,19.15,5
HCPCS,A4430,Ost urine pch w b/bltin conv,,,7.25,19.77,5
HCPCS,A4431,Ost pch urine w barrier/tapv,,,5.29,14.39,5
HCPCS,A4432,Os pch urine w bar/fange/tap,,,3.04,8.32,5
HCPCS,A4433,Urine ost pch bar w lock fln,,,2.85,7.78,5
HCPCS,A4434,Ost pch urine w lock flng/ft,,,3.2,8.73,5
HCPCS,A4435,1pc ost pch drain hgh output,,,4.9,13.37,5
HCPCS,A4436,Irr supply sleev reus per mo,,,7.13,44.5,5
HCPCS,A4437,Irr supply sleev disp per mo,,,5.76,44.5,5
HCPCS,A4438,Adhesive clip ext ens contr,,,2.62,4.27,4
HCPCS,A4450,HC STRAP MONTGOMERY 7.25 X11 1/8,5.76,2.02,0.07,4.29,5
HCPCS,A4452,Waterproof tape,,,0.26,0.26,1
HCPCS,A4453,"Rec cath any transanal, each",,,14.04,22.86,4
HCPCS,A4455,Adhesive remover per ounce,,,1.21,3.31,5
HCPCS,A4456,"Adhesive remover, wipes",,,0.21,0.57,5
HCPCS,A4458,Reusable enema bag,,,3.46,3.46,1
HCPCS,A4459,"Transanal irrigation, any",,,160.42,376.55,5
HCPCS,A4461,Surgicl dress hold non-reuse,,,2.8,7.65,5
HCPCS,A4463,Surgical dress holder reuse,,,11.33,30.89,5
HCPCS,A4465,Non-elastic extremity binder,,,4.1,4.1,1
HCPCS,A4466,"HC FOOT WRAP,UNIVERSAL",143.94,50.38,41.22,107.24,5
HCPCS,A4466,HC WRAP FOOT W SZ9.5 M SZ7.5 &LRG,143.94,50.38,41.22,107.24,5
HCPCS,A4467,Belt strap sleev grmnt cover,,,35.27,35.27,1
HCPCS,A4470,Gravlee jet washer,,,2.96,2.96,1
HCPCS,A4479,"Electro pump enema, reusable",,,706.38,1150.13,4
HCPCS,A4480,Vabra aspirator,,,2.28,2.28,1
HCPCS,A4481,Tracheostoma filter,,,0.31,0.85,5
HCPCS,A4483,Moisture exchanger,,,8.65,8.65,1
HCPCS,A4490,HC STOCKING ANTIEMB KNEE LGTH L,13.5,4.73,2.96,10.06,5
HCPCS,A4490,HC STOCKING ANTIEMB KNEE LGTH M,13.5,4.73,2.96,10.06,5
HCPCS,A4490,HC STOCKING ANTIEMB KNEE LGTH S,13.5,4.73,2.96,10.06,5
HCPCS,A4495,HC STOCKING ANTIEMB FULL LEG L,25.1,8.79,2.96,18.7,5
HCPCS,A4495,HC STOCKING ANTIEMB FULL LEG M,25.1,8.79,2.96,18.7,5
HCPCS,A4495,HC STOCKING ANTIEMB FULL LEG S,25.1,8.79,2.96,18.7,5
HCPCS,A4495,HC STOCKING ANTIEMB FULL LEG XL,33.23,11.64,2.96,24.76,5
HCPCS,A4500,Below knee surgical stocking,,,2.28,2.28,1
HCPCS,A4510,Full length surg stocking,,,5.47,5.47,1
HCPCS,A4520,Incontinence garment anytype,,,1.73,1.73,1
HCPCS,A4541,Monthly supp use with e0733,,,25.17,66.87,5
HCPCS,A4542,Supp ext up limb tremor stim,,,322.87,857.82,5
HCPCS,A4544,Electro nerve stimulator rls,,,6.34,10.32,4
HCPCS,A4545,Suppl accessor tibial stim,,,41.72,67.93,4
HCPCS,A4550,HC ANEST TRAY PARACERV/PUDEND BLK,26.62,9.32,7.62,19.83,5
HCPCS,A4550,HC CATH SWAN GANZ SLEEVE 80CM,13.3,4.66,3.81,13.44,5
HCPCS,A4550,HC PAD HMROID CTTN TUCKS,6.38,2.24,1.83,13.44,5
HCPCS,A4550,HC TRAY LUMBAR PUNCTURE 20GX3.5IN,32.12,11.25,9.2,23.93,5
HCPCS,A4550,HC TRAY LUMBAR PUNCTURE 22GX3.5IN,34.82,12.19,9.97,25.94,5
HCPCS,A4550,HC TRAY SUT DISP,50.43,17.66,13.44,37.57,5
HCPCS,A4553,"Nondisp underpads, all sizes",,,15.09,15.09,1
HCPCS,A4554,Disposable underpads,,,1.37,1.37,1
HCPCS,A4555,Ca tx e-stim electr/transduc,,,15.26,15.26,1
HCPCS,A4556,"Electrodes, pair",,,10.35,28.18,5
HCPCS,A4557,"Lead wires, pair",,,9.83,19.7,5
HCPCS,A4558,Conductive gel or paste,,,4.64,12.65,5
HCPCS,A4559,Coupling gel or paste,,,0.09,0.21,5
HCPCS,A4561,Pessary reusable rub anytype,,,17.59,47.95,5
HCPCS,A4562,Pessary reusable nonrubber,,,43.8,119.41,5
HCPCS,A4563,Vag inser rectal control sys,,,1016.84,2771.8,5
HCPCS,A4565,Slings,,,6.56,17.88,5
HCPCS,A4566,Should sling/vest/abrestrain,,,37.42,37.42,1
HCPCS,A4570,Splint,,,7.98,7.98,1
HCPCS,A4575,Hyperbaric o2 chamber disps,,,1273.71,1273.71,1
HCPCS,A4580,HC PAD UNDERCAST 4INX4YD WEBRIL,2.71,0.95,0.78,15.57,5
HCPCS,A4580,HC PAD UNDERCAST 6INX4YD WEBRIL,4.06,1.43,1.16,15.57,5
HCPCS,A4590,Special casting material,,,17.77,17.77,1
HCPCS,A4595,TENS suppl 2 lead per month,,,11.85,21.12,5
HCPCS,A4596,Ces system monthly supp,,,26.52,77.8,6
HCPCS,A4600,"Sleeve, inter limb comp dev",,,64.29,64.29,1
HCPCS,A4601,Lith ion non prosth recharge,,,52.9,52.9,1
HCPCS,A4602,Replace lithium battery 1.5v,,,2.34,2.34,1
HCPCS,A4604,Tubing with heating element,,,25.95,25.95,1
HCPCS,A4605,HC HC TRACHEAL SUCTION CATHETER 5F,37.8,13.23,10.52,28.16,5
HCPCS,A4606,HC PROBE FINGER PULSE OX,257.78,90.23,4.33,192.05,5
HCPCS,A4606,HC PROBE PULSE OXI INF MAXI RPR,20.16,7.06,4.33,15.02,5
HCPCS,A4606,HC PROBE PULSE OXI PEDS MAXP,30.24,10.59,4.33,22.53,5
HCPCS,A4608,Transtracheal oxygen cath,,,42.68,116.32,5
HCPCS,A4611,Heavy duty battery,,,60.81,60.81,1
HCPCS,A4612,Battery cables,,,25.05,25.05,1
HCPCS,A4613,Battery charger,,,43.04,43.04,1
HCPCS,A4614,Hand-held PEFR meter,,,20.24,55.18,5
HCPCS,A4615,HC NASAL CANNULA OPTIFLOW JR,138.43,48.46,0.62,103.13,9
HCPCS,A4616,Tubing (oxygen) per foot,,,0.05,0.13,5
HCPCS,A4617,Mouth piece,,,2.63,7.2,5
HCPCS,A4618,Breathing circuits,,,5.67,5.67,1
HCPCS,A4619,Face tent,,,1.52,1.52,1
HCPCS,A4620,Variable concentration mask,,,0.54,1.48,5
HCPCS,A4623,HC CNULA INNER XLT DISP 6.0,16.8,5.88,4.81,15.21,9
HCPCS,A4623,HC CNULA INNER XLT DISP 7.0,16.8,5.88,4.81,15.21,9
HCPCS,A4623,HC CNULA INNER XLT DISP 8.0,16.8,5.88,4.81,15.21,9
HCPCS,A4623,HC TUBE TRACH CUFF SCT SHLY 6.0MM,96.77,33.87,5.59,72.09,9
HCPCS,A4623,HC TUBE TRACH CUFF SCT SHLY 7.0MM,96.77,33.87,5.59,72.09,9
HCPCS,A4623,HC TUBE TRACH CUFF SCT SHLY 8.0MM,96.77,33.87,5.59,72.09,9
HCPCS,A4624,Tracheal suction tube,,,1.7,1.7,1
HCPCS,A4625,Trach care kit for new trach,,,5.9,16.07,5
HCPCS,A4626,Tracheostomy cleaning brush,,,2.72,7.39,5
HCPCS,A4627,HC RESP OPTICHAMBER DMD,15.86,5.56,4.54,11.82,5
HCPCS,A4627,HC SPCR INHALER MDI CHAMBER,11.58,4.06,3.32,8.63,5
HCPCS,A4628,Oropharyngeal suction cath,,,2.34,2.34,1
HCPCS,A4629,Tracheostomy care kit,,,3.96,10.79,5
HCPCS,A4630,Repl bat t.e.n.s. own by pt,,,4.03,4.03,1
HCPCS,A4633,Uvl replacement bulb,,,26.21,26.21,1
HCPCS,A4634,Replacement bulb th lightbox,,,27.16,27.16,1
HCPCS,A4635,Underarm crutch pad,,,2.91,2.91,1
HCPCS,A4636,Handgrip for cane etc,,,1.87,1.87,1
HCPCS,A4637,Repl tip cane/crutch/walker,,,1.02,1.02,1
HCPCS,A4638,Repl batt pulse gen sys,,,2.08,2.08,1
HCPCS,A4639,Infrared ht sys replcmnt pad,,,183.43,183.43,1
HCPCS,A4640,Alternating pressure pad,,,31.49,31.49,1
HCPCS,A4641,HC ACUTECT ISOTOPE FOR DVT,721.0,252.35,206.49,537.15,4
HCPCS,A4641,HC CERETEC WBC ISOTOPE,1216.69,425.85,348.46,906.43,4
HCPCS,A4641,HC CHOLETEC ISOTOPE,90.12,31.55,25.81,67.14,4
HCPCS,A4641,HC DMSA ISOTOPE,21.99,7.7,6.3,16.38,4
HCPCS,A4641,HC DTPA COLD VIALS,101.77,35.62,29.15,75.82,4
HCPCS,A4641,HC GLUCOHEPTONATE ISOTOPE,51.37,17.98,14.71,38.27,4
HCPCS,A4641,HC HIPPURAN PER UCI,12.68,4.44,3.63,9.45,4
HCPCS,A4641,HC HSA ISOTOPE,282.1,98.74,80.79,210.16,4
HCPCS,A4641,HC INDIUM DTPA ISOTOPE,1849.07,647.18,529.57,1377.56,4
HCPCS,A4641,HC INDIUM OXINE WBC ISOTOPE,1363.59,477.26,390.53,1015.87,4
HCPCS,A4641,HC MAA ISOTOPE,359.0,125.65,102.82,267.46,4
HCPCS,A4641,HC MIBG ISOTOPE PER UCI,3392.29,1187.31,971.55,2527.26,4
HCPCS,A4641,HC MICROFILTERED SULFUR COLLOID,45.0,15.75,12.89,33.53,4
HCPCS,A4641,HC MYOVIEW ISOTOPE,256.86,89.91,73.56,191.36,4
HCPCS,A4641,HC NEUROLITE ISOTOPE,949.01,332.16,271.8,707.01,4
HCPCS,A4641,HC OCTREO ISOTOPE,2318.92,811.63,664.14,1727.6,4
HCPCS,A4641,HC ONCOSCINT ISOTOPE,2718.16,951.36,778.48,2025.03,4
HCPCS,A4641,HC SAMARIUM ISOTOPE,4244.87,1485.71,1215.73,3162.43,4
HCPCS,A4641,HC STRONTIUM 89 ISOTOPE,5311.05,1858.87,1521.08,3956.73,4
HCPCS,A4641,HC TC DTPA ISOTOPE,51.37,17.98,14.71,38.27,4
HCPCS,A4641,HC TECHNETIUM VIALS,54.08,18.93,15.49,40.29,4
HCPCS,A4641,HC THALLIUM ISOTOPE PER MCI,314.69,110.15,90.13,234.44,4
HCPCS,A4642,In111 satumomab,,,2318.2,2711.66,3
HCPCS,A4648,HC CLSR TECHSTAR SUT 6FR,661.5,231.53,189.45,492.82,8
HCPCS,A4648,HC MARKER BREAST BIOP 15G S1,258.84,90.6,74.13,192.84,8
HCPCS,A4648,HC MARKER BREAST BIOP 15G S3,258.84,90.6,74.13,192.84,8
HCPCS,A4648,HC MARKER BREAST BIOP 15G T1,258.84,90.6,74.13,192.84,8
HCPCS,A4648,HC MARKER BREAST BIOP 15G T3,258.84,90.6,74.13,192.84,8
HCPCS,A4648,HC MARKER BREAST BIOP 15G T4,267.84,93.75,76.71,199.54,8
HCPCS,A4648,HC MARKER BREAST BIOP 18G T3,264.9,92.72,75.87,197.35,8
HCPCS,A4648,HC MARKER BREAST TISS BI 108 10GA,198.61,69.52,56.88,147.96,8
HCPCS,A4648,HC MARKER BREAST TISS TI RIB 10GA,198.61,69.52,56.88,147.96,8
HCPCS,A4648,HC MARKER GEL ULTR RIB SHP 14G SS,198.61,69.52,56.88,147.96,8
HCPCS,A4648,HC MARKER GEL ULTR T SHP 14G,198.61,69.52,56.88,147.96,8
HCPCS,A4648,HC MARKER MAMMO 11G T1,264.9,92.72,75.87,197.35,8
HCPCS,A4648,HC MARKER MAMMO 11G T3,264.9,92.72,75.87,197.35,8
HCPCS,A4648,HC MARKER MAMMO 11G T4,264.9,92.72,75.87,197.35,8
HCPCS,A4648,HC MARKER MAMMO 8G T4,264.9,92.72,75.87,197.35,8
HCPCS,A4648,HC MARKER MAMMO REVOLVE 10G T1,264.9,92.72,75.87,197.35,8
HCPCS,A4648,HC MARKER MAMMO REVOLVE 10G T3,264.9,92.72,75.87,197.35,8
HCPCS,A4648,HC MARKER MRI ULTRACOR 14G M SHP,189.44,66.31,54.26,141.13,8
HCPCS,A4648,HC MARKER MRI ULTRACOR 14G X SHP,189.44,66.31,54.26,141.13,8
HCPCS,A4648,HC MARKER SENOMARK 12G,198.61,69.52,56.88,147.96,8
HCPCS,A4648,HC NDL BIOPSY REFLECTOR 10CM,1386.0,485.1,396.95,1032.57,8
HCPCS,A4648,HC NDL BIOPSY REFLECTOR 5CM,1386.0,485.1,396.95,1032.57,8
HCPCS,A4648,HC NDL BIOPSY REFLECTOR 7.5CM,1386.0,485.1,396.95,1032.57,8
HCPCS,A4648,HC NDL BIOPSY REFLECTOR US 7.5CM,1386.0,485.1,396.95,1032.57,8
HCPCS,A4648,HC STEREOTACTIC MAMMO BX CLIP,260.4,91.14,74.58,194.0,8
HCPCS,A4648,HC US BIOPSY CLIP,255.36,89.38,73.14,190.24,8
HCPCS,A4649,HC APPL CHLORAPREP TINT TEAL 10.5,11.39,3.99,3.26,8.49,5
HCPCS,A4649,HC BAG ICP MONITOR DRAIN,103.29,36.16,29.58,76.95,5
HCPCS,A4649,HC BAND COMPRESS HEMO 29,65.52,22.94,18.76,48.81,5
HCPCS,A4649,HC BNDG ADHSV DISK ANTIB 1X7.0,21.61,7.57,6.19,16.1,5
HCPCS,A4649,HC CATH KIT VENTRI W/MED INS-HITH,873.6,305.76,250.2,650.83,5
HCPCS,A4649,HC CATH SUCT W/GLOVE 8F,6.13,2.15,1.76,4.57,5
HCPCS,A4649,HC CAUT OPHTH OPTEMP HI,28.41,9.95,8.14,21.17,5
HCPCS,A4649,HC CAUT PENCIL ROCKER W/HOLSTER,9.61,3.37,2.75,7.16,5
HCPCS,A4649,HC CHEST DRAIN DRY SUCTION,110.6,38.71,31.68,82.4,5
HCPCS,A4649,HC CNULA VERTEPORT CEMENT 10G,232.55,81.4,66.6,173.25,5
HCPCS,A4649,HC CNULA VERTEPORT CEMENT 11G,232.55,81.4,66.6,173.25,5
HCPCS,A4649,HC CONNECT Y WND VAC,6.33,2.22,1.81,4.72,5
HCPCS,A4649,HC DRAIN 150CC CHEST PLEURAVAC,128.51,44.98,36.81,95.74,5
HCPCS,A4649,HC DRAIN CHEST 2000CC SINGLE COLL,90.1,31.54,25.8,67.12,5
HCPCS,A4649,HC DRAIN CHEST BLOOD RECOV 2500CC,129.72,45.41,37.15,96.64,5
HCPCS,A4649,HC DRAIN EVAC RESERVOIR 100CC,15.18,5.32,4.35,11.31,5
HCPCS,A4649,HC DRAIN JP FLAT FULL PERF 7X20,15.73,5.51,4.51,11.72,5
HCPCS,A4649,HC DRAIN VENT W/SUCT & PROBE,8.84,3.1,2.53,6.59,5
HCPCS,A4649,HC DRAIN VENTRICLE ICP BAG KIT,109.17,38.21,31.27,81.33,5
HCPCS,A4649,HC DRAIN WND JP HBLS RELVC 10X20,15.73,5.51,4.51,11.72,5
HCPCS,A4649,HC DRAPE 60X35 INCISE 13X13 IOBAN,46.86,16.41,13.42,34.91,5
HCPCS,A4649,HC DRAPE FLUID WARMER,132.3,46.31,37.89,98.56,5
HCPCS,A4649,HC DRAPE TOWEL STERILE BLUE 6/PK,39.6,13.86,11.34,29.5,5
HCPCS,A4649,HC DSG COTTON ROLL 1LB,10.82,3.79,3.1,8.06,5
HCPCS,A4649,HC EQ CVP MANOMETER 35CM4WY STPCK,33.43,11.71,9.57,24.91,5
HCPCS,A4649,HC FMS FLEXISEAL,908.21,317.88,260.11,676.62,5
HCPCS,A4649,HC GOWN SURG W/TOWEL XL,9.45,3.31,2.71,7.04,5
HCPCS,A4649,HC INST SCISSORS UTILITY 7 1/4,7.62,2.67,2.18,5.68,5
HCPCS,A4649,HC KIT NDL GUIDE 18G,57.79,20.23,16.55,43.05,5
HCPCS,A4649,HC KIT NDL GUIDE 21G,38.64,13.53,11.07,28.79,5
HCPCS,A4649,HC PAD HEMOSTASIS DEVICE FEMSTOP,308.45,107.96,88.34,229.8,5
HCPCS,A4649,HC RESVR ARM MOUNT ADLT TRANSDUCE,35.98,12.6,10.3,26.81,5
HCPCS,A4649,HC SCISS WIRE CUTTER,13.14,4.6,3.76,9.79,5
HCPCS,A4649,HC SPECULA VAG DISP STER S,11.59,4.06,3.32,8.63,5
HCPCS,A4649,HC STAPLER SKIN 35W,23.88,8.36,6.84,17.79,5
HCPCS,A4649,HC STRIP TX FLEX FOAM 3INX25YD,195.55,68.45,56.01,145.68,5
HCPCS,A4649,"HC SUT ETHIB 5 4-30"" GRN BR V-40",53.25,18.64,15.25,39.67,5
HCPCS,A4649,"HC SUT ETHIL 3-0 30"" BLK PSL",14.13,4.95,4.05,10.53,5
HCPCS,A4649,"HC SUT ETHIL 4-0 18"" BLK PS-2",12.66,4.44,3.63,9.43,5
HCPCS,A4649,HC SUT ETHIL 5-0 18 BLK P-3,12.69,4.45,3.63,9.45,5
HCPCS,A4649,HC SUT PRO 3-0 18IN PS-1,15.54,5.44,4.45,11.58,5
HCPCS,A4649,HC SUT SILK 2-0 30IN KS,5.43,1.91,1.56,4.05,5
HCPCS,A4649,HC SUT SILK 3-0 18IN PS-1,12.38,4.34,3.55,9.22,5
HCPCS,A4649,"HC SUT SILK 3-0 30"" KS",5.44,1.91,1.56,4.05,5
HCPCS,A4649,HC SYS BLOOD SAMP VAMP ICP PEDI,48.47,16.97,13.88,36.11,5
HCPCS,A4649,HC SYS CSF DRAINAGE,780.48,273.17,223.53,581.46,5
HCPCS,A4649,HC SYS ICP MONITOR EXTR W/CSF DRN,596.13,208.65,170.73,444.12,5
HCPCS,A4649,HC TAMPON NASAL PK 10CM LG,20.71,7.25,5.93,15.43,5
HCPCS,A4649,HC TRAY LUMB PUNCTURE 22GX1.5IN,37.66,13.19,10.79,28.06,5
HCPCS,A4649,HC TRAY QUICK-TAP PARACENTES 15GA,178.31,62.41,51.07,132.84,5
HCPCS,A4649,HC TRAY THORACENTESIS,228.75,80.07,65.51,170.42,5
HCPCS,A4649,HC TUBE ANTI-REFLUX VALVE,15.96,5.59,4.57,11.89,5
HCPCS,A4649,HC TUBE CYSTO IRR BLADD 92IN YTYP,10.89,3.82,3.12,8.11,5
HCPCS,A4649,HC TUBE FOR DSG VAC WHITE FOAM,63.3,22.16,18.13,47.16,5
HCPCS,A4649,HC TUBE IV HI PRESS 48 M/F ADAPT,8.74,3.06,2.5,6.51,5
HCPCS,A4650,Implant radiation dosimeter,,,3.18,3.18,1
HCPCS,A4651,Calibrated microcap tube,,,0.05,0.05,1
HCPCS,A4652,Microcapillary tube sealant,,,0.21,0.21,1
HCPCS,A4653,PD catheter anchor belt,,,8.44,8.44,1
HCPCS,A4657,Syringe w/wo needle,,,0.87,0.87,1
HCPCS,A4660,Sphyg/bp app w cuff and stet,,,5.92,5.92,1
HCPCS,A4663,HC CUFF BP ADLT 1PC 1TB SCRW CONN,32.19,11.27,9.22,23.98,5
HCPCS,A4663,HC CUFF BP ADLT 1PC 2TB SC,32.19,11.27,9.22,23.98,5
HCPCS,A4663,HC CUFF BP ADLT SOFT DISP 1PC 1TB,9.65,3.38,2.76,11.61,5
HCPCS,A4663,HC CUFF BP CHLD 1PCE 2TB SCRW CON,29.3,10.26,8.39,21.83,5
HCPCS,A4663,HC CUFF BP LG ADLT MNTR STYL 2 TB,36.26,12.7,10.38,27.01,5
HCPCS,A4663,HC CUFF BP PEDI,29.3,10.26,8.39,21.83,5
HCPCS,A4663,HC CUFF BP SM ADLT MNTR STYL 1 TB,32.19,11.27,9.22,23.98,5
HCPCS,A4663,HC CUFF BP THIGH SOFT DISP 1TB SC,12.64,4.43,3.62,11.61,5
HCPCS,A4670,"Automatic bp monitor, dial",,,29.6,29.6,1
HCPCS,A4671,Disposable cycler set,,,25.95,25.95,1
HCPCS,A4672,"Drainage ext line, dialysis",,,17.3,17.3,1
HCPCS,A4673,Ext line w easy lock connect,,,8.65,8.65,1
HCPCS,A4674,"Chem/antisept solution, 8oz",,,10.38,10.38,1
HCPCS,A4680,"Activated carbon filter, ea",,,30.07,30.07,1
HCPCS,A4690,"Dialyzer, each",,,297.91,297.91,1
HCPCS,A4706,Bicarbonate conc sol per gal,,,10.38,10.38,1
HCPCS,A4707,Bicarbonate conc pow per pac,,,8.89,8.89,1
HCPCS,A4708,Acetate conc sol per gallon,,,10.38,10.38,1
HCPCS,A4709,Acid conc sol per gallon,,,8.65,8.65,1
HCPCS,A4714,Treated water per gallon,,,3.46,3.46,1
HCPCS,A4719,"""Y set"" tubing",,,6.92,6.92,1
HCPCS,A4720,Dialysat sol fld vol > 249cc,,,34.03,34.03,1
HCPCS,A4721,Dialysat sol fld vol > 999cc,,,34.6,34.6,1
HCPCS,A4722,Dialys sol fld vol > 1999cc,,,60.55,60.55,1
HCPCS,A4723,Dialys sol fld vol > 2999cc,,,60.55,60.55,1
HCPCS,A4724,Dialys sol fld vol > 3999cc,,,31.85,31.85,1
HCPCS,A4725,Dialys sol fld vol > 4999cc,,,60.55,60.55,1
HCPCS,A4726,Dialys sol fld vol > 5999cc,,,60.55,60.55,1
HCPCS,A4728,"Dialysate solution, non-dex",,,60.55,60.55,1
HCPCS,A4730,"Fistula cannulation set, ea",,,7.61,7.61,1
HCPCS,A4736,"Topical anesthetic, per gram",,,25.95,25.95,1
HCPCS,A4737,Inj anesthetic per 10 ml,,,6.92,6.92,1
HCPCS,A4740,Shunt accessory,,,49.34,49.34,1
HCPCS,A4750,Art or venous blood tubing,,,5.69,5.69,1
HCPCS,A4755,Comb art/venous blood tubing,,,13.84,13.84,1
HCPCS,A4760,"Dialysate sol test kit, each",,,43.2,43.2,1
HCPCS,A4765,Dialysate conc pow per pack,,,9.43,9.43,1
HCPCS,A4766,Dialysate conc sol add 10 ml,,,6.57,6.57,1
HCPCS,A4770,Blood collection tube/vacuum,,,6.92,6.92,1
HCPCS,A4771,Serum clotting time tube,,,6.92,6.92,1
HCPCS,A4772,Blood glucose test strips,,,12.08,12.08,1
HCPCS,A4773,Occult blood test strips,,,7.51,7.51,1
HCPCS,A4774,Ammonia test strips,,,5.54,5.54,1
HCPCS,A4802,Protamine sulfate per 50 mg,,,18.51,51.34,3
HCPCS,A4860,Disposable catheter tips,,,0.43,0.43,1
HCPCS,A4870,Plumb/elec wk hm hemo equip,,,31.23,31.23,1
HCPCS,A4890,Repair/maint cont hemo equip,,,441.05,441.05,1
HCPCS,A4911,Drain bag/bottle,,,17.3,17.3,1
HCPCS,A4913,Misc dialysis supplies noc,,,13.84,13.84,1
HCPCS,A4918,Venous pressure clamp,,,1.73,1.73,1
HCPCS,A4927,Non-sterile gloves,,,1.82,1.82,1
HCPCS,A4928,Surgical mask,,,2.16,2.16,1
HCPCS,A4929,"Tourniquet for dialysis, ea",,,0.22,0.22,1
HCPCS,A4930,"Sterile, gloves per pair",,,0.45,0.45,1
HCPCS,A4931,Reusable oral thermometer,,,0.52,0.52,1
HCPCS,A4932,Reusable rectal thermometer,,,0.24,0.24,1
HCPCS,A5051,Pouch clsd w barr attached,,,1.75,4.79,5
HCPCS,A5052,Clsd ostomy pouch w/o barr,,,1.26,3.45,5
HCPCS,A5053,Clsd ostomy pouch faceplate,,,1.47,4.01,5
HCPCS,A5054,Clsd ostomy pouch w/flange,,,1.52,4.17,5
HCPCS,A5055,Stoma cap,,,1.19,3.27,5
HCPCS,A5056,1 pc ost pouch w filter,,,3.98,10.84,5
HCPCS,A5057,1 pc ost pou w built-in conv,,,8.17,22.27,5
HCPCS,A5061,Pouch drainable w barrier at,,,3.01,8.21,5
HCPCS,A5062,Drnble ostomy pouch w/o barr,,,1.9,5.18,5
HCPCS,A5063,Drain ostomy pouch w/flange,,,2.3,6.28,5
HCPCS,A5071,Urinary pouch w/barrier,,,5.12,13.95,5
HCPCS,A5072,Urinary pouch w/o barrier,,,2.56,6.97,5
HCPCS,A5073,Urinary pouch on barr w/flng,,,2.58,7.07,5
HCPCS,A5081,"Stoma plug or seal, any type",,,2.82,7.69,5
HCPCS,A5082,Continent stoma catheter,,,10.14,27.61,5
HCPCS,A5083,Stoma absorptive cover,,,0.55,1.5,5
HCPCS,A5093,Ostomy accessory convex inse,,,1.66,4.53,5
HCPCS,A5102,Bedside drain btl w/wo tube,,,19.2,52.36,5
HCPCS,A5105,Urinary suspensory,,,30.71,83.69,5
HCPCS,A5112,Urinary leg bag,,,25.48,69.48,5
HCPCS,A5113,Latex leg strap,,,4.01,10.93,5
HCPCS,A5114,Foam/fabric leg strap,,,7.61,20.76,5
HCPCS,A5120,"Skin barrier, wipe or swab",,,0.22,0.22,1
HCPCS,A5121,Solid skin barrier 6x6,,,6.35,17.29,5
HCPCS,A5122,Solid skin barrier 8x8,,,10.93,29.8,5
HCPCS,A5126,Disk/foam pad +or- adhesive,,,1.11,3.04,5
HCPCS,A5131,Appliance cleaner,,,13.49,36.78,5
HCPCS,A5200,HC CATH IAB STATLOCK DEVICE,79.2,27.72,9.62,59.0,9
HCPCS,A5200,HC DEVICE STATLCK CV PLS TRI PGTL,19.18,6.72,5.49,26.25,9
HCPCS,A5500,Diab shoe for density insert,,,54.13,147.56,5
HCPCS,A5501,Diabetic custom molded shoe,,,162.34,442.54,5
HCPCS,A5503,Diabetic shoe w/roller/rockr,,,27.56,74.56,5
HCPCS,A5504,Diabetic shoe with wedge,,,27.56,74.56,5
HCPCS,A5505,Diab shoe w/metatarsal bar,,,27.56,74.56,5
HCPCS,A5506,Diabetic shoe w/off set heel,,,27.56,74.56,5
HCPCS,A5507,Modification diabetic shoe,,,27.56,74.56,5
HCPCS,A5508,Diabetic deluxe shoe,,,51.9,51.9,1
HCPCS,A5510,Compression form shoe insert,,,43.25,43.25,1
HCPCS,A5512,Multi den insert direct form,,,22.07,60.18,5
HCPCS,A5513,Multi den insert custom mold,,,32.94,89.81,5
HCPCS,A5514,Mult den insert dir carv/cam,,,32.94,89.81,5
HCPCS,A6000,Wound warming wound cover,,,24.65,24.65,1
HCPCS,A6010,Collagen based wound filler,,,26.37,71.87,5
HCPCS,A6011,Collagen gel/paste wound fil,,,1.94,5.29,5
HCPCS,A6021,HC DSG HEMO SURG ABSORB 2X14,104.16,36.46,17.91,77.6,9
HCPCS,A6021,HC DSG HEMO SURG ABSORB 2X3,104.16,36.46,17.91,77.6,9
HCPCS,A6021,HC DSG HEMO SURG ABSORB 4X8,104.16,36.46,17.91,77.6,9
HCPCS,A6022,Collagen drsg>16<=48 sq in,,,17.91,48.8,5
HCPCS,A6023,Collagen dressing >48 sq in,,,162.0,441.6,5
HCPCS,A6024,Collagen dsg wound filler,,,5.28,14.34,5
HCPCS,A6025,"Silicone gel sheet, each",,,11.16,11.16,1
HCPCS,A6154,Wound pouch each,,,12.23,33.36,5
HCPCS,A6196,Alginate dressing <=16 sq in,,,6.26,17.08,5
HCPCS,A6197,Alginate drsg >16 <=48 sq in,,,14.0,38.17,5
HCPCS,A6198,alginate dressing > 48 sq in,,,34.6,34.6,1
HCPCS,A6199,Alginate drsg wound filler,,,4.5,12.24,5
HCPCS,A6203,HC DSG ACRYLIC ABSORB 4.5X6.8,11.66,4.09,2.87,8.69,9
HCPCS,A6203,HC DSG ACRYLIC ABSORB 5.7X7.7,20.22,7.08,2.87,15.06,9
HCPCS,A6203,HC DSG ACRYLIC ABSORB 5.9X6,33.18,11.62,2.87,24.72,9
HCPCS,A6203,HC DSG ACRYLIC ABSORD 3.1X5.6,7.37,2.58,2.11,7.82,9
HCPCS,A6203,HC DSG ELASTIC NET TUBULAR SX5,65.18,22.82,2.87,48.56,9
HCPCS,A6203,HC DSG STRATASORB 4X10,7.48,2.62,2.14,7.82,9
HCPCS,A6203,HC DSG STRATASORB 6X6,5.89,2.07,1.69,7.82,9
HCPCS,A6204,Composite drsg >16<=48 sq in,,,5.29,14.43,5
HCPCS,A6205,Composite drsg > 48 sq in,,,12.98,12.98,1
HCPCS,A6206,Contact layer <= 16 sq in,,,2.04,2.04,1
HCPCS,A6207,Contact layer >16<= 48 sq in,,,6.25,17.05,5
HCPCS,A6208,Contact layer > 48 sq in,,,55.36,55.36,1
HCPCS,A6209,HC DSG OPTIFORM NON ADH 4X4,8.91,3.12,2.55,17.34,9
HCPCS,A6209,HC DSG OPTIFORM NON ADH 6X6,23.13,8.1,6.37,17.34,9
HCPCS,A6210,HC DSG FOAM LITE 6X6,16.74,5.86,4.79,46.24,9
HCPCS,A6210,HC DSG FOAM TRANSFER,21.5,7.53,6.16,46.24,9
HCPCS,A6211,Foam drg > 48 sq in w/o brdr,,,25.0,68.16,5
HCPCS,A6212,HC DSG BORDER W BORDER 3X3,7.65,2.68,2.19,22.53,9
HCPCS,A6212,HC DSG OPTIFORM ADH 4X4,9.08,3.18,2.6,22.53,9
HCPCS,A6212,HC WOUND FOAM DRESSING 5X5,8.7,3.05,2.49,22.53,9
HCPCS,A6213,HC DSG CONTACT LAYER MEP,29.2,10.22,8.36,21.75,5
HCPCS,A6213,HC DSG FOAM SACRUM S,21.87,7.66,6.26,16.29,5
HCPCS,A6213,HC DSG OPTIFORM ADH 6X6,15.56,5.45,4.46,11.59,5
HCPCS,A6213,HC WOUND DRESSING HEEL 9X9,34.67,12.14,9.79,25.83,5
HCPCS,A6214,HC DSG FOAM SACRUM L,34.38,12.04,8.77,25.61,9
HCPCS,A6215,Foam dressing wound filler,,,6.99,6.99,1
HCPCS,A6216,HC DSG SPONGE GAUZE 4X4IN NSTL,6.62,2.32,0.03,4.93,9
HCPCS,A6217,Non-sterile gauze>16<=48 sq,,,0.26,0.26,1
HCPCS,A6218,Non-sterile gauze > 48 sq in,,,0.22,0.22,1
HCPCS,A6219,Gauze <= 16 sq in w/border,,,0.81,2.21,5
HCPCS,A6220,Gauze >16 <=48 sq in w/bordr,,,2.21,6.01,5
HCPCS,A6221,Gauze > 48 sq in w/border,,,2.92,2.92,1
HCPCS,A6222,Gauze <=16 in no w/sal w/o b,,,1.82,4.95,5
HCPCS,A6223,Gauze >16<=48 no w/sal w/o b,,,2.08,5.63,5
HCPCS,A6224,Gauze > 48 in no w/sal w/o b,,,3.06,8.35,5
HCPCS,A6228,Gauze <= 16 sq in water/sal,,,0.92,0.92,1
HCPCS,A6229,Gauze >16<=48 sq in watr/sal,,,3.06,8.35,5
HCPCS,A6230,Gauze > 48 sq in water/salne,,,1.37,1.37,1
HCPCS,A6231,Hydrogel dsg<=16 sq in,,,4.0,10.88,5
HCPCS,A6232,Hydrogel dsg>16<=48 sq in,,,5.85,15.92,5
HCPCS,A6233,Hydrogel dressing >48 sq in,,,16.33,44.5,5
HCPCS,A6234,HC DSG ULCER 4X4.75IN HYDROCOLOID,13.49,4.73,3.86,15.19,9
HCPCS,A6235,HC DSG WOUND 6X6IN HYDROCOLLOID,23.96,8.39,6.86,39.03,9
HCPCS,A6235,HC DSG WOUND HUDROCOL SACR 6X6.5,41.75,14.62,11.96,39.03,9
HCPCS,A6236,Hydrocolld drg > 48 in w/o b,,,23.2,63.22,5
HCPCS,A6237,Hydrocolld drg <=16 in w/bdr,,,6.73,18.35,5
HCPCS,A6238,HC BNDG ADHSV DISK ANTIB .75X1.5,21.61,7.57,6.19,52.92,9
HCPCS,A6238,HC BNDG ADHSV DISK ANTIB 1X4.0,21.61,7.57,6.19,52.92,9
HCPCS,A6239,Hydrocolld drg > 48 in w/bdr,,,5.19,5.19,1
HCPCS,A6240,Hydrocolld drg filler paste,,,10.43,28.41,5
HCPCS,A6241,Hydrocolloid drg filler dry,,,2.2,5.96,5
HCPCS,A6242,Hydrogel drg <=16 in w/o bdr,,,5.16,14.05,5
HCPCS,A6243,Hydrogel drg >16<=48 w/o bdr,,,10.48,28.59,5
HCPCS,A6244,Hydrogel drg >48 in w/o bdr,,,33.44,91.16,5
HCPCS,A6245,Hydrogel drg <= 16 in w/bdr,,,6.19,16.87,5
HCPCS,A6246,Hydrogel drg >16<=48 in w/b,,,8.46,23.06,5
HCPCS,A6247,Hydrogel drg > 48 sq in w/b,,,20.24,55.18,5
HCPCS,A6248,HC DSG 3OZ HYDROGEL,20.16,7.06,5.77,37.69,9
HCPCS,A6248,HC DSG 8OZ HYDROGEL SPRAY,6.27,2.2,1.8,37.69,9
HCPCS,A6248,HC DSG HYDROGEL SPRAY 1 OZ,91.68,32.09,13.84,68.3,9
HCPCS,A6248,HC GEL WOUND ANTIMIC 1.5 OZ,58.54,20.49,13.84,43.61,9
HCPCS,A6248,HC GEL WOUND ANTIMIC 8 OZ,246.76,86.37,13.84,183.84,9
HCPCS,A6250,HC CREAM MOISTURIZER PRODUCT 4 OZ,19.43,6.81,0.05,14.48,5
HCPCS,A6251,Absorpt drg <=16 sq in w/o b,,,1.7,4.62,5
HCPCS,A6252,Absorpt drg >16 <=48 w/o bdr,,,2.77,7.55,5
HCPCS,A6253,Absorpt drg > 48 sq in w/o b,,,5.4,14.7,5
HCPCS,A6254,Absorpt drg <=16 sq in w/bdr,,,1.02,2.77,5
HCPCS,A6255,Absorpt drg >16<=48 in w/bdr,,,2.58,7.07,5
HCPCS,A6256,Absorpt drg > 48 sq in w/bdr,,,6.92,6.92,1
HCPCS,A6257,Transparent film <= 16 sq in,,,1.3,3.55,5
HCPCS,A6258,Transparent film >16<=48 in,,,3.67,10.0,5
HCPCS,A6259,Transparent film > 48 sq in,,,9.31,25.38,5
HCPCS,A6260,Wound cleanser any type/size,,,0.45,0.45,1
HCPCS,A6261,Wound filler gel/paste /oz,,,1.82,1.82,1
HCPCS,A6262,HC HYG POWDER WOUND BTL 5G,36.84,12.9,0.45,27.45,5
HCPCS,A6266,HC DSG STRIP PK 1X5YD IODOFRM,6.94,2.43,1.63,5.17,9
HCPCS,A6266,HC DSG STRIP PK 2X5YD IODOFRM,10.69,3.75,1.63,7.96,9
HCPCS,A6402,HC SPONGE WND NS GZE 12-PLY 3X3IN,9.06,3.18,0.1,6.75,9
HCPCS,A6403,Sterile gauze>16 <= 48 sq in,,,0.35,0.94,5
HCPCS,A6404,Sterile gauze > 48 sq in,,,0.22,0.22,1
HCPCS,A6407,HC DSG STRIP PK 1/2X5YD IODOFRM,6.74,2.36,1.59,5.02,9
HCPCS,A6407,HC DSG STRIP PK 1/2X5YD PLAIN,5.38,1.89,1.54,4.33,9
HCPCS,A6407,HC DSG STRIP PK 1/4X5YD IODOFRM,5.63,1.98,1.59,4.33,9
HCPCS,A6407,HC DSG STRIP PK 1/4X5YD PLAIN,5.4,1.89,1.55,4.33,9
HCPCS,A6407,HC DSG STRIP PK 1INX5YD PLAIN,6.1,2.14,1.59,4.54,9
HCPCS,A6407,HC DSG STRIP PK 2INX5YD PLAIN,9.05,3.17,1.59,6.74,9
HCPCS,A6410,Sterile eye pad,,,0.33,0.86,5
HCPCS,A6411,Non-sterile eye pad,,,0.26,0.26,1
HCPCS,A6412,Occlusive eye patch,,,0.22,0.22,1
HCPCS,A6413,"Adhesive bandage, first-aid",,,0.61,0.61,1
HCPCS,A6441,"Pad band w>=3"" <5""/yd",,,0.59,1.58,5
HCPCS,A6442,"Conform band n/s w<3""/yd",,,0.14,0.37,5
HCPCS,A6443,"Conform band n/s w>=3""<5""/yd",,,0.24,0.65,5
HCPCS,A6444,"Conform band n/s w>=5""/yd",,,0.47,1.3,5
HCPCS,A6445,"Conform band s w <3""/yd",,,0.28,0.73,5
HCPCS,A6446,"Conform band s w>=3"" <5""/yd",,,0.33,0.9,5
HCPCS,A6447,"Conform band s w >=5""/yd",,,0.59,1.58,5
HCPCS,A6448,"Lt compres band <3""/yd",,,0.99,2.67,5
HCPCS,A6449,HC BNDG ELAS STL 6INX5YDS,5.59,1.96,1.49,4.16,9
HCPCS,A6450,"Lt compres band >=5""/yd",,,1.49,4.07,5
HCPCS,A6451,"Mod compres band w>=3""<5""/yd",,,1.49,4.07,5
HCPCS,A6452,HC DSG KIT 4 LAYER COMPRESSION,32.05,11.22,5.02,23.88,9
HCPCS,A6453,"Self-adher band w <3""/yd",,,0.54,1.47,5
HCPCS,A6454,"Self-adher band w>=3"" <5""/yd",,,0.66,1.82,5
HCPCS,A6455,HC DSG COBAN SLFADH STRL LF 6X5YD,11.69,4.1,1.18,8.71,9
HCPCS,A6456,"Zinc paste band w >=3""<5""/yd",,,1.07,2.91,5
HCPCS,A6457,HC DSG ELASTIC NET TUBULAR 1 1/2,40.79,14.28,0.97,30.39,9
HCPCS,A6457,HC DSG ELASTIC NET TUBULAR 5/8,34.34,12.02,0.97,25.58,9
HCPCS,A6457,HC DSG ELASTIC NET TUBULAR SX4,50.4,17.64,0.97,37.55,9
HCPCS,A6501,Compres burngarment bodysuit,,,8.65,8.65,1
HCPCS,A6502,Compres burngarment chinstrp,,,173.0,173.0,1
HCPCS,A6503,Compres burngarment facehood,,,86.5,86.5,1
HCPCS,A6504,Cmprsburngarment glove-wrist,,,155.7,155.7,1
HCPCS,A6505,Cmprsburngarment glove-elbow,,,129.75,129.75,1
HCPCS,A6506,Cmprsburngrmnt glove-axilla,,,69.2,69.2,1
HCPCS,A6507,Cmprs burngarment foot-knee,,,3.51,3.51,1
HCPCS,A6508,Cmprs burngarment foot-thigh,,,4.86,4.86,1
HCPCS,A6509,Compres burn garment jacket,,,2.18,2.18,1
HCPCS,A6510,Compres burn garment leotard,,,2.18,2.18,1
HCPCS,A6511,Compres burn garment panty,,,2.18,2.18,1
HCPCS,A6512,"HC DRESSING,BURN,18X 18,50 PLY",27.79,9.73,2.18,20.7,5
HCPCS,A6513,Compress burn mask face/neck,,,51.45,51.45,1
HCPCS,A6520,G com garmnt glove nghttime,,,76.52,205.89,5
HCPCS,A6521,G com garmnt glove nght cust,,,303.62,816.95,5
HCPCS,A6522,G com garment arm nighttime,,,185.92,500.28,5
HCPCS,A6523,G com garment arm nght custm,,,441.13,1186.99,5
HCPCS,A6524,G com garmnt lwr leg/ft nght,,,231.96,624.15,5
HCPCS,A6525,G com garm lwrleg/ft ngt cus,,,468.29,1260.06,5
HCPCS,A6526,G com garmt full leg/ft nght,,,419.39,1128.44,5
HCPCS,A6527,G garmt full leg/ft nght cus,,,771.2,2075.06,5
HCPCS,A6528,G com garment bra nighttime,,,403.26,1085.07,5
HCPCS,A6529,G com garmt bra night custm,,,637.23,1714.56,5
HCPCS,A6530,Compression stocking BK18-30,,,39.07,63.61,5
HCPCS,A6531,Compress stking bk30-40 surg,,,28.63,28.63,1
HCPCS,A6532,Compress stking bk40-50 surg,,,40.34,40.34,1
HCPCS,A6533,Gc stocking thighlngth 18-30,,,54.86,89.32,5
HCPCS,A6534,Gc stocking thighlngth 30-40,,,62.65,102.01,5
HCPCS,A6535,Gc stocking thighlngth 40+,,,72.13,117.44,5
HCPCS,A6536,Gc stocking full lngth 18-30,,,73.95,120.41,5
HCPCS,A6537,Gc stocking full lngth 30-40,,,87.67,142.74,5
HCPCS,A6538,Gc stocking full lngth 40+,,,102.65,167.13,5
HCPCS,A6539,Gc stocking waistlngth 18-30,,,97.86,188.57,5
HCPCS,A6540,Gc stocking waistlngth 30-40,,,116.68,207.6,5
HCPCS,A6541,Gc stocking waistlngth 40+,,,138.21,242.2,5
HCPCS,A6544,Gc stocking garter belt,,,38.9,63.34,5
HCPCS,A6545,HC WRAP LEG COMPRS LONG L,168.0,58.8,48.12,125.16,5
HCPCS,A6545,HC WRAP LEG COMPRS LONG M,168.0,58.8,48.12,125.16,5
HCPCS,A6545,HC WRAP LEG COMPRS LONG XL,168.0,58.8,48.12,125.16,5
HCPCS,A6545,HC WRAP LEG COMPRS SHORT L,168.0,58.8,48.12,125.16,5
HCPCS,A6545,HC WRAP LEG COMPRS SHORT M,168.0,58.8,48.12,125.16,5
HCPCS,A6545,HC WRAP LEG COMPRS SHORT XL,168.0,58.8,48.12,125.16,5
HCPCS,A6548,Acces cust grad silic band,,,20.86,33.96,4
HCPCS,A6549,HC STOCKING 23IN KNEE-HI PNEUM,105.18,36.82,30.12,121.1,5
HCPCS,A6549,HC STOCKING ANTIEMB KNEE LGTH XL,13.49,4.73,3.86,121.1,5
HCPCS,A6550,Neg pres wound ther drsg set,,,18.74,50.6,5
HCPCS,A6552,Grad com stocking bk 30-40,,,35.08,94.39,5
HCPCS,A6553,G com stcking bk 30-40 custm,,,136.98,368.59,5
HCPCS,A6554,Grad com stocking bk 40+,,,48.23,129.8,5
HCPCS,A6555,G com stcking bk 40+ custm,,,136.98,368.59,5
HCPCS,A6556,G com stcking thgh18-30 cust,,,187.74,505.15,5
HCPCS,A6557,G com stcking thgh30-40 cust,,,187.74,505.15,5
HCPCS,A6558,G com stcking thgh 40+ cust,,,193.74,521.3,5
HCPCS,A6562,G com stckng waist18-30 cust,,,614.43,1653.23,5
HCPCS,A6563,G com stckng waist30-40 cust,,,614.43,1653.23,5
HCPCS,A6564,G com stckng waist 40+ cust,,,661.86,1780.89,5
HCPCS,A6565,Grad comp gauntlet custom,,,106.17,285.67,5
HCPCS,A6566,Grad com garment neck/head,,,154.16,414.78,5
HCPCS,A6567,G com garment neck/head cust,,,484.35,1303.24,5
HCPCS,A6568,G com garment torso/shldr,,,100.6,270.7,5
HCPCS,A6569,G com garmnt torso/shdr cust,,,572.89,1541.48,5
HCPCS,A6570,Grad com garment genital,,,68.54,184.44,5
HCPCS,A6571,G com garment genital custm,,,411.98,1108.54,5
HCPCS,A6572,Grad com garment toe caps,,,63.61,171.14,5
HCPCS,A6573,Grad com garmnt toe cap cust,,,150.94,406.12,5
HCPCS,A6574,Custom gradient sleev/glov,,,192.43,517.75,5
HCPCS,A6575,Gradient comp sleev/glov,,,62.37,167.79,5
HCPCS,A6576,Custom grad com sleeve med,,,118.11,317.76,5
HCPCS,A6577,Custom grad cm sleeve heavy,,,97.75,263.0,5
HCPCS,A6578,Gradient comp sleeve,,,48.13,129.52,5
HCPCS,A6579,Custom grad com glove med,,,189.56,510.05,5
HCPCS,A6580,Custom grad com glove heavy,,,188.17,506.31,5
HCPCS,A6581,Gradient comp glove,,,44.17,118.84,5
HCPCS,A6582,Gradient comp gauntlet,,,29.46,79.26,5
HCPCS,A6583,Grad com wrap w straps bk,,,96.9,260.72,5
HCPCS,A6585,Grad com wrap w straps ak,,,114.73,308.71,5
HCPCS,A6586,Grad com wrap w strap fu leg,,,338.01,909.5,5
HCPCS,A6587,Grad com wrap w straps foot,,,44.27,119.14,5
HCPCS,A6588,Grad com wrap w strap arm,,,147.57,397.07,5
HCPCS,A6589,Grad com wrap w straps bra,,,58.25,156.75,5
HCPCS,A6590,Urinary cath disp suc pump,,,288.15,726.34,5
HCPCS,A6591,Urinary cath suc pump,,,58.53,147.58,5
HCPCS,A6594,G comp bandge liner lwr extr,,,21.21,57.07,5
HCPCS,A6595,G comp bandge liner upr extr,,,20.86,56.14,5
HCPCS,A6596,G comp bandge conform gauze,,,0.1,0.29,5
HCPCS,A6597,G comp bandage long stretch,,,0.93,2.52,5
HCPCS,A6598,G comp bandage med stretch,,,0.45,1.22,5
HCPCS,A6599,G comp bandage short stretch,,,1.04,2.77,5
HCPCS,A6600,G com bandge hgh dn foam sht,,,1.85,5.0,5
HCPCS,A6601,G com bandge hgh dn foam pad,,,2.09,5.62,5
HCPCS,A6602,G com bandge hgh dn foamroll,,,3.04,8.19,5
HCPCS,A6603,G com bandge low dn foamchnl,,,1.44,3.84,5
HCPCS,A6604,G com bandge low dn foam flt,,,0.83,2.25,5
HCPCS,A6605,G com bandage padded foam,,,0.95,2.56,5
HCPCS,A6606,G com bandage padded textile,,,2.84,7.6,5
HCPCS,A6607,G com bandage tub protct lyr,,,0.76,2.04,5
HCPCS,A6608,G com bandage tub protct pad,,,3.15,8.48,5
HCPCS,A6610,G com stcking bk 18-30 custm,,,136.98,368.59,5
HCPCS,A7000,Disposable canister for pump,,,6.57,6.57,1
HCPCS,A7001,Nondisposable pump canister,,,18.94,18.94,1
HCPCS,A7002,Tubing used w suction pump,,,2.08,2.08,1
HCPCS,A7003,Nebulizer administration set,,,1.4,1.4,1
HCPCS,A7004,Disposable nebulizer sml vol,,,0.99,0.99,1
HCPCS,A7005,Nondisposable nebulizer set,,,12.77,12.77,1
HCPCS,A7006,Filtered nebulizer admin set,,,6.26,6.26,1
HCPCS,A7007,Lg vol nebulizer disposable,,,2.77,2.77,1
HCPCS,A7008,Disposable nebulizer prefill,,,5.97,5.97,1
HCPCS,A7009,Nebulizer reservoir bottle,,,26.61,26.61,1
HCPCS,A7010,Disposable corrugated tubing,,,13.03,13.03,1
HCPCS,A7012,Nebulizer water collec devic,,,2.39,2.39,1
HCPCS,A7013,Disposable compressor filter,,,0.45,0.45,1
HCPCS,A7014,Compressor nondispos filter,,,2.85,2.85,1
HCPCS,A7015,Aerosol mask used w nebulize,,,1.12,1.12,1
HCPCS,A7016,Nebulizer dome & mouthpiece,,,4.41,4.41,1
HCPCS,A7017,Nebulizer not used w oxygen,,,71.57,71.57,1
HCPCS,A7018,Water distilled w/nebulizer,,,0.24,0.63,5
HCPCS,A7020,"Interface, cough stim device",,,9.22,9.22,1
HCPCS,A7025,Replace chest compress vest,,,277.73,277.73,1
HCPCS,A7026,Replace chst cmprss sys hose,,,18.3,18.3,1
HCPCS,A7027,Combination oral/nasal mask,,,107.12,107.12,1
HCPCS,A7028,Repl oral cushion combo mask,,,28.94,28.94,1
HCPCS,A7029,Repl nasal pillow comb mask,,,12.58,12.58,1
HCPCS,A7030,CPAP full face mask,,,84.51,84.51,1
HCPCS,A7031,Replacement facemask interfa,,,31.81,31.81,1
HCPCS,A7032,Replacement nasal cushion,,,18.01,18.01,1
HCPCS,A7033,Replacement nasal pillows,,,13.89,13.89,1
HCPCS,A7034,Nasal application device,,,53.37,53.37,1
HCPCS,A7035,Pos airway press headgear,,,17.09,17.09,1
HCPCS,A7036,Pos airway press chinstrap,,,8.68,8.68,1
HCPCS,A7037,Pos airway pressure tubing,,,14.38,14.38,1
HCPCS,A7038,Pos airway pressure filter,,,2.16,2.16,1
HCPCS,A7039,"Filter, non disposable w pap",,,5.81,5.81,1
HCPCS,A7040,One way chest drain valve,,,34.89,95.1,5
HCPCS,A7041,Water seal drain container,,,65.53,178.63,5
HCPCS,A7044,PAP oral interface,,,67.4,67.4,1
HCPCS,A7045,Repl exhalation port for PAP,,,7.35,7.35,1
HCPCS,A7046,"Repl water chamber, PAP dev",,,11.04,11.04,1
HCPCS,A7047,Resp suction oral interface,,,77.21,77.21,1
HCPCS,A7048,Vacuum drain bottle/tube kit,,,36.47,99.42,5
HCPCS,A7501,Tracheostoma valve w diaphra,,,89.39,243.68,5
HCPCS,A7502,Replacement diaphragm/fplate,,,42.49,115.85,5
HCPCS,A7503,HMES filter holder or cap,,,9.65,26.33,5
HCPCS,A7504,Tracheostoma HMES filter,,,0.59,1.58,5
HCPCS,A7505,HMES or trach valve housing,,,4.0,10.88,5
HCPCS,A7506,HMES/trachvalve adhesivedisk,,,0.28,0.75,5
HCPCS,A7507,Integrated filter & holder,,,2.13,5.8,5
HCPCS,A7508,Housing & Integrated Adhesiv,,,2.44,6.66,5
HCPCS,A7509,Heat & moisture exchange sys,,,1.19,3.27,5
HCPCS,A7520,HC TUBE 7MM TRACH UNCUF FEN PRTX,85.87,30.06,24.59,110.16,9
HCPCS,A7520,HC TUBE ET 5.5MM CUFFED,6.18,2.17,1.77,110.16,9
HCPCS,A7520,HC TUBE ET 5MM UNCUF,17.03,5.97,4.88,110.16,9
HCPCS,A7520,HC TUBE ET 6MM CUFFED,9.66,3.39,2.77,110.16,9
HCPCS,A7520,HC TUBE ET MURPHY 3.5MM PEDI,19.88,6.96,5.69,110.16,9
HCPCS,A7520,HC TUBE ET MURPHY 3MM PEDI,22.71,7.95,6.5,110.16,9
HCPCS,A7520,HC TUBE ET MURPHY 4MM PEDI,24.68,8.64,7.07,110.16,9
HCPCS,A7520,HC TUBE MRPH 2.5MM NEO/PEDI,19.88,6.96,5.69,110.16,9
HCPCS,A7520,HC TUBE TRACH 4MM PEDI,102.52,35.89,29.36,110.16,9
HCPCS,A7520,HC TUBE TRACH FEN 6MM NCUFF,75.09,26.29,21.51,110.16,9
HCPCS,A7520,HC TUBE TRACH FEN 8MM NCUFF,79.25,27.74,22.7,110.16,9
HCPCS,A7520,HC TUBE TRACH SHILEY 4MM NONFEN,125.58,43.96,35.97,110.16,9
HCPCS,A7520,HC TUBE TRACH SHILEY 6MM NONFEN,121.4,42.49,34.77,110.16,9
HCPCS,A7520,HC TUBE TRACH SHILEY 8MM NONFEN,123.65,43.28,35.41,110.16,9
HCPCS,A7521,"HC TUBE HI LO ET W/EVAC LUM, SZ 6",37.97,13.29,10.87,109.15,9
HCPCS,A7521,"HC TUBE HI LO ET W/EVAC LUM,SZ 7",42.84,15.0,12.27,109.15,9
HCPCS,A7521,"HC TUBE HI LO ET W/EVAC LUM,SZ 8",42.84,15.0,12.27,109.15,9
HCPCS,A7521,"HC TUBE HI LO ET W/EVAC LUM,SZ7.5",42.84,15.0,12.27,109.15,9
HCPCS,A7521,HC TUBE TRACH CUFF XLT DIST 7.0MM,208.32,72.92,40.05,155.2,9
HCPCS,A7521,HC TUBE TRACH CUFF XLT DIST 8.0MM,208.32,72.92,40.05,155.2,9
HCPCS,A7521,HC TUBE TRACH CUFF XLT PROX 7.0MM,208.32,72.92,40.05,155.2,9
HCPCS,A7521,HC TUBE TRACH CUFF XLT PROX 8.0MM,208.32,72.92,40.05,155.2,9
HCPCS,A7521,HC TUBE TRACH CUFFED FEN 7MM,86.43,30.26,24.75,109.15,9
HCPCS,A7521,HC TUBE TRACH FEN 6MM CUFF,86.5,30.28,24.77,109.15,9
HCPCS,A7521,HC TUBE TRACH FEN 8MM,86.43,30.26,24.75,109.15,9
HCPCS,A7521,HC TUBE TRACH FLEX 6 CUFF DIC,82.05,28.72,23.5,109.15,9
HCPCS,A7521,HC TUBE TRACH FLEX 7 CUFF DIC,82.05,28.72,23.5,109.15,9
HCPCS,A7521,HC TUBE TRACH FLEX 8 CUFF,82.05,28.72,23.5,109.15,9
HCPCS,A7521,HC TUBE TRACH LO PRESS CUFF 6,198.78,69.58,40.05,148.09,9
HCPCS,A7522,Trach/laryn tube stainless,,,38.44,104.79,5
HCPCS,A7523,Tracheostomy shower protect,,,3.03,3.03,1
HCPCS,A7524,Tracheostoma stent/stud/bttn,,,65.9,179.64,5
HCPCS,A7525,Tracheostomy mask,,,1.75,4.79,5
HCPCS,A7526,Tracheostomy tube collar,,,2.89,7.86,5
HCPCS,A7527,Trach/laryn tube plug/stop,,,3.04,8.3,5
HCPCS,A8000,Soft protect helmet prefab,,,97.94,97.94,1
HCPCS,A8001,Hard protect helmet prefab,,,97.94,97.94,1
HCPCS,A8002,Soft protect helmet custom,,,254.93,254.93,1
HCPCS,A8003,Hard protect helmet custom,,,279.72,279.72,1
HCPCS,A9150,Misc/exper non-prescript dru,,,8.27,8.27,1
HCPCS,A9155,Drugs - Other,,,52.07,52.07,1
HCPCS,A9155,Oncology Drugs,,,14.15,14.15,1
HCPCS,A9155,Other Outpatient Services - CPT/HCPCS,,,16.49,16.49,1
HCPCS,A9156,Oral mucoadhesive per 1 ml,,,4.03,4.44,2
HCPCS,A9180,"Lice treatment, topical",,,1.49,4.67,3
HCPCS,A9270,Non-covered item or service,,,0.02,0.02,1
HCPCS,A9272,"Disp wound suct, drsg/access",,,105.62,105.62,1
HCPCS,A9273,Hot/cold botle/cap/col/wrap,,,7.99,7.99,1
HCPCS,A9274,Ext amb insulin delivery sys,,,34.34,34.34,1
HCPCS,A9275,Disp home glucose monitor,,,1.56,1.56,1
HCPCS,A9276,"Disposable sensor, cgm sys",,,17.3,17.3,1
HCPCS,A9277,"External transmitter, cgm",,,692.0,692.0,1
HCPCS,A9278,"External receiver, cgm sys",,,692.0,692.0,1
HCPCS,A9279,HC FLO TRAC SENSOR,1328.88,465.11,380.59,990.02,5
HCPCS,A9279,HC KIT CO-SET CARDIAC OUTPUT,50.32,17.62,14.41,37.49,5
HCPCS,A9279,HC KIT ICP MONITOR,1626.73,569.36,465.9,1211.91,5
HCPCS,A9279,HC KIT MONITOR 60IN SINGLE LINE,28.28,9.9,8.1,21.07,5
HCPCS,A9279,HC MNTR ICP TRANSDUCE STAND ALONE,23.29,8.16,6.67,17.35,5
HCPCS,A9279,HC POUCH TELEMETRY DISP,6.15,2.16,1.76,4.58,5
HCPCS,A9279,HC TUBE ET C02 DECT END TIDAL PED,30.24,10.59,8.66,22.53,5
HCPCS,A9280,HC PAD CHAIR SENSOR SNGL USE,49.79,17.43,14.26,37.09,5
HCPCS,A9281,Reaching/grabbing device,,,12.32,12.32,1
HCPCS,A9282,Wig any type,,,1730.0,1730.0,1
HCPCS,A9283,Foot press off load supp dev,,,44.62,44.62,1
HCPCS,A9284,Non-electronic spirometer,,,17.21,17.21,1
HCPCS,A9500,HC TECH TC 99M SESTAMIBI/CARDIOLI,337.38,118.09,96.63,743.46,5
HCPCS,A9501,Technetium TC-99m teboroxime,,,134.78,134.78,1
HCPCS,A9502,Tc99m tetrofosmin,,,141.62,447.17,4
HCPCS,A9503,HC HDP/MDP ISOTOPE,85.02,29.76,23.87,68.17,5
HCPCS,A9504,Tc99m apcitide,,,692.0,808.25,3
HCPCS,A9505,TL201 thallium,,,54.24,171.27,4
HCPCS,A9506,Tc-99m graphite crucible,,,328.6,535.03,4
HCPCS,A9507,In111 capromab,,,0.05,8071.08,8
HCPCS,A9508,"I131 iodobenguate, dx",,,0.05,1631.64,8
HCPCS,A9509,Iodine I-123 sod iodide mil,,,0.05,299.31,4
HCPCS,A9510,Tc99m disofenin,,,0.05,128.52,4
HCPCS,A9512,Tc99m pertechnetate,,,2.6,11.35,4
HCPCS,A9513,Lutetium lu 177 dotatat ther,,,319.94,1436.88,8
HCPCS,A9515,Choline c-11,,,2516.43,26220.5,7
HCPCS,A9516,HC I 123 ISOTOPE,285.7,100.0,98.0,468.47,5
HCPCS,A9517,"I131 iodide cap, rx",,,24.07,121.74,7
HCPCS,A9520,Tc99 tilmanocept diag 0.5mci,,,1214.66,3469.35,3
HCPCS,A9521,Tc99m exametazime,,,2592.27,8322.43,4
HCPCS,A9524,"I131 serum albumin, dx",,,131.48,412.78,3
HCPCS,A9526,Nitrogen N-13 ammonia,,,1094.47,3455.86,4
HCPCS,A9527,Iodine I-125 sodium iodide,,,99.25,645.29,7
HCPCS,A9528,HC I 131 ISOTOPE PER MCI,24.04,8.42,6.89,157.76,5
HCPCS,A9529,"I131 iodide sol, dx",,,1.82,1.82,1
HCPCS,A9530,"I131 iodide sol, rx",,,7.75,33.82,7
HCPCS,A9531,I131 max 100uCi,,,2.96,7.03,3
HCPCS,A9532,"I125 serum albumin, dx",,,36.33,763.72,7
HCPCS,A9536,Tc99m depreotide,,,1200.87,1937.6,3
HCPCS,A9537,Tc99m mebrofenin,,,91.86,296.3,4
HCPCS,A9538,HC TC99M PYROPHOSPHATE,120.16,42.06,41.21,335.87,5
HCPCS,A9539,Tc99m pentetate,,,0.05,57.53,4
HCPCS,A9540,HC TC99M MAA,61.0,21.35,20.92,157.32,5
HCPCS,A9541,HC SULFUR COLOID ISOTOPE,51.37,17.98,17.62,1402.12,5
HCPCS,A9542,"In111 ibritumomab, dx",,,0.05,6649.22,4
HCPCS,A9543,"Y90 ibritumomab, rx",,,56824.55,323929.93,8
HCPCS,A9546,Co57/58,,,0.92,2.16,3
HCPCS,A9547,In111 oxyquinoline,,,493.81,9377.14,8
HCPCS,A9548,In111 pentetate,,,296.08,4094.96,8
HCPCS,A9550,Tc99m gluceptate,,,35.17,35.17,1
HCPCS,A9551,Tc99m succimer,,,659.93,1135.13,7
HCPCS,A9552,HC FDG PER STUDY DOSE UP TO 45 MCI,797.97,279.29,228.54,179999.58,5
HCPCS,A9553,Cr51 chromate,,,0.05,3122.82,8
HCPCS,A9554,"I125 iothalamate, dx",,,60.51,1057.74,8
HCPCS,A9555,Rb82 rubidium,,,318.41,755.3,3
HCPCS,A9556,HC GA67 GALLIUM,45.67,15.99,0.05,247.89,5
HCPCS,A9557,Tc99m bicisate,,,775.52,17125.35,8
HCPCS,A9558,Xe133 xenon 10mci,,,338.76,1213.38,4
HCPCS,A9559,Co57 cyano,,,0.05,359.29,4
HCPCS,A9560,Tc99m labeled rbc,,,155.11,524.41,4
HCPCS,A9561,Tc99m oxidronate,,,73.08,84.28,3
HCPCS,A9562,HC MAG3 ISOTOPE,301.62,105.57,86.38,179999.58,5
HCPCS,A9563,P32 Na phosphate,,,278.24,1598.83,8
HCPCS,A9564,P32 chromic phosphate,,,106.59,252.85,3
HCPCS,A9566,Tc99m fanolesomab,,,357.63,357.63,1
HCPCS,A9567,Technetium TC-99m aerosol,,,14.34,34.04,3
HCPCS,A9568,Technetium tc99m arcitumomab,,,0.05,1941.77,4
HCPCS,A9569,Technetium TC-99m auto WBC,,,934.13,8322.43,8
HCPCS,A9570,Indium In-111 auto WBC,,,1103.19,18754.21,8
HCPCS,A9571,Indium IN-111 auto platelet,,,5939.44,18754.21,4
HCPCS,A9572,Indium In-111 pentetreotide,,,2000.94,179999.58,7
HCPCS,A9573,"Inj, gadopiclenol, 1 ml",,,7.5,18.34,2
HCPCS,A9575,Inj gadoterate meglumi 0.1ml,,,0.21,0.73,4
HCPCS,A9576,Inj prohance multipack,,,2.52,7.6,4
HCPCS,A9577,Inj multihance,,,3.04,9.48,4
HCPCS,A9578,Inj multihance multipack,,,2.92,9.6,4
HCPCS,A9579,HC GADOLINIUM 5ML,49.71,17.4,2.51,17.05,5
HCPCS,A9579,HC GADOLINIUM MAGN 10ML/20ML VL,256.83,89.9,2.51,88.09,5
HCPCS,A9580,Sodium fluoride F-18,,,173.78,437.63,3
HCPCS,A9581,Gadoxetate disodium inj,,,24.32,77.24,4
HCPCS,A9582,Iodine I-123 iobenguane,,,2317.5,23623.46,8
HCPCS,A9583,Gadofosveset trisodium inj,,,0.05,30.9,2
HCPCS,A9584,Iodine I-123 ioflupane,,,1387.74,12942.44,7
HCPCS,A9585,Gadobutrol injection,,,0.48,1.83,4
HCPCS,A9586,Florbetapir F18,,,1825.64,14984.5,8
HCPCS,A9587,HC GALLIUM GA 68 DOTATATE DIAGNOSTIC 0.1 MCI,164.93,57.73,49.63,291.36,10
HCPCS,A9588,HC FLUCICLOVINE F 18 AXIUM DIAGNOSTIC 1MCI,1034.88,362.21,322.27,2517.17,10
HCPCS,A9589,Insti hexaminolevulinate hcl,,,2181.04,6525.97,4
HCPCS,A9590,Iodine i-131 iobenguane 1mci,,,550.57,1680.15,4
HCPCS,A9591,Fluoroestradiol F 18,,,460.42,3668.51,7
HCPCS,A9592,Copper cu 64 dotatate diag,,,594.28,5047.46,7
HCPCS,A9593,Gallium GA-68 PSMA-11 UCSF,,,550.13,3708.31,8
HCPCS,A9594,"Gallium GA-68 PSMA-11, UCLA",,,363.5,3630.86,8
HCPCS,A9595,"Piflu f-18, dia 1 millicurie",,,346.49,2871.16,8
HCPCS,A9596,Gallium illuccix 1 millicure,,,478.52,4929.45,8
HCPCS,A9600,HC SR89 STRONTIUM,2505.91,877.07,859.53,19665.38,10
HCPCS,A9601,Flortaucipir inj 1 millicuri,,,371.0,6121.5,8
HCPCS,A9602,Fluorodopa f-18 diag per mci,,,737.35,2616.12,8
HCPCS,A9603,"Inj, pafolacianine, 0.1 mg",,,220.58,243.84,2
HCPCS,A9604,Sm 153 lexidronam,,,3159.8,85389.06,8
HCPCS,A9606,Radium ra223 dichloride ther,,,171.09,803.08,8
HCPCS,A9607,Lutetium lu 177 vipivotide,,,259.6,1136.66,8
HCPCS,A9608,Flotufolastat f18 diag 1 mci,,,671.22,1128.75,7
HCPCS,A9611,"Flurpiridaz f18, diag, 1 mci",,,530.0,862.95,4
HCPCS,A9615,"Inj, pegulicianine, 1 mg",,,37.51,61.07,4
HCPCS,A9616,Gallium gozellix 1 millicuri,,,1171.3,1907.11,4
HCPCS,A9697,"Inj, magtrace per study dose",,,1254.0,2041.76,4
HCPCS,A9699,Radiopharm rx agent noc,,,31840.96,75532.13,2
HCPCS,A9700,Echocardiography Contrast,,,167.33,167.33,1
HCPCS,A9800,Gallium locametz 1 millicuri,,,362.5,4321.14,8
HCPCS,A9901,Delivery/set up/dispensing,,,5.59,5.59,1
HCPCS,B4034,Enter feed supkit syr by day,,,4.02,6.55,5
HCPCS,B4035,Enteral feed supp pump per d,,,7.14,11.63,5
HCPCS,B4036,Enteral feed sup kit grav by,,,5.39,8.78,5
HCPCS,B4081,HC TUBE FEED SANDOZ 8FR NG STYLET,37.85,13.25,10.84,32.01,9
HCPCS,B4082,HC CATH PICC 24GX30C PEDI,237.96,83.29,13.96,177.28,9
HCPCS,B4083,HC TUBE FEED 10FR NG,3.5,1.23,1.0,3.55,9
HCPCS,B4083,HC TUBE FEED 5FR NG,2.19,0.77,0.63,3.55,9
HCPCS,B4083,HC TUBE FEED 8F STL,2.98,1.05,0.85,3.55,9
HCPCS,B4087,HC TUBE BUTTON GAST MCKY 12FR 1.5,305.88,107.06,36.1,227.88,9
HCPCS,B4087,HC TUBE BUTTON GAST MCKY 14FR 1.2,305.88,107.06,36.1,227.88,9
HCPCS,B4087,HC TUBE GAST TRI FUN REPLC,98.22,34.38,28.13,73.17,9
HCPCS,B4087,HC TUBE LAVAGE 34FRX49IN ADLT NG,176.83,61.9,36.1,131.74,9
HCPCS,B4088,HC TUBE BUTTON GAST MCKY 14FR 1.0,305.88,107.06,43.59,227.88,9
HCPCS,B4088,HC TUBE BUTTON GAST MCKY 14FR 1.5,305.88,107.06,43.59,227.88,9
HCPCS,B4088,HC TUBE BUTTON GAST MCKY 18FR 1.7,305.98,107.1,43.59,227.96,9
HCPCS,B4088,HC TUBE SET EXT SECURE LOK,25.19,8.82,7.21,70.97,9
HCPCS,B4100,Food thickener oral,,,0.66,0.66,1
HCPCS,B4102,EF adult fluids and electro,,,9.41,9.41,1
HCPCS,B4103,EF ped fluid and electrolyte,,,5.95,5.95,1
HCPCS,B4104,Additive for enteral formula,,,0.16,0.16,1
HCPCS,B4148,Enteral feed elastomer daily,,,7.57,12.33,4
HCPCS,B4149,EF blenderized foods,,,1.31,2.13,5
HCPCS,B4150,EF complet w/intact nutrient,,,0.48,0.78,5
HCPCS,B4152,EF calorie dense>/=1.5Kcal,,,0.41,0.67,5
HCPCS,B4153,EF hydrolyzed/amino acids,,,1.59,2.59,5
HCPCS,B4154,EF spec metabolic noninherit,,,0.86,1.4,5
HCPCS,B4155,EF incomplete/modular,,,1.0,1.63,5
HCPCS,B4157,EF special metabolic inherit,,,1.26,1.26,1
HCPCS,B4158,EF ped complete intact nut,,,0.71,0.71,1
HCPCS,B4159,EF ped complete soy based,,,0.71,0.71,1
HCPCS,B4160,EF ped caloric dense>/=0.7kc,,,0.59,0.59,1
HCPCS,B4161,EF ped hydrolyzed/amino acid,,,1.97,1.97,1
HCPCS,B4162,EF ped specmetabolic inherit,,,1.26,1.26,1
HCPCS,B4164,Parenteral 50% dextrose solu,,,25.15,40.95,5
HCPCS,B4168,Parenteral sol amino acid 3.,,,36.68,59.72,5
HCPCS,B4172,Parenteral sol amino acid 5.,,,56.38,56.38,1
HCPCS,B4176,Parenteral sol amino acid 7-,,,70.96,115.54,5
HCPCS,B4178,Parenteral sol amino acid >,,,85.16,138.66,5
HCPCS,B4180,Parenteral sol carb > 50%,,,36.11,58.79,5
HCPCS,B4185,Pn soln nos 10 grams lipids,,,16.62,27.06,5
HCPCS,B4187,"Omegaven, 10 grams lipids",,,16.62,27.06,5
HCPCS,B4189,Parenteral sol amino acid &,,,263.06,428.31,5
HCPCS,B4193,Parenteral sol 52-73 gm prot,,,339.9,553.43,5
HCPCS,B4197,Parenteral sol 74-100 gm pro,,,413.83,673.8,5
HCPCS,B4199,Parenteral sol > 100gm prote,,,472.87,769.93,5
HCPCS,B4216,Parenteral nutrition additiv,,,11.42,18.59,5
HCPCS,B4220,Parenteral supply kit premix,,,11.84,19.28,5
HCPCS,B4222,Parenteral supply kit homemi,,,14.62,23.8,5
HCPCS,B4224,Parenteral administration ki,,,37.0,60.24,5
HCPCS,B5000,Parenteral sol renal-amirosy,,,17.6,28.66,5
HCPCS,B5100,Parenteral solution hepatic,,,6.87,11.19,5
HCPCS,B5200,Parenteral sol hepatic fream,,,0.19,0.19,1
HCPCS,B9002,Enter nutr inf pump any type,,,843.29,843.29,1
HCPCS,B9004,Parenteral infus pump portab,,,3209.91,3209.91,1
HCPCS,B9006,Parenteral infus pump statio,,,3209.91,3209.91,1
HCPCS,C1052,HC CATH ENDOSCOPIC HEMO 7FX220X2.8,5000.0,1750.0,1432.0,3725.0,8
HCPCS,C1052,HC SYG PURASTAT HEMOSTATIC 3ML,1620.0,567.0,463.97,1206.9,5
HCPCS,C1062,HC KIT SPINEJACK CASE 4.2,13151.25,4602.94,4510.88,22625.0,8
HCPCS,C1062,HC KIT SPINEJACK CASE 5.0,13151.25,4602.94,4510.88,22625.0,8
HCPCS,C1062,HC KIT SPINEJACK CASE 5.8,13151.25,4602.94,4510.88,22625.0,8
HCPCS,C1713,HC SYS AUTOPLEX W VERTAPLEX HV,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1713,HC TISSUE EVAREST FIBRIN 2X4,2441.25,854.44,699.17,1818.73,8
HCPCS,C1713,HC WIRE C .028 - C.035,36.96,12.94,10.59,27.54,8
HCPCS,C1714,HC CATH ELCA CORONARY OTW 0.9X80,7990.0,2796.5,674.6,5952.55,5
HCPCS,C1714,HC CATH ELCA CORONARY RX 0.9X80,7990.0,2796.5,674.6,5952.55,5
HCPCS,C1714,HC CATH ELCA CORONARY RX 1.4,7990.0,2796.5,674.6,5952.55,5
HCPCS,C1714,HC CATH ELCA CORONARY RX 1.7,6990.0,2446.5,674.6,5207.55,5
HCPCS,C1714,HC CATH ELCA CORONARY RX 2.0,6990.0,2446.5,674.6,5207.55,5
HCPCS,C1714,HC CATH JETSTREAM,16783.2,5874.12,674.6,12503.48,5
HCPCS,C1714,HC CATH SILVERHAWK DS,6195.0,2168.25,674.6,4615.28,5
HCPCS,C1714,HC CATH SILVERHAWK ES+,6195.0,2168.25,674.6,4615.28,5
HCPCS,C1714,HC CATH SILVERHAWK EXL,6436.5,2252.78,674.6,4795.19,5
HCPCS,C1714,HC CATH SILVERHAWK LS C,6436.5,2252.78,674.6,4795.19,5
HCPCS,C1714,HC CATH SILVERHAWK LS F,6195.0,2168.25,674.6,4615.28,5
HCPCS,C1714,HC CATH SILVERHAWK LS M,6436.5,2252.78,674.6,4795.19,5
HCPCS,C1714,HC CATH SILVERHAWK LX M,6436.5,2252.78,674.6,4795.19,5
HCPCS,C1714,HC CATH SILVERHAWK MS F,6195.0,2168.25,674.6,4615.28,5
HCPCS,C1714,HC CATH SILVERHAWK MS M,6436.5,2252.78,674.6,4795.19,5
HCPCS,C1714,HC CATH SILVERHAWK SS+,6195.0,2168.25,674.6,4615.28,5
HCPCS,C1714,HC CATH SILVERHAWK SX,6195.0,2168.25,674.6,4615.28,5
HCPCS,C1714,HC CATH SILVERHAWK SXL,6436.5,2252.78,674.6,4795.19,5
HCPCS,C1715,HC NDL TRANSSEPTAL BAYLIS 71,1663.2,582.12,3.84,1239.08,5
HCPCS,C1715,HC NDL TRANSSEPTAL BAYLIS 98,1663.2,582.12,3.84,1239.08,5
HCPCS,C1716,"Brachytx, non-str, Gold-198",,,318.98,836.19,5
HCPCS,C1717,"Brachytx, non-str,HDR Ir-192",,,357.49,582.07,5
HCPCS,C1719,"Brachytx, NS, Non-HDRIr-192",,,79.16,1479.55,5
HCPCS,C1721,HC AICD DUAL CHAMBER EVERA XT,50505.0,17676.75,14464.63,37626.23,16
HCPCS,C1721,HC AICD DUAL CHAMBER ICD FORTIFY,31552.5,11043.38,9036.64,23506.61,16
HCPCS,C1721,"HC AICD, DUAL CHAMBER",36540.0,12789.0,10465.06,27222.3,8
HCPCS,C1721,"HC AICD, DUAL CHAMBER VITALITY",32970.0,11539.5,9442.61,24562.65,16
HCPCS,C1721,HC I ICD CURR+RF 36J DR DUAL,31552.5,11043.38,9036.64,23506.61,8
HCPCS,C1721,HC I ICD CURR+RF 36J SJ4 DUAL,31552.5,11043.38,9036.64,23506.61,8
HCPCS,C1721,HC I ICD DYNA EL D153 DR DUAL,32077.5,11227.13,9187.0,23897.74,8
HCPCS,C1721,HC I ICD ENERGEN DR HE DUAL,31552.5,11043.38,9036.64,23506.61,8
HCPCS,C1721,HC I ICD EVERA S DR DDBC3D4,29934.98,10477.25,8573.38,22301.56,8
HCPCS,C1721,HC I ICD EVERA S VR DVBC3D4,26082.14,9128.75,7469.92,19431.19,8
HCPCS,C1721,HC I ICD EVERA XT DR DDBB1D4,31727.99,11104.8,9086.9,23637.35,8
HCPCS,C1721,HC I ICD EVERA XT VR DVBB1D4,27645.71,9676.0,7917.73,20596.05,8
HCPCS,C1721,HC I ICD FORTIFY DR 401J DUAL,31552.5,11043.38,9036.64,23506.61,8
HCPCS,C1721,HC I ICD FORTIFY DR 40J S14 DUAL,31552.5,11043.38,9036.64,23506.61,8
HCPCS,C1721,HC I ICD INCEPTA DR HE DF4 DUAL,31552.5,11043.38,9036.64,23506.61,8
HCPCS,C1721,HC I ICD INCEPTA DR HE DUAL,31552.5,11043.38,9036.64,23506.61,8
HCPCS,C1721,HC I ICD PROTECTA DR D334DRG DUAL,27366.41,9578.25,7837.74,20387.98,8
HCPCS,C1721,HC I ICD PROTECTA DR D334DRM DUAL,27366.41,9578.25,7837.74,20387.98,8
HCPCS,C1721,HC I ICD PROTECTA XT DR D314DRM,31552.5,11043.38,9036.64,23506.61,8
HCPCS,C1721,HC I ICD RESONATE HF EL DF4 DR,32082.5,11228.88,9188.43,23901.46,8
HCPCS,C1721,HC I ICD TELIGEN RF HE DR,31552.5,11043.38,9036.64,23506.61,8
HCPCS,C1721,HC I ICD VITALITY 2 DR DUAL,31552.5,11043.38,9036.64,23506.61,8
HCPCS,C1721,HC I PCMKR ICD DR GALLANT UMRY MY,33495.0,11723.25,9592.97,24953.78,8
HCPCS,C1721,HC ICD COBALT XT DR MRI D DF1,41563.81,14547.34,11903.88,30965.04,8
HCPCS,C1721,HC ICD COBALT XT DR MRI D DF4,41563.81,14547.34,11903.88,30965.04,8
HCPCS,C1721,HC ICD DYNA EL,31552.5,11043.38,9036.64,23506.61,16
HCPCS,C1721,HC ICD ELLIPSE DR 36 DL,31552.5,11043.38,9036.64,23506.61,8
HCPCS,C1721,HC ICD ELLIPSE NXT DR 36 DF4 DL,32077.5,11227.13,9187.0,23897.74,8
HCPCS,C1721,HC ICD ELLIPSE NXT DR 36 DL,32077.5,11227.13,9187.0,23897.74,8
HCPCS,C1721,HC ICD EVERA MRI S DR DDMC3D4,33862.5,11851.88,9698.22,25227.56,16
HCPCS,C1721,HC ICD EVERA MRI XT DR DDMB1D4,34702.5,12145.88,9938.8,25853.36,16
HCPCS,C1721,HC ICD FRTFY ASSR DR 40 DF4 DL,31552.5,11043.38,9036.64,23506.61,8
HCPCS,C1721,HC ICD FRTFY ASSR DR 40 DL,31552.5,11043.38,9036.64,23506.61,8
HCPCS,C1721,HC ICD FRTFY ASSR NXT DR 40 DF4,32077.5,11227.13,9187.0,23897.74,8
HCPCS,C1721,HC ICD FRTFY ASSR NXT DR 40 DL,32077.5,11227.13,9187.0,23897.74,8
HCPCS,C1721,HC ICD PROTECTA XT DR D314DRG,31552.5,11043.38,9036.64,23506.61,8
HCPCS,C1721,"HC ICD, DUAL CHAMBER",52395.0,18338.25,15005.93,39034.28,8
HCPCS,C1721,HC PCMKR EDORA 8DR T,11340.0,3969.0,3247.78,8448.3,8
HCPCS,C1722,HC  ICD VISIA AF MRI,33390.0,11686.5,9562.9,24875.55,8
HCPCS,C1722,HC  ICD VISIA AF VR DVAB1D1,31920.0,11172.0,9141.89,23780.4,8
HCPCS,C1722,HC  ICD VISIA AF VR DVAB1D4,32025.0,11208.75,9171.96,23858.63,8
HCPCS,C1722,HC AICD SIGL CHBR ICD EVERA S DR,36540.0,12789.0,10465.06,27222.3,16
HCPCS,C1722,HC AICD SINGLE CHAMBER FORTIFY VR,29715.0,10400.25,8510.38,22137.68,16
HCPCS,C1722,HC AICD SINGLE CHAMBER ICD EVERA,37716.0,13200.6,10801.86,28098.42,16
HCPCS,C1722,HC AICD SNGL CHBR ICD EVERA S VR,32970.0,11539.5,9442.61,24562.65,16
HCPCS,C1722,"HC AICD, SINGLE CHAMBER",32970.0,11539.5,9442.61,24562.65,8
HCPCS,C1722,HC I ICD RESONATE HF EL DF4 VR,28995.0,10148.25,8304.17,21601.28,8
HCPCS,C1722,HC I ICD VIGILANT EL D232 VR,23908.5,8367.98,6847.39,17811.83,8
HCPCS,C1722,HC I PCMKR ICD GALLANT VR UMRI PR,34398.0,12039.3,9851.59,25626.51,8
HCPCS,C1722,HC ICD COBALT XT VR MRI S DF1,34335.0,12017.25,9833.54,25579.58,8
HCPCS,C1722,HC ICD COBALT XT VR MRI S DF4,34335.0,12017.25,9833.54,25579.58,8
HCPCS,C1722,HC ICD CURR+RF 36J VR SJ4 SGL,37143.75,13000.32,10637.97,27672.09,8
HCPCS,C1722,HC ICD DYNA EL D120 DR DF4 DL,31066.88,10873.41,8897.55,23144.83,8
HCPCS,C1722,HC ICD DYNAGEN EL SGL,29715.0,10400.25,8510.38,22137.68,16
HCPCS,C1722,HC ICD ELLIPSE NXT VR 36 SGL,37800.0,13230.0,10825.92,28161.0,8
HCPCS,C1722,HC ICD ELLIPSE NXT VR36 DF4 SGL,37800.0,13230.0,10825.92,28161.0,8
HCPCS,C1722,HC ICD ELLIPSE VR 36 DF4 SGL,37143.75,13000.32,10637.97,27672.09,8
HCPCS,C1722,HC ICD ELLIPSE VR 36 SGL,37143.75,13000.32,10637.97,27672.09,8
HCPCS,C1722,HC ICD ENERGEN VR HE SGL,37143.75,13000.32,10637.97,27672.09,8
HCPCS,C1722,HC ICD EVERA MRI XT VR DVMB1D4,32865.0,11502.75,9412.54,24484.43,16
HCPCS,C1722,HC ICD FORTIFY VR 40J SGL,37143.75,13000.32,10637.97,27672.09,8
HCPCS,C1722,HC ICD FORTIFY VR 40J SJ4 SGL,37143.75,13000.32,10637.97,27672.09,8
HCPCS,C1722,HC ICD FRTFY ASSR NXT VR 40 DF4,37800.0,13230.0,10825.92,28161.0,8
HCPCS,C1722,HC ICD FRTFY ASSR NXT VR 40 SGL,37800.0,13230.0,10825.92,28161.0,8
HCPCS,C1722,HC ICD FRTFY ASSR VR 40 DF4 SGL,37143.75,13000.32,10637.97,27672.09,8
HCPCS,C1722,HC ICD FRTFY ASSR VR 40 SGL,37143.75,13000.32,10637.97,27672.09,8
HCPCS,C1722,HC ICD INCEPTA VR HE DF4 SGL,37143.75,13000.32,10637.97,27672.09,8
HCPCS,C1722,HC ICD INCEPTA VR HE SGL,37143.75,13000.32,10637.97,27672.09,8
HCPCS,C1722,HC ICD PLEX PROMRI DF1 S 65,8977.5,3142.13,2571.16,6688.24,8
HCPCS,C1722,HC ICD TELIGEN RF HE VR,37143.75,13000.32,10637.97,27672.09,8
HCPCS,C1722,HC ICD VITALITY 2 EL VR SGL,37143.75,13000.32,10637.97,27672.09,8
HCPCS,C1722,HC ICD VITALITY DS VR SGL,37143.75,13000.32,10637.97,27672.09,8
HCPCS,C1722,HC PCMKR LEAD INGV BI P RARV 59,2835.0,992.25,811.94,2112.08,8
HCPCS,C1722,HC SICD EMBLEM GENERATOR,44835.0,15692.25,12840.74,33402.08,8
HCPCS,C1722,HC SUB-Q ICD GENERATOR 1010,44100.0,15435.0,12630.24,32854.5,16
HCPCS,C1724,HC BUR PERIPHERAL ROTA 5F 1.5,1113.0,389.55,318.76,909.67,5
HCPCS,C1724,HC BUR PERIPHERAL ROTA 6 7F 2.0,1113.0,389.55,318.76,909.67,5
HCPCS,C1724,HC BUR PERIPHERAL ROTA 6F 1.75,1113.0,389.55,318.76,909.67,5
HCPCS,C1724,HC BUR PERIPHERAL ROTA 7F 2.25,1113.0,389.55,318.76,909.67,5
HCPCS,C1724,HC BUR PERIPHERAL ROTA 7F 2.5,1113.0,389.55,318.76,909.67,5
HCPCS,C1724,HC BUR ROTALINK 1.25MM-2.25MM,2509.5,878.33,718.72,1869.58,5
HCPCS,C1724,HC BUR ROTALINK 1.5MM,2509.5,878.33,718.72,1869.58,5
HCPCS,C1724,HC BUR ROTALINK 1.75MM,2509.5,878.33,718.72,1869.58,5
HCPCS,C1724,HC BUR ROTALINK 2.0MM,2509.5,878.33,718.72,1869.58,5
HCPCS,C1724,HC BUR ROTALINK 2.15MM,2509.5,878.33,718.72,1869.58,5
HCPCS,C1724,HC BUR ROTALINK 2.25MM,2509.5,878.33,718.72,1869.58,5
HCPCS,C1724,HC BURR ROTA 1.25,4399.5,1539.83,909.67,3277.63,5
HCPCS,C1724,HC BURR ROTA 1.5,4399.5,1539.83,909.67,3277.63,5
HCPCS,C1724,HC BURR ROTA 1.75,4399.5,1539.83,909.67,3277.63,5
HCPCS,C1724,HC BURR ROTA 2.0,4399.5,1539.83,909.67,3277.63,5
HCPCS,C1724,HC BURR ROTA OS 2.0 2.15,4399.5,1539.83,909.67,3277.63,5
HCPCS,C1724,HC BURR ROTA OS 2.0 2.25,4399.5,1539.83,909.67,3277.63,5
HCPCS,C1724,HC CATH JETSTREAM 7F 120 2.4 3.4,3622.5,1267.88,909.67,2698.76,5
HCPCS,C1724,HC CATH OFFROAD RE ENTRY 6F 100,2006.55,702.3,574.68,1494.88,5
HCPCS,C1724,HC CATH TRB ELITE OTW 18 2.3 80HZ,7990.0,2796.5,909.67,5952.55,5
HCPCS,C1724,HC CATH TRB ELITE OTW 18 2.5 80HZ,7990.0,2796.5,909.67,5952.55,5
HCPCS,C1724,HC CATH TRB ELITE OTW 35 2.3 80HZ,7990.0,2796.5,909.67,5952.55,5
HCPCS,C1724,HC CATH TRB ELITE OTW 35 2.5 80HZ,7990.0,2796.5,909.67,5952.55,5
HCPCS,C1724,HC CATH TURBO ELITE OTW 0.9X80,7990.0,2796.5,909.67,5952.55,5
HCPCS,C1724,HC CATH TURBO ELITE OTW 1.4 80HZ,7990.0,2796.5,909.67,5952.55,5
HCPCS,C1724,HC CATH TURBO ELITE OTW 1.7 80HZ,7990.0,2796.5,909.67,5952.55,5
HCPCS,C1724,HC CATH TURBO ELITE OTW 2.0 80HZ,7990.0,2796.5,909.67,5952.55,5
HCPCS,C1724,HC CATH TURBO ELITE RX 0.9X80,7990.0,2796.5,909.67,5952.55,5
HCPCS,C1724,HC CATH TURBO ELITE RX 1.4 80HZ,7990.0,2796.5,909.67,5952.55,5
HCPCS,C1724,HC CATH TURBO ELITE RX 1.7 80HZ,7990.0,2796.5,909.67,5952.55,5
HCPCS,C1724,HC CATH TURBO ELITE RX 2.0 80HZ,7990.0,2796.5,909.67,5952.55,5
HCPCS,C1724,HC CATH TURBO POWER OTW 2.0X150,8990.0,3146.5,909.67,6697.55,5
HCPCS,C1724,HC CATH TURBO POWER OTW 2.3X125,8990.0,3146.5,909.67,6697.55,5
HCPCS,C1724,HC CSI DIAMOND ORBIT 1.25X135,7969.5,2789.33,909.67,5937.28,5
HCPCS,C1724,HC DEVICE CLASSIS/SOLID CRWN,7129.5,2495.33,909.67,5311.48,5
HCPCS,C1724,HC DEVICE SOLID CRWN 1.75X360,6289.5,2201.33,909.67,4685.68,5
HCPCS,C1724,HC DEVICE SOLID CRWN 30X150 5F,7129.5,2495.33,909.67,5311.48,5
HCPCS,C1724,HC DEVICE SOLID CRWN 30X2.0 6F,7129.5,2495.33,909.67,5311.48,5
HCPCS,C1724,HC DEVICE SOLID CRWN MICR 30X1.25,7129.5,2495.33,909.67,5311.48,5
HCPCS,C1724,HC GUIDE WIRE ROTA PERIPH XSUPP,222.6,77.91,63.75,909.67,5
HCPCS,C1725,CATH LNCH AMP SHT 7F2 0 100 LT,134.4,47.04,38.49,172.08,5
HCPCS,C1725,CATH SWAN GANZ LTXF 7F,1344.0,470.4,172.08,1001.28,5
HCPCS,C1725,HC ANGIOSCULPT BALLOON,2929.5,1025.33,172.08,2182.48,5
HCPCS,C1725,HC ANGIOSCULPT CORONARY BALLOON,2205.0,771.75,172.08,1642.73,5
HCPCS,C1725,HC ANGLED TAPER GLIDE CATH,166.39,58.24,47.65,172.08,5
HCPCS,C1725,HC ANGSCULPT BALLOON PERIPH LONG,2457.0,859.95,172.08,1830.47,5
HCPCS,C1725,HC ANGSCULPT BALLOON PERIPH SHORT,2257.5,790.13,172.08,1681.84,5
HCPCS,C1725,HC BALLOON 6.0 ATHERTOME 2CM,2016.0,705.6,172.08,1501.92,5
HCPCS,C1725,HC BALLOON 7.0 ATHERTOME 2CM,2016.0,705.6,172.08,1501.92,5
HCPCS,C1725,HC BALLOON ADV PTA 14X2.0X120X170,1024.8,358.68,172.08,763.48,5
HCPCS,C1725,HC BALLOON ADV PTA 14X2.0X200X170,1024.8,358.68,172.08,763.48,5
HCPCS,C1725,HC BALLOON ADV PTA 14X3.0X120X170,1024.8,358.68,172.08,763.48,5
HCPCS,C1725,HC BALLOON ADV PTA 14X3.0X200X170,1024.8,358.68,172.08,763.48,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT,2457.0,859.95,172.08,1830.47,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 2.0X10,2100.0,735.0,172.08,1564.5,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 2.0X15,2205.0,771.75,172.08,1642.73,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 2.0X20,2100.0,735.0,172.08,1564.5,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 2.0X6,2205.0,771.75,172.08,1642.73,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 2.5X10,2205.0,771.75,172.08,1642.73,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 2.5X15,2205.0,771.75,172.08,1642.73,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 2.5X20,2100.0,735.0,172.08,1564.5,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 2.5X6,2205.0,771.75,172.08,1642.73,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 3.0X10,2205.0,771.75,172.08,1642.73,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 3.0X15,2205.0,771.75,172.08,1642.73,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 3.0X20,2100.0,735.0,172.08,1564.5,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 3.0X6,2205.0,771.75,172.08,1642.73,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 3.5X10,2205.0,771.75,172.08,1642.73,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 3.5X20,2100.0,735.0,172.08,1564.5,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 3.5X6,2205.0,771.75,172.08,1642.73,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 4.0X20,2457.0,859.95,172.08,1830.47,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 4.0X200X137,3097.5,1084.13,172.08,2307.64,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 4.0X40X90,2257.5,790.13,172.08,1681.84,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 5.0X200X137,3097.5,1084.13,172.08,2307.64,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 5.0X40X90,2257.5,790.13,172.08,1681.84,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 6.0X200X137,3097.5,1084.13,172.08,2307.64,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 6.0X20X50,2457.0,859.95,172.08,1830.47,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 6.0X20X90,2457.0,859.95,172.08,1830.47,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 6.0X40X50,2257.5,790.13,172.08,1681.84,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 6.0X40X90,2257.5,790.13,172.08,1681.84,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 7.0X40 50,2929.5,1025.33,172.08,2182.48,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT 8.0X40 50,2929.5,1025.33,172.08,2182.48,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT PRPH 3.0X40,2257.5,790.13,172.08,1681.84,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT PRPH 5.0X40,2257.5,790.13,172.08,1681.84,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT PRPH 6.0X20,2457.0,859.95,172.08,1830.47,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT PRPH 6.0X40,2257.5,790.13,172.08,1681.84,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT PRPH2.0X100,2677.5,937.13,172.08,1994.74,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT PRPH3.0X100,2677.5,937.13,172.08,1994.74,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT PRPH4.0X100,2677.5,937.13,172.08,1994.74,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT PRPH5.0X100,2677.5,937.13,172.08,1994.74,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT PRPH6.0X100,2677.5,937.13,172.08,1994.74,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT PTA 8X40X90,2929.5,1025.33,172.08,2182.48,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT PTA7X40X137,2929.5,1025.33,172.08,2182.48,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT PTA8X40X137,2929.5,1025.33,172.08,2182.48,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT PTCA 2.0X10,2205.0,771.75,172.08,1642.73,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT PTCA 2.0X15,2205.0,771.75,172.08,1642.73,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT PTCA 2.0X20,2205.0,771.75,172.08,1642.73,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT PTCA 2.5X10,2205.0,771.75,172.08,1642.73,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT PTCA 2.5X15,2205.0,771.75,172.08,1642.73,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT PTCA 2.5X20,2205.0,771.75,172.08,1642.73,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT PTCA 3.0X10,2205.0,771.75,172.08,1642.73,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT PTCA 3.0X15,2205.0,771.75,172.08,1642.73,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT PTCA 3.0X20,2205.0,771.75,172.08,1642.73,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT PTCA 3.5X10,2205.0,771.75,172.08,1642.73,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT PTCA 3.5X15,2205.0,771.75,172.08,1642.73,5
HCPCS,C1725,HC BALLOON ANGIOSCLPT PTCA 3.5X20,2205.0,771.75,172.08,1642.73,5
HCPCS,C1725,HC BALLOON ANGSCLP BTK2.5X100X155,2677.5,937.13,172.08,1994.74,5
HCPCS,C1725,HC BALLOON ANGSCLP BTK3.5X100X155,2677.5,937.13,172.08,1994.74,5
HCPCS,C1725,HC BALLOON ANGSCLPT ATK4.0X100X90,2677.5,937.13,172.08,1994.74,5
HCPCS,C1725,HC BALLOON ANGSCLPT ATK5.0X100X90,2677.5,937.13,172.08,1994.74,5
HCPCS,C1725,HC BALLOON ANGSCLPT ATK6.0X100X90,2677.5,937.13,172.08,1994.74,5
HCPCS,C1725,HC BALLOON ANGSCLPT BTK2.5X40X155,2257.5,790.13,172.08,1681.84,5
HCPCS,C1725,HC BALLOON ANGSCLPT BTK3.5X40X155,2257.5,790.13,172.08,1681.84,5
HCPCS,C1725,HC BALLOON ANGSCLPT PTCA TT3.5X15,2205.0,771.75,172.08,1642.73,5
HCPCS,C1725,HC BALLOON APEX FLEX OTW 12X1.5,937.44,328.11,172.08,698.39,5
HCPCS,C1725,HC BALLOON APEX MONO 12X2.0,937.44,328.11,172.08,698.39,5
HCPCS,C1725,HC BALLOON APEX MONO 12X2.25,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 12X2.5,208.0,72.8,59.57,172.08,5
HCPCS,C1725,HC BALLOON APEX MONO 12X2.75,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 12X3.0,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX MONO 12X3.25,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 12X3.5,907.2,317.52,172.08,675.86,5
HCPCS,C1725,HC BALLOON APEX MONO 12X3.75,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 12X4.0,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 12X4.5,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 12X5.0,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 15X2.0,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 15X2.25,937.44,328.11,172.08,698.39,5
HCPCS,C1725,HC BALLOON APEX MONO 15X2.5,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX MONO 15X2.75,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 15X3.0,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX MONO 15X3.25,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 15X3.5,937.44,328.11,172.08,698.39,5
HCPCS,C1725,HC BALLOON APEX MONO 15X3.75,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 15X4.0,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 15X4.5,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 15X5.0,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 20X1.5,907.2,317.52,172.08,675.86,5
HCPCS,C1725,HC BALLOON APEX MONO 20X2.0,937.44,328.11,172.08,698.39,5
HCPCS,C1725,HC BALLOON APEX MONO 20X2.25,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 20X2.5,937.44,328.11,172.08,698.39,5
HCPCS,C1725,HC BALLOON APEX MONO 20X2.75,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 20X3.0,937.44,328.11,172.08,698.39,5
HCPCS,C1725,HC BALLOON APEX MONO 20X3.25,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 20X3.5,937.44,328.11,172.08,698.39,5
HCPCS,C1725,HC BALLOON APEX MONO 20X3.75,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 20X4.0,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 20X4.5,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 20X5.0,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 30X2.0,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 30X2.25,937.44,328.11,172.08,698.39,5
HCPCS,C1725,HC BALLOON APEX MONO 30X2.5,937.44,328.11,172.08,698.39,5
HCPCS,C1725,HC BALLOON APEX MONO 30X2.75,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 30X3.0,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 30X3.25,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 30X3.5,803.04,281.07,172.08,598.26,5
HCPCS,C1725,HC BALLOON APEX MONO 30X3.75,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 30X4.0,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 8X2.0,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 8X2.25,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 8X2.50,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 8X2.75,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 8X3.0,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 8X3.25,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 8X3.50,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 8X3.75,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 8X4.0,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 8X4.5,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO 8X5.0,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO FLEX 12X1.50,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO FLEX 15X1.5,937.44,328.11,172.08,698.39,5
HCPCS,C1725,HC BALLOON APEX MONO FLEX 8X1.50,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO PUSH 12X1.50,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO PUSH 15X1.50,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX MONO PUSH 20X1.50,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MONO PUSH 8X1.50,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MR 40 2.0,218.4,76.44,62.55,172.08,5
HCPCS,C1725,HC BALLOON APEX MR 40 2.50,218.4,76.44,62.55,172.08,5
HCPCS,C1725,HC BALLOON APEX MR 40 3.0,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX MR 40 3.50,218.4,76.44,62.55,172.08,5
HCPCS,C1725,HC BALLOON APEX MR 40 4.0,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 12X2.00,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 12X2.25,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 12X2.50,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 12X2.75,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 12X3.00,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 12X3.25,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 12X3.50,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 12X3.75,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 12X4.00,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 12X4.50,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 12X5.00,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 15X2.00,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 15X2.25,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 15X2.50,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 15X2.75,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 15X3.00,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 15X3.25,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 15X3.50,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 15X3.75,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 15X4.00,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 15X4.50,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 15X5.00,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 20X2.00,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 20X2.25,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 20X2.50,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 20X2.75,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 20X3.00,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 20X3.25,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 20X3.50,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 20X3.75,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 20X4.00,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 20X4.50,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 20X5.00,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 30X2.00,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 30X2.25,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 30X2.50,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 30X2.75,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 30X3.00,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 30X3.25,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 30X3.50,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 30X3.75,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 30X4.00,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 6X2.00,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 6X2.25,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 6X2.50,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 6X2.75,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 6X3.00,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 6X3.25,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 6X3.50,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 6X3.75,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 6X4.00,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 6X4.50,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 6X5.00,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 8X2.00,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 8X2.25,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 8X2.50,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 8X2.75,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 8X3.00,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 8X3.25,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 8X3.50,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 8X3.75,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 8X4.00,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 8X4.50,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX NC QUANT 8X5.00,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX OTW 12X2.00,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 12X2.50,937.44,328.11,172.08,698.39,5
HCPCS,C1725,HC BALLOON APEX OTW 12X2.75,937.44,328.11,172.08,698.39,5
HCPCS,C1725,HC BALLOON APEX OTW 12X3.00,937.44,328.11,172.08,698.39,5
HCPCS,C1725,HC BALLOON APEX OTW 12X3.25,870.24,304.59,172.08,648.33,5
HCPCS,C1725,HC BALLOON APEX OTW 12X3.50,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 12X3.75,870.24,304.59,172.08,648.33,5
HCPCS,C1725,HC BALLOON APEX OTW 12X4.00,870.24,304.59,172.08,648.33,5
HCPCS,C1725,HC BALLOON APEX OTW 15X1.50,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 15X2.00,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 15X2.50,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 15X2.75,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 15X3.00,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 15X3.25,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 15X3.50,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 15X3.75,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 15X4.00,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 20X1.50,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 20X2.00,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 20X2.50,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 20X2.75,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 20X3.00,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 20X3.25,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 20X3.50,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 20X3.75,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 20X4.00,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 30X2.00,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 30X2.50,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 30X2.75,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 30X3.00,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 30X3.25,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 30X3.50,268.8,94.08,76.98,200.26,5
HCPCS,C1725,HC BALLOON APEX OTW 30X4.00,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 8X1.50,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 8X2.00,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON APEX OTW 8X2.50,937.44,328.11,172.08,698.39,5
HCPCS,C1725,HC BALLOON APEX OTW 8X2.75,937.44,328.11,172.08,698.39,5
HCPCS,C1725,HC BALLOON APEX OTW 8X3.00,870.24,304.59,172.08,648.33,5
HCPCS,C1725,HC BALLOON APEX PUSH OTW 12X1.5,937.44,328.11,172.08,698.39,5
HCPCS,C1725,HC BALLOON APEX PUSH OTW 8X1.5,937.44,328.11,172.08,698.39,5
HCPCS,C1725,HC BALLOON ARMADA 14 PTA 2.0X120,688.8,241.08,172.08,513.16,5
HCPCS,C1725,HC BALLOON ARMADA 14 PTA 2.0X200,1092.0,382.2,172.08,813.54,5
HCPCS,C1725,HC BALLOON ARMADA 14 PTA 2.5X120,688.8,241.08,172.08,513.16,5
HCPCS,C1725,HC BALLOON ARMADA 14 PTA 2.5X200,688.8,241.08,172.08,513.16,5
HCPCS,C1725,HC BALLOON ARMADA 14 PTA 3.0X120,688.8,241.08,172.08,513.16,5
HCPCS,C1725,HC BALLOON ARMADA 14 PTA 3.0X200,688.8,241.08,172.08,513.16,5
HCPCS,C1725,HC BALLOON ARMADA 14 PTA 4.0X120,688.8,241.08,172.08,513.16,5
HCPCS,C1725,HC BALLOON ARMADA 14 PTA 4.0X200,688.8,241.08,172.08,513.16,5
HCPCS,C1725,HC BALLOON ARMADA 35PTA 10X20X135,621.6,217.56,172.08,463.09,5
HCPCS,C1725,HC BALLOON ARMADA 35PTA 10X40X135,621.6,217.56,172.08,463.09,5
HCPCS,C1725,HC BALLOON ARMADA 35PTA 12X40X135,621.6,217.56,172.08,463.09,5
HCPCS,C1725,HC BALLOON ARMADA 35PTA 4X100X135,621.6,217.56,172.08,463.09,5
HCPCS,C1725,HC BALLOON ARMADA 35PTA 4X120X135,621.6,217.56,172.08,463.09,5
HCPCS,C1725,HC BALLOON ARMADA 35PTA 4X20X135,621.6,217.56,172.08,463.09,5
HCPCS,C1725,HC BALLOON ARMADA 35PTA 4X40X135,621.6,217.56,172.08,463.09,5
HCPCS,C1725,HC BALLOON ARMADA 35PTA 5X100X135,621.6,217.56,172.08,463.09,5
HCPCS,C1725,HC BALLOON ARMADA 35PTA 5X120X135,621.6,217.56,172.08,463.09,5
HCPCS,C1725,HC BALLOON ARMADA 35PTA 5X20X135,621.6,217.56,172.08,463.09,5
HCPCS,C1725,HC BALLOON ARMADA 35PTA 5X40X135,621.6,217.56,172.08,463.09,5
HCPCS,C1725,HC BALLOON ARMADA 35PTA 5X60X135,621.6,217.56,172.08,463.09,5
HCPCS,C1725,HC BALLOON ARMADA 35PTA 6X100X135,621.6,217.56,172.08,463.09,5
HCPCS,C1725,HC BALLOON ARMADA 35PTA 6X120X135,621.6,217.56,172.08,463.09,5
HCPCS,C1725,HC BALLOON ARMADA 35PTA 6X20X135,621.6,217.56,172.08,463.09,5
HCPCS,C1725,HC BALLOON ARMADA 35PTA 6X40X135,621.6,217.56,172.08,463.09,5
HCPCS,C1725,HC BALLOON ARMADA 35PTA 6X60X135,621.6,217.56,172.08,463.09,5
HCPCS,C1725,HC BALLOON ARMADA 35PTA 7X100X135,621.6,217.56,172.08,463.09,5
HCPCS,C1725,HC BALLOON ARMADA 35PTA 7X20X135,621.6,217.56,172.08,463.09,5
HCPCS,C1725,HC BALLOON ARMADA 35PTA 7X40X135,621.6,217.56,172.08,463.09,5
HCPCS,C1725,HC BALLOON ARMADA 35PTA 7X60X135,621.6,217.56,172.08,463.09,5
HCPCS,C1725,HC BALLOON ARMADA 35PTA 8X20X135,621.6,217.56,172.08,463.09,5
HCPCS,C1725,HC BALLOON ARMADA 35PTA 8X40X135,621.6,217.56,172.08,463.09,5
HCPCS,C1725,HC BALLOON ARMADA 35PTA 9X20X135,621.6,217.56,172.08,463.09,5
HCPCS,C1725,HC BALLOON ARMADA 35PTA 9X40X135,621.6,217.56,172.08,463.09,5
HCPCS,C1725,HC BALLOON ATLAS 10X75X22,1528.8,535.08,172.08,1138.96,5
HCPCS,C1725,HC BALLOON ATLAS 10X75X24,1848.0,646.8,172.08,1376.76,5
HCPCS,C1725,HC BALLOON ATLAS 12X40,1092.0,382.2,172.08,813.54,5
HCPCS,C1725,HC BALLOON ATLAS 12X4X80,840.0,294.0,172.08,625.8,5
HCPCS,C1725,HC BALLOON ATLAS 12X75X26,1848.0,646.8,172.08,1376.76,5
HCPCS,C1725,HC BALLOON ATLAS 14X40,1092.0,382.2,172.08,813.54,5
HCPCS,C1725,HC BALLOON ATLAS 14X4X80,840.0,294.0,172.08,625.8,5
HCPCS,C1725,HC BALLOON ATLAS 16X40,1176.0,411.6,172.08,876.12,5
HCPCS,C1725,HC BALLOON ATLAS 18X4,1092.0,382.2,172.08,813.54,5
HCPCS,C1725,HC BALLOON ATLAS 22X40,1176.0,411.6,172.08,876.12,5
HCPCS,C1725,HC BALLOON ATLAS 7X75X18,1310.4,458.64,172.08,976.25,5
HCPCS,C1725,HC BALLOON ATLAS 7X75X20,1209.6,423.36,172.08,901.15,5
HCPCS,C1725,HC BALLOON ATLAS L 16X4X120,1092.0,382.2,172.08,813.54,5
HCPCS,C1725,HC BALLOON ATLAS L 16X4X75,840.0,294.0,172.08,625.8,5
HCPCS,C1725,HC BALLOON CAGENT PTA 014X2.0X120,3750.0,1312.5,172.08,2793.75,5
HCPCS,C1725,HC BALLOON CAGENT PTA 014X2.0X20,3350.0,1172.5,172.08,2495.75,5
HCPCS,C1725,HC BALLOON CAGENT PTA 014X2.0X40,3350.0,1172.5,172.08,2495.75,5
HCPCS,C1725,HC BALLOON CAGENT PTA 014X25X120,3517.5,1231.13,172.08,2620.54,5
HCPCS,C1725,HC BALLOON CAGENT PTA 014X25X40,2677.5,937.13,172.08,1994.74,5
HCPCS,C1725,HC BALLOON CAGENT PTA 014X25X80,3097.5,1084.13,172.08,2307.64,5
HCPCS,C1725,HC BALLOON CAGENT PTA 014X30X120,3517.5,1231.13,172.08,2620.54,5
HCPCS,C1725,HC BALLOON CAGENT PTA 014X30X40,2677.5,937.13,172.08,1994.74,5
HCPCS,C1725,HC BALLOON CAGENT PTA 014X30X80,3097.5,1084.13,172.08,2307.64,5
HCPCS,C1725,HC BALLOON CAGENT PTA 014X35X120,3517.5,1231.13,172.08,2620.54,5
HCPCS,C1725,HC BALLOON CAGENT PTA 014X35X40,2677.5,937.13,172.08,1994.74,5
HCPCS,C1725,HC BALLOON CAGENT PTA 014X35X80,3097.5,1084.13,172.08,2307.64,5
HCPCS,C1725,HC BALLOON CAGENT PTA 018X40X120,3517.5,1231.13,172.08,2620.54,5
HCPCS,C1725,HC BALLOON CAGENT PTA 018X40X40,2677.5,937.13,172.08,1994.74,5
HCPCS,C1725,HC BALLOON CAGENT PTA 018X50X120,3517.5,1231.13,172.08,2620.54,5
HCPCS,C1725,HC BALLOON CAGENT PTA 018X50X40,2677.5,937.13,172.08,1994.74,5
HCPCS,C1725,HC BALLOON CAGENT PTA 018X60X120,3517.5,1231.13,172.08,2620.54,5
HCPCS,C1725,HC BALLOON CAGENT PTA 018X60X40,2677.5,937.13,172.08,1994.74,5
HCPCS,C1725,HC BALLOON CHOC 014 25X120X150,2268.0,793.8,172.08,1689.66,5
HCPCS,C1725,HC BALLOON CHOC 014 25X40X150,2268.0,793.8,172.08,1689.66,5
HCPCS,C1725,HC BALLOON CHOC 014 25X80X150,2268.0,793.8,172.08,1689.66,5
HCPCS,C1725,HC BALLOON CHOC 014 35X120X135,2268.0,793.8,172.08,1689.66,5
HCPCS,C1725,HC BALLOON CHOC 014 35X40X135,2268.0,793.8,172.08,1689.66,5
HCPCS,C1725,HC BALLOON CHOC 014 35X80X135,2268.0,793.8,172.08,1689.66,5
HCPCS,C1725,HC BALLOON CHOC 014 3X120X150,2268.0,793.8,172.08,1689.66,5
HCPCS,C1725,HC BALLOON CHOC 014 3X40X150,2268.0,793.8,172.08,1689.66,5
HCPCS,C1725,HC BALLOON CHOC 014 3X80X150,2268.0,793.8,172.08,1689.66,5
HCPCS,C1725,HC BALLOON CHOC 014 4X120X135,2268.0,793.8,172.08,1689.66,5
HCPCS,C1725,HC BALLOON CHOC 014 4X40X135,2268.0,793.8,172.08,1689.66,5
HCPCS,C1725,HC BALLOON CHOC 014 4X80X135,2268.0,793.8,172.08,1689.66,5
HCPCS,C1725,HC BALLOON CHOC 018 5X120X120,2268.0,793.8,172.08,1689.66,5
HCPCS,C1725,HC BALLOON CHOC 018 5X40X120,2268.0,793.8,172.08,1689.66,5
HCPCS,C1725,HC BALLOON CHOC 018 5X80X120,2268.0,793.8,172.08,1689.66,5
HCPCS,C1725,HC BALLOON CHOC 018 6X120X120,2268.0,793.8,172.08,1689.66,5
HCPCS,C1725,HC BALLOON CHOC 018 6X40X120,2268.0,793.8,172.08,1689.66,5
HCPCS,C1725,HC BALLOON CHOC 018 6X80X120,2268.0,793.8,172.08,1689.66,5
HCPCS,C1725,HC BALLOON CHOC XC HYD 140X2.0X10,2003.4,701.19,172.08,1492.53,5
HCPCS,C1725,HC BALLOON CHOC XC HYD 140X2.0X15,2003.4,701.19,172.08,1492.53,5
HCPCS,C1725,HC BALLOON CHOC XC HYD 140X2.0X20,2003.4,701.19,172.08,1492.53,5
HCPCS,C1725,HC BALLOON CHOC XC HYD 140X2.5X10,2003.4,701.19,172.08,1492.53,5
HCPCS,C1725,HC BALLOON CHOC XC HYD 140X2.5X15,2003.4,701.19,172.08,1492.53,5
HCPCS,C1725,HC BALLOON CHOC XC HYD 140X2.5X20,2003.4,701.19,172.08,1492.53,5
HCPCS,C1725,HC BALLOON CHOC XC HYD 140X3.0X10,2003.4,701.19,172.08,1492.53,5
HCPCS,C1725,HC BALLOON CHOC XC HYD 140X3.0X15,2003.4,701.19,172.08,1492.53,5
HCPCS,C1725,HC BALLOON CHOC XC HYD 140X3.0X20,2003.4,701.19,172.08,1492.53,5
HCPCS,C1725,HC BALLOON CHOC XC HYD 140X3.5X10,2003.4,701.19,172.08,1492.53,5
HCPCS,C1725,HC BALLOON CHOC XC HYD 140X3.5X15,2003.4,701.19,172.08,1492.53,5
HCPCS,C1725,HC BALLOON CHOC XC HYD 140X3.5X20,2003.4,701.19,172.08,1492.53,5
HCPCS,C1725,HC BALLOON CNQST PTA 40X10X8F,672.0,235.2,172.08,500.64,5
HCPCS,C1725,HC BALLOON CNQST PTA 40X5X10F,672.0,235.2,172.08,500.64,5
HCPCS,C1725,HC BALLOON CNQST PTA 40X5X6F,672.0,235.2,172.08,500.64,5
HCPCS,C1725,HC BALLOON CNQST PTA 40X5X8F,672.0,235.2,172.08,500.64,5
HCPCS,C1725,HC BALLOON CNQST PTA 40X6X10F,672.0,235.2,172.08,500.64,5
HCPCS,C1725,HC BALLOON CNQST PTA 40X6X6F,672.0,235.2,172.08,500.64,5
HCPCS,C1725,HC BALLOON CNQST PTA 40X6X8F,672.0,235.2,172.08,500.64,5
HCPCS,C1725,HC BALLOON CNQST PTA 40X7X10F,672.0,235.2,172.08,500.64,5
HCPCS,C1725,HC BALLOON CNQST PTA 40X7X6F,672.0,235.2,172.08,500.64,5
HCPCS,C1725,HC BALLOON CNQST PTA 40X7X8F,672.0,235.2,172.08,500.64,5
HCPCS,C1725,HC BALLOON CNQST PTA 40X8X10F,672.0,235.2,172.08,500.64,5
HCPCS,C1725,HC BALLOON CNQST PTA 40X8X6F,672.0,235.2,172.08,500.64,5
HCPCS,C1725,HC BALLOON CNQST PTA 40X8X8F,672.0,235.2,172.08,500.64,5
HCPCS,C1725,HC BALLOON CNQST PTA 40X9X40X7F,672.0,235.2,172.08,500.64,5
HCPCS,C1725,HC BALLOON CNQST PTA 40X9X8F,672.0,235.2,172.08,500.64,5
HCPCS,C1725,HC BALLOON CONQUEST PTA 10X4,688.8,241.08,172.08,513.16,5
HCPCS,C1725,HC BALLOON CONQUEST PTA 5X2,688.8,241.08,172.08,513.16,5
HCPCS,C1725,HC BALLOON CONQUEST PTA 5X4,688.8,241.08,172.08,513.16,5
HCPCS,C1725,HC BALLOON CONQUEST PTA 6X2,688.8,241.08,172.08,513.16,5
HCPCS,C1725,HC BALLOON CONQUEST PTA 6X4,688.8,241.08,172.08,513.16,5
HCPCS,C1725,HC BALLOON CONQUEST PTA 7X2,688.8,241.08,172.08,513.16,5
HCPCS,C1725,HC BALLOON CONQUEST PTA 8X2,688.8,241.08,172.08,513.16,5
HCPCS,C1725,HC BALLOON CONQUEST PTA 8X4,688.8,241.08,172.08,513.16,5
HCPCS,C1725,HC BALLOON CUT OTW,1980.0,693.0,172.08,1475.1,5
HCPCS,C1725,HC BALLOON CUT WOLV MR 2.00X10,1764.0,617.4,172.08,1314.18,5
HCPCS,C1725,HC BALLOON CUT WOLV MR 2.00X15,1764.0,617.4,172.08,1314.18,5
HCPCS,C1725,HC BALLOON CUT WOLV MR 2.00X6,1764.0,617.4,172.08,1314.18,5
HCPCS,C1725,HC BALLOON CUT WOLV MR 2.50X10,1764.0,617.4,172.08,1314.18,5
HCPCS,C1725,HC BALLOON CUT WOLV MR 2.50X15,1764.0,617.4,172.08,1314.18,5
HCPCS,C1725,HC BALLOON CUT WOLV MR 2.50X6,1764.0,617.4,172.08,1314.18,5
HCPCS,C1725,HC BALLOON CUT WOLV MR 3.00X10,1764.0,617.4,172.08,1314.18,5
HCPCS,C1725,HC BALLOON CUT WOLV MR 3.00X15,1764.0,617.4,172.08,1314.18,5
HCPCS,C1725,HC BALLOON CUT WOLV MR 3.00X6,1764.0,617.4,172.08,1314.18,5
HCPCS,C1725,HC BALLOON CUT WOLV MR 3.50X10,1764.0,617.4,172.08,1314.18,5
HCPCS,C1725,HC BALLOON CUT WOLV MR 3.50X15,1764.0,617.4,172.08,1314.18,5
HCPCS,C1725,HC BALLOON CUT WOLV MR 3.50X6,1764.0,617.4,172.08,1314.18,5
HCPCS,C1725,HC BALLOON CUT WOLV MR 4.00X10,1764.0,617.4,172.08,1314.18,5
HCPCS,C1725,HC BALLOON CUT WOLV MR 4.00X15,1764.0,617.4,172.08,1314.18,5
HCPCS,C1725,HC BALLOON CUT WOLV MR 4.00X6,1764.0,617.4,172.08,1314.18,5
HCPCS,C1725,HC BALLOON DORADO 80X7X4,688.8,241.08,172.08,513.16,5
HCPCS,C1725,HC BALLOON EMERGE MR 12X1.20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 12X1.50,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 12X2.00,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 12X2.25,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 12X2.50,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 12X2.75,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 12X3.00,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 12X3.25,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 12X3.50,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 12X3.75,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 12X4.00,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 15X1.20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 15X1.50,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 15X2.00,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 15X2.25,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 15X2.50,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 15X2.75,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 15X3.00,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 15X3.25,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 15X3.50,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 15X3.75,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 15X4.00,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 20X1.20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 20X1.50,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 20X2.00,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 20X2.25,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 20X2.50,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 20X2.75,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 20X3.00,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 20X3.25,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 20X3.50,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 20X3.75,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 20X4.00,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 30X2.00,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 30X2.25,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 30X2.50,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 30X2.75,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 30X3.00,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 30X3.25,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 30X3.50,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 30X3.75,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 30X4.00,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 8X1.20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 8X1.50,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 8X2.00,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 8X2.25,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 8X2.50,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 8X2.75,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 8X3.00,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 8X3.25,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 8X3.50,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 8X3.75,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR 8X4.00,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR FG US 2.00X40,218.4,76.44,62.55,172.08,5
HCPCS,C1725,HC BALLOON EMERGE MR FG US 2.50X40,218.4,76.44,62.55,172.08,5
HCPCS,C1725,HC BALLOON EMERGE MR FG US 3.00X40,218.4,76.44,62.55,172.08,5
HCPCS,C1725,HC BALLOON EMERGE MR FG US 3.50X40,218.4,76.44,62.55,172.08,5
HCPCS,C1725,HC BALLOON EMERGE MR FG US 4.00X40,218.4,76.44,62.55,172.08,5
HCPCS,C1725,HC BALLOON EMERGE MR FG US 4.50X12,218.4,76.44,62.55,172.08,5
HCPCS,C1725,HC BALLOON EMERGE MR FG US 4.50X15,218.4,76.44,62.55,172.08,5
HCPCS,C1725,HC BALLOON EMERGE MR FG US 4.50X20,218.4,76.44,62.55,172.08,5
HCPCS,C1725,HC BALLOON EMERGE MR FG US 4.50X8,218.4,76.44,62.55,172.08,5
HCPCS,C1725,HC BALLOON EMERGE MR FG US 5.00X12,218.4,76.44,62.55,172.08,5
HCPCS,C1725,HC BALLOON EMERGE MR FG US 5.00X15,218.4,76.44,62.55,172.08,5
HCPCS,C1725,HC BALLOON EMERGE MR FG US 5.00X20,218.4,76.44,62.55,172.08,5
HCPCS,C1725,HC BALLOON EMERGE MR FG US 5.00X8,218.4,76.44,62.55,172.08,5
HCPCS,C1725,HC BALLOON EMERGE MR PUSH 12X1.20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR PUSH 12X1.50,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR PUSH 15X1.20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR PUSH 15X1.50,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR PUSH 20X1.20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR PUSH 20X1.50,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR PUSH 8X1.20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON EMERGE MR PUSH 8X1.50,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON ENTEER RE ENTRY,5239.5,1833.83,172.08,3903.43,5
HCPCS,C1725,HC BALLOON EUS SLIM LINEAR,74.4,26.04,21.31,172.08,5
HCPCS,C1725,HC BALLOON MAVERICK OTW 12MM 2.25,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON MAVERICK OTW 15MM 2.25,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON MAVERICK OTW 20MM 2.25,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON MAVERICK OTW 25MM 2.00,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON MAVERICK OTW 25MM 2.25,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON MAVERICK OTW 25MM 2.50,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON MAVERICK OTW 25MM 2.75,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON MAVERICK OTW 25MM 3.00,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON MAVERICK OTW 25MM 3.25,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON MAVERICK OTW 25MM 3.50,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON MAVERICK OTW 25MM 3.75,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON MAVERICK OTW 25MM 4.00,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON MAVERICK OTW 30MM 2.25,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON MAVERICK OTW 9MM 2.25,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON MAVERICK OTW 9MM 3.25,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON MAVERICK XL 5.5X15X150,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON MAVERICK XL 6.0X15X150,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON METACROSS OTW 10 60 13,383.04,134.07,109.7,285.36,5
HCPCS,C1725,HC BALLOON METACROSS OTW 6 40 135,383.04,134.07,109.7,285.36,5
HCPCS,C1725,HC BALLOON METACROSS OTW 6 60 135,383.04,134.07,109.7,285.36,5
HCPCS,C1725,HC BALLOON METACROSS OTW 7 40 135,383.04,134.07,109.7,285.36,5
HCPCS,C1725,HC BALLOON METACROSS OTW 8 60 135,383.04,134.07,109.7,285.36,5
HCPCS,C1725,HC BALLOON METACROSS OTW 9 60 135,383.04,134.07,109.7,285.36,5
HCPCS,C1725,HC BALLOON MUSTANG 10X20X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 10X20X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 10X20X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 10X30X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 10X30X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 10X30X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 10X40X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 10X40X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 10X40X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 10X60X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 10X60X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 10X60X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 10X80X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 10X80X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 10X80X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 12X20X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 12X20X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 12X20X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 12X30X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 12X30X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 12X30X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 12X40X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 12X40X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 12X40X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 12X60X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 12X60X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 12X60X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 12X80X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 12X80X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 12X80X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 3X100X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 3X100X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 3X100X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 3X120X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 3X120X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 3X150X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 3X150X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 3X180X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 3X180X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 3X200X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 3X200X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 3X20X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 3X20X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 3X20X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 3X30X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 3X30X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 3X30X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 3X40X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 3X40X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 3X40X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 3X60X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 3X60X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 3X60X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 3X80X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 3X80X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 3X80X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 4X100X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 4X100X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 4X100X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 4X120X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 4X120X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 4X150X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 4X150X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 4X180X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 4X180X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 4X200X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 4X200X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 4X20X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 4X20X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 4X20X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 4X30X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 4X30X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 4X30X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 4X40X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 4X40X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 4X40X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 4X60X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 4X60X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 4X60X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 4X80X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 4X80X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 4X80X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X100X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X100X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X100X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X120X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X120X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X120X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X150X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X150X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X180X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X180X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X200X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X200X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X20X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X20X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X20X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X30X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X30X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X30X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X40X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X40X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X40X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X60X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X60X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X60X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X80X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X80X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 5X80X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X100X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X100X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X100X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X120X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X120X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X120X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X150X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X150X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X180X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X180X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X200X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X200X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X20X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X20X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X20X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X30X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X30X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X30X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X40X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X40X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X40X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X60X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X60X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X60X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X80X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X80X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 6X80X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 7X100X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 7X100X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 7X100X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 7X120X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 7X120X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 7X150X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 7X150X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 7X180X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 7X180X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 7X200X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 7X200X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 7X20X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 7X20X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 7X20X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 7X30X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 7X30X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 7X30X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 7X40X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 7X40X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 7X40X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 7X60X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 7X60X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 7X60X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 7X80X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 7X80X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 7X80X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 8X100X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 8X100X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 8X100X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 8X120X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 8X120X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 8X150X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 8X150X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 8X180X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 8X180X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 8X200X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 8X200X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 8X20X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 8X20X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 8X20X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 8X30X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 8X30X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 8X30X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 8X40X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 8X40X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 8X40X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 8X60X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 8X60X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 8X60X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 8X80X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 8X80X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 8X80X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 9X20X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 9X20X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 9X20X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 9X30X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 9X30X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 9X30X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 9X40X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 9X40X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 9X40X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 9X60X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 9X60X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 9X60X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 9X80X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 9X80X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON MUSTANG 9X80X75,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON NANO OTW014X5.0X150,1548.96,542.14,172.08,1153.98,5
HCPCS,C1725,HC BALLOON NANOCRS OTW014X3.0X150,1548.96,542.14,172.08,1153.98,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 2.00 X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 2.00X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 2.00X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 2.00X30,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 2.00X6,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 2.00X8,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 2.25X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 2.25X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 2.25X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 2.25X30,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 2.25X6,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 2.25X8,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 2.50X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 2.50X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 2.50X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 2.50X30,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 2.50X6,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 2.50X8,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 2.75X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 2.75X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 2.75X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 2.75X30,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 2.75X6,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 2.75X8,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 3.00X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 3.00X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 3.00X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 3.00X30,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 3.00X6,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 3.00X8,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 3.25X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 3.25X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 3.25X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 3.25X30,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 3.25X6,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 3.25X8,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 3.50X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 3.50X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 3.50X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 3.50X30,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 3.50X6,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 3.50X8,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 3.75X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 3.75X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 3.75X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 3.75X30,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 3.75X6,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 3.75X8,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 4.00X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 4.00X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 4.00X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 4.00X30,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 4.00X6,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 4.00X8,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 4.50X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 4.50X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 4.50X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 4.50X6,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 4.50X8,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 5.00X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 5.00X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 5.00X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 5.00X6,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 5.00X8,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 5.50X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 5.50X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 5.50X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 5.50X8,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 6.00X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 6.00X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 6.00X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE MR 6.00X8,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 2.00X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 2.00X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 2.00X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 2.25X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 2.25X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 2.25X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 2.25X8,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 2.50X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 2.50X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 2.50X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 2.50X8,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 2.75X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 2.75X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 2.75X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 2.75X8,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 3.00X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 3.00X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 3.00X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 3.00X8,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 3.25X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 3.25X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 3.25X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 3.25X8,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 3.50X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 3.50X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 3.50X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 3.50X8,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 3.75X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 3.75X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 3.75X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 3.75X8,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 4.00X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 4.00X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 4.00X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 4.00X8,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 4.50X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 4.50X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 4.50X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 4.50X8,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 5.00X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 5.00X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 5.00X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 5.00X8,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EMERGE OTW 6.00X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 2.0X12,320.0,112.0,91.65,238.4,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 2.0X15,320.0,112.0,91.65,238.4,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 2.0X8,320.0,112.0,91.65,238.4,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 2.25X6,320.0,112.0,91.65,238.4,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 2.25X8,320.0,112.0,91.65,238.4,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 2.5X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 2.5X15,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 2.5X20,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 2.5X27,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 2.5X6,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 2.5X8,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 2.75X6,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 2.75X8,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 3.0X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 3.0X15,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 3.0X20,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 3.0X27,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 3.0X6,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 3.0X8,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 3.25X6,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 3.25X8,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 3.5X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 3.5X15,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 3.5X20,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 3.5X27,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 3.5X6,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 3.5X8,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 3.75X6,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 3.75X8,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 4.0X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 4.0X15,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 4.0X20,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 4.0X27,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 4.0X6,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 4.0X8,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 4.50X6,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 4.50X8,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 5.0X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 5.0X15,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA 5.0X8,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA2.25X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA2.25X15,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA2.25X20,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA2.75X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA2.75X15,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA2.75X20,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA2.75X27,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA3.25X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA3.25X15,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA3.25X20,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA3.25X27,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA3.75X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA3.75X15,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA3.75X20,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA3.75X27,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON NC EUPHORA PTCA4.50X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 2.25X12,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 2.25X15,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 2.25X20,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 2.25X30,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 2.25X8,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 2.5X12,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 2.5X15,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 2.5X20,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 2.5X30,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 2.5X8,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 2.75X12,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 2.75X15,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 2.75X20,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 2.75X30,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 2.75X8,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 2X12,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 2X15,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 2X20,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 2X30,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 2X8,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 3 .25X8,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 3.25X12,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 3.25X15,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 3.25X20,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 3.25X30,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 3.5X12,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 3.5X15,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 3.5X20,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 3.5X30,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 3.5X8,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 3.75X12,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 3.75X15,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 3.75X20,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 3.75X30,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 3.75X8,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 3X12,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 3X15,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 3X20,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 3X30,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 3X8,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 4.5X12,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 4.5X15,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 4.5X20,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 4.5X30,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 4.5X8,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 4X12,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 4X15,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 4X20,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 4X30,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 4X8,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 5X12,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 5X15,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 5X20,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 5X30,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA LEO NC 5X8,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 1.25X10,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 1.25X15,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 1.25X20,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 1.25X6,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 1.5X10,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 1.5X15,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 1.5X20,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 1.5X6,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 2.5X10,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 2.5X15,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 2.5X20,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 2.5X25,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 2X10,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 2X15,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 2X20,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 2X25,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 2X30,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 3.5X10,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 3.5X15,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 3.5X20,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 3.5X25,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 3.5X30,252.0,88.2,72.17,187.74,10
HCPCS,C1725,HC BALLOON PANTERA PROWRK 3X10,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 3X15,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 3X20,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 3X25,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 3X30,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 4X10,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 4X15,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 4X20,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 4X25,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PANTERA PROWRK 4X30,252.0,88.2,72.17,187.74,5
HCPCS,C1725,HC BALLOON PCF PL DIA 040LX120XS40,390.4,136.64,111.81,290.85,5
HCPCS,C1725,HC BALLOON PCF PL PTA 040X040X150,390.4,136.64,111.81,290.85,5
HCPCS,C1725,HC BALLOON PCF PL PTA 040X040X200,1040.0,364.0,172.08,774.8,5
HCPCS,C1725,HC BALLOON PCF PL PTA 040X080X150,390.4,136.64,111.81,290.85,5
HCPCS,C1725,HC BALLOON PCF PL PTA 040X100X200,1040.0,364.0,172.08,774.8,5
HCPCS,C1725,HC BALLOON PCF PL PTA 040X150X200,1040.0,364.0,172.08,774.8,5
HCPCS,C1725,HC BALLOON PCF PL PTA 050X040X150,390.4,136.64,111.81,290.85,5
HCPCS,C1725,HC BALLOON PCF PL PTA 050X040X200,1040.0,364.0,172.08,774.8,5
HCPCS,C1725,HC BALLOON PCF PL PTA 050X080X150,390.4,136.64,111.81,290.85,5
HCPCS,C1725,HC BALLOON PCF PL PTA 050X100X200,1040.0,364.0,172.08,774.8,5
HCPCS,C1725,HC BALLOON PCF PL PTA 050X150X150,390.4,136.64,111.81,290.85,5
HCPCS,C1725,HC BALLOON PCF PL PTA 050X150X200,1040.0,364.0,172.08,774.8,5
HCPCS,C1725,HC BALLOON PCF PL PTA 050X200X150,390.4,136.64,111.81,290.85,5
HCPCS,C1725,HC BALLOON PCF PL PTA 060X040X150,390.4,136.64,111.81,290.85,5
HCPCS,C1725,HC BALLOON PCF PL PTA 060X040X200,1040.0,364.0,172.08,774.8,5
HCPCS,C1725,HC BALLOON PCF PL PTA 060X080X150,390.4,136.64,111.81,290.85,5
HCPCS,C1725,HC BALLOON PCF PL PTA 060X100X200,1040.0,364.0,172.08,774.8,5
HCPCS,C1725,HC BALLOON PCF PL PTA 060X150X200,1040.0,364.0,172.08,774.8,5
HCPCS,C1725,HC BALLOON PCF PL PTA 070X040X200,1040.0,364.0,172.08,774.8,5
HCPCS,C1725,HC BALLOON PCF PL PTA 070X100X200,1040.0,364.0,172.08,774.8,5
HCPCS,C1725,HC BALLOON PCF PL PTA 2.5X150X150,390.4,136.64,111.81,290.85,5
HCPCS,C1725,HC BALLOON PCF PL PTA 2.5X80X150,390.4,136.64,111.81,290.85,10
HCPCS,C1725,HC BALLOON PCF PL PTA 2X40X150,390.4,136.64,111.81,290.85,5
HCPCS,C1725,HC BALLOON PCF PL PTA 2X80X150,390.4,136.64,111.81,290.85,5
HCPCS,C1725,HC BALLOON PCF PL PTA 3X120X150,390.4,136.64,111.81,290.85,5
HCPCS,C1725,HC BALLOON PCF PL PTA 3X150X150,390.4,136.64,111.81,290.85,5
HCPCS,C1725,HC BALLOON PCF PL PTA 3X40X150,390.4,136.64,111.81,290.85,5
HCPCS,C1725,HC BALLOON PCF PL PTA 3X80X150,390.4,136.64,111.81,290.85,5
HCPCS,C1725,HC BALLOON PTA R2P 6F 3 120,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON PTA R2P 6F 3 200,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON PTA R2P 6F 3 60,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON PTA R2P 6F 4 120,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON PTA R2P 6F 4 200,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON PTA R2P 6F 4 60,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON PTA R2P 6F 5 120,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON PTA R2P 6F 5 200,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON PTA R2P 6F 5 60,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON PTA R2P 6F 7 60,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON PTA R2P 6F 8 60,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON QUAN MAV MON 12X2.25MM,303.24,106.14,86.85,225.91,5
HCPCS,C1725,HC BALLOON QUAN MAV MON 12X3.25MM,303.24,106.14,86.85,225.91,5
HCPCS,C1725,HC BALLOON QUAN MAV MON 15X2.0MM,303.24,106.14,86.85,225.91,5
HCPCS,C1725,HC BALLOON QUAN MAV MON 15X3.0MM,303.24,106.14,86.85,225.91,5
HCPCS,C1725,HC BALLOON QUAN MAV MON 20X2.0MM,303.24,106.14,86.85,225.91,5
HCPCS,C1725,HC BALLOON QUAN MAV MON 20X2.5MM,303.24,106.14,86.85,225.91,5
HCPCS,C1725,HC BALLOON QUAN MAV MON 20X3.0MM,303.24,106.14,86.85,225.91,5
HCPCS,C1725,HC BALLOON QUAN MAV MON 20X3.5MM,303.24,106.14,86.85,225.91,5
HCPCS,C1725,HC BALLOON QUAN MAV MON 30X2.0MM,303.24,106.14,86.85,225.91,5
HCPCS,C1725,HC BALLOON QUAN MAV MON 30X2.5MM,303.24,106.14,86.85,225.91,5
HCPCS,C1725,HC BALLOON QUAN MAV MON 30X3.0MM,303.24,106.14,86.85,225.91,5
HCPCS,C1725,HC BALLOON QUAN MAV MON 30X3.5MM,303.24,106.14,86.85,225.91,5
HCPCS,C1725,HC BALLOON QUANTUM,887.65,310.68,172.08,661.3,5
HCPCS,C1725,HC BALLOON R2P METACROSS 6X120X20,537.6,188.16,153.97,400.51,5
HCPCS,C1725,HC BALLOON R2P METACROSS 6X60X200,873.6,305.76,172.08,650.83,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 1.50X06,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 1.50X10,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 1.50X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 1.50X15,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 1.50X20,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 2.00X06,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 2.00X10,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 2.00X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 2.00X15,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 2.00X20,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 2.00X25,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 2.00X30,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 2.25X06,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 2.25X10,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 2.25X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 2.25X15,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 2.25X20,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 2.25X25,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 2.5X06,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 2.5X10,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 2.5X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 2.5X15,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 2.5X20,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 2.5X25,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 2.5X30,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 2.75X06,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 2.75X10,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 2.75X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 2.75X15,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 2.75X20,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 2.75X25,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 3.00X06,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 3.00X10,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 3.00X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 3.00X15,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 3.00X20,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 3.00X25,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 3.00X30,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 3.25X06,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 3.25X10,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 3.25X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 3.25X15,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 3.25X20,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 3.25X25,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 3.5X06,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 3.5X10,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 3.5X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 3.5X15,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 3.5X20,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 3.5X25,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 3.5X30,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 3.75X06,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 3.75X10,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 3.75X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 3.75X15,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 3.75X20,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 3.75X25,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 4.00X06,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 4.00X10,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 4.00X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 4.00X15,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 4.00X20,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 4.00X25,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SC EUPHORA RX 4.00X30,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON SPRINTER LGD RX 1.5X12,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER LGD RX 1.5X6,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER LGD RX 2.0X12,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER LGD RX 2.0X15,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER LGD RX 2.0X20,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER LGD RX 2.0X30,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER LGD RX 2.5X12,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER LGD RX 2.5X15,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER LGD RX 2.5X20,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER LGD RX 2.5X30,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER LGD RX 3.0X12,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER LGD RX 3.0X15,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER LGD RX 3.0X20,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER LGD RX 3.0X30,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER LGD RX 3.5X12,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER LGD RX 3.5X15,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER LGD RX 3.5X20,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER LGD RX 3.5X30,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER LGD RX 4.0X12,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER LGD RX 4.0X15,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER LGD RX 4.0X20,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 1.25X15,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 1.25X6,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 1.5X10MM,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 1.5X12MM,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 1.5X15,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 1.5X6MM,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 2.0X10,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 2.0X12,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 2.0X15,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 2.0X20,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 2.0X30,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 2.25X12,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 2.25X15,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 2.5X10,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 2.5X12,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 2.5X15,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 2.5X20,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 2.5X30,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 2.75X12,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 2.75X15,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 3.0X10,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 3.0X12,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 3.0X15,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 3.0X20,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 3.0X30,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 3.25X12,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 3.25X15,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 3.5X10,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 3.5X12,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 3.5X15,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 3.5X20,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 3.75X12,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 3.75X15,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 4.0X12,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 4.0X15,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER OTW 4.0X20,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER RX 1.25X12,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER RX 1.25X15,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON SPRINTER RX 1.25X6,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC BALLOON STER OTW 018 10X20X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 10X20X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 10X30X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 10X30X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 10X40X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 10X40X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 10X60X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 10X60X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 10X80X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 10X80X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 2.5X20X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 2.5X30X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 2.5X40X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 2.5X60X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 2X20X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 2X20X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 2X220X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 2X220X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 2X30X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 2X30X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 2X40X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 2X40X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 2X60X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 2X60X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 3.5X20X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 3.5X30X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 3.5X40X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 3.5X60X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 3X20X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 3X20X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 3X220X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 3X220X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 3X30X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 3X30X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 3X40X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 3X40X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 3X60X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 3X60X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 4X100X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 4X100X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 4X20X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 4X20X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 4X20X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 4X220X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 4X220X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 4X30X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 4X30X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 4X40X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 4X40X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 4X40X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 4X60X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 4X60X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 4X80X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 4X80X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 5X100X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 5X100X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 5X120X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 5X120X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 5X150X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 5X150X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 5X200X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 5X200X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 5X20X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 5X20X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 5X20X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 5X220X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 5X220X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 5X30X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 5X30X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 5X40X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 5X40X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 5X40X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 5X60X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 5X60X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 5X80X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 5X80X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 6X100X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 6X100X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 6X120X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 6X120X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 6X150X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 6X150X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 6X200X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 6X200X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 6X20X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 6X20X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 6X20X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 6X220X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 6X220X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 6X30X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 6X30X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 6X40X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 6X40X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 6X40X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 6X60X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 6X60X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 6X80X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 6X80X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 7X100X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 7X100X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 7X120X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 7X120X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 7X150X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 7X150X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 7X200X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 7X200X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 7X20X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 7X20X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 7X20X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 7X220X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 7X220X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 7X30X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 7X30X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 7X40X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 7X40X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 7X40X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 7X60X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 7X60X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 7X80X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 7X80X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 8X20X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 8X20X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 8X20X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 8X30X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 8X30X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 8X40X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 8X40X40,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 8X40X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 8X60X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 8X60X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 8X80X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 8X80X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 9X20X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 9X20X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 9X30X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 9X30X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 9X40X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 9X40X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 9X60X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 9X60X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 9X80X135,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW 018 9X80X80,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW018 2.5X20X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW018 2.5X220X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW018 2.5X30X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW018 2.5X40X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW018 2.5X60X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW018 3.5X20X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW018 3.5X220X90,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW018 3.5X30X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW018 3.5X40X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STER OTW018 3.5X60X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STEROTW018 2.5X220X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON STEROTW018 3.5X220X150,448.93,157.13,128.57,334.45,5
HCPCS,C1725,HC BALLOON TAKERU PTCA RX 1 5 12,386.4,135.24,110.66,287.87,5
HCPCS,C1725,HC BALLOON TAKERU PTCA RX 1 5 15,386.4,135.24,110.66,287.87,5
HCPCS,C1725,HC BALLOON TAKERU PTCA RX 1 5 6,386.4,135.24,110.66,287.87,5
HCPCS,C1725,HC BALLOON TAKERU PTCA RX 2 8,386.4,135.24,110.66,287.87,5
HCPCS,C1725,HC BALLOON TAKERXU PTCA RX 2 12,386.4,135.24,110.66,287.87,5
HCPCS,C1725,HC BALLOON TAKERXU PTCA RX 2 15,386.4,135.24,110.66,287.87,5
HCPCS,C1725,HC BALLOON THREADER MR 1.2X12,1344.0,470.4,172.08,1001.28,5
HCPCS,C1725,HC BALLOON THREADER OTW 1.2X12,1344.0,470.4,172.08,1001.28,5
HCPCS,C1725,HC BALLOON TREK MINI RX 1.20X08,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK MINI RX 1.20X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK MINI RX 1.20X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK MINI RX 1.20X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK MINI RX 1.50X06,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK MINI RX 1.50X08,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK MINI RX 1.50X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK MINI RX 1.50X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK MINI RX 1.50X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK NC RX 2.0X8,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 2.25X8,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 2.5X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 2.5X15,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 2.5X20,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 2.5X8,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 2.75X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 2.75X15,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 2.75X20,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 2.75X8,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 3.0X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 3.0X15,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 3.0X20,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 3.0X8,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 3.25X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 3.25X15,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 3.25X20,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 3.25X8,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 3.5X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 3.5X15,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 3.5X20,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 3.5X8,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 3.75X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 3.75X15,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 3.75X20,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 4.0X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 4.0X15,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 4.0X20,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 4.0X8,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK NC RX 4.5X12,504.0,176.4,144.35,375.48,5
HCPCS,C1725,HC BALLOON TREK RX 2.0X06,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.0X08,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.0X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.0X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.0X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.0X25,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.0X30,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.25X06,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.25X08,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.25X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.25X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.25X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.25X25,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.25X30,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.50X06,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.50X08,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.50X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.50X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.50X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.50X25,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.50X30,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.75X06,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.75X08,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.75X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.75X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.75X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.75X25,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 2.75X30,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.00X06,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.00X08,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.00X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.00X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.00X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.00X25,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.00X30,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.25X06,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.25X08,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.25X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.25X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.25X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.25X25,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.25X30,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.50X06,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.50X08,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.50X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.50X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.50X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.50X25,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.50X30,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.75X06,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.75X08,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.75X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.75X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.75X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.75X25,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 3.75X30,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 4.00X06,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 4.00X08,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 4.00X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 4.00X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 4.00X20,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 4.00X25,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 4.00X30,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 4.50X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 4.50X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 5.00X12,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON TREK RX 5.00X15,319.2,111.72,91.42,237.8,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 10.0X20X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 10.0X40X135,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 10.0X40X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 10.0X80X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 12.0X20X135,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 12.0X20X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 12.0X40X135,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 12.0X40X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 12.0X60X135,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 12.0X60X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 4.0X100X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 4.0X100X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 4.0X20X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 4.0X20X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 4.0X40X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 4.0X40X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 4.0X60X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 4.0X60X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 4.0X80X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 4.0X80X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 5.00X20X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 5.0X100X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 5.0X100X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 5.0X20X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 5.0X40X135,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 5.0X40X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 5.0X40X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 5.0X60X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 5.0X60X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 5.0X80X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 5.0X80X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 6.0X100X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 6.0X100X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 6.0X20X135,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 6.0X20X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 6.0X20X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 6.0X40X135,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 6.0X40X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 6.0X40X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 6.0X60X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 6.0X60X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 6.0X80X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 6.0X80X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 7.0X100X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 7.0X100X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 7.0X20X135,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 7.0X20X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 7.0X20X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 7.0X40X135,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 7.0X40X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 7.0X40X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 7.0X60X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 7.0X60X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 7.0X80X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 7.0X80X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 8.0X100X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 8.0X100X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 8.0X20X135,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 8.0X20X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 8.0X20X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 8.0X30X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 8.0X30X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 8.0X40X135,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 8.0X40X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 8.0X40X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 8.0X60X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 8.0X60X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 8.0X80X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 8.0X80X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 9.0X20X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 9.0X20X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 9.0X40X135,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 9.0X40X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 9.0X40X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 9.0X80X50,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR HI ATHL 9.0X80X75,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC BALLOON ULTR LOW PRF .018X3X2,957.6,335.16,172.08,713.41,5
HCPCS,C1725,HC BALLOON ULTR LOW PRF .018X3X4,957.6,335.16,172.08,713.41,5
HCPCS,C1725,HC BALLOON ULTR LOW PRF .018X4X2,957.6,335.16,172.08,713.41,5
HCPCS,C1725,HC BALLOON ULTR LOW PRF .018X5X2,957.6,335.16,172.08,713.41,5
HCPCS,C1725,HC BALLOON ULTR LOW PRF .018X5X4,957.6,335.16,172.08,713.41,5
HCPCS,C1725,HC BALLOON VASCUTRAK 2 PTA 2X150,1500.0,525.0,172.08,1117.5,5
HCPCS,C1725,HC BALLOON VASCUTRAK 2 PTA 2X250,1500.0,525.0,172.08,1117.5,5
HCPCS,C1725,HC BALLOON VASCUTRAK 2 PTA 2X40,1500.0,525.0,172.08,1117.5,5
HCPCS,C1725,HC BALLOON VASCUTRAK 2 PTA 3X150,1500.0,525.0,172.08,1117.5,5
HCPCS,C1725,HC BALLOON VASCUTRAK 2 PTA 3X300,1500.0,525.0,172.08,1117.5,5
HCPCS,C1725,HC BALLOON VASCUTRAK 2 PTA 3X40,1500.0,525.0,172.08,1117.5,5
HCPCS,C1725,HC BALLOON VASCUTRAK 2 PTA 3X80,1500.0,525.0,172.08,1117.5,5
HCPCS,C1725,HC BALLOON VASCUTRAK 2 PTA 4X100,1500.0,525.0,172.08,1117.5,5
HCPCS,C1725,HC BALLOON VASCUTRAK 2 PTA 4X150,1500.0,525.0,172.08,1117.5,5
HCPCS,C1725,HC BALLOON VASCUTRAK 2 PTA 4X60,1500.0,525.0,172.08,1117.5,5
HCPCS,C1725,HC BALLOON VASCUTRAK 2 PTA 5X100,1500.0,525.0,172.08,1117.5,5
HCPCS,C1725,HC BALLOON VASCUTRAK 2 PTA 5X60,1500.0,525.0,172.08,1117.5,5
HCPCS,C1725,HC BALLOON VENOGRAM OCCLUSIVE,347.59,121.66,99.55,258.95,5
HCPCS,C1725,HC BALOON TAKERU PTCA OTW 1.50 12,386.4,135.24,110.66,287.87,5
HCPCS,C1725,HC BALOON TAKERU PTCA OTW 1.50 15,386.4,135.24,110.66,287.87,5
HCPCS,C1725,HC BALOON TAKERU PTCA OTW 1.50 6,386.4,135.24,110.66,287.87,5
HCPCS,C1725,HC BALOON TAKERU PTCA OTW 2.00 12,386.4,135.24,110.66,287.87,5
HCPCS,C1725,HC BALOON TAKERU PTCA OTW 2.00 15,386.4,135.24,110.66,287.87,5
HCPCS,C1725,HC BALOON TAKERU PTCA OTW 2.00 20,386.4,135.24,110.66,287.87,5
HCPCS,C1725,HC BALOON TAKERU PTCA OTW 2.00 8,386.4,135.24,110.66,287.87,5
HCPCS,C1725,HC BALOON TAKERU PTCA RX 2.00 15,386.4,135.24,110.66,287.87,5
HCPCS,C1725,HC BALOON TAKERU PTCA RX 2.00 20,386.4,135.24,110.66,287.87,5
HCPCS,C1725,HC BALOON TAKERU PTCA RX 2.25 12,386.4,135.24,110.66,287.87,5
HCPCS,C1725,HC BERENSTEIN CATH 5F 100CM,47.19,16.52,13.52,172.08,5
HCPCS,C1725,HC CATH ANGIO 10SIDEHOLES 5FX100,379.76,132.92,108.76,282.92,5
HCPCS,C1725,HC CATH ANGIO ER REBOA,4189.5,1466.33,172.08,3121.18,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X10X20,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X10X30,560.0,196.0,160.38,417.2,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X10X40,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X10X60,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X12X20,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X12X40,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X4.0X100,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X4.0X120,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X4.0X150,776.16,271.66,172.08,578.24,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X4.0X20,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X4.0X200,776.16,271.66,172.08,578.24,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X4.0X30,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X4.0X40,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X4.0X60,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X4.0X80,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X5.0X100,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X5.0X120,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X5.0X150,776.16,271.66,172.08,578.24,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X5.0X20,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X5.0X200,776.16,271.66,172.08,578.24,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X5.0X30,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X5.0X40,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X5.0X60,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X5.0X80,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X6.0X100,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X6.0X120,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X6.0X150,776.16,271.66,172.08,578.24,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X6.0X20,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X6.0X200,776.16,271.66,172.08,578.24,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X6.0X30,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X6.0X40,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X6.0X60,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X6.0X80,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X7.0X100,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X7.0X120,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X7.0X150,776.16,271.66,172.08,578.24,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X7.0X20,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X7.0X200,776.16,271.66,172.08,578.24,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X7.0X30,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X7.0X40,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X7.0X60,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X7.0X80,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X8.0X20,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X8.0X30,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X8.0X40,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X8.0X60,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X8.0X80,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X9.0X20,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X9.0X30,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X9.0X40,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X9.0X60,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO EVR OTW 035X9.0X80,588.0,205.8,168.4,438.06,5
HCPCS,C1725,HC CATH ANGIO FORT OTW,705.6,246.96,172.08,525.67,5
HCPCS,C1725,HC CATH ANGIO FORT OTW 035X12X40,1475.2,516.32,172.08,1099.02,5
HCPCS,C1725,HC CATH ANGIO FORT OTW 035X4.0X40,1475.2,516.32,172.08,1099.02,5
HCPCS,C1725,HC CATH ANGIO FORT OTW 035X5.0X40,1475.2,516.32,172.08,1099.02,5
HCPCS,C1725,HC CATH ANGIO FORT OTW 035X6.0X40,1475.2,516.32,172.08,1099.02,5
HCPCS,C1725,HC CATH ANGIO FORT OTW 035X7.0X40,1475.2,516.32,172.08,1099.02,5
HCPCS,C1725,HC CATH ANGIO FORT OTW 035X8.0X40,1475.2,516.32,172.08,1099.02,5
HCPCS,C1725,HC CATH ANGIO FORT OTW 035X9.0X40,1475.2,516.32,172.08,1099.02,5
HCPCS,C1725,HC CATH ANGIO NANE OTW,1369.2,479.225,172.08,1153.98,10
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X1.5X40,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X2.0X20,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X2.0X40,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X2.0X60,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X2.0X80,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X2.5X20,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X2.5X40,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X2.5X60,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X2.5X80,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X3.0X20,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X3.0X40,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X3.0X60,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X3.0X80,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X3.5X20,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X3.5X40,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X3.5X60,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X3.5X80,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X4.0X20,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X4.0X40,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X4.0X60,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X4.0X80,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X5.0X20,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X5.0X40,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X5.0X60,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X5.0X80,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X6.0X20,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X6.0X40,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X6.0X60,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW 014X6.0X80,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW014X2.0X100,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW014X2.0X120,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW014X2.0X150,1548.96,542.14,172.08,1153.98,5
HCPCS,C1725,HC CATH ANGIO NANE OTW014X2.0X210,1548.96,542.14,172.08,1153.98,5
HCPCS,C1725,HC CATH ANGIO NANE OTW014X2.5X100,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW014X2.5X120,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW014X3.0X100,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW014X3.0X120,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW014X3.5X100,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW014X3.5X120,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW014X4.0X100,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW014X4.0X120,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW014X5.0X100,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW014X5.0X120,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW014X6.0X100,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANE OTW014X6.0X120,1189.44,416.31,172.08,886.13,5
HCPCS,C1725,HC CATH ANGIO NANO OTW014X2.0X210,1366.51,478.28,172.08,1018.05,5
HCPCS,C1725,HC CATH ANGIO NANO OTW014X2.5X210,1420.855,497.3,172.08,1099.02,10
HCPCS,C1725,HC CATH ANGIO NANO OTW014X3.0X210,1420.855,497.3,172.08,1099.02,10
HCPCS,C1725,HC CATH ANGIO NANO OTW014X3.5X150,1475.2,516.32,172.08,1099.02,5
HCPCS,C1725,HC CATH ANGIO NANO OTW014X3.5X210,1420.855,497.3,172.08,1099.02,10
HCPCS,C1725,HC CATH ANGIO NANO OTW014X4.0X150,1475.2,516.32,172.08,1099.02,5
HCPCS,C1725,HC CATH ANGIO NANO OTW014X4.0X210,1475.2,516.32,172.08,1099.02,5
HCPCS,C1725,HC CATH ANGIO NANO OTW014X5.0X210,1475.2,516.32,172.08,1099.02,5
HCPCS,C1725,HC CATH ANGIO NANO OTW014X6.0X150,1475.2,516.32,172.08,1099.02,5
HCPCS,C1725,HC CATH ANGIO NANO OTW014X6.0X210,1475.2,516.32,172.08,1099.02,5
HCPCS,C1725,HC CATH ART STR 5FX150,171.36,59.98,49.08,172.08,5
HCPCS,C1725,HC CATH ASAHI CORSAIR PRO 135,1848.0,646.8,172.08,1376.76,5
HCPCS,C1725,HC CATH ASAHI CORSAIR PRO 150,1848.0,646.8,172.08,1376.76,5
HCPCS,C1725,HC CATH BALLOON 80X10,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC CATH BALLOON RIVAL 4X8X135,480.0,168.0,137.47,357.6,5
HCPCS,C1725,HC CATH BALLOON RIVAL 5X10X135,480.0,168.0,137.47,357.6,5
HCPCS,C1725,HC CATH BALLOON RIVAL 7X10X135,480.0,168.0,137.47,357.6,5
HCPCS,C1725,HC CATH BALLOON RIVAL PTA,256.0,89.6,73.32,190.72,5
HCPCS,C1725,HC CATH BALLOON SAVVY 5.0X150,1233.79,431.83,172.08,919.17,5
HCPCS,C1725,HC CATH BALLOON SAVVY 5.0X220,1233.79,431.83,172.08,919.17,5
HCPCS,C1725,HC CATH BALLOON SAVVY 6.0X150,1233.79,431.83,172.08,919.17,5
HCPCS,C1725,HC CATH BALLOON SAVVY 6.0X220,1233.79,431.83,172.08,919.17,5
HCPCS,C1725,HC CATH BALLOON SLEEK 2.0X150,1152.31,403.31,172.08,858.47,5
HCPCS,C1725,HC CATH BALLOON SLEEK 2.5X150,1152.31,403.31,172.08,858.47,5
HCPCS,C1725,HC CATH BALLOON SLEEK 2.5X220,1152.31,403.31,172.08,858.47,5
HCPCS,C1725,HC CATH BALLOON SLEEK 3.0X150,1152.31,403.31,172.08,858.47,5
HCPCS,C1725,HC CATH BALLOON SLEEK 3.0X220,1152.31,403.31,172.08,858.47,5
HCPCS,C1725,HC CATH BALLOON SLEEK 4.0X150,1152.31,403.31,172.08,858.47,5
HCPCS,C1725,HC CATH BALLOON SLEEK 4.0X220,1152.31,403.31,172.08,858.47,5
HCPCS,C1725,HC CATH BALLOON TRAPIT TRAP 100,840.0,294.0,172.08,625.8,5
HCPCS,C1725,HC CATH BALLOON TRAPIT TRAP 90,840.0,294.0,172.08,625.8,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 10X40X130,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 10X40X75,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 4X10,752.0,263.2,172.08,560.24,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 4X100X130,480.0,168.0,137.47,357.6,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 4X1C,752.0,263.2,172.08,560.24,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 4X20X130,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 4X220,752.0,263.2,172.08,560.24,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 4X4,752.0,263.2,172.08,560.24,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 4X40X130,480.0,168.0,137.47,357.6,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 4X40X75,400.0,140.0,114.56,298.0,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 5X10,752.0,263.2,172.08,560.24,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 5X15,752.0,263.2,172.08,560.24,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 5X150X135,480.0,168.0,137.47,357.6,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 5X20X130,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 5X20X75,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 5X4,752.0,263.2,172.08,560.24,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 5X40X75,256.0,89.6,73.32,190.72,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 5X60X130,480.0,168.0,137.47,357.6,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 5X60X75,256.0,89.6,73.32,190.72,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 6X100,752.0,263.2,172.08,560.24,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 6X100X130,480.0,168.0,137.47,357.6,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 6X150X120,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 6X150X130,480.0,168.0,137.47,357.6,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 6X15X130,752.0,263.2,172.08,560.24,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 6X20X130,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 6X20X75,256.0,89.6,73.32,190.72,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 6X40X130,480.0,168.0,137.47,357.6,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 6X40X75,256.0,89.6,73.32,190.72,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 6X80X130,480.0,168.0,137.47,357.6,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 7X20X130,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 7X20X75,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 7X40X130,480.0,168.0,137.47,357.6,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 7X40X75,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 7X60X130,480.0,168.0,137.47,357.6,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 8X20X130,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 8X20X75,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 8X40X130,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 8X40X75,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 9X20X75,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 9X40X130,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC CATH BALLOON ULTRVRS 9X40X75,336.0,117.6,96.23,250.32,5
HCPCS,C1725,HC CATH BARTORELLI 5.2F,90.72,31.76,25.98,172.08,5
HCPCS,C1725,HC CATH CARD EB375 6FX100CM,134.4,47.04,38.49,172.08,5
HCPCS,C1725,HC CATH CARD IMPULSE 5F FL4.5,21.54,7.54,6.17,172.08,5
HCPCS,C1725,HC CATH CARD IMPULSE 5F MPA1,21.54,7.54,6.17,172.08,5
HCPCS,C1725,HC CATH CARD IMPULSE 6F MPA1,21.54,7.54,6.17,172.08,5
HCPCS,C1725,HC CATH COIL F IDC 2D 10X30,1267.22,443.53,172.08,944.08,5
HCPCS,C1725,HC CATH COIL F IDC 2D 3X6,1267.22,443.53,172.08,944.08,5
HCPCS,C1725,HC CATH COIL F IDC 2D 4X6,1267.22,443.53,172.08,944.08,5
HCPCS,C1725,HC CATH COIL F IDC 2D 5X8,1267.22,443.53,172.08,944.08,5
HCPCS,C1725,HC CATH COIL F IDC 2D 6X10,1267.22,443.53,172.08,944.08,5
HCPCS,C1725,HC CATH COIL F IDC 2D 8X20,1267.22,443.53,172.08,944.08,5
HCPCS,C1725,HC CATH COIL FIBER INTLK.035 8X20,1420.98,497.35,172.08,1058.63,5
HCPCS,C1725,HC CATH COIL FIBER INTLK.03510X20,1420.98,497.35,172.08,1058.63,5
HCPCS,C1725,HC CATH COIL FIBER INTLK.03512X20,1420.98,497.35,172.08,1058.63,5
HCPCS,C1725,HC CATH CORSAIR 150CM,752.0,263.2,172.08,560.24,5
HCPCS,C1725,HC CATH CROSSBOSS,2889.6,1011.36,172.08,2152.75,5
HCPCS,C1725,HC CATH DECANAV 7F,2559.9,895.97,172.08,1907.13,5
HCPCS,C1725,HC CATH DX FLEXTOME CB  06/2.50,1764.0,617.4,172.08,1314.18,5
HCPCS,C1725,HC CATH DX FLEXTOME CB  06/3.00,1764.0,617.4,172.08,1314.18,5
HCPCS,C1725,HC CATH DX FLEXTOME CB  06/3.50,1764.0,617.4,172.08,1314.18,5
HCPCS,C1725,HC CATH DX FLEXTOME CB  06/4.00,1764.0,617.4,172.08,1314.18,5
HCPCS,C1725,HC CATH DX FLEXTOME CB  10/2.00,1764.0,617.4,172.08,1314.18,5
HCPCS,C1725,HC CATH DX FLEXTOME CB  10/2.50,1764.0,617.4,172.08,1314.18,5
HCPCS,C1725,HC CATH DX FLEXTOME CB  10/3.00,1764.0,617.4,172.08,1314.18,5
HCPCS,C1725,HC CATH DX FLEXTOME CB  10/3.50,1764.0,617.4,172.08,1314.18,5
HCPCS,C1725,HC CATH DX FLEXTOME CB  10/4.00,1764.0,617.4,172.08,1314.18,5
HCPCS,C1725,HC CATH DXTR AMPL AL 6F 1 0 100 L,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR AMPL AL 6F 2 0 100 L,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR AMPL AL 6F 3 0 100 L,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR AMPL AR 6F 1 0 100 R,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR AMPL AR 6F 100 MD RT,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR AMPL AR 6F 2 0 100 R,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR CRNRY 6F 3DRC 100 RT,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR IMA BYPS 6F 100,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR JL 6F 3 5 100 LT,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR JL 6F 4 0 100 LT,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR JL 6F 4 0 125 LT,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR JL 6F 4 5 100 LT,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR JL 6F 5 0 100 LT,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR JL 6F 6 0 100 LT,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR JR 6F 3 5 100 RT,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR JR 6F 4 0 100 MD RT,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR JR 6F 4 0 100 RT,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR JR 6F 4 0 125 RT,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR JR 6F 5 0 100 RT,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR JR 6F 6 0 100 RT,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR LCB BYPS 6F 100,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR MPA 6F 100,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR MPA 6F SH 110,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR MPB 6F 100,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR MPB 6F 110,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR MPB 6F SH 110,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR MPURP MPA 6F 110,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR MPURP MPA 6F SH100,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR MPURP MPB 6F SH100,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR NO TORQ 6F 100 RT,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR RCB BYPS 6F 100,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR STR 6F PIG 110,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR STR 6F PIG 125,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR STR 6F PIG 145D 110,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR STR 6F PIG 155D 110,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH DXTR TRACK 5F 100,23.52,8.24,6.74,172.08,5
HCPCS,C1725,HC CATH DXTR TRACK 5F SH 100,23.52,8.24,6.74,172.08,5
HCPCS,C1725,HC CATH DXTR TRACK 5F SH 110,23.52,8.24,6.74,172.08,5
HCPCS,C1725,HC CATH DXTR TRACT 5F 100,23.52,8.24,6.74,172.08,5
HCPCS,C1725,HC CATH DXTR TRACT 5F SH 100,23.52,8.24,6.74,172.08,5
HCPCS,C1725,HC CATH DXTR TRACT 5F SH 110,23.52,8.24,6.74,172.08,5
HCPCS,C1725,HC CATH DXTR TRAN 5F 3 5 100,23.52,8.24,6.74,172.08,5
HCPCS,C1725,HC CATH DXTR TRAN 5F 3 5 SH 100,23.52,8.24,6.74,172.08,5
HCPCS,C1725,HC CATH DXTR TRAN 5F 3 5 SH 110,23.52,8.24,6.74,172.08,5
HCPCS,C1725,HC CATH DXTR TRAN 5F 4 0 100,23.52,8.24,6.74,172.08,5
HCPCS,C1725,HC CATH DXTR TRAN 5F 4 0 SH 100,23.52,8.24,6.74,172.08,5
HCPCS,C1725,HC CATH DXTR TRAN 5F 4 0 SH 110,23.52,8.24,6.74,172.08,5
HCPCS,C1725,HC CATH DXTR TRAN 5F 4 5 100,23.52,8.24,6.74,172.08,5
HCPCS,C1725,HC CATH DXTR TRAN 5F 4 5 SH 100,23.52,8.24,6.74,172.08,5
HCPCS,C1725,HC CATH DXTR TRAN 5F 4 5 SH 110,23.52,8.24,6.74,172.08,5
HCPCS,C1725,HC CATH DXTR TRAP 5F 3 5 100,23.52,8.24,6.74,172.08,10
HCPCS,C1725,HC CATH DXTR TRAP 5F 3 5 SH 100,23.52,8.24,6.74,172.08,5
HCPCS,C1725,HC CATH DXTR TRAP 5F 3 5 SH 110,23.52,8.24,6.74,172.08,5
HCPCS,C1725,HC CATH DXTR TRAP 5F 4 0 100,23.52,8.24,6.74,172.08,5
HCPCS,C1725,HC CATH DXTR TRAP 5F 4 0 SH 100,23.52,8.24,6.74,172.08,5
HCPCS,C1725,HC CATH DXTR TRAP 5F 4 0 SH 110,23.52,8.24,6.74,172.08,5
HCPCS,C1725,HC CATH DXTR TRAP 5F 4 5 100,23.52,8.24,6.74,172.08,5
HCPCS,C1725,HC CATH DXTR TRAP 5F 4 5 SH 100,23.52,8.24,6.74,172.08,5
HCPCS,C1725,HC CATH DXTR TRAP 5F 4 5 SH 110,23.52,8.24,6.74,172.08,5
HCPCS,C1725,HC CATH DXTR UNV RDL 6F 3 5 SH100,117.6,41.16,33.68,172.08,5
HCPCS,C1725,HC CATH DXTR UNV RDL 6F 4 0 SH 10,117.6,41.16,33.68,172.08,5
HCPCS,C1725,HC CATH DXTR UNV RDL 6F 4 5 SH100,117.6,41.16,33.68,172.08,5
HCPCS,C1725,HC CATH EP THRMCL SF BID TC DF,8091.3,2831.96,172.08,6028.02,5
HCPCS,C1725,HC CATH EXPO PIG DC 5F,21.54,7.54,6.17,172.08,5
HCPCS,C1725,HC CATH EXPO PIG DC 6F,21.54,7.54,6.17,172.08,5
HCPCS,C1725,HC CATH GUIDE 5F AL 1,77.28,27.05,22.13,172.08,5
HCPCS,C1725,HC CATH GUIDE 5F AL 2,77.28,27.05,22.13,172.08,5
HCPCS,C1725,HC CATH GUIDE 5F JL 3.5,77.28,27.05,22.13,172.08,5
HCPCS,C1725,HC CATH GUIDE 5F JL 4.0,77.28,27.05,22.13,172.08,5
HCPCS,C1725,HC CATH GUIDE 5F JL 5.0,77.28,27.05,22.13,172.08,5
HCPCS,C1725,HC CATH GUIDE 5F JR 3.5,77.28,27.05,22.13,172.08,5
HCPCS,C1725,HC CATH GUIDE 5F JR 4.0,77.28,27.05,22.13,172.08,5
HCPCS,C1725,HC CATH GUIDE 5F JR 5.0,77.28,27.05,22.13,172.08,5
HCPCS,C1725,HC CATH GUIDE CONVEY 7F LFTBU3,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE CONVEY 7F LFTBU3.5,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE CONVEY 7F LFTBU3.75,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE CONVEY 7F LFTBU4,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE CONVEY 7F LFTBU4.5,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE CONVEY 7F LFTBU4.75,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE EBU 3 100CM 6F,134.4,47.04,38.49,172.08,5
HCPCS,C1725,HC CATH GUIDE ELCT3F 120 2-5-2 20,3276.0,1146.6,172.08,2440.62,5
HCPCS,C1725,HC CATH GUIDE FMRL 4ST 6F RT,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE HEARTRAIL MD 6F 4.0,235.2,82.32,67.36,175.22,5
HCPCS,C1725,HC CATH GUIDE INTERNAL MAMM 5F AL,77.28,27.05,22.13,172.08,5
HCPCS,C1725,HC CATH GUIDE JR4 6FX45,248.64,87.03,71.21,185.24,5
HCPCS,C1725,HC CATH GUIDE JR4 8FX90,166.95,58.44,47.81,172.08,5
HCPCS,C1725,HC CATH GUIDE LINER 5.5F,1296.0,453.6,172.08,965.52,5
HCPCS,C1725,HC CATH GUIDE LINER 8F,1344.0,470.4,172.08,1001.28,5
HCPCS,C1725,HC CATH GUIDE LNCH 3DRC 7F,134.4,47.04,38.49,172.08,5
HCPCS,C1725,HC CATH GUIDE LNCH 6F GC EARD RT,134.4,47.04,38.49,172.08,5
HCPCS,C1725,HC CATH GUIDE LNCH 6F GC ERAD LT,134.4,47.04,38.49,172.08,5
HCPCS,C1725,HC CATH GUIDE LNCH 6F GC MRADIAL,134.4,47.04,38.49,172.08,5
HCPCS,C1725,HC CATH GUIDE LNCH AL.75 7F,134.4,47.04,38.49,172.08,5
HCPCS,C1725,HC CATH GUIDE LNCH AL1.0 7F,134.4,47.04,38.49,172.08,5
HCPCS,C1725,HC CATH GUIDE LNCH AL1.5 7F,134.4,47.04,38.49,172.08,5
HCPCS,C1725,HC CATH GUIDE LNCH AL2.0,134.4,47.04,38.49,172.08,5
HCPCS,C1725,HC CATH GUIDE LNCH AR1.0 7F,134.4,47.04,38.49,172.08,5
HCPCS,C1725,HC CATH GUIDE LNCH EBU3.5 7F,134.4,47.04,38.49,172.08,5
HCPCS,C1725,HC CATH GUIDE LNCH JL3.5 7F,134.4,47.04,38.49,172.08,5
HCPCS,C1725,HC CATH GUIDE LNCH JL4 7F,134.4,47.04,38.49,172.08,5
HCPCS,C1725,HC CATH GUIDE LNCH JR5.0 7F,134.4,47.04,38.49,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH 1 AL1.5 7F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH 1 AL3 7F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH 1 FL3 7F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH 1 FL4.5 7F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH 1 FL5 7F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH 1 FR3 7F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH 1 FR5 7F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH 1 IM 7F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH 1 IM 90 7F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH 1 LCB 7F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH 1 MP1 7F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH 1 MP2 7F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH 1 RCB 7F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH1 AL 1 ST 7F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH1 AL.75 7F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH1 AL.75 90 8F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH1 AL.75 ST 7F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH1 AL1 90 8F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH1 AL1.5 ST 7F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH1 AL2,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH1 AL2 90 8F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH1 AL2 S 7F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH1 FR3.57F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH1 JL3.57F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH1 JL4 90 8F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH1 KR4H 8F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH1 KR4H7F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH1 KR4S 7F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH1 KR4S 8F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH1 LFTBU3.5 908F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH1 LFTBU3.75 8F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE MACH1 MP1 90 8F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH GUIDE RINGER 2.5X20,5800.0,2030.0,172.08,4321.0,5
HCPCS,C1725,HC CATH GUIDE RINGER 3.0X20,5800.0,2030.0,172.08,4321.0,5
HCPCS,C1725,HC CATH GUIDE RINGER 3.5X20,5800.0,2030.0,172.08,4321.0,5
HCPCS,C1725,HC CATH GUIDE RINGER 4.0X20,5800.0,2030.0,172.08,4321.0,5
HCPCS,C1725,HC CATH GUIDE RINGER 4.5X20,5800.0,2030.0,172.08,4321.0,5
HCPCS,C1725,HC CATH GUIDE SHOCKWAVE 10.0X30,7245.0,2535.75,172.08,5397.53,5
HCPCS,C1725,HC CATH GUIDE SHOCKWAVE 12.0X30,7245.0,2535.75,172.08,5397.53,5
HCPCS,C1725,HC CATH GUIDE SHOCKWAVE 8.0X30,7245.0,2535.75,172.08,5397.53,5
HCPCS,C1725,HC CATH GUIDE SHOCKWAVE 9.0X30,7245.0,2535.75,172.08,5397.53,5
HCPCS,C1725,HC CATH GUIDESHEATH DEST STR 6FX4,275.52,96.44,78.91,205.26,5
HCPCS,C1725,HC CATH GUIDESHEATH DEST STR 6FX6,302.4,105.84,86.61,225.29,5
HCPCS,C1725,HC CATH GUIDESHEATH DEST STR 7FX4,275.52,96.44,78.91,205.26,5
HCPCS,C1725,HC CATH GUIDESHEATH DEST STR 7FX6,302.4,105.84,86.61,225.29,5
HCPCS,C1725,HC CATH GUIDESHEATH DEST STR 7FX9,309.12,108.2,88.53,230.29,5
HCPCS,C1725,HC CATH GUIDESHEATH DEST STR 8FX4,275.52,96.44,78.91,205.26,5
HCPCS,C1725,HC CATH GUIDESHEATH DEST STR 8FX6,302.4,105.84,86.61,225.29,5
HCPCS,C1725,HC CATH GUIDESHEATH DEST STR 8FX9,309.12,108.2,88.53,230.29,5
HCPCS,C1725,HC CATH GUIDIE CONVEY 7F LFTBU5,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH IKARI LFT IL 3.75 6F,235.2,82.32,67.36,175.22,5
HCPCS,C1725,HC CATH IKARI LFT IL 4.5 6F,235.2,82.32,67.36,175.22,5
HCPCS,C1725,HC CATH IKARI LFT IL SH 3.5 6F,235.2,82.32,67.36,175.22,5
HCPCS,C1725,HC CATH IKARI LFT IL SH 3.75 6F,235.2,82.32,67.36,175.22,5
HCPCS,C1725,HC CATH IKARI LFT IL SH 4.0 6F,235.2,82.32,67.36,175.22,5
HCPCS,C1725,HC CATH IKARI LFT IL SH 4.5 6F,235.2,82.32,67.36,175.22,5
HCPCS,C1725,HC CATH IKARI RT IR 1.5 6F,235.2,82.32,67.36,175.22,5
HCPCS,C1725,HC CATH IKARI RT IR 2.0 6F,235.2,82.32,67.36,175.22,5
HCPCS,C1725,HC CATH IKARI RT IR SH 1.0 6F,235.2,82.32,67.36,175.22,5
HCPCS,C1725,HC CATH IKARI RT IR SH 1.5 6F,235.2,82.32,67.36,175.22,5
HCPCS,C1725,HC CATH IKARI RT IR SH 2.0 6F,235.2,82.32,67.36,175.22,5
HCPCS,C1725,HC CATH IMP RAD MOD H00K 5FX90,90.72,31.76,25.98,172.08,5
HCPCS,C1725,HC CATH IMP RAD SIMII 5FX100X.038,46.87,16.41,13.42,172.08,5
HCPCS,C1725,HC CATH IMP RAD STFL 5FX990X.035,45.36,15.88,12.99,172.08,5
HCPCS,C1725,HC CATH IMPRESS BLS FL 5F 65C.038,45.36,15.88,12.99,172.08,5
HCPCS,C1725,HC CATH IMPULSE DC 6F FL 4.5,21.54,7.54,6.17,172.08,5
HCPCS,C1725,HC CATH IMPULSE LCB DC 5F,21.54,7.54,6.17,172.08,5
HCPCS,C1725,HC CATH LITHOPLASTY 4.5X60,5775.0,2021.25,172.08,4302.38,5
HCPCS,C1725,HC CATH LITHOPLASTY 5.0X60,5775.0,2021.25,172.08,4302.38,5
HCPCS,C1725,HC CATH LNCH AMP SHT 6F1 0 100 LT,134.4,47.04,38.49,172.08,5
HCPCS,C1725,HC CATH LNCH AMP SHT 6F1 5 100 LT,134.4,47.04,38.49,172.08,5
HCPCS,C1725,HC CATH LNCH AMP SHT 6F2 0 100 LT,134.4,47.04,38.49,172.08,5
HCPCS,C1725,HC CATH LNCH AMP SHT 6F3 0 100 LT,134.4,47.04,38.49,172.08,5
HCPCS,C1725,HC CATH LNCH AMP SHT 6F75 100 LT,134.4,47.04,38.49,172.08,5
HCPCS,C1725,HC CATH LONGSTON DUAL PIGTAIL,467.04,163.47,133.76,347.94,5
HCPCS,C1725,HC CATH MACH1 1 AL.75 8F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH MACH1 1 AL1 8F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH MACH1 1 AL1 ST 8F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH MACH1 1 AL1.5 8F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH MACH1 1 AL2 ST 8F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH MACH1 1 AR1 8F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH MACH1 1 AR2 8F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH MACH1 1 CLS3 8F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH MACH1 1 CLS3.5 8F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH MACH1 1 CLS4 8F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH MACH1 1 FL3.5 7F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH MACH1 1 FR4 7F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH MACH1 1 JL3.5 8F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH MACH1 1 JL4 8F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH MACH1 1 JL4.5 8F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH MACH1 1 JR3.5 8F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH MACH1 1 JR3.5 90CM 8F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH MACH1 1 JR4  8F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH MACH1 1 JR4 90CM 8F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH MACH1 CLS 3.5 GC 7F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH MACH1 FL J GC 7F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH OPTICROSS INVUS 18,2887.5,1010.63,172.08,2151.19,5
HCPCS,C1725,HC CATH PACING BALLOON PIN 5F 105,621.6,217.56,172.08,463.09,5
HCPCS,C1725,HC CATH PIG LNG 5FX150,171.36,59.98,49.08,172.08,5
HCPCS,C1725,HC CATH PIG OPTITORQUE ANG,77.28,27.05,22.13,172.08,5
HCPCS,C1725,HC CATH PIG OPTITORQUE STR,77.28,27.05,22.13,172.08,5
HCPCS,C1725,HC CATH PIG TIGHT RADIUS 6SH,28.56,10.0,8.18,172.08,5
HCPCS,C1725,HC CATH PROGREAT 2.0FX110,1638.0,573.3,172.08,1220.31,5
HCPCS,C1725,HC CATH PROGREAT 2.0FX150,1638.0,573.3,172.08,1220.31,5
HCPCS,C1725,HC CATH PROGREAT 2.4FX110,1041.6,364.56,172.08,775.99,5
HCPCS,C1725,HC CATH PROGREAT 2.4FX150,1041.6,364.56,172.08,775.99,5
HCPCS,C1725,HC CATH PROGREAT 2.8FX150,1041.6,364.56,172.08,775.99,5
HCPCS,C1725,HC CATH QCKCRSS 014X150,577.92,202.28,165.52,430.55,5
HCPCS,C1725,HC CATH QCKCRSS 018X150,577.92,202.28,165.52,430.55,5
HCPCS,C1725,HC CATH QCKCRSS 018X90,577.92,202.28,165.52,430.55,5
HCPCS,C1725,HC CATH QCKCRSS 035X135,561.12,196.4,160.7,418.03,5
HCPCS,C1725,HC CATH QCKCRSS 035X150,577.92,202.28,165.52,430.55,5
HCPCS,C1725,HC CATH QCKCRSS 035X65,577.92,202.28,165.52,430.55,5
HCPCS,C1725,HC CATH QCKCRSS 035X90,577.92,202.28,165.52,430.55,5
HCPCS,C1725,HC CATH RADIAL JACKY,137.09,47.99,39.26,172.08,5
HCPCS,C1725,HC CATH RADIAL JACKY 6FX110,117.6,41.16,33.68,172.08,5
HCPCS,C1725,HC CATH RIM 4F,126.0,44.1,36.09,172.08,5
HCPCS,C1725,HC CATH RIM 5F,126.0,44.1,36.09,172.08,5
HCPCS,C1725,HC CATH RIM ST 5F,126.0,44.1,36.09,172.08,5
HCPCS,C1725,HC CATH RUNAWAY LEFTBU3.5,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH RUNWAY AL1 SH,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH RUNWAY AL2 SH,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH RUNWAY LEFTBU3,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH RUNWAY LEFTBU4,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH RUNWAY LEFTBU45,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH RUNWAY LEFTBU5,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH RUNWAY ML 3.5 GC 6F,127.68,44.69,36.57,172.08,5
HCPCS,C1725,HC CATH SOS OMNI SELECTIVE 3 5F,96.77,33.87,27.71,172.08,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 014 150X2,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 014 150X3,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 014 150X4,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 014 220X2,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 014 220X3,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 014 220X4,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 014 40X2,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 014 40X2.5,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 014 40X3,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 014 40X3.5,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 014 40X4,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 014 80X2,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 014 80X2.5,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 014 80X3,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 014 80X3.5,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 014 80X4,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 018 120X5,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 018 120X6,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 018 150X2,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 018 150X2.5,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 018 150X3,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 018 150X3.5,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 018 150X4,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 018 220X2,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 018 220X2.5,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 018 220X3,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 018 220X3.5,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 018 220X4,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 018 40X2,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 018 40X2.5,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 018 40X3,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 018 40X3.5,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 018 40X4,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 018 40X5,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 018 40X6,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 018 80X2,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 018 80X2.5,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 018 80X3,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 018 80X3.5,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 018 80X4,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 018 80X5,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLIME RX PTA 018 80X6,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLME RX PTA 014 150X2.5,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLME RX PTA 014 150X3.5,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLME RX PTA 014 220X2.5,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SUBLME RX PTA 014 220X3.5,997.92,349.28,172.08,743.45,5
HCPCS,C1725,HC CATH SWAN BALLOON WDG 4F 60,403.2,141.12,115.48,300.38,5
HCPCS,C1725,HC CATH SWAN TD 6F 110,554.4,194.04,158.78,413.03,5
HCPCS,C1725,HC CATH SYMMETRY 2X2 150CM,134.4,47.04,38.49,172.08,5
HCPCS,C1725,HC CATH TORQ DIRECT 5F 110,638.4,223.44,172.08,475.61,5
HCPCS,C1725,HC CATH TRAILBLAZER ANG 014X150,480.75,168.27,137.69,358.16,5
HCPCS,C1725,HC CATH TRAILBLAZER ANG 018X150,480.75,168.27,137.69,358.16,5
HCPCS,C1725,HC CATH TRAILBLAZER ANG 035X135,480.75,168.27,137.69,358.16,5
HCPCS,C1725,HC CATH TRAILBLAZER STR 014X150,480.75,168.27,137.69,358.16,5
HCPCS,C1725,HC CATH TRAILBLAZER STR 035X135,480.75,168.27,137.69,358.16,5
HCPCS,C1725,HC CATH TRANSLUMIN NON-LASER,1646.4,576.24,172.08,1226.57,5
HCPCS,C1725,HC CATH TURNPIKE GOLD 135,1701.0,595.35,172.08,1267.25,5
HCPCS,C1725,HC CATH TURNPIKE LP 150,1751.4,612.99,172.08,1304.79,5
HCPCS,C1725,HC CATH TURNPIKE SPIRAL 135,1701.0,595.35,172.08,1267.25,5
HCPCS,C1725,HC CATH ULTRA 5F 35 100,117.6,41.16,33.68,172.08,5
HCPCS,C1725,HC CATH ULTRA 5F 35 SH 100,117.6,41.16,33.68,172.08,5
HCPCS,C1725,HC CATH ULTRA 5F 35 SH 110,117.6,41.16,33.68,172.08,5
HCPCS,C1725,HC CATH ULTRA 5F 40 100,117.6,41.16,33.68,172.08,5
HCPCS,C1725,HC CATH ULTRA 5F 40 SH 100,117.6,41.16,33.68,172.08,5
HCPCS,C1725,HC CATH ULTRA 5F 40 SH 110,117.6,41.16,33.68,172.08,5
HCPCS,C1725,HC CATH ULTRA 5F 45 100,117.6,41.16,33.68,172.08,5
HCPCS,C1725,HC CATH ULTRA 5F 45 SH 100,117.6,41.16,33.68,172.08,5
HCPCS,C1725,HC CATH ULTRA 5F 45 SH 110,117.6,41.16,33.68,172.08,5
HCPCS,C1725,HC CATH ULTRA 6F 35 100,117.6,41.16,33.68,172.08,5
HCPCS,C1725,HC CATH ULTRA 6F 35 SH 100,117.6,41.16,33.68,172.08,5
HCPCS,C1725,HC CATH ULTRA 6F 35 SH 110,117.6,41.16,33.68,172.08,5
HCPCS,C1725,HC CATH ULTRA 6F 40 100,117.6,41.16,33.68,172.08,5
HCPCS,C1725,HC CATH ULTRA 6F 40 SH 100,117.6,41.16,33.68,172.08,5
HCPCS,C1725,HC CATH ULTRA 6F 40 SH 110,117.6,41.16,33.68,172.08,5
HCPCS,C1725,HC CATH ULTRA 6F 45 100,117.6,41.16,33.68,172.08,5
HCPCS,C1725,HC CATH ULTRA 6F 45 SH 100,117.6,41.16,33.68,172.08,5
HCPCS,C1725,HC CATH ULTRA 6F 45 SH 110,117.6,41.16,33.68,172.08,5
HCPCS,C1725,HC DEVICE STINGRAY LP,4015.2,1405.32,172.08,2991.32,5
HCPCS,C1725,HC FLEXOR BALKIN CONTRALATERAL 8F,266.68,93.34,76.38,198.68,5
HCPCS,C1725,HC NC EMERGE OTW BALLOON,722.4,252.84,172.08,538.19,10
HCPCS,C1725,HC QUICK CROSS CATH,544.93,190.73,156.07,405.97,5
HCPCS,C1725,HC RIVAL BALLOON,480.0,168.0,137.47,357.6,5
HCPCS,C1725,HC SOFT-VU SOS OMNI SELECTIVE,86.36,30.23,24.73,172.08,5
HCPCS,C1725,"HC SPRINTER OTW 1.5X6,10,12",685.44,239.91,172.08,510.65,5
HCPCS,C1725,HC TREK MINI BALLOONS,655.2,229.32,172.08,488.12,5
HCPCS,C1725,HC VASTRAK ARTERIAL SPCLTY BALLOO,1500.0,525.0,172.08,1117.5,5
HCPCS,C1725,HC WIRE MICRON EMB COIL,356.77,124.87,102.18,265.79,5
HCPCS,C1725,HC WIRE MICRON EMB COIL.,356.77,124.87,102.18,265.79,5
HCPCS,C1725,HC WIRE TORNADO EMB MCOIL,371.81,130.14,106.49,277.0,5
HCPCS,C1726,"HC BALLOON 2CM 5.0,6.0,7.0",2056.32,719.72,588.93,1531.96,5
HCPCS,C1726,HC BALLOON ACHALASIA,1619.35,566.78,463.78,1206.42,5
HCPCS,C1726,HC BALLOON ACHALASIA DIALAT 30MM,1789.2,626.22,512.43,1332.95,5
HCPCS,C1726,HC BALLOON ACHALASIA DIALAT 40MM,2087.82,730.74,597.95,1555.43,5
HCPCS,C1726,HC BALLOON CRE PRO WG 10 12X240,712.32,249.32,204.01,686.46,5
HCPCS,C1726,HC BALLOON CRE PRO WG 12 15X240,712.32,249.32,204.01,686.46,5
HCPCS,C1726,HC BALLOON CRE PRO WG 15 18X240,712.32,249.32,204.01,686.46,5
HCPCS,C1726,HC BALLOON CRE PRO WG 18 20X240,712.32,249.32,204.01,686.46,5
HCPCS,C1726,HC BALLOON CRE PRO WG 6 8X240,712.32,249.32,204.01,686.46,5
HCPCS,C1726,HC BALLOON CRE PRO WG 8 10X240,712.32,249.32,204.01,686.46,5
HCPCS,C1726,HC BALLOON CUT WOLV MR 2.25X15,1650.6,577.71,472.73,1229.7,5
HCPCS,C1726,HC BALLOON CUT WOLV MR 2.25X6,1764.0,617.4,505.21,1314.18,5
HCPCS,C1726,HC BALLOON CUT WOLV MR 2.75X10,1650.6,577.71,472.73,1229.7,5
HCPCS,C1726,HC BALLOON CUT WOLV MR 2.75X15,1650.6,577.71,472.73,1229.7,5
HCPCS,C1726,HC BALLOON CUT WOLV MR 2.75X6,1764.0,617.4,505.21,1314.18,5
HCPCS,C1726,HC BALLOON CUT WOLV MR 3.25X10,1650.6,577.71,472.73,1229.7,5
HCPCS,C1726,HC BALLOON CUT WOLV MR 3.25X15,1650.6,577.71,472.73,1229.7,5
HCPCS,C1726,HC BALLOON CUT WOLV MR 3.25X6,1650.6,577.71,472.73,1229.7,5
HCPCS,C1726,HC BALLOON CUT WOLV MR 3.75X10,1650.6,577.71,472.73,1229.7,5
HCPCS,C1726,HC BALLOON CUT WOLV MR 3.75X15,1675.8,586.53,479.95,1248.47,5
HCPCS,C1726,HC BALLOON CUT WOLV MR 3.75X6,1650.6,577.71,472.73,1229.7,5
HCPCS,C1726,HC BALLOON CUTTING,2056.32,719.72,588.93,1531.96,5
HCPCS,C1726,HC BALLOON ESOPHCRE 10-12 180 5.5,1055.04,369.27,302.16,786.0,5
HCPCS,C1726,HC BALLOON ESOPHCRE 12-15 180 5.5,1055.04,369.27,302.16,786.0,5
HCPCS,C1726,HC BALLOON ESOPHCRE 15-18 180 5.5,1055.04,369.27,302.16,786.0,5
HCPCS,C1726,HC BALLOON ESOPHCRE 18-20 180 5.5,1055.04,369.27,302.16,786.0,5
HCPCS,C1726,HC BALLOON ESOPHCRE 6-8 180 5.5,1055.04,369.27,302.16,786.0,5
HCPCS,C1726,HC BALLOON ESOPHCRE 8-10 180 5.5,1055.04,369.27,302.16,786.0,5
HCPCS,C1726,HC BALLOON ESOPHCRE DILAT 10-12 8,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC BALLOON ESOPHCRE DILAT 12-15 8,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC BALLOON ESOPHCRE DILAT 15-18 8,913.92,319.88,261.75,686.46,5
HCPCS,C1726,HC BALLOON ESOPHCRE DILAT 18-20 8,913.92,319.88,261.75,686.46,5
HCPCS,C1726,HC BALLOON ESOPHCRE DILAT 6-8 8,702.58,245.91,201.22,686.46,5
HCPCS,C1726,HC BALLOON ESOPHCRE DILAT 8-10 8,913.92,319.88,261.75,686.46,5
HCPCS,C1726,HC BALLOON IN PACT 7X80X80,2625.0,918.75,686.46,1955.63,5
HCPCS,C1726,HC BALLOON KT OMNICRV 11GX15,5355.0,1874.25,686.46,3989.48,5
HCPCS,C1726,HC BALLOON KT OMNICRV 11GX20,5355.0,1874.25,686.46,3989.48,5
HCPCS,C1726,HC BALLOON R2P METACROSS 6X60X200,960.0,336.0,274.94,715.2,5
HCPCS,C1726,HC BALLOON RX DILATION 10X4,769.44,269.31,220.37,686.46,5
HCPCS,C1726,HC BALLOON RX DILATION 4X4,769.44,269.31,220.37,686.46,5
HCPCS,C1726,HC BALLOON RX DILATION 6X4,769.44,269.31,220.37,686.46,5
HCPCS,C1726,HC BALLOON RX DILATION 8X4,769.44,269.31,220.37,686.46,5
HCPCS,C1726,HC BALLOON SPRINTER OTW,571.2,199.92,163.59,686.46,5
HCPCS,C1726,HC CATH BAL DIL NON-VASCULAR,863.7650000000001,302.32,244.47,686.46,10
HCPCS,C1726,HC CATH BALLOON TRAPPER EXCHNG WW,1092.0,382.2,312.75,813.54,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 2.5 80 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 3 100 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 3 120 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 3 150 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 3 20 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 3 200 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 3 40 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 3 60 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 3 80 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 4 100 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 4 120 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 4 150 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 4 20 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 4 200 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 4 40 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 4 60 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 4 80 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 5 100 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 5 120 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 5 150 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 5 20 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 5 200 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 5 40 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 5 60 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 5 80 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 6 100 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 6 120 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 6 150 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 6 20 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 6 40 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 6 60 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 6 60 200,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW 6 80 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW2.5 120 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH CROSSTELLA OTW2.5 200 150,621.6,217.56,178.03,686.46,5
HCPCS,C1726,HC CATH FOX SLV 2.5X60X150,907.2,317.52,259.82,686.46,5
HCPCS,C1726,HC CATH FOX SLV 2X40X150,907.2,317.52,259.82,686.46,5
HCPCS,C1726,HC CATH FOX SLV 2X60X150,907.2,317.52,259.82,686.46,5
HCPCS,C1726,HC CATH FOX SLV 3X20X150,907.2,317.52,259.82,686.46,5
HCPCS,C1726,HC CATH FOX SLV 3X40X150,907.2,317.52,259.82,686.46,5
HCPCS,C1726,HC CATH FOX SLV 3X60X150,907.2,317.52,259.82,686.46,5
HCPCS,C1726,HC CATH FOX SLV 4X40X150,907.2,317.52,259.82,686.46,5
HCPCS,C1726,HC CATH FOX SLV 4X60X150,907.2,317.52,259.82,686.46,5
HCPCS,C1726,HC CATH FOX SLV 6X40X150,907.2,317.52,259.82,686.46,5
HCPCS,C1726,HC CATH FOX SLV LONG 2.5X100X150,1260.0,441.0,360.86,938.7,5
HCPCS,C1726,HC CATH FOX SLV LONG 2.5X120X150,1260.0,441.0,360.86,938.7,5
HCPCS,C1726,HC CATH FOX SLV LONG 2X100X150,1260.0,441.0,360.86,938.7,5
HCPCS,C1726,HC CATH FOX SLV LONG 2X120X150,1260.0,441.0,360.86,938.7,5
HCPCS,C1726,HC CATH FOX SLV LONG 3X100X150,1260.0,441.0,360.86,938.7,5
HCPCS,C1726,HC CATH FOX SLV LONG 3X120X150,1260.0,441.0,360.86,938.7,5
HCPCS,C1726,HC CATH FOX SLV LONG 4X100X150,1260.0,441.0,360.86,938.7,5
HCPCS,C1726,HC CATH FOX SLV LONG 5X100X150,1260.0,441.0,360.86,938.7,5
HCPCS,C1726,HC CATH FOX SLV LONG 5X120X150,1260.0,441.0,360.86,938.7,5
HCPCS,C1726,HC CATH FOX SLV LONG 6X100X150,1260.0,441.0,360.86,938.7,5
HCPCS,C1726,HC CATH FOX SLV LONG 6X120X150,1260.0,441.0,360.86,938.7,5
HCPCS,C1726,HC CATH SPYGLASS M00546780,5775.0,2021.25,686.46,4302.38,5
HCPCS,C1726,HC FOX SV 150CM,1425.77,499.02,408.34,1062.2,5
HCPCS,C1726,HC PACIFIC EXTREME .018 OTW PTA 4X150,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC EXTREME .018 OTW PTA 4X200,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC EXTREME .018 OTW PTA 4X250,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC EXTREME .018 OTW PTA 4X300,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC EXTREME .018 OTW PTA 5X150,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC EXTREME .018 OTW PTA 5X200,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC EXTREME .018 OTW PTA 5X250,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC EXTREME .018 OTW PTA 5X300,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC EXTREME .018 OTW PTA 6X150,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC EXTREME .018 OTW PTA 6X200,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC EXTREME .018 OTW PTA 6X250,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC EXTREME .018 OTW PTA 6X300,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC EXTREME .018 OTW PTA 7X150,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC EXTREME .018 OTW PTA 7X200,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC EXTREME .018 OTW PTA 7X250,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 3.5X120,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 3.5X150,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 3.5X20,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 3.5X40,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 3.5X60,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 3.5X80,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 3X120,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 3X150,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 3X20,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 3X40,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 3X60,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 3X80,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 4X120,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 4X20,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 4X40,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 4X60,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 4X80,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 5X120,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 5X20,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 5X40,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 5X60,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 5X80,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 6X120,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 6X20,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 6X40,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 6X60,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 6X80,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 7X120,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 7X20,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 7X40,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 7X60,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC PACIFIC PLUS .018 OTW PTA 7X80,457.7,160.2,131.09,686.46,5
HCPCS,C1726,HC TORAY INOUE-BALLOON,281.6,98.56,80.65,686.46,5
HCPCS,C1726,HC WOLVERINE CUTTYING BALLOON CATH 2.25X10 MR,1675.8,586.53,479.95,1248.47,5
HCPCS,C1727,"Cath, bal tis dis, non-vas",,,465.96,465.96,1
HCPCS,C1728,"Cath, brachytx seed adm",,,136.22,136.22,1
HCPCS,C1729,"CATH, DRAINAGE",441.84,154.65,19.2,329.17,15
HCPCS,C1729,HC CATH 35CM L VENTRIC HERMETIC,572.99,200.55,19.2,426.88,5
HCPCS,C1729,HC CATH ABSCESSION DRAIN,275.18,96.32,78.81,205.01,8
HCPCS,C1729,HC CATH BARTHOLIN WORD 10-12F,61.05,21.37,17.48,45.48,8
HCPCS,C1729,HC CATH BILI DRAIN 8.5F,233.12,81.6,66.77,173.67,8
HCPCS,C1729,HC CATH BILI DRN SKATER 40 10F,251.37,87.98,71.99,187.27,8
HCPCS,C1729,HC CATH BILI DRN SKATER 40 12F,251.37,87.98,71.99,187.27,8
HCPCS,C1729,HC CATH BILI DRN SKATER 40 14F,255.36,89.38,73.14,190.24,8
HCPCS,C1729,HC CATH BILI DRN SKATER 40 8F,251.37,87.98,71.99,187.27,8
HCPCS,C1729,HC CATH BILI FLXIMA REG,327.87,114.76,93.9,244.26,8
HCPCS,C1729,HC CATH BILI FLXIMA REG 8F 35CM,259.2,90.72,19.2,193.1,5
HCPCS,C1729,HC CATH BILI FLXIMA REG RO 12F 35,265.6,92.96,19.2,197.87,5
HCPCS,C1729,HC CATH BILI FLXIMA REG RO 8F 35,265.6,92.96,19.2,197.87,5
HCPCS,C1729,HC CATH DRAIN AP 10.2F,213.02,74.56,19.2,158.7,5
HCPCS,C1729,HC CATH DRAIN AP 10.2F 038 60,397.15,139.01,19.2,295.88,5
HCPCS,C1729,HC CATH DRAIN AP 10.5F,257.04,89.97,19.2,191.49,5
HCPCS,C1729,HC CATH DRAIN AP 12F,257.04,89.97,19.2,191.49,5
HCPCS,C1729,HC CATH DRAIN AP 12F 038 25,213.02,74.56,19.2,158.7,5
HCPCS,C1729,HC CATH DRAIN AP 14F,257.04,89.97,19.2,191.49,5
HCPCS,C1729,HC CATH DRAIN AP 14F 038 25,213.02,74.56,19.2,158.7,5
HCPCS,C1729,HC CATH DRAIN AP 14F 038 45,397.15,139.01,19.2,295.88,5
HCPCS,C1729,HC CATH DRAIN AP 14F 038 60,397.15,139.01,19.2,295.88,5
HCPCS,C1729,HC CATH DRAIN AP 16F,213.02,74.56,19.2,158.7,5
HCPCS,C1729,HC CATH DRAIN AP 18F,307.44,107.61,19.2,229.04,5
HCPCS,C1729,HC CATH DRAIN AP 20F,307.44,107.61,19.2,229.04,5
HCPCS,C1729,HC CATH DRAIN AP 8.5F,152.88,53.515,13.95,191.49,10
HCPCS,C1729,HC CATH DRAIN AP 8.5F 038 25,213.02,74.56,19.2,158.7,5
HCPCS,C1729,HC CATH DRAIN AP SKAT 10FX25,221.76,77.62,19.2,165.21,5
HCPCS,C1729,HC CATH DRAIN AP SKAT 12FX25,221.76,77.62,19.2,165.21,5
HCPCS,C1729,HC CATH DRAIN AP SKAT 6FX15,240.12,84.05,68.77,178.89,8
HCPCS,C1729,HC CATH DRAIN AP SKAT 6FX20,240.12,84.05,68.77,178.89,8
HCPCS,C1729,HC CATH DRAIN AP SKAT 6FX25,240.12,84.05,68.77,178.89,8
HCPCS,C1729,HC CATH DRAIN AP SKAT 6FX35,240.12,84.05,68.77,178.89,8
HCPCS,C1729,HC CATH DRAIN AP SKAT 8FX25,221.76,77.62,19.2,165.21,5
HCPCS,C1729,HC CATH DRAIN ASIR PNEU ACCSS SET,241.19,84.42,19.2,179.69,5
HCPCS,C1729,HC CATH DRAIN BILE 10F,274.85,96.2,78.72,204.76,8
HCPCS,C1729,HC CATH DRAIN BILI HYD LK LP 16F,295.68,103.49,19.2,220.28,5
HCPCS,C1729,HC CATH DRAIN BILI MAC LK LP 8.5F,226.8,79.38,19.2,168.97,5
HCPCS,C1729,HC CATH DRAIN BILI MC LK LP 12F,226.8,79.38,19.2,168.97,5
HCPCS,C1729,HC CATH DRAIN BILI MC LK LP 14F,226.8,79.38,19.2,168.97,5
HCPCS,C1729,HC CATH DRAIN CHAIT 10X24,754.46,264.07,19.2,562.07,5
HCPCS,C1729,HC CATH DRAIN CHAIT 10X28,778.68,272.54,19.2,580.12,5
HCPCS,C1729,HC CATH DRAIN DAW MUEL10.2,279.83,97.95,80.14,208.47,8
HCPCS,C1729,HC CATH DRAIN DAWSON MULLER 12F,213.02,74.56,19.2,158.7,5
HCPCS,C1729,HC CATH DRAIN DAWSON MULLER 14F,213.02,74.56,19.2,158.7,5
HCPCS,C1729,HC CATH DRAIN EXODUS STD LP 10X25,252.0,88.2,19.2,187.74,5
HCPCS,C1729,HC CATH DRAIN EXODUS STD LP 12X25,252.0,88.2,19.2,187.74,5
HCPCS,C1729,HC CATH DRAIN EXODUS STD LP 14X25,252.0,88.2,19.2,187.74,5
HCPCS,C1729,HC CATH DRAIN EXODUS STD LP 8X25,252.0,88.2,19.2,187.74,5
HCPCS,C1729,HC CATH DRAIN EXODUS TGHT LP 10X25,252.0,88.2,19.2,187.74,5
HCPCS,C1729,HC CATH DRAIN EXODUS TGHT LP 8X25,252.0,88.2,19.2,187.74,5
HCPCS,C1729,HC CATH DRAIN MINI LOOP 10FX25,221.76,77.62,19.2,165.21,5
HCPCS,C1729,HC CATH DRAIN MINI LOOP 8FX05,221.76,77.62,19.2,165.21,5
HCPCS,C1729,HC CATH DRAIN ULTRATHANE AMP UNIV,213.02,74.56,19.2,158.7,5
HCPCS,C1729,HC CATH DRAIN YUEH PGTL 4P 5FX10,255.36,89.38,19.2,190.24,5
HCPCS,C1729,HC CATH DRN ACCESS PLEURAL KIT,114.88,40.21,19.2,85.59,5
HCPCS,C1729,HC CATH DRN LINE PLEURAL LCK,73.6,25.76,19.2,54.83,5
HCPCS,C1729,HC CATH DRN LINE PLEURAL LCK KIT,140.8,49.28,19.2,104.9,5
HCPCS,C1729,HC CATH DRN LUMBAR,873.54,305.74,19.2,650.79,5
HCPCS,C1729,HC CATH DRN PLEURAL KIT BTL 500M,188.8,66.08,19.2,140.66,5
HCPCS,C1729,HC CATH DRN TTL ABSC ROMRK 45 12F,293.3,102.66,84.0,218.51,8
HCPCS,C1729,HC CATH EVD ANIBIOTIC 33CM,81.95,28.69,19.2,61.05,5
HCPCS,C1729,HC CATH PNEUMOTHORAX PIGTAIL,546.62,191.32,19.2,407.23,5
HCPCS,C1729,HC CATH SHEATH INTR 6F.038X60C RB,63.0,22.05,18.04,46.94,8
HCPCS,C1729,HC CATH SKATER NDL CENTESIS 5FX20,75.6,26.46,21.65,56.32,8
HCPCS,C1729,HC CATH THORACIC 20F,17.62,6.17,5.05,13.13,8
HCPCS,C1729,HC CATH VENTRIC HOLTER,321.75,112.62,92.15,239.7,8
HCPCS,C1729,HC DRAIN ABSCESS THAL QCK,393.9,137.87,112.81,293.46,8
HCPCS,C1729,HC DRAIN ABSCESS THAL QCK 1200J,104.42,36.55,19.2,77.79,5
HCPCS,C1729,HC DRAIN SET NASAL BILIARY,376.32,131.72,19.2,280.36,5
HCPCS,C1729,HC KIT CRANIAL SEPS SUBDURAL EVAC,3285.56,1149.95,19.2,2447.74,5
HCPCS,C1729,HC SET DRAIN ABSCESS THAL  QCK,417.08,145.98,119.45,310.72,8
HCPCS,C1729,HC TUBE CHEST KIT OPN TP STR 15.5F,188.8,66.08,19.2,140.66,5
HCPCS,C1729,HC áCATH TRAY PNEUMOTHORAX WAYNE,785.6,274.96,19.2,585.27,5
HCPCS,C1730,CATH EP 5F QUAD CRD2 5 120,369.6,129.36,105.85,704.39,5
HCPCS,C1730,CATH EP 6F DECA CSL 282 T2 120,1209.6,423.36,346.43,901.15,5
HCPCS,C1730,CATH EP 7F DUO DECA 2 5 2,2489.76,871.42,704.39,1854.87,5
HCPCS,C1730,HC CATH DECAPOLAR RESP CSL 6FX120,191.22,66.93,54.77,704.39,5
HCPCS,C1730,HC CATH EP 6F DECA LRG 2 5 2MM,1891.68,662.09,541.78,1409.3,5
HCPCS,C1730,HC CATH EP DEFLECT DECA D 7F,1276.8,446.88,365.68,951.22,5
HCPCS,C1730,HC CATH EP DEFLECT POSTO D 7F,1382.4,483.84,395.92,1029.89,5
HCPCS,C1730,HC CATH EP DEFLECT QUAD D 6F,1216.0,425.6,348.26,905.92,5
HCPCS,C1730,HC CATH EP EZ STEER WBSTR AUTO ID,1365.84,478.05,391.18,1017.55,5
HCPCS,C1730,HC CATH EP LASSO D TYPE 7F,3952.2,1383.27,704.39,2944.39,5
HCPCS,C1730,HC CATH EP LASSO VLOOP 6F,3952.2,1383.27,704.39,2944.39,5
HCPCS,C1730,HC CATH EZ STEER FJ 12 PN 7F RPR,886.08,310.13,253.77,704.39,5
HCPCS,C1730,HC CATH QUAD SUPR 2 5FX120,134.23,46.99,38.44,704.39,5
HCPCS,C1730,HC CATH QUADRIPOLAR 5FX120,134.23,46.99,38.44,704.39,5
HCPCS,C1730,HC DECAPOLAR FIXED,1370.88,479.81,392.62,1021.31,5
HCPCS,C1730,HC DECAPOLAR STEERABLE,1688.97,591.14,483.72,1258.28,5
HCPCS,C1730,HC LASSO FIXED CATHETER,2345.49,820.93,671.75,1747.39,5
HCPCS,C1730,HC LASSO VARIABLE CATHETER,3534.3,1237.01,704.39,2633.05,5
HCPCS,C1731,HC CATH LIVEWIRE DOU DECA 7FX95,911.4,318.99,145.42,678.99,5
HCPCS,C1732,HC  PENTARAY NAV F CURVE,4149.6,1452.36,345.46,3091.45,5
HCPCS,C1732,HC CATH EP NAVI D 4MM,4389.0,1536.15,345.46,3269.81,5
HCPCS,C1732,HC CATH EP NAVI DS D 8MM 7F,5567.1,1948.49,345.46,4147.49,5
HCPCS,C1732,HC CATH EP NAVI DS F 8MM 7F,5567.1,1948.49,345.46,4147.49,5
HCPCS,C1732,HC CATH EP NAVI DS J 8MM 7F,5567.1,1948.49,345.46,4147.49,5
HCPCS,C1732,HC CATH EP NAVI F 4MM 7F,4716.6,1650.81,345.46,3513.87,5
HCPCS,C1732,HC CATH GUIDE BI DF QDOT MICRO,10608.0,3712.8,345.46,7902.96,5
HCPCS,C1732,HC CATH GUIDE BI FJ QDOT MICRO,10608.0,3712.8,345.46,7902.96,5
HCPCS,C1732,HC CATH GUIDE UNI D QDOT MICRO,10608.0,3712.8,345.46,7902.96,5
HCPCS,C1732,HC CATH GUIDE UNI F QDOT MICRO,10608.0,3712.8,345.46,7902.96,5
HCPCS,C1732,HC CATH GUIDE UNI J QDOT MICRO,10608.0,3712.8,345.46,7902.96,5
HCPCS,C1732,HC CATH NAVI BI DIRCT CRV 4MM D-J,4788.0,1675.8,345.46,3567.06,5
HCPCS,C1732,HC CATH NAVI BI DIRCT CRV 4MM F-J,4788.0,1675.8,345.46,3567.06,5
HCPCS,C1732,HC CATH NAVI BI DIRCT CRV 8MM D-J,5654.0,1978.9,345.46,4212.23,5
HCPCS,C1732,HC CATH OCTARAY 2 2 2 2 2 CRV D 1.5,5025.3,1758.86,345.46,3743.85,5
HCPCS,C1732,HC CATH OCTARAY 3 3 3 3 3 CRV D 2.0,5025.3,1758.86,345.46,3743.85,5
HCPCS,C1732,HC CATH OPTRELL 2.4X2.4 D-F,5151.3,1802.96,345.46,3837.72,5
HCPCS,C1732,HC CATH OPTRELL 2.4X2.4 F-J,5151.3,1802.96,345.46,3837.72,5
HCPCS,C1732,HC CATH OPTRELL SM CLS LOOP D-F,5151.3,1802.96,345.46,3837.72,5
HCPCS,C1732,HC CATH OPTRELL SM CLS LOOP F-J,5151.3,1802.96,345.46,3837.72,5
HCPCS,C1732,HC CATH PENTARAY NAV 7F D 2 6 2,4517.1,1580.99,345.46,3365.24,5
HCPCS,C1732,HC CATH PROBE ESOPHAGEAL 8F,1577.6,552.16,345.46,1175.31,5
HCPCS,C1732,HC CATH VARIPULSE BI MULTI LOOP PFA,12926.0,4524.1,345.46,9629.87,5
HCPCS,C1733,HC CATH EP EZ STEER BIDIRECT F 4M,2439.36,853.78,698.63,2455.35,5
HCPCS,C1733,HC CATH EP EZ STEER BIDIRECT F 8M,2891.7,1012.1,828.18,2455.35,5
HCPCS,C1733,HC CATH EZ STEER CRV DF 12 PN 7F,882.87,309.01,252.85,2455.35,5
HCPCS,C1749,"Endo, colon, retro imaging",,,378.3,378.3,1
HCPCS,C1750,HC CATH DURAFLOW 24,900.0,315.0,257.76,670.5,8
HCPCS,C1750,HC CATH DURAFLOW 28,900.0,315.0,257.76,670.5,8
HCPCS,C1750,HC CATH DURAFLOW 32,900.0,315.0,257.76,670.5,8
HCPCS,C1750,HC CATH DURAFLOW 40,900.0,315.0,257.76,670.5,8
HCPCS,C1750,HC CATH DURAFLOW 48,900.0,315.0,257.76,670.5,8
HCPCS,C1750,HC CATH DURAFLOW 55,900.0,315.0,257.76,670.5,8
HCPCS,C1750,HC CATH VECTORFLOW 15FX19X21G,1043.41,365.2,298.83,777.34,8
HCPCS,C1750,HC CATH VECTORFLOW 15FX23X21G,1043.41,365.2,298.83,777.34,8
HCPCS,C1750,HC CATH VECTORFLOW 15FX27X21G,1043.41,365.2,298.83,777.34,8
HCPCS,C1750,HC CATH VECTORFLOW 15FX31X21G,1043.41,365.2,298.83,777.34,8
HCPCS,C1750,HC HEMOSPLIT DEVICE 19CM,1165.5,407.93,333.8,868.3,8
HCPCS,C1750,HC HEMOSPLIT DEVICE 23CM,1165.5,407.93,333.8,868.3,8
HCPCS,C1750,HC HEMOSPLIT DEVICE145FX27CM,1165.5,407.93,333.8,868.3,8
HCPCS,C1751,HC CATH 2.7 SINGLE LUMAN BROVIAC,301.39,105.49,86.32,224.54,5
HCPCS,C1751,HC CATH 4.2 SINGLE LUMAN BROVIAC,451.92,158.18,117.05,336.68,5
HCPCS,C1751,HC CATH CENTRAL VENOUS DUAL-LUMEN,170.79,59.78,48.91,127.24,8
HCPCS,C1751,HC CATH CRAGG MCNAM VALV 5F,277.83,97.25,79.57,206.98,8
HCPCS,C1751,HC CATH CRAGG MCNAM VALV 5FX20X40,277.83,97.25,79.57,206.98,8
HCPCS,C1751,HC CATH CRAGG MCNAM VALV 5FX50X100,432.18,151.27,123.78,321.97,8
HCPCS,C1751,HC CATH CRAGG MCNAM VALV 5FX50X135,432.18,151.27,123.78,321.97,8
HCPCS,C1751,HC CATH CRAGG MCNAM VALV5FX10X100,277.83,97.25,79.57,206.98,8
HCPCS,C1751,HC CATH CRAGG MCNAM VALV5FX10X135,277.83,97.25,79.57,206.98,8
HCPCS,C1751,HC CATH CRAGG MCNAM VALV5FX20X100,277.83,97.25,79.57,206.98,8
HCPCS,C1751,HC CATH CRAGG MCNAM VALV5FX20X135,277.83,97.25,79.57,206.98,8
HCPCS,C1751,HC CATH CRAGG MCNAM VALV5FX40X100,432.18,151.27,123.78,321.97,8
HCPCS,C1751,HC CATH CRAGG MCNAM VALV5FX40X135,432.18,151.27,123.78,321.97,8
HCPCS,C1751,HC CATH CRAGG MCNAM VALV5FX50X100,460.99,161.35,117.05,343.44,5
HCPCS,C1751,HC CATH CRAGG MCNAM VALV5FX50X135,460.99,161.35,117.05,343.44,5
HCPCS,C1751,HC CATH CVP DBL LUM 4FX20CM,255.36,89.38,73.14,190.24,5
HCPCS,C1751,HC CATH CVP DBL LUM 4FX5CM,716.9,250.92,117.05,534.09,5
HCPCS,C1751,HC CATH CVP DBL LUM 4FX8CM,447.97,156.79,117.05,333.74,5
HCPCS,C1751,HC CATH CVP DBL LUM 5FX12CM,592.0,207.2,117.05,441.04,5
HCPCS,C1751,HC CATH CVP DBL LUM 5FX5CM,250.55,87.7,71.76,186.66,8
HCPCS,C1751,HC CATH CVP SING LUM 3FX8CM,175.17000000000002,61.31,42.6,150.19,13
HCPCS,C1751,HC CATH CVP SING LUM 4FX12CM,169.6,59.36,48.57,126.35,5
HCPCS,C1751,HC CATH CVP SING LUM 5F,201.6,70.56,57.74,150.19,5
HCPCS,C1751,HC CATH CVP TRIPLE LUM 5FX15CM,390.08,136.53,111.72,290.61,5
HCPCS,C1751,HC CATH CVP/HYPER TRIPLE LUM,507.36,177.58,145.31,377.98,8
HCPCS,C1751,HC CATH DUAL LUMEN TRAY UMBIL 5FR,112.33,39.32,32.17,117.05,5
HCPCS,C1751,HC CATH HICKMAN 55 CM,1039.5,363.83,297.71,774.43,8
HCPCS,C1751,HC CATH HICKMAN PW SNGL LM STR 8F,1303.68,456.29,117.05,971.24,5
HCPCS,C1751,HC CATH HICKMAN PW SNGL LM STR 9F,1303.68,456.29,117.05,971.24,5
HCPCS,C1751,HC CATH HICKMAN W/VCUFF 13.5X60,771.75,270.12,221.03,574.95,8
HCPCS,C1751,HC CATH KIT CNTRL VNS LIDO 7FX8,259.2,90.72,74.23,193.1,5
HCPCS,C1751,HC CATH KIT HOHN DL ANGIO,386.4,135.24,110.66,287.87,5
HCPCS,C1751,HC CATH KIT ONQ 10IN,508.8,178.08,117.05,379.06,5
HCPCS,C1751,HC CATH KIT PWRWND XL 3FX6,413.28,144.65,117.05,307.89,5
HCPCS,C1751,HC CATH KIT PWRWND XL 4FX10,467.04,163.47,117.05,347.94,5
HCPCS,C1751,HC CATH MICROMEWI INFUS2.9F,588.0,205.8,168.4,438.06,8
HCPCS,C1751,HC CATH PG PRO STR 2.8FX140,1562.4,546.84,117.05,1163.99,5
HCPCS,C1751,HC CATH PG PRO STR 2.8FX165,1386.0,485.1,117.05,1032.57,5
HCPCS,C1751,HC CATH PICC ACC MST KIT 20G,111.38,38.99,31.9,117.05,5
HCPCS,C1751,HC CATH PICC DBL LUM 5F,897.96,314.29,117.05,668.98,5
HCPCS,C1751,HC CATH PICC KIT 18G,406.98,142.45,116.56,303.2,5
HCPCS,C1751,HC CATH PICC KIT UW 28GX1.2FX25,409.5,143.33,117.28,305.08,8
HCPCS,C1751,HC CATH PICC MAX BARR DUAL LUM 4F,815.25,285.34,233.49,607.36,8
HCPCS,C1751,HC CATH PICC MAX BARR SNGL LUM 4F,778.05,272.32,222.83,579.65,8
HCPCS,C1751,HC CATH PICC PEDI 26GX1.9FX30CM,356.04,124.62,101.97,265.25,8
HCPCS,C1751,HC CATH PICC SGL LUM 4F,845.04,295.77,117.05,629.55,5
HCPCS,C1751,HC CATH PICC TRI LUM 5F,931.56,326.05,117.05,694.01,5
HCPCS,C1751,HC CATH PLCMNT KIT NEONATAL 28G,302.26,105.8,86.57,225.18,5
HCPCS,C1751,HC CATH POWERGLIDE FULL KT 20GX10,1800.0,630.0,117.05,1341.0,5
HCPCS,C1751,HC CATH POWERGLIDE FULL KT 20GX8,2488.5,870.98,712.71,1853.93,8
HCPCS,C1751,HC CATH POWERHOHN BAS W/VC,605.64,211.98,117.05,451.2,5
HCPCS,C1751,HC CATH POWERHOHN DL BAS 6F,567.79,198.73,162.62,423.0,8
HCPCS,C1751,HC CATH POWERHOHN SL BAS 5F,567.79,198.73,162.62,423.0,8
HCPCS,C1751,HC CATH POWERLINE 5F,154.56,54.1,44.27,117.05,5
HCPCS,C1751,HC CATH POWERLINE 6F,897.12,314.0,117.05,668.35,5
HCPCS,C1751,HC CATH PULM ART W/CCO/SVO2 8X110,639.38,223.79,117.05,476.34,5
HCPCS,C1751,HC CATH QCK CAT EXTRACT 6F,1620.0,567.0,117.05,1206.9,5
HCPCS,C1751,HC CATH SAC ARTERIAL 20GX5,70.56,24.7,20.21,117.05,5
HCPCS,C1751,HC CATH SWAN GANZ DL,121.46,42.52,34.79,117.05,13
HCPCS,C1751,HC CATH TRPL LUMEN CVC INSERT,307.65,107.68,88.11,229.2,5
HCPCS,C1751,HC CATH UMB ART SINGLE 3.5F,44.01,15.41,12.6,32.79,8
HCPCS,C1751,HC CATH UNIFUSE 5F,651.84,228.15,186.69,485.62,8
HCPCS,C1751,HC CATH VESSEL UMBIL POLY STRL,53.42,18.7,15.3,117.05,5
HCPCS,C1751,HC CATH VNS SBCLVN ANTIBX 9F,929.02,325.16,117.05,692.12,5
HCPCS,C1751,HC I CATH PICC SNGL LUMEN 3F,322.92,113.03,92.48,240.58,8
HCPCS,C1752,"CATH,HEMODIALYSIS,SHORT-TERM",356.445,124.75999999999999,63.07,377.54,56
HCPCS,C1752,HC CATH DILA 2PTAW.014 2.5 200 14,2016.0,705.6,577.38,1501.92,8
HCPCS,C1752,HC CATH MAHURKAR CUF 11.5FX16CM END DATE 05/12/2025,422.49,147.88,10.38,314.76,5
HCPCS,C1752,HC CATH MAHURKAR TRIPLE LUMEN 12FX13,415.97,145.59,119.13,309.9,8
HCPCS,C1752,HC CATH TRIALYSIS STR 15,3375.0,1181.25,966.6,2514.38,8
HCPCS,C1752,HC CATH TRIALYSIS STR 20,3375.0,1181.25,966.6,2514.38,8
HCPCS,C1753,HC CATH ACIST KODAMA IVUS,1827.0,639.45,148.68,1361.12,5
HCPCS,C1753,HC CATH COR BSC ATLANTIS SR PRO,1596.0,558.6,148.68,1189.02,5
HCPCS,C1753,HC CATH DRAGON FLY,2268.0,793.8,148.68,1689.66,5
HCPCS,C1753,HC CATH EAGLE EYE PLATNM SHRT TIP,1890.0,661.5,148.68,1408.05,5
HCPCS,C1753,HC CATH OPTICROSS IVUS,2271.36,794.98,148.68,1692.16,5
HCPCS,C1753,HC CATH OPTICROSS IVUS 5F,2271.36,794.98,148.68,1692.16,5
HCPCS,C1753,HC CATH PIONEER PLUS IVUS,6247.5,2186.63,148.68,4654.39,5
HCPCS,C1753,HC CATH VISION DIGITAL PV 014,1890.0,661.5,148.68,1408.05,5
HCPCS,C1753,HC INTRAVAS ULTRASOUND CATH,2457.0,859.95,148.68,1830.47,5
HCPCS,C1753,HC OPTICROSS ULTRASOUND CATH,1701.0,595.35,148.68,1267.25,5
HCPCS,C1754,"Catheter, intradiscal",,,934.63,934.63,1
HCPCS,C1755,HC ANEST TRAY EPDRL CONT FLX TIP,102.08,35.73,8.56,76.05,5
HCPCS,C1756,"Cath, pacing, transesoph",,,307.66,307.66,1
HCPCS,C1757,HC CATH ACE REPERF .060 132 5.4F,4940.0,1729.0,28.25,3680.3,5
HCPCS,C1757,HC CATH ACE REPERF .064 132 5.75F,4940.0,1729.0,28.25,3680.3,5
HCPCS,C1757,HC CATH ANJIOJET DISTA PERIPH 4F,4042.5,1414.88,28.25,3011.66,5
HCPCS,C1757,HC CATH CARD ASPIRATION EXPORTAP,1363.2,477.12,28.25,1015.58,5
HCPCS,C1757,HC CATH CAT D 8F,5380.0,1883.0,28.25,4008.1,5
HCPCS,C1757,HC CATH CLOT TRIEVER 16,11760.0,4116.0,28.25,8761.2,5
HCPCS,C1757,HC CATH CLOT TRIEVER BOLD,11760.0,4116.0,28.25,8761.2,5
HCPCS,C1757,HC CATH EXTRACTION PRONTO V3,1696.46,593.77,28.25,1263.86,5
HCPCS,C1757,HC CATH GUIDE POUNCE THROMB SYS,9975.0,3491.25,28.25,7431.38,5
HCPCS,C1757,HC CATH INDIGO 054 132 5.0F,2326.0,814.1,28.25,1732.87,5
HCPCS,C1757,HC CATH INDIGO 7F 130,16842.0,5894.7,28.25,12547.29,5
HCPCS,C1757,HC CATH INDIGO TRAX STR 6FX132,15440.0,5404.0,28.25,11502.8,5
HCPCS,C1757,HC CATH INDINGO KT 7 L LM ASP TB,5380.0,1883.0,28.25,4008.1,5
HCPCS,C1757,HC CATH INTHRILL,4620.0,1617.0,28.25,3441.9,5
HCPCS,C1757,HC CATH LIGHTNING HTORQ 100,24620.4,8617.14,28.25,18342.2,5
HCPCS,C1757,HC CATH LIGHTNING HTORQ 115,24620.4,8617.14,28.25,18342.2,5
HCPCS,C1757,HC CATH LIGHTNING HTORQ 80,24620.4,8617.14,28.25,18342.2,5
HCPCS,C1757,HC CATH LIGHTNING XTORQ 100,24620.4,8617.14,28.25,18342.2,5
HCPCS,C1757,HC CATH PACK 6FX100 ELEMENT 17FX13,20200.0,7070.0,28.25,15049.0,5
HCPCS,C1757,HC CATH PACK 6FX100 ELEMENT 17FX33,20600.0,7210.0,28.25,15347.0,5
HCPCS,C1757,HC CATH PACK 6FX100 ELEMENT 17FX45,21000.0,7350.0,28.25,15645.0,5
HCPCS,C1757,HC CATH PACK 6FX100 ELEMENT 17FX65,21000.0,7350.0,28.25,15645.0,5
HCPCS,C1757,HC CATH PACK 6FX120 ELEMENT 17FX13,20200.0,7070.0,28.25,15049.0,10
HCPCS,C1757,HC CATH PACK 6FX120 ELEMENT 17FX33,20600.0,7210.0,28.25,15347.0,10
HCPCS,C1757,HC CATH PACK 6FX120 ELEMENT 17FX45,21000.0,7350.0,28.25,15645.0,10
HCPCS,C1757,HC CATH PACK 6FX120 ELEMENT 17FX65,21000.0,7350.0,28.25,15645.0,10
HCPCS,C1757,HC CATH PACK 6FX135 ELEMENT 17FX13,20200.0,7070.0,28.25,15049.0,5
HCPCS,C1757,HC CATH PACK 6FX135 ELEMENT 17FX33,20600.0,7210.0,28.25,15347.0,5
HCPCS,C1757,HC CATH PACK 6FX135 ELEMENT 17FX45,21000.0,7350.0,28.25,15645.0,5
HCPCS,C1757,HC CATH PACK 6FX135 ELEMENT 17FX65,21000.0,7350.0,28.25,15645.0,5
HCPCS,C1757,HC CATH PRONTO LP EXTRACTION,873.6,305.76,28.25,650.83,5
HCPCS,C1757,HC CATH PRONTO V4 EXTRACTION,873.6,305.76,28.25,650.83,5
HCPCS,C1757,HC CATH SEPARATOR,2509.5,878.33,28.25,1869.58,5
HCPCS,C1757,HC CATH SEPARATOR 5 045 135,1801.8,630.63,28.25,1342.34,5
HCPCS,C1757,HC CATH SEPARATOR 8,3948.0,1381.8,28.25,2941.26,5
HCPCS,C1757,HC CATH SEPARATOR FLX,1716.0,600.6,28.25,1278.42,5
HCPCS,C1757,HC CATH SEPERATOR CAT D 7F,3360.0,1176.0,28.25,2503.2,5
HCPCS,C1757,HC CATH SEPERATOR CAT D 8F,3360.0,1176.0,28.25,2503.2,5
HCPCS,C1757,HC CATH SHEALTH PROTRIEVE,8400.0,2940.0,28.25,6258.0,5
HCPCS,C1757,HC CATH SHEATH CLOT TRIEVER 13F,2940.0,1029.0,28.25,2190.3,5
HCPCS,C1757,HC CATH SHEATH CLOT TRIEVER 16F,2940.0,1029.0,28.25,2190.3,5
HCPCS,C1757,HC CATH SHEATH CLOT TRIEVER XL,12810.0,4483.5,28.25,9543.45,5
HCPCS,C1757,HC CATH SHEATH INTHRILL,3780.0,1323.0,28.25,2816.1,5
HCPCS,C1757,HC CATH SHEATH PERCUT 7F 65,2142.0,749.7,28.25,1595.79,5
HCPCS,C1757,HC CATH SPIROFLEX THROMBECTMY,3951.99,1383.2,28.25,2944.23,5
HCPCS,C1757,HC CATH SYS INDIGO LIGHT 12 100,19440.0,6804.0,28.25,14482.8,5
HCPCS,C1757,HC CATH THROMB CLNR 6FX135X9,2484.0,869.4,28.25,1850.58,5
HCPCS,C1757,HC CATH THROMB CLNR 6FX65X9,1920.67,672.24,28.25,1430.9,5
HCPCS,C1757,HC CATH THROMB CLNR 7FX135X15,4800.0,1680.0,28.25,3576.0,5
HCPCS,C1757,HC CATH THROMB CLNR 7FX65X15,2195.64,768.48,28.25,1635.75,5
HCPCS,C1757,HC CATH THROMBECTOMY AVX SET,1575.0,551.25,28.25,1173.38,5
HCPCS,C1757,HC CATH THROMBECTOMY AVX/DVX,3370.5,1179.68,28.25,2511.02,5
HCPCS,C1757,HC CATH THROMBECTOMY JETI  KIT 6F,10920.0,3822.0,28.25,8917.65,10
HCPCS,C1757,HC CATH THROMBECTOMY REVCORE,13650.0,4777.5,28.25,10169.25,5
HCPCS,C1757,HC CATH THROMBECTOMY XMI SET,3276.0,1146.6,28.25,2440.62,5
HCPCS,C1757,HC CATH THROMBECTOMY XVG SET,3423.0,1198.05,28.25,2550.14,5
HCPCS,C1757,HC CNULA ALPHA VAC 18 85,16000.0,5600.0,28.25,11920.0,5
HCPCS,C1757,HC CNULA ALPHA VAC F22 180D,16800.0,5880.0,28.25,12516.0,5
HCPCS,C1757,HC CNULA ALPHA VAC F22 20D,16800.0,5880.0,28.25,12516.0,5
HCPCS,C1757,HC SUCT CONTROL MECHANICAL ASPIR TZ,672.0,235.2,28.25,500.64,5
HCPCS,C1757,HC SYS PROTRIEVE THROMBECTOMY,21000.0,7350.0,28.25,15645.0,5
HCPCS,C1757,HC ZELANTE DVT CATHETER,5911.5,2069.03,28.25,4404.07,5
HCPCS,C1758,HC CATH URET OPEN END FG 6F,30.9,10.82,8.85,119.37,5
HCPCS,C1759,HC CATH INTRA ECHOCARDIOGRAPHY,5355.0,1874.25,122.28,3989.48,5
HCPCS,C1759,HC CATH SOUNDSTAR ECO SIEM 8FX90,3475.08,1216.28,122.28,2588.93,5
HCPCS,C1759,HC CATH ULTRA ICE PLS 8.5F 110,2250.36,787.63,122.28,1676.52,5
HCPCS,C1759,HC CATH ULTRASND 8F,5862.0,2051.7,122.28,4367.19,5
HCPCS,C1759,HC CATH ULTRASND 8F RPR,2143.2,750.12,122.28,1596.68,5
HCPCS,C1759,HC CATH ULTRASND ECO 8F RPR,2807.7,982.7,122.28,2091.74,5
HCPCS,C1759,HC CATH ULTRSND ACUNAV 8FR RPR,2099.11,734.69,122.28,1563.84,5
HCPCS,C1759,HC ULTRASOUND 3D CATHETER,5991.3,2096.96,122.28,4463.52,5
HCPCS,C1760,HC CATH BAND LNG TR INFLATOR,134.95,47.24,38.65,100.54,8
HCPCS,C1760,HC CLOSURE DEV VASC,655.2,229.32,187.65,488.12,8
HCPCS,C1760,HC CLSR ANGIOSEAL VASC DEVICE,748.685,262.03999999999996,201.91,590.32,16
HCPCS,C1760,HC CLSR ANGIOSEAL VASC DEVICE 8F,705.0,246.75,201.91,525.23,8
HCPCS,C1760,HC CLSR DEVICE MYNX 6F 7F,799.2,279.72,228.89,595.4,8
HCPCS,C1760,HC CLSR VASC DEVICE MYNX 5F,799.2,279.72,228.89,595.4,8
HCPCS,C1760,HC CLSR VASOSEAL MANTA 14F,2877.0,1006.95,823.97,2143.37,8
HCPCS,C1760,HC CLSR VASOSEAL MANTA 18F,2877.0,1006.95,823.97,2143.37,8
HCPCS,C1760,HC FEMS STOP,308.45,107.96,88.34,229.8,8
HCPCS,C1760,HC I CLSR PERCLSE PROSTYLE MEDICATED,5250.0,1837.5,1503.6,3911.25,8
HCPCS,C1760,HC I CLSR VASCADE MVP VENOUS,720.0,252.0,206.21,536.4,8
HCPCS,C1760,HC I CLSR VASCADE SYS,600.0,210.0,171.84,447.0,8
HCPCS,C1760,HC PERCLOSE CLOSURE DEVICE,805.39,281.89,230.66,600.02,8
HCPCS,C1760,HC SYS CATALYST II BOOMERANG,579.6,202.86,166.0,431.8,8
HCPCS,C1761,HC BALLOON SHOCKWAVE C2IVL 2.5X12,9870.0,3454.5,2826.77,7353.15,5
HCPCS,C1761,HC BALLOON SHOCKWAVE C2IVL 3.0X12,9870.0,3454.5,2826.77,7353.15,5
HCPCS,C1761,HC BALLOON SHOCKWAVE C2IVL 3.5X12,9870.0,3454.5,2826.77,7353.15,5
HCPCS,C1761,HC BALLOON SHOCKWAVE C2IVL 4.0X12,9870.0,3454.5,2826.77,7353.15,5
HCPCS,C1762,"Conn tiss, human(inc fascia)",,,3768.1,3768.1,1
HCPCS,C1763,HC I PLUG FISTULA 0.4,12048.0,4216.8,3450.55,8975.76,8
HCPCS,C1763,HC I PLUG FISTULA 0.7,12048.0,4216.8,3450.55,8975.76,8
HCPCS,C1764,HC DEVICE MONITOR CARDIAC LINQ22,15261.75,5341.62,4370.97,11370.0,8
HCPCS,C1764,HC EVENT RECORDER CARDIAC DM2100,7770.0,2719.5,2225.33,5788.65,8
HCPCS,C1764,HC I CARDIAC MONITOR INSER LUX DX,13860.0,4851.0,3969.5,10325.7,8
HCPCS,C1764,HC I CARDIAC MONITOR INSER LUX DX II,10050.0,3517.5,2878.32,7487.25,8
HCPCS,C1764,HC REVEAL LINQ LOOP RECORDER,11119.5,3891.83,3184.62,8284.03,8
HCPCS,C1765,HC DSG ADH SEPRAFILM 5X6,903.84,316.35,5.99,673.36,5
HCPCS,C1766,HC CATH MORPH GUIDE 6F 90X76,2205.0,771.75,237.82,1642.73,5
HCPCS,C1766,HC CATH SHEALTH CHKFL 14F 38 30,303.1,106.09,86.81,237.82,5
HCPCS,C1766,HC KIT AMPL DEL SYS 8F 45 80,2100.0,735.0,601.44,1564.5,8
HCPCS,C1767,"Generator, neuro non-recharg",,,17141.41,17141.41,1
HCPCS,C1768,HC COOK ENDOVASCULAR GRAFT,28418.88,9946.61,8139.17,21172.07,8
HCPCS,C1768,HC ENDOVASCULAR GRAFT EXT,6528.48,2284.97,1869.76,4863.72,8
HCPCS,C1768,HC ENDOVASCULAR GRAFT LEG,10365.6,3627.96,2968.71,7722.37,8
HCPCS,C1768,HC GRAFT ENDRII AORTIC 32X32X49,14411.25,5043.94,4127.38,10736.38,8
HCPCS,C1768,HC GRAFT ENDRII CLTRL 16X16X82,14096.25,4933.69,4037.17,10501.71,8
HCPCS,C1768,HC GRAFT ENDRII CLTRL 16X16X93,14647.5,5126.63,4195.04,10912.39,8
HCPCS,C1768,HC GRAFT ENDRIIS BI 28X14X103,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC GRAFT ILIAC 12F 16X12X7,9733.5,3406.73,2787.67,7251.46,8
HCPCS,C1768,HC GRAFT ILIAC 16F 23X14.5X10,34807.5,12182.63,9968.87,25931.59,8
HCPCS,C1768,HC I EMBOLIC LIQ ONYX 18,6142.5,2149.88,1759.21,4576.16,8
HCPCS,C1768,HC I EMBOLIC LIQ ONYX 24,6142.5,2149.88,1759.21,4576.16,8
HCPCS,C1768,HC I GRAFT ENDRII AORTIC 23X23X70,23546.25,8241.19,6743.65,17541.96,8
HCPCS,C1768,HC I GRAFT ENDRII AORTIC 25X25X49,13151.25,4602.94,3766.52,9797.68,8
HCPCS,C1768,HC I GRAFT ENDRII AORTIC 25X25X70,23546.25,8241.19,6743.65,17541.96,8
HCPCS,C1768,HC I GRAFT ENDRII AORTIC 28X28X49,13466.25,4713.19,3856.73,10032.36,8
HCPCS,C1768,HC I GRAFT ENDRII AORTIC 28X28X70,23861.25,8351.44,6833.86,17776.63,8
HCPCS,C1768,HC I GRAFT ENDRII AORTIC 32X32X70,23861.25,8351.44,6833.86,17776.63,8
HCPCS,C1768,HC I GRAFT ENDRII AORTIC 36X36X49,14726.25,5154.19,4217.6,10971.06,8
HCPCS,C1768,HC I GRAFT ENDRII AORTIC 36X36X70,24333.75,8516.82,6969.19,18128.64,8
HCPCS,C1768,HC I GRAFT ENDRII AUI 23X14X102,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII AUI 25X14X102,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII AUI 28X14X102,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII AUI 32X14X102,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII AUI 36X14X102,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 23X13X124,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 23X13X145,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 23X13X166,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 23X16X124,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 23X16X145,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 23X16X166,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 25X13X124,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 25X13X145,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 25X13X166,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 25X16X124,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 25X16X145,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 25X16X166,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 28X13X124,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 28X13X145,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 28X13X166,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 28X16X124,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 28X16X145,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 28X16X166,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 28X20X124,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 28X20X145,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 28X20X166,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 32X16X124,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 32X16X145,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 32X16X166,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 32X20X124,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 32X20X145,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 32X20X166,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 36X16X145,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 36X16X166,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 36X20X145,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII BI 36X20X166,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X10X124,15671.25,5484.94,4488.25,11675.08,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X10X156,20160.0,7056.0,5773.82,15019.2,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X10X199,20459.25,7160.74,5859.53,15242.14,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X10X82,15513.75,5429.82,4443.14,11557.74,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X10X93,15513.75,5429.82,4443.14,11557.74,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X13X124,15671.25,5484.94,4488.25,11675.08,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X13X156,20160.0,7056.0,5773.82,15019.2,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X13X199,20459.25,7160.74,5859.53,15242.14,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X13X82,15277.5,5347.13,4375.48,11381.74,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X13X93,15513.75,5429.82,4443.14,11557.74,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X16X124,15513.75,5429.82,4443.14,11557.74,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X16X156,20160.0,7056.0,5773.82,15019.2,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X16X199,20459.25,7160.74,5859.53,15242.14,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X16X82,14096.25,4933.69,4037.17,10501.71,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X20X124,15671.25,5484.94,4488.25,11675.08,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X20X156,20160.0,7056.0,5773.82,15019.2,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X20X199,20459.25,7160.74,5859.53,15242.14,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X20X82,14096.25,4933.69,4037.17,10501.71,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X20X93,15513.75,5429.82,4443.14,11557.74,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X24X124,15671.25,5484.94,4488.25,11675.08,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X24X156,20160.0,7056.0,5773.82,15019.2,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X24X199,20459.25,7160.74,5859.53,15242.14,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X24X82,15277.5,5347.13,4375.48,11381.74,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X24X93,15513.75,5429.82,4443.14,11557.74,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X28X124,15671.25,5484.94,4488.25,11675.08,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X28X156,20160.0,7056.0,5773.82,15019.2,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X28X199,20459.25,7160.74,5859.53,15242.14,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X28X82,15277.5,5347.13,4375.48,11381.74,8
HCPCS,C1768,HC I GRAFT ENDRII CLTRL 16X28X93,15513.75,5429.82,4443.14,11557.74,8
HCPCS,C1768,HC I GRAFT ENDRII ILIAC 10X10X82,14647.5,5126.63,4195.04,10912.39,8
HCPCS,C1768,HC I GRAFT ENDRII ILIAC 13X13X82,14647.5,5126.63,4195.04,10912.39,8
HCPCS,C1768,HC I GRAFT ENDRII ILIAC 20X20X82,15277.5,5347.13,4375.48,11381.74,8
HCPCS,C1768,HC I GRAFT ENDRII ILIAC 24X24X82,15513.75,5429.82,4443.14,11557.74,8
HCPCS,C1768,HC I GRAFT ENDRII ILIAC 28X28X82,15671.25,5484.94,4488.25,11675.08,8
HCPCS,C1768,HC I GRAFT ENDRIIS BI 23X14X103,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRIIS BI 25X14X103,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRIIS BI 32X14X103,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT ENDRIIS BI 36X14X103,31421.25,10997.44,8999.05,23408.83,8
HCPCS,C1768,HC I GRAFT NAVION 25X94,43694.44,15293.06,12514.09,32552.36,8
HCPCS,C1768,HC I GRAFT VAL PRX FFLO 28X28X150,37674.32,13186.02,10789.93,28067.37,8
HCPCS,C1768,HC I GRAFT VAL PRX FFLO 32X32X100,34618.82,12116.59,9914.83,25791.02,8
HCPCS,C1769,HC  WIRE GUIDE FATHOM .014 200,772.07,270.23,95.37,575.19,5
HCPCS,C1769,HC AMPLATZ SUPER STIFF ST-1,151.94,53.18,43.52,113.2,5
HCPCS,C1769,HC ASAHI FIELDER XT 300CM WIRE,453.6,158.76,95.37,337.93,5
HCPCS,C1769,HC ASAHI MB,616.9,215.92,95.37,459.59,5
HCPCS,C1769,HC CATH ACIST NAVVUS FFR MICRO--- CATH ACIST KODAMA IVUS,1512.0,529.2,95.37,1126.44,5
HCPCS,C1769,HC CATH BENTSON .035/150CM,45.36,15.88,12.99,95.37,5
HCPCS,C1769,HC CATH COIL PUSHER 16 177CM,410.24,143.59,95.37,305.63,5
HCPCS,C1769,HC CATH GLIDE 5F100LSTAPGWIR0.038,163.13,57.1,46.72,121.53,5
HCPCS,C1769,HC CATH GUIDE LINER 6/7F,1260.0,441.0,95.37,938.7,5
HCPCS,C1769,HC CATH GUIDE LINER 7F,1404.48,491.57,95.37,1046.34,5
HCPCS,C1769,HC CATH GUIDE SASUKE,1764.0,617.4,95.37,1314.18,5
HCPCS,C1769,HC CATH GUIDE WIRE SWAN GANZ,52.06,18.23,14.91,95.37,5
HCPCS,C1769,HC CATH GUIDESHEATH DEST STR 5FX4,275.52,96.44,78.91,205.26,5
HCPCS,C1769,HC CATH GUIDEZILLA II 6F,1260.0,441.0,95.37,938.7,5
HCPCS,C1769,HC CATH GUIDEZILLA II 7F,1260.0,441.0,95.37,938.7,5
HCPCS,C1769,HC CATH GUIDEZILLA II 8F,1260.0,441.0,95.37,938.7,5
HCPCS,C1769,HC CATH GUIDEZILLA II LNG 6F,1260.0,441.0,95.37,938.7,5
HCPCS,C1769,HC CATH MAMBA 135,2066.4,723.24,95.37,1539.47,5
HCPCS,C1769,HC CATH MAMBA FLAX 135,2066.4,723.24,95.37,1539.47,5
HCPCS,C1769,HC CATH MAMBA FLAX 150,2184.0,764.4,95.37,1627.08,5
HCPCS,C1769,HC CATH SHEATH INTR PINN 10CM 5F,29.4,10.29,8.42,95.37,5
HCPCS,C1769,HC CATH SHEATH INTR PINN 10CM 6F,29.4,10.29,8.42,95.37,5
HCPCS,C1769,HC CATH SHEATH INTR PINN 10CM 7F,29.4,10.29,8.42,95.37,5
HCPCS,C1769,HC CATH SHEATH INTR PINN 10CM 8F,29.4,10.29,8.42,95.37,5
HCPCS,C1769,HC CATH SHEATH INTR PINN 10F 10,29.4,10.29,8.42,95.37,5
HCPCS,C1769,HC CATH SHEATH INTR PINN 11F 10,29.4,10.29,8.42,95.37,5
HCPCS,C1769,HC CATH SHEATH INTR PINN 4F 10,29.4,10.29,8.42,95.37,5
HCPCS,C1769,HC CATH SHEATH INTR PINN 7F 25,57.62,20.17,16.5,95.37,5
HCPCS,C1769,HC CATH SHEATH INTR PINN 8F 25,57.62,20.17,16.5,95.37,5
HCPCS,C1769,HC CATH SHEATH INTR PINN 9F 10,29.4,10.29,8.42,95.37,5
HCPCS,C1769,HC CATH VASC IMPELLA,56000.0,19600.0,95.37,41720.0,5
HCPCS,C1769,HC CATH XC PERIPH ANG 5F 200,672.0,235.2,95.37,500.64,5
HCPCS,C1769,HC CATH XC PERIPH STR 5F 200,672.0,235.2,95.37,500.64,5
HCPCS,C1769,HC CLIP WIRE ROTA PRO,500.5,175.18,95.37,372.87,5
HCPCS,C1769,HC COOK EXTRA STIFF WIRE GUIDE,362.88,127.01,95.37,270.35,5
HCPCS,C1769,HC CORONARY CSI WIRE .014,655.2,229.32,95.37,488.12,5
HCPCS,C1769,HC E WIRE RUNTHROUGH,285.6,99.96,81.8,212.77,5
HCPCS,C1769,HC EQ SLED PULLBACK STRL,134.4,47.04,38.49,100.13,5
HCPCS,C1769,HC GLIDE CATH ANGLED OR STRAIGHT,166.39,58.24,47.65,123.96,5
HCPCS,C1769,HC GUIDE WIRE,493.73,172.81,25.98,1069.98,35
HCPCS,C1769,HC GUIDEWIRE STIFF ANGLE/STRAIGHT,170.85,59.8,48.93,127.28,5
HCPCS,C1769,HC H FLOP EXT RUNTHROUGH,291.31,101.96,83.43,217.03,5
HCPCS,C1769,HC PINNACLE SHEATH 6F,61.87,21.66,17.72,95.37,5
HCPCS,C1769,HC PLUG AMPLATZ VASC IV 6X11,2394.0,837.9,95.37,1783.53,5
HCPCS,C1769,HC PLUG AMPLATZ VASC IV 8X13.5,2394.0,837.9,95.37,1783.53,5
HCPCS,C1769,HC STRGHT STIFF GDWIRE .018/260CM,309.26,108.25,88.57,230.4,5
HCPCS,C1769,HC SYS DRCT ACCESS WIREGUIDE,802.18,280.77,95.37,597.62,5
HCPCS,C1769,HC WHISPER WIRE,315.3,110.36,90.3,234.9,5
HCPCS,C1769,HC WIRE 35-5-5 EMB COIL .035 5 5,163.2,57.12,46.74,121.58,5
HCPCS,C1769,HC WIRE AMP 0.025X145CM PTFE AMP,49.7,17.4,14.23,95.37,5
HCPCS,C1769,HC WIRE AMPLATZ FLOP 80 1,98.68,34.54,28.26,95.37,5
HCPCS,C1769,HC WIRE AMPLATZ J TIP .035 180,114.54,40.09,32.8,95.37,5
HCPCS,C1769,HC WIRE AMPLATZ SS .035 260 3MM,147.72,51.71,42.31,110.05,5
HCPCS,C1769,HC WIRE AMPLATZ STIFF STR 035X145,75.6,26.46,21.65,95.37,5
HCPCS,C1769,HC WIRE AMPLATZ STIFF STR 035X75,75.6,26.46,21.65,95.37,5
HCPCS,C1769,HC WIRE AMPLATZ STR 7 260,119.82,41.94,34.32,95.37,5
HCPCS,C1769,HC WIRE AMPLATZ SUPER STIFF,83.8,29.33,24.0,95.37,5
HCPCS,C1769,HC WIRE ASAHI FIELDER 300,262.08,91.73,75.06,195.25,5
HCPCS,C1769,HC WIRE CARAVEL 150,1428.0,499.8,95.37,1063.86,5
HCPCS,C1769,HC WIRE COIL CMPLX RUBY STD 3X5,1896.0,663.6,95.37,1412.52,5
HCPCS,C1769,HC WIRE COPE MANDRL .018X60 NITIN,86.24,30.19,24.7,95.37,5
HCPCS,C1769,HC WIRE CORSAIR PRO XS 150,1461.6,511.56,95.37,1088.89,5
HCPCS,C1769,HC WIRE DIAGNOSTIC GUIDE,88.7,31.05,25.4,95.37,5
HCPCS,C1769,HC WIRE EP ZIPWIRE 035 150CM,768.35,268.93,95.37,572.42,5
HCPCS,C1769,HC WIRE FIRM DIAMONDBCK,582.62,203.92,95.37,434.05,5
HCPCS,C1769,HC WIRE GAIA NEXT 2 PRE SHAPE 190,470.4,164.64,95.37,350.45,5
HCPCS,C1769,HC WIRE GAIA NEXT 3 PRE SHAPE 190,470.4,164.64,95.37,350.45,5
HCPCS,C1769,HC WIRE GLIDE BABY J 3 400,238.56,83.5,68.32,177.73,5
HCPCS,C1769,HC WIRE GLIDE DBL ANG GT 016 180,960.96,336.34,95.37,715.92,5
HCPCS,C1769,HC WIRE GLIDE DBL ANG GT 018 180,577.92,202.28,95.37,430.55,5
HCPCS,C1769,HC WIRE GLIDE GLD 018 300 3 45,574.56,201.1,95.37,428.05,5
HCPCS,C1769,HC WIRE GLIDE GLD 018 3CM 180,385.6,134.96,95.37,287.27,5
HCPCS,C1769,HC WIRE GLIDE GT 018 180 45,577.92,202.28,95.37,430.55,5
HCPCS,C1769,HC WIRE GLIDE GT 018 200,577.92,202.28,95.37,430.55,5
HCPCS,C1769,HC WIRE GLIDE GT STR 016 180,577.92,202.28,95.37,430.55,5
HCPCS,C1769,HC WIRE GLIDE HYD 018 3CM 4 150,860.0,301.0,95.37,640.7,5
HCPCS,C1769,HC WIRE GLIDE HYD 035 145 4,464.0,162.4,95.37,345.68,5
HCPCS,C1769,HC WIRE GLIDE HYD 035 150 8CM LTP,523.2,183.12,95.37,389.78,5
HCPCS,C1769,HC WIRE GLIDE REG STD J TP 15 180,133.39,46.69,38.2,99.38,5
HCPCS,C1769,HC WIRE GLIDE STD 025 180 3 ANG,860.0,301.0,95.37,640.7,5
HCPCS,C1769,HC WIRE GLIDE STD 025 260 3 ANG,921.6,322.56,95.37,686.59,5
HCPCS,C1769,HC WIRE GLIDE STD 035 150 3 J TIP,97.44,34.11,27.91,95.37,5
HCPCS,C1769,HC WIRE GLIDE STD 035 260 3 ANG,154.56,54.1,44.27,115.15,5
HCPCS,C1769,HC WIRE GLIDE STD 035 260 3 STR,154.56,54.1,44.27,115.15,5
HCPCS,C1769,HC WIRE GLIDE STD 035 350 45 ANG,167.5,58.63,47.97,124.79,5
HCPCS,C1769,HC WIRE GLIDE STD 035 350 45D ANG,41.5,14.53,11.89,95.37,5
HCPCS,C1769,HC WIRE GLIDE STD 035 400 45D ANG,47.71,16.7,13.66,95.37,5
HCPCS,C1769,HC WIRE GLIDE STF 035 260 3 ANG,173.54,60.74,49.7,129.29,5
HCPCS,C1769,HC WIRE GLIDE STF 035 350 45 ANG,233.18,81.62,66.78,173.72,5
HCPCS,C1769,HC WIRE GLIDE STF ANG.035X260LX3C,722.4,252.84,95.37,538.19,5
HCPCS,C1769,HC WIRE GUIDE .014 300L ANG 1.0,756.0,264.6,95.37,563.22,5
HCPCS,C1769,HC WIRE GUIDE .018 300L ANG 1.0,739.2,258.72,95.37,550.7,5
HCPCS,C1769,HC WIRE GUIDE .035 180L ANG 5.0,705.6,246.96,95.37,525.67,5
HCPCS,C1769,HC WIRE GUIDE .035 260L ANG 5.0,772.8,270.48,95.37,575.74,5
HCPCS,C1769,HC WIRE GUIDE 18GX20CM,105.28,36.85,30.15,95.37,5
HCPCS,C1769,HC WIRE GUIDE 3MMJ TIP .025-145CM,25.7,9.0,7.36,95.37,5
HCPCS,C1769,HC WIRE GUIDE 3MMJ TIP .032-145CM,25.7,9.0,7.36,95.37,5
HCPCS,C1769,HC WIRE GUIDE 3MMJ TIP .035-260CM,30.24,10.59,8.66,95.37,5
HCPCS,C1769,HC WIRE GUIDE 3MMJ TIP .038-260CM,30.24,10.59,8.66,95.37,5
HCPCS,C1769,HC WIRE GUIDE 3MMJ TIP.035-175CM,25.7,9.0,7.36,95.37,5
HCPCS,C1769,HC WIRE GUIDE 3MMJ TIP.038-175CM,25.7,9.0,7.36,95.37,5
HCPCS,C1769,HC WIRE GUIDE 879 DIA 2600 STR,502.32,175.82,95.37,374.23,5
HCPCS,C1769,HC WIRE GUIDE ACROBAT 2 CLBRT TIP,777.6,272.16,95.37,579.31,5
HCPCS,C1769,HC WIRE GUIDE ADV ANGL 014 180 45,672.0,235.2,95.37,500.64,5
HCPCS,C1769,HC WIRE GUIDE ADV ANGL 018 300 70,655.2,229.32,95.37,488.12,5
HCPCS,C1769,HC WIRE GUIDE AMPL SFT FX JTIP,214.4,75.04,61.4,159.73,5
HCPCS,C1769,HC WIRE GUIDE AMPLATZ SS XCH 035,114.54,40.09,32.8,95.37,5
HCPCS,C1769,HC WIRE GUIDE AMPLTZ .035 150,1289.6,451.36,95.37,960.75,5
HCPCS,C1769,HC WIRE GUIDE APPROACH PRO LT,150.4,52.64,43.07,112.05,5
HCPCS,C1769,HC WIRE GUIDE ASAHI GAIA I 190,470.4,164.64,95.37,350.45,5
HCPCS,C1769,HC WIRE GUIDE ASAHI GAIA I 300,470.4,164.64,95.37,350.45,5
HCPCS,C1769,HC WIRE GUIDE ASAHI GAIA II 190,470.4,164.64,95.37,350.45,5
HCPCS,C1769,HC WIRE GUIDE ASAHI GAIA II 300,470.4,164.64,95.37,350.45,5
HCPCS,C1769,HC WIRE GUIDE ASAHI GAIA III 190,470.4,164.64,95.37,350.45,5
HCPCS,C1769,HC WIRE GUIDE ASAHI GAIA III 300,470.4,164.64,95.37,350.45,5
HCPCS,C1769,HC WIRE GUIDE ASAHI SION 180 28 3,470.4,164.64,95.37,350.45,5
HCPCS,C1769,HC WIRE GUIDE ASAHI SION BLU 180J,420.0,147.0,95.37,312.9,5
HCPCS,C1769,HC WIRE GUIDE ASAHI SION BLU 300S,400.0,140.0,95.37,298.0,5
HCPCS,C1769,HC WIRE GUIDE ASAHI SION BLUE 180,453.6,158.76,95.37,337.93,5
HCPCS,C1769,HC WIRE GUIDE ASTA XS 40 PRPH 300,537.6,188.16,95.37,400.51,5
HCPCS,C1769,HC WIRE GUIDE ASTATO 180,537.6,188.16,95.37,400.51,5
HCPCS,C1769,HC WIRE GUIDE ASTATO 300,537.6,188.16,95.37,400.51,5
HCPCS,C1769,HC WIRE GUIDE AXIEM TRACER .PROBE,1285.2,449.82,95.37,957.47,5
HCPCS,C1769,HC WIRE GUIDE BABY 0.012X18,39.04,13.67,11.18,95.37,5
HCPCS,C1769,HC WIRE GUIDE CHOICE 300 PT ES J,228.48,79.97,65.44,170.22,5
HCPCS,C1769,HC WIRE GUIDE CHOICE 300 PT J,228.48,79.97,65.44,170.22,5
HCPCS,C1769,HC WIRE GUIDE CHOICE PT J,228.48,79.97,65.44,170.22,5
HCPCS,C1769,HC WIRE GUIDE COMMAND,504.0,176.4,95.37,375.48,5
HCPCS,C1769,HC WIRE GUIDE COMMAND 014X300,504.0,176.4,95.37,375.48,5
HCPCS,C1769,HC WIRE GUIDE COMMAND ES 014X190,504.0,176.4,95.37,375.48,5
HCPCS,C1769,HC WIRE GUIDE COMMAND ES 014X300,504.0,176.4,95.37,375.48,5
HCPCS,C1769,HC WIRE GUIDE CONFIANZA PRO12 180,470.4,164.64,95.37,350.45,5
HCPCS,C1769,HC WIRE GUIDE CONFIANZA PRO12 300,470.4,164.64,95.37,350.45,5
HCPCS,C1769,HC WIRE GUIDE COPE MANDRIL 60,73.42,25.7,21.03,95.37,5
HCPCS,C1769,HC WIRE GUIDE CTO APPROACH 25GRAM,384.0,134.4,95.37,286.08,5
HCPCS,C1769,HC WIRE GUIDE CURVED .025 180CM,58.26,20.4,16.69,95.37,5
HCPCS,C1769,HC WIRE GUIDE ENTEER RE ENTRY FLX,1092.0,382.2,95.37,813.54,5
HCPCS,C1769,HC WIRE GUIDE ENTEER RE ENTRY STD,1092.0,382.2,95.37,813.54,5
HCPCS,C1769,HC WIRE GUIDE EXT,255.15,89.31,73.07,190.09,5
HCPCS,C1769,HC WIRE GUIDE EXT HI TORQUE,319.2,111.72,91.42,237.8,5
HCPCS,C1769,HC WIRE GUIDE EXT LOC .035,512.0,179.2,95.37,381.44,5
HCPCS,C1769,HC WIRE GUIDE FATHOM STR TIP,211.68,74.09,60.63,157.7,5
HCPCS,C1769,HC WIRE GUIDE FATOM .014 300,1001.28,350.45,95.37,745.95,5
HCPCS,C1769,HC WIRE GUIDE FG FFR SUD 185,739.2,258.72,95.37,550.7,5
HCPCS,C1769,HC WIRE GUIDE FG STD STR 035 260,1004.64,351.63,95.37,748.46,5
HCPCS,C1769,HC WIRE GUIDE FG STD STR 035 450,1004.64,351.63,95.37,748.46,5
HCPCS,C1769,HC WIRE GUIDE FIELDER FC.014X300,1520.0,532.0,95.37,1132.4,5
HCPCS,C1769,HC WIRE GUIDE FIELDER XT A STR 19,470.4,164.64,95.37,350.45,5
HCPCS,C1769,HC WIRE GUIDE FIELDER XT A STR 30,470.4,164.64,95.37,350.45,5
HCPCS,C1769,HC WIRE GUIDE FIELDER XT R STR 19,470.4,164.64,95.37,350.45,5
HCPCS,C1769,HC WIRE GUIDE FIELDER XT R STR 30,470.4,164.64,95.37,350.45,5
HCPCS,C1769,HC WIRE GUIDE FIELDER XT.014X300,420.0,147.0,95.37,312.9,5
HCPCS,C1769,HC WIRE GUIDE FIGHTER 190,403.2,141.12,95.37,300.38,5
HCPCS,C1769,HC WIRE GUIDE FIGHTER 300,403.2,141.12,95.37,300.38,5
HCPCS,C1769,HC WIRE GUIDE FSPTFE 3MMJ.035X145,30.24,10.59,8.66,95.37,5
HCPCS,C1769,HC WIRE GUIDE GAIA PV 200 PS 018,571.2,199.92,95.37,425.54,5
HCPCS,C1769,HC WIRE GUIDE GAIA PV 300 PS 018,571.2,199.92,95.37,425.54,5
HCPCS,C1769,HC WIRE GUIDE GALEO PRO ES F,201.6,70.56,57.74,150.19,5
HCPCS,C1769,HC WIRE GUIDE GALEO PRO ES F J,201.6,70.56,57.74,150.19,5
HCPCS,C1769,HC WIRE GUIDE GALEO PRO F,201.6,70.56,57.74,150.19,5
HCPCS,C1769,HC WIRE GUIDE GALEO PRO F 300,268.8,94.08,76.98,200.26,5
HCPCS,C1769,HC WIRE GUIDE GALEO PRO F J,201.6,70.56,57.74,150.19,5
HCPCS,C1769,HC WIRE GUIDE GALEO PRO HF,201.6,70.56,57.74,150.19,5
HCPCS,C1769,HC WIRE GUIDE GALEO PRO HF J,201.6,70.56,57.74,150.19,5
HCPCS,C1769,HC WIRE GUIDE GALEO PRO M,201.6,70.56,57.74,150.19,5
HCPCS,C1769,HC WIRE GUIDE GALEO PRO M J,201.6,70.56,57.74,150.19,5
HCPCS,C1769,HC WIRE GUIDE GLADIUS PRPH 200 01,537.6,188.16,95.37,400.51,10
HCPCS,C1769,HC WIRE GUIDE GLADIUS PRPH 300 01,537.6,188.16,95.37,400.51,10
HCPCS,C1769,HC WIRE GUIDE GLD 018 300 3,574.56,201.1,95.37,428.05,5
HCPCS,C1769,HC WIRE GUIDE GLD ANG 018 300 45,574.56,201.1,95.37,428.05,5
HCPCS,C1769,HC WIRE GUIDE GLD ANGL 018 300 71,574.56,201.1,95.37,428.05,5
HCPCS,C1769,HC WIRE GUIDE GRAPHIX INT J,228.48,79.97,65.44,170.22,5
HCPCS,C1769,HC WIRE GUIDE GRAPHIX SS J,228.48,79.97,65.44,170.22,5
HCPCS,C1769,HC WIRE GUIDE HALBERD PRPH 200 01,554.4000000000001,194.04,95.37,425.54,10
HCPCS,C1769,HC WIRE GUIDE HALBERD PRPH 300 01,571.2,199.92,95.37,425.54,10
HCPCS,C1769,HC WIRE GUIDE HORNET 10 190,403.2,141.12,95.37,300.38,5
HCPCS,C1769,HC WIRE GUIDE HORNET 10 300,403.2,141.12,95.37,300.38,5
HCPCS,C1769,HC WIRE GUIDE HORNET 14 190,403.2,141.12,95.37,300.38,5
HCPCS,C1769,HC WIRE GUIDE HORNET 14 300,403.2,141.12,95.37,300.38,5
HCPCS,C1769,HC WIRE GUIDE HORNET 190,403.2,141.12,95.37,300.38,5
HCPCS,C1769,HC WIRE GUIDE HORNET 300,403.2,141.12,95.37,300.38,5
HCPCS,C1769,HC WIRE GUIDE HT WIGGLE STR 190,319.2,111.72,91.42,237.8,5
HCPCS,C1769,HC WIRE GUIDE HT WIGGLE STR 300,319.2,111.72,91.42,237.8,5
HCPCS,C1769,HC WIRE GUIDE HTORQ 18 LT 018X210,1663.2,582.12,95.37,1239.08,5
HCPCS,C1769,HC WIRE GUIDE HTORQ 18 LT 018X300,1663.2,582.12,95.37,1239.08,5
HCPCS,C1769,HC WIRE GUIDE HTORQ 18 ST 018X210,1663.2,582.12,95.37,1239.08,5
HCPCS,C1769,HC WIRE GUIDE HTORQ 18 ST 018X300,1663.2,582.12,95.37,1239.08,5
HCPCS,C1769,HC WIRE GUIDE HTORQ ST CR.018X300,252.0,88.2,72.17,187.74,5
HCPCS,C1769,HC WIRE GUIDE HTORQ SUPR .035 190,252.0,88.2,72.17,187.74,5
HCPCS,C1769,HC WIRE GUIDE HTORQ SUPR .035 300,252.0,88.2,72.17,187.74,5
HCPCS,C1769,HC WIRE GUIDE HTORQ VRS FLP 145CM,265.44,92.91,76.02,197.75,5
HCPCS,C1769,HC WIRE GUIDE HTORQ.014 ST3T 300,262.08,91.73,75.06,195.25,5
HCPCS,C1769,HC WIRE GUIDE HYDRO.014INX3X300CM,262.08,91.73,75.06,195.25,5
HCPCS,C1769,HC WIRE GUIDE INTRODUCER VASCULAR,8.37,2.93,2.4,95.37,5
HCPCS,C1769,HC WIRE GUIDE INTU HT STR 014X180,40.32,14.12,11.55,95.37,5
HCPCS,C1769,HC WIRE GUIDE INTU HT STR 014X300,40.32,14.12,11.55,95.37,5
HCPCS,C1769,HC WIRE GUIDE INTU PP STR 014X180,40.32,14.12,11.55,95.37,5
HCPCS,C1769,HC WIRE GUIDE INTU PP STR 014X300,40.32,14.12,11.55,95.37,5
HCPCS,C1769,HC WIRE GUIDE J TIP 018 260,248.64,87.03,71.21,185.24,5
HCPCS,C1769,HC WIRE GUIDE J TIP 035 260,149.18,52.22,42.73,111.14,5
HCPCS,C1769,HC WIRE GUIDE JAG ANGL 035 260,502.32,175.82,95.37,374.23,5
HCPCS,C1769,HC WIRE GUIDE JAG HINI 025 450,302.4,105.84,86.61,225.29,5
HCPCS,C1769,HC WIRE GUIDE JAG RX44 035 260,1374.24,480.99,95.37,1023.81,5
HCPCS,C1769,HC WIRE GUIDE JAG STR 025 460,571.2,199.92,95.37,425.54,5
HCPCS,C1769,HC WIRE GUIDE JAG STR ANGL 025,302.4,105.84,86.61,225.29,5
HCPCS,C1769,HC WIRE GUIDE JUDO 3 STR 190,403.2,141.12,95.37,300.38,5
HCPCS,C1769,HC WIRE GUIDE JUDO 6 STR 190,403.2,141.12,95.37,300.38,5
HCPCS,C1769,HC WIRE GUIDE LNDRQ XSTIF.035 260,1548.0,541.8,95.37,1153.26,5
HCPCS,C1769,HC WIRE GUIDE LNDRQST .035-180-7,662.4,231.84,95.37,493.49,5
HCPCS,C1769,HC WIRE GUIDE MAGICTQ .035 180,496.17,173.66,95.37,369.65,5
HCPCS,C1769,HC WIRE GUIDE MAGICTQ .035 260,496.17,173.66,95.37,369.65,5
HCPCS,C1769,HC WIRE GUIDE MARKED,633.28,221.65,95.37,471.79,5
HCPCS,C1769,HC WIRE GUIDE MARVEL 190,268.8,94.08,76.98,200.26,5
HCPCS,C1769,HC WIRE GUIDE MARVEL 190 JTIP,268.8,94.08,76.98,200.26,5
HCPCS,C1769,HC WIRE GUIDE MARVEL 300,268.8,94.08,76.98,200.26,5
HCPCS,C1769,HC WIRE GUIDE MARVEL 300 JTIP,268.8,94.08,76.98,200.26,5
HCPCS,C1769,HC WIRE GUIDE MCPTFE 3MMJ.035-145,23.94,8.38,6.86,95.37,5
HCPCS,C1769,HC WIRE GUIDE MDL THRWY190 SH STR,335.16,117.31,95.37,249.69,5
HCPCS,C1769,HC WIRE GUIDE MDL THRWY300 SH STR,256.0,89.6,73.32,190.72,5
HCPCS,C1769,HC WIRE GUIDE MTR DRCT .025 260,537.6,188.16,95.37,400.51,5
HCPCS,C1769,HC WIRE GUIDE NITREX,272.16,95.26,77.95,202.76,5
HCPCS,C1769,HC WIRE GUIDE NITRIX ANG 014X180,330.67,115.74,94.7,246.35,5
HCPCS,C1769,HC WIRE GUIDE NITRIX ANG 018X80,186.67,65.34,53.46,139.07,5
HCPCS,C1769,HC WIRE GUIDE NITRIX ANG 025X260,230.4,80.64,65.99,171.65,5
HCPCS,C1769,HC WIRE GUIDE NITRIX STR 018X300,360.53,126.19,95.37,268.59,5
HCPCS,C1769,HC WIRE GUIDE NITRIX STR 035X400,216.53,75.79,62.01,161.31,5
HCPCS,C1769,HC WIRE GUIDE NOVAGOLD HI PERF,558.61,195.52,95.37,416.16,5
HCPCS,C1769,HC WIRE GUIDE PILOT J 150 190,319.2,111.72,91.42,237.8,5
HCPCS,C1769,HC WIRE GUIDE PILOT J 300,319.2,111.72,91.42,237.8,5
HCPCS,C1769,HC WIRE GUIDE PILOT J STR 200 190,319.2,111.72,91.42,237.8,5
HCPCS,C1769,HC WIRE GUIDE PILOT J STR 200 300,319.2,111.72,91.42,237.8,5
HCPCS,C1769,HC WIRE GUIDE PILOT J TIP 50 190,262.08,91.73,75.06,195.25,5
HCPCS,C1769,HC WIRE GUIDE PILOT J TIP 50 300,262.08,91.73,75.06,195.25,5
HCPCS,C1769,HC WIRE GUIDE PILOT S TIP 50 3000,262.08,91.73,75.06,195.25,5
HCPCS,C1769,HC WIRE GUIDE PILOT STR 150 190,319.2,111.72,91.42,237.8,5
HCPCS,C1769,HC WIRE GUIDE PILOT STR 200 190,319.2,111.72,91.42,237.8,5
HCPCS,C1769,HC WIRE GUIDE PILOT STR 300,319.2,111.72,91.42,237.8,5
HCPCS,C1769,HC WIRE GUIDE PILOT STR 50 190,319.2,111.72,91.42,237.8,5
HCPCS,C1769,HC WIRE GUIDE PILOT.014X300,262.08,91.73,75.06,195.25,5
HCPCS,C1769,HC WIRE GUIDE PLAT PLUS,314.43,110.06,90.05,234.25,5
HCPCS,C1769,HC WIRE GUIDE PLAT PLUS .018,253.86,88.86,72.71,189.13,5
HCPCS,C1769,HC WIRE GUIDE PLAT PLUS .018X180,253.86,88.86,72.71,189.13,5
HCPCS,C1769,HC WIRE GUIDE PLAT PLUS-3 .01 206,248.42,86.95,71.15,185.07,5
HCPCS,C1769,HC WIRE GUIDE PLT PLS 025X260,255.73,89.51,73.24,190.52,5
HCPCS,C1769,HC WIRE GUIDE PLT PLS STR 014 300,277.6,97.16,79.5,206.81,5
HCPCS,C1769,HC WIRE GUIDE PLT PLS STR 018 300,277.6,97.16,79.5,206.81,5
HCPCS,C1769,HC WIRE GUIDE PROSTREAM 145,642.1,224.74,95.37,478.36,5
HCPCS,C1769,HC WIRE GUIDE PROSTREAM 175,642.1,224.74,95.37,478.36,5
HCPCS,C1769,HC WIRE GUIDE PVS .016 180 25,953.6,333.76,95.37,710.43,5
HCPCS,C1769,HC WIRE GUIDE RAIDER 190,332.64,116.43,95.27,247.82,5
HCPCS,C1769,HC WIRE GUIDE RAIDER 300,352.8,123.48,95.37,262.84,5
HCPCS,C1769,HC WIRE GUIDE RG350 INTERVENTIONA,688.8,241.08,95.37,513.16,5
HCPCS,C1769,HC WIRE GUIDE ROADRUN ANG 018X480,588.0,205.8,95.37,438.06,5
HCPCS,C1769,HC WIRE GUIDE ROADRUNNER018X480CM,389.76,136.42,95.37,290.37,5
HCPCS,C1769,HC WIRE GUIDE ROSEN 035 180,155.54,54.44,44.55,115.88,5
HCPCS,C1769,HC WIRE GUIDE ROSEN 035 260,209.77,73.42,60.08,156.28,5
HCPCS,C1769,HC WIRE GUIDE ROTA FLOP 325CM,403.2,141.12,95.37,300.38,5
HCPCS,C1769,HC WIRE GUIDE ROTA W TRQ .014X330,564.84,197.7,95.37,420.81,5
HCPCS,C1769,HC WIRE GUIDE RUNTHROUGH 300X.014,268.8,94.08,76.98,200.26,5
HCPCS,C1769,HC WIRE GUIDE SAMURAI 190,268.8,94.08,76.98,200.26,5
HCPCS,C1769,HC WIRE GUIDE SAMURAI 190 JTIP,268.8,94.08,76.98,200.26,5
HCPCS,C1769,HC WIRE GUIDE SAMURAI 300,268.8,94.08,76.98,200.26,5
HCPCS,C1769,HC WIRE GUIDE SAMURAI 300 JTIP,268.8,94.08,76.98,200.26,5
HCPCS,C1769,HC WIRE GUIDE SAMURAI RC 190,403.2,141.12,95.37,300.38,5
HCPCS,C1769,HC WIRE GUIDE SAMURAI RC 300,403.2,141.12,95.37,300.38,5
HCPCS,C1769,HC WIRE GUIDE SAVARY GILLIARD,384.0,134.4,95.37,286.08,5
HCPCS,C1769,HC WIRE GUIDE SENSOR DUFLEX .035,140.18,49.07,40.15,104.43,5
HCPCS,C1769,HC WIRE GUIDE SFGRD MRKD SPRNG TP,470.4,164.64,95.37,350.45,5
HCPCS,C1769,HC WIRE GUIDE SNYCH SFT 2 200,1420.02,497.01,95.37,1057.91,5
HCPCS,C1769,HC WIRE GUIDE SNYCH SFT 2 300,1765.76,618.02,95.37,1315.49,5
HCPCS,C1769,HC WIRE GUIDE SNYCH SFT PS 2 200,1494.11,522.94,95.37,1113.11,5
HCPCS,C1769,HC WIRE GUIDE SNYCH SFT PS 2 300,1852.2,648.27,95.37,1379.89,5
HCPCS,C1769,HC WIRE GUIDE SNYCH STD 2 200,1420.02,497.01,95.37,1057.91,5
HCPCS,C1769,HC WIRE GUIDE SNYCH STD 2 300,1778.11,622.34,95.37,1324.69,5
HCPCS,C1769,HC WIRE GUIDE SNYCH STD PS 2 200,1494.11,522.94,95.37,1113.11,5
HCPCS,C1769,HC WIRE GUIDE SNYCH STD PS 2 300,1852.2,648.27,95.37,1379.89,5
HCPCS,C1769,HC WIRE GUIDE SPRING SS DUOFLX,22.66,7.94,6.49,95.37,5
HCPCS,C1769,HC WIRE GUIDE SPRING STAINLESS,169.6,59.36,48.57,126.35,5
HCPCS,C1769,HC WIRE GUIDE SS MNDRL STR 018X45,45.36,15.88,12.99,95.37,5
HCPCS,C1769,HC WIRE GUIDE STAR BENT .035 180C,257.63,90.18,73.79,191.93,5
HCPCS,C1769,HC WIRE GUIDE STAR BENT .035 260C,332.13,116.25,95.12,247.44,5
HCPCS,C1769,HC WIRE GUIDE STAR J CRV 035 180,122.34,42.82,35.04,95.37,5
HCPCS,C1769,HC WIRE GUIDE STAR J CRV 035 260,171.5,60.03,49.12,127.77,5
HCPCS,C1769,HC WIRE GUIDE STAR JCV MC 035 150,246.49,86.28,70.59,183.64,5
HCPCS,C1769,HC WIRE GUIDE STAR MV CR 035 150,328.47,114.97,94.07,244.71,5
HCPCS,C1769,HC WIRE GUIDE STINGRAY 185,870.24,304.59,95.37,648.33,5
HCPCS,C1769,HC WIRE GUIDE STINGRAY HPC 300CM,822.4,287.84,95.37,612.69,5
HCPCS,C1769,HC WIRE GUIDE STR TIP .025-145CM,24.28,8.5,6.95,95.37,5
HCPCS,C1769,HC WIRE GUIDE STR TIP .035-260CM,30.24,10.59,8.66,95.37,5
HCPCS,C1769,HC WIRE GUIDE STR TIP .038-260CM,31.5,11.03,9.02,95.37,5
HCPCS,C1769,HC WIRE GUIDE STRA.035,56.16,19.66,16.08,95.37,5
HCPCS,C1769,HC WIRE GUIDE STRETCH EXT 150,184.8,64.68,52.93,137.68,5
HCPCS,C1769,HC WIRE GUIDE SWAN .025J 502452,40.32,14.12,11.55,95.37,5
HCPCS,C1769,HC WIRE GUIDE TFL CRV .025 50 3J,28.0,9.8,8.02,95.37,5
HCPCS,C1769,HC WIRE GUIDE TFL CRV 035X260X3 J,55.2,19.32,15.81,95.37,5
HCPCS,C1769,HC WIRE GUIDE TFL CRV.035X180X3 J,30.4,10.64,8.71,95.37,5
HCPCS,C1769,HC WIRE GUIDE TFL CRV.035X80X3 J,28.0,9.8,8.02,95.37,5
HCPCS,C1769,HC WIRE GUIDE TFL CRV10TPR .035X1,35.36,12.38,10.13,95.37,5
HCPCS,C1769,HC WIRE GUIDE TFL STR .035 145,25.6,8.96,7.33,95.37,5
HCPCS,C1769,HC WIRE GUIDE TFL STR .035 145AUS,55.52,19.44,15.9,95.37,5
HCPCS,C1769,HC WIRE GUIDE TFL STR .035 260,22.4,7.84,6.42,95.37,5
HCPCS,C1769,HC WIRE GUIDE TFL STR .035 80 AES,55.52,19.44,15.9,95.37,5
HCPCS,C1769,HC WIRE GUIDE TFL STRA .035X80,194.18,67.97,55.61,144.66,5
HCPCS,C1769,HC WIRE GUIDE TFLCRV.035X,30.4,10.64,8.71,95.37,5
HCPCS,C1769,HC WIRE GUIDE TFLCRV.035X145X7.5,25.6,8.96,7.33,95.37,5
HCPCS,C1769,HC WIRE GUIDE TORAY 025X175CM,544.0,190.4,95.37,405.28,5
HCPCS,C1769,HC WIRE GUIDE TRACER .035X480,537.6,188.16,95.37,400.51,5
HCPCS,C1769,HC WIRE GUIDE TRANSND STR 014X135,803.04,281.07,95.37,598.26,5
HCPCS,C1769,HC WIRE GUIDE TRANSND STR 014X165,803.04,281.07,95.37,598.26,5
HCPCS,C1769,HC WIRE GUIDE TRANSND STR 014X190,803.04,281.07,95.37,598.26,5
HCPCS,C1769,HC WIRE GUIDE TRANSND STR 018X135,803.04,281.07,95.37,598.26,5
HCPCS,C1769,HC WIRE GUIDE TRANSND STR 018X165,803.04,281.07,95.37,598.26,5
HCPCS,C1769,HC WIRE GUIDE V10 CONTROL 110,282.24,98.79,80.83,210.27,5
HCPCS,C1769,HC WIRE GUIDE V14 STR 014 182 11,459.45,160.81,95.37,342.29,5
HCPCS,C1769,HC WIRE GUIDE V14 STR 014 300 11,505.41,176.9,95.37,376.53,5
HCPCS,C1769,HC WIRE GUIDE V18 STR 018 150 12,248.87,87.11,71.28,185.41,5
HCPCS,C1769,HC WIRE GUIDE V18 STR 018 300 12,272.83,95.5,78.14,203.26,5
HCPCS,C1769,HC WIRE GUIDE V18 STR 018 300 8,272.83,95.5,78.14,203.26,5
HCPCS,C1769,HC WIRE GUIDE VERACORE FLP 175,329.28,115.25,94.31,245.31,5
HCPCS,C1769,HC WIRE GUIDE VERSACORE MOD J 175,329.28,115.25,94.31,245.31,5
HCPCS,C1769,HC WIRE GUIDE VIC 14 014 300 18GM,571.2,199.92,95.37,425.54,5
HCPCS,C1769,HC WIRE GUIDE VIC 14 014 300 30GM,712.32,249.32,95.37,530.68,5
HCPCS,C1769,HC WIRE GUIDE VIC 18 018 300 18GM,571.2,199.92,95.37,425.54,5
HCPCS,C1769,HC WIRE GUIDE VIC 18 018 300 30GM,675.36,236.38,95.37,503.14,5
HCPCS,C1769,HC WIRE GUIDE VRS TIP 300CM,39.63,13.88,11.35,95.37,5
HCPCS,C1769,HC WIRE GUIDE WARRIOR 190,420.0,147.0,95.37,312.9,5
HCPCS,C1769,HC WIRE GUIDE WARRIOR 300,436.8,152.88,95.37,325.42,5
HCPCS,C1769,HC WIRE GUIDE WHOLEY .035 X 145CM,252.0,88.2,72.17,187.74,5
HCPCS,C1769,HC WIRE GUIDE WHOLEY .035 X 260CM,369.6,129.36,95.37,275.35,5
HCPCS,C1769,HC WIRE GUIDE WHOLEY FLPY STR SHAPE,451.58,158.06,95.37,336.43,5
HCPCS,C1769,HC WIRE GUIDE WIG,305.03,106.77,87.36,227.25,5
HCPCS,C1769,HC WIRE GUIDEHYDRO.014INXJ3X300CM,262.08,91.73,75.06,195.25,5
HCPCS,C1769,HC WIRE GUIDETFLCRV.035X180X1.5JR,25.15,8.81,7.2,95.37,5
HCPCS,C1769,HC WIRE GUIDETFLCRV.035X80X4.5,31.92,11.18,9.14,95.37,5
HCPCS,C1769,HC WIRE HILAL EMB COIL STR .018,67.37,23.58,19.29,95.37,5
HCPCS,C1769,HC WIRE HILAL EMB COIL STR.018 .5,354.92,124.23,95.37,264.42,5
HCPCS,C1769,HC WIRE HYDR STD ANG 0.035X150,416.0,145.6,95.37,309.92,5
HCPCS,C1769,HC WIRE JAG ANGLED .035 450,1052.8,368.48,95.37,784.34,5
HCPCS,C1769,HC WIRE JAG EXT ANG 035 260,302.4,105.84,86.61,225.29,5
HCPCS,C1769,HC WIRE JAG PATHFINDER .018 450,1072.0,375.2,95.37,798.64,5
HCPCS,C1769,HC WIRE JAG STRAIGHT .038 260CM,985.6,344.96,95.37,734.27,5
HCPCS,C1769,HC WIRE JAG STRAIGHT 035 260,302.4,105.84,86.61,225.29,5
HCPCS,C1769,HC WIRE JW ASAHI CNFNZA300,453.6,158.76,95.37,337.93,5
HCPCS,C1769,HC WIRE JW ASAHI GRNDSL300,280.66499999999996,98.235,75.06,222.94,13
HCPCS,C1769,HC WIRE JW ASAHI MB 6 300,470.4,164.64,95.37,350.45,5
HCPCS,C1769,HC WIRE JW ASAHI MB45 300,504.0,176.4,95.37,375.48,5
HCPCS,C1769,HC WIRE JW ASAHI PROWTR 180 J TP,262.08,91.73,75.06,195.25,5
HCPCS,C1769,HC WIRE JW ASAHI PROWTR 300 J TP,262.08,91.73,75.06,195.25,5
HCPCS,C1769,HC WIRE JW ASAHI PROWTR300,453.6,158.76,95.37,337.93,5
HCPCS,C1769,HC WIRE JW ASAHI SOFT 300,262.08,91.73,75.06,195.25,5
HCPCS,C1769,HC WIRE MODEL MAILMAN J TIP 182CM,306.03,107.12,87.65,227.99,5
HCPCS,C1769,HC WIRE MODEL MAILMAN J TIP 300CM,217.06,75.98,62.17,161.71,5
HCPCS,C1769,HC WIRE MONGO ES PRE SHAPE 190,470.4,164.64,95.37,350.45,5
HCPCS,C1769,HC WIRE MONGO ES PRE SHAPE 300,470.4,164.64,95.37,350.45,5
HCPCS,C1769,HC WIRE MONGO ES STR 190,470.4,164.64,95.37,350.45,5
HCPCS,C1769,HC WIRE MONGO ES STR 300,470.4,164.64,95.37,350.45,5
HCPCS,C1769,HC WIRE MONGO PRE SHAPE 190,470.4,164.64,95.37,350.45,5
HCPCS,C1769,HC WIRE MONGO PRE SHAPE 300,470.4,164.64,95.37,350.45,5
HCPCS,C1769,HC WIRE MONGO STR 190,470.4,164.64,95.37,350.45,5
HCPCS,C1769,HC WIRE MONGO STR 300,470.4,164.64,95.37,350.45,5
HCPCS,C1769,HC WIRE NITINOL WPLAT COIL.018X40,122.27,42.8,35.02,95.37,5
HCPCS,C1769,HC WIRE PRESSURE CERTUS,2352.0,823.2,95.37,1752.24,5
HCPCS,C1769,HC WIRE PRESSURE CERTUS 014 300CM,470.4,164.64,95.37,350.45,5
HCPCS,C1769,HC WIRE PRESSURE X,2268.0,793.8,95.37,1689.66,5
HCPCS,C1769,HC WIRE PROWATERFLEX 180,262.08,91.73,75.06,195.25,5
HCPCS,C1769,HC WIRE PROWATERFLEX 300,262.08,91.73,75.06,195.25,5
HCPCS,C1769,HC WIRE REUT TIP DFL.035X145 5HEP,400.0,140.0,95.37,298.0,5
HCPCS,C1769,HC WIRE ROSEN TIP,54.26,19.0,15.54,95.37,5
HCPCS,C1769,HC WIRE ROTA PRO EXTRA SUPP,500.5,175.18,95.37,372.87,5
HCPCS,C1769,HC WIRE RUNTHR HYPER 014 180,369.6,129.36,95.37,275.35,5
HCPCS,C1769,HC WIRE RUNTHR HYPER 014 300,369.6,129.36,95.37,275.35,5
HCPCS,C1769,HC WIRE UNIV BMW STR 014X3X190,375.815,131.54000000000002,91.42,322.16,10
HCPCS,C1769,HC WIRE ZIP ANGLED .035 260 CM,844.35,295.53,95.37,629.04,5
HCPCS,C1769,HC WIRE ZIP STD 035 150,366.91,128.42,95.37,273.35,5
HCPCS,C1769,HC WIRE ZIP STD 035 180,495.3,173.36,95.37,369.0,5
HCPCS,C1769,HC WIRE ZIP STD 035 260,553.82,193.84,95.37,412.6,5
HCPCS,C1769,HC WIRELESS PRESSURE AERIS,1764.0,617.4,95.37,1314.18,5
HCPCS,C1769,WIRE GUIDE ASAHI SUOH PSHP 300,470.4,164.64,95.37,350.45,10
HCPCS,C1769,WIRE GUIDE ASAHI SUOH STR 190,470.4,164.64,95.37,350.45,5
HCPCS,C1769,WIRE GUIDE ASAHI SUOH STR 300,470.4,164.64,95.37,350.45,5
HCPCS,C1769,WIRE GUIDE SION BLK 190  STR,470.4,164.64,95.37,350.45,5
HCPCS,C1769,WIRE GUIDE SION BLK 190 J,470.4,164.64,95.37,350.45,5
HCPCS,C1769,WIRE GUIDE SION BLK 190 PSHAPE,470.4,164.64,95.37,350.45,5
HCPCS,C1769,WIRE GUIDE SION BLK 300  STR,470.4,164.64,95.37,350.45,5
HCPCS,C1769,WIRE GUIDE SION BLK 300 J,470.4,164.64,95.37,350.45,5
HCPCS,C1769,WIRE GUIDE SION BLK 300 PSHAPE,470.4,164.64,95.37,350.45,5
HCPCS,C1770,"Imaging coil, MR, insertable",,,282.42,282.42,1
HCPCS,C1771,"Rep dev, urinary, w/sling",,,152.08,152.08,1
HCPCS,C1772,"Infusion pump, programmable",,,6771.86,6771.86,1
HCPCS,C1773,HC  SNARE ELITE,3969.0,1389.15,121.1,2956.91,5
HCPCS,C1773,HC AMPLATZER DEV SYSTEM,1854.72,649.16,121.1,1381.77,5
HCPCS,C1773,HC CATH ANGIO 3FX150 SNR 2-4 X175,1675.8,586.53,121.1,1248.47,5
HCPCS,C1773,HC CATH ANGIO 3FX150 SNR 4-8 X175,1650.6,577.71,121.1,1229.7,5
HCPCS,C1773,HC CATH ANGIO 6FX100 SNR12-20X120,1112.16,389.26,121.1,828.56,5
HCPCS,C1773,HC CATH ANGIO 7FX100 SNR18-30X120,1112.16,389.26,121.1,828.56,5
HCPCS,C1773,HC CATH GDWR RETRVR QCK CAPTURE 6,1380.0,483.0,121.1,1028.1,5
HCPCS,C1773,HC CATH GOOSE NCK 10X120 DL102X4F,974.4,341.04,121.1,725.93,5
HCPCS,C1773,HC CATH GOOSE NCK 15X120 DL102X6F,974.4,341.04,121.1,725.93,5
HCPCS,C1773,HC CATH GOOSE NCK 25X65 DL48X6F,730.8,255.78,121.1,544.45,5
HCPCS,C1773,HC CATH GOOSE NCK 35X120 DL102X4F,730.8,255.78,121.1,544.45,5
HCPCS,C1773,HC CATH GUIDE SNGL LP SNR KT 2X175,1753.5,613.73,121.1,1306.36,5
HCPCS,C1773,HC CATH GUIDE SNGL LP SNR KT 4X175,1753.5,613.73,121.1,1306.36,5
HCPCS,C1773,HC CATH GUIDE SNGL LP SNR KT 7X175,1753.5,613.73,121.1,1306.36,5
HCPCS,C1773,HC CATH GUIDE SNGL LP SNR KT 7X200,1753.5,613.73,121.1,1306.36,5
HCPCS,C1773,HC CATH HALO SNR KIT 10X120,739.2,258.72,121.1,550.7,5
HCPCS,C1773,HC CATH HALO SNR KIT 10X65,739.2,258.72,121.1,550.7,5
HCPCS,C1773,HC CATH HALO SNR KIT 15X120,739.2,258.72,121.1,550.7,5
HCPCS,C1773,HC CATH HALO SNR KIT 20X120,739.2,258.72,121.1,550.7,5
HCPCS,C1773,HC CATH HALO SNR KIT 25X120,739.2,258.72,121.1,550.7,5
HCPCS,C1773,HC CATH HALO SNR KIT 25X65,739.2,258.72,121.1,550.7,5
HCPCS,C1773,HC CATH HALO SNR KIT 30X120,739.2,258.72,121.1,550.7,5
HCPCS,C1773,HC CATH HALO SNR KIT 35X120,739.2,258.72,121.1,550.7,5
HCPCS,C1773,HC CATH HALO SNR KIT 5X120,739.2,258.72,121.1,550.7,5
HCPCS,C1773,HC CATH VASC SNR 12-20 120 6F 100,693.0,242.55,121.1,516.29,5
HCPCS,C1773,HC CATH VASC SNR 27-45 120 7F 100,1616.16,565.66,121.1,1204.04,5
HCPCS,C1773,HC CATH VASC SNR 6-10 120 6F 100,1616.16,565.66,121.1,1204.04,5
HCPCS,C1773,HC CATH VASC SNR 8-30 120 100 7F,1616.16,565.66,121.1,1204.04,5
HCPCS,C1773,HC CATH VASC SNR 9-15 120 6F 100,693.0,242.55,121.1,516.29,5
HCPCS,C1773,HC ENSNARE MINI SNARE 12-30MM,1182.38,413.84,121.1,880.87,5
HCPCS,C1773,HC ENSNARE MINI SNARE 2-8MM,1709.32,598.27,121.1,1273.44,5
HCPCS,C1773,HC INST SNARE ATRIEVE MICRO 2 4,1922.76,672.97,121.1,1432.46,5
HCPCS,C1773,HC INST SNARE ATRIEVE MICRO 4 8,1922.76,672.97,121.1,1432.46,5
HCPCS,C1773,HC INST SNARE HALO MICRO 2 200,1612.8,564.48,121.1,1201.54,5
HCPCS,C1773,HC INST SNARE HALO MICRO 4 200,1612.8,564.48,121.1,1201.54,5
HCPCS,C1773,HC KIT AMPL DEL SYS 9F 45 80,2318.4,811.44,121.1,1727.21,5
HCPCS,C1773,HC KIT AMPL EXCH SYS 12F 45 80,2318.4,811.44,121.1,1727.21,5
HCPCS,C1773,HC KT IVC FLTR RETRIEV SNGL LOOP,840.0,294.0,121.1,625.8,5
HCPCS,C1773,HC KT IVC FLTR RETRIEV TRPL LOOP,1293.6,452.76,121.1,963.73,5
HCPCS,C1773,HC SNARE FILTER RETRIEVAL,1440.0,504.0,121.1,1072.8,5
HCPCS,C1773,HC STENT RETRIEVER SOEHENDRA 10F,352.8,123.48,101.04,262.84,5
HCPCS,C1773,HC STENT RETRIEVER SOEHENDRA 5F,352.8,123.48,101.04,262.84,5
HCPCS,C1773,HC STENT RETRIEVER SOEHENDRA 7F,264.6,92.61,75.78,197.13,5
HCPCS,C1773,HC STENT RETRIEVER SOEHENDRA 8.5F,264.6,92.61,75.78,197.13,5
HCPCS,C1773,HC SYS RECOVERY CONE REMOVAL,1904.0,666.4,121.1,1418.48,5
HCPCS,C1776,Joint device (implantable),,,6676.36,6676.36,1
HCPCS,C1777,HC  PLUG MICRO 1.5 3X12X021,5512.5,1929.38,1578.78,4106.81,8
HCPCS,C1777,HC  PLUG MICRO 3 5X12X16X027,5512.5,1929.38,1578.78,4106.81,8
HCPCS,C1777,HC  PLUG MICRO 5 7X16X18.4X4F,5512.5,1929.38,1578.78,4106.81,8
HCPCS,C1777,HC  PLUG MICRO 7 9X18X23.4X5F,5512.5,1929.38,1578.78,4106.81,8
HCPCS,C1777,HC I COIL RELI 4 SITE S ACTV FX,7875.0,2756.25,2255.4,5866.88,8
HCPCS,C1777,HC I LEAD RELIANCE 4 FRONT 59CM,7938.0,2778.3,2273.44,5913.81,8
HCPCS,C1777,HC I LEAD RELIANCE 4 FRT DEFIB 64CM,7938.0,2778.3,2273.44,5913.81,8
HCPCS,C1777,HC ICD LEAD ENDOTAK RL S 59 DF4,7875.0,2756.25,2255.4,5866.88,8
HCPCS,C1777,HC ICD LEAD RELI G S ACT FX,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC ICD LEAD SPRNT SEC S 6935100,9742.95,3410.04,2790.38,7258.5,8
HCPCS,C1777,HC ICD LEAD SPRNT SEC S 693552,9742.95,3410.04,2790.38,7258.5,8
HCPCS,C1777,HC ICD LEAD SPRNT SEC S 693558,9742.95,3410.04,2790.38,7258.5,8
HCPCS,C1777,HC ICD LEAD SPRNT SEC S 693565,9742.95,3410.04,2790.38,7258.5,8
HCPCS,C1777,HC ICD LEAD SPRNT SEC S 693575,9742.95,3410.04,2790.38,7258.5,8
HCPCS,C1777,HC ICD LEAD SPRNT SEC S 6935M49,9742.95,3410.04,2790.38,7258.5,8
HCPCS,C1777,HC ICD LEAD SPRNT SEC S 6935M62,9742.95,3410.04,2790.38,7258.5,8
HCPCS,C1777,HC ICD LEAD SPRNT SEC S 6935M72,9742.95,3410.04,2790.38,7258.5,8
HCPCS,C1777,HC ICD LEAD SPRNT SEC S 6935M97,9742.95,3410.04,2790.38,7258.5,8
HCPCS,C1777,HC ICD RELI GORE AFDF4 292,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC ICD RELI GORE AFDF4 293,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC ICD RELI GORE PFDF4 282,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC ICD RELI GORE PFDF4 283,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,"HC LEAD, AICD, ENDO SINGLE COIL",10500.0,3675.0,3007.2,7822.5,8
HCPCS,C1777,HC PCMKR LEAD DURATA 7120 60,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC PCMKR LEAD DURATA 7120 65,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC PCMKR LEAD DURATA 7121 60,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC PCMKR LEAD DURATA 7121 65,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC PCMKR LEAD DURATA 7122 60,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC PCMKR LEAD DURATA 7122 65,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC PCMKR LEAD DURATA 7130 60,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC PCMKR LEAD DURATA 7131 65,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC PCMKR LEAD DURATA SJ4 20Q52,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC PCMKR LEAD DURATA SJ4 20Q58,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC PCMKR LEAD DURATA SJ4 20Q65,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC PCMKR LEAD DURATA SJ4 21Q52,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC PCMKR LEAD DURATA SJ4 22Q52,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC PCMKR LEAD DURATA SJ4 22Q58,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC PCMKR LEAD DURATA SJ4 22Q65,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC PCMKR LEAD DURATA SJ4 58,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC PCMKR LEAD DURATA SJ4 65,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC PCMKR LEAD DURATA SJ4 70Q58,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC PCMKR LEAD DURATA SJ4 70Q65,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC PCMKR LEAD DURATA SJ4 71Q58,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC PCMKR LEAD DURATA SJ4 71Q65,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC PCMKR LEAD OPT DF1 LDA21065,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC PCMKR LEAD OPT DF4,9843.75,3445.315,2255.4,8800.31,16
HCPCS,C1777,HC PCMKR LEAD OPT DF4 LDA210Q58,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1777,HC PCMKR LEAD OPT DF4 LDA210Q65,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1778,"Lead, neurostimulator",,,1007.9,1007.9,1
HCPCS,C1779,"Lead, pmkr, transvenous VDD",,,150.87,150.87,1
HCPCS,C1780,"Lens, intraocular (new tech)",,,375.72,375.72,1
HCPCS,C1781,HC TYRX ENVELOPE AIGIS,2507.4,877.59,718.12,1868.01,8
HCPCS,C1782,Morcellator,,,19.31,19.31,1
HCPCS,C1783,"Ocular imp, aqueous drain de",,,363.18,363.18,1
HCPCS,C1784,"Ocular dev, intraop, det ret",,,49.86,49.86,1
HCPCS,C1785,HC  PCMKR ASSURITY MRI DR RF,15750.0,5512.5,4510.8,11733.75,8
HCPCS,C1785,HC ALLURE QUADRA PACEMAKER,18112.5,6339.38,5187.42,13493.81,16
HCPCS,C1785,HC PACEMAKER ASSURITY DR,8232.0,2881.2,2357.64,6132.84,16
HCPCS,C1785,HC PACEMAKER ETRINSA DR T,8232.0,2881.2,2357.64,6132.84,16
HCPCS,C1785,HC PACEMAKER MRI REVO,11970.0,4189.5,3428.21,8917.65,8
HCPCS,C1785,HC PCKR MRI AZURE DR,15721.65,5502.58,4502.68,11712.63,8
HCPCS,C1785,HC PCMKR ACCENT DR DUAL,12348.0,4321.8,3536.47,9199.26,8
HCPCS,C1785,HC PCMKR ACCENT DR RF DUAL,12348.0,4321.8,3536.47,9199.26,8
HCPCS,C1785,HC PCMKR ADAPTA DR LNGV RL1DUAL,13135.5,4597.43,3762.01,9785.95,8
HCPCS,C1785,HC PCMKR ADAPTA DR R01 DUAL,13135.5,4597.43,3762.01,9785.95,8
HCPCS,C1785,HC PCMKR ADAPTA DR R01P,15120.0,5292.0,4330.37,11264.4,8
HCPCS,C1785,HC PCMKR ADAPTA DR R03 DUAL,13135.5,4597.43,3762.01,9785.95,8
HCPCS,C1785,HC PCMKR ADAPTA DR R06 DUAL,13135.5,4597.43,3762.01,9785.95,8
HCPCS,C1785,HC PCMKR ADAPTA DR RS1P,15120.0,5292.0,4330.37,11264.4,8
HCPCS,C1785,HC PCMKR ADAPTA DR SM RS1 DUAL,13135.5,4597.43,3762.01,9785.95,8
HCPCS,C1785,HC PCMKR ALTR 20 DR 5 6 DUAL,12348.0,4321.8,3536.47,9199.26,8
HCPCS,C1785,HC PCMKR ALTR 20 DR IS1 3.2DUAL,12348.0,4321.8,3536.47,9199.26,8
HCPCS,C1785,HC PCMKR ALTR 20 DR IS1 DUAL,12348.0,4321.8,3536.47,9199.26,8
HCPCS,C1785,HC PCMKR ALTR 20 EL DR DUAL,12348.0,4321.8,3536.47,9199.26,8
HCPCS,C1785,HC PCMKR ALTR 40 DR IS1 3.2DUAL,12348.0,4321.8,3536.47,9199.26,8
HCPCS,C1785,HC PCMKR ALTR 40 DR IS1 DUAL,12348.0,4321.8,3536.47,9199.26,8
HCPCS,C1785,HC PCMKR ALTR 40 EL DR DUAL,12348.0,4321.8,3536.47,9199.26,8
HCPCS,C1785,HC PCMKR ALTR 60 DR IS1 3.2DUAL,12348.0,4321.8,3536.47,9199.26,8
HCPCS,C1785,HC PCMKR ALTR 60 DR IS1 DUAL,12348.0,4321.8,3536.47,9199.26,8
HCPCS,C1785,HC PCMKR ALTR 60 EL DR DUAL,12348.0,4321.8,3536.47,9199.26,8
HCPCS,C1785,HC PCMKR ENDUR DR DUAL,8232.0,2881.2,2357.64,6132.84,16
HCPCS,C1785,HC PCMKR ESSENT DUAL,8232.0,2881.2,2357.64,6132.84,8
HCPCS,C1785,HC PCMKR INGENIO DUAL,12348.0,4321.8,3536.47,9199.26,8
HCPCS,C1785,HC PCMKR MRI ADVISA DR,18742.5,6559.88,5367.85,13963.16,8
HCPCS,C1785,HC PCMKR MRI REVO,15592.5,5457.38,4465.69,11616.41,8
HCPCS,C1785,HC PCMKR SENSIA DR DUAL,13135.5,4597.43,3762.01,9785.95,8
HCPCS,C1785,HC PCMKR VERSA DR DUAL,13135.5,4597.43,3762.01,9785.95,8
HCPCS,C1785,HC PCMKR ZEPHYR DR DUAL,12348.0,4321.8,3536.47,9199.26,8
HCPCS,C1785,HC PCMKR ZEPHYR XL DR DUAL,12348.0,4321.8,3536.47,9199.26,8
HCPCS,C1785,HC PM ACCOADE DR DUAL,14080.5,4928.18,4032.66,10489.97,8
HCPCS,C1785,HC PM ACCOLADE DR MRI DUAL,17608.5,6162.98,5043.07,13118.33,8
HCPCS,C1785,HC PMKR DUAL  RATE-RESP,12600.0,4410.0,3608.64,9387.0,8
HCPCS,C1786,HC I PCMKR MICRA AV DUAL,34781.25,12173.44,9961.35,25912.03,8
HCPCS,C1786,HC I PCMKR MICRA VR SNGL,28218.75,9876.57,8081.85,21022.97,8
HCPCS,C1786,HC I PCMKR MRI IPG AZURE XT SR,11557.04,4044.97,3309.94,8609.99,8
HCPCS,C1786,HC I PCMKR TPS MCSAVR1 MICRA AV2,52480.0,18368.0,15030.27,39097.6,8
HCPCS,C1786,HC PCMKR ACCENT SR RF SGL,10631.25,3720.94,3044.79,7920.28,8
HCPCS,C1786,HC PCMKR ACCENT SR SGL,10631.25,3720.94,3044.79,7920.28,8
HCPCS,C1786,HC PCMKR ADAPTA SR R01 SGL,10631.25,3720.94,3044.79,7920.28,8
HCPCS,C1786,HC PCMKR ADAPTA SR R01P,13230.0,4630.5,3789.07,9856.35,8
HCPCS,C1786,HC PCMKR ADAPTA SR R03 SGL,10631.25,3720.94,3044.79,7920.28,8
HCPCS,C1786,HC PCMKR ADAPTA SR R06 SGL,10631.25,3720.94,3044.79,7920.28,8
HCPCS,C1786,HC PCMKR ALTR 20 SR IS1 3.2 SGL,10631.25,3720.94,3044.79,7920.28,8
HCPCS,C1786,HC PCMKR ASSURITY MRI SR RF,14033.25,4911.64,4019.12,10454.77,8
HCPCS,C1786,HC PCMKR ASSURITY SR RF SGL,7087.5,2480.63,2029.86,5280.19,8
HCPCS,C1786,HC PCMKR ENDURE SR SGL,7087.5,2480.63,2029.86,5280.19,16
HCPCS,C1786,HC PCMKR ESSENT SINGLE,7087.5,2480.63,2029.86,5280.19,8
HCPCS,C1786,HC PCMKR INGENIO K172 SR SGL,10631.25,3720.94,3044.79,7920.28,8
HCPCS,C1786,HC PCMKR INSIG ENTR SR SGL 1195,10631.25,3720.94,3044.79,7920.28,8
HCPCS,C1786,HC PCMKR INSIG ENTR SR SGL 1198,10631.25,3720.94,3044.79,7920.28,8
HCPCS,C1786,HC PCMKR SENSIA SR SGL,11418.75,3996.57,3270.33,8506.97,8
HCPCS,C1786,HC PCMKR ZEPHYR SR SGL,10631.25,3720.94,3044.79,7920.28,8
HCPCS,C1786,HC PCMKR ZEPHYR SR XL SGL,10631.25,3720.94,3044.79,7920.28,8
HCPCS,C1786,HC PM ACCOLADE SR MRI SGL,15513.75,5429.82,4443.14,11557.74,8
HCPCS,C1786,HC PM ACCOLADE SR SGL,12363.75,4327.32,3540.98,9210.99,8
HCPCS,C1786,HC PMKR SINGLE RATE-RESP,11025.0,3858.75,3157.56,8213.63,8
HCPCS,C1787,HC CRT P ASSURITY MRI DR RF,16537.5,5788.13,4736.34,12320.44,8
HCPCS,C1788,HC  CRT P ASSURITY MRI SR RF,14820.75,5187.27,4244.66,11041.46,8
HCPCS,C1788,HC I ACCSS PRT CHR SUT PLG 8F,903.84,316.35,258.86,673.36,8
HCPCS,C1788,HC I ACCSS PRT CHR SUT PLG MIC 8F,903.84,316.35,258.86,673.36,8
HCPCS,C1788,HC I ACCSS PRT TI ISP CHR 8F,1044.0,365.4,299.0,777.78,8
HCPCS,C1788,HC I SMARTPORT PLUS LOW PROFILE 8F,976.5,341.78,279.67,727.49,8
HCPCS,C1788,HC I SMARTPORT PLUS STANDARD 8F,992.25,347.29,284.18,739.23,8
HCPCS,C1788,HC I SMARTPORT STANDARD,787.5,275.63,225.54,586.69,8
HCPCS,C1788,HC SMARTPORT CT TI LW PRFL,787.5,275.63,225.54,586.69,8
HCPCS,C1789,"Prosthesis, breast, imp",,,696.01,696.01,1
HCPCS,C1813,"Prosthesis, penile, inflatab",,,13773.6,13773.6,1
HCPCS,C1814,"Retinal tamp, silicone oil",,,615.74,615.74,1
HCPCS,C1815,"Pros, urinary sph, imp",,,4148.54,4148.54,1
HCPCS,C1816,"Receiver/transmitter, neuro",,,26486.65,26486.65,1
HCPCS,C1817,HC ASD OCCLUDER ALL SIZES,13246.8,4636.38,3793.88,9868.87,8
HCPCS,C1817,HC DEVICE OCCL AMPL CRIB SPTL 18,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL CRIB SPTL 25,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL CRIB SPTL 30,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL CRIB SPTL 35,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL DUCT,14464.8,5062.68,4142.72,10776.28,8
HCPCS,C1817,HC DEVICE OCCL AMPL DUCT 10 12,16150.05,5652.52,4625.37,12031.79,8
HCPCS,C1817,HC DEVICE OCCL AMPL DUCT 10 8,16150.05,5652.52,4625.37,12031.79,8
HCPCS,C1817,HC DEVICE OCCL AMPL DUCT 6 4,16150.05,5652.52,4625.37,12031.79,8
HCPCS,C1817,HC DEVICE OCCL AMPL DUCT 8 6,16150.05,5652.52,4625.37,12031.79,8
HCPCS,C1817,HC DEVICE OCCL AMPL DUCT II 3 4,16150.05,5652.52,4625.37,12031.79,8
HCPCS,C1817,HC DEVICE OCCL AMPL DUCT II 3 6,16150.05,5652.52,4625.37,12031.79,8
HCPCS,C1817,HC DEVICE OCCL AMPL DUCT II 4 4,16150.05,5652.52,4625.37,12031.79,8
HCPCS,C1817,HC DEVICE OCCL AMPL DUCT II 4 6,16150.05,5652.52,4625.37,12031.79,8
HCPCS,C1817,HC DEVICE OCCL AMPL DUCT II 5 4,16150.05,5652.52,4625.37,12031.79,8
HCPCS,C1817,HC DEVICE OCCL AMPL DUCT II 5 6,16150.05,5652.52,4625.37,12031.79,8
HCPCS,C1817,HC DEVICE OCCL AMPL DUCT II 6 4,16150.05,5652.52,4625.37,12031.79,8
HCPCS,C1817,HC DEVICE OCCL AMPL DUCT II 6 6,16150.05,5652.52,4625.37,12031.79,8
HCPCS,C1817,HC DEVICE OCCL AMPL MSCLR VSD,26789.28,9376.25,7672.45,19958.01,8
HCPCS,C1817,HC DEVICE OCCL AMPL MSCLR VSD 10,29909.25,10468.24,8566.01,22282.39,8
HCPCS,C1817,HC DEVICE OCCL AMPL MSCLR VSD 12,29909.25,10468.24,8566.01,22282.39,8
HCPCS,C1817,HC DEVICE OCCL AMPL MSCLR VSD 14,29909.25,10468.24,8566.01,22282.39,8
HCPCS,C1817,HC DEVICE OCCL AMPL MSCLR VSD 16,29909.25,10468.24,8566.01,22282.39,8
HCPCS,C1817,HC DEVICE OCCL AMPL MSCLR VSD 18,29909.25,10468.24,8566.01,22282.39,8
HCPCS,C1817,HC DEVICE OCCL AMPL MSCLR VSD 6,29909.25,10468.24,8566.01,22282.39,8
HCPCS,C1817,HC DEVICE OCCL AMPL MSCLR VSD 8,29909.25,10468.24,8566.01,22282.39,8
HCPCS,C1817,HC DEVICE OCCL AMPL SPTL 10,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL SPTL 11,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL SPTL 12,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL SPTL 13,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL SPTL 14,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL SPTL 15,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL SPTL 16,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL SPTL 17,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL SPTL 18,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL SPTL 19,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL SPTL 20,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL SPTL 22,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL SPTL 24,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL SPTL 26,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL SPTL 28,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL SPTL 30,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL SPTL 32,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL SPTL 34,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL SPTL 36,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL SPTL 38,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL SPTL 4,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL SPTL 5,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL SPTL 6,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL SPTL 7,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL SPTL 8,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL AMPL SPTL 9,24844.05,8695.42,7115.34,18508.82,8
HCPCS,C1817,HC DEVICE OCCL SEPTAL CARD FRM 15,22040.55,7714.2,6312.41,16420.21,8
HCPCS,C1817,HC DEVICE OCCL SEPTAL CARD FRM 20,22040.55,7714.2,6312.41,16420.21,8
HCPCS,C1817,HC DEVICE OCCL SEPTAL CARD FRM 25,20991.0,7346.85,6011.82,15638.3,8
HCPCS,C1817,HC DEVICE OCCL SEPTAL CARD FRM 30,22040.55,7714.2,6312.41,16420.21,8
HCPCS,C1818,Integrated keratoprosthesis,,,1939.97,1939.97,1
HCPCS,C1819,HC NDL BEAD LCL WIRE 19GX3X15,51.94,18.18,14.88,38.7,8
HCPCS,C1819,HC NDL BEAD LCL WIRE 19GX9X20,51.94,18.18,14.88,38.7,8
HCPCS,C1819,HC NDL BEAD LCL WIRE 20GX3X15,51.94,18.18,14.88,38.7,8
HCPCS,C1819,HC NDL BEAD LCL WIRE 20GX5X15,51.94,18.18,14.88,38.7,8
HCPCS,C1819,HC NDL BEAD LCL WIRE 20GX7X20,51.94,18.18,14.88,38.7,8
HCPCS,C1819,HC NDL BEAD LCL WIRE 20GX9X20,51.94,18.18,14.88,38.7,8
HCPCS,C1819,HC NDL BEAD LCL WIRE STFF20GX5X15,51.94,18.18,14.88,38.7,8
HCPCS,C1819,HC NDL BEAD LCL WIRE STFF20GX7X20,51.94,18.18,14.88,38.7,8
HCPCS,C1819,HC NDL BEAD LCL WIRE STFF20GX9X20,51.94,18.18,14.88,38.7,8
HCPCS,C1820,Generator neuro rechg bat sy,,,2820.21,2820.21,1
HCPCS,C1821,Interspinous implant,,,2784.04,2784.04,1
HCPCS,C1822,"Gen, neuro, hf, rechg bat",,,126.88,126.88,1
HCPCS,C1830,Power bone marrow bx needle,,,205.2,205.2,1
HCPCS,C1840,Telescopic intraocular lens,,,1122.68,1122.68,1
HCPCS,C1874,HC ABBOTT NANO STENT,3675.0,1286.25,1052.52,2737.88,8
HCPCS,C1874,HC BILLARY WALLFLEX UNCOV,4367.54,1528.64,1250.86,3253.82,8
HCPCS,C1874,HC CATH VIABAHN 6X2.5 018 STENT,11374.65,3981.13,3257.7,8474.11,8
HCPCS,C1874,HC CATH VIABAHN HEP 5X10X120,10379.25,3632.74,2972.62,7732.54,8
HCPCS,C1874,HC CATH VIABAHN HEP 5X5X120,9434.25,3301.99,2701.97,7028.52,8
HCPCS,C1874,HC CATH VIABAHN HEP 6X10X120,10379.25,3632.74,2972.62,7732.54,8
HCPCS,C1874,HC CATH VIABAHN HEP 6X5X120,9434.25,3301.99,2701.97,7028.52,8
HCPCS,C1874,HC CATH VIABAHN HEP 7X10X120,10379.25,3632.74,2972.62,7732.54,8
HCPCS,C1874,HC CATH VIABAHN HEP 7X5X120,9434.25,3301.99,2701.97,7028.52,8
HCPCS,C1874,HC CATH VIABAHN HEP 8X5X120,9434.25,3301.99,2701.97,7028.52,8
HCPCS,C1874,HC CATH VIABAHN HEP 9X5X120,10253.25,3588.64,2936.53,7638.67,8
HCPCS,C1874,HC EXCLUDER C3 MAIN BODY,22575.0,7901.25,6465.48,16818.38,8
HCPCS,C1874,HC EXCLUDER LIMB 10-14CM,9240.0,3234.0,2646.34,6883.8,8
HCPCS,C1874,HC EXCLUDER SM LIMB,6510.0,2278.5,1864.46,4849.95,8
HCPCS,C1874,HC FLAIR VAS DIALYSIS STENT-COVER,4830.0,1690.5,1383.31,3598.35,8
HCPCS,C1874,HC GRAFT AORTIC EXCLD 23X3.3,9765.0,3417.75,2796.7,7274.93,8
HCPCS,C1874,HC GRAFT AORTIC EXCLD 26X3.3,9765.0,3417.75,2796.7,7274.93,8
HCPCS,C1874,HC GRAFT AORTIC EXCLD 28.5X3.3,9765.0,3417.75,2796.7,7274.93,8
HCPCS,C1874,HC GRAFT AORTIC EXCLD 32X4.5,9765.0,3417.75,2796.7,7274.93,8
HCPCS,C1874,HC GRAFT AORTIC EXCLD 36X4.5,9765.0,3417.75,2796.7,7274.93,8
HCPCS,C1874,HC GRAFT C3 EXCLD 23X12X12,28218.75,9876.57,8081.85,21022.97,8
HCPCS,C1874,HC GRAFT C3 EXCLD 23X12X14,28218.75,9876.57,8081.85,21022.97,8
HCPCS,C1874,HC GRAFT C3 EXCLD 23X12X16,28218.75,9876.57,8081.85,21022.97,8
HCPCS,C1874,HC GRAFT C3 EXCLD 23X12X18,28218.75,9876.57,8081.85,21022.97,8
HCPCS,C1874,HC GRAFT C3 EXCLD 23X14.5X12,28218.75,9876.57,8081.85,21022.97,8
HCPCS,C1874,HC GRAFT C3 EXCLD 23X14.5X14,28218.75,9876.57,8081.85,21022.97,8
HCPCS,C1874,HC GRAFT C3 EXCLD 23X14.5X16,28218.75,9876.57,8081.85,21022.97,8
HCPCS,C1874,HC GRAFT C3 EXCLD 23X14.5X18,28218.75,9876.57,8081.85,21022.97,8
HCPCS,C1874,HC GRAFT C3 EXCLD 26X12X12,28218.75,9876.57,8081.85,21022.97,8
HCPCS,C1874,HC GRAFT C3 EXCLD 26X12X14,28218.75,9876.57,8081.85,21022.97,8
HCPCS,C1874,HC GRAFT C3 EXCLD 26X12X16,28218.75,9876.57,8081.85,21022.97,8
HCPCS,C1874,HC GRAFT C3 EXCLD 26X12X18,28218.75,9876.57,8081.85,21022.97,8
HCPCS,C1874,HC GRAFT C3 EXCLD 26X14.5X12,28218.75,9876.57,8081.85,21022.97,8
HCPCS,C1874,HC GRAFT C3 EXCLD 26X14.5X14,28218.75,9876.57,8081.85,21022.97,8
HCPCS,C1874,HC GRAFT C3 EXCLD 26X14.5X16,28218.75,9876.57,8081.85,21022.97,8
HCPCS,C1874,HC GRAFT C3 EXCLD 26X14.5X18,28218.75,9876.57,8081.85,21022.97,8
HCPCS,C1874,HC GRAFT C3 EXCLD 28X12X12,28218.75,9876.57,8081.85,21022.97,8
HCPCS,C1874,HC GRAFT C3 EXCLD 28X12X14,28218.75,9876.57,8081.85,21022.97,8
HCPCS,C1874,HC GRAFT C3 EXCLD 28X12X16,28218.75,9876.57,8081.85,21022.97,8
HCPCS,C1874,HC GRAFT C3 EXCLD 28X12X18,28218.75,9876.57,8081.85,21022.97,8
HCPCS,C1874,HC GRAFT C3 EXCLD 28X14.5X12,28218.75,9876.57,8081.85,21022.97,8
HCPCS,C1874,HC GRAFT C3 EXCLD 28X14.5X14,28218.75,9876.57,8081.85,21022.97,8
HCPCS,C1874,HC GRAFT C3 EXCLD 28X14.5X16,28218.75,9876.57,8081.85,21022.97,8
HCPCS,C1874,HC GRAFT CLTRL LEG EXCLD 12X12,13860.0,4851.0,3969.5,10325.7,8
HCPCS,C1874,HC GRAFT CLTRL LEG EXCLD 12X14,13860.0,4851.0,3969.5,10325.7,8
HCPCS,C1874,HC GRAFT CLTRL LEG EXCLD 16X9.5,13860.0,4851.0,3969.5,10325.7,8
HCPCS,C1874,HC GRAFT CLTRL LEG EXCLD 18X9.5,13860.0,4851.0,3969.5,10325.7,8
HCPCS,C1874,HC GRAFT CLTRL LEG EXCLD 20X9.5,13860.0,4851.0,3969.5,10325.7,8
HCPCS,C1874,HC GRAFT CLTRL LEG EXCLD 23X10,13860.0,4851.0,3969.5,10325.7,8
HCPCS,C1874,HC GRAFT CLTRL LEG EXCLD 23X12,13860.0,4851.0,3969.5,10325.7,8
HCPCS,C1874,HC GRAFT CLTRL LEG EXCLD 23X14,13860.0,4851.0,3969.5,10325.7,8
HCPCS,C1874,HC GRAFT CLTRL LEG EXCLD 27X10,13860.0,4851.0,3969.5,10325.7,8
HCPCS,C1874,HC GRAFT CLTRL LEG EXCLD 27X12,13860.0,4851.0,3969.5,10325.7,8
HCPCS,C1874,HC GRAFT CLTRL LEG EXCLD 27X14,13860.0,4851.0,3969.5,10325.7,8
HCPCS,C1874,HC GRAFT CLTRL LEG EXCLD14.5X10,13860.0,4851.0,3969.5,10325.7,8
HCPCS,C1874,HC GRAFT CLTRL LEG EXCLD14.5X12,13860.0,4851.0,3969.5,10325.7,8
HCPCS,C1874,HC GRAFT CLTRL LEG EXCLD14.5X14,13860.0,4851.0,3969.5,10325.7,8
HCPCS,C1874,HC GRAFT CLTRL LEG EXCLD16X11.5,13860.0,4851.0,3969.5,10325.7,8
HCPCS,C1874,HC GRAFT CLTRL LEG EXCLD16X13.5,13860.0,4851.0,3969.5,10325.7,8
HCPCS,C1874,HC GRAFT CLTRL LEG EXCLD18X11.5,13860.0,4851.0,3969.5,10325.7,8
HCPCS,C1874,HC GRAFT CLTRL LEG EXCLD18X13.5,13860.0,4851.0,3969.5,10325.7,8
HCPCS,C1874,HC GRAFT CLTRL LEG EXCLD20X11.5,13860.0,4851.0,3969.5,10325.7,8
HCPCS,C1874,HC GRAFT CLTRL LEG EXCLD20X13.5,13860.0,4851.0,3969.5,10325.7,8
HCPCS,C1874,HC GRAFT CLTRL LEG EXCUD12X10,13860.0,4851.0,3969.5,10325.7,8
HCPCS,C1874,HC GRAFT INT ILIAC EXCLD16X10X7,9765.0,3417.75,2796.7,7274.93,8
HCPCS,C1874,HC GRAFT INT ILIAC EXCLD16X12X7,9765.0,3417.75,2796.7,7274.93,8
HCPCS,C1874,HC GRAFT INTILIACEXCLD16X14.5X7,9765.0,3417.75,2796.7,7274.93,8
HCPCS,C1874,HC GRAFT TAG THORACIC 21X21X10,32550.0,11392.5,9322.32,24249.75,8
HCPCS,C1874,HC GRAFT TAG THORACIC 26X21X10,32550.0,11392.5,9322.32,24249.75,8
HCPCS,C1874,HC GRAFT TAG THORACIC 26X26X10,33337.5,11668.13,9547.86,24836.44,8
HCPCS,C1874,HC GRAFT TAG THORACIC 28X28X10,32550.0,11392.5,9322.32,24249.75,8
HCPCS,C1874,HC GRAFT TAG THORACIC 28X28X15,32550.0,11392.5,9322.32,24249.75,8
HCPCS,C1874,HC GRAFT TAG THORACIC 31X26X10,32550.0,11392.5,9322.32,24249.75,8
HCPCS,C1874,HC GRAFT TAG THORACIC 31X31X10,32550.0,11392.5,9322.32,24249.75,8
HCPCS,C1874,HC GRAFT TAG THORACIC 31X31X15,32550.0,11392.5,9322.32,24249.75,8
HCPCS,C1874,HC GRAFT TAG THORACIC 34X34X10,32550.0,11392.5,9322.32,24249.75,8
HCPCS,C1874,HC GRAFT TAG THORACIC 34X34X15,32550.0,11392.5,9322.32,24249.75,8
HCPCS,C1874,HC GRAFT TAG THORACIC 34X34X20,32550.0,11392.5,9322.32,24249.75,8
HCPCS,C1874,HC GRAFT TAG THORACIC 37X37X10,32550.0,11392.5,9322.32,24249.75,8
HCPCS,C1874,HC GRAFT TAG THORACIC 37X37X15,32550.0,11392.5,9322.32,24249.75,8
HCPCS,C1874,HC GRAFT TAG THORACIC 37X37X20,32550.0,11392.5,9322.32,24249.75,8
HCPCS,C1874,HC GRAFT TAG THORACIC 40X40X10,32550.0,11392.5,9322.32,24249.75,8
HCPCS,C1874,HC GRAFT TAG THORACIC 40X40X15,32550.0,11392.5,9322.32,24249.75,8
HCPCS,C1874,HC GRAFT TAG THORACIC 40X40X20,32550.0,11392.5,9322.32,24249.75,8
HCPCS,C1874,HC GRAFT TAG THORACIC 45X45X10,32550.0,11392.5,9322.32,24249.75,8
HCPCS,C1874,HC GRAFT TAG THORACIC 45X45X15,32550.0,11392.5,9322.32,24249.75,8
HCPCS,C1874,HC GRAFT TAG THORACIC 45X45X20,32550.0,11392.5,9322.32,24249.75,8
HCPCS,C1874,HC GRAFT VAL CL WBTAP 26X22X150,36146.57,12651.3,10352.38,26929.19,8
HCPCS,C1874,HC GRAFT VAL CL WBTAP 46X42X150,37264.5,13042.58,10672.55,27762.05,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 22X22X150,36146.57,12651.3,10352.38,26929.19,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 24X24X100,33091.07,11581.88,9477.28,24652.85,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 24X24X150,36146.57,12651.3,10352.38,26929.19,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 26X26X100,33091.07,11581.88,9477.28,24652.85,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 26X26X150,36146.57,12651.3,10352.38,26929.19,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 28X28X100,33091.07,11581.88,9477.28,24652.85,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 28X28X150,36146.57,12651.3,10352.38,26929.19,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 30X30X100,33091.07,11581.88,9477.28,24652.85,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 30X30X150,36146.57,12651.3,10352.38,26929.19,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 30X30X200,38183.57,13364.25,10935.77,28446.76,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 32X32X100,33091.07,11581.88,9477.28,24652.85,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 32X32X150,36146.57,12651.3,10352.38,26929.19,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 32X32X200,38183.57,13364.25,10935.77,28446.76,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 34X34X100,33091.07,11581.88,9477.28,24652.85,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 34X34X150,36146.57,12651.3,10352.38,26929.19,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 34X34X200,38183.57,13364.25,10935.77,28446.76,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 36X36X100,33091.07,11581.88,9477.28,24652.85,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 36X36X150,36146.57,12651.3,10352.38,26929.19,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 36X36X200,38183.57,13364.25,10935.77,28446.76,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 38X38X100,33091.07,11581.88,9477.28,24652.85,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 38X38X150,36146.57,12651.3,10352.38,26929.19,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 38X38X200,38183.57,13364.25,10935.77,28446.76,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 40X40X100,33091.07,11581.88,9477.28,24652.85,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 40X40X150,36146.57,12651.3,10352.38,26929.19,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 40X40X200,38183.57,13364.25,10935.77,28446.76,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 42X42X100,33091.07,11581.88,9477.28,24652.85,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 42X42X150,36146.57,12651.3,10352.38,26929.19,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 42X42X200,38183.57,13364.25,10935.77,28446.76,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 44X44X100,33091.07,11581.88,9477.28,24652.85,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 44X44X150,36146.57,12651.3,10352.38,26929.19,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 44X44X200,38183.57,13364.25,10935.77,28446.76,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 46X46X100,33091.07,11581.88,9477.28,24652.85,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 46X46X150,36146.57,12651.3,10352.38,26929.19,8
HCPCS,C1874,HC I GRAFT VAL CL WBSTR 46X46X200,38183.57,13364.25,10935.77,28446.76,8
HCPCS,C1874,HC I GRAFT VAL CL WBTAP 28X24X150,36146.57,12651.3,10352.38,26929.19,8
HCPCS,C1874,HC I GRAFT VAL CL WBTAP 30X26X150,36146.57,12651.3,10352.38,26929.19,8
HCPCS,C1874,HC I GRAFT VAL CL WBTAP 32X28X150,36146.57,12651.3,10352.38,26929.19,8
HCPCS,C1874,HC I GRAFT VAL CL WBTAP 34X30X150,36146.57,12651.3,10352.38,26929.19,8
HCPCS,C1874,HC I GRAFT VAL CL WBTAP 36X32X150,36146.57,12651.3,10352.38,26929.19,8
HCPCS,C1874,HC I GRAFT VAL CL WBTAP 38X34X150,36146.57,12651.3,10352.38,26929.19,8
HCPCS,C1874,HC I GRAFT VAL CL WBTAP 40X36X150,36146.57,12651.3,10352.38,26929.19,8
HCPCS,C1874,HC I GRAFT VAL CL WBTAP 42X38X150,37264.5,13042.58,10672.55,27762.05,8
HCPCS,C1874,HC I GRAFT VAL CL WBTAP 44X40X150,37264.5,13042.58,10672.55,27762.05,8
HCPCS,C1874,HC I GRAFT VAL D BS STR 22X22X100,33091.07,11581.88,9477.28,24652.85,8
HCPCS,C1874,HC I GRAFT VAL D BS STR 24X24X100,33091.07,11581.88,9477.28,24652.85,8
HCPCS,C1874,HC I GRAFT VAL D BS STR 26X26X100,33091.07,11581.88,9477.28,24652.85,8
HCPCS,C1874,HC I GRAFT VAL D BS STR 28X28X100,33091.07,11581.88,9477.28,24652.85,8
HCPCS,C1874,HC I GRAFT VAL D BS STR 30X30X100,33091.07,11581.88,9477.28,24652.85,8
HCPCS,C1874,HC I GRAFT VAL D BS STR 32X32X100,33091.07,11581.88,9477.28,24652.85,8
HCPCS,C1874,HC I GRAFT VAL D BS STR 34X34X100,33091.07,11581.88,9477.28,24652.85,8
HCPCS,C1874,HC I GRAFT VAL D BS STR 36X36X100,33091.07,11581.88,9477.28,24652.85,8
HCPCS,C1874,HC I GRAFT VAL D BS STR 38X38X100,33091.07,11581.88,9477.28,24652.85,8
HCPCS,C1874,HC I GRAFT VAL D BS STR 40X40X100,33091.07,11581.88,9477.28,24652.85,8
HCPCS,C1874,HC I GRAFT VAL D BS STR 42X42X100,33091.07,11581.88,9477.28,24652.85,8
HCPCS,C1874,HC I GRAFT VAL D BS STR 44X44X100,33091.07,11581.88,9477.28,24652.85,8
HCPCS,C1874,HC I GRAFT VAL D BS STR 46X46X100,33091.07,11581.88,9477.28,24652.85,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 22X22X150,37674.32,13186.02,10789.93,28067.37,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 24X24X100,34618.82,12116.59,9914.83,25791.02,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 24X24X150,37674.32,13186.02,10789.93,28067.37,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 26X26X100,34618.82,12116.59,9914.83,25791.02,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 26X26X150,37674.32,13186.02,10789.93,28067.37,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 28X28X100,34618.82,12116.59,9914.83,25791.02,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 30X30X100,34618.82,12116.59,9914.83,25791.02,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 30X30X150,37674.32,13186.02,10789.93,28067.37,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 30X30X200,39711.32,13898.97,11373.32,29584.93,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 32X32X150,37674.32,13186.02,10789.93,28067.37,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 32X32X200,39711.32,13898.97,11373.32,29584.93,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 34X34X100,34618.82,12116.59,9914.83,25791.02,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 34X34X150,37674.32,13186.02,10789.93,28067.37,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 34X34X200,39711.32,13898.97,11373.32,29584.93,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 36X36X100,34618.82,12116.59,9914.83,25791.02,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 36X36X150,37674.32,13186.02,10789.93,28067.37,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 36X36X200,39711.32,13898.97,11373.32,29584.93,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 38X38X100,34618.82,12116.59,9914.83,25791.02,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 38X38X150,37674.32,13186.02,10789.93,28067.37,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 38X38X200,39711.32,13898.97,11373.32,29584.93,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 40X40X100,34618.82,12116.59,9914.83,25791.02,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 40X40X150,37674.32,13186.02,10789.93,28067.37,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 40X40X200,39711.32,13898.97,11373.32,29584.93,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 42X42X100,34618.82,12116.59,9914.83,25791.02,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 42X42X150,37674.32,13186.02,10789.93,28067.37,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 42X42X200,39711.32,13898.97,11373.32,29584.93,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 44X44X100,34618.82,12116.59,9914.83,25791.02,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 44X44X150,37674.32,13186.02,10789.93,28067.37,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 44X44X200,39711.32,13898.97,11373.32,29584.93,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 46X46X100,34618.82,12116.59,9914.83,25791.02,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 46X46X150,37674.32,13186.02,10789.93,28067.37,8
HCPCS,C1874,HC I GRAFT VAL PRX FFLO 46X46X200,39711.32,13898.97,11373.32,29584.93,8
HCPCS,C1874,HC I STENT ESPRIT GRAFT 2.50X18,9000.0,3150.0,2577.6,6705.0,8
HCPCS,C1874,HC I STENT ESPRIT GRAFT 2.50X28,9000.0,3150.0,2577.6,6705.0,8
HCPCS,C1874,HC I STENT ESPRIT GRAFT 2.50X38,9000.0,3150.0,2577.6,6705.0,8
HCPCS,C1874,HC I STENT ESPRIT GRAFT 3.00X18,9000.0,3150.0,2577.6,6705.0,8
HCPCS,C1874,HC I STENT ESPRIT GRAFT 3.00X28,9000.0,3150.0,2577.6,6705.0,8
HCPCS,C1874,HC I STENT ESPRIT GRAFT 3.00X38,9000.0,3150.0,2577.6,6705.0,8
HCPCS,C1874,HC I STENT ESPRIT GRAFT 3.50X18,9000.0,3150.0,2577.6,6705.0,8
HCPCS,C1874,HC I STENT ESPRIT GRAFT 3.50X28,9000.0,3150.0,2577.6,6705.0,8
HCPCS,C1874,HC I STENT ESPRIT GRAFT 3.50X38,9000.0,3150.0,2577.6,6705.0,8
HCPCS,C1874,HC I STENT ESPRIT GRAFT 3.75X18,9000.0,3150.0,2577.6,6705.0,8
HCPCS,C1874,HC I STENT ESPRIT GRAFT 3.75X28,9000.0,3150.0,2577.6,6705.0,8
HCPCS,C1874,HC I STENT ESPRIT GRAFT 3.75X38,9000.0,3150.0,2577.6,6705.0,8
HCPCS,C1874,HC I STENT GRAFT FLUENCY 12X40X80,7717.5,2701.13,2210.29,5749.54,8
HCPCS,C1874,HC I STENT VIABAHN 10X10X8FX120,11585.7,4055.0,3318.14,8631.35,8
HCPCS,C1874,HC I STENT VIABAHN 10X15X8FX120,12955.95,4534.59,3710.58,9652.18,8
HCPCS,C1874,HC I STENT VIABAHN 6X5X7FX120,10533.6,3686.76,3016.82,7847.53,8
HCPCS,C1874,HC I STENT VIABAHN 7X10X8FX120,11585.7,4055.0,3318.14,8631.35,8
HCPCS,C1874,HC I STENT VIABAHN 7X5X8FX120,10533.6,3686.76,3016.82,7847.53,8
HCPCS,C1874,HC I STENT VIABAHN 8X5X8FX120,10533.6,3686.76,3016.82,7847.53,8
HCPCS,C1874,HC I STENT VIABAHN 9X10X8FX120,11585.7,4055.0,3318.14,8631.35,8
HCPCS,C1874,HC I STENT VIABAHN 9X15X8FX120,12955.95,4534.59,3710.58,9652.18,8
HCPCS,C1874,HC I STENT VIABAHN 9X5X8FX20,10533.6,3686.76,3016.82,7847.53,8
HCPCS,C1874,HC I STENT VIABAHN 9X7.5X8FX120,11585.7,4055.0,3318.14,8631.35,8
HCPCS,C1874,HC I STENT VIABAHN HEP BIO 6X10,11944.8,4180.68,3420.99,8898.88,8
HCPCS,C1874,HC I STENT VIABAHN HEP BIO 6X5,10930.5,3825.68,3130.5,8143.22,8
HCPCS,C1874,HC I STENT VIABAHN HEP BIO 7X10,11944.8,4180.68,3420.99,8898.88,8
HCPCS,C1874,HC I STENT VIABAHN HEP BIO 7X5,12442.5,4354.88,3563.53,9269.66,8
HCPCS,C1874,HC I STENT VIABAHN HEP BIO 8X10,11944.8,4180.68,3420.99,8898.88,8
HCPCS,C1874,HC I STENT VIABAHN HEP BIO 8X2.5,10930.5,3825.68,3130.5,8143.22,8
HCPCS,C1874,HC I STENT VIABAHN HEP BIO 8X5,10930.5,3825.68,3130.5,8143.22,8
HCPCS,C1874,HC I STENT VIABAHN HEP BIO 8X7.5,11944.8,4180.68,3420.99,8898.88,8
HCPCS,C1874,HC I STENT VIABAHN HOLES 8X10X10F,10284.75,3599.67,2945.55,7662.14,16
HCPCS,C1874,HC I STENT VIABAHN HOLES 8X6X10F,10284.75,3599.67,2945.55,7662.14,16
HCPCS,C1874,HC I STENT VIABAHN HOLES 8X8X10F,10284.75,3599.67,2945.55,7662.14,16
HCPCS,C1874,HC I STENT VIABAHN NO HOLES 8X10X10F,10284.75,3599.67,2945.55,7662.14,16
HCPCS,C1874,HC I STENT VIABAHN NO HOLES 8X4X10F,10284.75,3599.67,2945.55,7662.14,16
HCPCS,C1874,HC I STENT VIABAHN NO HOLES 8X6X10F,10284.75,3599.67,2945.55,7662.14,16
HCPCS,C1874,HC I STENT VIABAHN NO HOLES 8X8X10F,10284.75,3599.67,2945.55,7662.14,16
HCPCS,C1874,HC I STENT WRAPSODY 10X100X120X12F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 10X125X120X12F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 10X50X120X11F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 10X75X120X11F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 12X30X120X12F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 12X40X120X12F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 12X50X120X12F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 12X60X120X12F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 12X70X120X12F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 12X80X120X12F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 14X30X120X12F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 14X40X120X12F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 14X50X120X12F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 14X60X120X14F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 14X70X120X14F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 14X80X120X14F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 16X30X120X14F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 16X40X120X14F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 16X50X120X14F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 16X60X120X14F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 16X70X120X14F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 16X80X120X14F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 6X100X120X8F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 6X100X80X8F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 6X125X120X8F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 6X125X80X8F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 6X50X120X8F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 6X50X80X8F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 6X75X120X8F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 6X75X80X8F,17400.0,6090.0,4983.36,12963.0,16
HCPCS,C1874,HC I STENT WRAPSODY 7X100X120X9F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 7X100X80X9F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 7X125X120X9F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 7X125X80X9F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 7X50X120X9F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 7X50X80X9F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 7X75X120X9F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 7X75X80X9F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 8X100X120X10F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 8X100X80X10F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 8X125X120X10F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 8X125X80X10F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 8X50X120X9F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 8X50X80X9F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 8X75X120X9F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 8X75X80X9F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 9X100X120X11F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 9X100X80X11F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 9X125X120X11F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 9X125X80X11F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 9X50X120X10F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 9X50X80X10F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 9X75X120X10F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC I STENT WRAPSODY 9X75X80X10F,17400.0,6090.0,4983.36,12963.0,8
HCPCS,C1874,HC PK PAPYRUS 2.5X15 (5F),8505.0,2976.75,2435.83,6336.23,8
HCPCS,C1874,HC PK PAPYRUS 2.5X20 (5F),8505.0,2976.75,2435.83,6336.23,8
HCPCS,C1874,HC PK PAPYRUS 3.0X15 (5F),8505.0,2976.75,2435.83,6336.23,8
HCPCS,C1874,HC PK PAPYRUS 3.0X20 (5F),8505.0,2976.75,2435.83,6336.23,8
HCPCS,C1874,HC PK PAPYRUS 3.0X26 (5F),8505.0,2976.75,2435.83,6336.23,8
HCPCS,C1874,HC PK PAPYRUS 3.5X15 (5F),8505.0,2976.75,2435.83,6336.23,8
HCPCS,C1874,HC PK PAPYRUS 3.5X20 (5F),8505.0,2976.75,2435.83,6336.23,8
HCPCS,C1874,HC PK PAPYRUS 3.5X26 (5F),8505.0,2976.75,2435.83,6336.23,8
HCPCS,C1874,HC PK PAPYRUS 4.0X15 (5F),8505.0,2976.75,2435.83,6336.23,8
HCPCS,C1874,HC PK PAPYRUS 4.0X20 (5F),8505.0,2976.75,2435.83,6336.23,8
HCPCS,C1874,HC PK PAPYRUS 4.0X26 (5F),8505.0,2976.75,2435.83,6336.23,8
HCPCS,C1874,HC PK PAPYRUS 4.5X15 (6F),8505.0,2976.75,2435.83,6336.23,8
HCPCS,C1874,HC PK PAPYRUS 4.5X20 (6F),8505.0,2976.75,2435.83,6336.23,8
HCPCS,C1874,HC PK PAPYRUS 4.5X26 (6F),8505.0,2976.75,2435.83,6336.23,8
HCPCS,C1874,HC PK PAPYRUS 5.0X15 (6F),8505.0,2976.75,2435.83,6336.23,8
HCPCS,C1874,HC PK PAPYRUS 5.0X20 (6F),8505.0,2976.75,2435.83,6336.23,8
HCPCS,C1874,HC PK PAPYRUS 5.0X26 (6F),8505.0,2976.75,2435.83,6336.23,8
HCPCS,C1874,HC PROTG EVRFLX STENT 5X120X120,1323.0,463.05,378.91,985.64,8
HCPCS,C1874,HC RESOLUTE INTEGRITY STENT,3549.0,1242.15,1016.43,2644.01,8
HCPCS,C1874,HC RESOLUTE INTEGRITY STENT OTW,3549.0,1242.15,1016.43,2644.01,8
HCPCS,C1874,HC STENT BILI VIATOR 10MM 7 2,195.3,68.36,55.93,145.5,8
HCPCS,C1874,HC STENT BILI VIATOR 10MM 8 2,13560.75,4746.27,3883.8,10102.76,8
HCPCS,C1874,HC STENT BILI VIATOR 8 TO 10 4 2,16197.3,5669.06,4638.91,12066.99,8
HCPCS,C1874,HC STENT BILI VIATOR 8MM 6 2,13230.0,4630.5,3789.07,9856.35,8
HCPCS,C1874,HC STENT BILI WF COV 8X60-8X80,9576.0,3351.6,2742.57,7134.12,8
HCPCS,C1874,HC STENT BILI WF FULL COV 10X60,9824.75,3438.67,2813.81,7319.44,8
HCPCS,C1874,HC STENT BILI WF FULL COV 10X8,7717.5,2701.13,2210.29,5749.54,8
HCPCS,C1874,HC STENT BILI WF RX COV RMV10X4 1,7717.5,2701.13,2210.29,5749.54,8
HCPCS,C1874,HC STENT BILI WF UNCOV 10X100,6575.56,2301.45,1883.24,4898.79,8
HCPCS,C1874,HC STENT CRNRY GRAFT,8047.2,2816.52,2304.72,5995.16,8
HCPCS,C1874,HC STENT CRNRY GRAFT 2.8X19,7544.25,2640.49,2160.67,5620.47,8
HCPCS,C1874,HC STENT CRNRY GRAFT 2.8X26,7544.25,2640.49,2160.67,5620.47,8
HCPCS,C1874,HC STENT CRNRY GRAFT 3.5X16,7544.25,2640.49,2160.67,5620.47,8
HCPCS,C1874,HC STENT CRNRY GRAFT 3.5X19,7544.25,2640.49,2160.67,5620.47,8
HCPCS,C1874,HC STENT CRNRY GRAFT 3.5X26,7544.25,2640.49,2160.67,5620.47,8
HCPCS,C1874,HC STENT CRNRY GRAFT 4.0X16,7544.25,2640.49,2160.67,5620.47,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.0X12,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.0X15,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.0X18,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.0X22,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.0X26,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.0X30,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.0X8,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.25X08,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.25X12,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.25X15,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.25X18,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.25X22,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.25X26,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.25X30,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.25X34,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.25X38,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.50X08,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.50X12,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.50X15,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.50X18,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.50X22,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.50X26,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.50X30,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.50X34,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.50X38,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.75X08,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.75X12,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.75X15,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.75X18,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.75X22,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.75X26,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.75X30,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.75X34,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 2.75X38,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 3.0X08,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 3.0X12,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 3.0X15,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 3.0X18,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 3.0X22,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 3.0X26,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 3.0X30,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 3.0X34,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 3.0X38,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 3.5X08,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 3.5X12,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 3.5X15,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 3.5X18,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 3.5X22,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 3.5X26,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 3.5X30,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 3.5X34,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 3.5X38,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 4.0X08,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 4.0X12,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 4.0X15,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 4.0X18,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 4.0X22,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 4.0X26,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 4.0X30,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 4.0X34,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 4.0X38,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 4.5X12,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 4.5X15,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 4.5X18,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 4.5X22,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 4.5X26,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 4.5X30,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 5.0X12,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 5.0X15,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 5.0X18,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 5.0X22,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 5.0X26,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY ONYX RX 5.0X30,4079.25,1427.74,1168.3,3039.04,8
HCPCS,C1874,HC STENT CRNRY SYNERGY XD 2.50X48,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT CRNRY SYNERGY XD 2.75X48,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT CRNRY SYNERGY XD 3.0X48,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT CRNRY SYNERGY XD 3.5X48,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT CRNRY SYNERGY XD 4.0X48,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 2.25X12,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 2.25X16,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 2.25X20,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 2.25X24,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 2.25X28,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 2.25X32,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 2.25X38,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 2.25X8,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 2.50X12,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 2.50X16,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 2.50X20,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 2.50X24,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 2.50X28,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 2.50X32,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 2.50X38,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 2.50X8,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 2.75X12,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 2.75X16,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 2.75X20,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 2.75X24,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 2.75X28,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 2.75X32,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 2.75X38,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 2.75X8,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 3.00X12,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 3.00X16,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 3.00X20,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 3.00X24,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 3.00X28,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 3.00X32,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 3.00X38,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 3.00X8,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 3.50X12,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 3.50X16,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 3.50X20,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 3.50X24,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 3.50X28,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 3.50X32,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 3.50X38,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 3.50X8,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 4.00X12,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 4.00X16,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 4.00X20,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 4.00X24,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 4.00X28,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 4.00X32,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 4.00X38,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 4.00X8,3150.0,1102.5,902.16,2346.75,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 4.5X12,2677.5,937.13,766.84,1994.74,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 4.5X16,2677.5,937.13,766.84,1994.74,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 4.5X20,2677.5,937.13,766.84,1994.74,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 4.5X28,2677.5,937.13,766.84,1994.74,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 4.5X32,2677.5,937.13,766.84,1994.74,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 5X12,2677.5,937.13,766.84,1994.74,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 5X16,2677.5,937.13,766.84,1994.74,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 5X20,2677.5,937.13,766.84,1994.74,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 5X24,2677.5,937.13,766.84,1994.74,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 5X28,2677.5,937.13,766.84,1994.74,8
HCPCS,C1874,HC STENT CRNRY SYNRGY RX 5X32,2677.5,937.13,766.84,1994.74,8
HCPCS,C1874,HC STENT ELUVIA RX 6X100X130,8174.25,2860.99,2341.11,6089.82,8
HCPCS,C1874,HC STENT ELUVIA RX 6X120X130,9119.25,3191.74,2611.75,6793.84,8
HCPCS,C1874,HC STENT ELUVIA RX 6X150X130,12584.25,4404.49,3604.13,9375.27,8
HCPCS,C1874,HC STENT ELUVIA RX 6X60X130,7229.25,2530.24,2070.46,5385.79,8
HCPCS,C1874,HC STENT ELUVIA RX 6X80X130,8174.25,2860.99,2341.11,6089.82,8
HCPCS,C1874,HC STENT ELUVIA RX 7X100X130,8174.25,2860.99,2341.11,6089.82,8
HCPCS,C1874,HC STENT ELUVIA RX 7X120X130,9119.25,3191.74,2611.75,6793.84,8
HCPCS,C1874,HC STENT ELUVIA RX 7X150X130,12584.25,4404.49,3604.13,9375.27,8
HCPCS,C1874,HC STENT ELUVIA RX 7X60X130,7229.25,2530.24,2070.46,5385.79,8
HCPCS,C1874,HC STENT ELUVIA RX 7X80X130,8174.25,2860.99,2341.11,6089.82,8
HCPCS,C1874,HC STENT ENDEAVOR SPRINT MULTI SIZES,5342.4,1869.84,1530.06,3980.09,8
HCPCS,C1874,HC STENT ESOPH ENDOMAX CVR 23X10,8820.0,3087.0,2526.05,6570.9,8
HCPCS,C1874,HC STENT ESOPH ENDOMAX CVR 23X12,8820.0,3087.0,2526.05,6570.9,8
HCPCS,C1874,HC STENT ESOPH ENDOMAX CVR 23X15,8820.0,3087.0,2526.05,6570.9,8
HCPCS,C1874,HC STENT ESOPH ENDOMAX CVR 23X7,8820.0,3087.0,2526.05,6570.9,8
HCPCS,C1874,HC STENT ESOPH EVO 20X25X10E,4769.1,1669.19,1365.87,3552.98,8
HCPCS,C1874,HC STENT ESOPH EVO FC 20X25X10E,4769.1,1669.19,1365.87,3552.98,8
HCPCS,C1874,HC STENT ESOPH EVO FC 20X25X12E,4769.1,1669.19,1365.87,3552.98,8
HCPCS,C1874,HC STENT ESOPH EVO FC 20X25X8E,4769.1,1669.19,1365.87,3552.98,8
HCPCS,C1874,HC STENT ESOPH PFLX 23,8450.4,2957.64,2420.19,6295.55,8
HCPCS,C1874,HC STENT ESOPH POLYFLEX 20/16X90,7922.25,2772.79,2268.93,5902.08,8
HCPCS,C1874,HC STENT ESOPH POLYFLEX 23/18X90,7922.25,2772.79,2268.93,5902.08,8
HCPCS,C1874,HC STENT ESOPH POLYFLEX 25/21X120,7922.25,2772.79,2268.93,5902.08,8
HCPCS,C1874,HC STENT ESOPH POLYFLEX 25/21X90,7922.25,2772.79,2268.93,5902.08,8
HCPCS,C1874,HC STENT ESOPH UFLX PRX,6852.0,2398.2,1962.41,5104.74,8
HCPCS,C1874,HC STENT ESOPH UFLX PRX CVD 18X12,7194.6,2518.11,2060.53,5359.98,8
HCPCS,C1874,HC STENT ESOPH UFLX PRX CVD 18X15,7194.6,2518.11,2060.53,5359.98,8
HCPCS,C1874,HC STENT ESOPH ULTRAFLEX 23X,7674.24,2685.99,2197.9,5717.31,8
HCPCS,C1874,HC STENT ESOPH WF COV 23 28 10,7087.5,2480.63,2029.86,5280.19,8
HCPCS,C1874,HC STENT ESOPH WF COV 23 28 12,7087.5,2480.63,2029.86,5280.19,8
HCPCS,C1874,HC STENT ESOPH WF COV 23 28 15,8764.88,3067.71,2510.26,6529.84,8
HCPCS,C1874,HC STENT ESOPH WF COV23 28 12 125,8434.13,2951.95,2415.53,6283.43,8
HCPCS,C1874,HC STENT ESOPH WF COV23 28 15 155,8434.13,2951.95,2415.53,6283.43,8
HCPCS,C1874,HC STENT ESOPH WF PC 18 23 103,6772.5,2370.38,1939.64,5045.51,8
HCPCS,C1874,HC STENT ESOPH WF PC 18 23 123,6772.5,2370.38,1939.64,5045.51,8
HCPCS,C1874,HC STENT ESOPHAGEAL TTS 18X60,8376.0,2931.6,2398.89,6240.12,8
HCPCS,C1874,HC STENT ESOPHAGEAL TTS 20X150,8376.0,2931.6,2398.89,6240.12,8
HCPCS,C1874,HC STENT FLARED COVERA 10X80,8820.0,3087.0,2526.05,6570.9,8
HCPCS,C1874,HC STENT FLARED COVERA 6X40,8820.0,3087.0,2526.05,6570.9,8
HCPCS,C1874,HC STENT FLARED COVERA 6X60,8820.0,3087.0,2526.05,6570.9,8
HCPCS,C1874,HC STENT FLARED COVERA 8X80,8820.0,3087.0,2526.05,6570.9,8
HCPCS,C1874,HC STENT FLARED COVREA 10X60,8820.0,3087.0,2526.05,6570.9,8
HCPCS,C1874,HC STENT FS OAS DELIVERY SYS 8.5F -10F,329.28,115.25,94.31,245.31,8
HCPCS,C1874,HC STENT FUSION DELIVERY SYS 7F,178.08,62.33,51.0,132.67,8
HCPCS,C1874,HC STENT GASTRO AXIOS HOT 10X10,13950.0,4882.5,3995.28,10392.75,8
HCPCS,C1874,HC STENT GASTRO AXIOS HOT 15X10,13950.0,4882.5,3995.28,10392.75,8
HCPCS,C1874,HC STENT GASTRO AXIOS HOT 20X10,16049.25,5617.24,4596.51,11956.69,8
HCPCS,C1874,HC STENT GRAFT FLUENCY 60X60X117,6930.0,2425.5,1984.75,5162.85,8
HCPCS,C1874,HC STENT GRAFT FLUENCY TRACH,4714.5,1650.08,1350.23,3512.3,8
HCPCS,C1874,HC STENT GRAFT FLUENCY TRACH 6X60,6930.0,2425.5,1984.75,5162.85,8
HCPCS,C1874,HC STENT GRAFT FLUENCY TRACH 6X80,6930.0,2425.5,1984.75,5162.85,8
HCPCS,C1874,HC STENT GRAFT FLUENCY TRACH 7X40,6930.0,2425.5,1984.75,5162.85,8
HCPCS,C1874,HC STENT GRAFT FLUENCY TRACH 7X60,6930.0,2425.5,1984.75,5162.85,8
HCPCS,C1874,HC STENT GRAFT FLUENCY TRACH 7X80,6930.0,2425.5,1984.75,5162.85,8
HCPCS,C1874,HC STENT GRAFT FLUENCY TRACH 8X40,6930.0,2425.5,1984.75,5162.85,8
HCPCS,C1874,HC STENT GRAFT FLUENCY TRACH 8X60,6930.0,2425.5,1984.75,5162.85,8
HCPCS,C1874,HC STENT GRAFT FLUENCY TRACH 8X80,6930.0,2425.5,1984.75,5162.85,8
HCPCS,C1874,HC STENT GRAFT FLUENCY TRACH10X40,6930.0,2425.5,1984.75,5162.85,8
HCPCS,C1874,HC STENT GRAFT FLUENCY TRACH10X60,6930.0,2425.5,1984.75,5162.85,8
HCPCS,C1874,HC STENT GRAFT FLUENCY TRACH10X80,6930.0,2425.5,1984.75,5162.85,8
HCPCS,C1874,HC STENT GRAFT FLUENCY TRACH12X60,6930.0,2425.5,1984.75,5162.85,8
HCPCS,C1874,HC STENT GRAFT FLUENCY TRACH14X60,6930.0,2425.5,1984.75,5162.85,8
HCPCS,C1874,HC STENT ICAST 6X22,7953.75,2783.82,2277.95,5925.54,8
HCPCS,C1874,HC STENT ICAST 6X38,8111.25,2838.94,2323.06,6042.88,8
HCPCS,C1874,HC STENT ICAST 7X22,7953.75,2783.82,2277.95,5925.54,8
HCPCS,C1874,HC STENT ICAST 7X38,8111.25,2838.94,2323.06,6042.88,8
HCPCS,C1874,HC STENT ICAST 8X38,8111.25,2838.94,2323.06,6042.88,8
HCPCS,C1874,HC STENT ICAST 9X38,8111.25,2838.94,2323.06,6042.88,8
HCPCS,C1874,HC STENT ION OTW 2.25X,6216.0,2175.6,1780.26,4630.92,8
HCPCS,C1874,HC STENT ION OTW 2.25X20,6552.0,2293.2,1876.49,4881.24,8
HCPCS,C1874,HC STENT MEGATRON US MR 3.50X12,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 3.50X16,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 3.50X20,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 3.50X24,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 3.50X28,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 3.50X32,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 3.50X8,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 4.00X12,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 4.00X16,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 4.00X20,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 4.00X24,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 4.00X28,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 4.00X32,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 4.00X8,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 4.50X12,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 4.50X16,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 4.50X20,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 4.50X24,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 4.50X28,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 4.50X32,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 4.50X8,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 5.00X12,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 5.00X16,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 5.00X20,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 5.00X24,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 5.00X28,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 5.00X32,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MEGATRON US MR 5.00X8,2283.75,799.32,654.07,1701.39,8
HCPCS,C1874,HC STENT MISSION ORSIRO 2.25X13,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 2.25X15,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 2.25X18,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 2.25X22,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 2.25X26,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 2.25X30,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 2.25X9,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 2.50X13,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 2.50X15,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 2.50X18,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 2.50X22,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 2.50X26,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 2.50X30,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 2.50X35,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 2.50X40,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 2.50X9,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 2.75X13,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 2.75X15,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 2.75X18,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 2.75X22,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 2.75X26,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 2.75X30,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 2.75X35,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 2.75X40,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 2.75X9,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 3.00X13,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 3.00X15,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 3.00X18,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 3.00X22,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 3.00X26,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 3.00X30,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 3.00X35,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 3.00X40,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 3.00X9,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 3.50X13,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 3.50X15,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 3.50X18,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 3.50X22,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 3.50X26,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 3.50X30,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 3.50X35,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 3.50X40.,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 3.50X9,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 4.00X13,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 4.00X15,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 4.00X18,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 4.00X22,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 4.00X26,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 4.00X30,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 4.00X35,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 4.00X40,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT MISSION ORSIRO 4.00X9,2126.25,744.19,608.96,1584.06,8
HCPCS,C1874,HC STENT OSIRO 2.25X13,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 2.25X15,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 2.25X18,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 2.25X22,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 2.25X26,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 2.25X30,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 2.25X9,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 2.5X13,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 2.5X15,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 2.5X18,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 2.5X22,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 2.5X26,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 2.5X30,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 2.5X35,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 2.5X40,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 2.5X9,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 2.75X13,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 2.75X15,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 2.75X18,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 2.75X22,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 2.75X26,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 2.75X30,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 2.75X35,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 2.75X40,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 2.75X9,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 3.0X13,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 3.0X15,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 3.0X18,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 3.0X22,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 3.0X26,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 3.0X30,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 3.0X35,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 3.0X40,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 3.0X9,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 3.5X13,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 3.5X15,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 3.5X18,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 3.5X22,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 3.5X26,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 3.5X30,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 3.5X35,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 3.5X40,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 3.5X9,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 4.0X13,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 4.0X15,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 4.0X18,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 4.0X22,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 4.0X26,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 4.0X30,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 4.0X35,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 4.0X40,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT OSIRO 4.0X9,2394.0,837.9,685.64,1783.53,8
HCPCS,C1874,HC STENT PERIPH EVRFLX 035X8X150,6063.75,2122.32,1736.66,4517.49,8
HCPCS,C1874,HC STENT PERIPH EVRFLX 6X200X120,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1874,HC STENT PERIPH EVRFLX 7X200X120,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1874,HC STENT PERIPH EVRFLX 8X200X1120,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1874,HC STENT RX PERM METL UNCOVER,6285.0,2199.75,1800.02,4682.33,8
HCPCS,C1874,HC STENT STRAIGHT COVERA 10X100,8820.0,3087.0,2526.05,6570.9,8
HCPCS,C1874,HC STENT STRAIGHT COVERA 8X80,8820.0,3087.0,2526.05,6570.9,8
HCPCS,C1874,HC STENT STRAIGHT COVERA 9X100,8820.0,3087.0,2526.05,6570.9,8
HCPCS,C1874,HC STENT STRAIGHT COVERA 9X80,8820.0,3087.0,2526.05,6570.9,8
HCPCS,C1874,HC STENT TAG CONF THR 31X31X10X20F,40763.1,14267.09,11674.55,30368.51,8
HCPCS,C1874,HC STENT VIABAHN 10X10,12114.9,4240.22,3469.71,9025.6,8
HCPCS,C1874,HC STENT VIABAHN 5-6X10X120,6919.5,2421.83,1981.74,5155.03,8
HCPCS,C1874,HC STENT VIABAHN 5-7X15X120,7070.7,2474.75,2025.05,5267.67,8
HCPCS,C1874,HC STENT VIABAHN 5-8X 10X120,6102.6,2135.91,1747.78,4546.44,8
HCPCS,C1874,HC STENT VIABAHN 5X5X120,5124.0,1793.4,1467.51,3817.38,8
HCPCS,C1874,HC STENT VIABAHN 5X7.5,12442.5,4354.88,3563.53,9269.66,8
HCPCS,C1874,HC STENT VIABAHN 6-8X5X120,6178.2,2162.37,1769.44,4602.76,8
HCPCS,C1874,HC STENT VIABAHN 7X2.5,12114.9,4240.22,3469.71,9025.6,8
HCPCS,C1874,HC STENT VIABAHN 8X2.5,11043.9,3865.37,3162.97,8227.71,8
HCPCS,C1874,HC STENT VIABAHN 8X7.5,12114.9,4240.22,3469.71,9025.6,8
HCPCS,C1874,HC STENT VIABAHN 9X7.5,12114.9,4240.22,3469.71,9025.6,8
HCPCS,C1874,HC STENT VIABAHN BX 7X39X135,7179.9,2512.97,2056.32,5349.03,8
HCPCS,C1874,HC STENT VIABAHN BX 7X59X135,7179.9,2512.97,2056.32,5349.03,8
HCPCS,C1874,HC STENT VIABAHN BX 7X79X135,7875.0,2756.25,2255.4,5866.88,8
HCPCS,C1874,HC STENT VIABAHN BX 8X29X135,7179.9,2512.97,2056.32,5349.03,8
HCPCS,C1874,HC STENT VIABAHN BX 8X39X135,7179.9,2512.97,2056.32,5349.03,8
HCPCS,C1874,HC STENT VIABAHN BX 8X59X135,7179.9,2512.97,2056.32,5349.03,8
HCPCS,C1874,HC STENT VIABAHN BX 8X59X80,7179.9,2512.97,2056.32,5349.03,8
HCPCS,C1874,HC STENT VIABAHN BX 8X79X135,7875.0,2756.25,2255.4,5866.88,8
HCPCS,C1874,HC STENT VIABAHN HEP 5-8X5X120,6289.5,2201.33,1801.31,4685.68,8
HCPCS,C1874,HC STENT VIABAHN HEP BIO 6X.75,12442.5,4354.88,3563.53,9269.66,8
HCPCS,C1874,HC STENT VIABAHN VBX 10X13,11037.6,3863.16,3161.17,8223.01,8
HCPCS,C1874,HC STENT VIABAHN VBX 9X13X29,11037.6,3863.16,3161.17,8223.01,8
HCPCS,C1874,HC STENT VIABAHN VBX 9X13X39,11037.6,3863.16,3161.17,8223.01,8
HCPCS,C1874,HC STENT WALL UPC 16-6 16 95 4.5C,5937.0,2077.95,1700.36,4423.07,8
HCPCS,C1874,HC STENT XIENCE RX,3333.75,1166.815,857.05,2737.88,16
HCPCS,C1874,HC STENT XIENCE RX ALPINE 2.25X12,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 2.25X15,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 2.25X18,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 2.25X23,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 2.25X28,4728.15,1654.86,1354.14,3522.47,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 2.5X12,4564.35,1597.53,1307.23,3400.44,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 2.5X15,4564.35,1597.53,1307.23,3400.44,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 2.5X18,4564.35,1597.53,1307.23,3400.44,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 2.5X23,4564.35,1597.53,1307.23,3400.44,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 2.5X28,4564.35,1597.53,1307.23,3400.44,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 2.5X33,4728.15,1654.86,1354.14,3522.47,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 2.5X38,4728.15,1654.86,1354.14,3522.47,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 2.5X8,4564.35,1597.53,1307.23,3400.44,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 2.75X12,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 2.75X15,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 2.75X18,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 2.75X23,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 2.75X28,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 3.0X12,4564.35,1597.53,1307.23,3400.44,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 3.0X15,4564.35,1597.53,1307.23,3400.44,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 3.0X18,4564.35,1597.53,1307.23,3400.44,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 3.0X23,4564.35,1597.53,1307.23,3400.44,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 3.0X28,4564.35,1597.53,1307.23,3400.44,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 3.0X33,4728.15,1654.86,1354.14,3522.47,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 3.0X38,4728.15,1654.86,1354.14,3522.47,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 3.0X8,4564.35,1597.53,1307.23,3400.44,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 3.5X12,4564.35,1597.53,1307.23,3400.44,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 3.5X15,4564.35,1597.53,1307.23,3400.44,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 3.5X18,4564.35,1597.53,1307.23,3400.44,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 3.5X23,4564.35,1597.53,1307.23,3400.44,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 3.5X28,4564.35,1597.53,1307.23,3400.44,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 3.5X33,4728.15,1654.86,1354.14,3522.47,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 3.5X38,4728.15,1654.86,1354.14,3522.47,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 3.5X8,4564.35,1597.53,1307.23,3400.44,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 4.0X08,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 4.0X12,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 4.0X15,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 4.0X18,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 4.0X23,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 4.0X28,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 4.0X33,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE RX ALPINE 4.0X38,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE RX XPED 2.25X8,4728.15,1654.86,1354.14,3522.47,8
HCPCS,C1874,HC STENT XIENCE RX XPED 2.75X08,4728.15,1654.86,1354.14,3522.47,8
HCPCS,C1874,HC STENT XIENCE RX XPED 2.75X12,4728.15,1654.86,1354.14,3522.47,8
HCPCS,C1874,HC STENT XIENCE RX XPED 2.75X15,4728.15,1654.86,1354.14,3522.47,8
HCPCS,C1874,HC STENT XIENCE RX XPED 2.75X18,4728.15,1654.86,1354.14,3522.47,8
HCPCS,C1874,HC STENT XIENCE RX XPED 2.75X23,4728.15,1654.86,1354.14,3522.47,8
HCPCS,C1874,HC STENT XIENCE RX XPED 2.75X28,4728.15,1654.86,1354.14,3522.47,8
HCPCS,C1874,HC STENT XIENCE RX XPED 2.75X33,4728.15,1654.86,1354.14,3522.47,8
HCPCS,C1874,HC STENT XIENCE RX XPED 2.75X38,4728.15,1654.86,1354.14,3522.47,8
HCPCS,C1874,HC STENT XIENCE RX XPED 4.0X08,4728.15,1654.86,1354.14,3522.47,8
HCPCS,C1874,HC STENT XIENCE RX XPED 4.0X12,4728.15,1654.86,1354.14,3522.47,8
HCPCS,C1874,HC STENT XIENCE RX XPED 4.0X15,4728.15,1654.86,1354.14,3522.47,8
HCPCS,C1874,HC STENT XIENCE RX XPED 4.0X18,4728.15,1654.86,1354.14,3522.47,8
HCPCS,C1874,HC STENT XIENCE RX XPED 4.0X23,4728.15,1654.86,1354.14,3522.47,8
HCPCS,C1874,HC STENT XIENCE RX XPED 4.0X28,4728.15,1654.86,1354.14,3522.47,8
HCPCS,C1874,HC STENT XIENCE RX XPED 4.0X33,4728.15,1654.86,1354.14,3522.47,8
HCPCS,C1874,HC STENT XIENCE RX XPED 4.0X38,4728.15,1654.86,1354.14,3522.47,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.00X12,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.00X15,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.00X18,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.00X23,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.00X28,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.00X33,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.00X38,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.00X8,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.25X12,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.25X15,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.25X18,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.25X23,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.25X28,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.25X33,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.25X38,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.25X8,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.50X12,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.50X15,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.50X18,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.50X23,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.50X28,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.50X33,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.50X38,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.50X8,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.75X12,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.75X15,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.75X18,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.75X23,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.75X28,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.75X38,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 2.75X8,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 3.0X12,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 3.0X15,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 3.0X18,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 3.0X23,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 3.0X28,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 3.0X33,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 3.0X38,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 3.0X8,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 3.25X12,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 3.25X15,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 3.25X18,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 3.25X23,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 3.25X28,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 3.25X33,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 3.25X38,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 3.25X8,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 3.5X12,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 3.5X15,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 3.5X18,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 3.5X23,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 3.5X28,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 3.5X33,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 3.5X38,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 3.5X8,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 4.0X12,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 4.0X15,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 4.0X18,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 4.0X23,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 4.0X28,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 4.0X33,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 4.0X38,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES 4.0X8,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT XIENCE SIERR DES2.75X33,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1874,HC STENT ZILV PTX DRG PERI 6X100,5654.25,1978.99,1619.38,4212.42,8
HCPCS,C1874,HC STENT ZILV PTX DRG PERI 6X120,6284.25,2199.49,1799.81,4681.77,8
HCPCS,C1874,HC STENT ZILV PTX DRG PERI 6X140,7544.25,2640.49,2160.67,5620.47,8
HCPCS,C1874,HC STENT ZILV PTX DRG PERI 6X40,3701.25,1295.44,1060.04,2757.43,8
HCPCS,C1874,HC STENT ZILV PTX DRG PERI 6X60,4709.25,1648.24,1348.73,3508.39,8
HCPCS,C1874,HC STENT ZILV PTX DRG PERI 7X100,5654.25,1978.99,1619.38,4212.42,8
HCPCS,C1874,HC STENT ZILV PTX DRG PERI 7X120,6284.25,2199.49,1799.81,4681.77,8
HCPCS,C1874,HC STENT ZILV PTX DRG PERI 7X140,7544.25,2640.49,2160.67,5620.47,8
HCPCS,C1874,HC STENT ZILV PTX DRG PERI 7X40,3701.25,1295.44,1060.04,2757.43,8
HCPCS,C1874,HC STENT ZILV PTX DRG PERI 7X60,4709.25,1648.24,1348.73,3508.39,8
HCPCS,C1874,HC STENT ZILV PTX DRG PERI 8X100,5654.25,1978.99,1619.38,4212.42,8
HCPCS,C1874,HC STENT ZILV PTX DRG PERI 8X120,6284.25,2199.49,1799.81,4681.77,8
HCPCS,C1874,HC STENT ZILV PTX DRG PERI 8X40,3701.25,1295.44,1060.04,2757.43,8
HCPCS,C1874,HC STENT ZILV PTX DRG PERI 8X60,4709.25,1648.24,1348.73,3508.39,8
HCPCS,C1874,HC STENT ZILV PTX DRG PERI 8X80,5654.25,1978.99,1619.38,4212.42,8
HCPCS,C1874,HC STENT ZILV PTX DRG PERI X80,6031.2,2110.92,1727.34,4493.24,8
HCPCS,C1874,HC TAG CONFORMABLE,33337.5,11668.13,9547.86,24836.44,8
HCPCS,C1874,HC TRANSHEPATIC STENT COVERED,6297.9,2204.27,1803.72,4691.94,8
HCPCS,C1874,HC VIABAHAN STENT,3050.1,1067.54,873.55,2272.32,8
HCPCS,C1874,HC VIABAHN STENT HEP BIO 5X10,11944.8,4180.68,3420.99,8898.88,8
HCPCS,C1874,HC VIABAHN STENT HEP BIO 5X15,13308.75,4658.07,3811.63,9915.02,8
HCPCS,C1874,HC VIABAHN STENT HEP BIO 5X5,10930.5,3825.68,3130.5,8143.22,8
HCPCS,C1874,HC VIABAHN STENT HEP BIO 6X15,13308.75,4658.07,3811.63,9915.02,8
HCPCS,C1874,HC VIABAHN STENT HEP BIO 6X25,21719.25,7601.74,6220.39,16180.84,8
HCPCS,C1874,HC VIABAHN STENT HEP BIO 7X15,13308.75,4658.07,3811.63,9915.02,8
HCPCS,C1874,HC VIABAHN STENT HEP BIO 7X25,21719.25,7601.74,6220.39,16180.84,8
HCPCS,C1874,HC VIABAHN STENT HEP BIO 8X15,13308.75,4658.07,3811.63,9915.02,8
HCPCS,C1874,HC VIABAHN STENT HEP BIO 8X25,21719.25,7601.74,6220.39,16180.84,8
HCPCS,C1874,HC WALLFEX ESOPH STENT,8032.5,2811.38,2300.51,5984.21,8
HCPCS,C1875,HC STENT CRNRY RX DRV,2457.0,859.95,703.68,1830.47,8
HCPCS,C1875,HC STENT CRNRY RX DRV 4.0X18,2236.5,782.78,640.53,1666.19,8
HCPCS,C1875,HC STENT CRNRY RX INT 2.25X08,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 2.25X12,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 2.25X14,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 2.25X18,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 2.25X22,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 2.25X26,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 2.5X08,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 2.5X12,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 2.5X14,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 2.5X18,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 2.5X22,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 2.5X26,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 2.75X08,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 2.75X12,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 2.75X14,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 2.75X18,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 2.75X22,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 2.75X26,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 3.0X09,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 3.0X12,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 3.0X15,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 3.0X18,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 3.0X22,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 3.0X26,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 3.0X30,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 3.5X09,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 3.5X12,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 3.5X15,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 3.5X18,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 3.5X22,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 3.5X26,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 3.5X30,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 4.0X09,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 4.0X12,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 4.0X15,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 4.0X22,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 4.0X26,1949.85,682.45,558.44,1452.64,8
HCPCS,C1875,HC STENT CRNRY RX INT 4.0X30,1949.85,682.45,558.44,1452.64,8
HCPCS,C1876,HC CATH EXP BILIARY STENT,2929.5,1025.33,839.01,2182.48,8
HCPCS,C1876,HC CATH VIABAHN 5X10X120,10694.25,3742.99,3062.83,7967.22,8
HCPCS,C1876,HC CATH VIABAHN 5X15X120,12269.25,4294.24,3513.91,9140.59,8
HCPCS,C1876,HC CATH VIABAHN 6X10X120,10694.25,3742.99,3062.83,7967.22,8
HCPCS,C1876,HC CATH VIABAHN 6X15X120,12269.25,4294.24,3513.91,9140.59,8
HCPCS,C1876,HC CATH VIABAHN 6X5X120,9749.25,3412.24,2792.19,7263.19,8
HCPCS,C1876,HC CATH VIABAHN 7X10X120,10694.25,3742.99,3062.83,7967.22,8
HCPCS,C1876,HC CATH VIABAHN 7X15X120,12269.25,4294.24,3513.91,9140.59,8
HCPCS,C1876,HC CATH VIABAHN 7X5X120,9749.25,3412.24,2792.19,7263.19,8
HCPCS,C1876,HC CATH VIABAHN 8X10X120,10694.25,3742.99,3062.83,7967.22,8
HCPCS,C1876,HC CATH VIABAHN 8X5X120,9749.25,3412.24,2792.19,7263.19,8
HCPCS,C1876,HC CORDIS SMRT STENT 6X60X120,2570.4,899.64,736.16,1914.95,8
HCPCS,C1876,HC CORDIS SMRT STENT 7X100X120,3020.22,1057.08,864.99,2250.06,8
HCPCS,C1876,HC CORDIS SMRT STENT 7X40X120,2570.4,899.64,736.16,1914.95,8
HCPCS,C1876,HC CORDIS SMRT STENT 7X60X120,2570.4,899.64,736.16,1914.95,8
HCPCS,C1876,HC CORDIS SMRT STENT 7X80X120,2870.28,1004.6,822.05,2138.36,8
HCPCS,C1876,HC CORDIS SMRT STENT 8X40X120,2570.4,899.64,736.16,1914.95,8
HCPCS,C1876,HC CORDIS SMRT STENT LNG 7X150,3491.46,1222.02,999.95,2601.14,8
HCPCS,C1876,HC I STENT VENUL10X100X120,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUL10X120X120,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUL10X140X120,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUL10X160X120,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUL10X40X120,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUL10X60X120,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUL10X80X120,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUL12X100X120,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUL12X120X120,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUL12X140X120,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUL12X160X120,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUL12X40X120,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUL12X60X120,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUL12X80X120,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUL14X100X120,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUL14X120X120,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUL14X140X120,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUL14X160X120,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUL14X40X120,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUL14X60X120,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUL14X80X120,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUL16X100X120,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUL16X120X120,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUL16X140X120,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUL16X160X120,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUL16X40X120,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUL16X60X120,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUL16X80X120,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUL18X100X120,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUL18X120X120,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUL18X140X120,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUL18X160X120,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUL18X40X120,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUL18X60X120,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUL18X80X120,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUL20X100X120,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUL20X140X120,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUL20X160X120,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUL20X20X120,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUL20X40X120,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUL20X60X120,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUL20X80X120,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUM10X100X80,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUM10X120X80,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUM10X140X80,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUM10X160X80,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUM10X40X80,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUM10X60X80,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUM10X80X80,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUM12X100X80,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUM12X120X80,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUM12X140X80,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUM12X160X80,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUM12X40X80,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUM12X60X80,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUM12X80X80,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUM14X100X80,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUM14X120X80,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUM14X140X80,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUM14X160X80,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUM14X40X80,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUM14X60X80,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUM14X80X80,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUM16X100X80,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUM16X120X80,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUM16X140X80,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUM16X160X80,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUM16X40X80,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUM16X60X80,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUM16X80X80,9450.0,3307.5,2706.48,7040.25,8
HCPCS,C1876,HC I STENT VENUM18X100X80,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUM18X120X80,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUM18X140X80,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUM18X160X80,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUM18X40X80,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUM18X60X80,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUM18X80X80,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUM20X100 80,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUM20X140X80,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUM20X160X80,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUM20X20X80,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUM20X40X80,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUM20X60X80,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VENUM20X80X80,10080.0,3528.0,2886.91,7509.6,8
HCPCS,C1876,HC I STENT VIABAHN HEP BIO 5X25,21719.25,7601.74,6220.39,16180.84,8
HCPCS,C1876,HC LIBERTE OTW,2441.88,854.66,699.35,1819.2,8
HCPCS,C1876,HC LIFESTAR STENTS,2205.0,771.75,631.51,1642.73,8
HCPCS,C1876,HC LIFESTENT- SFA,2940.0,1029.0,842.02,2190.3,8
HCPCS,C1876,HC LIFESTENT- SFA STENT,2310.0,808.5,661.58,1720.95,8
HCPCS,C1876,HC LIFESTENT-SFA,5974.5,2091.08,1711.1,4451.0,8
HCPCS,C1876,HC LIFESTENT-SFA STENT,4410.0,1543.5,1263.02,3285.45,8
HCPCS,C1876,HC NONCOATED STENT REBEL BARE OTW,2268.0,793.8,649.56,1689.66,8
HCPCS,C1876,HC STENT ABRE VENOUS 10X100,5906.25,2067.19,1691.55,4400.16,8
HCPCS,C1876,HC STENT ABRE VENOUS 10X120,5906.25,2067.19,1691.55,4400.16,8
HCPCS,C1876,HC STENT ABRE VENOUS 10X150,5906.25,2067.19,1691.55,4400.16,8
HCPCS,C1876,HC STENT ABRE VENOUS 10X40,5906.25,2067.19,1691.55,4400.16,8
HCPCS,C1876,HC STENT ABRE VENOUS 10X60,5906.25,2067.19,1691.55,4400.16,8
HCPCS,C1876,HC STENT ABRE VENOUS 10X80,5906.25,2067.19,1691.55,4400.16,8
HCPCS,C1876,HC STENT ABRE VENOUS 12X100,5906.25,2067.19,1691.55,4400.16,8
HCPCS,C1876,HC STENT ABRE VENOUS 12X120,5906.25,2067.19,1691.55,4400.16,8
HCPCS,C1876,HC STENT ABRE VENOUS 12X150,6536.25,2287.69,1871.98,4869.51,8
HCPCS,C1876,HC STENT ABRE VENOUS 12X60,5906.25,2067.19,1691.55,4400.16,8
HCPCS,C1876,HC STENT ABRE VENOUS 12X80,5906.25,2067.19,1691.55,4400.16,8
HCPCS,C1876,HC STENT ABRE VENOUS 14X100,5906.25,2067.19,1691.55,4400.16,8
HCPCS,C1876,HC STENT ABRE VENOUS 14X120,5906.25,2067.19,1691.55,4400.16,8
HCPCS,C1876,HC STENT ABRE VENOUS 14X150,6536.25,2287.69,1871.98,4869.51,8
HCPCS,C1876,HC STENT ABRE VENOUS 14X60,5906.25,2067.19,1691.55,4400.16,8
HCPCS,C1876,HC STENT ABRE VENOUS 14X80,5906.25,2067.19,1691.55,4400.16,8
HCPCS,C1876,HC STENT ABRE VENOUS 16X100,5906.25,2067.19,1691.55,4400.16,8
HCPCS,C1876,HC STENT ABRE VENOUS 16X120,5906.25,2067.19,1691.55,4400.16,8
HCPCS,C1876,HC STENT ABRE VENOUS 16X150,6536.25,2287.69,1871.98,4869.51,8
HCPCS,C1876,HC STENT ABRE VENOUS 16X60,5906.25,2067.19,1691.55,4400.16,8
HCPCS,C1876,HC STENT ABRE VENOUS 16X80,5906.25,2067.19,1691.55,4400.16,8
HCPCS,C1876,HC STENT ABRE VENOUS 18X100,5906.25,2067.19,1691.55,4400.16,8
HCPCS,C1876,HC STENT ABRE VENOUS 18X120,5906.25,2067.19,1691.55,4400.16,8
HCPCS,C1876,HC STENT ABRE VENOUS 18X150,6536.25,2287.69,1871.98,4869.51,8
HCPCS,C1876,HC STENT ABRE VENOUS 18X60,5906.25,2067.19,1691.55,4400.16,8
HCPCS,C1876,HC STENT ABRE VENOUS 18X80,5906.25,2067.19,1691.55,4400.16,8
HCPCS,C1876,HC STENT ABRE VENOUS 20X100,5906.25,2067.19,1691.55,4400.16,8
HCPCS,C1876,HC STENT ABRE VENOUS 20X120,5906.25,2067.19,1691.55,4400.16,8
HCPCS,C1876,HC STENT ABRE VENOUS 20X150,6536.25,2287.69,1871.98,4869.51,8
HCPCS,C1876,HC STENT ABRE VENOUS 20X60,5906.25,2067.19,1691.55,4400.16,8
HCPCS,C1876,HC STENT ABRE VENOUS 20X80,5906.25,2067.19,1691.55,4400.16,8
HCPCS,C1876,HC STENT ABSOL .035 10.0X30X135CM,3449.25,1207.24,987.87,2569.69,8
HCPCS,C1876,HC STENT ABSOL .035 10.0X40X135CM,3937.5,1378.13,1127.7,2933.44,8
HCPCS,C1876,HC STENT ABSOL .035 10.0X60X135CM,3937.5,1378.13,1127.7,2933.44,8
HCPCS,C1876,HC STENT ABSOL .035 10.0X80X135CM,3449.25,1207.24,987.87,2569.69,8
HCPCS,C1876,HC STENT ABSOL .035 5.0X100X135CM,3449.25,1207.24,987.87,2569.69,8
HCPCS,C1876,HC STENT ABSOL .035 5.0X60X135CM,3449.25,1207.24,987.87,2569.69,8
HCPCS,C1876,HC STENT ABSOL .035 5.0X80X135CM,3449.25,1207.24,987.87,2569.69,8
HCPCS,C1876,HC STENT ABSOL .035 6.0X100X135CM,3449.25,1207.24,987.87,2569.69,8
HCPCS,C1876,HC STENT ABSOL .035 6.0X40X135CM,3449.25,1207.24,987.87,2569.69,8
HCPCS,C1876,HC STENT ABSOL .035 6.0X60X135CM,3449.25,1207.24,987.87,2569.69,8
HCPCS,C1876,HC STENT ABSOL .035 6.0X80X135CM,3449.25,1207.24,987.87,2569.69,8
HCPCS,C1876,HC STENT ABSOL .035 7.0X100X135CM,3937.5,1378.13,1127.7,2933.44,8
HCPCS,C1876,HC STENT ABSOL .035 7.0X30X135CM,3937.5,1378.13,1127.7,2933.44,8
HCPCS,C1876,HC STENT ABSOL .035 7.0X40X135CM,3937.5,1378.13,1127.7,2933.44,8
HCPCS,C1876,HC STENT ABSOL .035 7.0X60X135CM,3937.5,1378.13,1127.7,2933.44,8
HCPCS,C1876,HC STENT ABSOL .035 7.0X80X135CM,3937.5,1378.13,1127.7,2933.44,8
HCPCS,C1876,HC STENT ABSOL .035 8.0X100X135CM,3937.5,1378.13,1127.7,2933.44,8
HCPCS,C1876,HC STENT ABSOL .035 8.0X30X135CM,3937.5,1378.13,1127.7,2933.44,8
HCPCS,C1876,HC STENT ABSOL .035 8.0X40X135CM,3937.5,1378.13,1127.7,2933.44,8
HCPCS,C1876,HC STENT ABSOL .035 8.0X60X135CM,3937.5,1378.13,1127.7,2933.44,8
HCPCS,C1876,HC STENT ABSOL .035 8.0X80X135CM,3937.5,1378.13,1127.7,2933.44,8
HCPCS,C1876,HC STENT ABSOL .035 9.0X40X135CM,3937.5,1378.13,1127.7,2933.44,8
HCPCS,C1876,HC STENT ABSOL .035 9.0X60X135CM,3937.5,1378.13,1127.7,2933.44,8
HCPCS,C1876,HC STENT ABSOLUTE,3052.35,1068.33,874.19,2274.0,8
HCPCS,C1876,HC STENT BIL 418 OTW 5F6FX80X6X30,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1876,HC STENT BIL 418 OTW 6F7FX80X7X30,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1876,HC STENT BIL 418 OTW 6F8FX80X8X30,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1876,HC STENT BILI 418 018 6X24,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1876,HC STENT BILI 418 018 6X30,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1876,HC STENT BILI 418 EXP,3326.4,1164.24,952.68,2478.17,8
HCPCS,C1876,HC STENT BILI 418 EXP 4FX80,2415.0,845.25,691.66,1799.18,8
HCPCS,C1876,HC STENT BILI 418 EXP 4FX80X6X24,3118.5,1091.48,893.14,2323.28,8
HCPCS,C1876,HC STENT BILI 418 EXP 4FX80X7 16,3118.5,1091.48,893.14,2323.28,8
HCPCS,C1876,HC STENT BILI 418 EXP 4FX80X7 20,3118.5,1091.48,893.14,2323.28,8
HCPCS,C1876,HC STENT BILI 418 EXP 4FX80X7 24,3118.5,1091.48,893.14,2323.28,8
HCPCS,C1876,HC STENT BILI CN RL UNCV 10X11X10,4621.05,1617.37,1323.47,3442.68,8
HCPCS,C1876,HC STENT BILI CN RL UNCV 10X11X4,4621.05,1617.37,1323.47,3442.68,8
HCPCS,C1876,HC STENT BILI CN RL UNCV 10X11X6,4621.05,1617.37,1323.47,3442.68,8
HCPCS,C1876,HC STENT BILI CN RL UNCV 10X11X8,4621.05,1617.37,1323.47,3442.68,8
HCPCS,C1876,HC STENT BILI CN RL UNCV 8X9X10,4621.05,1617.37,1323.47,3442.68,8
HCPCS,C1876,HC STENT BILI LUMNXX,2202.9,771.02,630.91,1641.16,8
HCPCS,C1876,HC STENT BILI LUMNXX 10X80,4406.85,1542.4,1262.12,3283.1,8
HCPCS,C1876,HC STENT BILI LUMNXX 12X40X80,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1876,HC STENT BILI LUMNXX 12X60,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1876,HC STENT BILI LUMNXX 14X40,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1876,HC STENT BILI LUMNXX 14X40X80,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1876,HC STENT BILI LUMNXX 14X60X80,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1876,HC STENT BILI LUMNXX 6X40X135,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1876,HC STENT BILI LUMNXX 6X40X80,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1876,HC STENT BILI LUMNXX 7X40X80,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1876,HC STENT BILI LUMNXX 7X60X80,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1876,HC STENT BILI WF UNCOV 8X100,6575.56,2301.45,1883.24,4898.79,8
HCPCS,C1876,HC STENT BILI WF UNCOV 8X40,6575.56,2301.45,1883.24,4898.79,8
HCPCS,C1876,HC STENT BILI ZIL FUS SYS 10X8,3307.5,1157.63,947.27,2464.09,8
HCPCS,C1876,HC STENT CMP SE 5X40X130,3307.5,1157.63,947.27,2464.09,8
HCPCS,C1876,HC STENT CMP SE 5X60X130,3307.5,1157.63,947.27,2464.09,8
HCPCS,C1876,HC STENT CMP SE 5X80X130,3307.5,1157.63,947.27,2464.09,8
HCPCS,C1876,HC STENT CMP SE 6X100X130,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1876,HC STENT CMP SE 6X150X130,4095.0,1433.25,1172.81,3050.78,8
HCPCS,C1876,HC STENT CMP SE 6X40X130,3307.5,1157.63,947.27,2464.09,8
HCPCS,C1876,HC STENT CMP SE 6X60X130,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1876,HC STENT CMP SE 6X80X130,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1876,HC STENT CMP SE 7X40X130,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1876,HC STENT CMP SE 7X60X130,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1876,HC STENT CMP SE 8X100X130,4095.0,1433.25,1172.81,3050.78,8
HCPCS,C1876,HC STENT CMP SE 8X150X130,4095.0,1433.25,1172.81,3050.78,8
HCPCS,C1876,HC STENT CMP SE 8X40X130,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1876,HC STENT CMP SE 8X60X130,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1876,HC STENT CMP SE 8X80X130,2992.5,1047.38,857.05,2229.41,8
HCPCS,C1876,HC STENT COL CN RL UNCV25X30X6 10,6570.9,2299.82,1881.91,4895.32,8
HCPCS,C1876,HC STENT COLON EVO UNCV 25X30X10C,6570.9,2299.82,1881.91,4895.32,8
HCPCS,C1876,HC STENT COLON EVO UNCV 25X30X8C,6570.9,2299.82,1881.91,4895.32,8
HCPCS,C1876,HC STENT COLON WALLFLEX,7185.0,2514.75,2057.78,5352.83,8
HCPCS,C1876,HC STENT COLON WF 27 22X12,7544.25,2640.49,2160.67,5620.47,8
HCPCS,C1876,HC STENT COLON WF 27 22X9,7544.25,2640.49,2160.67,5620.47,8
HCPCS,C1876,HC STENT COLON WF 30 25 120 230,7544.25,2640.49,2160.67,5620.47,8
HCPCS,C1876,HC STENT CRNRY INT OTW 2.25X08,1559.25,545.74,446.57,1161.64,8
HCPCS,C1876,HC STENT CRNRY INT OTW 2.25X12,1559.25,545.74,446.57,1161.64,8
HCPCS,C1876,HC STENT CRNRY INT OTW 2.25X14,1559.25,545.74,446.57,1161.64,8
HCPCS,C1876,HC STENT CRNRY INT OTW 2.25X18,1559.25,545.74,446.57,1161.64,8
HCPCS,C1876,HC STENT CRNRY INT OTW 2.25X22,1559.25,545.74,446.57,1161.64,8
HCPCS,C1876,HC STENT CRNRY INT OTW 2.25X26,1559.25,545.74,446.57,1161.64,8
HCPCS,C1876,HC STENT CRNRY INT OTW 2.50X08,1559.25,545.74,446.57,1161.64,8
HCPCS,C1876,HC STENT CRNRY INT OTW 2.50X12,1559.25,545.74,446.57,1161.64,8
HCPCS,C1876,HC STENT CRNRY INT OTW 2.50X14,1559.25,545.74,446.57,1161.64,8
HCPCS,C1876,HC STENT CRNRY INT OTW 2.50X18,1559.25,545.74,446.57,1161.64,8
HCPCS,C1876,HC STENT CRNRY INT OTW 2.50X22,1559.25,545.74,446.57,1161.64,8
HCPCS,C1876,HC STENT CRNRY INT OTW 2.5X26,1559.25,545.74,446.57,1161.64,8
HCPCS,C1876,HC STENT CRNRY INT OTW 2.75X08,1559.25,545.74,446.57,1161.64,8
HCPCS,C1876,HC STENT CRNRY INT OTW 2.75X12,1559.25,545.74,446.57,1161.64,8
HCPCS,C1876,HC STENT CRNRY INT OTW 2.75X14,1559.25,545.74,446.57,1161.64,8
HCPCS,C1876,HC STENT CRNRY INT OTW 2.75X18,1559.25,545.74,446.57,1161.64,8
HCPCS,C1876,HC STENT CRNRY INT OTW 2.75X22,1559.25,545.74,446.57,1161.64,8
HCPCS,C1876,HC STENT CRNRY INT OTW 2.75X26,1559.25,545.74,446.57,1161.64,8
HCPCS,C1876,HC STENT CRNRY INT OTW 3.0X26,1559.25,545.74,446.57,1161.64,8
HCPCS,C1876,HC STENT CRNRY INT OTW 3.5X26,1559.25,545.74,446.57,1161.64,8
HCPCS,C1876,HC STENT CRNRY INT OTW 4.0X26,1559.25,545.74,446.57,1161.64,8
HCPCS,C1876,HC STENT CRNRY OTW 2.0X12,2283.75,799.32,654.07,1701.39,8
HCPCS,C1876,HC STENT CRNRY OTW 2.0X15,2283.75,799.32,654.07,1701.39,8
HCPCS,C1876,HC STENT CRNRY OTW 2.0X18,2283.75,799.32,654.07,1701.39,8
HCPCS,C1876,HC STENT CRNRY OTW 2.0X23,2283.75,799.32,654.07,1701.39,8
HCPCS,C1876,HC STENT CRNRY OTW 2.0X28,2283.75,799.32,654.07,1701.39,8
HCPCS,C1876,HC STENT CRNRY OTW 2.0X8,2283.75,799.32,654.07,1701.39,8
HCPCS,C1876,HC STENT CRNRY OTW 2.25X12,2283.75,799.32,654.07,1701.39,8
HCPCS,C1876,HC STENT CRNRY OTW 2.25X15,2283.75,799.32,654.07,1701.39,8
HCPCS,C1876,HC STENT CRNRY OTW 2.25X18,2283.75,799.32,654.07,1701.39,8
HCPCS,C1876,HC STENT CRNRY OTW 2.25X23,2283.75,799.32,654.07,1701.39,8
HCPCS,C1876,HC STENT CRNRY OTW 2.25X28,2283.75,799.32,654.07,1701.39,8
HCPCS,C1876,HC STENT CRNRY OTW 2.25X8,2283.75,799.32,654.07,1701.39,8
HCPCS,C1876,HC STENT CRNRY OTW 2.5X12,2283.75,799.32,654.07,1701.39,8
HCPCS,C1876,HC STENT CRNRY OTW 2.5X15,2283.75,799.32,654.07,1701.39,8
HCPCS,C1876,HC STENT CRNRY OTW 2.5X18,2283.75,799.32,654.07,1701.39,8
HCPCS,C1876,HC STENT CRNRY OTW 2.5X23,2283.75,799.32,654.07,1701.39,8
HCPCS,C1876,HC STENT CRNRY OTW 2.5X28,2283.75,799.32,654.07,1701.39,8
HCPCS,C1876,HC STENT CRNRY OTW 2.5X8,2283.75,799.32,654.07,1701.39,8
HCPCS,C1876,HC STENT CRNRY RAP EXCHG 2.0X08,1496.25,523.69,428.53,1114.71,8
HCPCS,C1876,HC STENT CRNRY RAP EXCHG 2.0X12,1496.25,523.69,428.53,1114.71,8
HCPCS,C1876,HC STENT CRNRY RAP EXCHG 2.0X15,1496.25,523.69,428.53,1114.71,8
HCPCS,C1876,HC STENT CRNRY RAP EXCHG 2.0X18,1496.25,523.69,428.53,1114.71,8
HCPCS,C1876,HC STENT CRNRY RAP EXCHG 2.0X23,1496.25,523.69,428.53,1114.71,8
HCPCS,C1876,HC STENT CRNRY RAP EXCHG 2.0X28,1496.25,523.69,428.53,1114.71,8
HCPCS,C1876,HC STENT CRNRY RAP EXCHG 2.25X08,1496.25,523.69,428.53,1114.71,8
HCPCS,C1876,HC STENT CRNRY RAP EXCHG 2.25X12,1496.25,523.69,428.53,1114.71,8
HCPCS,C1876,HC STENT CRNRY RAP EXCHG 2.25X15,1496.25,523.69,428.53,1114.71,8
HCPCS,C1876,HC STENT CRNRY RAP EXCHG 2.25X18,1496.25,523.69,428.53,1114.71,8
HCPCS,C1876,HC STENT CRNRY RAP EXCHG 2.25X23,1496.25,523.69,428.53,1114.71,8
HCPCS,C1876,HC STENT CRNRY RAP EXCHG 2.25X28,1496.25,523.69,428.53,1114.71,8
HCPCS,C1876,HC STENT CRNRY RAP EXCHG 2.5X08,1496.25,523.69,428.53,1114.71,8
HCPCS,C1876,HC STENT CRNRY RAP EXCHG 2.5X12,1496.25,523.69,428.53,1114.71,8
HCPCS,C1876,HC STENT CRNRY RAP EXCHG 2.5X15,1496.25,523.69,428.53,1114.71,8
HCPCS,C1876,HC STENT CRNRY RAP EXCHG 2.5X18,1496.25,523.69,428.53,1114.71,8
HCPCS,C1876,HC STENT CRNRY RAP EXCHG 2.5X23,1496.25,523.69,428.53,1114.71,8
HCPCS,C1876,HC STENT CRNRY RAP EXCHG 2.5X28,1496.25,523.69,428.53,1114.71,8
HCPCS,C1876,HC STENT ENTRUST 035X6X100,3802.05,1330.72,1088.91,2832.53,8
HCPCS,C1876,HC STENT ENTRUST 035X6X120,3802.05,1330.72,1088.91,2832.53,8
HCPCS,C1876,HC STENT ENTRUST 035X6X150,3802.05,1330.72,1088.91,2832.53,8
HCPCS,C1876,HC STENT ENTRUST 035X6X20,2989.35,1046.28,856.15,2227.07,8
HCPCS,C1876,HC STENT ENTRUST 035X6X40,2989.35,1046.28,856.15,2227.07,8
HCPCS,C1876,HC STENT ENTRUST 035X6X60,2989.35,1046.28,856.15,2227.07,8
HCPCS,C1876,HC STENT ENTRUST 035X6X80,2989.35,1046.28,856.15,2227.07,8
HCPCS,C1876,HC STENT ENTRUST 035X7X100,3802.05,1330.72,1088.91,2832.53,8
HCPCS,C1876,HC STENT ENTRUST 035X7X120,3802.05,1330.72,1088.91,2832.53,8
HCPCS,C1876,HC STENT ENTRUST 035X7X150,3802.05,1330.72,1088.91,2832.53,8
HCPCS,C1876,HC STENT ENTRUST 035X7X20,2989.35,1046.28,856.15,2227.07,8
HCPCS,C1876,HC STENT ENTRUST 035X7X40,2989.35,1046.28,856.15,2227.07,8
HCPCS,C1876,HC STENT ENTRUST 035X7X60,2989.35,1046.28,856.15,2227.07,8
HCPCS,C1876,HC STENT ENTRUST 035X7X80,2989.35,1046.28,856.15,2227.07,8
HCPCS,C1876,HC STENT ENTRUST 035X8X100,3802.05,1330.72,1088.91,2832.53,8
HCPCS,C1876,HC STENT ENTRUST 035X8X120,3802.05,1330.72,1088.91,2832.53,8
HCPCS,C1876,HC STENT ENTRUST 035X8X150,3802.05,1330.72,1088.91,2832.53,8
HCPCS,C1876,HC STENT ENTRUST 035X8X20,2989.35,1046.28,856.15,2227.07,8
HCPCS,C1876,HC STENT ENTRUST 035X8X40,2989.35,1046.28,856.15,2227.07,8
HCPCS,C1876,HC STENT ENTRUST 035X8X60,2989.35,1046.28,856.15,2227.07,8
HCPCS,C1876,HC STENT ENTRUST 035X8X80,2989.35,1046.28,856.15,2227.07,8
HCPCS,C1876,HC STENT EXPRESS SD 4X15X150,2074.68,726.14,594.19,1545.64,8
HCPCS,C1876,HC STENT EXPRESS SD 4X15X90,2074.68,726.14,594.19,1545.64,8
HCPCS,C1876,HC STENT EXPRESS SD 4X19X150,2074.68,726.14,594.19,1545.64,8
HCPCS,C1876,HC STENT EXPRESS SD 4X19X90,2074.68,726.14,594.19,1545.64,8
HCPCS,C1876,HC STENT EXPRESS SD 5X15X150,2074.68,726.14,594.19,1545.64,8
HCPCS,C1876,HC STENT EXPRESS SD 5X15X90,2074.68,726.14,594.19,1545.64,8
HCPCS,C1876,HC STENT EXPRESS SD 5X19X150,2074.68,726.14,594.19,1545.64,8
HCPCS,C1876,HC STENT EXPRESS SD 5X19X90,2074.68,726.14,594.19,1545.64,8
HCPCS,C1876,HC STENT EXPRESS SD 6X14X150,2074.68,726.14,594.19,1545.64,8
HCPCS,C1876,HC STENT EXPRESS SD 6X14X90,2074.68,726.14,594.19,1545.64,8
HCPCS,C1876,HC STENT EXPRESS SD 6X18X150,2074.68,726.14,594.19,1545.64,8
HCPCS,C1876,HC STENT EXPRESS SD 6X18X90,2074.68,726.14,594.19,1545.64,8
HCPCS,C1876,HC STENT EXPRESS SD 7X15X150,2074.68,726.14,594.19,1545.64,8
HCPCS,C1876,HC STENT EXPRESS SD 7X15X90,2074.68,726.14,594.19,1545.64,8
HCPCS,C1876,HC STENT EXPRESS SD 7X19X150,2074.68,726.14,594.19,1545.64,8
HCPCS,C1876,HC STENT EXPRESS SD 7X19X90,2074.68,726.14,594.19,1545.64,8
HCPCS,C1876,HC STENT FLARED FLAIR,4935.0,1727.25,1413.38,3676.58,8
HCPCS,C1876,HC STENT ICAST (MULTI SIZES),5302.5,1855.88,1518.64,3950.36,8
HCPCS,C1876,HC STENT INBU BUKUITW8X58X035X135,3449.25,1207.24,987.87,2569.69,8
HCPCS,C1876,HC STENT LIFESTENT 5X30X80,3465.0,1212.75,992.38,2581.43,8
HCPCS,C1876,HC STENT LIFESTENT 5X40X80,3465.0,1212.75,992.38,2581.43,8
HCPCS,C1876,HC STENT LIFESTENT 5X60X80,3465.0,1212.75,992.38,2581.43,8
HCPCS,C1876,HC STENT LUMIN SLF EXPND,2937.9,1028.27,721.13,2501.64,16
HCPCS,C1876,HC STENT LUMIN SLF EXPND 10X40X80,3692.64,1292.43,1057.57,2751.02,8
HCPCS,C1876,HC STENT LUMIN SLF EXPND 12X40X80,6380.64,2233.23,1827.42,4753.58,8
HCPCS,C1876,HC STENT OMNI BILIOTW6X29X035X135,3449.25,1207.24,987.87,2569.69,8
HCPCS,C1876,HC STENT OMNI BILIOTW6X39X035X135,3449.25,1207.24,987.87,2569.69,8
HCPCS,C1876,HC STENT OMNI BILIOTW7X19X035X135,3449.25,1207.24,987.87,2569.69,8
HCPCS,C1876,HC STENT OMNI BILIOTW7X29X035X135,3449.25,1207.24,987.87,2569.69,8
HCPCS,C1876,HC STENT OMNI BILIOTW7X39X035X135,3449.25,1207.24,987.87,2569.69,8
HCPCS,C1876,HC STENT OMNI BILIOTW7X59X035X135,3449.25,1207.24,987.87,2569.69,8
HCPCS,C1876,HC STENT OMNI BILIOTW8X19X035X135,3449.25,1207.24,987.87,2569.69,8
HCPCS,C1876,HC STENT OMNI BILIOTW8X29X035X135,3449.25,1207.24,987.87,2569.69,8
HCPCS,C1876,HC STENT OMNI BILIOTW8X39X035X135,4252.5,1488.38,1217.92,3168.11,8
HCPCS,C1876,HC STENT OMNI BILIOTW9X29X035X135,3449.25,1207.24,987.87,2569.69,8
HCPCS,C1876,HC STENT OMNI BILIOTW9X39X035X135,3449.25,1207.24,987.87,2569.69,8
HCPCS,C1876,HC STENT OMNI BILOTW10X29X035X135,3449.25,1207.24,987.87,2569.69,8
HCPCS,C1876,HC STENT OMNI BILOTW10X39X035X135,3449.25,1207.24,987.87,2569.69,8
HCPCS,C1876,HC STENT OMNILINK BILIARY,2891.7,1012.1,828.18,2154.32,8
HCPCS,C1876,HC STENT PALMAZ GENESHCS 10X60X135,3540.6,1239.21,1014.03,2637.75,8
HCPCS,C1876,HC STENT PALMAZ GENESHCS 10X60X80,3540.6,1239.21,1014.03,2637.75,8
HCPCS,C1876,HC STENT PALMAZ GENESHCS 10X80X135,3540.6,1239.21,1014.03,2637.75,8
HCPCS,C1876,HC STENT PALMAZ GENESHCS 10X80X80,3540.6,1239.21,1014.03,2637.75,8
HCPCS,C1876,HC STENT PERIPH EVRFLX 035X5X40,4173.62,1460.77,1195.32,3109.35,8
HCPCS,C1876,HC STENT PERIPH EVRFLX 035X5X60,4173.62,1460.77,1195.32,3109.35,8
HCPCS,C1876,HC STENT PERIPH EVRFLX 035X5X80,4173.62,1460.77,1195.32,3109.35,8
HCPCS,C1876,HC STENT PERIPH EVRFLX 035X6X60,4559.5,1595.83,1305.84,3396.83,8
HCPCS,C1876,HC STENT PERIPH EVRFLX 035X6X80,4559.5,1595.83,1305.84,3396.83,8
HCPCS,C1876,HC STENT PERIPH EVRFLX 035X7X100,5276.25,1846.69,1511.12,3930.81,8
HCPCS,C1876,HC STENT PERIPH EVRFLX 035X7X40,4559.5,1595.83,1305.84,3396.83,8
HCPCS,C1876,HC STENT PERIPH EVRFLX 035X7X60,4559.5,1595.83,1305.84,3396.83,8
HCPCS,C1876,HC STENT PERIPH EVRFLX 035X7X80,4559.5,1595.83,1305.84,3396.83,8
HCPCS,C1876,HC STENT PERIPH EVRFLX 035X8X40,4559.5,1595.83,1305.84,3396.83,8
HCPCS,C1876,HC STENT PERIPH EVRFLX 035X8X60,4559.5,1595.83,1305.84,3396.83,8
HCPCS,C1876,HC STENT PERIPH EVRFLX 035X8X80,4559.5,1595.83,1305.84,3396.83,8
HCPCS,C1876,HC STENT PERIPH EVRFLX 6X100X120,1480.5,518.18,424.02,1102.97,8
HCPCS,C1876,HC STENT PERIPH EVRFLX 6X120X120,1480.5,518.18,424.02,1102.97,8
HCPCS,C1876,HC STENT PERIPH EVRFLX 6X150X120,1480.5,518.18,424.02,1102.97,8
HCPCS,C1876,HC STENT PERIPH EVRFLX 7X120X120,1480.5,518.18,424.02,1102.97,8
HCPCS,C1876,HC STENT PERIPH EVRFLX 7X150X120,1480.5,518.18,424.02,1102.97,8
HCPCS,C1876,HC STENT PERIPH EVRFLX 8X100X120,1480.5,518.18,424.02,1102.97,8
HCPCS,C1876,HC STENT PERIPH EVRFLX 8X120X120,1480.5,518.18,424.02,1102.97,8
HCPCS,C1876,HC STENT PERIPH MISAGO 6X100,2677.5,937.13,766.84,1994.74,8
HCPCS,C1876,HC STENT PERIPH MISAGO 6X120,2677.5,937.13,766.84,1994.74,8
HCPCS,C1876,HC STENT PERIPH MISAGO 6X150,2677.5,937.13,766.84,1994.74,8
HCPCS,C1876,HC STENT PERIPH MISAGO 6X40,2677.5,937.13,766.84,1994.74,8
HCPCS,C1876,HC STENT PERIPH MISAGO 6X60,2677.5,937.13,766.84,1994.74,8
HCPCS,C1876,HC STENT PERIPH MISAGO 6X80,2677.5,937.13,766.84,1994.74,8
HCPCS,C1876,HC STENT PERIPH MISAGO 7X100,2677.5,937.13,766.84,1994.74,8
HCPCS,C1876,HC STENT PERIPH MISAGO 7X120,2677.5,937.13,766.84,1994.74,8
HCPCS,C1876,HC STENT PERIPH MISAGO 7X150,2677.5,937.13,766.84,1994.74,8
HCPCS,C1876,HC STENT PERIPH MISAGO 7X40,2677.5,937.13,766.84,1994.74,8
HCPCS,C1876,HC STENT PERIPH MISAGO 7X60,2677.5,937.13,766.84,1994.74,8
HCPCS,C1876,HC STENT PERIPH MISAGO 7X80,2677.5,937.13,766.84,1994.74,8
HCPCS,C1876,HC STENT PERIPH MISAGO 8X100,2677.5,937.13,766.84,1994.74,8
HCPCS,C1876,HC STENT PERIPH MISAGO 8X40,2677.5,937.13,766.84,1994.74,8
HCPCS,C1876,HC STENT PERIPH MISAGO 8X60,2677.5,937.13,766.84,1994.74,8
HCPCS,C1876,HC STENT PERIPH MISAGO 8X80,2677.5,937.13,766.84,1994.74,8
HCPCS,C1876,HC STENT PERIPH VISI PRO 8X27X080,1417.5,496.13,405.97,1056.04,8
HCPCS,C1876,HC STENT PERIPH VISI PRO 8X37X080,1417.5,496.13,405.97,1056.04,8
HCPCS,C1876,HC STENT PERIPH VISI PRO 8X57X080,1417.5,496.13,405.97,1056.04,8
HCPCS,C1876,HC STENT PERIPH VISI PRO 9X27X080,1417.5,496.13,405.97,1056.04,8
HCPCS,C1876,HC STENT PERIPH VISI PRO 9X37X080,1417.5,496.13,405.97,1056.04,8
HCPCS,C1876,HC STENT PERIPH VISI PRO 9X57X080,1417.5,496.13,405.97,1056.04,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 2.25X13,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 2.25X15,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 2.25X18,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 2.25X20,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 2.25X9,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 2.5X13,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 2.5X15,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 2.5X18,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 2.5X20,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 2.5X22,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 2.5X9,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 2.75X13,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 2.75X15,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 2.75X18,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 2.75X20,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 2.75X22,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 2.75X26,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 2.75X30,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 2.75X9,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 3.5X13,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 3.5X15,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 3.5X18,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 3.5X20,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 3.5X22,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 3.5X26,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 3.5X30,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 3.5X35,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 3.5X9,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 3X13,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 3X15,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 3X18,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 3X20,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 3X22,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 3X26,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 3X30,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 3X9,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 4X13,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 4X15,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 4X18,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 4X20,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 4X22,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 4X26,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 4X30,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 4X35,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PRO KINETIC BMS 4X9,1244.25,435.49,356.35,926.97,8
HCPCS,C1876,HC STENT PROTEGE GPS 10X40X120,2595.6,908.46,743.38,1933.72,8
HCPCS,C1876,HC STENT PROTEGE GPS 10X80X120,2595.6,908.46,743.38,1933.72,8
HCPCS,C1876,HC STENT PROTEGE GPS 12X40X120,2595.6,908.46,743.38,1933.72,8
HCPCS,C1876,HC STENT PROTEGE GPS 12X80X120,2595.6,908.46,743.38,1933.72,8
HCPCS,C1876,HC STENT PROTEGE GPS 14X40X120,2595.6,908.46,743.38,1933.72,8
HCPCS,C1876,HC STENT PROTEGE GPS 14X80X120,2595.6,908.46,743.38,1933.72,8
HCPCS,C1876,HC STENT PROTEGE GPS 9X40X120,2595.6,908.46,743.38,1933.72,8
HCPCS,C1876,HC STENT PROTEGE GPS 9X80X120,2595.6,908.46,743.38,1933.72,8
HCPCS,C1876,HC STENT REBEL BARE OTW 12X2.75,2756.25,964.69,789.39,2053.41,8
HCPCS,C1876,HC STENT REBEL BARE OTW 12X3.00,2756.25,964.69,789.39,2053.41,8
HCPCS,C1876,HC STENT REBEL BARE OTW 12X3.50,2756.25,964.69,789.39,2053.41,8
HCPCS,C1876,HC STENT REBEL BARE OTW 12X4.00,2756.25,964.69,789.39,2053.41,8
HCPCS,C1876,HC STENT REBEL BARE OTW 12X4.50,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT REBEL BARE OTW 16X2.75,2756.25,964.69,789.39,2053.41,8
HCPCS,C1876,HC STENT REBEL BARE OTW 16X3.00,2756.25,964.69,789.39,2053.41,8
HCPCS,C1876,HC STENT REBEL BARE OTW 16X3.50,2756.25,964.69,789.39,2053.41,8
HCPCS,C1876,HC STENT REBEL BARE OTW 16X4.00,2756.25,964.69,789.39,2053.41,8
HCPCS,C1876,HC STENT REBEL BARE OTW 16X4.50,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT REBEL BARE OTW 20X2.75,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT REBEL BARE OTW 20X3.00,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT REBEL BARE OTW 20X3.50,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT REBEL BARE OTW 20X4.00,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT REBEL BARE OTW 20X4.50,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT REBEL BARE OTW 24X2.75,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT REBEL BARE OTW 24X3.00,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT REBEL BARE OTW 24X3.50,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT REBEL BARE OTW 24X4.00,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT REBEL BARE OTW 24X4.50,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT REBEL BARE OTW 28X2.75,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT REBEL BARE OTW 28X3.00,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT REBEL BARE OTW 28X3.50,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT REBEL BARE OTW 28X4.00,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT REBEL BARE OTW 28X4.50,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT REBEL BARE OTW 32X2.75,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT REBEL BARE OTW 32X3.00,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT REBEL BARE OTW 32X3.50,2756.25,964.69,789.39,2053.41,8
HCPCS,C1876,HC STENT REBEL BARE OTW 32X4.00,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT REBEL BARE OTW 32X4.50,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT REBEL BARE OTW 8X2.75,2756.25,964.69,789.39,2053.41,8
HCPCS,C1876,HC STENT REBEL BARE OTW 8X3.00,2756.25,964.69,789.39,2053.41,8
HCPCS,C1876,HC STENT REBEL BARE OTW 8X3.50,2756.25,964.69,789.39,2053.41,8
HCPCS,C1876,HC STENT REBEL BARE OTW 8X4.00,2756.25,964.69,789.39,2053.41,8
HCPCS,C1876,HC STENT RENAL 418 018 5X16,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1876,HC STENT RENAL 418 018 5X20,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1876,HC STENT RENAL 418 018 6X16,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1876,HC STENT RENAL 418 018 6X20,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1876,HC STENT RENAL 418 18 135 6X12L,3326.4,1164.24,952.68,2478.17,8
HCPCS,C1876,HC STENT RX BILI METL UNCOV,4347.0,1521.45,1244.98,3238.52,8
HCPCS,C1876,HC STENT RX BILI METL UNCOV 10X80,5607.0,1962.45,1605.84,4177.22,8
HCPCS,C1876,HC STENT RX BILI METL UNCOV 8X100,5607.0,1962.45,1605.84,4177.22,8
HCPCS,C1876,HC STENT RX BILI METL UNCOV 8X60,5340.0,1869.0,1529.38,3978.3,8
HCPCS,C1876,HC STENT RX BILI METL UNCOV 8X80,5607.0,1962.45,1605.84,4177.22,8
HCPCS,C1876,HC STENT SMART 10X60X80,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT SMART 10X80X80,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT SMART 12X60X80,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT SMART 12X80X80,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT SMART 8X60X80,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT SMART 8X80X80,2835.0,992.25,811.94,2112.08,8
HCPCS,C1876,HC STENT SMART CNTRL 6X80X120,2268.0,793.8,649.56,1689.66,8
HCPCS,C1876,HC STENT STRAIGHT COVERA 10X60,8190.0,2866.5,2345.62,6101.55,8
HCPCS,C1876,HC STENT STRAIGHT COVERA 10X80,8190.0,2866.5,2345.62,6101.55,8
HCPCS,C1876,HC STENT STRAIGHT COVERA 6X40,8190.0,2866.5,2345.62,6101.55,8
HCPCS,C1876,HC STENT STRAIGHT COVERA 6X60,8190.0,2866.5,2345.62,6101.55,8
HCPCS,C1876,HC STENT STRAIGHT COVERA 7X40,8190.0,2866.5,2345.62,6101.55,8
HCPCS,C1876,HC STENT STRAIGHT COVERA 8X40,8190.0,2866.5,2345.62,6101.55,8
HCPCS,C1876,HC STENT STRAIGHT COVERA 8X60,8190.0,2866.5,2345.62,6101.55,8
HCPCS,C1876,HC STENT STRAIGHT COVERA 9X60,8190.0,2866.5,2345.62,6101.55,8
HCPCS,C1876,HC STENT STRAIGHT FLAIR,4410.0,1543.5,1263.02,3285.45,8
HCPCS,C1876,HC STENT SUPERA 4.5X060X120 6F,5654.25,1978.99,1619.38,4212.42,8
HCPCS,C1876,HC STENT SUPERA 4.5X080X120 6F,5654.25,1978.99,1619.38,4212.42,8
HCPCS,C1876,HC STENT SUPERA 4.5X100X120 6F,5654.25,1978.99,1619.38,4212.42,8
HCPCS,C1876,HC STENT SUPERA 4.5X120X120 6F,4252.5,1488.38,1217.92,3168.11,8
HCPCS,C1876,HC STENT SUPERA 4.5X30X120 6F,4252.5,1488.38,1217.92,3168.11,8
HCPCS,C1876,HC STENT SUPERA 4.5X40X120 6F,4252.5,1488.38,1217.92,3168.11,8
HCPCS,C1876,HC STENT SUPERA 5.0X100X120 6F,4252.5,1488.38,1217.92,3168.11,8
HCPCS,C1876,HC STENT SUPERA 5.0X120X120 6F,4252.5,1488.38,1217.92,3168.11,8
HCPCS,C1876,HC STENT SUPERA 5.0X30X120 6F,4252.5,1488.38,1217.92,3168.11,8
HCPCS,C1876,HC STENT SUPERA 5.0X40X120 6F,4252.5,1488.38,1217.92,3168.11,8
HCPCS,C1876,HC STENT SUPERA 5.0X60X120 6F,4252.5,1488.38,1217.92,3168.11,8
HCPCS,C1876,HC STENT SUPERA 5.0X80X120 6F,4252.5,1488.38,1217.92,3168.11,8
HCPCS,C1876,HC STENT SUPERA 5.5X150X120 6F,4252.5,1488.38,1217.92,3168.11,8
HCPCS,C1876,HC STENT SUPERA 5.5X30X120 6F,4252.5,1488.38,1217.92,3168.11,8
HCPCS,C1876,HC STENT SUPERA 5.5X80X120 6F,5654.25,1978.99,1619.38,4212.42,8
HCPCS,C1876,HC STENT SUPERA 6.0X100X120,4252.5,1488.38,1217.92,3168.11,8
HCPCS,C1876,HC STENT SUPERA 6.0X120X120,4252.5,1488.38,1217.92,3168.11,8
HCPCS,C1876,HC STENT SUPERA 6.0X150X120,4252.5,1488.38,1217.92,3168.11,8
HCPCS,C1876,HC STENT SUPERA 6.0X30X120 6F,4252.5,1488.38,1217.92,3168.11,8
HCPCS,C1876,HC STENT SUPERA 6.0X40X120 6F,4252.5,1488.38,1217.92,3168.11,8
HCPCS,C1876,HC STENT SUPERA 6.0X60X120 6F,4252.5,1488.38,1217.92,3168.11,8
HCPCS,C1876,HC STENT SUPERA 6.0X80X120 6F,4252.5,1488.38,1217.92,3168.11,8
HCPCS,C1876,HC STENT SUPERA 6.5X120X120 6F,5654.25,1978.99,1619.38,4212.42,8
HCPCS,C1876,HC STENT SUPERA 6.5X150X120,4252.5,1488.38,1217.92,3168.11,8
HCPCS,C1876,HC STENT SUPERA 6.5X30X120,4252.5,1488.38,1217.92,3168.11,8
HCPCS,C1876,HC STENT TRANSHEPATIC UNCOVERED,4515.0,1580.25,1293.1,3363.68,8
HCPCS,C1876,HC STENT UNIPLS TRACH 6X40X9F,2538.9,888.62,727.14,1891.48,8
HCPCS,C1876,HC STENT UNIPLS TRACH16X60X10F100,3307.5,1157.63,947.27,2464.09,8
HCPCS,C1876,HC STENT UNIPLS TRACH16X90X10F100,3307.5,1157.63,947.27,2464.09,8
HCPCS,C1876,HC STENT UNIPLS TRACH18X40X10F,2822.4,987.84,808.34,2102.69,8
HCPCS,C1876,HC STENT UNIPLS TRACH18X60X11F100,3307.5,1157.63,947.27,2464.09,8
HCPCS,C1876,HC STENT UNIPLS TRACH18X90X11F100,3307.5,1157.63,947.27,2464.09,8
HCPCS,C1876,HC STENT UNIPLS TRACH20X55X11F100,3307.5,1157.63,947.27,2464.09,8
HCPCS,C1876,HC STENT UNIPLS TRACH20X80X11F100,3307.5,1157.63,947.27,2464.09,8
HCPCS,C1876,HC STENT UNIPLS TRACH22X45X10F,2822.4,987.84,808.34,2102.69,8
HCPCS,C1876,HC STENT UNIPLS TRACH24X45X12F100,3307.5,1157.63,947.27,2464.09,8
HCPCS,C1876,HC STENT VASC SFA 6X60X130,3465.0,1212.75,992.38,2581.43,8
HCPCS,C1876,HC STENT VASC SFA 6X80X130,4410.0,1543.5,1263.02,3285.45,8
HCPCS,C1876,HC STENT VASC SFA 7X40X130,4410.0,1543.5,1263.02,3285.45,8
HCPCS,C1876,HC STENT VASC SFA 7X60X130,4410.0,1543.5,1263.02,3285.45,8
HCPCS,C1876,HC STENT VASC SFA 7X80X130,4410.0,1543.5,1263.02,3285.45,8
HCPCS,C1876,HC STENT VIABAHN BX 10X29X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 10X39X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 10X39X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 10X59X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 10X59X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 10X79X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 10X79X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 11X29X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 11X29X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 11X39X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 11X39X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 11X59X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 11X59X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 11X79X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 11X79X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 5X15X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 5X15X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 5X19X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 5X19X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 5X29X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 5X29X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 5X39X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 5X39X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 5X59X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 5X59X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 5X79X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 5X79X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 6X15X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 6X15X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 6X19X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 6X19X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 6X29X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 6X29X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 6X39X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 6X39X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 6X59X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 6X59X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 6X79X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 6X79X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 7X15X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 7X15X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 7X19X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 7X19X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 7X29X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 7X29X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 7X39X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 7X59X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 7X79X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 8LX29X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 8LX29X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 8LX39X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 8LX59X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 8LX79X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 8X29X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 8X39X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 8X39X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 8X59X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 8X79X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 8X79X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 9X29X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 9X39X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 9X59X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 9X59X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 9X79X135,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT VIABAHN BX 9X79X80,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1876,HC STENT WALL 22X70X11X75X100,2798.37,979.43,801.45,2084.79,8
HCPCS,C1876,HC STENT WALL 24X70X12X75X100,2798.37,979.43,801.45,2084.79,8
HCPCS,C1876,HC STENT WALL ENT NG10F 20X60X230,7009.5,2453.33,2007.52,5222.08,8
HCPCS,C1876,"HC STENT, MICRO DRIVER",2570.4,899.64,736.16,1914.95,8
HCPCS,C1876,"HC STENT, MINI VISION",2945.25,1030.84,843.52,2194.21,8
HCPCS,C1876,HC SUPERA VERITAS STENT 5 X 100,5654.25,1978.99,1619.38,4212.42,8
HCPCS,C1876,HC SUPERA VERITAS STENT 5 X 120,5654.25,1978.99,1619.38,4212.42,8
HCPCS,C1876,HC SUPERA VERITAS STENT 5 X 40,5239.5,1833.83,1500.59,3903.43,8
HCPCS,C1876,HC SUPERA VERITAS STENT 5 X 60,5654.25,1978.99,1619.38,4212.42,8
HCPCS,C1876,HC SUPERA VERITAS STENT 5 X 80,5565.0,1947.75,1593.82,4145.93,8
HCPCS,C1876,HC SUPERA VERITAS STENT 6 X 100,5654.25,1978.99,1619.38,4212.42,8
HCPCS,C1876,HC SUPERA VERITAS STENT 6 X 120,6195.0,2168.25,1774.25,4615.28,8
HCPCS,C1876,HC SUPERA VERITAS STENT 6 X 40,5654.25,1978.99,1619.38,4212.42,8
HCPCS,C1876,HC SUPERA VERITAS STENT 6 X 60,5654.25,1978.99,1619.38,4212.42,8
HCPCS,C1876,HC SUPERA VERITAS STENT 6 X 80,5565.0,1947.75,1593.82,4145.93,8
HCPCS,C1876,HC SYS TACK 4F 1.5-4.5 CATH 135,8804.25,3081.49,2521.54,6559.17,8
HCPCS,C1876,HC SYS TACK 6F 4.0-8.0 CATH 135,6284.25,2199.49,1799.81,4681.77,8
HCPCS,C1876,HC WIRE PROWATERFLEX 180,299.25,104.74,85.71,222.94,8
HCPCS,C1876,HC WIRE PROWATERFLEX 300,299.25,104.74,85.71,222.94,8
HCPCS,C1876,HC XPERT STENT,3694.95,1293.24,1058.23,2752.74,8
HCPCS,C1877,HC STENT CRNRY INT OTW 3.00X12,1559.25,545.74,446.57,1161.64,8
HCPCS,C1877,HC STENT CRNRY INT OTW 3.00X15,1559.25,545.74,446.57,1161.64,8
HCPCS,C1877,HC STENT CRNRY INT OTW 3.00X18,1559.25,545.74,446.57,1161.64,8
HCPCS,C1877,HC STENT CRNRY INT OTW 3.00X22,1559.25,545.74,446.57,1161.64,8
HCPCS,C1877,HC STENT CRNRY INT OTW 3.00X30,1559.25,545.74,446.57,1161.64,8
HCPCS,C1877,HC STENT CRNRY INT OTW 3.50X09,1559.25,545.74,446.57,1161.64,8
HCPCS,C1877,HC STENT CRNRY INT OTW 3.50X12,1559.25,545.74,446.57,1161.64,8
HCPCS,C1877,HC STENT CRNRY INT OTW 3.50X15,1559.25,545.74,446.57,1161.64,8
HCPCS,C1877,HC STENT CRNRY INT OTW 3.50X18,1559.25,545.74,446.57,1161.64,8
HCPCS,C1877,HC STENT CRNRY INT OTW 3.50X22,1559.25,545.74,446.57,1161.64,8
HCPCS,C1877,HC STENT CRNRY INT OTW 3.50X30,1559.25,545.74,446.57,1161.64,8
HCPCS,C1877,HC STENT CRNRY INT OTW 4.00X09,1559.25,545.74,446.57,1161.64,8
HCPCS,C1877,HC STENT CRNRY INT OTW 4.00X12,1559.25,545.74,446.57,1161.64,8
HCPCS,C1877,HC STENT CRNRY INT OTW 4.00X15,1559.25,545.74,446.57,1161.64,8
HCPCS,C1877,HC STENT CRNRY INT OTW 4.00X18,1559.25,545.74,446.57,1161.64,8
HCPCS,C1877,HC STENT CRNRY INT OTW 4.00X22,1559.25,545.74,446.57,1161.64,8
HCPCS,C1877,HC STENT CRNRY INT OTW 4.00X30,1559.25,545.74,446.57,1161.64,8
HCPCS,C1877,HC STENT CRNRY INT OTW MULTI SIZES,2079.84,727.95,595.67,1549.48,8
HCPCS,C1877,HC STENT ESOPH DUO UNCV 22X27X12D,6570.9,2299.82,1881.91,4895.32,8
HCPCS,C1877,HC STENT ESOPH DUO UNCV 22X27X9D,6570.9,2299.82,1881.91,4895.32,8
HCPCS,C1877,HC STENT ESOPH EVO 20X25X12.5E,4769.1,1669.19,1365.87,3552.98,8
HCPCS,C1877,HC STENT ESOPH UFLX UCOV DIS18X10,6698.48,2344.47,1918.44,4990.37,8
HCPCS,C1877,HC STENT ESOPH UFLX UCOV DIS18X20,6698.48,2344.47,1918.44,4990.37,8
HCPCS,C1878,Matrl for vocal cord,,,352.64,352.64,1
HCPCS,C1880,HC FLTR JUGULAR BIRDS NEST 11FX75,2404.5,841.58,688.65,1791.35,8
HCPCS,C1880,HC SYS G2 EXP JUG DEL KIT,2625.0,918.75,751.8,1955.63,8
HCPCS,C1880,HC SYS G2 FILTER DEL KIT,2520.0,882.0,721.73,1877.4,8
HCPCS,C1880,HC SYS IVC FLTR CV30 70X5F,2756.25,964.69,789.39,2053.41,8
HCPCS,C1880,HC VENA CAVA FILTER,2509.5,878.33,718.72,1869.58,8
HCPCS,C1881,Dialysis access system,,,358.42,358.42,1
HCPCS,C1882,HC AICD NOT SNG/DUAL CRT VIVA,46830.0,16390.5,13412.11,34888.35,16
HCPCS,C1882,"HC AICD, CONTAK RENEWAL TR",21000.0,7350.0,6014.4,15645.0,8
HCPCS,C1882,"HC AICD, OTHER THAN SING/DUAL",46620.0,16317.0,13351.97,34731.9,8
HCPCS,C1882,HC CRT D 40 QUADRA,44730.0,15655.5,12810.67,33323.85,16
HCPCS,C1882,HC CRT D 40 QUADRA ASSR DF4,44730.0,15655.5,12810.67,33323.85,8
HCPCS,C1882,HC CRT D 40 QUADRA ASSR NXT,45255.0,15839.25,12961.03,33714.98,8
HCPCS,C1882,HC CRT D 40 QUADRA ASSR NXT DF4,45255.0,15839.25,12961.03,33714.98,8
HCPCS,C1882,HC CRT D 40 UNIFY ASSR,41790.0,14626.5,11968.66,31133.55,16
HCPCS,C1882,HC CRT D 40 UNIFY ASSR DF4,41790.0,14626.5,11968.66,31133.55,8
HCPCS,C1882,HC CRT D 40 UNIFY ASSR NXT,42315.0,14810.25,12119.02,31524.68,8
HCPCS,C1882,HC CRT D 40 UNIFY ASSR NXT DF4,42315.0,14810.25,12119.02,31524.68,8
HCPCS,C1882,HC CRT D 40J UNIFY,41790.0,14626.5,11968.66,31133.55,8
HCPCS,C1882,HC CRT D 40J W SJ4 CONN,41790.0,14626.5,11968.66,31133.55,8
HCPCS,C1882,HC CRT D ASSURA QUAD MP,45622.5,15967.88,13066.28,33988.76,16
HCPCS,C1882,HC CRT D ASSURA QUAD MP MRLD,46147.5,16151.63,13216.64,34379.89,16
HCPCS,C1882,HC CRT D CBLT HF QD MRI IS4 DF4,36248.625,12687.02,9021.6,30542.95,16
HCPCS,C1882,HC CRT D COBALT XT HF DF1 HCS1,43493.18,15222.62,12456.45,32402.42,8
HCPCS,C1882,HC CRT D COBALT XT HF DF4 HCS1,43493.18,15222.62,12456.45,32402.42,8
HCPCS,C1882,HC CRT D COBALT XT HF Q DF1 HCS4,44687.01,15640.46,12798.36,33291.82,8
HCPCS,C1882,HC CRT D COBALT XT HF Q DF4 HCS4,44687.01,15640.46,12798.36,33291.82,8
HCPCS,C1882,HC CRT D COGNIS RF HE IS1,41790.0,14626.5,11968.66,31133.55,8
HCPCS,C1882,HC CRT D COGNIS RF HE LV1,41790.0,14626.5,11968.66,31133.55,8
HCPCS,C1882,HC CRT D COMPIA MRI QUAD D,45570.0,15949.5,13051.25,33949.65,8
HCPCS,C1882,HC CRT D DYNAGEN,41790.0,14626.5,11968.66,31133.55,16
HCPCS,C1882,HC CRT D DYNAGEN X4 DF4,42525.0,14883.75,12179.16,31681.13,8
HCPCS,C1882,HC CRT D ENERGEN RF HE,41790.0,14626.5,11968.66,31133.55,8
HCPCS,C1882,HC CRT D INCEPTA RF HE,41790.0,14626.5,11968.66,31133.55,16
HCPCS,C1882,HC CRT D INCEPTA RF HE DF4,41790.0,14626.5,11968.66,31133.55,8
HCPCS,C1882,HC CRT D INOGEN X4,41790.0,14626.5,11968.66,31133.55,16
HCPCS,C1882,HC CRT D LIVIAN HE IS1,41790.0,14626.5,11968.66,31133.55,8
HCPCS,C1882,HC CRT D LIVIAN HE LV1,41790.0,14626.5,11968.66,31133.55,8
HCPCS,C1882,HC CRT D LIVIAN IS1,41790.0,14626.5,11968.66,31133.55,8
HCPCS,C1882,HC CRT D LIVIAN LV1,41790.0,14626.5,11968.66,31133.55,8
HCPCS,C1882,HC CRT D PROMOTE+RF 36J,41790.0,14626.5,11968.66,31133.55,8
HCPCS,C1882,HC CRT D PROMOTE+RF 36J SJ4,41790.0,14626.5,11968.66,31133.55,8
HCPCS,C1882,HC CRT D PROTECTA D334TRG,41790.0,14626.5,11968.66,31133.55,8
HCPCS,C1882,HC CRT D PROTECTA D334TRM,41790.0,14626.5,11968.66,31133.55,8
HCPCS,C1882,HC CRT D PROTECTA XT D314TRG,41790.0,14626.5,11968.66,31133.55,8
HCPCS,C1882,HC CRT D PROTECTA XT D314TRM,41790.0,14626.5,11968.66,31133.55,8
HCPCS,C1882,HC CRT D UNIFY QUADRA,44730.0,15655.5,12810.67,33323.85,8
HCPCS,C1882,HC CRT D UNIFY QUADRA DF4 CONN,44730.0,15655.5,12810.67,33323.85,8
HCPCS,C1882,HC CRT D VIGILANTX4 IS1 DF4 IS4,33925.5,11873.93,9716.26,25274.5,8
HCPCS,C1882,HC CRT D VIVA S DTBB1D4,42315.0,14810.25,12119.02,31524.68,8
HCPCS,C1882,HC CRT D VIVA XT DTBA1D1,44415.0,15545.25,12720.46,33089.18,8
HCPCS,C1882,HC CRT D VIVA XT DTBA1D4,44415.0,15545.25,12720.46,33089.18,8
HCPCS,C1882,HC CRT P QUADRA ALLURE MP PCR,26775.0,9371.25,7668.36,19947.38,8
HCPCS,C1882,HC CRT P VISIONIST X4,19089.0,6681.15,5467.09,14221.31,8
HCPCS,C1882,HC CRTD DTMA1D4 CLARIA MRI US DF4,39902.0,13965.7,11427.93,29726.99,8
HCPCS,C1882,HC CRTD DTMA1QQ  CLARIA MRI US DF4,40997.25,14349.04,11741.61,30542.95,8
HCPCS,C1882,HC I CRT D MOMENTUM IS 1 DF 1 IS 1,34870.5,12204.68,9986.91,25978.52,8
HCPCS,C1882,HC I CRT D MOMENTUM IS 1 DF4 IS 1,34173.3,11960.66,9787.23,25459.11,8
HCPCS,C1882,HC I CRT D RESONATE HF X4 DF4,32546.0,11391.1,9321.17,24246.77,8
HCPCS,C1882,HC I CRT D RESONATE X4 IS 1 DF4 IS4,32546.0,11391.1,9321.17,24246.77,8
HCPCS,C1882,HC I PCMKR ICD HF UMRI MY,39165.0,13707.75,11216.86,29177.93,8
HCPCS,C1882,HC ICD COBALT DR,38131.94,13346.18,10920.99,28408.3,8
HCPCS,C1882,HC ICD COBALT DR DF4,38131.94,13346.18,10920.99,28408.3,8
HCPCS,C1882,HC ICD IMPLANT,41790.0,14626.5,11968.66,31133.55,16
HCPCS,C1882,HC ICD VIGILANT EL D233 DF4 DR,33193.13,11617.6,9506.51,24728.88,8
HCPCS,C1882,HC MOMENTUM EL ICD DF-1 DR,34374.38,12031.04,9844.82,25608.91,8
HCPCS,C1882,HC PCMKR ACCOLADE MRI DR IS 1,10584.0,3704.4,3031.26,7885.08,8
HCPCS,C1882,HC SICD EMBLEM MRI,37800.0,13230.0,10825.92,28161.0,8
HCPCS,C1883,"Adapt/ext, pacing/neuro lead",,,49.41,49.41,1
HCPCS,C1884,HC 4.0 SPIDER RX,3137.475,1098.12,751.5,2720.0,16
HCPCS,C1884,HC CATH EMBOSHIELD NAV6,5208.0,1822.8,1491.57,3879.96,8
HCPCS,C1884,HC DEVICE SPIDRVX PROTC 50SGLHOOP,3885.0,1359.75,1112.66,2894.33,8
HCPCS,C1884,HC DEVICE SPIDRVX PROTC 60SGLHOOP,3885.0,1359.75,1112.66,2894.33,8
HCPCS,C1884,HC DEVICE SPIDRVX PROTC 70SGLHOOP,3885.0,1359.75,1112.66,2894.33,8
HCPCS,C1884,HC PLUG EMBOZENE 100 1ML,551.25,192.94,157.88,410.68,8
HCPCS,C1884,HC PLUG EMBOZENE 1300 1ML,551.25,192.94,157.88,410.68,8
HCPCS,C1884,HC PLUG EMBOZENE 250 1ML,551.25,192.94,157.88,410.68,8
HCPCS,C1884,HC PLUG EMBOZENE 40 1ML,551.25,192.94,157.88,410.68,8
HCPCS,C1884,HC PLUG EMBOZENE 75 1ML,551.25,192.94,157.88,410.68,8
HCPCS,C1884,HC SPIDER FX FILTER 3.0 & 5.0,3254.475,1139.07,751.5,2894.33,16
HCPCS,C1884,HC SYS PROXIS EMBOLIC PROTCT 7F,1186.08,415.13,339.69,883.63,8
HCPCS,C1884,HC WIRE FLTR EMBOLIC EZ,4351.2,1522.92,1246.18,3241.64,8
HCPCS,C1885,HC CATH LASER 1.7,5790.0,2026.5,766.61,4313.55,5
HCPCS,C1885,HC CATH LASER AURY 0.9,5990.0,2096.5,766.61,4462.55,5
HCPCS,C1885,HC CATH LASER AURY 1.5,5990.0,2096.5,766.61,4462.55,5
HCPCS,C1885,HC CATH LASER AURY LNR VAC TB 2.0,6790.0,2376.5,766.61,5058.55,5
HCPCS,C1885,HC CATH LASER AURY LNR VAC TB 2.35,6790.0,2376.5,766.61,5058.55,5
HCPCS,C1885,HC CATH LASER RADIAL 0.9,6590.0,2306.5,766.61,4909.55,5
HCPCS,C1885,HC CATH LASER RADIAL 1.5,6590.0,2306.5,766.61,4909.55,5
HCPCS,C1886,HC CATH CRYOBALLOON PEAR FOCAL,8480.0,2968.0,2428.67,6317.6,5
HCPCS,C1886,HC CATH CRYOBALLOON STD FOCAL,4200.0,1470.0,1202.88,3390.8,5
HCPCS,C1886,HC MICROWAVE ANTENNA,4200.0,1470.0,1202.88,3390.8,5
HCPCS,C1887,HC ANGIODYNAM PIGTAIL CATH 150CM,52.42,18.35,15.01,75.88,5
HCPCS,C1887,HC CATH 5F JL 3,26.88,9.41,7.7,75.88,5
HCPCS,C1887,HC CATH 5F VTK,140.3,49.11,40.18,104.52,5
HCPCS,C1887,HC CATH 6F JR4 55CM,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH ACCUVU STR FLUSH 70,403.2,141.12,75.88,300.38,5
HCPCS,C1887,HC CATH ANG TAPER 1.70MM,163.13,57.1,46.72,121.53,5
HCPCS,C1887,HC CATH ANG WRLY CRNRY STD 5FX.75,319.2,111.72,75.88,237.8,5
HCPCS,C1887,HC CATH ANG WRLY CS HK 038X5FX.75,336.0,117.6,75.88,250.32,5
HCPCS,C1887,HC CATH ANG WRLY CS VRT 038X5FX.75,302.4,105.84,75.88,225.29,5
HCPCS,C1887,HC CATH ANGIO JUDKINS IM 4F,84.0,29.4,24.06,75.88,5
HCPCS,C1887,HC CATH ANGIO JUDKINS JL4 4F,40.32,14.12,11.55,75.88,5
HCPCS,C1887,HC CATH ANGIO JUDKINS JR4 4F,40.32,14.12,11.55,75.88,5
HCPCS,C1887,HC CATH ANGIO JUDKINS PIGTAIL 4F,40.32,14.12,11.55,75.88,5
HCPCS,C1887,HC CATH ANGLE PIGTAIL 155 6SH,31.92,11.18,9.14,75.88,5
HCPCS,C1887,HC CATH ASAHI CORSAIR PRO XS 135,2040.0,714.0,75.88,1519.8,5
HCPCS,C1887,HC CATH ATTAIN 6250V-MP,932.74,326.46,75.88,694.89,5
HCPCS,C1887,HC CATH ATTAIN COMMAND,932.74,326.46,75.88,694.89,5
HCPCS,C1887,HC CATH ATTAIN SELECT 6248V-90,814.46,285.07,75.88,606.77,5
HCPCS,C1887,HC CATH ATTAIN SELECT II,814.46,285.07,75.88,606.77,5
HCPCS,C1887,HC CATH BEACON TIP,204.0,71.4,58.43,151.98,5
HCPCS,C1887,HC CATH BERENSTEIN BRAID 130X5F,200.26,70.1,57.35,149.19,5
HCPCS,C1887,HC CATH BERN 1,211.68,74.09,60.63,157.7,5
HCPCS,C1887,HC CATH BERN SOFT VU 4FX40,73.92,25.88,21.17,75.88,5
HCPCS,C1887,HC CATH BERN SOFT VU 4FX65,59.27,20.75,16.97,75.88,5
HCPCS,C1887,HC CATH CARD AR10 6FX100CM,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH CARD EXPO SELECTIVE WR 5F,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD EXPO SELECTIVE WR 6F,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 5F AL1,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 5F AL2,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 5F AL3,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 5F AR MOD,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 5F FL3.5,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 5F FL4,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 5F FL5 SNGL,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 5F FL6,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 5F FR3.5,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 5F FR4,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 5F FR5 100,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 5F FR5 125,30.07,10.53,8.61,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 5F FR6,30.07,10.53,8.61,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 5F IM,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 5F LCB,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 5F MPA2,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 5F PIG,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 5F RCB,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 5F SON1,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 5F SON2,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 6F AL1,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 6F AL2,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 6F AL3,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 6F AR MOD,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 6F FL3.5,30.07,10.53,8.61,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 6F FL4,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 6F FL5,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 6F FL6,30.07,10.53,8.61,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 6F FR3.5,30.07,10.53,8.61,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 6F FR4,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 6F FR5 100,30.07,10.53,8.61,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 6F FR5 125,30.07,10.53,8.61,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 6F FR6,30.07,10.53,8.61,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 6F IM,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 6F LCB,30.07,10.53,8.61,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 6F MPA2SH,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 6F PIG155,33.1,11.59,9.48,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 6F RCB,30.07,10.53,8.61,75.88,5
HCPCS,C1887,HC CATH CARD IMPULSE 6F SON1,30.07,10.53,8.61,75.88,5
HCPCS,C1887,HC CATH CARD INFINITI TL SRC 5F,154.22,53.98,44.17,114.89,5
HCPCS,C1887,HC CATH CARD INFINITI TL SRC 6FR,31.92,11.18,9.14,75.88,5
HCPCS,C1887,HC CATH CEREBRAL 5FX100 .038 MPA,241.92,84.68,69.29,180.23,5
HCPCS,C1887,HC CATH CEREBRAL 5FX100C .38,163.2,57.12,46.74,121.58,5
HCPCS,C1887,HC CATH COR BYPASS RT CURV,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH DIREXION 0.02X130,1642.31,574.81,75.88,1223.52,5
HCPCS,C1887,HC CATH DIREXION 105 BERN,1642.31,574.81,75.88,1223.52,5
HCPCS,C1887,HC CATH DIREXION 105 J,1642.31,574.81,75.88,1223.52,5
HCPCS,C1887,HC CATH DIREXION 105 STR,1485.9,520.07,75.88,1107.0,5
HCPCS,C1887,HC CATH DIREXION 105 SWAN,1642.31,574.81,75.88,1223.52,5
HCPCS,C1887,HC CATH DIREXION 130 BERN 2RO,1673.58,585.76,75.88,1246.82,5
HCPCS,C1887,HC CATH DIREXION 130 STR,1485.9,520.07,75.88,1107.0,5
HCPCS,C1887,HC CATH DIREXION 130 STR 2RO,1548.46,541.97,75.88,1153.6,5
HCPCS,C1887,HC CATH DIREXION 155 BERN 2RO,1673.58,585.76,75.88,1246.82,5
HCPCS,C1887,HC CATH DIREXION 155 J,1642.31,574.81,75.88,1223.52,5
HCPCS,C1887,HC CATH DIREXION 155 STR 2RO,1548.46,541.97,75.88,1153.6,5
HCPCS,C1887,HC CATH DIREXION 155 SWAN,1642.31,574.81,75.88,1223.52,5
HCPCS,C1887,HC CATH DIREXION BERN 155,1642.31,574.81,75.88,1223.52,5
HCPCS,C1887,HC CATH DIREXION BERN HI FLO 155,1544.76,540.67,75.88,1150.85,5
HCPCS,C1887,HC CATH DIREXION J HI FLO 155,1544.76,540.67,75.88,1150.85,5
HCPCS,C1887,HC CATH DIREXION J SHAPE,1642.31,574.81,75.88,1223.52,5
HCPCS,C1887,HC CATH DIREXION STR 155,1485.52,519.94,75.88,1106.71,5
HCPCS,C1887,HC CATH DIREXION SWAN 130,1642.31,574.81,75.88,1223.52,5
HCPCS,C1887,HC CATH DIREXION SWAN HI FLO 155,1544.76,540.67,75.88,1150.85,5
HCPCS,C1887,HC CATH FEM AMPLATZ LFT CURV .75,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM AMPLATZ LFT CURV 1,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM AMPLATZ LFT CURV 2,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM AMPLATZ LFT CURV 3,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM AMPLATZ RT CURV 1,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM AMPLATZ RT CURV 1.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM AMPLATZ RT CURV 2,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM HOCKEY STICK CURV,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM INT MAM CUMM CURV 90,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM JUDKINS L SHT TIP 3.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM JUDKINS LFT CURV 3.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM JUDKINS LFT CURV 4,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM JUDKINS LFT CURV 4.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM JUDKINS LFT CURV 5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM JUDKINS LFT CURV 6,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM JUDKINS R CURV 3.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM JUDKINS R CURV 4,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM JUDKINS R CURV 4 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM JUDKINS R CURV 4.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM JUDKINS R CURV 5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM JUDKINS R SHT TIP 4,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM MULTI PURPOSE CURV 2,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM POST R CURV,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM POST R CURV SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM Q CURV 3.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM Q CURV 4,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM Q CURV 4.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM R CURV 3.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM R CURV 3.5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM R CURV 4,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM R CURV 4 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FEM R CURV 4.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH FINE CROSS MG,1512.0,529.2,75.88,1126.44,5
HCPCS,C1887,HC CATH FLUSH 5FX100 .035 PIGBEA,48.0,16.8,13.75,75.88,5
HCPCS,C1887,HC CATH FLUSH 5FX110CM .038 AP2,220.64,77.23,63.19,164.38,5
HCPCS,C1887,HC CATH GLIDE 4F 100 H1 GW .038,163.13,57.1,46.72,121.53,5
HCPCS,C1887,HC CATH GLIDE 4F 65L ANGGWIR0.038,163.13,57.1,46.72,121.53,5
HCPCS,C1887,HC CATH GLIDE 4F 68L ST GWIR0.038,163.13,57.1,46.72,121.53,5
HCPCS,C1887,HC CATH GLIDE 4F 70L ST GWIR0.038,163.13,57.1,46.72,121.53,5
HCPCS,C1887,HC CATH GLIDE 4F 74L ST GWIR0.038,163.13,57.1,46.72,121.53,5
HCPCS,C1887,HC CATH GLIDE 4F 75 S3 GW .038,163.13,57.1,46.72,121.53,5
HCPCS,C1887,HC CATH GLIDE 4F ANG 150,32.62,11.42,9.34,75.88,5
HCPCS,C1887,HC CATH GLIDE 4F L100 C2 GW .038,163.13,57.1,46.72,121.53,5
HCPCS,C1887,HC CATH GLIDE 4F L100 S1 GW .038,163.13,57.1,46.72,121.53,5
HCPCS,C1887,HC CATH GLIDE 4F L65 C1 GW .038,163.13,57.1,46.72,121.53,5
HCPCS,C1887,HC CATH GLIDE 4F PV MLTI CRV 150,32.62,11.42,9.34,75.88,5
HCPCS,C1887,HC CATH GLIDE 4F STR 100,32.62,11.42,9.34,75.88,5
HCPCS,C1887,HC CATH GLIDE 4F STR 150,32.62,11.42,9.34,75.88,5
HCPCS,C1887,HC CATH GLIDE 5F100L C2 GWIR0.038,163.13,57.1,46.72,121.53,5
HCPCS,C1887,HC CATH GLIDE ANG 5F P 100,32.76,11.47,9.38,75.88,5
HCPCS,C1887,HC CATH GLIDE HYDROPHILIC 4FX135,180.8,63.28,51.78,134.7,5
HCPCS,C1887,HC CATH GLIDE HYDROPHILIC 4FX150,180.8,63.28,51.78,134.7,5
HCPCS,C1887,HC CATH GLIDE HYDROPHILIC 5FX125,180.8,63.28,51.78,134.7,5
HCPCS,C1887,HC CATH GLIDE MODIFIED PIGTAIL 4FX150,164.64,57.63,47.15,122.66,5
HCPCS,C1887,HC CATH GLIDE STR 5F P 100,32.76,11.47,9.38,75.88,5
HCPCS,C1887,HC CATH GLIDE STR 5F P 150,32.76,11.47,9.38,75.88,5
HCPCS,C1887,HC CATH GUIDE 6F VODA LFT 3.5,206.24,72.19,59.07,153.65,5
HCPCS,C1887,HC CATH GUIDE 6F VODA LFT 4.0,206.24,72.19,59.07,153.65,5
HCPCS,C1887,HC CATH GUIDE AL1 90CM 8F,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE AL2 90CM 8F,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE AR1 90CM 8F,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE AR2 90CM 8F,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE BRITE TIP,176.0,61.6,50.41,131.12,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F AL.75,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F AL1,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F AL1.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F AL2,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F AL3,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F AR1,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F AR2,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F ART3,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F ART3.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F ART3.75,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F ART4,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F ART4.25,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F ART4.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F CLS3,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F CLS3.25,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F CLS3.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F CLS3.75,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F CLS4,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F CLS4.25,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F CLS4.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F FCL3,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F FCL3.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F FCL4,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F FCL4.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F FCL5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F FL3,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F FL3.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F FL4,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F FL4.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F FL5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F FL6,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F FR3,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F FR3.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F FR4,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F FR4.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F FR5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F FR6,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F HS,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F IM,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F JL3,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F JL3.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F JL4,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F JL4.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F JL5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F JL6,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F JR3,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F JR3.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F JR4,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F JR4.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F JR5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F JR6,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F KIMNY,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F LCB,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F LFT BU3,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F LFT BU3.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F LFT BU4,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F LFT BU4.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F LFT BU5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F LFTBU3.25,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F LFTBU3.75,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F LFTBU4.25,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F LFTBU4.75,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F MPA,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F RADIAL,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F RB,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F RBL3.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F RBL4,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F RBL4.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F RBR3,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F RBR3.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F RBR4,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F RC3.5 SC,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F RC4 SC,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F RC5 SC,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F RCB,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F TIG3,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F TIG3.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F TIG4,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F TIG4.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 5F TIG5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F AL.75,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F AL.75 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F AL1,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F AL1 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F AL1.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F AL1.5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F AL2,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F AL2 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F AL3,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F AL3 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F AR1,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F AR1 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F AR2,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F AR2 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F ART3,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F ART3 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F ART3.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F ART3.5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F ART3.75,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F ART4,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F ART4 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F ART4.25,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F ART4.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F ART4.5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F CLS3,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F CLS3 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F CLS3.25,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F CLS3.5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F CLS3.75,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F CLS4,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F CLS4 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F CLS4.25,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F CLS4.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F CLS4.5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F FL3,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F FL3 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F FL3.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F FL3.5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F FL4,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F FL4 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F FL4.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F FL4.5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F FL5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F FL5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F FL6,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F FL6 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F FR3,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F FR3 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F FR3.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F FR3.5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F FR4,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F FR4 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F FR4.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F FR4.5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F FR5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F FR5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F FR6,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F FR6 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F HS,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F HS SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F IM,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F IM SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F JL3,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F JL3 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F JL3.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F JL3.5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F JL4,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F JL4 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F JL4.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F JL4.5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F JL5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F JL5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F JL6,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F JL6 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F JR3,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F JR3 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F JR3.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F JR3.5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F JR4,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F JR4 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F JR4.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F JR4.5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F JR5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F JR5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F JR6,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F JR6 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F KIMNY SH,134.4,47.04,38.49,100.13,10
HCPCS,C1887,HC CATH GUIDE CONVEY 6F LCB,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F LT BU3,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F LT BU3 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F LT BU3.25,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F LT BU3.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F LT BU3.75,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F LT BU4,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F LT BU4 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F LT BU4.25,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F LT BU4.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F LT BU5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F LT BU5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F MPA,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F MPA SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F RADIAL,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F RADIAL SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F RB,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F RB SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F RBL3.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F RBL3.5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F RBL4,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F RBL4 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F RBL4.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F RBL4.5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F RBR3,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F RBR3 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F RBR3.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F RBR3.5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F RBR4,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F RBR4 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F RC3.5 SC,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F RC4 SC,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F RC4 SC SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F RC5 SC,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F RC5 SC SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F RCB,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F RCB SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F TIG3,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F TIG3 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F TIG3.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F TIG3.5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F TIG4,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F TIG4 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F TIG4.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F TIG4.5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F TIG5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6F TIG5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6FCLS3.25 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6FCLS3.5,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6FCLS3.75 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6FCLS4.25 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 6FLTBU3.25SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY 7F AL 2 SH,127.68,44.69,36.57,95.12,5
HCPCS,C1887,HC CATH GUIDE CONVEY 7F AL.75 SH,127.68,44.69,36.57,95.12,5
HCPCS,C1887,HC CATH GUIDE CONVEY 8F AL 1 SH,127.68,44.69,36.57,95.12,5
HCPCS,C1887,HC CATH GUIDE CONVEY 8F AL 1.0,127.68,44.69,36.57,95.12,5
HCPCS,C1887,HC CATH GUIDE CONVEY 8F AL 1.5,127.68,44.69,36.57,95.12,5
HCPCS,C1887,HC CATH GUIDE CONVEY 8F AL 1.5 SH,127.68,44.69,36.57,95.12,5
HCPCS,C1887,HC CATH GUIDE CONVEY 8F AL 2 SH,127.68,44.69,36.57,95.12,5
HCPCS,C1887,HC CATH GUIDE CONVEY 8F AL 3,127.68,44.69,36.57,95.12,5
HCPCS,C1887,HC CATH GUIDE CONVEY 8F AL 3 SH,127.68,44.69,36.57,95.12,5
HCPCS,C1887,HC CATH GUIDE CONVEY 8F AL.75,127.68,44.69,36.57,95.12,5
HCPCS,C1887,HC CATH GUIDE CONVEY 8F AL.75 SH,127.68,44.69,36.57,95.12,5
HCPCS,C1887,HC CATH GUIDE CONVEY6F ART3.75 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY6F ART4.25 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY6F LT BU4.75,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY6F RC3.5 SCSH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY6FLT BU3.5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY6FLT BU3.75 S,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY6FLT BU4.25SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY6FLT BU4.5 SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE CONVEY6FLT BU4.75SH,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE EBU 3 100CM 5F,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE EBU 3 100CM 7F,84.0,29.4,24.06,75.88,5
HCPCS,C1887,HC CATH GUIDE EBU 3.5 100CM 5F,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE EBU 3.75 100CM 5F,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE EBU 4 100CM 5F,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE EBU 6FX3.75X100,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE EBU 6FX4.5X100,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE EBU 8FX3.5X90,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE EBU 8FX3.75X90,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE EKOS KT TZ 106X12,7455.0,2609.25,75.88,5553.98,5
HCPCS,C1887,HC CATH GUIDE EKOS KT TZ 106X18,7455.0,2609.25,75.88,5553.98,5
HCPCS,C1887,HC CATH GUIDE EKOS KT TZ 106X24,7455.0,2609.25,75.88,5553.98,5
HCPCS,C1887,HC CATH GUIDE EKOS KT TZ 106X30,7455.0,2609.25,75.88,5553.98,5
HCPCS,C1887,HC CATH GUIDE EKOS KT TZ 106X40,7455.0,2609.25,75.88,5553.98,5
HCPCS,C1887,HC CATH GUIDE EKOS KT TZ 106X50,7455.0,2609.25,75.88,5553.98,5
HCPCS,C1887,HC CATH GUIDE EKOS KT TZ 106X6,7455.0,2609.25,75.88,5553.98,5
HCPCS,C1887,HC CATH GUIDE EKOS KT TZ 135X12,7455.0,2609.25,75.88,5553.98,5
HCPCS,C1887,HC CATH GUIDE EKOS KT TZ 135X30,7455.0,2609.25,75.88,5553.98,5
HCPCS,C1887,HC CATH GUIDE EKOS KT TZ 135X40,7455.0,2609.25,75.88,5553.98,5
HCPCS,C1887,HC CATH GUIDE EKOS KT TZ 135X50,7455.0,2609.25,75.88,5553.98,5
HCPCS,C1887,HC CATH GUIDE ELEM 7 17FX13,1542.86,540.01,75.88,1149.43,10
HCPCS,C1887,HC CATH GUIDE ELEM 7 17FX33,1542.86,540.01,75.88,1149.43,5
HCPCS,C1887,HC CATH GUIDE ELEM 7 17FX33 17FX13,1542.86,540.01,75.88,1149.43,5
HCPCS,C1887,HC CATH GUIDE ELEM 7 17FX45,1542.86,540.01,75.88,1149.43,5
HCPCS,C1887,HC CATH GUIDE ELEM 7 17FX65,1542.86,540.01,75.88,1149.43,5
HCPCS,C1887,HC CATH GUIDE ELEM 7 17FX65 17FX13,1542.86,540.01,75.88,1149.43,5
HCPCS,C1887,HC CATH GUIDE ELEMENT 17FX13,2304.0,806.4,75.88,1716.48,5
HCPCS,C1887,HC CATH GUIDE ELEMENT 17FX33,2304.0,806.4,75.88,1716.48,5
HCPCS,C1887,HC CATH GUIDE ELEMENT 17FX45,2304.0,806.4,75.88,1716.48,5
HCPCS,C1887,HC CATH GUIDE ELEMENT 17FX65,2304.0,806.4,75.88,1716.48,5
HCPCS,C1887,HC CATH GUIDE FEM MACH1 AL1 7F,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE FEM MACH1 AR1 7F,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE FEM MACH1 AR2 7F,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE FEM MACH1 JL4 7F,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE FEM MACH1 JL4 SH 7F,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE FEM MACH1 JR4 7F,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE FEM MACH1 JR4 SH 7F,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE FEM RUNWAY KIMNY 6F,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE LANCHER IMA 6FX80,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE LANCHER JL3.5 100CM,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE LANCHER JL4 100CM,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE LANCHER JR3.5 100CM,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE LANCHER JR4 100CM,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE LNCH 5FR AL.75,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 5FR AL1,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 5FR AL1.5,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 5FR AL2,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 5FR AL3,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 5FR AR1,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 5FR AR2,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 6FR AL.75,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 6FR AL1,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 6FR AL1.5,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 6FR AL2,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 6FR AR1,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 6FR AR2,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 6FR EBU3.5,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 6FR EBU4,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 6FR JL3,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 6FR JL3.5,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 6FR JL4,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 6FR JL4.5,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 6FR JL5,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 6FR JR3,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 6FR JR3.5,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 6FR JR4,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 6FR JR4.5,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 6FR JR5,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 6FR MP1,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 6FR MP2,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 7FR AR2,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 7FR EBU 3.75,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 7FR JL3,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 7FR JR3,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH 7FR JR3.5,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH AR10D 90 7F,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH AR20D 90 7F,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH EBU3.0D 90 7F,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH EBU3.5D 90 7F,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH EBU4.0 7F,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH EBU4.0D 90 7F,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH EBU4.5 7F,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH JR4.0 7F,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE LNCH MB1 7F,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE LNCH MB2 7F,128.0,44.8,36.66,95.36,5
HCPCS,C1887,HC CATH GUIDE MACH 1 AL2 8F,127.68,44.69,36.57,95.12,5
HCPCS,C1887,HC CATH GUIDE MINI KIMNEY 6F,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH GUIDE NAVICROSS ANG 135,574.56,201.1,75.88,428.05,5
HCPCS,C1887,HC CATH GUIDE NAVICROSS ANG 150,574.56,201.1,75.88,428.05,10
HCPCS,C1887,HC CATH GUIDE NAVICROSS ANG 90,574.56,201.1,75.88,428.05,5
HCPCS,C1887,HC CATH GUIDE NAVICROSS ANGL 135,574.56,201.1,75.88,428.05,5
HCPCS,C1887,HC CATH GUIDE NAVICROSS ANGL 150,574.56,201.1,75.88,428.05,5
HCPCS,C1887,HC CATH GUIDE NAVICROSS ANGL 65,574.56,201.1,75.88,428.05,5
HCPCS,C1887,HC CATH GUIDE NAVICROSS STR 135,574.56,201.1,75.88,428.05,5
HCPCS,C1887,HC CATH GUIDE NAVICROSS STR 65,574.56,201.1,75.88,428.05,5
HCPCS,C1887,HC CATH GUIDE NAVICROSS STR 90,574.56,201.1,75.88,428.05,5
HCPCS,C1887,HC CATH GUIDE R2P SLND STR 7F 120,954.24,333.99,75.88,710.91,5
HCPCS,C1887,HC CATH GUIDE R2P SLND STR 7F 150,954.24,333.99,75.88,710.91,5
HCPCS,C1887,HC CATH GUIDE RIGHTSITE,843.36,295.18,75.88,628.3,5
HCPCS,C1887,HC CATH GUIDE RUNWAY IM 6FX85,127.68,44.69,36.57,95.12,5
HCPCS,C1887,HC CATH GUIDE SELECTSITE DEFLECT,1751.4,612.99,75.88,1304.79,5
HCPCS,C1887,HC CATH GUIDE SL 6.5F AL0.75 100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 6.5F AL1.0 100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 6.5F AL1.0 ST100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 6.5F JL3.5 100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 6.5F JL3.5 ST100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 6.5F JL4.0 100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 6.5F JL4.0 ST100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 6.5F JR3.5 100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 6.5F JR4.0 100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 6.5F JR4.0 ST100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 6.5F JR5.0 100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 6.5F MP 1.0 100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 6.5F PB 4.0 100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 6.5F PB3.0 100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 6.5F PB3.5 100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 7.5F AL0.75 100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 7.5F AL1.0 100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 7.5F AL1.0 ST100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 7.5F JL3.5 100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 7.5F JL3.5 ST100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 7.5F JL4.0 100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 7.5F JR3.5 100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 7.5F JR4.0 100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 7.5F JR4.0 ST100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 7.5F JR5.0 100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 7.5F PB 4.0 100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 7.5F PB3.0 100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL 7.5F PB3.5 100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE SL76.5F MP 1.0 100,436.8,152.88,75.88,325.42,5
HCPCS,C1887,HC CATH GUIDE TURNPIKE SPIRAL 150CM,1644.0,575.4,75.88,1224.78,5
HCPCS,C1887,HC CATH IKARI LFT,319.2,111.72,75.88,237.8,5
HCPCS,C1887,HC CATH INDIGO STRTIP 6.0X135,4179.0,1462.65,75.88,3113.36,5
HCPCS,C1887,HC CATH INDIGO XT LIGHT TB 7F 130,11781.0,4123.35,75.88,8776.85,5
HCPCS,C1887,HC CATH INDIGO XTRQ TIP 8.0X115,6279.0,2197.65,75.88,4677.86,5
HCPCS,C1887,HC CATH INDINGO 12 100 XTRQ TB,14301.0,5005.35,75.88,10654.25,5
HCPCS,C1887,HC CATH INDINGO 8 115 XTRQ TB,12201.0,4270.35,75.88,9089.75,5
HCPCS,C1887,HC CATH INDINGO KT 3 L LM ASP TB,3208.8,1123.08,75.88,2390.56,5
HCPCS,C1887,HC CATH INDINGO KT 5 L LM ASP TB,3208.8,1123.08,75.88,2390.56,5
HCPCS,C1887,HC CATH INDINGO KT 6 L LM ASP TB,4735.5,1657.43,75.88,3527.95,5
HCPCS,C1887,HC CATH INDINGO KT 8 L LM ASP TB,6835.5,2392.43,75.88,5092.45,10
HCPCS,C1887,HC CATH INDINGO KT RX L LM ASP TB,4074.0,1425.9,75.88,3035.13,5
HCPCS,C1887,HC CATH INTERNAL MAMMARY CURV,134.4,47.04,38.49,100.13,5
HCPCS,C1887,HC CATH KIT ACE REPERF 068 W TUBE,5670.0,1984.5,75.88,4224.15,5
HCPCS,C1887,HC CATH KUMPE 65CM,16.8,5.88,4.81,75.88,5
HCPCS,C1887,HC CATH LNTRN MICRO 115 45 0011,1638.0,573.3,75.88,1220.31,5
HCPCS,C1887,HC CATH LNTRN MICRO 135 45 0011,1638.0,573.3,75.88,1220.31,5
HCPCS,C1887,HC CATH LNTRN MICRO 135 STR 0011,1638.0,573.3,75.88,1220.31,5
HCPCS,C1887,HC CATH LNTRN MICRO 150 45 0011,1638.0,573.3,75.88,1220.31,5
HCPCS,C1887,HC CATH MACH1 VL3 GC 6F,184.8,64.68,52.93,137.68,5
HCPCS,C1887,HC CATH MAR  JB1 5FX130 035 B PG,372.96,130.54,75.88,277.86,5
HCPCS,C1887,HC CATH MAR BERN 5FX130 035 NB PG,372.96,130.54,75.88,277.86,5
HCPCS,C1887,HC CATH MAR SW2 5FX130 038 B PG,372.96,130.54,75.88,277.86,5
HCPCS,C1887,HC CATH MARINER BERENSTEIN 4F 100,171.36,59.98,49.08,127.66,5
HCPCS,C1887,HC CATH MARINER BERENSTEIN 5F 100,171.36,59.98,49.08,127.66,5
HCPCS,C1887,HC CATH MARINER C2 4F 65,171.36,59.98,49.08,127.66,5
HCPCS,C1887,HC CATH MARINER C2 5F 90,171.36,59.98,49.08,127.66,5
HCPCS,C1887,HC CATH MARINER SIM 2 4F 100,171.36,59.98,49.08,127.66,5
HCPCS,C1887,HC CATH MARINER SIM 2 5F 100,171.36,59.98,49.08,127.66,5
HCPCS,C1887,HC CATH MCR CANTA 2.9X027X100,832.0,291.2,75.88,619.84,5
HCPCS,C1887,HC CATH MCR CANTA 2.9X027X110,832.0,291.2,75.88,619.84,5
HCPCS,C1887,HC CATH MCR CANTA DUO 2.5X021X100,896.0,313.6,75.88,667.52,5
HCPCS,C1887,HC CATH MCR CANTA DUO 2.5X021X110,896.0,313.6,75.88,667.52,5
HCPCS,C1887,HC CATH MCR CANTA DUO 2.5X021X135,896.0,313.6,75.88,667.52,5
HCPCS,C1887,HC CATH MCR CANTA DUO 2.5X021X150,896.0,313.6,75.88,667.52,5
HCPCS,C1887,HC CATH MCR CANTA DUO 2.8X025X135,896.0,313.6,75.88,667.52,5
HCPCS,C1887,HC CATH MCR CANTA DUO 2.8X025X150,896.0,313.6,75.88,667.52,5
HCPCS,C1887,HC CATH MICRO DEL PXSLIM .025 130,2227.68,779.69,75.88,1659.62,5
HCPCS,C1887,HC CATH MICRO DEL PXSLIM .025 45,2227.68,779.69,75.88,1659.62,5
HCPCS,C1887,HC CATH MICRO DEL PXSLIM .025 90,2227.68,779.69,75.88,1659.62,5
HCPCS,C1887,HC CATH MICRO DEL PXSLIM STR .025,2227.68,779.69,75.88,1659.62,5
HCPCS,C1887,HC CATH MICRO GLIDE MGX,880.0,308.0,75.88,655.6,5
HCPCS,C1887,HC CATH MICRO LANTERN,1638.0,573.3,75.88,1220.31,5
HCPCS,C1887,HC CATH MICRO NHANCER RX DL LUM,1663.2,582.12,75.88,1239.08,5
HCPCS,C1887,HC CATH MICRO RECRSS DL LUM OTW,2507.4,877.59,75.88,1868.01,5
HCPCS,C1887,HC CATH MICRO SUPERCR 2.4X130 120,1612.8,564.48,75.88,1201.54,5
HCPCS,C1887,HC CATH MICRO SUPERCR 2.4X150 120,1612.8,564.48,75.88,1201.54,5
HCPCS,C1887,HC CATH MICRO SUPERCR2.4X130 90XT,1612.8,564.48,75.88,1201.54,5
HCPCS,C1887,HC CATH MICRO SUPERCR2.4X150 90XT,1612.8,564.48,75.88,1201.54,5
HCPCS,C1887,HC CATH MICRO SUPERCROSS 2.4X130,1612.8,564.48,75.88,1201.54,5
HCPCS,C1887,HC CATH MICRO SUPERCROSS 2.4X150,1612.8,564.48,75.88,1201.54,5
HCPCS,C1887,HC CATH MICRO SUPERCROSS 90X130,1285.2,449.82,75.88,957.47,5
HCPCS,C1887,HC CATH MICRO SUPERCRS 2.4X150 90,1612.8,564.48,75.88,1201.54,5
HCPCS,C1887,HC CATH MICRO TRUSELECT BERN 105,1992.06,697.23,75.88,1484.08,5
HCPCS,C1887,HC CATH MICRO TRUSELECT BERN 130,1992.06,697.23,75.88,1484.08,5
HCPCS,C1887,HC CATH MICRO TRUSELECT BERN 155,1992.06,697.23,75.88,1484.08,5
HCPCS,C1887,HC CATH MICRO TRUSELECT BERN 175,2109.24,738.24,75.88,1571.38,5
HCPCS,C1887,HC CATH MICRO TRUSELECT STR 105,1992.06,697.23,75.88,1484.08,5
HCPCS,C1887,HC CATH MICRO TRUSELECT STR 130,1992.06,697.23,75.88,1484.08,5
HCPCS,C1887,HC CATH MICRO TRUSELECT STR 155,1992.06,697.23,75.88,1484.08,5
HCPCS,C1887,HC CATH MICRO TRUSELECT STR 175,2109.24,738.24,75.88,1571.38,5
HCPCS,C1887,HC CATH PROGREAT 2.8F 130CM 021,1248.0,436.8,75.88,929.76,5
HCPCS,C1887,HC CATH PUSHING 3FX170CM,100.8,35.28,28.87,75.88,5
HCPCS,C1887,HC CATH PUSHING 5F X170CM,100.8,35.28,28.87,75.88,5
HCPCS,C1887,HC CATH PUSHING 7FX170CM,100.8,35.28,28.87,75.88,5
HCPCS,C1887,HC CATH PVA 100,872.8,305.48,75.88,650.24,5
HCPCS,C1887,HC CATH QCKCRSS EXTRM STR 014X135,649.6,227.36,75.88,483.95,5
HCPCS,C1887,HC CATH QCKCRSS EXTRM STR 014X150,649.6,227.36,75.88,483.95,5
HCPCS,C1887,HC CATH QCKCRSS EXTRM STR 018X135,487.2,170.52,75.88,362.96,5
HCPCS,C1887,HC CATH QCKCRSS EXTRM STR 018X150,487.2,170.52,75.88,362.96,5
HCPCS,C1887,HC CATH QCKCRSS EXTRM STR 018X90,649.6,227.36,75.88,483.95,5
HCPCS,C1887,HC CATH QCKCRSS EXTRM STR 035X135,487.2,170.52,75.88,362.96,5
HCPCS,C1887,HC CATH QCKCRSS EXTRM STR 035X150,487.2,170.52,75.88,362.96,5
HCPCS,C1887,HC CATH QCKCRSS EXTRM STR 035X65,487.2,170.52,75.88,362.96,5
HCPCS,C1887,HC CATH QCKCRSS EXTRM STR 035X90,487.2,170.52,75.88,362.96,5
HCPCS,C1887,HC CATH QCKCRSS SELECT ANGL 014X1,487.2,170.52,75.88,362.96,10
HCPCS,C1887,HC CATH QCKCRSS SELECT ANGL 018X1,487.2,170.52,75.88,362.96,10
HCPCS,C1887,HC CATH QCKCRSS SELECT ANGL 018X9,487.2,170.52,75.88,362.96,5
HCPCS,C1887,HC CATH QCKCRSS SELECT ANGL 035X1,487.2,170.52,75.88,362.96,10
HCPCS,C1887,HC CATH QCKCRSS SELECT ANGL 035X6,487.2,170.52,75.88,362.96,5
HCPCS,C1887,HC CATH QCKCRSS SELECT ANGL 035X9,487.2,170.52,75.88,362.96,5
HCPCS,C1887,HC CATH RADIAL TIG,151.2,52.92,43.3,112.64,5
HCPCS,C1887,HC CATH RADIAL TIG 4.5 5FX100,235.2,82.32,67.36,175.22,5
HCPCS,C1887,HC CATH RENEGADE 021 3F 130 STD,989.12,346.2,75.88,736.89,5
HCPCS,C1887,HC CATH RENEGADE HI FLO,929.27,325.25,75.88,692.31,5
HCPCS,C1887,HC CATH RENEGADE STC 18,1086.42,380.25,75.88,809.38,5
HCPCS,C1887,HC CATH REPERFS .035 153 3.8F,3340.0,1169.0,75.88,2488.3,5
HCPCS,C1887,HC CATH SARAH 5F,117.6,41.16,33.68,87.61,5
HCPCS,C1887,HC CATH SARAH 6F,117.6,41.16,33.68,87.61,5
HCPCS,C1887,HC CATH SEEKER CRSS SUPP.014X135,1800.0,630.0,75.88,1341.0,5
HCPCS,C1887,HC CATH SEPERATOR 7,3528.0,1234.8,75.88,2628.36,5
HCPCS,C1887,HC CATH SHEATH CPS AIM,617.97,216.29,75.88,460.39,5
HCPCS,C1887,HC CATH SHEATH CPS AIM UNV ACT 65,617.97,216.29,75.88,460.39,5
HCPCS,C1887,HC CATH SHEATH CPS AIM UNV AL2 65,617.97,216.29,75.88,460.39,5
HCPCS,C1887,HC CATH SHEATH CPS AIM UNV CSL 65,617.97,216.29,75.88,460.39,5
HCPCS,C1887,HC CATH SHEATH CPS AIM UNV D90 59,617.97,216.29,75.88,460.39,5
HCPCS,C1887,HC CATH SHEATH CPS AIM UNV D90 65,617.97,216.29,75.88,460.39,5
HCPCS,C1887,HC CATH SHEATH CPS AIM UNV OBT 59,617.97,216.29,75.88,460.39,5
HCPCS,C1887,HC CATH SHEATH CPS AIM UNV OBT 65,617.97,216.29,75.88,460.39,5
HCPCS,C1887,HC CATH SHEATH DEST SL STR 105X6F,954.24,333.99,75.88,710.91,5
HCPCS,C1887,HC CATH SHEATH DEST SL STR 75X6F,954.24,333.99,75.88,710.91,5
HCPCS,C1887,HC CATH SHEATH DEST SL STR 85X6F,954.24,333.99,75.88,710.91,5
HCPCS,C1887,HC CATH SHEATH DEST SL STR 95X6F,954.24,333.99,75.88,710.91,5
HCPCS,C1887,HC CATH SHEATH TIPS SET,1636.32,572.72,75.88,1219.06,5
HCPCS,C1887,HC CATH STRAIGHT PIGTAIL 6 SH,31.92,11.18,9.14,75.88,5
HCPCS,C1887,HC CATH SUPERCROSS FT 1.8X130,1320.48,462.17,75.88,983.76,5
HCPCS,C1887,HC CATH SUPERCROSS FT 1.8X150,1320.48,462.17,75.88,983.76,5
HCPCS,C1887,HC CATH SUPERCROSS STR 1.8X130,1320.48,462.17,75.88,983.76,5
HCPCS,C1887,HC CATH SUPERCROSS STR 1.8X150,1320.48,462.17,75.88,983.76,5
HCPCS,C1887,HC CATH SV HH1 5FX65X038,122.3,42.81,35.03,91.11,5
HCPCS,C1887,HC CATH SV OF 5FX65 035 NB PG,48.0,16.8,13.75,75.88,5
HCPCS,C1887,HC CATH SV OF 5FX90 .035 NB PG,100.8,35.28,28.87,75.88,5
HCPCS,C1887,HC CATH SV PT 5FX65 035 NB PG,48.0,16.8,13.75,75.88,5
HCPCS,C1887,HC CATH SWAN GANZ MULTIFLEX 7F,147.84,51.75,42.34,110.14,5
HCPCS,C1887,HC CATH SWIFTNINJA,6048.0,2116.8,75.88,4505.76,5
HCPCS,C1887,HC CATH SYS INDIGO LIGHT 12 115,14301.0,5005.35,75.88,10654.25,5
HCPCS,C1887,HC CATH TEMPO AQUA 4F 125,184.8,64.68,52.93,137.68,5
HCPCS,C1887,HC CATH TORC ADVNT 7FX038X110 AP2,67.2,23.52,19.25,75.88,5
HCPCS,C1887,HC CATH TORNUS,1680.0,588.0,75.88,1251.6,5
HCPCS,C1887,HC CATH TRAILBLAZER STR 018X150,480.75,168.27,75.88,358.16,5
HCPCS,C1887,HC CATH TRANS SL1/SL2 FST SWZ,756.0,264.6,75.88,563.22,5
HCPCS,C1887,HC CATH TRAPLINER 6F,1423.8,498.33,75.88,1060.73,5
HCPCS,C1887,HC CATH TRAPLINER 7F,1556.1,544.635,75.88,1257.86,10
HCPCS,C1887,HC CATH TRNS SL2 FST SWZ BRD 8.5F,520.8,182.28,75.88,388.0,5
HCPCS,C1887,HC CATH TWIN PASS DUAL LUM 5F,1192.8,417.48,75.88,888.64,5
HCPCS,C1887,HC CATH VASC BEACON 5FX035X90 RBT,204.96,71.74,58.7,152.7,5
HCPCS,C1887,HC CATH VASC CXI X150,421.6,147.56,75.88,314.09,5
HCPCS,C1887,HC CATH VENTURE OTW,1675.8,586.53,75.88,1248.47,5
HCPCS,C1887,HC CATH VIANCE CRS FLX,4189.5,1466.33,75.88,3121.18,5
HCPCS,C1887,HC CATH VIANCE CRS STD,4189.5,1466.33,75.88,3121.18,5
HCPCS,C1887,HC CATH VISCERAL 5FX80 .038 MIKBE,32.64,11.43,9.35,75.88,5
HCPCS,C1887,HC CATH VISCERAL 5FX90 .035 RUCBE,163.2,57.12,46.74,121.58,5
HCPCS,C1887,HC CATH VISION DIGITAL PV 018,1764.0,617.4,75.88,1314.18,5
HCPCS,C1887,HC CATHETER GUIDING,376.32,131.715,10.03,1079.51,20
HCPCS,C1887,HC GUIDE B.SCIENTIFIC,188.5,65.98,53.99,140.43,5
HCPCS,C1887,HC GUIDE WIRE SS 5FX7,137.76,48.22,39.45,102.63,5
HCPCS,C1887,HC HC CATH MIKAELSSON 5FX038X80,53.76,18.82,15.4,75.88,5
HCPCS,C1887,HC QUICK-CROSS 0.018,408.69,143.05,75.88,304.47,5
HCPCS,C1888,HC CATH CLOSURE FAST,3528.0,1234.8,1010.42,2628.36,5
HCPCS,C1888,HC CATH CLOSURE FAST RC272,2205.0,771.75,631.51,1642.73,5
HCPCS,C1888,HC CATH GUIDE CONVEY 7F AL 1.5,127.68,44.69,36.57,1280.06,5
HCPCS,C1888,HC CATH VENACURE EVLT PERF KIT,1008.0,352.8,288.69,1280.06,5
HCPCS,C1888,HC CATH VENACURE NEVERTOUCH 65,1270.08,444.53,363.75,1280.06,5
HCPCS,C1888,HC SYS CLSR VENASEAL,5792.85,2027.5,1659.07,4315.67,8
HCPCS,C1889,HC  CATH COIL CONCERTO 2X6X0165,1968.75,689.07,563.85,1466.72,8
HCPCS,C1889,HC  CATH COIL CONCERTO 2X8X0165,1968.75,689.07,563.85,1466.72,8
HCPCS,C1889,HC  CATH COIL CONCERTO 3X4X0165,1968.75,689.07,563.85,1466.72,8
HCPCS,C1889,HC  CATH COIL CONCERTO 3X8X0165,1968.75,689.07,563.85,1466.72,8
HCPCS,C1889,HC  CATH COIL CONCERTO 4X10X0165,1968.75,689.07,563.85,1466.72,8
HCPCS,C1889,HC  CATH COIL CONCERTO 4X8X0165,1968.75,689.07,563.85,1466.72,8
HCPCS,C1889,HC  CATH COIL CONCERTO 5X15X021,1968.75,689.07,563.85,1466.72,8
HCPCS,C1889,HC  CATH COIL CONCERTO 5X20X021,1968.75,689.07,563.85,1466.72,8
HCPCS,C1889,HC  CATH COIL CONCERTO 6X20X021,1968.75,689.07,563.85,1466.72,8
HCPCS,C1889,HC BALLOON AVAFLEX 11X15,5565.0,1947.75,1593.82,4145.93,5
HCPCS,C1889,HC BALLOON AVAFLEX 11X20,5565.0,1947.75,1593.82,4145.93,5
HCPCS,C1889,HC CATH COIL CONCERTO 10X30X021,1968.75,689.07,563.85,1466.72,8
HCPCS,C1889,HC CATH COIL CONCERTO 12X30X021,1968.75,689.07,563.85,1466.72,8
HCPCS,C1889,HC CATH COIL CONCERTO 14X30X021,1968.75,689.07,563.85,1466.72,8
HCPCS,C1889,HC CATH COIL CONCERTO 16X40X021,1968.75,689.07,563.85,1466.72,8
HCPCS,C1889,HC CATH COIL CONCERTO 18X40X021,1968.75,689.07,563.85,1466.72,8
HCPCS,C1889,HC CATH COIL CONCERTO 20X50X021,1968.75,689.07,563.85,1466.72,8
HCPCS,C1889,HC CATH COIL CONCERTO 2X4X0165,1968.75,689.07,563.85,1466.72,8
HCPCS,C1889,HC CATH COIL CONCERTO 7X30X021,1968.75,689.07,563.85,1466.72,8
HCPCS,C1889,HC CATH COIL CONCERTO 8X30X021,1968.75,689.07,563.85,1466.72,8
HCPCS,C1889,HC CATH COIL CONCERTO 9X30X021,1968.75,689.07,563.85,1466.72,8
HCPCS,C1889,HC CATH GUIDE CONVEY 7F AL 1.5 SH,127.68,44.69,36.57,95.12,5
HCPCS,C1889,HC CATH WAVELINQ ENDO AVF SYS,2100.0,735.0,601.44,1564.5,8
HCPCS,C1889,HC CLIP RESOLUTION 360 235,615.0,215.25,176.14,458.18,8
HCPCS,C1889,HC CLSR VASC EMB .0.024 .1 .2.5X100,157.5,55.13,45.11,117.34,8
HCPCS,C1889,HC CLSR VASC EMB .0.024 .1 .2.5X25,157.5,55.13,45.11,117.34,8
HCPCS,C1889,HC CLSR VASC EMB .0.024 .1 .2.5X50,157.5,55.13,45.11,117.34,8
HCPCS,C1889,HC CLSR VASC EMB .0.040 .3 .5.0X50,157.5,55.13,45.11,117.34,8
HCPCS,C1889,HC DEVICE NET STD RETRIEVAL 230CM,277.5,97.13,79.48,206.74,5
HCPCS,C1889,HC ENDO BASKET RX LITHO 1.5CM,813.8,284.83,233.07,606.28,8
HCPCS,C1889,HC ENDO BASKET RX LITHO 2.5,815.85,285.55,233.66,607.81,8
HCPCS,C1889,HC ENDO BASKET RX LITHO 2.5CM,813.8,284.83,233.07,606.28,8
HCPCS,C1889,HC I CNULA ERCP GLO TIP 5 4 3,132.66,46.44,37.99,98.83,8
HCPCS,C1889,HC I COIL CX 18 10MMX32CM,2550.0,892.5,730.32,1899.75,8
HCPCS,C1889,HC I COIL CX 18 2MMX4CM,2550.0,892.5,730.32,1899.75,8
HCPCS,C1889,HC I COIL CX 18 3MMX4CM,2550.0,892.5,730.32,1899.75,8
HCPCS,C1889,HC I COIL CX 18 4MMX13CM,2550.0,892.5,730.32,1899.75,8
HCPCS,C1889,HC I COIL CX 18 5MMX16CM,2550.0,892.5,730.32,1899.75,8
HCPCS,C1889,HC I COIL CX 18 6MMX20CM,2550.0,892.5,730.32,1899.75,8
HCPCS,C1889,HC I COIL CX 18 7MMX24CM,2550.0,892.5,730.32,1899.75,8
HCPCS,C1889,HC I COIL CX 35 16MMX32CM,3444.0,1205.4,986.36,2565.78,8
HCPCS,C1889,HC I COIL CX 35 20MMX39CM,3444.0,1205.4,986.36,2565.78,8
HCPCS,C1889,HC I COIL CX 35 6MMX17CM,3444.0,1205.4,986.36,2565.78,8
HCPCS,C1889,HC I COIL CX 35 8MMX12CM,3444.0,1205.4,986.36,2565.78,8
HCPCS,C1889,HC I COIL CX 35 8MMX24CM,3444.0,1205.4,986.36,2565.78,8
HCPCS,C1889,HC I EMBOLIC OBSIDIO UNIT,12900.0,4515.0,3694.56,9610.5,8
HCPCS,C1889,HC INST BX RADIALJAW4 NDL 1.8 160,115.2,40.32,32.99,85.82,5
HCPCS,C1889,HC INST BX RADIALJAW4 NDL 2.4 240,52.74,18.46,15.1,39.29,5
HCPCS,C1889,HC INST GI SNARE CAPT 20 2.4 240,44.8,15.68,12.83,33.38,5
HCPCS,C1889,HC INST GI SNARE CAPT 25 2.4 240,44.8,15.68,12.83,33.38,5
HCPCS,C1889,HC INST GI SNARE CAPT 33 2.4 240,48.0,16.8,13.75,35.76,5
HCPCS,C1889,HC INST GI SNARE CAPT HX STF MD,41.6,14.56,11.91,30.99,5
HCPCS,C1889,HC INST GI SNARE CAPT HX STF SM,41.6,14.56,11.91,30.99,5
HCPCS,C1889,HC KIT CAPTIVATOR RND STFF 2 10,54.11,18.94,15.5,40.31,5
HCPCS,C1889,HC PLUG EMBOZENE 1100,551.25,192.94,157.88,410.68,8
HCPCS,C1889,HC PLUG EMBOZENE 400,551.25,192.94,157.88,410.68,8
HCPCS,C1889,HC PLUG EMBOZENE 500,551.25,192.94,157.88,410.68,8
HCPCS,C1889,HC PLUG EMBOZENE 700,551.25,192.94,157.88,410.68,8
HCPCS,C1889,HC PLUG EMBOZENE 900,551.25,192.94,157.88,410.68,8
HCPCS,C1889,HC PROBE INJECT QCKSLVR DISP 10F,691.2,241.92,197.96,514.94,5
HCPCS,C1889,HC PROBE INJECT QCKSLVR DISP 7F,582.4,203.84,166.8,433.89,5
HCPCS,C1889,HC WIRE COIL CMPLX RUBY SFT 16X50,4063.5,1422.23,1163.79,3027.31,8
HCPCS,C1889,HC WIRE COIL CMPLX RUBY SFT 20X60,4063.5,1422.23,1163.79,3027.31,8
HCPCS,C1889,HC WIRE COIL CMPLX RUBY SFT 2X2,3118.5,1091.48,893.14,2323.28,8
HCPCS,C1889,HC WIRE COIL CMPLX RUBY SFT 2X4,3118.5,1091.48,893.14,2323.28,8
HCPCS,C1889,HC WIRE COIL CMPLX RUBY SFT 3X15,3118.5,1091.48,893.14,2323.28,8
HCPCS,C1889,HC WIRE COIL CMPLX RUBY SFT 3X5,3118.5,1091.48,893.14,2323.28,8
HCPCS,C1889,HC WIRE COIL CMPLX RUBY SFT 4X15,3118.5,1091.48,893.14,2323.28,8
HCPCS,C1889,HC WIRE COIL CMPLX RUBY SFT 4X6,3118.5,1091.48,893.14,2323.28,8
HCPCS,C1889,HC WIRE COIL CMPLX RUBY SFT 6X20,3118.5,1091.48,893.14,2323.28,8
HCPCS,C1889,HC WIRE COIL CMPLX RUBY SFT 6X30,4063.5,1422.23,1163.79,3027.31,8
HCPCS,C1889,HC WIRE COIL CMPLX RUBY SFT 8X35,4063.5,1422.23,1163.79,3027.31,8
HCPCS,C1889,HC WIRE COIL CMPLX RUBY SFT 8X60,4063.5,1422.23,1163.79,3027.31,8
HCPCS,C1890,HC CATH GUIDE CONVEY 7F AL 2,127.68,44.69,36.57,95.12,5
HCPCS,C1891,"Infusion pump,non-prog, perm",,,3551.34,3551.34,1
HCPCS,C1892,HC CATH GUIDE CONVEY 7F AL 3,127.68,44.69,0.99,95.12,5
HCPCS,C1892,HC CATH GUIDE WRLY 9FX50X9F,1164.8,407.68,0.99,867.78,5
HCPCS,C1892,HC CATH GUIDE WRLY LNG 9FX50X9F,1164.8,407.68,0.99,867.78,5
HCPCS,C1892,HC CATH GUIDE WRLY ORG 9FX45X9F,998.4,349.44,0.99,743.81,5
HCPCS,C1892,HC CATH GUIDE WRLY RT SD 9FX40X9F,1297.92,454.28,0.99,966.95,5
HCPCS,C1892,HC CATH GUIDE WRLY STD 9FX40X9F,1164.8,407.68,0.99,867.78,5
HCPCS,C1892,HC CATH OPTISEAL INTRDC 13.0 11F,218.4,76.44,0.99,162.71,5
HCPCS,C1892,HC CATH OPTISEAL INTRDC 13.0 12F,218.4,76.44,0.99,162.71,5
HCPCS,C1892,HC CATH OPTISEAL INTRDC 13.0 6F,218.4,76.44,0.99,162.71,5
HCPCS,C1892,HC CATH OPTISEAL INTRDC 13.0 7F,218.4,76.44,0.99,162.71,5
HCPCS,C1892,HC CATH OPTISEAL INTRDC 13.0 8F,218.4,76.44,0.99,162.71,5
HCPCS,C1892,HC CATH OPTISEAL INTRDC 13.0 9F,218.4,76.44,0.99,162.71,5
HCPCS,C1892,HC CATH OPTISEAL INTRDC 25.0 10F,245.28,85.85,0.99,182.73,5
HCPCS,C1892,HC CATH OPTISEAL INTRDC 25.0 11F,245.28,85.85,0.99,182.73,5
HCPCS,C1892,HC CATH OPTISEAL INTRDC 25.0 12F,245.28,85.85,0.99,182.73,5
HCPCS,C1892,HC CATH OPTISEAL INTRDC 25.0 6F,245.28,85.85,0.99,182.73,5
HCPCS,C1892,HC CATH OPTISEAL INTRDC 25.0 7F,245.28,85.85,0.99,182.73,5
HCPCS,C1892,HC CATH OPTISEAL INTRDC 25.0 8F,245.28,85.85,0.99,182.73,5
HCPCS,C1892,HC CATH OPTISEAL INTRDC 25.0 9F,245.28,85.85,0.99,182.73,5
HCPCS,C1892,HC CATH SHEATH CPS DIR,1439.59,503.86,0.99,1072.49,5
HCPCS,C1892,HC CATH SHEATH INTRO SPLIT 7FX13,116.48,40.77,0.99,86.78,5
HCPCS,C1892,HC CATH SHEATH INTRO SPLIT 9FX13,116.48,40.77,0.99,86.78,5
HCPCS,C1892,HC PEEL AWAY OPTISEAL SHEATH,218.4,76.44,0.99,162.71,5
HCPCS,C1893,HC CATH GUIDE CONVEY 7F AL 3 SH,127.68,44.69,16.11,95.12,5
HCPCS,C1893,HC CATH GUIDE LVI HCKY STICK 7F,1248.0,436.8,16.11,929.76,5
HCPCS,C1893,HC CATH GUIDE LVI HCKY STICK S 5F,1497.6,524.16,16.11,1115.71,5
HCPCS,C1893,HC CATH GUIDE LVI HK 5X5F,1497.6,524.16,16.11,1115.71,5
HCPCS,C1893,HC CATH GUIDE LVI HK 7F,1248.0,436.8,16.11,929.76,5
HCPCS,C1893,HC CATH GUIDE LVI MULTI 7F,1248.0,436.8,16.11,929.76,5
HCPCS,C1893,HC CATH GUIDE LVI RENAL 5X5F,1497.6,524.16,16.11,1115.71,5
HCPCS,C1893,HC CATH GUIDE LVI RENAL 7F,1248.0,436.8,16.11,929.76,5
HCPCS,C1893,HC CATH HEMO FST 60CM,688.8,241.08,16.11,513.16,5
HCPCS,C1893,HC CATH HEMO RAMP FST 60CM 8F,672.0,235.2,16.11,500.64,5
HCPCS,C1893,HC CATH HEMO SEPT FST 60CM 8.5F,688.8,241.08,16.11,513.16,5
HCPCS,C1893,HC CATH HEMO SL1 FST 60CM 8.5F,672.0,235.2,16.11,500.64,5
HCPCS,C1893,HC CATH MOBI BIDRCT L CRV92X8.5F,2247.84,786.75,16.11,1674.64,5
HCPCS,C1893,HC CATH MOBI BIDRCT S CRV92X8.5F,2315.88,810.56,16.11,1725.33,5
HCPCS,C1893,HC CATH SHEATH BRD TRANS 8.5FX81,590.21,206.58,16.11,439.71,5
HCPCS,C1893,HC CATH SHEATH CPS DIR UNV 47  13,1439.59,503.86,16.11,1072.49,5
HCPCS,C1893,HC CATH SHEATH CPS DIR UNV 47 115,1439.59,503.86,16.11,1072.49,5
HCPCS,C1893,HC CATH SHEATH CPS DIR UNV 54 115,1439.59,503.86,16.11,1072.49,5
HCPCS,C1893,HC CATH SHEATH CPS DIR UNV 54 135,1439.59,503.86,16.11,1072.49,5
HCPCS,C1893,HC CATH SHEATH CPS DIR UNV RT 47,1439.59,503.86,16.11,1072.49,5
HCPCS,C1893,HC CATH SHEATH CPS DIR UNV STR 54,1439.59,503.86,16.11,1072.49,5
HCPCS,C1893,HC CATH SHEATH CPS DIR UNV WD 47,1439.59,503.86,16.11,1072.49,5
HCPCS,C1893,HC CATH SHEATH CPS DIR UNV WD 54,1439.59,503.86,16.11,1072.49,5
HCPCS,C1893,HC CATH SHEATH CPS DIR UNV XWD 47,1439.59,503.86,16.11,1072.49,5
HCPCS,C1893,HC CATH SHEATH CPS DIR UNV ZWD 54,1439.59,503.86,16.11,1072.49,5
HCPCS,C1893,HC CATH SHEATH CPS KIT,1422.04,497.72,16.11,1059.42,5
HCPCS,C1893,HC CATH SHEATH SL3 CRV TP 8.5F,520.8,182.28,16.11,388.0,5
HCPCS,C1893,HC CATH SHEATH SUPER RO 5F 11,30.21,10.58,8.65,22.51,5
HCPCS,C1893,HC CATH SHEATH SUPER RO 6F 11,30.21,10.58,8.65,22.51,5
HCPCS,C1893,HC CATH SHEATH SUPER RO 7F 11,30.21,10.58,8.65,22.51,5
HCPCS,C1893,HC CATH SHEATH SUPER RO 9F 11,30.21,10.58,8.65,22.51,5
HCPCS,C1893,HC INTRO/SHEATH FIXED NON-PEEL,2507.4,877.59,16.11,1868.01,5
HCPCS,C1893,HC TRANSSEPTAL INTRO SET,274.18,95.97,16.11,204.26,5
HCPCS,C1894,CATH INTR CHKFL 16F 38 35 45,303.1,106.09,86.81,225.81,5
HCPCS,C1894,CATH INTR CHKFL 16F 38 35 70,303.1,106.09,86.81,225.81,5
HCPCS,C1894,HC ACCUSTICK II,229.82,80.44,65.82,171.22,5
HCPCS,C1894,HC CATH 5F STR SHEATH TLAB 7F 18G,1461.6,511.56,142.36,1088.89,5
HCPCS,C1894,HC CATH 8F HIFLO INTROD W/GWIRE,768.0,268.8,142.36,572.16,5
HCPCS,C1894,HC CATH BILI HOWELL W/CAP SIDEPRT,374.4,131.04,107.23,278.93,5
HCPCS,C1894,HC CATH FAST HEMOSTASIS DUO 10F,60.48,21.17,17.32,142.36,5
HCPCS,C1894,HC CATH FAST HEMOSTASIS DUO 12F,60.48,21.17,17.32,142.36,5
HCPCS,C1894,HC CATH FAST HUB LCK INTRO 8F 2.6,36.96,12.94,10.59,142.36,5
HCPCS,C1894,HC CATH GLIDEACCESS MICR KT 4F 40,89.04,31.17,25.5,142.36,5
HCPCS,C1894,HC CATH GLIDEACCESS MICR KT 5F 40,89.04,31.17,25.5,142.36,5
HCPCS,C1894,HC CATH GLIDESHEATH B KT 4F16,120.96,42.34,34.64,142.36,5
HCPCS,C1894,HC CATH GLIDESHEATH B KT 4F25,120.96,42.34,34.64,142.36,5
HCPCS,C1894,HC CATH GLIDESHEATH B KT 5F16,120.96,42.34,34.64,142.36,5
HCPCS,C1894,HC CATH GLIDESHEATH B KT 5F25,120.96,42.34,34.64,142.36,5
HCPCS,C1894,HC CATH GLIDESHEATH B KT 6F16,120.96,42.34,34.64,142.36,10
HCPCS,C1894,HC CATH GLIDESHEATH B KT 6F25,120.96,42.34,34.64,142.36,10
HCPCS,C1894,HC CATH GLIDESHEATH INTR5FX10X021,120.96,42.34,34.64,142.36,5
HCPCS,C1894,HC CATH GLIDESHEATH INTR6FX10X021,120.96,42.34,34.64,142.36,5
HCPCS,C1894,HC CATH GLIDESHEATH INTR6FX10X035,120.96,42.34,34.64,142.36,5
HCPCS,C1894,HC CATH GLIDESHEATH NITINOL KT 5F,226.8,79.38,64.96,168.97,5
HCPCS,C1894,HC CATH GLIDESHEATH NITINOL KT 6F,226.8,79.38,64.96,168.97,5
HCPCS,C1894,HC CATH GLIDESHEATH NITINOL KT 7F,226.8,79.38,64.96,168.97,5
HCPCS,C1894,HC CATH GLIDESHEATH SLN 5F10,241.92,84.68,69.29,180.23,5
HCPCS,C1894,HC CATH GLIDESHEATH SLN SS KT5F10,184.8,64.68,52.93,142.36,5
HCPCS,C1894,HC CATH GLIDESHEATH SLN SS KT6F10,184.8,64.68,52.93,142.36,5
HCPCS,C1894,HC CATH GLIDESHEATH SLN SS KT7F10,184.8,64.68,52.93,142.36,5
HCPCS,C1894,HC CATH GLIDESHEATH SLND5FX10X021,315.0,110.25,90.22,234.68,5
HCPCS,C1894,HC CATH GLIDESHEATH SLND6FX10X021,357.0,124.95,102.24,265.97,5
HCPCS,C1894,HC CATH GLIDESHEATH SS KT 5F10,161.28,56.45,46.19,142.36,5
HCPCS,C1894,HC CATH GLIDESHEATH SS KT 5F25,161.28,56.45,46.19,142.36,5
HCPCS,C1894,HC CATH GLIDESHEATH SS KT 6F10,161.28,56.45,46.19,142.36,5
HCPCS,C1894,HC CATH GLIDESHEATH SS KT 6F25,161.28,56.45,46.19,142.36,5
HCPCS,C1894,HC CATH GUIDE CONVEY 7F AL.75,127.68,44.69,36.57,142.36,5
HCPCS,C1894,HC CATH GUIDESHEATH PREFACE 8F 77,618.24,216.39,142.36,460.59,5
HCPCS,C1894,HC CATH INTR CHKFL 16/18F 038 35 42,396.48,138.77,113.55,295.38,5
HCPCS,C1894,HC CATH INTR CHKFL 16F 38 35 40,303.1,106.09,86.81,225.81,5
HCPCS,C1894,HC CATH INTR FLX BLKIN 6F.038X40,133.92,46.88,38.35,142.36,5
HCPCS,C1894,HC CATH INTR FLX BLKIN 7F.038X40,133.92,46.88,38.35,142.36,5
HCPCS,C1894,HC CATH INTR FLX BLKIN 8F.038X40,133.92,46.88,38.35,142.36,5
HCPCS,C1894,HC CATH INTR FLX CHKFL 10F.038X13,164.8,57.68,47.2,142.36,5
HCPCS,C1894,HC CATH INTR FLX CHKFL 9F.038X13,160.0,56.0,45.82,142.36,5
HCPCS,C1894,HC CATH INTR FLX RTPS 10F.035X35,235.2,82.32,67.36,175.22,5
HCPCS,C1894,HC CATH INTR FLXSHUT7FHYD.038 90,312.48,109.37,89.49,232.8,5
HCPCS,C1894,HC CATH INTR INSYTE NEONA 1.9,2196.0,768.6,142.36,1636.02,5
HCPCS,C1894,HC CATH INTR VLV ADLT MINI,68.78,24.08,19.7,142.36,5
HCPCS,C1894,HC CATH INTR XUCFW 22.0-35-25,1200.0,420.0,142.36,894.0,5
HCPCS,C1894,HC CATH INTRD VASCULAR 6FX55,133.92,46.88,38.35,142.36,5
HCPCS,C1894,HC CATH LIVEWIRE STEERABLE 5F 1.7,1512.0,529.2,142.36,1126.44,5
HCPCS,C1894,HC CATH NDL EP BRK1 TRNS 18GX71,698.88,244.61,142.36,520.67,5
HCPCS,C1894,HC CATH NDL EP BRK1 TRNS 18GX98,705.6,246.96,142.36,525.67,5
HCPCS,C1894,HC CATH ONLY FOR PICC 26GX50CM,165.98,58.1,47.54,142.36,5
HCPCS,C1894,HC CATH PICC INTRO AUTOGRD 26G,1230.72,430.76,142.36,916.89,5
HCPCS,C1894,HC CATH PICC INTRO AUTOGRD 3F 20G,1597.98,559.3,142.36,1190.5,5
HCPCS,C1894,HC CATH PICC INTRO AUTOGRD 4F 18G,910.11,318.54,142.36,678.03,5
HCPCS,C1894,HC CATH PICC INTRO AUTOGRD 5F 16G,91.01,31.86,26.07,142.36,5
HCPCS,C1894,HC CATH RADIAL ARTERY 20G X 1.5IN,36.74,12.86,10.52,142.36,5
HCPCS,C1894,HC CATH SHEALTH CHKFL 14F 38 45,403.2,141.12,115.48,300.38,5
HCPCS,C1894,HC CATH SHEALTH ULTIMUM INTRDCR 12FX12,1056.0,369.6,142.36,786.72,5
HCPCS,C1894,HC CATH SHEATH AGILIS LG CURL,2252.88,788.51,142.36,1678.4,5
HCPCS,C1894,HC CATH SHEATH AGILIS MD CURL,2252.88,788.51,142.36,1678.4,5
HCPCS,C1894,HC CATH SHEATH AMPL DEL F 120,2208.0,772.8,142.36,1644.96,5
HCPCS,C1894,HC CATH SHEATH AVNTI 23CM .038 7F,325.92,114.08,93.34,242.81,5
HCPCS,C1894,HC CATH SHEATH BARE NIT MN 21G 10,218.4,76.44,62.55,162.71,5
HCPCS,C1894,HC CATH SHEATH BRITE TP 10X11,87.36,30.58,25.02,142.36,5
HCPCS,C1894,HC CATH SHEATH BRITE TP 4X11,87.36,30.58,25.02,142.36,5
HCPCS,C1894,HC CATH SHEATH BRITE TP 5X11,87.36,30.58,25.02,142.36,5
HCPCS,C1894,HC CATH SHEATH BRITE TP 5X35,97.44,34.11,27.91,142.36,5
HCPCS,C1894,HC CATH SHEATH BRITE TP 6X11,87.36,30.58,25.02,142.36,5
HCPCS,C1894,HC CATH SHEATH BRITE TP 6X35,97.44,34.11,27.91,142.36,5
HCPCS,C1894,HC CATH SHEATH BRITE TP 7X11,87.36,30.58,25.02,142.36,5
HCPCS,C1894,HC CATH SHEATH BRITE TP 7X35,97.44,34.11,27.91,142.36,5
HCPCS,C1894,HC CATH SHEATH BRITE TP 8X11,87.36,30.58,25.02,142.36,5
HCPCS,C1894,HC CATH SHEATH BRITE TP 8X35,97.44,34.11,27.91,142.36,5
HCPCS,C1894,HC CATH SHEATH BRITE TP 9X35,97.44,34.11,27.91,142.36,5
HCPCS,C1894,HC CATH SHEATH DILTR,294.4,103.04,84.32,219.33,5
HCPCS,C1894,HC CATH SHEATH DRY SEAL COAT12X33,1449.0,507.15,142.36,1079.51,5
HCPCS,C1894,HC CATH SHEATH DRY SEAL COAT12X45,1549.8,542.43,142.36,1154.6,5
HCPCS,C1894,HC CATH SHEATH DRY SEAL COAT14X33,1932.8,676.48,142.36,1439.94,5
HCPCS,C1894,HC CATH SHEATH DRY SEAL COAT16X33,1932.8,676.48,142.36,1439.94,5
HCPCS,C1894,HC CATH SHEATH DRY SEAL COAT18X33,1449.0,507.15,142.36,1079.51,5
HCPCS,C1894,HC CATH SHEATH DRY SEAL COAT20X33,1449.0,507.15,142.36,1079.51,5
HCPCS,C1894,HC CATH SHEATH DRY SEAL COAT22X33,1449.0,507.15,142.36,1079.51,5
HCPCS,C1894,HC CATH SHEATH DRY SEAL COAT24X33,1449.0,507.15,142.36,1079.51,5
HCPCS,C1894,HC CATH SHEATH DRY SEAL COAT26X33,1449.0,507.15,142.36,1079.51,5
HCPCS,C1894,HC CATH SHEATH FAST CAT SL0 10FX63,1004.3,351.51,142.36,748.2,5
HCPCS,C1894,HC CATH SHEATH FLX PERCUT 6FX24CM,268.8,94.08,76.98,200.26,5
HCPCS,C1894,HC CATH SHEATH FLX PERCUT 8FX11,90.72,31.76,25.98,142.36,5
HCPCS,C1894,HC CATH SHEATH FLX PERCUT 8FX24,221.76,77.62,63.51,165.21,5
HCPCS,C1894,HC CATH SHEATH FLX PERCUT 8FX35,305.76,107.02,87.57,227.79,5
HCPCS,C1894,HC CATH SHEATH FLX PERCUT 8FX60,436.8,152.88,125.1,325.42,5
HCPCS,C1894,HC CATH SHEATH FLX PERCUT 8FX65,366.24,128.19,104.89,272.85,5
HCPCS,C1894,HC CATH SHEATH INTR,1512.0,529.2,142.36,1126.44,5
HCPCS,C1894,HC CATH SHEATH INTR .RB,89.6,31.36,25.66,142.36,5
HCPCS,C1894,HC CATH SHEATH INTR 10F .038X13,95.23,33.34,27.27,142.36,5
HCPCS,C1894,HC CATH SHEATH INTR 12F .038X30,124.32,43.52,35.61,142.36,5
HCPCS,C1894,HC CATH SHEATH INTR 12FX13X.038,175.55,61.45,50.28,142.36,5
HCPCS,C1894,HC CATH SHEATH INTR 14F,1317.12,461.0,142.36,981.25,5
HCPCS,C1894,HC CATH SHEATH INTR 16F .038X30 R,288.67,101.04,82.68,215.06,5
HCPCS,C1894,HC CATH SHEATH INTR 5F .038X13,33.6,11.76,9.62,142.36,5
HCPCS,C1894,HC CATH SHEATH INTR 5F.035X13C RB,252.0,88.2,72.17,187.74,5
HCPCS,C1894,HC CATH SHEATH INTR 6F .035X13 RB,60.8,21.28,17.41,142.36,5
HCPCS,C1894,HC CATH SHEATH INTR 6F .035X5.5RB,118.08,41.33,33.82,142.36,5
HCPCS,C1894,HC CATH SHEATH INTR 6F.038X60C RB,71.42,25.0,20.45,142.36,5
HCPCS,C1894,HC CATH SHEATH INTR 7F .035X5.5RB,44.8,15.68,12.83,142.36,5
HCPCS,C1894,HC CATH SHEATH INTR 7F .038X13,48.3,16.905,9.62,142.36,10
HCPCS,C1894,HC CATH SHEATH INTR 7F .038X30 RB,94.08,32.93,26.94,142.36,5
HCPCS,C1894,HC CATH SHEATH INTR 8F .035X5.5RB,53.57,18.75,15.34,142.36,5
HCPCS,C1894,HC CATH SHEATH INTR 8F .038X30 RI,71.42,25.0,20.45,142.36,5
HCPCS,C1894,HC CATH SHEATH INTR 9F .038X13,118.4,41.44,33.91,142.36,5
HCPCS,C1894,HC CATH SHEATH INTR 9F .038X30 RI,163.68,57.29,46.88,142.36,5
HCPCS,C1894,HC CATH SHEATH INTR ACT9F 12C.035,25.2,8.82,7.22,142.36,5
HCPCS,C1894,HC CATH SHEATH INTR DRYSEAL 12X28,907.2,317.52,142.36,675.86,5
HCPCS,C1894,HC CATH SHEATH INTR DRYSEAL 14X28,907.2,317.52,142.36,675.86,5
HCPCS,C1894,HC CATH SHEATH INTR DRYSEAL 16X28,907.2,317.52,142.36,675.86,5
HCPCS,C1894,HC CATH SHEATH INTR DRYSEAL 18X28,1075.2,376.32,142.36,801.02,5
HCPCS,C1894,HC CATH SHEATH INTR DRYSEAL 20X28,1075.2,376.32,142.36,801.02,5
HCPCS,C1894,HC CATH SHEATH INTR DRYSEAL 22X28,1192.8,417.48,142.36,888.64,5
HCPCS,C1894,HC CATH SHEATH INTR DRYSEAL 24X28,1192.8,417.48,142.36,888.64,5
HCPCS,C1894,HC CATH SHEATH INTR DRYSEAL 26X28,1192.8,417.48,142.36,888.64,5
HCPCS,C1894,HC CATH SHEATH INTR IMPELLA 23F,1764.0,617.4,142.36,1314.18,5
HCPCS,C1894,HC CATH SHEATH INTR PRLD 4FX11,24.0,8.4,6.87,142.36,5
HCPCS,C1894,HC CATH SHEATH INTR PRLD 7FX23X50,36.96,12.94,10.59,142.36,5
HCPCS,C1894,HC CATH SHEATH INTR RO PINN 6F 6,63.0,22.05,18.04,142.36,5
HCPCS,C1894,HC CATH SHEATH INTR RO PINN 6F10,71.9,25.17,20.59,142.36,5
HCPCS,C1894,HC CATH SHEATH INTR RO PINN 7F 10,71.9,25.17,20.59,142.36,5
HCPCS,C1894,HC CATH SHEATH INTR RO PINN 7F 6,63.0,22.05,18.04,142.36,5
HCPCS,C1894,HC CATH SHEATH INTR SET MICRO,102.48,35.87,29.35,142.36,5
HCPCS,C1894,HC CATH SHEATH INTR SNTRNT 16FX28,672.0,235.2,142.36,500.64,5
HCPCS,C1894,HC CATH SHEATH INTR SNTRNT 18FX28,672.0,235.2,142.36,500.64,5
HCPCS,C1894,HC CATH SHEATH INTR SNTRNT 22FX28,840.0,294.0,142.36,625.8,5
HCPCS,C1894,HC CATH SHEATH INTR SNTRNT 24FX28,840.0,294.0,142.36,625.8,5
HCPCS,C1894,HC CATH SHEATH INTR SNTRNT 26FX28,840.0,294.0,142.36,625.8,5
HCPCS,C1894,HC CATH SHEATH INTR10F.038X13 WIR,124.99,43.75,35.8,142.36,5
HCPCS,C1894,HC CATH SHEATH INTRD 8.5FX038X12,1192.8,417.48,142.36,888.64,5
HCPCS,C1894,HC CATH SHEATH INTRDCR KIT 4F-6F,100.16,35.06,28.69,142.36,5
HCPCS,C1894,HC CATH SHEATH JSN RESPONSE 5F,302.4,105.84,86.61,225.29,5
HCPCS,C1894,HC CATH SHEATH MILL 14 4.6 63.038,288.67,101.04,82.68,215.06,5
HCPCS,C1894,HC CATH SHEATH PACT 4F 11X50X.035,27.52,9.64,7.88,142.36,5
HCPCS,C1894,HC CATH SHEATH PACT 5F 11X50X.038,27.52,9.64,7.88,142.36,5
HCPCS,C1894,HC CATH SHEATH PACT 6F 11X50X.038,27.52,9.64,7.88,142.36,5
HCPCS,C1894,HC CATH SHEATH PACT 7F 11X50X.038,27.52,9.64,7.88,142.36,5
HCPCS,C1894,HC CATH SHEATH PACT 8F 11X50X.038,27.52,9.64,7.88,142.36,5
HCPCS,C1894,HC CATH SHEATH PEEL MULTI 10X30,170.66,59.74,48.88,142.36,5
HCPCS,C1894,HC CATH SHEATH PEEL MULTI 16X30,170.65,59.73,48.87,142.36,5
HCPCS,C1894,HC CATH SHEATH PEEL MULTI 7X30,170.66,59.74,48.88,142.36,5
HCPCS,C1894,HC CATH SHEATH PEEL MULTI 8X30,170.66,59.74,48.88,142.36,5
HCPCS,C1894,HC CATH SHEATH PEEL MULTI 9X30,170.66,59.74,48.88,142.36,5
HCPCS,C1894,HC CATH SHEATH PEEL ST 6F .035X13,147.01,51.46,42.1,142.36,5
HCPCS,C1894,HC CATH SHEATH PINN PRPH 5FX25,67.03,23.47,19.2,142.36,5
HCPCS,C1894,HC CATH SHEATH PINN PRPH 7FX25,67.03,23.47,19.2,142.36,5
HCPCS,C1894,HC CATH SHEATH PSI KIT 9F,179.52,62.84,51.41,142.36,5
HCPCS,C1894,HC CATH SHEATH R2P SLND STR 6F 11,873.6,305.76,142.36,650.83,5
HCPCS,C1894,HC CATH SHEATH R2P SLND STR 6F 14,873.6,305.76,142.36,650.83,5
HCPCS,C1894,HC CATH SHEATH ROADSTER MP 5FX90,396.48,138.77,113.55,295.38,5
HCPCS,C1894,HC CATH SHEATH ROADSTER STR 4FX45,278.88,97.61,79.87,207.77,5
HCPCS,C1894,HC CATH SHEATH ROADSTER STR 4FX90,396.48,138.77,113.55,295.38,5
HCPCS,C1894,HC CATH SHEATH ROADSTER STR 5FX90,396.48,138.77,113.55,295.38,5
HCPCS,C1894,HC CATH SHEATH SAF 6FX11,104.16,36.46,29.83,142.36,5
HCPCS,C1894,HC CATH SHEATH SAF 6FX45,346.08,121.13,99.12,257.83,5
HCPCS,C1894,HC CATH SHEATH SAF 7FX11,204.96,71.74,58.7,152.7,5
HCPCS,C1894,HC CATH SHEATH SAF 7FX24,225.12,78.8,64.47,167.71,5
HCPCS,C1894,HC CATH SHEATH SAF 7FX45,332.64,116.43,95.27,247.82,5
HCPCS,C1894,HC CATH SHEATH SAF 8FX45,342.72,119.96,98.16,255.33,5
HCPCS,C1894,HC CATH SHEATH SAFE 9.5X13,174.72,61.16,50.04,142.36,5
HCPCS,C1894,HC CATH SHEATH SL3 LONG 8.5F,520.8,182.28,142.36,388.0,5
HCPCS,C1894,HC CATH SHEATH SUPER RO 4F 11,30.21,10.58,8.65,142.36,5
HCPCS,C1894,HC CATH SHEATH SUPER RO 7F 7,38.47,13.47,11.02,142.36,5
HCPCS,C1894,HC CATH SHEATH SUPER RO 8F 11,30.21,10.58,8.65,142.36,5
HCPCS,C1894,HC CATH SHEATH TOURGD 6.5FX45X17,1260.0,441.0,142.36,938.7,5
HCPCS,C1894,HC CATH SHEATH TOURGD 6.5FX55X17,1260.0,441.0,142.36,938.7,5
HCPCS,C1894,HC CATH SHEATH TOURGD 6.5FX55X9,1260.0,441.0,142.36,938.7,5
HCPCS,C1894,HC CATH SHEATH TOURGD 7FX45X17,1260.0,441.0,142.36,938.7,5
HCPCS,C1894,HC CATH SHEATH TOURGD 7FX45X9,1260.0,441.0,142.36,938.7,5
HCPCS,C1894,HC CATH SHEATH TOURGD 7FX55X17,1260.0,441.0,142.36,938.7,5
HCPCS,C1894,HC CATH SHEATH TOURGD 7FX55X9,1260.0,441.0,142.36,938.7,5
HCPCS,C1894,HC CATH SHEATH TOURGD 8.5FX45X17,1260.0,441.0,142.36,938.7,5
HCPCS,C1894,HC CATH SHEATH TOURGD 8.5FX45X22,1260.0,441.0,142.36,938.7,5
HCPCS,C1894,HC CATH SHEATH TOURGD 8.5FX55X17,1260.0,441.0,142.36,938.7,5
HCPCS,C1894,HC CATH SHEATH TOURGD 8.5FX55X22,1260.0,441.0,142.36,938.7,5
HCPCS,C1894,HC CATH SHEATH ULTINUM EV 9FX23CM,688.0,240.8,142.36,512.56,5
HCPCS,C1894,HC CATH SHEATH W MARKTIP PRO4FX11,48.0,16.8,13.75,142.36,5
HCPCS,C1894,HC CATH SHEATH W MARKTIP PRO5FX11,48.0,16.8,13.75,142.36,5
HCPCS,C1894,HC CATH SHEATH W MARKTIP PRO6FX11,48.0,16.8,13.75,142.36,5
HCPCS,C1894,HC CATH SHEATH W MARKTIP PRO7FX11,82.56,28.9,23.65,142.36,5
HCPCS,C1894,HC CATH SHEATH45 DILTR,351.12,122.9,100.56,261.58,5
HCPCS,C1894,HC CATH SHEATH45 DILTR NOGW CRV7F,268.96,94.14,75.15,205.26,10
HCPCS,C1894,HC CATH SHEATH45 DILTR NOGW STK6F,262.4,91.84,75.15,195.49,5
HCPCS,C1894,HC CATH SHEATH45 DILTR NOGW STK7F,262.4,91.84,75.15,195.49,5
HCPCS,C1894,HC CATH SHEATH90 DILTR STR CRS 6F,294.4,103.04,84.32,219.33,5
HCPCS,C1894,HC CATH SHUTTLE 6F,333.31,116.66,95.46,248.32,5
HCPCS,C1894,HC CATH SHUTTLE 8F,312.48,109.37,89.49,232.8,5
HCPCS,C1894,HC CATH STYLET KIT 52,107.52,37.64,30.79,142.36,5
HCPCS,C1894,HC CATH STYLET KIT 58,107.52,37.64,30.79,142.36,5
HCPCS,C1894,HC CNULA SET MICROPUCTURE STFF,79.1,27.69,22.65,142.36,5
HCPCS,C1894,HC INTRO MICROEZ KIT,187.49,65.63,53.7,142.36,5
HCPCS,C1894,HC INTRO/SHEATH NON-LASER,129.59,45.36,16.87,187.74,28
HCPCS,C1894,HC MERIT CATH SHEATH 23CM INTR,43.51,15.23,12.46,142.36,5
HCPCS,C1894,HC MINI ACCESS KIT (MICROPUNCT),77.11,26.99,22.08,142.36,5
HCPCS,C1894,HC NDL SS WIRE RG ECHOGEN 4F,100.8,35.28,28.87,142.36,5
HCPCS,C1894,HC NDL SS WIRE RG ECHOGEN 5/7F,107.52,37.64,30.79,142.36,5
HCPCS,C1894,HC NDL SS WIRE RG ECHOGEN 6F,100.8,35.28,28.87,142.36,5
HCPCS,C1894,HC NDL SS WIRE SF ECHOGEN 4F,100.8,35.28,28.87,142.36,5
HCPCS,C1894,HC NDL SS WIRE SF ECHOGEN 5F,100.8,35.28,28.87,142.36,5
HCPCS,C1894,HC NDL VSTICK NITINOL STD 4F,62.16,21.76,17.8,142.36,5
HCPCS,C1894,HC NDL VSTICK NITINOL STF 4F,62.16,21.76,17.8,142.36,5
HCPCS,C1894,HC SDV INTRODUCER SHEATH 12F-16,907.2,317.52,142.36,675.86,5
HCPCS,C1894,HC SDV INTRODUCER SHEATH 18F-20,1075.2,376.32,142.36,801.02,5
HCPCS,C1894,HC SDV INTRODUCER SHEATH 22F-26,1192.8,417.48,142.36,888.64,5
HCPCS,C1894,HC SENTRANT SHEATH,840.0,294.0,142.36,625.8,5
HCPCS,C1894,HC SENTRANT SHEATH 12X28,504.0,176.4,142.36,375.48,5
HCPCS,C1894,HC SENTRANT SHEATH 14/16/18FR,672.0,235.2,142.36,500.64,5
HCPCS,C1894,HC SET INTRD SHEATH,688.8,241.08,142.36,513.16,5
HCPCS,C1894,HC SET INTRD SHEATH SR1 60CM 8.5F,688.8,241.08,142.36,513.16,5
HCPCS,C1894,HC SET INTRDCR HFLX CK FLO 10F 45,133.92,46.88,38.35,142.36,5
HCPCS,C1894,HC SET INTRDCR HFLX CK FLO 12F 45,163.68,57.29,46.88,142.36,5
HCPCS,C1894,HC SET INTRDCR LG CHK FLO 10F 80,238.08,83.33,68.19,177.37,5
HCPCS,C1894,HC SET INTRDCR LG CK FLO 12F 80,238.08,83.33,68.19,177.37,5
HCPCS,C1894,HC SET INTRODCR CHK FLO 16FX5.3X13,184.33,64.52,52.79,142.36,5
HCPCS,C1894,HC SET INTRODCR LG CHK FLO 10F 40,181.24,63.44,51.91,142.36,5
HCPCS,C1894,HC SET NEFF ACC 21G CHIB NDL RADI,288.9,101.12,82.74,215.23,5
HCPCS,C1894,HC SET RING TRNSJUG INTRHEPH ACC,1289.6,451.36,142.36,960.75,5
HCPCS,C1894,HC SET TRANSITIONLSS MICROPNC INT,54.4,19.04,15.58,142.36,5
HCPCS,C1894,HC SHEATH 8F PREFACE GUIDE,599.76,209.92,142.36,446.82,5
HCPCS,C1894,HC SHUTTLE SHEATH 90CM,438.68,153.54,125.64,326.82,5
HCPCS,C1894,HC SUPER SHEATH R/O,361.57,126.55,103.55,269.37,5
HCPCS,C1894,HC TOURGUIDE SHEATH,1260.0,441.0,142.36,938.7,5
HCPCS,C1894,HC TUBE G-J,1468.58,514.01,142.36,1094.09,5
HCPCS,C1894,HC WIRE GUIDE SS 4 7 CHIBA 22 15,280.76,98.27,80.41,209.17,5
HCPCS,C1894,HC WIRE MICROPUNCTURE 4F,54.4,19.04,15.58,142.36,5
HCPCS,C1895,HC I ICD LEAD RELI GORE AF DF4,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,HC I ICD LEAD SPRNT RV 6944M55,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,HC I ICD LEAD SPRNT RV 6944M62,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,HC I ICD LEAD SPRNT RV 6944M72,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,HC I ICD LEAD SPRNT RV 6944M97,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,HC I ICD LEAD SPRNT SEC RV6947100,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,HC I ICD LEAD SPRNT SEC RV6947M49,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,HC I ICD LEAD SPRNT SEC RV6947M55,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,HC I ICD LEAD SPRNT SEC RV6947M62,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,HC I ICD LEAD SPRNT SEC RV6947M72,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,HC I ICD LEAD SPRNT SEC RV6947M97,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,HC I ICD LEAD SPRNT SEC S 6935M55,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,HC ICD LEAD RELI G ACT FIX 0185,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,HC ICD LEAD RELI G ACT FX,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,HC ICD LEAD SPRNT SEC RV6947100,9742.95,3410.04,2790.38,7258.5,8
HCPCS,C1895,HC ICD LEAD SPRNT SEC RV694758,9742.95,3410.04,2790.38,7258.5,8
HCPCS,C1895,HC ICD LEAD SPRNT SEC RV694775,9742.95,3410.04,2790.38,7258.5,8
HCPCS,C1895,HC ICD RELI AF DF4 275,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,HC ICD RELI AF DF4 276,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,HC ICD RELI GORE AFDF4 295,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,HC ICD RELI GORE PFDF4 285,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,HC ICD RELI GORE PFDF4 286,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,HC ICD RELI PF DF4 265,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,HC ICD RELI PF DF4 266,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,"HC LEAD, AICD, ENDO DUAL COIL",10500.0,3675.0,3007.2,7822.5,8
HCPCS,C1895,"HC LEAD, AICD, RELI G ACT FX",10500.0,3675.0,3007.2,7822.5,16
HCPCS,C1895,HC PACEMAKER LEAD DURATA,7875.0,2756.25,2255.4,5866.88,16
HCPCS,C1895,HC PCMKR LEAD DURATA 7171 65,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,HC PCMKR LEAD OPT DF1 LDA21065,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,HC PCMKR LEAD OPT DF4,9843.75,3445.315,2255.4,8800.31,16
HCPCS,C1895,HC PCMKR LEAD OPT DF4 LDA220Q58,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,HC PCMKR LEAD OPT DF4 LDA220Q65,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,HC PCMKR LEAD OPT DF4 LDA230Q65,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,HC PCMKR LEAD OPT DF4 LDP220Q65,11812.5,4134.38,3383.1,8800.31,8
HCPCS,C1895,HC Q-TRAK SQ ELECTRODE,9450.0,3307.5,2706.48,7040.25,16
HCPCS,C1895,HC SICD EMBLEM ELECTRODE,14175.0,4961.25,4059.72,10560.38,8
HCPCS,C1896,HC ICD LEAD SBCT RV,4830.0,1690.5,1383.31,3598.35,16
HCPCS,C1896,HC ICD LEAD TRNSVN,2268.0,793.8,649.56,1689.66,8
HCPCS,C1896,HC SICD EMBLEM ELECTRODE,12600.0,4410.0,3608.64,9387.0,8
HCPCS,C1897,"Lead, neurostim test kit",,,1328.54,1328.54,1
HCPCS,C1898,HC I PCMKR LEAD ACUITY X4 4672,6615.0,2315.25,1894.54,4928.18,8
HCPCS,C1898,HC I PCMKR LEAD ACUITY X4 4674,6615.0,2315.25,1894.54,4928.18,8
HCPCS,C1898,HC I PCMKR LEAD ACUITY X4 4675,6615.0,2315.25,1894.54,4928.18,8
HCPCS,C1898,HC I PCMKR LEAD ACUITY X4 4677,6615.0,2315.25,1894.54,4928.18,8
HCPCS,C1898,HC I PCMKR LEAD ACUITY X4 4678,6615.0,2315.25,1894.54,4928.18,8
HCPCS,C1898,HC I PCMKR LEAD INGEVITY 7732,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC I PCMKR LEAD INGEVITY 7735,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC I PCMKR LEAD INGEVITY 7736,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC I PCMKR LEAD INGEVITY 7740,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC I PCMKR LEAD INGEVITY 7741,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC I PCMKR LEAD INGEVITY 7742,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC ICD LEAD CPSR FX 507665,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC ICD LEAD CPSR FX 507685,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC ICD LEAD SLCT SEC 383049,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,"HC LEAD, PMKR, OTHER THAN TRANS",1312.5,459.38,375.9,977.81,8
HCPCS,C1898,HC MRI SURESCAN PACEMAKER LEAD,2268.0,793.8,649.56,1689.66,8
HCPCS,C1898,HC PCMKR DEXTRUS L 4135 6.7F,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR DEXTRUS L 4136 6.7F,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR FINELN II 4455,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR FLEXTEND 4086,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR FLEXTEND 4087,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR FLEXTEND 4088,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD ASSY 407645,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD ASSY 407652,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD ASSY 407658,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD AV ISOFLEX S K34,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD AV ISOFLEX S K40,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD AV ISOFLEX S K46,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD AV ISOFLEX S K52,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD AV ISOFLEX S K58,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD AV ISOFLEX S K85,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD AV ISOFLEX S T34,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD AV ISOFLEX S T40,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD AV ISOFLEX S T52,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD AV ISOFLEX S T58,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD AV ISOFLEX S T85,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD AV PLUS 52,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD AV PLUS 58,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD AV PLUS 65,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD BI SIL STR 507652,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD BI SIL STR 507658,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD BI SIL STR SRW,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CAPSR EPI 496825,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CAPSR EPI 496835,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CAPSR EPI 496860,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CAPSRFX BI 52C,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CAPSRFX ENDO B,2016.0,705.6,577.38,1501.92,8
HCPCS,C1898,HC PCMKR LEAD CPFXBISCRN IS1,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSR SENSE 407445,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSR SENSE 407452,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSR SENSE 407458,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSR SENSE 457445,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSR SENSE 457453,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSR VDD2 503858,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSR VDD2 503865,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSR VDD2 5038L65,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSR VDD2 5038S52,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSR VDD2 5038S58,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSR Z NV 505452,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSR Z NV 505458,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSR Z NV 555445,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSR Z NV 555453,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSRFX NV 4076110,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSRFX NV 407625,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSRFX NV 407635,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSRFX NV 407665,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSRFX NV 407685,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSRFX NV 5076110,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSRFX SRW 456845,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSRFX SRW 456853,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSRFX SRW 506845,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSRFX SRW 506858,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSRFX SRW 556845,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSRFX SRW 556853,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSRSP NV 409245,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSRSP NV 409252,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSRSP NV 409258,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSRSP NV 509245,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSRSP NV 509252,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSRSP NV 509258,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSRSP NV 559245,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD CPSRSP NV 559253,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD DELIVERY SYS ALDS,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD DELIVERY SYS CLDS,2100.0,735.0,601.44,1564.5,8
HCPCS,C1898,HC PCMKR LEAD DELIVERY SYS DSYS,2100.0,735.0,601.44,1564.5,8
HCPCS,C1898,HC PCMKR LEAD DELIVERY SYS RLDS,1350.0,472.5,386.64,1005.75,8
HCPCS,C1898,HC PCMKR LEAD DXT EXT RTRC 6.7F,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD EPIC SCRW 507115,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD EPIC SCRW 507125,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD EPIC SCRW 507135,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD EPIC SCRW 507153,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD FINELNII STRX4456,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD FINELNII STRX4457,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD FINELNII STRX4458,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD FINELNII STRX4459,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD FINELNII STRX4469,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD FINELNII STRX4470,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD FINELNII STRX4471,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD FINELNII STRX4472,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD FINELNII STRX4473,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD FINELNII STRX4474,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD FINELNII STRX4479,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD FINELNII STRX4480,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD INGEVITY 7840,1165.5,407.93,333.8,868.3,8
HCPCS,C1898,HC PCMKR LEAD INGEVITY 7841,1165.5,407.93,333.8,868.3,8
HCPCS,C1898,HC PCMKR LEAD ISOFLX OPT1944 46,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD ISOFLX OPT1944 52,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD ISOFLX OPT1948 46,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD ISOFLX OPT1948 52,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD ISOFLX OPT1948 58,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD MYOCARDIAL 4046,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD MYOCARDIAL 4047,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD MYOCARDIAL 4058,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD OPTI OPTIM 40,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD OPTI OPTIM 46,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD OPTI OPTIM 52,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD OPTISENSE T40,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD OPTISENSE T58,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD OPTISENSE TC46,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD OPTISENSE TC52,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD SELCT SEC 383059,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD SELCT SEC 383069,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD SELCT SEC 383075C,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD SELCT SEC38300110,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD SOLIA S 60,1197.0,418.95,342.82,891.77,8
HCPCS,C1898,HC PCMKR LEAD SUREFX 507245,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD SUREFX 507252,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD SUREFX 507258,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD TENDRIL SDX 25,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD TENDRIL SDX TC34,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD TENDRIL SDX TC40,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD TENDRIL SDX TC46,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD TENDRIL SDX TC52,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD TENDRIL SDX TC58,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD TNDRL ST OPT TC46,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD TNDRL ST OPT TC52,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD TNDRL ST OPTIM 46,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD TNDRL ST OPTIM 52,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD TNDRL ST OPTIM 58,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD TNDRL ST OPTIM 65,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD TNDRL ST T65,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD TNDRL ST TC40,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD TNDRL ST TC46,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD TNDRL ST TC52,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD TNDRL STS TC100,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD TNDRL STS TC46,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD TNDRL STS TC52,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD TNDRL STS TC58,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR LEAD TNDRL STS TC65,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PCMKR MRI LEAD TENDRIL 46,1417.5,496.13,405.97,1056.04,8
HCPCS,C1898,HC PM LEAD ACUITY X4,6615.0,2315.25,1894.54,4928.18,8
HCPCS,C1898,HC PM LEAD INGEVITY,1417.5,496.13,405.97,1056.04,8
HCPCS,C1899,HC PCMKR MRI LEAD TENDRIL 52,1417.5,496.13,405.97,1056.04,8
HCPCS,C1900,HC I LEAD ATT PERF S MRI SURESCAN,4500.0,1575.0,1288.8,3352.5,8
HCPCS,C1900,HC ICD LEAD ATT STRFX,6618.675,2316.54,1505.71,5945.1,16
HCPCS,C1900,HC ICD LEAD ATT STRFX 419578,5257.35,1840.08,1505.71,3916.73,8
HCPCS,C1900,HC ICD LEAD ATT STRFX 419578C,5257.35,1840.08,1505.71,3916.73,8
HCPCS,C1900,HC ICD LEAD ATT STRFX 419588,5257.35,1840.08,1505.71,3916.73,8
HCPCS,C1900,HC ICD LEAD ATT STRFX 419588C,5257.35,1840.08,1505.71,3916.73,8
HCPCS,C1900,"HC LEAD, CORONARY VENOUS",5250.0,1837.5,1503.6,3911.25,8
HCPCS,C1900,HC PACEMAKER LEAD LV QUARTET,5880.0,2058.0,1684.03,4380.6,16
HCPCS,C1900,HC PCMKR ACUITY OPN LUM 4554,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR ACUITY OPN LUM 4555,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR ACUITY SPIRAL 100CM,4410.0,1543.5,1263.02,3285.45,8
HCPCS,C1900,HC PCMKR ACUITY SPIRAL 80CM,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR ACUITY SPIRAL 90CM,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR LEAD ATT ABL419678,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR LEAD ATT ABL419688,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR LEAD ATT ABLPLS 429678,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR LEAD ATT ABLPLS 429688,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR LEAD ATT ABLSTR 439678,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR LEAD ATT ABLSTR 439688,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR LEAD ATTAIN MRI 479888,7641.11,2674.39,2188.41,5692.63,8
HCPCS,C1900,HC PCMKR LEAD CV 4194103,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR LEAD CV 419488,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR LEAD LEFT VENT 429888,7717.5,2701.13,2210.29,5749.54,8
HCPCS,C1900,HC PCMKR LEAD LV QFLX MICRO T75,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR LEAD LV QFLX MICRO T86,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR LEAD LV QFLX MICRO T92,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR LEAD LV QUARTET,8820.0,3087.0,2526.05,6570.9,16
HCPCS,C1900,HC PCMKR LEAD LV QUARTET 56Q86,8820.0,3087.0,2526.05,6570.9,8
HCPCS,C1900,HC PCMKR LEAD LV QUARTET 57Q75,8820.0,3087.0,2526.05,6570.9,8
HCPCS,C1900,HC PCMKR LEAD LV QUARTET 57Q86,8820.0,3087.0,2526.05,6570.9,8
HCPCS,C1900,HC PCMKR LEAD LV QUARTET 58Q86,8820.0,3087.0,2526.05,6570.9,8
HCPCS,C1900,HC PCMKR LEAD LV QUARTET 58Q92,8820.0,3087.0,2526.05,6570.9,8
HCPCS,C1900,HC PCMKR LEAD LV QUARTET 58QL75,8820.0,3087.0,2526.05,6570.9,8
HCPCS,C1900,HC PCMKR LEAD LV QUARTET 58QL86,8820.0,3087.0,2526.05,6570.9,8
HCPCS,C1900,HC PCMKR LEAD TRNSV PUR BIP,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR LEADS2 EASYTRK 4517,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR LEADS2 EASYTRK 4518,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR LEADS2 EASYTRK 4520,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR LEADS2 EASYTRK 4542,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR LEADS2 EASYTRK 4543,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR LEADS2 EASYTRK 4544,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR LEADS3 EASYTRK 4524,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR LEADS3 EASYTRK 4525,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR LEADS3 EASYTRK 4527,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR LEADS3 EASYTRK 4548,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR LEADS3 EASYTRK 4549,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR LEADS3 EASYTRK 4550,3780.0,1323.0,1082.59,2816.1,8
HCPCS,C1900,HC PCMKR MRI LEAD TENDRIL 56,1417.5,496.13,405.97,1056.04,8
HCPCS,C2596,"Probe, robotic, water-jet",,,18067.0,18067.0,1
HCPCS,C2613,Lung bx plug w/del sys,,,5428.0,5428.0,1
HCPCS,C2614,"Probe, perc lumb disc",,,404.06,404.06,1
HCPCS,C2615,"Sealant, pulmonary, liquid",,,414.11,414.11,1
HCPCS,C2616,HC THERASPHERE SUPPLY PROCEDURE CHARGE,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 10 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 10.5 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 11 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 11.5 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 12 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 12.5 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 13 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 13.5 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 14 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 14.5 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 15 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 15.5 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 16 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 16.5 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 17 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 18 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 18.5 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 19 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 19.5 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 20 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 3 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 3.5 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 4 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 4.5 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 5 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 5.5 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 6 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 6.5 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 7 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 7.5 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 8 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 8.5 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 9 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM 9.5 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2616,HC THERASPHERE Y 90 US COMM17.5 GBQ,36330.0,12715.5,10404.91,28934.76,12
HCPCS,C2617,HC CATH DRAIN BILI MAC LK LP 10.2F,319.6,111.86,91.53,238.1,8
HCPCS,C2617,HC STENT ADVNX BII DB PGTL 7FX10,168.0,58.8,48.12,125.16,8
HCPCS,C2617,HC STENT ADVNX BIL CB 10FX12,168.0,58.8,48.12,125.16,8
HCPCS,C2617,HC STENT ADVNX BIL CB 10FX15,168.0,58.8,48.12,125.16,8
HCPCS,C2617,HC STENT ADVNX BIL CB 10FX5,168.0,58.8,48.12,125.16,8
HCPCS,C2617,HC STENT ADVNX BIL CB 10FX7,168.0,58.8,48.12,125.16,8
HCPCS,C2617,HC STENT ADVNX BIL CB 10FX9,168.0,58.8,48.12,125.16,8
HCPCS,C2617,HC STENT ADVNX BIL CB 7FX12,168.0,58.8,48.12,125.16,8
HCPCS,C2617,HC STENT ADVNX BIL CB 7FX15,168.0,58.8,48.12,125.16,8
HCPCS,C2617,HC STENT ADVNX BIL CB 7FX5,168.0,58.8,48.12,125.16,8
HCPCS,C2617,HC STENT ADVNX BIL CB 7FX7,168.0,58.8,48.12,125.16,8
HCPCS,C2617,HC STENT ADVNX BIL CB 7X18CM,168.0,58.8,48.12,125.16,8
HCPCS,C2617,HC STENT ADVNX BIL CB 7X9,168.0,58.8,48.12,125.16,8
HCPCS,C2617,HC STENT ADVNX BIL CB 8.5FX12,168.0,58.8,48.12,125.16,8
HCPCS,C2617,HC STENT ADVNX BIL CB 8.5FX15,213.0,74.55,61.0,158.69,8
HCPCS,C2617,HC STENT ADVNX BIL CB 8.5FX5,168.0,58.8,48.12,125.16,8
HCPCS,C2617,HC STENT ADVNX BIL CB 8.5FX7,168.0,58.8,48.12,125.16,8
HCPCS,C2617,HC STENT ADVNX BIL CB 8.5FX9,168.0,58.8,48.12,125.16,8
HCPCS,C2617,HC STENT ADVNX BIL DB PGTL 10FX12,168.0,58.8,48.12,125.16,8
HCPCS,C2617,HC STENT ADVNX BIL DB PGTL 10FX3,168.0,58.8,48.12,125.16,8
HCPCS,C2617,HC STENT ADVNX BIL DB PGTL 10FX7,168.0,58.8,48.12,125.16,8
HCPCS,C2617,HC STENT ADVNX BIL DB PGTL 7FX15,168.0,58.8,48.12,125.16,8
HCPCS,C2617,HC STENT ADVNX BIL DB PGTL 7FX3,168.0,58.8,48.12,125.16,8
HCPCS,C2617,HC STENT ADVNX BIL DB PGTL 7FX7,168.0,58.8,48.12,125.16,8
HCPCS,C2617,HC STENT ADVNX PANC PGTL 5FX5,315.0,110.25,90.22,234.68,8
HCPCS,C2617,HC STENT ADVNX PANC PGTL LB 5FX10,315.0,110.25,90.22,234.68,8
HCPCS,C2617,HC STENT ADVNX PANC PGTL LB 5FX12,315.0,110.25,90.22,234.68,8
HCPCS,C2617,HC STENT ADVNX PANC PGTL LB 7FX10,315.0,110.25,90.22,234.68,8
HCPCS,C2617,HC STENT ADVNX PANC PGTL LB 7FX12,315.0,110.25,90.22,234.68,8
HCPCS,C2617,HC STENT ADVNX PANC PGTL LB 7FX5,315.0,110.25,90.22,234.68,8
HCPCS,C2617,HC STENT ADVNX PANC PGTL LB 7FX7,315.0,110.25,90.22,234.68,8
HCPCS,C2617,HC STENT ADVNX PANC PGTL LB 7FX9,315.0,110.25,90.22,234.68,8
HCPCS,C2617,HC STENT ADVNX PANC STR 3FX7,240.0,84.0,68.74,178.8,8
HCPCS,C2617,HC STENT ADVNX PANC STR 5FX12,240.0,84.0,68.74,178.8,8
HCPCS,C2617,HC STENT ADVNX PANC STR LB 10FX15,315.0,110.25,90.22,234.68,8
HCPCS,C2617,HC STENT ADVNX PANC STR LB 10FX3,315.0,110.25,90.22,234.68,8
HCPCS,C2617,HC STENT ADVNX PANC STR LB 10FX5,315.0,110.25,90.22,234.68,8
HCPCS,C2617,HC STENT ADVNX PANC STR LB 10FX7,315.0,110.25,90.22,234.68,8
HCPCS,C2617,HC STENT ADVNX PANC STR LB 10FX9,315.0,110.25,90.22,234.68,8
HCPCS,C2617,HC STENT ADVNX PANC STR LB 5FX3,240.0,84.0,68.74,178.8,8
HCPCS,C2617,HC STENT ADVNX PANC STR LB 5FX5,240.0,84.0,68.74,178.8,8
HCPCS,C2617,HC STENT ADVNX PANC STR LB 5FX7,240.0,84.0,68.74,178.8,8
HCPCS,C2617,HC STENT ADVNX PANC STR LB 5FX9,240.0,84.0,68.74,178.8,8
HCPCS,C2617,HC STENT ADVNX PANC STR LB 7FX11,315.0,110.25,90.22,234.68,8
HCPCS,C2617,HC STENT ADVNX PANC STR LB 7FX12,315.0,110.25,90.22,234.68,8
HCPCS,C2617,HC STENT ADVNX PANC STR LB 7FX15,315.0,110.25,90.22,234.68,8
HCPCS,C2617,HC STENT ADVNX PANC STR LB 7FX3,315.0,110.25,90.22,234.68,8
HCPCS,C2617,HC STENT ADVNX PANC STR LB 7FX7,315.0,110.25,90.22,234.68,8
HCPCS,C2617,HC STENT ADVNX PANC STR LB 7FX9,315.0,110.25,90.22,234.68,8
HCPCS,C2617,HC STENT NEPH MACLOC RDPQ,321.95,112.69,92.21,239.85,8
HCPCS,C2617,HC STENT NEPH MACLOC RDPQ 8.5F,321.95,112.69,92.21,239.85,8
HCPCS,C2617,HC STENT ONLY COT HBRGTS 7FX10CM,213.0,74.55,61.0,158.69,8
HCPCS,C2617,HC STENT ONLY COT LEU BIL 8.5X7CM,168.0,58.8,48.12,125.16,8
HCPCS,C2617,HC STENT ONLY GEE PANC 10FX12CM,207.9,72.77,59.54,154.89,8
HCPCS,C2617,HC STENT ONLY GEE PANC 10FX15CM,207.9,72.77,59.54,154.89,8
HCPCS,C2617,HC STENT ONLY GEE PANC 10FX2CM,179.55,62.85,51.42,133.76,8
HCPCS,C2617,HC STENT ONLY GEE PANC 10FX3CM,179.55,62.85,51.42,133.76,8
HCPCS,C2617,HC STENT ONLY GEE PANC 10FX5CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT ONLY GEE PANC 10FX7CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT ONLY GEE PANC 10FX9CM,179.55,62.85,51.42,133.76,8
HCPCS,C2617,HC STENT ONLY GEE PANC 3FX12CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT ONLY GEE PANC 3FX15CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT ONLY GEE PANC 3FX7CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT ONLY GEE PANC 5FX3CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT ONLY GEE PANC 5FX5CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT ONLY GEE PANC 5FX7CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT ONLY GEE PANC 5FX9CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT ONLY GEE PANC 7FX11CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT ONLY GEE PANC 7FX12CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT ONLY GEE PANC 7FX14CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT ONLY GEE PANC 7FX15CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT ONLY GEE PANC 7FX18CM,179.55,62.85,51.42,133.76,8
HCPCS,C2617,HC STENT ONLY GEE PANC 7FX3CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT ONLY GEE PANC 7FX7CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT ONLY GEE PANC 7FX9CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT ONLY LEU BIL 5FX5CM,179.55,62.85,51.42,133.76,8
HCPCS,C2617,HC STENT ONLY LEU BIL 5FX7CM,179.55,62.85,51.42,133.76,8
HCPCS,C2617,HC STENT ONLY ZIMM PANC FL 5FX6CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT ONLY ZIMM PANC FL 5FX8CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT ONLY ZIMM PANC FL 5FX9CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT ONLY ZIMM PANC FL5FX11CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT ONLY ZIMM PNCRTC 7FX4CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT SET COT HBRGTS 10FX10CM,369.6,129.36,105.85,275.35,8
HCPCS,C2617,HC STENT SET GEE PANC 5FX7CM,330.75,115.77,94.73,246.41,8
HCPCS,C2617,HC STENT SET GEE PANC 5FX9CM,330.75,115.77,94.73,246.41,8
HCPCS,C2617,HC STENT SET GEE PANC 7FX12CM,330.75,115.77,94.73,246.41,8
HCPCS,C2617,HC STENT SET GEE PANC 7FX3CM,330.75,115.77,94.73,246.41,8
HCPCS,C2617,HC STENT SET GEE PANC 7FX5CM,330.75,115.77,94.73,246.41,8
HCPCS,C2617,HC STENT SET GEE PANC 7FX7CM,330.75,115.77,94.73,246.41,8
HCPCS,C2617,HC STENT SET GEE PANC 7FX9CM,330.75,115.77,94.73,246.41,8
HCPCS,C2617,HC STENT SET ZIM PNCRTC 5FX4CM,346.5,121.28,99.24,258.14,8
HCPCS,C2617,HC STENT SET ZIM PNCRTC 5FX6CM,346.5,121.28,99.24,258.14,8
HCPCS,C2617,HC STENT SET ZIM PNCRTC E 5FX10CM,346.5,121.28,99.24,258.14,8
HCPCS,C2617,HC STENT SET ZIM PNCRTC E 5FX12CM,346.5,121.28,99.24,258.14,8
HCPCS,C2617,HC STENT SET ZIM PNCRTC E 5FX8CM,330.75,115.77,94.73,246.41,8
HCPCS,C2617,HC STENT SET ZIM PNCRTC F 5FX12CM,346.5,121.28,99.24,258.14,8
HCPCS,C2617,HC STENT SET ZIM PNCRTC F 5FX8CM,346.5,121.28,99.24,258.14,8
HCPCS,C2617,HC STENT SET ZIM PNCRTC MULTI SIZES,369.6,129.36,105.85,275.35,8
HCPCS,C2617,HC STENT SET ZIMM PNCRTC 5FX7CM,330.75,115.77,94.73,246.41,8
HCPCS,C2617,HC STENT SET ZIMM PNCRTC 7FX12CM,346.5,121.28,99.24,258.14,8
HCPCS,C2617,HC STENT SET ZIMM PNCRTC 7FX8CM,346.5,121.28,99.24,258.14,8
HCPCS,C2617,HC STENT URETERAL JJ USGK,756.5,264.78,216.66,563.59,8
HCPCS,C2617,HC STENT ZIMMON BILIARY 10FX10CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT ZIMMON BILIARY 10FX12CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT ZIMMON BILIARY 10FX2CM,179.55,62.85,51.42,133.76,8
HCPCS,C2617,HC STENT ZIMMON BILIARY 10FX3CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT ZIMMON BILIARY 10FX4CM,168.84,59.1,48.36,125.79,8
HCPCS,C2617,HC STENT ZIMMON BILIARY 10FX7CM,166.95,58.44,47.81,124.38,8
HCPCS,C2617,HC STENT ZIMMON BILIARY 5FX3CM,179.55,62.85,51.42,133.76,8
HCPCS,C2617,HC STENT ZIMMON BILIARY 7FX10CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT ZIMMON BILIARY 7FX12CM,168.84,59.1,48.36,125.79,8
HCPCS,C2617,HC STENT ZIMMON BILIARY 7FX15CM,176.4,61.74,50.52,131.42,8
HCPCS,C2617,HC STENT ZIMMON BILIARY 7FX3CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT ZIMMON BILIARY 7FX4CM,148.05,51.82,42.4,110.3,8
HCPCS,C2617,HC STENT ZIMMON BILIARY 7FX7CM,148.05,51.82,42.4,110.3,8
HCPCS,C2618,HC CAUT NDL CRYO ICEFRC 2.1CX90D,3150.0,1102.5,413.8,2346.75,5
HCPCS,C2618,HC CAUT NDL CRYO ICEROD 1.5CX90D,3150.0,1102.5,413.8,2346.75,5
HCPCS,C2618,HC CAUT NDL CRYO ICESPH 1.5 CX 90,3500.0,1225.0,413.8,2607.5,5
HCPCS,C2618,HC CAUT NDL DRYO ICEPRL 2.1X90D,3150.0,1102.5,413.8,2346.75,5
HCPCS,C2619,"Pmkr, dual, non rate-resp",,,5712.75,5712.75,1
HCPCS,C2620,"Pmkr, single, non rate-resp",,,1008.45,1008.45,1
HCPCS,C2621,HC CRT P ALLURE QUAD MP RF,28507.5,9977.63,8164.55,21238.09,8
HCPCS,C2621,HC CRT P ALLURE QUAD MP RF MRLN,29295.0,10253.25,8390.09,21824.78,8
HCPCS,C2621,HC CRT P INTUA,23940.0,8379.0,6856.42,17835.3,8
HCPCS,C2621,HC CRT P PERCEPTA QUAD AND I PCMKR LEAD LEFT VENT,27310.5,9558.68,7821.73,20346.32,8
HCPCS,C2621,HC CRT P VALITUDE X4 U125/28,14962.5,5236.88,4285.26,11147.06,8
HCPCS,C2621,HC CRT P VALITUDE X4 U128,23546.25,8241.19,6743.65,17541.96,8
HCPCS,C2621,HC I PCMKR MRI PERCEPT CRT P,17100.0,5985.0,4897.44,12739.5,8
HCPCS,C2621,HC PMKR BI-V CRT P ALLURE,14962.5,5236.88,4285.26,11147.06,8
HCPCS,C2621,HC PMKR OTHER THAN SING/DUAL,21000.0,7350.0,6014.4,15645.0,8
HCPCS,C2621,I CRT P SOLARA QUAD MRI US,17640.0,6174.0,5052.1,13141.8,8
HCPCS,C2622,"Prosthesis, penile, non-inf",,,6520.28,6520.28,1
HCPCS,C2623,HC BALLOON IN PACT 100X40X130,3255.0,1139.25,932.23,2424.98,5
HCPCS,C2623,HC BALLOON IN PACT 100X40X80,3255.0,1139.25,932.23,2424.98,5
HCPCS,C2623,HC BALLOON IN PACT 120X40X130,3255.0,1139.25,932.23,2424.98,5
HCPCS,C2623,HC BALLOON IN PACT 120X40X80,3255.0,1139.25,932.23,2424.98,5
HCPCS,C2623,HC BALLOON IN PACT 6X120X80,2625.0,918.75,751.8,1955.63,5
HCPCS,C2623,HC BALLOON IN PACT 6X40X80,2625.0,918.75,751.8,1955.63,5
HCPCS,C2623,HC BALLOON IN PACT 6X60X80,2625.0,918.75,751.8,1955.63,5
HCPCS,C2623,HC BALLOON IN PACT 6X80X80,2625.0,918.75,751.8,1955.63,5
HCPCS,C2623,HC BALLOON IN PACT 7X40X80,2625.0,918.75,751.8,1955.63,5
HCPCS,C2623,HC BALLOON IN PACT 7X60X80,2625.0,918.75,751.8,1955.63,5
HCPCS,C2623,HC BALLOON IN PACT 80X40X130,3255.0,1139.25,932.23,2424.98,5
HCPCS,C2623,HC BALLOON IN PACT 80X40X80,3255.0,1139.25,932.23,2424.98,5
HCPCS,C2623,HC BALLOON IN PACT 80X60X130,3255.0,1139.25,932.23,2424.98,5
HCPCS,C2623,HC BALLOON IN PACT 80X60X80,3255.0,1139.25,932.23,2424.98,5
HCPCS,C2623,HC BALLOON IN PACT 80X80X130,3255.0,1139.25,932.23,2424.98,5
HCPCS,C2623,HC BALLOON IN PACT 80X80X80,3255.0,1139.25,932.23,2424.98,5
HCPCS,C2623,HC BALLOON IN PACT 90X40X130,3255.0,1139.25,932.23,2424.98,5
HCPCS,C2623,HC BALLOON IN PACT 90X40X80,3255.0,1139.25,932.23,2424.98,5
HCPCS,C2623,HC BALLOON IN PACT 90X60X130,3255.0,1139.25,932.23,2424.98,5
HCPCS,C2623,HC BALLOON IN PACT 90X60X80,3255.0,1139.25,932.23,2424.98,5
HCPCS,C2623,HC BALLOON IN PACT 90X80X130,3255.0,1139.25,932.23,2424.98,5
HCPCS,C2623,HC BALLOON IN PACT 90X80X80,3255.0,1139.25,932.23,2424.98,5
HCPCS,C2623,HC BALLOON INPACT ADM DCB 018 4X100,2840.0,994.0,813.38,2115.8,5
HCPCS,C2623,HC BALLOON INPACT ADM DCB 018 4X150,2840.0,994.0,813.38,2115.8,5
HCPCS,C2623,HC BALLOON INPACT ADM DCB 018 4X40,2840.0,994.0,813.38,2115.8,5
HCPCS,C2623,HC BALLOON INPACT ADM DCB 018 5X100,2840.0,994.0,813.38,2115.8,5
HCPCS,C2623,HC BALLOON INPACT ADM DCB 018 5X150,2840.0,994.0,813.38,2115.8,5
HCPCS,C2623,HC BALLOON INPACT ADM DCB 018 5X40,2840.0,994.0,813.38,2115.8,5
HCPCS,C2623,HC BALLOON INPACT ADM DCB 018 6X100,2840.0,994.0,813.38,2115.8,5
HCPCS,C2623,HC BALLOON INPACT ADM DCB 018 6X150,2840.0,994.0,813.38,2115.8,5
HCPCS,C2623,HC BALLOON INPACT ADM DCB 018 6X40,2840.0,994.0,813.38,2115.8,5
HCPCS,C2623,HC BALLOON INPACT ADM DCB 018 7X40,2840.0,994.0,813.38,2115.8,5
HCPCS,C2623,HC BALLOON INPACT ADM DCB 018 7X60,2840.0,994.0,813.38,2115.8,5
HCPCS,C2623,HC BALLOON INPACT ADMRL 018 7X40,2625.0,918.75,751.8,1955.63,5
HCPCS,C2623,HC BALLOON INPACT ADMRL 018 7X60,2625.0,918.75,751.8,1955.63,5
HCPCS,C2623,HC BALLOON INPACT ADMRL 018 7X80,2625.0,918.75,751.8,1955.63,5
HCPCS,C2623,HC BALLOON INPACT DCB 018 4X60,2840.0,994.0,813.38,2115.8,5
HCPCS,C2623,HC BALLOON INPACT DCB 018X4X120,2840.0,994.0,813.38,2115.8,5
HCPCS,C2623,HC BALLOON INPACT DCB 018X4X80,2840.0,994.0,813.38,2115.8,5
HCPCS,C2623,HC BALLOON INPACT DCB 018X5X120,2840.0,994.0,813.38,2115.8,5
HCPCS,C2623,HC BALLOON INPACT DCB 018X5X60,2840.0,994.0,813.38,2115.8,5
HCPCS,C2623,HC BALLOON INPACT DCB 018X5X80,2840.0,994.0,813.38,2115.8,5
HCPCS,C2623,HC BALLOON INPACT DCB 018X6X120,2840.0,994.0,813.38,2115.8,5
HCPCS,C2623,HC BALLOON INPACT DCB 018X6X60,2840.0,994.0,813.38,2115.8,5
HCPCS,C2623,HC BALLOON INPACT DCB 018X6X80,2840.0,994.0,813.38,2115.8,5
HCPCS,C2623,HC BALLOON INPACT DCB 018X7X80,2840.0,994.0,813.38,2115.8,5
HCPCS,C2623,HC BALLOON LUTONIX RX 10X40X100,4095.0,1433.25,1172.81,3050.78,5
HCPCS,C2623,HC BALLOON LUTONIX RX 10X40X75,4095.0,1433.25,1172.81,3050.78,5
HCPCS,C2623,HC BALLOON LUTONIX RX 10X60X100,4095.0,1433.25,1172.81,3050.78,5
HCPCS,C2623,HC BALLOON LUTONIX RX 10X60X75,4095.0,1433.25,1172.81,3050.78,5
HCPCS,C2623,HC BALLOON LUTONIX RX 12X40X100,4095.0,1433.25,1172.81,3050.78,5
HCPCS,C2623,HC BALLOON LUTONIX RX 12X40X75,4095.0,1433.25,1172.81,3050.78,5
HCPCS,C2623,HC BALLOON LUTONIX RX 12X60X100,4095.0,1433.25,1172.81,3050.78,5
HCPCS,C2623,HC BALLOON LUTONIX RX 12X60X75,4095.0,1433.25,1172.81,3050.78,5
HCPCS,C2623,HC BALLOON LUTONIX RX 4X100X75,3465.0,1212.75,992.38,2581.43,5
HCPCS,C2623,HC BALLOON LUTONIX RX 4X40X75,3465.0,1212.75,992.38,2581.43,5
HCPCS,C2623,HC BALLOON LUTONIX RX 4X60X75,3465.0,1212.75,992.38,2581.43,5
HCPCS,C2623,HC BALLOON LUTONIX RX 4X80X75,3465.0,1212.75,992.38,2581.43,5
HCPCS,C2623,HC BALLOON LUTONIX RX 5X100X40,3465.0,1212.75,992.38,2581.43,5
HCPCS,C2623,HC BALLOON LUTONIX RX 5X100X75,3465.0,1212.75,992.38,2581.43,5
HCPCS,C2623,HC BALLOON LUTONIX RX 5X40X40,3465.0,1212.75,992.38,2581.43,5
HCPCS,C2623,HC BALLOON LUTONIX RX 5X40X75,3465.0,1212.75,992.38,2581.43,5
HCPCS,C2623,HC BALLOON LUTONIX RX 5X60X40,3465.0,1212.75,992.38,2581.43,5
HCPCS,C2623,HC BALLOON LUTONIX RX 5X60X75,3465.0,1212.75,992.38,2581.43,5
HCPCS,C2623,HC BALLOON LUTONIX RX 5X80X40,3465.0,1212.75,992.38,2581.43,5
HCPCS,C2623,HC BALLOON LUTONIX RX 5X80X75,3465.0,1212.75,992.38,2581.43,5
HCPCS,C2623,HC BALLOON LUTONIX RX 6X100X40,3465.0,1212.75,992.38,2581.43,5
HCPCS,C2623,HC BALLOON LUTONIX RX 6X100X75,3465.0,1212.75,992.38,2581.43,5
HCPCS,C2623,HC BALLOON LUTONIX RX 6X40X40,3465.0,1212.75,992.38,2581.43,5
HCPCS,C2623,HC BALLOON LUTONIX RX 6X40X75,3465.0,1212.75,992.38,2581.43,5
HCPCS,C2623,HC BALLOON LUTONIX RX 6X60X40,3465.0,1212.75,992.38,2581.43,5
HCPCS,C2623,HC BALLOON LUTONIX RX 6X60X75,3465.0,1212.75,992.38,2581.43,5
HCPCS,C2623,HC BALLOON LUTONIX RX 6X80X40,3465.0,1212.75,992.38,2581.43,5
HCPCS,C2623,HC BALLOON LUTONIX RX 6X80X75,3465.0,1212.75,992.38,2581.43,5
HCPCS,C2623,HC BALLOON LUTONIX RX 7X100X75,3465.0,1212.75,992.38,2581.43,5
HCPCS,C2623,HC BALLOON LUTONIX RX 7X40X40,3465.0,1212.75,992.38,2581.43,5
HCPCS,C2623,HC BALLOON LUTONIX RX 7X40X75,3465.0,1212.75,992.38,2581.43,5
HCPCS,C2623,HC BALLOON LUTONIX RX 7X60X40,3465.0,1212.75,992.38,2581.43,5
HCPCS,C2623,HC BALLOON LUTONIX RX 7X60X75,3465.0,1212.75,992.38,2581.43,5
HCPCS,C2623,HC BALLOON LUTONIX RX 7X80X75,3465.0,1212.75,992.38,2581.43,5
HCPCS,C2623,HC BALLOON LUTONIX RX 8X100X100,4095.0,1433.25,1172.81,3050.78,5
HCPCS,C2623,HC BALLOON LUTONIX RX 8X100X75,4095.0,1433.25,1172.81,3050.78,5
HCPCS,C2623,HC BALLOON LUTONIX RX 8X40X100,4095.0,1433.25,1172.81,3050.78,5
HCPCS,C2623,HC BALLOON LUTONIX RX 8X40X40,4095.0,1433.25,1172.81,3050.78,5
HCPCS,C2623,HC BALLOON LUTONIX RX 8X40X75,4095.0,1433.25,1172.81,3050.78,5
HCPCS,C2623,HC BALLOON LUTONIX RX 8X60X100,4095.0,1433.25,1172.81,3050.78,5
HCPCS,C2623,HC BALLOON LUTONIX RX 8X60X40,4095.0,1433.25,1172.81,3050.78,5
HCPCS,C2623,HC BALLOON LUTONIX RX 8X60X75,4095.0,1433.25,1172.81,3050.78,5
HCPCS,C2623,HC BALLOON LUTONIX RX 8X80X100,4095.0,1433.25,1172.81,3050.78,5
HCPCS,C2623,HC BALLOON LUTONIX RX 8X80X75,4095.0,1433.25,1172.81,3050.78,5
HCPCS,C2623,HC BALLOON LUTONIX RX 9X40X100,4095.0,1433.25,1172.81,3050.78,5
HCPCS,C2623,HC BALLOON LUTONIX RX 9X40X75,4095.0,1433.25,1172.81,3050.78,5
HCPCS,C2623,HC BALLOON LUTONIX RX 9X60X100,4095.0,1433.25,1172.81,3050.78,5
HCPCS,C2623,HC BALLOON LUTONIX RX 9X60X75,4095.0,1433.25,1172.81,3050.78,5
HCPCS,C2623,HC BALLOON LUTONIX RX 9X80X100,4095.0,1433.25,1172.81,3050.78,5
HCPCS,C2623,HC BALLOON LUTONIX RX 9X80X75,4095.0,1433.25,1172.81,3050.78,5
HCPCS,C2623,HC CATH ADMRL RX,3129.0,1095.15,896.15,2331.11,5
HCPCS,C2623,HC CATH ADMRL RX X120,3444.0,1205.4,986.36,2565.78,5
HCPCS,C2623,HC CATH ANGIO ADMRL RX 035X4.0X12,3129.0,1095.15,896.15,2331.11,5
HCPCS,C2623,HC CATH ANGIO ADMRL RX 035X4.0X15,3129.0,1095.15,896.15,2331.11,5
HCPCS,C2623,HC CATH ANGIO ADMRL RX 035X4.0X60,3129.0,1095.15,896.15,2331.11,5
HCPCS,C2623,HC CATH ANGIO ADMRL RX 035X4.0X80,2625.0,918.75,751.8,1955.63,5
HCPCS,C2623,HC CATH ANGIO ADMRL RX 035X5.0X15,3129.0,1095.15,896.15,2331.11,5
HCPCS,C2623,HC CATH ANGIO ADMRL RX 035X5.0X40,2625.0,918.75,751.8,1955.63,5
HCPCS,C2623,HC CATH ANGIO ADMRL RX 035X5.0X60,2625.0,918.75,751.8,1955.63,5
HCPCS,C2623,HC CATH ANGIO ADMRL RX 035X5.0X80,3129.0,1095.15,896.15,2331.11,5
HCPCS,C2623,HC CATH ANGIO ADMRL RX 035X6.0X15,3129.0,1095.15,896.15,2331.11,5
HCPCS,C2623,HC CATH ANGIO ADMRL RX 035X6.0X40,2625.0,918.75,751.8,1955.63,5
HCPCS,C2623,HC CATH ANGIO ADMRL RX 035X6.0X80,2625.0,918.75,751.8,1955.63,5
HCPCS,C2623,HC CATH ANGIO ADMRL RX 035X7.0X40,2625.0,918.75,751.8,1955.63,5
HCPCS,C2623,HC CATH ANGIO ADMRL RX 035X7.0X60,3129.0,1095.15,896.15,2331.11,5
HCPCS,C2623,HC CATH ANGIO ADMRL RX 035X7.0X80,2625.0,918.75,751.8,1955.63,5
HCPCS,C2623,HC CATH ANGIO ADMRL RX035X4.0X200,4084.5,1429.58,1169.8,3042.95,5
HCPCS,C2623,HC CATH ANGIO ADMRL RX035X4.0X250,4494.0,1572.9,1287.08,3348.03,5
HCPCS,C2623,HC CATH ANGIO ADMRL RX035X5.0X200,4084.5,1429.58,1169.8,3042.95,5
HCPCS,C2623,HC CATH ANGIO ADMRL RX035X5.0X250,4494.0,1572.9,1287.08,3348.03,5
HCPCS,C2623,HC CATH ANGIO ADMRL RX035X6.0X120,2940.0,1029.0,842.02,2190.3,5
HCPCS,C2623,HC CATH ANGIO ADMRL RX035X6.0X200,4084.5,1429.58,1169.8,3042.95,5
HCPCS,C2623,HC CATH ANGIO ADMRL RX035X6.0X250,4494.0,1572.9,1287.08,3348.03,5
HCPCS,C2623,HC CATH INPACT ADMRL 018 4X100,2940.0,1029.0,842.02,2190.3,5
HCPCS,C2623,HC CATH INPACT ADMRL 018 4X120,2940.0,1029.0,842.02,2190.3,5
HCPCS,C2623,HC CATH INPACT ADMRL 018 4X150,3255.0,1139.25,932.23,2424.98,5
HCPCS,C2623,HC CATH INPACT ADMRL 018 4X40,2625.0,918.75,751.8,1955.63,5
HCPCS,C2623,HC CATH INPACT ADMRL 018 4X60,2625.0,918.75,751.8,1955.63,5
HCPCS,C2623,HC CATH INPACT ADMRL 018 4X80,2625.0,918.75,751.8,1955.63,5
HCPCS,C2623,HC CATH INPACT ADMRL 018 5X100,2940.0,1029.0,842.02,2190.3,5
HCPCS,C2623,HC CATH INPACT ADMRL 018 5X120,2940.0,1029.0,842.02,2190.3,5
HCPCS,C2623,HC CATH INPACT ADMRL 018 5X150,3255.0,1139.25,932.23,2424.98,5
HCPCS,C2623,HC CATH INPACT ADMRL 018 5X40,2625.0,918.75,751.8,1955.63,5
HCPCS,C2623,HC CATH INPACT ADMRL 018 5X60,2625.0,918.75,751.8,1955.63,5
HCPCS,C2623,HC CATH INPACT ADMRL 018 5X80,2625.0,918.75,751.8,1955.63,5
HCPCS,C2623,HC CATH INPACT ADMRL 018 6X100,2940.0,1029.0,842.02,2190.3,5
HCPCS,C2623,HC CATH INPACT ADMRL 018 6X120,2940.0,1029.0,842.02,2190.3,5
HCPCS,C2623,HC CATH INPACT ADMRL 018 6X150,3255.0,1139.25,932.23,2424.98,5
HCPCS,C2623,HC CATH INPACT ADMRL 018 6X40,2625.0,918.75,751.8,1955.63,5
HCPCS,C2623,HC CATH INPACT ADMRL 018 6X60,2625.0,918.75,751.8,1955.63,5
HCPCS,C2623,HC CATH INPACT ADMRL 018 6X80,2625.0,918.75,751.8,1955.63,5
HCPCS,C2623,HC CATH STELLAREX DCB 4X120X135,4189.5,1466.33,1199.87,3121.18,5
HCPCS,C2623,HC CATH STELLAREX DCB 4X120X80,4189.5,1466.33,1199.87,3121.18,5
HCPCS,C2623,HC CATH STELLAREX DCB 4X40X135,3139.5,1098.83,899.15,2338.93,5
HCPCS,C2623,HC CATH STELLAREX DCB 4X40X80,3769.5,1319.33,1079.58,2808.28,5
HCPCS,C2623,HC CATH STELLAREX DCB 4X60X135,3139.5,1098.83,899.15,2338.93,5
HCPCS,C2623,HC CATH STELLAREX DCB 4X60X80,3769.5,1319.33,1079.58,2808.28,5
HCPCS,C2623,HC CATH STELLAREX DCB 4X80X135,3139.5,1098.83,899.15,2338.93,5
HCPCS,C2623,HC CATH STELLAREX DCB 4X80X80,3769.5,1319.33,1079.58,2808.28,5
HCPCS,C2623,HC CATH STELLAREX DCB 5X120X135,3139.5,1098.83,899.15,2338.93,5
HCPCS,C2623,HC CATH STELLAREX DCB 5X120X80,4189.5,1466.33,1199.87,3121.18,5
HCPCS,C2623,HC CATH STELLAREX DCB 5X40X135,3139.5,1098.83,899.15,2338.93,5
HCPCS,C2623,HC CATH STELLAREX DCB 5X40X80,3769.5,1319.33,1079.58,2808.28,5
HCPCS,C2623,HC CATH STELLAREX DCB 5X60X135,3139.5,1098.83,899.15,2338.93,5
HCPCS,C2623,HC CATH STELLAREX DCB 5X60X80,3769.5,1319.33,1079.58,2808.28,5
HCPCS,C2623,HC CATH STELLAREX DCB 5X80X135,3139.5,1098.83,899.15,2338.93,5
HCPCS,C2623,HC CATH STELLAREX DCB 5X80X80,3769.5,1319.33,1079.58,2808.28,5
HCPCS,C2623,HC CATH STELLAREX DCB 6X120X135,4189.5,1466.33,1199.87,3121.18,5
HCPCS,C2623,HC CATH STELLAREX DCB 6X120X80,4189.5,1466.33,1199.87,3121.18,5
HCPCS,C2623,HC CATH STELLAREX DCB 6X40X135,3139.5,1098.83,899.15,2338.93,5
HCPCS,C2623,HC CATH STELLAREX DCB 6X40X80,3769.5,1319.33,1079.58,2808.28,5
HCPCS,C2623,HC CATH STELLAREX DCB 6X60X135,3139.5,1098.83,899.15,2338.93,5
HCPCS,C2623,HC CATH STELLAREX DCB 6X60X80,3769.5,1319.33,1079.58,2808.28,5
HCPCS,C2623,HC CATH STELLAREX DCB 6X80X135,3139.5,1098.83,899.15,2338.93,5
HCPCS,C2623,HC CATH STELLAREX DCB 6X80X80,3769.5,1319.33,1079.58,2808.28,5
HCPCS,C2624,HC CARDIOMEMS IMPLANT-SUPPLY,108675.0,38036.25,31124.52,80962.88,8
HCPCS,C2624,HC I SENSOR CARDIOMEMS KIT,45000.0,15750.0,12888.0,33525.0,8
HCPCS,C2625,HC SET SOLUS W RDPQ BAND 10F 3CM,434.7,152.15,124.5,323.85,8
HCPCS,C2625,HC SET SOLUS W RDPQ BAND 10F 5CM,434.7,152.15,124.5,323.85,8
HCPCS,C2625,HC SET SOLUS W RDPQ BAND 10F 7CM,434.7,152.15,124.5,323.85,8
HCPCS,C2625,HC SET SOLUS W RDPQ BAND 10F 9CM,434.7,152.15,124.5,323.85,8
HCPCS,C2625,HC STENT NEPH 8X24,409.15,143.21,117.18,304.82,8
HCPCS,C2625,HC STENT NEPH 8X26,409.15,143.21,117.18,304.82,8
HCPCS,C2625,HC STENT OASIS 1 INTRODUCTION SYS,492.0,172.2,140.91,366.54,8
HCPCS,C2625,HC STENT SET COT HBRGTS 7FX7CM,330.75,115.77,94.73,246.41,8
HCPCS,C2625,HC STENT SET GEE PANC,380.21,133.08,108.89,283.26,8
HCPCS,C2625,HC STENT SET GEE PANC 5FX3CM,414.0,144.9,118.57,308.43,8
HCPCS,C2625,HC STENT SET LEU BIL 10FX10CM,330.75,115.77,94.73,246.41,8
HCPCS,C2625,HC STENT SET LEU BIL 10FX7CM,330.75,115.77,94.73,246.41,8
HCPCS,C2625,HC STENT SET LEU BIL 7FX7CM,330.75,115.77,94.73,246.41,8
HCPCS,C2625,HC STENT SET LEU BIL 7FX9CM,330.75,115.77,94.73,246.41,8
HCPCS,C2625,HC STENT SET SOLUS RDPQBND,352.8,123.48,101.04,262.84,8
HCPCS,C2625,HC STENT SET ZIMM BILIARY 7FRX7CM,330.75,115.77,94.73,246.41,8
HCPCS,C2625,HC STENT SET ZIMM BILIARY 7FX15CM,346.5,121.28,99.24,258.14,8
HCPCS,C2625,HC STENT URET AMPLATZ 10X22,337.96,118.29,96.79,251.78,8
HCPCS,C2625,HC STENT URET AMPLATZ 10X24,337.96,118.29,96.79,251.78,8
HCPCS,C2625,HC STENT URET AMPLATZ 10X26,337.96,118.29,96.79,251.78,8
HCPCS,C2625,HC STENT URET AMPLATZ 8X20,337.96,118.29,96.79,251.78,8
HCPCS,C2625,HC STENT URET AMPLATZ 8X22,337.96,118.29,96.79,251.78,8
HCPCS,C2625,HC STENT URET AMPLATZ 8X24,337.96,118.29,96.79,251.78,8
HCPCS,C2625,HC STENT URET AMPLATZ 8X26,337.96,118.29,96.79,251.78,8
HCPCS,C2626,"Infusion pump, non-prog,temp",,,809.78,809.78,1
HCPCS,C2627,"Cath, suprapubic/cystoscopic",,,126.36,126.36,1
HCPCS,C2628,HC BALLOON CODA 10.0 120 14F,1376.0,481.6,394.09,1025.12,5
HCPCS,C2628,HC CATH BALLOON TRI LOBE 16-14,1587.6,555.66,454.69,1182.76,5
HCPCS,C2628,HC CATH BALLOON TRI LOBE 26-42,1629.6,570.36,466.72,1214.05,5
HCPCS,C2628,HC CATH FRONRUNNER XP CTO,2276.0,796.6,651.85,1695.62,5
HCPCS,C2628,HC CATH OUTBACK LTD,4263.0,1492.05,968.8,3175.94,5
HCPCS,C2628,HC CATH STENT GRFT BALLN Q50 65P,1520.0,532.0,435.33,1132.4,5
HCPCS,C2628,HC CODA BALLOON OCCLUSION CATHETR,1401.12,490.4,401.28,1043.83,5
HCPCS,C2628,HC STENT GRAFT BALLOON CATHETER+,1596.0,558.6,457.09,1189.02,5
HCPCS,C2628,HC TRI-LOBE BALLOON CATH,1587.6,555.66,454.69,1182.76,5
HCPCS,C2629,"Intro/sheath, laser",,,247.34,247.34,1
HCPCS,C2630,HC CATH CARD IAB ULTREFLX,2265.48,792.92,278.34,1687.78,5
HCPCS,C2630,HC CATH CARD IAB ULTRFLX 7.5X30CC,1754.3,614.01,278.34,1306.95,5
HCPCS,C2630,HC CATH CARD IAB ULTRFLX 7.5X40CC,1765.61,617.97,278.34,1315.38,5
HCPCS,C2630,HC CATH DECAPOLAR BD 7F,1627.92,569.78,278.34,1212.8,5
HCPCS,C2630,HC CATH EP THERMOCOOL CRV D-J,5985.0,2094.75,278.34,4458.83,5
HCPCS,C2630,HC CATH EP THERMOCOOL D,5991.3,2096.96,278.34,4463.52,5
HCPCS,C2630,HC CATH EP THERMOCOOL J,5991.3,2096.96,278.34,4463.52,5
HCPCS,C2630,HC CATH EP THERMOCOOL SF F,5991.3,2096.96,278.34,4463.52,5
HCPCS,C2630,HC CATH EP THERMOCOOL SMARTTCH FJ,7494.9,2623.22,278.34,5583.7,5
HCPCS,C2630,HC CATH EP THRMCL SF NON NV DF TC,4029.9,1410.47,278.34,3002.28,5
HCPCS,C2630,HC THERMOCOOL SFST BID FJ,7455.0,2609.25,278.34,5553.98,5
HCPCS,C2631,"Rep dev, urinary, w/o sling",,,1464.6,1464.6,1
HCPCS,C2634,"Brachytx, non-str, HA, I-125",,,174.06,283.4,5
HCPCS,C2635,"Brachytx, non-str, HA, P-103",,,88.44,173.81,5
HCPCS,C2636,"Brachy linear, non-str,P-103",,,0.62,145.56,5
HCPCS,C2638,"Brachytx, stranded, I-125",,,35.26,57.41,5
HCPCS,C2639,"Brachytx, non-stranded,I-125",,,36.64,59.66,5
HCPCS,C2640,"Brachytx, stranded, P-103",,,25.64,143.7,5
HCPCS,C2641,"Brachytx, non-stranded,P-103",,,5.95,104.99,5
HCPCS,C2642,"Brachytx, stranded, C-131",,,119.11,193.93,5
HCPCS,C2643,"Brachytx, non-stranded,C-131",,,99.8,162.49,5
HCPCS,C2645,"Brachytx planar, p-103",,,4.69,7.64,4
HCPCS,C2698,"Brachytx, stranded, NOS",,,35.26,57.41,4
HCPCS,C2699,"Brachytx, non-stranded, NOS",,,36.64,59.66,4
HCPCS,C5271,Ambulatory Surgery Groups,,,2983.0,3500.0,3
HCPCS,C5271,Ambulatory Surgery Groups - CPT/HCPCS,,,2444.0,2444.0,1
HCPCS,C5272,Ambulatory Surgery Groups,,,3000.0,3000.0,1
HCPCS,C5272,Ambulatory Surgery Groups - CPT/HCPCS,,,2444.0,2444.0,1
HCPCS,C5273,Ambulatory Surgery Groups,,,3200.0,21649.0,3
HCPCS,C5273,Ambulatory Surgery Groups - CPT/HCPCS,,,5513.0,5513.0,1
HCPCS,C5274,Ambulatory Surgery Groups,,,3000.0,3000.0,1
HCPCS,C5274,Ambulatory Surgery Groups - CPT/HCPCS,,,2444.0,2444.0,1
HCPCS,C5275,Ambulatory Surgery Groups,,,2983.0,3500.0,3
HCPCS,C5275,Ambulatory Surgery Groups - CPT/HCPCS,,,2444.0,2444.0,1
HCPCS,C5276,Ambulatory Surgery Groups,,,3000.0,3000.0,1
HCPCS,C5276,Ambulatory Surgery Groups - CPT/HCPCS,,,2444.0,2444.0,1
HCPCS,C5277,Ambulatory Surgery Groups,,,2983.0,3500.0,3
HCPCS,C5277,Ambulatory Surgery Groups - CPT/HCPCS,,,2444.0,2444.0,1
HCPCS,C5278,Ambulatory Surgery Groups,,,3000.0,3000.0,1
HCPCS,C5278,Ambulatory Surgery Groups - CPT/HCPCS,,,2444.0,2444.0,1
HCPCS,C7500,Deb bone 20 cm2 w/drug dev,,,3200.0,10856.0,4
HCPCS,C7501,Perc bx breast lesions stero,,,3200.0,10856.0,4
HCPCS,C7502,Perc bx breast lesions mr,,,4344.0,10856.0,4
HCPCS,C7503,Open exc cerv node(s) w/ id,,,3200.0,4524.0,3
HCPCS,C7504,Perq cvt&ls inj vert bodies,,,4344.0,12001.0,3
HCPCS,C7505,Perq ls&cvt inj vert bodies,,,4344.0,12001.0,3
HCPCS,C7506,Fusion of finger joints,,,4344.0,22625.0,3
HCPCS,C7507,Perq thor&lumb vert aug,,,4344.0,22625.0,3
HCPCS,C7508,Perq lumb&thor vert aug,,,4344.0,22625.0,3
HCPCS,C7509,Dx bronch w/ navigation,,,4344.0,21649.0,4
HCPCS,C7510,Bronch/lavag w/ navigation,,,4344.0,21649.0,4
HCPCS,C7511,Bronch/bpsy(s) w/ navigation,,,4344.0,21649.0,4
HCPCS,C7512,Bronch/bpsy(s) w/ ebus,,,4344.0,21649.0,4
HCPCS,C7513,Cath/angio dialcir w/aplasty,,,4344.0,22133.0,4
HCPCS,C7514,Cath/angio dial cir w/stents,,,4344.0,22133.0,4
HCPCS,C7515,Cath/angio dial cir w/embol,,,4344.0,30380.0,4
HCPCS,C7516,Cor angio w/ ivus or oct,,,4344.0,15181.0,3
HCPCS,C7517,Cor angio w/ilic/fem angio,,,4344.0,12001.0,3
HCPCS,C7518,Cor/gft angio w/ ivus or oct,,,4344.0,15181.0,3
HCPCS,C7519,Cor/gft angio w/ flow resrv,,,4344.0,12001.0,3
HCPCS,C7520,Cor/gft angio w/ilic/fem ang,,,4344.0,12001.0,3
HCPCS,C7521,R hrt angio w/ ivus or oct,,,4344.0,15181.0,3
HCPCS,C7522,R hrt angio w/flow resrv,,,4344.0,12001.0,3
HCPCS,C7523,L hrt angio w/ ivus or oct,,,4344.0,15181.0,3
HCPCS,C7524,L hrt angio w/flow resrv,,,4344.0,12001.0,3
HCPCS,C7525,L hrt gft ang w/ ivus or oct,,,4344.0,15181.0,3
HCPCS,C7526,L hrt gft ang w/flow resrv,,,4344.0,12001.0,3
HCPCS,C7527,R&l hrt angio w/ ivus or oct,,,4344.0,15181.0,3
HCPCS,C7528,R&l hrt angio w/flow resrv,,,4344.0,12001.0,3
HCPCS,C7529,R&l hrt gft ang w/flow resrv,,,4344.0,12001.0,3
HCPCS,C7530,Cath/aplasty dial cir w/stnt,,,4344.0,30380.0,3
HCPCS,C7531,Angio fem/pop w/ us,,,4344.0,30380.0,3
HCPCS,C7532,Angio w/ us non-coronary,,,4344.0,22133.0,3
HCPCS,C7533,Ptca w/ plcmt brachytx dev,,,4344.0,22133.0,3
HCPCS,C7534,Fem/pop revasc w/arthr & us,,,4344.0,52872.0,3
HCPCS,C7535,Fem/pop revasc w/stent & us,,,4344.0,52872.0,3
HCPCS,C7537,Insrt atril pm w/l vent lead,,,4344.0,30380.0,3
HCPCS,C7538,Insrt vent pm w/l vent lead,,,4344.0,12001.0,3
HCPCS,C7539,Insrt a & v pm w/l vent lead,,,4344.0,52872.0,3
HCPCS,C7540,Rmv&rplc pm dul w/l vnt lead,,,4344.0,30380.0,3
HCPCS,C7541,Ercp w/ pancreatoscopy,,,4344.0,12001.0,3
HCPCS,C7542,Ercp w/bx & pancreatoscopy,,,4344.0,12001.0,3
HCPCS,C7543,"Ercp w/otomy, pancreatoscopy",,,4344.0,12001.0,3
HCPCS,C7544,Ercp rmv calc pancreatoscopy,,,4344.0,18067.0,3
HCPCS,C7545,Exch bil cath w/ rmv calculi,,,4344.0,12001.0,3
HCPCS,C7546,Rep nph/urt cath w/dil stric,,,3200.0,21649.0,4
HCPCS,C7547,Cnvrt neph cath w/ dil stric,,,3200.0,21649.0,4
HCPCS,C7548,Exch neph cath w/ dil stric,,,3200.0,21649.0,4
HCPCS,C7549,Chge urtr stent w/ dil stric,,,3200.0,21649.0,4
HCPCS,C7550,Cysto w/ bx(s) w/ blue light,,,3200.0,21649.0,4
HCPCS,C7551,Exc neuroma w/ implnt nv end,,,4344.0,5583.0,3
HCPCS,C7552,R hrt art/grft ang hrt flow,,,4344.0,12001.0,3
HCPCS,C7553,R&i hrt art/vent ang drg ad,,,4344.0,12001.0,3
HCPCS,C7554,Cystureth blu li cyst fl img,,,3200.0,10856.0,4
HCPCS,C7555,Rmvl thyrd w/autotran parath,,,4344.0,19925.0,3
HCPCS,C7556,Bronch lavage w/ebus,,,3200.0,3200.0,1
HCPCS,C7557,Cor angio/vent w/ffr,,,4344.0,15181.0,2
HCPCS,C7560,Ercp remove forgn body&endo,,,4344.0,5583.0,2
HCPCS,C7562,R&l hrt angio w/ffr & 3d map,,,4344.0,15181.0,2
HCPCS,C7563,Trluml ballo angiop all art,,,4344.0,11244.0,2
HCPCS,C7564,Vein mech throm w/intrvas us,,,4344.0,11244.0,2
HCPCS,C7565,Rpr aa hrn < 3 rdc w/ rmvl,,,4344.0,6479.0,2
HCPCS,C7900,"HC HOPD MNTL HLT, 15-29 MIN",102.84,36.0,29.45,76.62,8
HCPCS,C7901,"HC HOPD MNTL HLT, 30-60 MIN",262.82,91.99,75.27,195.8,8
HCPCS,C7902,"HC HOPD MNTL HLT, EA ADDL",34.28,12.0,9.82,25.54,4
HCPCS,C7903,HC GROUP PSYCHOTHERAPY MENTAL HEALTH GROUP REMOTE,91.74,32.11,26.27,68.35,9
HCPCS,C8001,3d anat seg imaging preop,,,135.74,221.0,4
HCPCS,C8002,"Prep skin cell susp, automtd",,,7486.29,12189.17,4
HCPCS,C8003,Imp extar knee shck absrb,,,6479.0,30115.41,6
HCPCS,C8004,Sim ang w/prs cath rad emb,,,12177.78,19827.86,4
HCPCS,C8005,Pef bronch ablt 3d nav ebus,,,18069.62,29420.95,4
HCPCS,C8006,Inst pleu-perit shnt w pump,,,6829.13,11119.19,4
HCPCS,C8007,Opn mplnt hpgls ns ary ps gn,,,32551.29,53000.01,4
HCPCS,C8008,Rv/rpl hpgls ns inc cnt pg,,,11754.25,19138.27,4
HCPCS,C8009,Rmv hpgls ns ary and pg,,,3603.64,5867.45,4
HCPCS,C8010,Pc plm pm c ctd emb prtc,,,12907.02,21015.2,4
HCPCS,C8011,Opn mplnt hpgls ns ary rec,,,32551.29,53000.01,4
HCPCS,C8012,Rv/rpl hpgls ns ary rec,,,11754.25,19138.27,4
HCPCS,C8013,Rmv hpls ns ary rec,,,3603.64,5867.45,4
HCPCS,C8900,"MRA w/cont, abd",,,368.02,657.4,5
HCPCS,C8901,"MRA w/o cont, abd",,,251.7,657.4,5
HCPCS,C8902,"MRA w/o fol w/cont, abd",,,368.02,657.4,5
HCPCS,C8903,HC MRI WITH CONTRAST BREAST UNILATERAL,2206.4,772.24,185.03,2429.0,10
HCPCS,C8905,HC MRI W/O CONTRAST FOL W/CONT BRST UNILATERAL,2384.27,834.5,368.02,2429.0,10
HCPCS,C8906,"HC MRI W/CONT, BREAST, BI",2374.57,831.1,368.02,2429.0,10
HCPCS,C8908,"HC MRI W/O FOL W/CONT, BREAST",2811.16,983.91,368.02,2429.0,10
HCPCS,C8909,"MRA w/cont, chest",,,368.02,657.4,5
HCPCS,C8910,"MRA w/o cont, chest",,,251.7,657.4,5
HCPCS,C8911,"MRA w/o fol w/cont, chest",,,368.02,657.4,5
HCPCS,C8912,"MRA w/cont, lwr ext",,,368.02,657.4,5
HCPCS,C8913,"MRA w/o cont, lwr ext",,,251.7,657.4,5
HCPCS,C8914,"MRA w/o fol w/cont, lwr ext",,,368.02,657.4,5
HCPCS,C8918,"MRA w/cont, pelvis",,,368.02,657.4,5
HCPCS,C8919,"MRA w/o cont, pelvis",,,251.7,657.4,5
HCPCS,C8920,"MRA w/o fol w/cont, pelvis",,,368.02,657.4,5
HCPCS,C8921,"TTE w or w/o fol w/cont, com",,,826.95,2122.78,5
HCPCS,C8922,"TTE w or w/o fol w/cont, f/u",,,826.95,1369.14,5
HCPCS,C8923,"2D TTE w or w/o fol w/con,co",,,826.95,1346.43,5
HCPCS,C8924,"2D TTE w or w/o fol w/con,fu",,,368.02,599.21,5
HCPCS,C8925,"2D TEE w or w/o fol w/con,in",,,826.95,1479.58,5
HCPCS,C8926,"TEE w or w/o fol w/cont,cong",,,826.95,2987.23,5
HCPCS,C8927,"TEE w or w/o fol w/cont, mon",,,826.95,1346.43,4
HCPCS,C8928,"TTE w or w/o fol w/con,stres",,,826.95,1346.43,5
HCPCS,C8929,"TTE w or wo fol wcon,Doppler",,,826.95,1346.43,5
HCPCS,C8930,"TTE w or w/o contr, cont ECG",,,826.95,1980.95,5
HCPCS,C8931,"MRA, w/dye, spinal canal",,,368.02,657.4,5
HCPCS,C8932,"MRA, w/o dye, spinal canal",,,251.7,657.4,5
HCPCS,C8933,"MRA, w/o&w/dye, spinal canal",,,368.02,657.4,5
HCPCS,C8934,"MRA, w/dye, upper extremity",,,368.02,657.4,5
HCPCS,C8935,"MRA, w/o dye, upper extr",,,251.7,657.4,5
HCPCS,C8936,"MRA, w/o&w/dye, upper extr",,,368.02,657.4,5
HCPCS,C8937,HC CAD BREAST MRI,140.21,49.08,0.9,2429.0,6
HCPCS,C8957,"Prolonged IV inf, req pump",,,224.38,651.67,6
HCPCS,C9046,Cocaine hcl nasal solution,,,2.54,8.02,3
HCPCS,C9047,"Injection, caplacizumab-yhdp",,,801.26,3778.11,8
HCPCS,C9067,Gallium ga-68 dotatoc,,,3.61,39.75,7
HCPCS,C9088,Drugs,,,1.2,1.2,1
HCPCS,C9088,Drugs - Other,,,3.66,3.66,1
HCPCS,C9088,Oncology Drugs,,,1.35,1.35,1
HCPCS,C9088,Other Outpatient Services - CPT/HCPCS,,,1.16,1.16,1
HCPCS,C9089,Drugs - Other,,,4.35,4.35,1
HCPCS,C9089,Oncology Drugs,,,1.53,1.53,1
HCPCS,C9089,Other Outpatient Services - CPT/HCPCS,,,1.38,1.38,1
HCPCS,C9090,Other Outpatient Services - CPT/HCPCS,,,49.82,49.82,1
HCPCS,C9091,Other Outpatient Services - CPT/HCPCS,,,112.69,112.69,1
HCPCS,C9092,Other Outpatient Services - CPT/HCPCS,,,76.12,76.12,1
HCPCS,C9093,Other Outpatient Services - CPT/HCPCS,,,132.86,132.86,1
HCPCS,C9101,"Inj, oliceridine 0.1 mg",,,1.96,6.76,4
HCPCS,C9113,Drugs - Other,,,23.34,23.34,1
HCPCS,C9113,Other Outpatient Services - CPT/HCPCS,,,7.56,7.56,1
HCPCS,C9143,cocaine 4 % solution 4 mL Bottle,832.61,291.42,3.01,757.43,18
HCPCS,C9144,"Inj, bupivacaine (posimir)",,,0.8,2.52,4
HCPCS,C9145,Drugs,,,3.1,3.1,1
HCPCS,C9145,Drugs - Other,,,9.48,9.48,1
HCPCS,C9145,Oncology Drugs,,,3.32,3.32,1
HCPCS,C9145,Other Outpatient Services - CPT/HCPCS,,,3.01,3.01,1
HCPCS,C9150,Drugs - Other,,,272693.2,272693.2,1
HCPCS,C9150,Other Outpatient Services - CPT/HCPCS,,,86361.6,86361.6,1
HCPCS,C9151,Drugs - Other,,,765.64,765.64,1
HCPCS,C9159,Drugs,,,5.36,5.36,1
HCPCS,C9160,Drugs,,,7.34,7.34,1
HCPCS,C9161,Drugs,,,557.65,557.65,1
HCPCS,C9162,Drugs,,,178.45,178.45,1
HCPCS,C9163,Drugs,,,110.04,110.04,1
HCPCS,C9164,Drugs,,,1164.16,1164.16,1
HCPCS,C9165,Drugs,,,291.84,291.84,1
HCPCS,C9169,Oncology Drugs,,,164.33,164.33,1
HCPCS,C9170,Oncology Drugs,,,2754.0,2754.0,1
HCPCS,C9171,Oncology Drugs,,,64.97,64.97,1
HCPCS,C9172,Oncology Drugs,,,179999.58,179999.58,1
HCPCS,C9176,Dom nonheu tc99m add-on/dose,,,10.0,16.28,4
HCPCS,C9248,Drugs - Other,,,17.4,17.4,1
HCPCS,C9248,Oncology Drugs,,,6.29,6.29,1
HCPCS,C9248,Other Outpatient Services - CPT/HCPCS,,,5.52,5.52,1
HCPCS,C9250,Artiss fibrin sealant,,,143.7,327.78,7
HCPCS,C9254,"Injection, lacosamide",,,0.36,1.58,3
HCPCS,C9257,Bevacizumab injection,,,1.86,24.89,8
HCPCS,C9285,"Patch, lidocaine/tetracaine",,,28.15,88.9,3
HCPCS,C9290,Drugs - Other,,,6.98,6.98,1
HCPCS,C9290,Oncology Drugs,,,2.61,2.61,1
HCPCS,C9290,Other Outpatient Services - CPT/HCPCS,,,2.21,2.21,1
HCPCS,C9293,"Injection, glucarpidase",,,449.1,1921.86,7
HCPCS,C9305,Outpatient Services,,,32.14,52.32,4
HCPCS,C9306,Outpatient Services,,,143.99,234.45,4
HCPCS,C9309,Inj onase abepar-brve treat,,,2664228.59,4337896.99,4
HCPCS,C9352,"Neuragen nerve guide, per cm",,,1673.67,1850.24,2
HCPCS,C9353,"Neurawrap nerve protector,cm",,,1668.07,1973.25,2
HCPCS,C9354,"Veritas collagen matrix, cm2",,,31.56,34.89,2
HCPCS,C9355,"Neuromatrix nerve cuff, cm",,,296.73,328.04,2
HCPCS,C9356,"TenoGlide tendon prot, cm2",,,168.68,195.78,2
HCPCS,C9358,"SurgiMend, fetal",,,32.9,32.9,1
HCPCS,C9359,"Implnt,bon void filler-putty",,,200.68,200.68,1
HCPCS,C9360,"SurgiMend, neonatal",,,35.26,35.26,1
HCPCS,C9361,NeuroMend nerve wrap,,,288.62,319.07,2
HCPCS,C9362,"Implnt,bon void filler-strip",,,0.05,181.11,2
HCPCS,C9363,Integra Meshed Bil Wound Mat,,,113.73,213.74,6
HCPCS,C9364,"Porcine implant, Permacol",,,29.93,33.11,2
HCPCS,C9399,Unclassified drugs or biolog,,,179999.58,179999.58,1
HCPCS,C9460,"Injection, cangrelor",,,20.02,93.55,8
HCPCS,C9462,"Injection, delafloxacin",,,0.87,2.47,3
HCPCS,C9482,Sotalol hydrochloride IV,,,34.17,104.84,4
HCPCS,C9488,Conivaptan HCL,,,77.95,233.74,4
HCPCS,C9507,COVID-19 convalescent plasma,,,680.03,1298.37,5
HCPCS,C9600,HC PERC DRUG-EL COR STENT SING,22402.5,7840.88,7684.06,30380.0,10
HCPCS,C9601,HC PERC DRUG-EL COR STENT BRAN,11201.25,3920.44,3000.0,25940.0,6
HCPCS,C9602,HC PERC D-E COR STENT ATHER S,35575.3,12451.36,7740.0,52872.0,10
HCPCS,C9603,HC PERC D-E COR STENT ATHER BR,17787.65,6225.68,5094.38,25940.0,6
HCPCS,C9604,HC PERC D-E COR REVASC T CABG S,22402.5,7840.88,7684.06,30380.0,10
HCPCS,C9605,HC PERC D-E COR REVASC T CABG B,11201.25,3920.44,3208.04,25940.0,6
HCPCS,C9606,HC PERC D-E COR REVASC W AMI S,16942.93,5930.03,5428.0,52872.0,6
HCPCS,C9607,HC PERC D-E COR REVASC CHRO SIN,35575.3,12451.36,7740.0,52872.0,10
HCPCS,C9608,HC PERC D-E COR REVASC CHRO ADD,17787.65,6225.68,5094.38,25940.0,6
HCPCS,C9610,HC BALLOON AGENT US MR 2.00X12,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 2.00X15,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 2.00X20,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 2.00X30,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 2.25X12,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 2.25X15,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 2.25X20,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 2.25X30,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 2.50X12,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 2.50X15,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 2.50X20,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 2.50X30,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 2.75X12,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 2.75X15,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 2.75X20,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 2.75X30,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 3.00X12,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 3.00X15,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 3.00X20,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 3.00X30,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 3.50X12,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 3.50X15,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 3.50X20,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 3.50X30,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 4.00X12,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 4.00X15,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 4.00X20,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9610,HC BALLOON AGENT US MR 4.00X30,11200.0,3920.0,3207.68,8344.0,5
HCPCS,C9725,Place endorectal app,,,981.0,5428.0,6
HCPCS,C9726,Rxt breast appl place/remov,,,2444.0,5428.0,2
HCPCS,C9727,Insert palate implants,,,1636.74,5513.0,6
HCPCS,C9728,"Place device/marker, non pro",,,1460.1,5428.0,6
HCPCS,C9733,Non-ophthalmic FVA,,,206.86,599.21,5
HCPCS,C9734,"U/S trtmt, not leiomyomata",,,5428.0,30380.0,7
HCPCS,C9738,Blue light cysto imag agent,,,2444.0,3000.0,2
HCPCS,C9739,Cystoscopy prostatic imp 1-3,,,5656.07,21649.0,8
HCPCS,C9740,Cysto impl 4 or more,,,9611.0,30380.0,7
HCPCS,C9751,Ambulatory Surgery Groups,,,11244.0,30380.0,2
HCPCS,C9751,Ambulatory Surgery Groups - CPT/HCPCS,,,6987.0,6987.0,1
HCPCS,C9756,Fluorescence lymph map w/ICG,,,2444.0,3000.0,2
HCPCS,C9757,Spine device implant surgery,,,9611.0,30380.0,8
HCPCS,C9758,Blind interatrial shunt ide,,,5428.0,30380.0,7
HCPCS,C9759,Transcath intraop microinf,,,2444.0,5428.0,2
HCPCS,C9760,Non-blind interatrial shunt,,,5428.0,46232.44,7
HCPCS,C9761,"Cysto, litho, vacuum kidney",,,6090.0,21649.0,8
HCPCS,C9762,Cardiac mri seg dys strain,,,576.4,938.5,4
HCPCS,C9763,Cardiac mri seg dys stress,,,576.4,938.5,4
HCPCS,C9764,HC REVASCULARIZATION INTRAVASCULAR LITHOTRIPSY,23446.87,8206.41,6479.0,22133.0,10
HCPCS,C9765,HC REVASCULARIZATION INTRAVASCULAR LITHOTRIPSY-STENT,37489.22,13121.23,6479.0,31485.72,10
HCPCS,C9766,HC REVASCULARIZATION INTRAVASCULAR LITHOTRIPSY-ATHERECTOMY,37489.22,13121.23,7740.0,31485.72,10
HCPCS,C9767,HC REVASCULARIZATION INTRAVASCULAR LITHOTRIPSY-STENT AND ATHERECTOMY,37489.22,13121.23,7740.0,52872.0,10
HCPCS,C9768,Endo us-guide hep porto grad,,,3000.0,3000.0,1
HCPCS,C9769,Ambulatory Surgery Groups,,,5583.0,21649.0,3
HCPCS,C9770,Ambulatory Surgery Groups,,,18067.0,21649.0,2
HCPCS,C9771,Ambulatory Surgery Groups,,,4524.0,21649.0,2
HCPCS,C9772,HC REVASCULARIZATION LITHOTRIPSY TIBIAL/PERONEAL,24311.6,8509.06,6479.0,30380.0,10
HCPCS,C9773,HC REVASCULARIZATION LITHOTRIPSY-STENT TIBIAL/PERONEAL,37489.22,13121.23,6479.0,52872.0,10
HCPCS,C9774,HC REVASCULARIZATION LITHOTRIPSY-ATHERECTOMY TIBIAL/PERONEAL,37489.22,13121.23,6479.0,52872.0,10
HCPCS,C9775,HC REVASCULARIZATION LITHOTRIPSY-STENT-ATHERECTOMY TIBIAL/PERONEAL,37489.22,13121.23,6479.0,52872.0,10
HCPCS,C9776,Fluo bile duct imaging w/icg,,,5428.0,5428.0,1
HCPCS,C9777,Esophag muc integ w/eso egd,,,3000.0,21649.0,7
HCPCS,C9778,"Colpopexy, min/inv, ex-perit",,,5277.0,18067.0,7
HCPCS,C9779,Esd endoscopy or colonoscopy,,,4067.08,21649.0,8
HCPCS,C9780,Insert cv cath inf & sup app,,,5583.0,30380.0,7
HCPCS,C9781,Arthro/shoul surg; w/spacer,,,9611.0,22625.0,7
HCPCS,C9782,Blind myocar trpl bon marrow,,,5428.0,30380.0,7
HCPCS,C9783,Blind cor sinus reducer impl,,,11244.0,30380.0,7
HCPCS,C9784,Ambulatory Surgery Groups,,,5583.0,30380.0,2
HCPCS,C9784,Ambulatory Surgery Groups - CPT/HCPCS,,,12664.0,12664.0,1
HCPCS,C9785,Endo outlet restrict w/tube,,,5583.0,30380.0,7
HCPCS,C9789,Instill pharm renal pelvis,,,1291.17,6090.0,6
HCPCS,C9790,Ambulatory Surgery Groups,,,6479.0,6479.0,1
HCPCS,C9791,Mri hyperpolarized xenon129,,,1291.17,2102.28,4
HCPCS,C9792,Blind/nonblind trans atrial,,,10067.59,16392.04,6
HCPCS,C9793,HC PRE-PLAN 3D MODEL W/CCTA,3341.38,1169.49,905.87,2004.83,10
HCPCS,C9794,Radiation Therapy,,,1505.0,1505.0,1
HCPCS,C9795,Radiation Therapy,,,1505.0,1505.0,1
HCPCS,C9796,Rpr intst excl anrect fist,,,2928.0,6090.0,6
HCPCS,C9797,Vasc emb/occ w/prs cath,,,5583.0,31485.72,6
HCPCS,C9803,Other Outpatient Services - CPT/HCPCS,,,44.81,44.81,1
HCPCS,C9818,"Suzetrigine, orl, 1mg",,,0.34,0.55,4
HCPCS,C9898,Inpnt stay radiolabeled item,,,0.05,0.05,1
HCPCS,C9899,HC ENDURANT II STENT GRAFT,13607.16,4762.51,3897.09,10137.33,8
HCPCS,C9899,HC I GRAFT VAL CL WBSTR 100,34114.5,11940.08,9770.39,25415.3,8
HCPCS,C9899,HC I GRAFT VAL CL WBSTR 200,39364.5,13777.58,11273.99,29326.55,8
HCPCS,C9899,HC I GRAFT VAL CL WBTAP 150,37264.5,13042.58,10672.55,27762.05,8
HCPCS,C9899,HC I GRAFT VAL D BS STR 100,34114.5,11940.08,9770.39,25415.3,8
HCPCS,C9899,HC I GRAFT VAL PRX FFLO 100,35689.5,12491.33,10221.47,26588.68,8
HCPCS,C9899,HC I GRAFT VAL PRX FFLO 150,38839.5,13593.83,11123.63,28935.43,8
HCPCS,C9899,HC I GRAFT VAL PRX FFLO 200,40939.5,14328.83,11725.07,30499.93,8
HCPCS,C9901,Endo defect closure gi tract,,,5583.0,18257.4,6
HCPCS,E0100,Cane adjust/fixed with tip,,,13.44,13.44,1
HCPCS,E0105,Cane adjust/fixed quad/3 pro,,,33.96,33.96,1
HCPCS,E0110,Crutch forearm pair,,,44.37,44.37,1
HCPCS,E0111,Crutch forearm each,,,36.88,36.88,1
HCPCS,E0112,Crutch underarm pair wood,,,24.65,24.65,1
HCPCS,E0113,Crutch underarm each wood,,,12.35,12.35,1
HCPCS,E0114,Crutch underarm pair no wood,,,32.02,32.02,1
HCPCS,E0116,Crutch underarm each no wood,,,15.93,15.93,1
HCPCS,E0117,Underarm springassist crutch,,,129.59,129.59,1
HCPCS,E0118,Crutch substitute,,,34.6,34.6,1
HCPCS,E0130,Walker rigid adjust/fixed ht,,,30.6,30.6,1
HCPCS,E0135,Walker folding adjust/fixed,,,32.47,32.47,1
HCPCS,E0140,Walker w trunk support,,,169.02,169.02,1
HCPCS,E0141,Rigid wheeled walker adj/fix,,,36.75,36.75,1
HCPCS,E0143,Walker folding wheeled w/o s,,,37.42,37.42,1
HCPCS,E0144,Enclosed walker w rear seat,,,165.87,165.87,1
HCPCS,E0147,Walker variable wheel resist,,,260.85,260.85,1
HCPCS,E0148,Heavyduty walker no wheels,,,54.24,54.24,1
HCPCS,E0149,Heavy duty wheeled walker,,,81.92,81.92,1
HCPCS,E0153,Forearm crutch platform atta,,,40.27,40.27,1
HCPCS,E0154,Walker platform attachment,,,31.12,31.12,1
HCPCS,E0155,"Walker wheel attachment,pair",,,14.08,14.08,1
HCPCS,E0156,Walker seat attachment,,,10.0,10.0,1
HCPCS,E0157,Walker crutch attachment,,,38.08,38.08,1
HCPCS,E0158,Walker leg extenders set of4,,,13.86,13.86,1
HCPCS,E0159,Brake for wheeled walker,,,8.87,8.87,1
HCPCS,E0160,Sitz type bath or equipment,,,17.94,17.94,1
HCPCS,E0161,Sitz bath/equipment w/faucet,,,13.72,13.72,1
HCPCS,E0162,Sitz bath chair,,,101.38,101.38,1
HCPCS,E0163,Commode chair with fixed arm,,,42.59,42.59,1
HCPCS,E0165,Commode chair with detacharm,,,86.88,86.88,1
HCPCS,E0167,Commode chair pail or pan,,,6.11,6.11,1
HCPCS,E0168,Heavyduty/wide commode chair,,,79.18,79.18,1
HCPCS,E0170,Commode chair electric,,,961.6,961.6,1
HCPCS,E0171,Commode chair non-electric,,,181.56,181.56,1
HCPCS,E0172,Seat lift mechanism toilet,,,120.34,120.34,1
HCPCS,E0175,Commode chair foot rest,,,43.73,43.73,1
HCPCS,E0181,Press pad alternating w/ pum,,,116.13,116.13,1
HCPCS,E0182,"Replace pump, alt press pad",,,132.43,132.43,1
HCPCS,E0183,Press underlay alter w/pump,,,119.11,119.11,1
HCPCS,E0184,Dry pressure mattress,,,102.07,102.07,1
HCPCS,E0185,Gel pressure mattress pad,,,123.07,123.07,1
HCPCS,E0186,Air pressure mattress,,,112.88,112.88,1
HCPCS,E0187,Water pressure mattress,,,127.62,127.62,1
HCPCS,E0188,Synthetic sheepskin pad,,,14.15,14.15,1
HCPCS,E0189,Lambswool sheepskin pad,,,28.98,28.98,1
HCPCS,E0190,HC PAD CHAIR CUSHION 18X17,48.99,17.15,14.03,51.99,5
HCPCS,E0190,HC PLW ABDUCT LEG CONTD,75.5,26.43,21.62,56.25,5
HCPCS,E0190,HC PSTNR PD 15X11X8.5IN LIMB,57.8,20.23,16.55,51.99,5
HCPCS,E0191,Protector heel or elbow,,,6.68,6.68,1
HCPCS,E0193,Powered air flotation bed,,,4454.09,4454.09,1
HCPCS,E0194,Air fluidized bed,,,21899.95,21899.95,1
HCPCS,E0196,Gel pressure mattress,,,190.97,190.97,1
HCPCS,E0197,Air pressure pad for mattres,,,131.62,131.62,1
HCPCS,E0198,Water pressure pad for mattr,,,149.13,149.13,1
HCPCS,E0199,Dry pressure pad for mattres,,,19.0,19.0,1
HCPCS,E0200,Heat lamp without stand,,,53.39,53.39,1
HCPCS,E0202,Phototherapy light w/ photom,,,368.65,368.65,1
HCPCS,E0203,Therapeutic lightbox tabletp,,,302.75,302.75,1
HCPCS,E0205,Heat lamp with stand,,,130.6,130.6,1
HCPCS,E0210,Electric heat pad standard,,,21.95,21.95,1
HCPCS,E0215,Electric heat pad moist,,,47.68,47.68,1
HCPCS,E0217,Water circ heat pad w pump,,,334.08,334.08,1
HCPCS,E0218,Fluid circ cold pad w pump,,,156.77,156.77,1
HCPCS,E0221,Infrared heating pad system,,,16.19,16.19,1
HCPCS,E0225,Hydrocollator unit,,,261.54,261.54,1
HCPCS,E0231,Wound warming device,,,2.6,2.6,1
HCPCS,E0232,Warming card for NWT,,,57.52,57.52,1
HCPCS,E0235,Paraffin bath unit portable,,,116.08,116.08,1
HCPCS,E0236,Pump for water circulating p,,,253.06,253.06,1
HCPCS,E0239,Hydrocollator unit portable,,,302.72,302.72,1
HCPCS,E0240,Bath/shower chair,,,25.95,25.95,1
HCPCS,E0241,Bath tub wall rail,,,14.64,14.64,1
HCPCS,E0242,Bath tub rail floor,,,32.89,32.89,1
HCPCS,E0243,Toilet rail,,,26.17,26.17,1
HCPCS,E0244,Toilet seat raised,,,19.93,19.93,1
HCPCS,E0245,Tub stool or bench,,,32.65,32.65,1
HCPCS,E0246,Transfer tub rail attachment,,,44.65,44.65,1
HCPCS,E0247,Trans bench w/wo comm open,,,22.33,22.33,1
HCPCS,E0248,HDtrans bench w/wo comm open,,,26.71,26.71,1
HCPCS,E0249,Pad water circulating heat u,,,67.02,67.02,1
HCPCS,E0250,Hosp bed fixed ht w/ mattres,,,406.79,406.79,1
HCPCS,E0251,Hosp bed fixd ht w/o mattres,,,350.27,350.27,1
HCPCS,E0255,Hospital bed var ht w/ mattr,,,437.76,437.76,1
HCPCS,E0256,Hospital bed var ht w/o matt,,,388.28,388.28,1
HCPCS,E0260,Hosp bed semi-electr w/ matt,,,471.06,471.06,1
HCPCS,E0261,Hosp bed semi-electr w/o mat,,,465.94,465.94,1
HCPCS,E0265,Hosp bed total electr w/ mat,,,930.77,930.77,1
HCPCS,E0266,Hosp bed total elec w/o matt,,,797.7,797.7,1
HCPCS,E0270,Hospital bed institutional t,,,259.5,259.5,1
HCPCS,E0271,Mattress innerspring,,,92.36,92.36,1
HCPCS,E0272,Mattress foam rubber,,,89.03,89.03,1
HCPCS,E0273,Bed board,,,12.49,12.49,1
HCPCS,E0274,Over-bed table,,,20.41,20.41,1
HCPCS,E0275,Bed pan standard,,,8.49,8.49,1
HCPCS,E0276,Bed pan fracture,,,7.51,7.51,1
HCPCS,E0277,Powered pres-redu air mattrs,,,1890.77,1890.77,1
HCPCS,E0280,Bed cradle,,,19.29,19.29,1
HCPCS,E0290,Hosp bed fx ht w/o rails w/m,,,360.95,360.95,1
HCPCS,E0291,Hosp bed fx ht w/o rail w/o,,,272.09,272.09,1
HCPCS,E0292,Hosp bed var ht no sr w/matt,,,389.23,389.23,1
HCPCS,E0293,Hosp bed var ht no sr no mat,,,356.74,356.74,1
HCPCS,E0294,Hosp bed semi-elect w/ mattr,,,456.84,456.84,1
HCPCS,E0295,Hosp bed semi-elect w/o matt,,,452.03,452.03,1
HCPCS,E0296,Hosp bed total elect w/ matt,,,738.19,738.19,1
HCPCS,E0297,Hosp bed total elect w/o mat,,,645.29,645.29,1
HCPCS,E0300,Enclosed ped crib hosp grade,,,1525.91,1525.91,1
HCPCS,E0301,"HD hosp bed, 350-600 lbs",,,1096.3,1096.3,1
HCPCS,E0302,Ex hd hosp bed > 600 lbs,,,3088.17,3088.17,1
HCPCS,E0303,Hosp bed hvy dty xtra wide,,,1148.01,1148.01,1
HCPCS,E0304,Hosp bed xtra hvy dty x wide,,,3189.67,3189.67,1
HCPCS,E0305,Rails bed side half length,,,70.5,70.5,1
HCPCS,E0310,Rails bed side full length,,,77.52,77.52,1
HCPCS,E0315,Bed accessory brd/tbl/supprt,,,54.96,54.96,1
HCPCS,E0316,Bed safety enclosure,,,1163.96,1163.96,1
HCPCS,E0325,Urinal male jug-type,,,5.1,5.1,1
HCPCS,E0326,Urinal female jug-type,,,5.64,5.64,1
HCPCS,E0328,"Ped hospital bed, manual",,,2475.98,2475.98,1
HCPCS,E0329,Ped hospital bed semi/elect,,,2020.33,2020.33,1
HCPCS,E0350,Control unit bowel system,,,451.53,451.53,1
HCPCS,E0352,Disposable pack w/bowel syst,,,6.92,6.92,1
HCPCS,E0370,Air elevator for heel,,,10.38,10.38,1
HCPCS,E0371,Nonpower mattress overlay,,,1515.19,1515.19,1
HCPCS,E0372,Powered air mattress overlay,,,1652.74,1652.74,1
HCPCS,E0373,Nonpowered pressure mattress,,,1761.73,1761.73,1
HCPCS,E0424,Stationary compressed gas 02,,,641.95,641.95,1
HCPCS,E0425,Gas system stationary compre,,,1486.5,1486.5,1
HCPCS,E0430,Oxygen system gas portable,,,668.84,668.84,1
HCPCS,E0431,Portable gaseous 02,,,125.81,125.81,1
HCPCS,E0433,Portable liquid oxygen sys,,,241.94,241.94,1
HCPCS,E0434,Portable liquid 02,,,241.94,241.94,1
HCPCS,E0435,Oxygen system liquid portabl,,,459.97,459.97,1
HCPCS,E0439,Stationary liquid 02,,,641.95,641.95,1
HCPCS,E0440,Oxygen system liquid station,,,933.63,933.63,1
HCPCS,E0441,"Stationary O2 contents, gas",,,4.57,114.45,5
HCPCS,E0442,"Stationary O2 contents, liq",,,4.57,114.45,5
HCPCS,E0443,"Portable 02 contents, gas",,,4.27,103.99,5
HCPCS,E0444,"Portable 02 contents, liquid",,,4.27,103.99,5
HCPCS,E0445,Oximeter non-invasive,,,103.8,103.8,1
HCPCS,E0447,"Port o2 cont, liq over 4 lpm",,,64.53,155.98,5
HCPCS,E0455,Oxygen tent excl croup/ped t,,,17.35,17.35,1
HCPCS,E0457,Chest shell,,,254.71,254.71,1
HCPCS,E0459,Chest wrap,,,211.03,211.03,1
HCPCS,E0462,Rocking bed w/ or w/o side r,,,1740.12,1740.12,1
HCPCS,E0465,Home vent invasive interface,,,5459.95,5459.95,1
HCPCS,E0466,Home vent non-invasive inter,,,5459.95,5459.95,1
HCPCS,E0467,Home vent multi-function,,,6468.82,6468.82,1
HCPCS,E0470,RAD w/o backup non-inv intfc,,,849.65,849.65,1
HCPCS,E0471,RAD w/backup non inv intrfc,,,2027.59,2027.59,1
HCPCS,E0472,RAD w backup invasive intrfc,,,2499.42,2499.42,1
HCPCS,E0480,Percussor elect/pneum home m,,,269.26,269.26,1
HCPCS,E0481,Intrpulmnry percuss vent sys,,,868.46,868.46,1
HCPCS,E0482,Cough stimulating device,,,2893.91,2893.91,1
HCPCS,E0483,Hi freq chest wall oscil sys,,,7154.38,7154.38,1
HCPCS,E0484,Non-elec oscillatory pep dvc,,,24.86,24.86,1
HCPCS,E0485,Oral device/appliance prefab,,,427.92,427.92,1
HCPCS,E0486,Oral device/appliance cusfab,,,2063.32,2063.32,1
HCPCS,E0487,Electronic spirometer,,,138.05,138.05,1
HCPCS,E0490,Control unit nm hw remote,,,653.25,653.25,1
HCPCS,E0491,Oral dv nm mouthpc hw remote,,,68.04,171.56,5
HCPCS,E0500,Ippb all types,,,627.82,627.82,1
HCPCS,E0530,Electronic posa treatment,,,179.83,179.83,1
HCPCS,E0550,Humidif extens supple w ippb,,,337.42,337.42,1
HCPCS,E0555,Humidifier for use w/ regula,,,3.6,3.6,1
HCPCS,E0560,Humidifier supplemental w/ i,,,84.56,84.56,1
HCPCS,E0561,Humidifier nonheated w PAP,,,45.03,45.03,1
HCPCS,E0562,Humidifier heated used w PAP,,,103.42,103.42,1
HCPCS,E0565,Compressor air power source,,,264.95,264.95,1
HCPCS,E0570,Nebulizer with compression,,,52.02,52.02,1
HCPCS,E0572,Aerosol compressor adjust pr,,,199.23,199.23,1
HCPCS,E0574,Ultrasonic generator w svneb,,,270.88,270.88,1
HCPCS,E0575,Nebulizer ultrasonic,,,613.86,613.86,1
HCPCS,E0580,Nebulizer for use w/ regulat,,,77.59,77.59,1
HCPCS,E0585,Nebulizer w/ compressor & he,,,183.38,183.38,1
HCPCS,E0600,Suction pump portab hom modl,,,308.13,308.13,1
HCPCS,E0601,Cont airway pressure device,,,319.91,319.91,1
HCPCS,E0602,Manual breast pump,,,19.86,19.86,1
HCPCS,E0603,Electric breast pump,,,235.28,235.28,1
HCPCS,E0604,Hosp grade elec breast pump,,,100.36,100.36,1
HCPCS,E0605,Vaporizer room type,,,19.55,19.55,1
HCPCS,E0606,Drainage board postural,,,147.5,147.5,1
HCPCS,E0607,Blood glucose monitor home,,,44.96,44.96,1
HCPCS,E0610,Pacemaker monitr audible/vis,,,160.08,160.08,1
HCPCS,E0615,Pacemaker monitr digital/vis,,,322.23,322.23,1
HCPCS,E0616,Cardiac event recorder,,,118.07,118.07,1
HCPCS,E0617,Automatic ext defibrillator,,,2046.02,2046.02,1
HCPCS,E0618,Apnea monitor,,,1842.33,1842.33,1
HCPCS,E0619,Apnea monitor w recorder,,,1545.98,1545.98,1
HCPCS,E0620,Cap bld skin piercing laser,,,588.36,588.36,1
HCPCS,E0621,Patient lift sling or seat,,,52.11,52.11,1
HCPCS,E0625,Patient lift bathroom or toi,,,611.38,611.38,1
HCPCS,E0627,"Seat lift mech, electric any",,,181.72,181.72,1
HCPCS,E0629,"Seat lift mech, non-electric",,,179.19,179.19,1
HCPCS,E0630,Patient lift hydraulic,,,424.59,424.59,1
HCPCS,E0635,Patient lift electric,,,693.56,693.56,1
HCPCS,E0636,PT support & positioning sys,,,6169.66,6169.66,1
HCPCS,E0637,Combination sit to stand sys,,,831.13,831.13,1
HCPCS,E0638,Standing frame sys,,,553.76,553.76,1
HCPCS,E0639,Moveable patient lift system,,,750.68,750.68,1
HCPCS,E0640,Fixed patient lift system,,,750.68,750.68,1
HCPCS,E0641,Multi-position stnd fram sys,,,2824.28,2824.28,1
HCPCS,E0642,Dynamic standing frame,,,2309.03,2309.03,1
HCPCS,E0650,Pneuma compresor non-segment,,,470.87,470.87,1
HCPCS,E0651,Pneum compressor segmental,,,618.06,618.06,1
HCPCS,E0652,Pneum compres w/cal pressure,,,3248.09,3248.09,1
HCPCS,E0655,Pneumatic appliance half arm,,,72.73,72.73,1
HCPCS,E0656,Segmental pneumatic trunk,,,388.89,388.89,1
HCPCS,E0657,Segmental pneumatic chest,,,365.29,365.29,1
HCPCS,E0660,Pneumatic appliance full leg,,,107.5,107.5,1
HCPCS,E0665,Pneumatic appliance full arm,,,82.28,82.28,1
HCPCS,E0666,Pneumatic appliance half leg,,,88.96,88.96,1
HCPCS,E0667,Seg pneumatic appl full leg,,,185.21,185.21,1
HCPCS,E0668,Seg pneumatic appl full arm,,,252.77,252.77,1
HCPCS,E0669,Seg pneumatic appli half leg,,,123.38,123.38,1
HCPCS,E0670,Seg pneum int legs/trunk,,,719.01,719.01,1
HCPCS,E0671,Pressure pneum appl full leg,,,279.48,279.48,1
HCPCS,E0672,Pressure pneum appl full arm,,,217.18,217.18,1
HCPCS,E0673,Pressure pneum appl half leg,,,180.49,180.49,1
HCPCS,E0675,Pneumatic compression device,,,2587.75,2587.75,1
HCPCS,E0676,Inter limb compress dev NOS,,,622.8,622.8,1
HCPCS,E0677,Non pneum seq comp trunk,,,398.85,398.85,1
HCPCS,E0678,Non pneum seq comp full leg,,,190.01,190.01,1
HCPCS,E0679,Non pneum seq comp half leg,,,126.55,126.55,1
HCPCS,E0680,Non pneum comp control cal,,,3332.59,3332.59,1
HCPCS,E0681,Non pneu comp control w/o ca,,,634.1,634.1,1
HCPCS,E0682,Non pneum compress full arm,,,259.34,259.34,1
HCPCS,E0691,Uvl pnl 2 sq ft or less,,,604.7,604.7,1
HCPCS,E0692,Uvl sys panel 4 ft,,,759.35,759.35,1
HCPCS,E0693,Uvl sys panel 6 ft,,,936.05,936.05,1
HCPCS,E0694,Uvl md cabinet sys 6 ft,,,2979.39,2979.39,1
HCPCS,E0700,Safety equipment,,,2.6,2.6,1
HCPCS,E0705,Transfer device,,,29.77,29.77,1
HCPCS,E0710,Restraints any type,,,29.06,29.06,1
HCPCS,E0720,Tens two lead,,,84.6,84.6,1
HCPCS,E0730,Tens four lead,,,85.77,85.77,1
HCPCS,E0731,Conductive garment for tens/,,,12.08,12.08,1
HCPCS,E0732,Ces system,,,251.75,251.75,1
HCPCS,E0733,Trans elec nerv for trigemin,,,251.75,251.75,1
HCPCS,E0734,Ext up limb tremor stim wris,,,2172.07,2172.07,1
HCPCS,E0735,Non-invasive vagus nerv stim,,,251.75,251.75,1
HCPCS,E0740,Non-implant pelv flr e-stim,,,351.88,351.88,1
HCPCS,E0744,Neuromuscular stim for scoli,,,616.24,616.24,1
HCPCS,E0745,Neuromuscular stim for shock,,,597.11,597.11,1
HCPCS,E0746,Electromyograph biofeedback,,,67.64,67.64,1
HCPCS,E0747,Elec osteogen stim not spine,,,2610.66,2610.66,1
HCPCS,E0748,Elec osteogen stim spinal,,,2618.25,2618.25,1
HCPCS,E0749,Elec osteogen stim implanted,,,1913.64,1913.64,1
HCPCS,E0755,Electronic salivary reflex s,,,12.33,12.33,1
HCPCS,E0760,Osteogen ultrasound stimltor,,,2175.68,2175.68,1
HCPCS,E0761,Nontherm electromgntc device,,,1557.0,1557.0,1
HCPCS,E0762,Trans elec jt stim dev sys,,,739.96,739.96,1
HCPCS,E0764,Functional neuromuscularstim,,,7447.27,7447.27,1
HCPCS,E0765,Nerve stimulator for tx n&v,,,56.64,56.64,1
HCPCS,E0766,Elec stim cancer treatment,,,77368.39,77368.39,1
HCPCS,E0769,Electric wound treatment dev,,,182.95,182.95,1
HCPCS,E0770,Functional electric stim NOS,,,2189.11,2189.11,1
HCPCS,E0776,Iv pole,,,87.87,87.87,1
HCPCS,E0779,Amb infusion pump mechanical,,,111.48,111.48,1
HCPCS,E0780,Mech amb infusion pump <8hrs,,,0.93,0.93,1
HCPCS,E0781,External ambulatory infus pu,,,1527.28,1527.28,1
HCPCS,E0782,Non-programble infusion pump,,,2455.86,2455.86,1
HCPCS,E0783,Programmable infusion pump,,,4682.97,4682.97,1
HCPCS,E0784,Ext amb infusn pump insulin,,,2652.89,2652.89,1
HCPCS,E0785,Replacement impl pump cathet,,,37.84,37.84,1
HCPCS,E0786,Implantable pump replacement,,,5335.49,5335.49,1
HCPCS,E0791,Parenteral infusion pump sta,,,1816.98,1816.98,1
HCPCS,E0830,Ambulatory traction device,,,41.26,41.26,1
HCPCS,E0840,Tract frame attach headboard,,,41.9,41.9,1
HCPCS,E0849,Cervical pneum trac equip,,,346.83,346.83,1
HCPCS,E0850,Traction stand free standing,,,60.1,60.1,1
HCPCS,E0855,Cervical traction equipment,,,338.23,338.23,1
HCPCS,E0856,Cervic collar w air bladders,,,103.58,103.58,1
HCPCS,E0860,Tract equip cervical tract,,,26.47,26.47,1
HCPCS,E0870,Tract frame attach footboard,,,66.83,66.83,1
HCPCS,E0880,Trac stand free stand extrem,,,72.47,72.47,1
HCPCS,E0890,Traction frame attach pelvic,,,73.97,73.97,1
HCPCS,E0900,Trac stand free stand pelvic,,,73.32,73.32,1
HCPCS,E0910,Trapeze bar attached to bed,,,76.71,76.71,1
HCPCS,E0911,HD trapeze bar attach to bed,,,256.14,256.14,1
HCPCS,E0912,HD trapeze bar free standing,,,516.25,516.25,1
HCPCS,E0920,Fracture frame attached to b,,,293.18,293.18,1
HCPCS,E0930,Fracture frame free standing,,,280.04,280.04,1
HCPCS,E0935,Cont pas motion exercise dev,,,153.07,153.07,1
HCPCS,E0936,"CPM device, other than knee",,,29.72,29.72,1
HCPCS,E0940,Trapeze bar free standing,,,141.03,141.03,1
HCPCS,E0941,Gravity assisted traction de,,,269.15,269.15,1
HCPCS,E0942,Cervical head harness/halter,,,13.32,13.32,1
HCPCS,E0944,Pelvic belt/harness/boot,,,30.86,30.86,1
HCPCS,E0945,Belt/harness extremity,,,30.79,30.79,1
HCPCS,E0946,Fracture frame dual w cross,,,355.29,355.29,1
HCPCS,E0947,Fracture frame attachmnts pe,,,408.11,408.11,1
HCPCS,E0948,Fracture frame attachmnts ce,,,371.22,371.22,1
HCPCS,E0950,Tray,,,48.94,48.94,1
HCPCS,E0951,Loop heel,,,8.25,8.25,1
HCPCS,E0952,"Toe loop/holder, each",,,9.29,9.29,1
HCPCS,E0953,W/c lateral thigh/knee sup,,,46.52,46.52,1
HCPCS,E0954,"Foot box, any type each foot",,,31.35,31.35,1
HCPCS,E0955,Cushioned headrest,,,91.34,91.34,1
HCPCS,E0956,W/c lateral trunk/hip suppor,,,46.52,46.52,1
HCPCS,E0957,W/c medial thigh support,,,73.35,73.35,1
HCPCS,E0958,Whlchr att- conv 1 arm drive,,,249.07,249.07,1
HCPCS,E0959,Amputee adapter,,,27.39,27.39,1
HCPCS,E0960,W/c shoulder harness/straps,,,46.31,46.31,1
HCPCS,E0961,Wheelchair brake extension,,,12.08,12.08,1
HCPCS,E0966,Wheelchair head rest extensi,,,43.79,43.79,1
HCPCS,E0967,Man wc rim/projection rep ea,,,42.71,42.71,1
HCPCS,E0968,Wheelchair commode seat,,,120.58,120.58,1
HCPCS,E0969,Wheelchair narrowing device,,,97.83,97.83,1
HCPCS,E0970,Wheelchair no. 2 footplates,,,23.53,23.53,1
HCPCS,E0971,Wheelchair anti-tipping devi,,,20.12,20.12,1
HCPCS,E0973,W/Ch access det adj armrest,,,37.63,37.63,1
HCPCS,E0974,W/Ch access anti-rollback,,,43.49,43.49,1
HCPCS,E0978,"W/C acc,saf belt pelv strap",,,16.68,16.68,1
HCPCS,E0980,Wheelchair safety vest,,,22.11,22.11,1
HCPCS,E0981,"Seat upholstery, replacement",,,25.0,25.0,1
HCPCS,E0982,"Back upholstery, replacement",,,27.07,27.07,1
HCPCS,E0983,Add pwr joystick,,,1681.92,1681.92,1
HCPCS,E0984,Add pwr tiller,,,1152.37,1152.37,1
HCPCS,E0985,W/c seat lift mechanism,,,125.96,125.96,1
HCPCS,E0986,Man w/c powr assist syst,,,3273.47,3273.47,1
HCPCS,E0988,Lever-activated wheel drive,,,2014.48,2014.48,1
HCPCS,E0990,Wheelchair elevating leg res,,,46.04,46.04,1
HCPCS,E0992,Wheelchair solid seat insert,,,52.07,52.07,1
HCPCS,E0994,Wheelchair arm rest,,,11.87,11.87,1
HCPCS,E0995,"Wc calf rest, pad replacemnt",,,16.04,16.04,1
HCPCS,E1002,Pwr seat tilt,,,2201.96,2201.96,1
HCPCS,E1003,Pwr seat recline,,,2526.23,2526.23,1
HCPCS,E1004,Pwr seat recline mech,,,2782.79,2782.79,1
HCPCS,E1005,Pwr seat recline pwr,,,3036.05,3036.05,1
HCPCS,E1006,Pwr seat combo w/o shear,,,3737.2,3737.2,1
HCPCS,E1007,Pwr seat combo w/shear,,,4744.54,4744.54,1
HCPCS,E1008,Pwr seat combo pwr shear,,,4834.1,4834.1,1
HCPCS,E1009,Add mech leg elevation,,,64.75,64.75,1
HCPCS,E1010,Add pwr leg elevation,,,650.55,650.55,1
HCPCS,E1011,Ped wc modify width adjustm,,,993.02,993.02,1
HCPCS,E1012,Ctr mount pwr elev leg rest,,,650.55,650.55,1
HCPCS,E1014,Reclining back add ped w/c,,,245.83,245.83,1
HCPCS,E1015,Shock absorber for man w/c,,,71.09,71.09,1
HCPCS,E1016,Shock absorber for power w/c,,,67.11,67.11,1
HCPCS,E1018,HD shck absrber for hd powwc,,,165.66,165.66,1
HCPCS,E1020,Residual limb support system,,,112.85,112.85,1
HCPCS,E1028,W/c manual swingaway,,,86.88,86.88,1
HCPCS,E1029,W/c vent tray fixed,,,214.24,214.24,1
HCPCS,E1030,W/c vent tray gimbaled,,,675.89,675.89,1
HCPCS,E1031,Rollabout chair with casters,,,267.23,267.23,1
HCPCS,E1035,Patient transfer system <300,,,3684.88,3684.88,1
HCPCS,E1036,Patient transfer system >300,,,5094.45,5094.45,1
HCPCS,E1037,"Transport chair, ped size",,,630.6,630.6,1
HCPCS,E1038,Transport chair pt wt<=300lb,,,94.53,94.53,1
HCPCS,E1039,Transport chair pt wt >300lb,,,199.57,199.57,1
HCPCS,E1050,Whelchr fxd full length arms,,,607.84,607.84,1
HCPCS,E1060,Wheelchair detachable arms,,,848.31,848.31,1
HCPCS,E1070,Wheelchair detachable foot r,,,721.05,721.05,1
HCPCS,E1083,Hemi-wheelchair fixed arms,,,529.85,529.85,1
HCPCS,E1084,Hemi-wheelchair detachable a,,,660.17,660.17,1
HCPCS,E1085,Hemi-wheelchair fixed arms,,,346.9,346.9,1
HCPCS,E1086,Hemi-wheelchair detachable a,,,427.33,427.33,1
HCPCS,E1087,Wheelchair lightwt fixed arm,,,739.9,739.9,1
HCPCS,E1088,Wheelchair lightweight det a,,,958.66,958.66,1
HCPCS,E1089,Wheelchair lightwt fixed arm,,,585.76,585.76,1
HCPCS,E1090,Wheelchair lightweight det a,,,588.41,588.41,1
HCPCS,E1092,Wheelchair wide w/ leg rests,,,735.09,735.09,1
HCPCS,E1093,Wheelchair wide w/ foot rest,,,632.18,632.18,1
HCPCS,E1100,Whchr s-recl fxd arm leg res,,,638.4,638.4,1
HCPCS,E1110,Wheelchair semi-recl detach,,,581.42,581.42,1
HCPCS,E1130,Whlchr stand fxd arm ft rest,,,235.26,235.26,1
HCPCS,E1140,Wheelchair standard detach a,,,315.93,315.93,1
HCPCS,E1150,Wheelchair standard w/ leg r,,,548.93,548.93,1
HCPCS,E1160,Wheelchair fixed arms,,,420.67,420.67,1
HCPCS,E1161,Manual adult wc w tiltinspac,,,1592.21,1592.21,1
HCPCS,E1170,Whlchr ampu fxd arm leg rest,,,601.11,601.11,1
HCPCS,E1171,Wheelchair amputee w/o leg r,,,539.36,539.36,1
HCPCS,E1172,Wheelchair amputee detach ar,,,635.17,635.17,1
HCPCS,E1180,Wheelchair amputee w/ foot r,,,614.46,614.46,1
HCPCS,E1190,Wheelchair amputee w/ leg re,,,669.67,669.67,1
HCPCS,E1195,Wheelchair amputee heavy dut,,,845.36,845.36,1
HCPCS,E1200,Wheelchair amputee fixed arm,,,497.67,497.67,1
HCPCS,E1220,Whlchr special size/constrc,,,5223.77,5223.77,1
HCPCS,E1221,Wheelchair spec size w foot,,,319.76,319.76,1
HCPCS,E1222,Wheelchair spec size w/ leg,,,456.08,456.08,1
HCPCS,E1223,Wheelchair spec size w foot,,,498.08,498.08,1
HCPCS,E1224,Wheelchair spec size w/ leg,,,523.64,523.64,1
HCPCS,E1225,Manual semi-reclining back,,,239.24,239.24,1
HCPCS,E1226,Manual fully reclining back,,,242.56,242.56,1
HCPCS,E1227,Wheelchair spec sz spec ht a,,,158.76,158.76,1
HCPCS,E1228,Wheelchair spec sz spec ht b,,,160.3,160.3,1
HCPCS,E1229,Pediatric wheelchair NOS,,,820.02,820.02,1
HCPCS,E1230,Power operated vehicle,,,1605.04,1605.04,1
HCPCS,E1231,Rigid ped w/c tilt-in-space,,,2272.86,2272.86,1
HCPCS,E1232,Folding ped wc tilt-in-space,,,1439.19,1439.19,1
HCPCS,E1233,Rig ped wc tltnspc w/o seat,,,1491.0,1491.0,1
HCPCS,E1234,Fld ped wc tltnspc w/o seat,,,1298.11,1298.11,1
HCPCS,E1235,Rigid ped wc adjustable,,,1250.03,1250.03,1
HCPCS,E1236,Folding ped wc adjustable,,,1102.79,1102.79,1
HCPCS,E1237,Rgd ped wc adjstabl w/o seat,,,1112.34,1112.34,1
HCPCS,E1238,Fld ped wc adjstabl w/o seat,,,1102.79,1102.79,1
HCPCS,E1239,Ped power wheelchair NOS,,,2114.16,2114.16,1
HCPCS,E1240,Whchr litwt det arm leg rest,,,623.47,623.47,1
HCPCS,E1250,Wheelchair lightwt fixed arm,,,377.87,377.87,1
HCPCS,E1260,Wheelchair lightwt foot rest,,,439.8,439.8,1
HCPCS,E1270,Wheelchair lightweight leg r,,,508.52,508.52,1
HCPCS,E1280,Whchr h-duty det arm leg res,,,883.27,883.27,1
HCPCS,E1285,Wheelchair heavy duty fixed,,,526.47,526.47,1
HCPCS,E1290,Wheelchair hvy duty detach a,,,542.08,542.08,1
HCPCS,E1295,Wheelchair heavy duty fixed,,,817.39,817.39,1
HCPCS,E1296,Wheelchair special seat heig,,,330.86,330.86,1
HCPCS,E1297,Wheelchair special seat dept,,,70.38,70.38,1
HCPCS,E1298,Wheelchair spec seat depth/w,,,242.34,242.34,1
HCPCS,E1300,Whirlpool portable,,,801.21,801.21,1
HCPCS,E1310,Whirlpool non-portable,,,1445.09,1445.09,1
HCPCS,E1352,O2 flow reg pos inspir press,,,125.77,125.77,1
HCPCS,E1353,Oxygen supplies regulator,,,19.08,65.71,5
HCPCS,E1354,"Wheeled cart, port cyl/conc",,,17.51,17.51,1
HCPCS,E1355,Oxygen supplies stand/rack,,,14.41,49.53,5
HCPCS,E1356,"Batt pack/cart, port conc",,,68.91,68.91,1
HCPCS,E1357,"Battery charger, port conc",,,3.77,3.77,1
HCPCS,E1358,"DC power adapter, port conc",,,8.06,8.06,1
HCPCS,E1372,Oxy suppl heater for nebuliz,,,83.13,83.13,1
HCPCS,E1390,Oxygen concentrator,,,641.95,641.95,1
HCPCS,E1391,"Oxygen concentrator, dual",,,641.95,641.95,1
HCPCS,E1392,Portable oxygen concentrator,,,241.94,241.94,1
HCPCS,E1405,O2/water vapor enrich w/heat,,,825.33,825.33,1
HCPCS,E1406,O2/water vapor enrich w/o he,,,693.95,693.95,1
HCPCS,E1500,Centrifuge,,,72.61,72.61,1
HCPCS,E1510,Kidney dialysate delivry sys,,,911.1,911.1,1
HCPCS,E1520,Heparin infusion pump,,,739.58,739.58,1
HCPCS,E1530,Replacement air bubble detec,,,1072.39,1072.39,1
HCPCS,E1540,Replacement pressure alarm,,,665.62,665.62,1
HCPCS,E1550,Bath conductivity meter,,,55.29,55.29,1
HCPCS,E1560,Replace blood leak detector,,,1220.31,1220.31,1
HCPCS,E1570,Adjustable chair for esrd pt,,,242.63,242.63,1
HCPCS,E1575,Transducer protect/fld bar,,,8.1,8.1,1
HCPCS,E1594,Cycler dialysis machine,,,511.63,511.63,1
HCPCS,E1600,Deli/install chrg hemo equip,,,1200.86,1200.86,1
HCPCS,E1610,Reverse osmosis h2o puri sys,,,339.69,339.69,1
HCPCS,E1615,Deionizer H2O puri system,,,474.99,474.99,1
HCPCS,E1620,Replacement blood pump,,,45.31,45.31,1
HCPCS,E1625,Water softening system,,,262.96,262.96,1
HCPCS,E1634,Peritoneal dialysis clamp,,,13.87,13.87,1
HCPCS,E1637,"Hemostats for dialysis, each",,,32.87,32.87,1
HCPCS,E1639,"Scale, each",,,27.87,27.87,1
HCPCS,E1700,Jaw motion rehab system,,,218.65,218.65,1
HCPCS,E1701,Repl cushions for jaw motion,,,0.95,24.6,5
HCPCS,E1702,Repl measr scales jaw motion,,,2.02,52.35,5
HCPCS,E1800,Adjust elbow ext & flex dev,,,700.68,700.68,1
HCPCS,E1801,Sps/pass elbow device,,,868.18,868.18,1
HCPCS,E1802,Adjst forearm pro/sup device,,,2199.28,2199.28,1
HCPCS,E1805,Adjust wrist ext & flex dev,,,722.76,722.76,1
HCPCS,E1806,SPS wrist device,,,712.88,712.88,1
HCPCS,E1810,Adjust knee ext & flex dev,,,712.69,712.69,1
HCPCS,E1811,Sps/pass knee device,,,902.49,902.49,1
HCPCS,E1812,Knee ext/flex w act res ctrl,,,578.69,578.69,1
HCPCS,E1815,Adjust ankle ext & flex dev,,,722.76,722.76,1
HCPCS,E1816,Sps/pass ankle device,,,916.87,916.87,1
HCPCS,E1818,Sps/pass forearm device,,,935.95,935.95,1
HCPCS,E1820,Soft interface material,,,55.01,55.01,1
HCPCS,E1821,Replacement interface SPSD,,,70.84,70.84,1
HCPCS,E1825,Adjust finger ext & flex dev,,,722.76,722.76,1
HCPCS,E1830,Adjust toe ext & flex device,,,722.76,722.76,1
HCPCS,E1831,Static str toe dev ext/flex,,,444.59,444.59,1
HCPCS,E1840,Adj shoulder ext/flex device,,,2575.52,2575.52,1
HCPCS,E1841,Sps/pass shoulder device,,,3048.4,3048.4,1
HCPCS,E1902,AAC non-electronic board,,,191.44,191.44,1
HCPCS,E1905,Vr cbt therapy,,,3485.85,3485.85,1
HCPCS,E2000,Gastric suction pump hme mdl,,,348.8,348.8,1
HCPCS,E2001,Suct pum ext mgmt sys,,,316.11,316.11,1
HCPCS,E2100,Bld glucose monitor w voice,,,367.92,367.92,1
HCPCS,E2101,Bld glucose monitor w lance,,,126.9,126.9,1
HCPCS,E2102,Adju cgm receiver/monitor,,,106.36,106.36,1
HCPCS,E2103,Non-adju cgm receiver/mon,,,133.9,133.9,1
HCPCS,E2120,Pulse gen sys tx endolymp fl,,,1907.97,1907.97,1
HCPCS,E2201,"Man w/ch acc seat w>=20""<24""",,,201.94,201.94,1
HCPCS,E2202,Seat width 24-27 in,,,288.86,288.86,1
HCPCS,E2203,Frame depth less than 22 in,,,259.45,259.45,1
HCPCS,E2204,Frame depth 22 to 25 in,,,450.82,450.82,1
HCPCS,E2205,"Manual wc accessory, handrim",,,19.93,19.93,1
HCPCS,E2206,Man wc whl lock comp repl ea,,,24.15,24.15,1
HCPCS,E2207,Crutch and cane holder,,,26.57,26.57,1
HCPCS,E2208,Cylinder tank carrier,,,50.14,50.14,1
HCPCS,E2209,Arm trough each,,,50.39,50.39,1
HCPCS,E2210,Wheelchair bearings,,,3.41,3.41,1
HCPCS,E2211,Pneumatic propulsion tire,,,20.52,20.52,1
HCPCS,E2212,Pneumatic prop tire tube,,,3.62,3.62,1
HCPCS,E2213,Pneumatic prop tire insert,,,17.61,17.61,1
HCPCS,E2214,Pneumatic caster tire each,,,20.24,20.24,1
HCPCS,E2215,Pneumatic caster tire tube,,,5.95,5.95,1
HCPCS,E2216,Foam filled propulsion tire,,,26.17,26.17,1
HCPCS,E2217,Foam filled caster tire each,,,23.16,23.16,1
HCPCS,E2218,Foam propulsion tire each,,,26.17,26.17,1
HCPCS,E2219,Foam caster tire any size ea,,,23.16,23.16,1
HCPCS,E2220,"Solid propuls tire, repl, ea",,,17.47,17.47,1
HCPCS,E2221,"Solid caster tire repl, each",,,15.5,15.5,1
HCPCS,E2222,"Solid caster integ whl, repl",,,12.75,12.75,1
HCPCS,E2224,Propulsion whl excl tire rep,,,56.62,56.62,1
HCPCS,E2225,Caster wheel excludes tire,,,10.88,10.88,1
HCPCS,E2226,Caster fork replacement only,,,22.85,22.85,1
HCPCS,E2227,Gear reduction drive wheel,,,1258.94,1258.94,1
HCPCS,E2228,"Mwc acc, wheelchair brake",,,553.95,553.95,1
HCPCS,E2231,Solid seat support base,,,85.32,85.32,1
HCPCS,E2291,Planar back for ped size wc,,,310.1,310.1,1
HCPCS,E2292,Planar seat for ped size wc,,,321.0,321.0,1
HCPCS,E2293,Contour back for ped size wc,,,535.87,535.87,1
HCPCS,E2294,Contour seat for ped size wc,,,357.73,357.73,1
HCPCS,E2295,Ped dynamic seating frame,,,76.92,76.92,1
HCPCS,E2301,Pwr standing,,,164.11,164.11,1
HCPCS,E2310,Electro connect btw control,,,642.35,642.35,1
HCPCS,E2311,Electro connect btw 2 sys,,,1297.4,1297.4,1
HCPCS,E2312,Mini-prop remote joystick,,,1357.06,1357.06,1
HCPCS,E2313,"PWC harness, expand control",,,215.63,215.63,1
HCPCS,E2321,Hand interface joystick,,,872.7,872.7,1
HCPCS,E2322,Mult mech switches,,,811.27,811.27,1
HCPCS,E2323,Special joystick handle,,,39.6,39.6,1
HCPCS,E2324,Chin cup interface,,,25.41,25.41,1
HCPCS,E2325,Sip and puff interface,,,775.23,775.23,1
HCPCS,E2326,Breath tube kit,,,201.41,201.41,1
HCPCS,E2327,Head control interface mech,,,1513.21,1513.21,1
HCPCS,E2328,Head/extremity control inter,,,2859.71,2859.71,1
HCPCS,E2329,Head control nonproportional,,,1024.4,1024.4,1
HCPCS,E2330,Head control proximity switc,,,1980.73,1980.73,1
HCPCS,E2331,Attendant control,,,880.74,880.74,1
HCPCS,E2340,W/c wdth 20-23 in seat frame,,,241.18,241.18,1
HCPCS,E2341,W/c wdth 24-27 in seat frame,,,361.78,361.78,1
HCPCS,E2342,W/c dpth 20-21 in seat frame,,,301.47,301.47,1
HCPCS,E2343,W/c dpth 22-25 in seat frame,,,482.34,482.34,1
HCPCS,E2351,Electronic SGD interface,,,405.36,405.36,1
HCPCS,E2358,Gr 34 nonsealed leadacid,,,180.61,180.61,1
HCPCS,E2359,Gr34 sealed leadacid battery,,,99.49,99.49,1
HCPCS,E2360,22nf nonsealed leadacid,,,70.34,70.34,1
HCPCS,E2361,22nf sealed leadacid battery,,,67.37,67.37,1
HCPCS,E2362,Gr24 nonsealed leadacid,,,61.81,61.81,1
HCPCS,E2363,Gr24 sealed leadacid battery,,,87.38,87.38,1
HCPCS,E2364,U1nonsealed leadacid battery,,,68.42,68.42,1
HCPCS,E2365,U1 sealed leadacid battery,,,48.79,48.79,1
HCPCS,E2366,"Battery charger, single mode",,,101.17,101.17,1
HCPCS,E2367,"Battery charger, dual mode",,,225.45,225.45,1
HCPCS,E2368,Pwr wc drivewheel motor repl,,,243.6,243.6,1
HCPCS,E2369,Pwr wc drivewheel gear repl,,,232.56,232.56,1
HCPCS,E2370,Pwr wc dr wh motor/gear comb,,,340.97,340.97,1
HCPCS,E2371,Gr27 sealed leadacid battery,,,81.14,81.14,1
HCPCS,E2373,Hand/chin ctrl spec joystick,,,462.6,462.6,1
HCPCS,E2374,Hand/chin ctrl std joystick,,,295.26,295.26,1
HCPCS,E2375,Non-expandable controller,,,407.19,407.19,1
HCPCS,E2376,"Expandable controller, repl",,,735.77,735.77,1
HCPCS,E2377,"Expandable controller, initl",,,270.88,270.88,1
HCPCS,E2378,Pw actuator replacement,,,331.9,331.9,1
HCPCS,E2381,Pneum drive wheel tire,,,37.26,37.26,1
HCPCS,E2382,"Tube, pneum wheel drive tire",,,10.95,10.95,1
HCPCS,E2383,"Insert, pneum wheel drive",,,78.42,78.42,1
HCPCS,E2384,Pneumatic caster tire,,,39.5,39.5,1
HCPCS,E2385,"Tube, pneumatic caster tire",,,26.23,26.23,1
HCPCS,E2386,Foam filled drive wheel tire,,,66.95,66.95,1
HCPCS,E2387,Foam filled caster tire,,,31.69,31.69,1
HCPCS,E2388,Foam drive wheel tire,,,28.04,28.04,1
HCPCS,E2389,Foam caster tire,,,15.55,15.55,1
HCPCS,E2390,Solid drive wheel tire,,,24.13,24.13,1
HCPCS,E2391,Solid caster tire,,,10.54,10.54,1
HCPCS,E2392,"Solid caster tire, integrate",,,25.38,25.38,1
HCPCS,E2394,Drive wheel excludes tire,,,35.38,35.38,1
HCPCS,E2395,Caster wheel excludes tire,,,26.99,26.99,1
HCPCS,E2396,Caster fork,,,30.72,30.72,1
HCPCS,E2397,"Pwc acc, lith-based battery",,,260.57,260.57,1
HCPCS,E2402,Neg press wound therapy pump,,,5111.46,5111.46,1
HCPCS,E2500,SGD digitized pre-rec <=8min,,,263.15,263.15,1
HCPCS,E2502,SGD prerec msg >8min <=20min,,,804.71,804.71,1
HCPCS,E2504,SGD prerec msg>20min <=40min,,,1061.53,1061.53,1
HCPCS,E2506,SGD prerec msg > 40 min,,,1556.46,1556.46,1
HCPCS,E2508,SGD spelling phys contact,,,2406.88,2406.88,1
HCPCS,E2510,SGD w multi methods msg/accs,,,4554.66,4554.66,1
HCPCS,E2511,SGD sftwre prgrm for PC/PDA,,,182.5,182.5,1
HCPCS,E2512,"SGD accessory, mounting sys",,,35.45,35.45,1
HCPCS,E2601,Gen w/c cushion wdth < 22 in,,,24.69,24.69,1
HCPCS,E2602,Gen w/c cushion wdth >=22 in,,,54.25,54.25,1
HCPCS,E2603,Skin protect wc cus wd <22in,,,65.72,65.72,1
HCPCS,E2604,Skin protect wc cus wd>=22in,,,93.84,93.84,1
HCPCS,E2605,Position wc cush wdth <22 in,,,129.97,129.97,1
HCPCS,E2606,Position wc cush wdth>=22 in,,,207.98,207.98,1
HCPCS,E2607,Skin pro/pos wc cus wd <22in,,,131.67,131.67,1
HCPCS,E2608,Skin pro/pos wc cus wd>=22in,,,158.92,158.92,1
HCPCS,E2609,Custom fabricate w/c cushion,,,870.69,870.69,1
HCPCS,E2610,Powered w/c cushion,,,42.77,42.77,1
HCPCS,E2611,Gen use back cush wdth <22in,,,110.15,110.15,1
HCPCS,E2612,Gen use back cush wdth>=22in,,,192.9,192.9,1
HCPCS,E2613,Position back cush wd <22in,,,192.74,192.74,1
HCPCS,E2614,Position back cush wd>=22in,,,271.85,271.85,1
HCPCS,E2615,Pos back post/lat wdth <22in,,,215.77,215.77,1
HCPCS,E2616,Pos back post/lat wdth>=22in,,,296.16,296.16,1
HCPCS,E2617,Custom fab w/c back cushion,,,581.37,581.37,1
HCPCS,E2619,Replace cover w/c seat cush,,,28.8,28.8,1
HCPCS,E2620,WC planar back cush wd <22in,,,244.73,244.73,1
HCPCS,E2621,WC planar back cush wd>=22in,,,271.39,271.39,1
HCPCS,E2622,Adj skin pro w/c cus wd<22in,,,183.48,183.48,1
HCPCS,E2623,Adj skin pro wc cus wd>=22in,,,232.39,232.39,1
HCPCS,E2624,Adj skin pro/pos cus<22in,,,186.06,186.06,1
HCPCS,E2625,Adj skin pro/pos wc cus>=22,,,231.63,231.63,1
HCPCS,E2626,Seo mobile arm sup att to wc,,,383.04,383.04,1
HCPCS,E2627,Arm supp att to wc rancho ty,,,611.3,611.3,1
HCPCS,E2628,Mobile arm supports reclinin,,,467.79,467.79,1
HCPCS,E2629,Friction dampening arm supp,,,533.26,533.26,1
HCPCS,E2630,Monosuspension arm/hand supp,,,395.36,395.36,1
HCPCS,E2631,Elevat proximal arm support,,,162.86,162.86,1
HCPCS,E2632,Offset/lat rocker arm w/ela,,,102.33,102.33,1
HCPCS,E2633,Mobile arm support supinator,,,85.44,85.44,1
HCPCS,E3000,Speech volume modulation sys,,,1186.17,1186.17,1
HCPCS,E8000,Posterior gait trainer,,,1656.58,1656.58,1
HCPCS,E8001,Upright gait trainer,,,2609.79,2609.79,1
HCPCS,E8002,Anterior gait trainer,,,2943.49,2943.49,1
HCPCS,G0008,Admin influenza virus vac,,,19.03,1407.16,6
HCPCS,G0009,Admin pneumococcal vaccine,,,19.03,1407.16,6
HCPCS,G0010,Admin hepatitis b vaccine,,,19.03,1407.16,6
HCPCS,G0011,"Hiv prep counsel, md 15-30m",,,30.11,51.07,5
HCPCS,G0012,HC INJECTION OF HIV PREP DRUG,151.67,53.09,28.1,123.67,9
HCPCS,G0013,"Hiv prep counsel, clin staff",,,39.52,64.35,5
HCPCS,G0017,Crisis psychotherapy 60m,,,223.79,388.04,5
HCPCS,G0018,Crisis psychotherapy add 30m,,,107.75,192.1,5
HCPCS,G0019,HC COMMUNITY  HEALTH INTEGRATION SVS SDOH 60 MIN,474.27,166.0,107.17,174.49,6
HCPCS,G0022,"HC COMMUNITY HEALTH INTEGRATION SERVICES, EACH ADDITIONAL 30 MINUTES PER CALENDAR MONTH",94.85,33.2,32.53,90.99,6
HCPCS,G0023,HC PIN SERVICE 60 MIN PER MONTH,474.27,166.0,107.17,174.49,6
HCPCS,G0024,HC PIN SERVICES ADDITIONAL 30 MINUTES PER CALENDAR MONTH,94.85,33.2,32.53,91.57,6
HCPCS,G0027,Semen analysis,,,6.5,22.74,7
HCPCS,G0068,Adm IV infusion drug in home,,,348.25,348.25,1
HCPCS,G0069,Adm sq infusion drug in home,,,470.56,470.56,1
HCPCS,G0070,Adm of chemo drug in home,,,585.41,585.41,1
HCPCS,G0071,Mammogram,,,1610.88,1610.88,1
HCPCS,G0071,Other Outpatient Services - CPT/HCPCS,,,46.57,46.57,1
HCPCS,G0076,Care manag h vst new pt 20 m,,,50.46,3330.9,6
HCPCS,G0077,Care manag h vst new pt 30 m,,,75.95,4972.64,6
HCPCS,G0078,Care manag h vst new pt 45 m,,,122.41,8256.01,6
HCPCS,G0079,Care manag h vst new pt 60 m,,,166.76,10900.05,6
HCPCS,G0080,Care manag h vst new pt 75 m,,,221.53,14196.89,6
HCPCS,G0081,Care man h v ext pt 20 mi,,,50.48,3260.58,6
HCPCS,G0082,Care man h v ext pt 30 m,,,82.63,5302.29,6
HCPCS,G0083,Care man h v ext pt 45 m,,,131.26,8390.64,6
HCPCS,G0084,Care man h v ext pt 60 m,,,186.08,11871.72,6
HCPCS,G0085,Care man h v ext pt 75 m,,,221.53,14196.89,6
HCPCS,G0086,Care man home care plan 30 m,,,75.42,5108.01,6
HCPCS,G0087,Care man home care plan 60 m,,,105.36,7126.93,6
HCPCS,G0088,Adm IV drug 1st home visit,,,423.56,423.56,1
HCPCS,G0089,Adm subq drug 1st home visit,,,572.28,572.28,1
HCPCS,G0090,Adm IV chemo 1st home visit,,,711.95,711.95,1
HCPCS,G0101,HC CA SCREEN PELVIC/BREAST,189.71,66.4,65.07,174.49,6
HCPCS,G0102,Prostate ca screening; dre,,,25.54,595.72,6
HCPCS,G0103,PSA screening,,,19.31,67.53,7
HCPCS,G0104,"HC CA SCREEN, FLEXI SIGMOIDSCOPE",1945.22,680.83,667.21,3603.0,9
HCPCS,G0105,"HC COLORECTAL SCRN, HI RISK IND",1591.67,557.09,545.94,3603.0,10
HCPCS,G0106,Mammogram,,,11790.63,11790.63,1
HCPCS,G0106,Other Outpatient Services - CPT/HCPCS,,,340.93,340.93,1
HCPCS,G0108,HC DIAB MANAGE TRN PER INDIV,93.96,32.89,32.23,3747.77,9
HCPCS,G0109,HC DIAB MANAGE TRN IND/GRP,34.17,11.96,11.72,1065.38,9
HCPCS,G0117,Glaucoma scrn hgh risk direc,,,30.51,4448.59,6
HCPCS,G0118,Glaucoma scrn hgh risk direc,,,39.4,2957.03,6
HCPCS,G0120,Mammogram,,,11790.63,11790.63,1
HCPCS,G0120,Other Outpatient Services - CPT/HCPCS,,,340.93,340.93,1
HCPCS,G0121,HC COLON CA SCRN NOT HI RSK IND,1561.62,546.57,535.64,3603.0,10
HCPCS,G0122,Mammogram,,,19944.84,19944.84,1
HCPCS,G0122,Other Outpatient Services - CPT/HCPCS,,,576.71,576.71,1
HCPCS,G0123,"HC CYTOP,MONOL W INT CX/VAG SCRN",66.52,23.29,20.26,70.85,10
HCPCS,G0124,Screen c/v thin layer by MD,,,22.49,1588.7,7
HCPCS,G0127,HC TRIM DYSTROPHIC NAILS,136.54,47.79,46.83,5428.0,9
HCPCS,G0128,CORF skilled nursing service,,,11.63,637.86,6
HCPCS,G0129,Php/iop ot service,,,36.04,36.04,1
HCPCS,G0130,Single energy x-ray study,,,51.54,1782.38,6
HCPCS,G0136,"HC ADMIN OF A STANDARDIZED, EVIDENCE-BASED SOCIAL DETERMINANTS OF HEALTH RISK ASSESSMENT TOOL, 5-15 MINUTES",152.68,53.44,39.52,64.35,6
HCPCS,G0137,"Inten outpt svs,min 9 pr 7 d",,,1455.52,1455.52,1
HCPCS,G0138,Iv cipaglucosidase alfa-atga,,,671.65,1093.59,4
HCPCS,G0140,HC PIN SERVICE PEER SUPPORT 60 MIN PER MONTH,474.27,166.0,107.17,174.49,6
HCPCS,G0141,"Scr c/v cyto,autosys and md",,,22.49,1588.7,7
HCPCS,G0143,"Scr c/v cyto,thinlayer,rescr",,,27.05,94.58,7
HCPCS,G0144,"Scr c/v cyto,thinlayer,rescr",,,43.97,153.75,7
HCPCS,G0145,"Scr c/v cyto,thinlayer,rescr",,,26.49,92.64,7
HCPCS,G0146,HC PIN SERVICE PEER SUPPORT ADDITIONAL 30 MIN PER CALENDAR MONTH,94.85,33.2,32.53,89.99,6
HCPCS,G0147,"Scr c/v cyto, automated sys",,,15.92,60.53,7
HCPCS,G0148,"Scr c/v cyto, autosys, rescr",,,31.94,111.7,7
HCPCS,G0151,"HHCP-serv of pt,ea 15 min",,,44.76,44.76,1
HCPCS,G0152,"HHCP-serv of ot,ea 15 min",,,40.97,40.97,1
HCPCS,G0153,"HHCP-svs of s/l path,ea 15mn",,,42.32,42.32,1
HCPCS,G0155,"HHCP-svs of csw,ea 15 min",,,53.37,53.37,1
HCPCS,G0156,"HHCP-svs of aide,ea 15 min",,,18.32,18.32,1
HCPCS,G0157,HHC PT assistant ea 15,,,40.05,40.05,1
HCPCS,G0158,HHC OT assistant ea 15,,,40.08,40.08,1
HCPCS,G0159,HHC PT maint ea 15 min,,,38.34,38.34,1
HCPCS,G0160,HHC Occup Therapy ea 15,,,36.75,36.75,1
HCPCS,G0161,HHC SLP ea 15 min,,,26.64,26.64,1
HCPCS,G0162,"HHC RN E&M plan svs, 15 min",,,33.34,33.34,1
HCPCS,G0166,"Extrnl counterpulse, per tx",,,140.35,7415.66,7
HCPCS,G0168,Wound closure by adhesive,,,111.12,5428.0,7
HCPCS,G0175,"OPPS Service,sched team conf",,,114.02,716.67,5
HCPCS,G0176,Opps/php/iop; activity thrpy,,,119.87,119.87,1
HCPCS,G0177,Opps/php/iop; train & educ,,,112.1,112.1,1
HCPCS,G0179,Md recertification hha pt,,,46.22,2863.93,6
HCPCS,G0180,Md certification hha patient,,,58.81,3604.32,6
HCPCS,G0181,Home health care supervision,,,112.78,7103.41,6
HCPCS,G0182,Hospice care supervision,,,111.36,7151.06,6
HCPCS,G0183,Software meas of cardiac vol,,,91.8,149.47,4
HCPCS,G0186,"Dstry eye lesn,fdr vssl tech",,,580.18,3603.0,7
HCPCS,G0202,Mammogram,,,6669.88,6669.88,1
HCPCS,G0204,Mammogram,,,8077.04,8077.04,1
HCPCS,G0206,Mammogram,,,6312.79,6312.79,1
HCPCS,G0219,PET img wholbod melano nonco,,,2076.0,2076.0,1
HCPCS,G0235,PET not otherwise specified,,,421.71,2076.0,5
HCPCS,G0237,HC THERAPEUTIC PROCD STRG ENDUR,210.63,73.73,21.9,757.17,10
HCPCS,G0237,HC THERAPIST ASSIT 15 MIN,92.07,32.23,21.9,757.17,10
HCPCS,G0238,"HC OTH RESP PROC, INDIV",129.22,45.23,21.21,733.04,10
HCPCS,G0239,"HC OTH RESP PROC, GROUP",70.48,24.67,24.17,900.62,10
HCPCS,G0245,Initial foot exam pt lops,,,127.03,2676.99,6
HCPCS,G0246,Followup eval of foot pt lop,,,76.93,1349.58,6
HCPCS,G0247,Routine footcare pt w lops,,,211.65,5428.0,6
HCPCS,G0248,Demonstrate use home inr mon,,,140.44,6915.13,6
HCPCS,G0249,Provide INR test mater/equip,,,138.42,4786.32,6
HCPCS,G0250,MD INR test revie inter mgmt,,,9.19,595.72,6
HCPCS,G0252,PET imaging initial dx,,,2076.0,2076.0,1
HCPCS,G0257,HC UNSCHED DIALYSIS ESRD PT HOS,1299.01,454.66,10.05,1178.79,9
HCPCS,G0259,Inject for sacroiliac joint,,,2444.0,3000.0,2
HCPCS,G0260,Inj for sacroiliac jt anesth,,,744.62,3603.0,8
HCPCS,G0268,HC CERUMEN REMOVAL W/AUDIO TEST,95.8,33.53,32.86,5428.0,9
HCPCS,G0269,HC PLACEMENT OF OCCLUSIVE DEVICE,1266.4,443.24,362.7,7740.0,6
HCPCS,G0270,MNT subs tx for change dx,,,32.89,1879.52,6
HCPCS,G0271,Group MNT 2 or more 30 mins,,,17.6,1065.38,6
HCPCS,G0275,Mammogram,,,803.48,803.48,1
HCPCS,G0276,Pild/placebo control clin tr,,,5428.0,24925.44,7
HCPCS,G0277,"Hbot, full body chamber, 30m",,,145.16,12100.18,6
HCPCS,G0278,HC ILIAC ARTERY ARTERIOGRAM,789.49,276.33,11.45,7740.0,10
HCPCS,G0279,"Tomosynthesis, mammo",,,41.69,429.19,6
HCPCS,G0281,Elec stim unattend for press,,,12.03,834.23,6
HCPCS,G0282,Elect stim wound care not pd,,,16.5,16.5,1
HCPCS,G0283,Elec stim other than wound,,,13.1,834.23,6
HCPCS,G0288,"Recon, CTA for surg plan",,,48.38,2803.54,6
HCPCS,G0289,"Arthro, loose body + chondro",,,72.23,5714.38,7
HCPCS,G0293,"Non-cov surg proc,clin trial",,,39.4,5428.0,5
HCPCS,G0294,"Non-cov proc, clinical trial",,,39.4,5428.0,5
HCPCS,G0295,Electromagnetic therapy onc,,,16.5,16.5,1
HCPCS,G0296,Visit to determ ldct elig,,,55.71,1736.19,6
HCPCS,G0297,Mammogram,,,12511.66,12511.66,1
HCPCS,G0299,Hhs/hospice of rn ea 15 min,,,45.52,45.52,1
HCPCS,G0300,Hhs/hospice of lpn ea 15 min,,,38.94,38.94,1
HCPCS,G0302,Pre-op service LVRS complete,,,393.64,640.92,4
HCPCS,G0303,Pre-op service LVRS 10-15dos,,,81.97,370.86,5
HCPCS,G0304,Pre-op service LVRS 1-9 dos,,,393.64,640.92,5
HCPCS,G0305,Post op service LVRS min 6,,,0.02,640.92,5
HCPCS,G0306,CBC/diffwbc w/o platelet,,,7.77,27.17,7
HCPCS,G0307,CBC without platelet,,,6.47,22.63,7
HCPCS,G0316,Prolong inpt eval add15 m,,,35.43,2060.45,6
HCPCS,G0317,Prolong nursin fac eval 15m,,,34.46,2060.45,6
HCPCS,G0318,Prolong home eval add 15m,,,34.72,2012.92,6
HCPCS,G0319,Mammogram,,,11559.47,11559.47,1
HCPCS,G0323,Care manage beh svs 20mins,,,39.52,1965.39,6
HCPCS,G0324,Mammogram,,,1293.97,1293.97,1
HCPCS,G0325,Mammogram,,,781.31,781.31,1
HCPCS,G0326,Mammogram,,,896.58,896.58,1
HCPCS,G0328,Fecal blood scrn immunoassay,,,18.05,63.11,7
HCPCS,G0329,Electromagntic tx for ulcers,,,11.17,774.57,6
HCPCS,G0330,Facility svs dental rehab,,,3497.42,5694.51,5
HCPCS,G0332,Mammogram,,,4697.26,4697.26,1
HCPCS,G0333,Dispense fee initial 30 day,,,29.65,29.65,1
HCPCS,G0337,Hospice evaluation preelecti,,,72.12,4732.79,6
HCPCS,G0339,"Robot lin-radsurg com, first",,,1505.0,9658.0,3
HCPCS,G0340,Robt lin-radsurg fractx 2-5,,,1505.0,6987.0,3
HCPCS,G0341,Percutaneous islet celltrans,,,1657.89,19925.0,6
HCPCS,G0342,Laparoscopy islet cell trans,,,714.95,52872.0,6
HCPCS,G0343,Laparotomy islet cell transp,,,1157.3,52872.0,6
HCPCS,G0344,Mammogram,,,4311.88,4311.88,1
HCPCS,G0364,Mammogram,,,574.28,574.28,1
HCPCS,G0365,Mammogram,,,12171.97,12171.97,1
HCPCS,G0366,Mammogram,,,1443.3,1443.3,1
HCPCS,G0367,Mammogram,,,894.5,894.5,1
HCPCS,G0368,Mammogram,,,548.8,548.8,1
HCPCS,G0372,MD service required for PMD,,,9.56,597.07,6
HCPCS,G0375,Mammogram,,,780.69,780.69,1
HCPCS,G0376,Mammogram,,,1494.99,1494.99,1
HCPCS,G0378,HC OBSERVATION,126.49,44.28,43.39,6023.0,6
HCPCS,G0378,HC OBSERVATION CARVE OUT BARIUM SWALLOW 74210-74280,118.22,41.38,40.55,6023.0,6
HCPCS,G0378,HC OBSERVATION CARVE OUT BLOOD TRANSFUSION (PER 1 UNIT) 36430-36460,118.22,41.38,40.55,6023.0,6
HCPCS,G0378,HC OBSERVATION CARVE OUT CARDIAC CATH 93451-93462,118.22,41.38,40.55,6023.0,6
HCPCS,G0378,HC OBSERVATION CARVE OUT COLONOSCOPY 45300-45398,118.22,41.38,40.55,6023.0,6
HCPCS,G0378,HC OBSERVATION CARVE OUT DIALYSIS 90967-90970,118.22,41.38,40.55,6023.0,6
HCPCS,G0378,HC OBSERVATION CARVE OUT EGD ERCP 43235-43278,118.22,41.38,40.55,6023.0,6
HCPCS,G0378,HC OBSERVATION CARVE OUT EXERCISE STRESS TEST 93015-93017,118.22,41.38,40.55,6023.0,6
HCPCS,G0378,HC OBSERVATION CARVE OUT FLEXIBLE SIGMOIDOSCOPY 45330-45350,118.22,41.38,40.55,6023.0,6
HCPCS,G0378,HC OBSERVATION CARVE OUT INTERVENTIONAL RADIOLOGY 36215-36248,118.22,41.38,40.55,6023.0,6
HCPCS,G0378,HC OBSERVATION CARVE OUT NM STRESS TEST 78451-78454,118.22,41.38,40.55,6023.0,6
HCPCS,G0378,HC OBSERVATION CARVE OUT NON-PLAIN FILM RADIOLOGY,118.22,41.38,40.55,6023.0,6
HCPCS,G0378,HC OBSERVATION CARVE OUT PACEMAKER PLACEMENT 33206-33725,118.22,41.38,40.55,6023.0,6
HCPCS,G0378,HC OBSERVATION CARVE OUT PLAIN FILMS,118.22,41.38,40.55,6023.0,6
HCPCS,G0378,HC OBSERVATION CARVE OUT PT/OT TREATMENT 97110-97546,118.22,41.38,40.55,6023.0,6
HCPCS,G0378,HC OBSERVATION CARVE OUT RT TREATMENT (NEBS) 94640-94645,118.22,41.38,40.55,6023.0,6
HCPCS,G0378,HC OBSERVATION CARVE OUT TRANSESOPHAGEAL ECHOCARDIOGRAM 93312-93318,118.22,41.38,40.55,6023.0,6
HCPCS,G0378,HC OBSERVATION ICU,347.78,121.73,119.29,6023.0,6
HCPCS,G0378,HC OBSERVATION STEP-DOWN,243.68,85.29,83.58,6023.0,6
HCPCS,G0379,Direct refer hospital observ,,,77.14,1022.86,5
HCPCS,G0380,Lev 1 hosp type B ED visit,,,78.41,416.0,6
HCPCS,G0381,Lev 2 hosp type B ED visit,,,97.99,946.0,6
HCPCS,G0382,Lev 3 hosp type B ED visit,,,181.32,1658.0,6
HCPCS,G0383,Lev 4 hosp type B ED visit,,,278.81,3529.0,6
HCPCS,G0384,Lev 5 hosp type B ED visit,,,433.27,705.44,5
HCPCS,G0389,Mammogram,,,5811.52,5811.52,1
HCPCS,G0390,HC TRAUMA ALERT/ACTIVATION RESPONSE TEAM ASSOCIATED WITH HOSPITAL CRITICAL CARE SERVICE,5913.05,2069.57,1406.07,4511.66,14
HCPCS,G0392,Mammogram,,,28382.39,28382.39,1
HCPCS,G0393,Mammogram,,,19979.02,19979.02,1
HCPCS,G0396,HC ALCOHOL &/OR SUBSTANCE ABUSE (OTHER THAN TOBACCO) MISUSE STRUCTURED ASSESSMT; 15-30 MINS,149.7,52.4,39.52,412.0,9
HCPCS,G0397,HC ALCOHOL &/OR SUBSTANCE MISUSE STRUCTURED ASSESSMENT; GREATER THAN 30 MINS,807.35,282.58,133.43,601.48,9
HCPCS,G0398,Home sleep test/type 2 Porta,,,227.77,370.86,5
HCPCS,G0399,HC HOME SLEEP TEST/TYPE 3 PORTA,424.85,148.7,121.68,370.86,9
HCPCS,G0400,Home sleep test/type 4 Porta,,,141.62,370.86,5
HCPCS,G0402,HC MEDICARE INITIAL PREVENT EXAM,228.01,79.81,78.21,228.67,6
HCPCS,G0403,EKG for initial prevent exam,,,15.86,996.42,6
HCPCS,G0404,HC EKG TRACING FOR INITIAL PREV,76.23,26.69,12.94,446.88,9
HCPCS,G0405,EKG interpret & report preve,,,8.49,548.8,6
HCPCS,G0406,Inpt/tele follow up 15,,,36.31,2797.53,6
HCPCS,G0407,Inpt/tele follow up 25,,,64.33,4891.55,6
HCPCS,G0408,Inpt/tele follow up 35,,,94.33,7130.97,6
HCPCS,G0409,CORF related serv 15 mins ea,,,25.49,1615.53,6
HCPCS,G0410,Grp psych php/iop 45-50,,,52.83,52.83,1
HCPCS,G0411,Interactive grp psyc php/iop,,,411.31,411.31,1
HCPCS,G0412,Open tx iliac spine uni/bil,,,7654.46,12664.0,7
HCPCS,G0413,Pelvic ring fracture uni/bil,,,6987.0,21649.0,8
HCPCS,G0414,Pelvic ring fx treat int fix,,,7654.46,12664.0,7
HCPCS,G0415,Open tx post pelvic fxcture,,,3451.58,12664.0,7
HCPCS,G0416,HC PROSTATE BIOPSY (MEDICARE OR MEDICAID),665.89,233.07,228.4,13233.31,10
HCPCS,G0417,Mammogram,,,60672.66,60672.66,1
HCPCS,G0418,Mammogram,,,103613.07,103613.07,1
HCPCS,G0419,Mammogram,,,124331.74,124331.74,1
HCPCS,G0420,Ed svc CKD ind per session,,,115.92,7415.66,6
HCPCS,G0421,Ed svc CKD grp per session,,,27.99,1785.81,6
HCPCS,G0422,Intens cardiac rehab w/exerc,,,135.98,8238.62,6
HCPCS,G0423,Intens cardiac rehab no exer,,,135.98,8238.62,6
HCPCS,G0424,Mammogram,,,913.36,913.36,1
HCPCS,G0425,Inpt/ED teleconsult30,,,84.43,6257.18,6
HCPCS,G0426,Inpt/ED teleconsult50,,,118.03,8810.2,6
HCPCS,G0427,Inpt/ED teleconsult70,,,169.76,12545.84,6
HCPCS,G0428,Collagen Meniscus Implant,,,4344.0,5428.0,2
HCPCS,G0429,HC DERMAL FILLER INJECTION(S),3707.4,1297.59,1271.64,5428.0,9
HCPCS,G0432,EIA HIV-1/HIV-2 screen,,,19.57,68.44,7
HCPCS,G0433,HC ELISA HIV-1/HIV-2 SCREEN (HIV-SYPHILIS RAPID TEST),150.81,52.79,18.29,84.45,10
HCPCS,G0435,HC ORAL HIV-1/HIV-2 SCREEN (HIV-SYPHILIS RAPID TEST),185.1,64.79,11.98,103.66,10
HCPCS,G0438,"HC PPPS, INITIAL VISIT",229.81,80.44,78.82,292.08,6
HCPCS,G0439,"HC PPPS, SUBSEQ VISIT",212.58,74.41,72.91,230.97,6
HCPCS,G0440,Mammogram,,,7963.11,7963.11,1
HCPCS,G0441,Mammogram,,,1744.89,1744.89,1
HCPCS,G0442,Annual alcohol screen 15 min,,,37.21,619.85,6
HCPCS,G0443,Brief alcohol misuse counsel,,,50.39,1552.57,6
HCPCS,G0444,Depression screen annual,,,37.21,619.85,6
HCPCS,G0445,High inten beh couns STD 30m,,,52.47,1528.43,6
HCPCS,G0446,Intens behave ther cardio dx,,,39.52,1552.57,6
HCPCS,G0447,Behavior counsel obesity 15m,,,50.39,1552.57,6
HCPCS,G0448,Place perm pacing cardiovert,,,4344.0,30380.0,3
HCPCS,G0451,Devlopment test interpt&rep,,,21.9,757.17,6
HCPCS,G0452,HC INTERPRETATION UCHEALTH MOLECULAR LAB,211.22,73.93,3.11,209.11,10
HCPCS,G0452,HC MOLECULAR PATHOLOGY PROCEDURE; PHYSICIAN INTERPRETATION AND REPORT ARUP TO QUEST 91634,583.87,204.36,3.11,326.97,10
HCPCS,G0453,Cont intraop neuro monitor,,,27.63,2444.0,7
HCPCS,G0454,MD document visit by NPP,,,9.19,595.72,6
HCPCS,G0455,Fecal microbiota prep instil,,,981.0,4796.37,6
HCPCS,G0458,LDR prostate brachy comp rat,,,51.9,1505.0,2
HCPCS,G0459,"Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy",,,40.07,2812.36,6
HCPCS,G0460,Autolog prp not diab ulcer,,,1581.55,3543.81,5
HCPCS,G0461,Mammogram,,,3832.78,3832.78,1
HCPCS,G0462,Mammogram,,,3713.59,3713.59,1
HCPCS,G0463,Hospital outpt clinic visit,,,140.44,228.67,5
HCPCS,G0465,Autolog prp diab wound ulcer,,,1581.55,3543.81,5
HCPCS,G0466,HC FQHC VISIT NEW PT,855.56,299.45,293.46,293.46,2
HCPCS,G0467,HC  FQHC VISIT ESTB PT,637.73,223.21,218.74,218.74,2
HCPCS,G0468,HC FQHC VISIT IPPE OR AWV,855.56,299.45,293.46,293.46,2
HCPCS,G0469,"HC FQHC VISIT, MENTAL HEALTH, NEW PATIENT",855.56,299.45,245.03,637.39,4
HCPCS,G0470,HC FQHC VISIT MH ESTAB PT,637.73,223.21,182.65,475.11,4
HCPCS,G0471,ven blood coll SNF/HHA,,,11.34,36.97,6
HCPCS,G0472,Hep c screen high risk/other,,,46.35,162.07,7
HCPCS,G0473,Group behave couns 2-10,,,16.52,781.31,6
HCPCS,G0475,"HC HIV ANTIGEN/ANTIBODY, COMBINATION ASSAY SCREENING",76.3,26.71,24.08,84.21,10
HCPCS,G0476,HC HIGH RISK HPV SCREEN BY PCR,194.96,68.24,35.09,122.71,10
HCPCS,G0480,HC DRUG TEST(S) DEFINITIVE UTILIZING (1) DRUG IDENTIFICATION METHODS IF POSITIVE ARUP 2008682,377.62,132.17,114.43,400.14,10
HCPCS,G0480,HC ISOPROPANOL BLOOD UCH CLINICAL LAB,184.8,64.68,63.39,400.14,10
HCPCS,G0480,HC METHANOL BLOOD UCH CLINICAL LAB,184.8,64.68,63.39,400.14,10
HCPCS,G0481,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,156.59,547.57,7
HCPCS,G0482,HC DRUG TEST DEF UTIL 1 DRUG ID METHODS ABLE TO ID INDIV DRUGS & DISTING BTWN STRCTL ISOMERS ARUP 2009288,198.74,69.56,68.17,694.97,10
HCPCS,G0483,"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not",,,246.92,863.45,7
HCPCS,G0490,"Home visit RN, LPN by RHC/FQ",,,44.06,44.06,1
HCPCS,G0491,Dialysis acu kidney no esrd,,,1834.79,1834.79,1
HCPCS,G0493,Rn care ea 15 min hh/hospice,,,37.73,37.73,1
HCPCS,G0494,Lpn care ea 15min hh/hospice,,,29.05,29.05,1
HCPCS,G0495,Rn care train/edu in hh,,,71.52,71.52,1
HCPCS,G0496,Lpn care train/edu in hh,,,43.98,43.98,1
HCPCS,G0498,Chemo extend iv infus w/pump,,,348.43,567.32,5
HCPCS,G0499,Hepb screen high risk indiv,,,28.27,98.85,7
HCPCS,G0500,HC MOD SEDAT ENDO SERVICE >5YRS,280.28,98.1,70.26,359.78,9
HCPCS,G0501,Resource-inten svc during ov,,,31.28,31.28,1
HCPCS,G0502,Mammogram,,,5747.21,5747.21,1
HCPCS,G0503,Mammogram,,,5174.28,5174.28,1
HCPCS,G0504,Mammogram,,,2772.05,2772.05,1
HCPCS,G0505,Mammogram,,,11359.06,11359.06,1
HCPCS,G0506,Comp asses care plan ccm svc,,,68.64,2975.77,6
HCPCS,G0507,Mammogram,,,2060.45,2060.45,1
HCPCS,G0508,Crit care telehea consult 60,,,186.18,13916.12,6
HCPCS,G0509,Crit care telehea consult 50,,,177.54,12760.95,6
HCPCS,G0511,Mammogram,,,2969.77,2969.77,1
HCPCS,G0511,Other Outpatient Services - CPT/HCPCS,,,153.43,153.43,1
HCPCS,G0512,Mammogram,,,10053.82,10053.82,1
HCPCS,G0512,Other Outpatient Services - CPT/HCPCS,,,291.4,291.4,1
HCPCS,G0513,"Prolong prev svcs, first 30m",,,66.25,4007.1,6
HCPCS,G0514,"Prolong prev svcs, addl 30m",,,66.25,4030.5,6
HCPCS,G0515,Mammogram,,,2118.76,2118.76,1
HCPCS,G0516,"insert drug implant,>=4",,,471.24,3500.0,8
HCPCS,G0517,Remove drug implant,,,471.24,3500.0,8
HCPCS,G0518,Remove w insert drug implant,,,471.24,3500.0,8
HCPCS,G0537,HC RISK ASCVD TEST ONCE PER 12 MONTHS,178.74,62.56,39.52,64.35,6
HCPCS,G0538,HC ASCVD RISK MANAGEMENT CLINICAL STAFF TIME PER CALENDAR MONTH,555.0,194.25,107.17,190.37,6
HCPCS,G0539,Initial care training 30 m,,,54.67,89.02,4
HCPCS,G0540,Train for caregiver add 15,,,26.78,43.61,4
HCPCS,G0541,No pt prsnt train initial 30,,,30.51,49.68,4
HCPCS,G0542,No pt prsnt train add 15,,,26.78,43.61,4
HCPCS,G0543,Group train w/o patient,,,30.51,49.68,4
HCPCS,G0544,HC POST D/C PHONE FOLLOW UP IN CONJ W D/C FROM ED FOR BEHAVIORAL HEALTH,555.0,194.25,107.17,413.48,8
HCPCS,G0545,Inherent visit to inpt,,,49.32,80.31,4
HCPCS,G0546,Phone/internet ehr assess,,,19.27,31.38,4
HCPCS,G0547,Phone/internet svs 11-20 m,,,38.28,62.33,4
HCPCS,G0548,Phone/inter svs 21-30 m,,,57.74,94.01,4
HCPCS,G0549,Phone/inter for treat>31m,,,77.82,126.7,4
HCPCS,G0550,Phone/inter for dx/treat >5m,,,35.63,58.01,4
HCPCS,G0551,Phn/intr svs fr dx treat 30m,,,37.4,60.9,4
HCPCS,G0552,HC SUPPLY OF DIGITAL MENTAL HEALTH DEVICE,773.22,270.63,140.44,576.05,8
HCPCS,G0553,HC MONTHLY TX FOR DIGITAL MENTAL HEALTH TREATMENT (DMHT) 20 MINS,773.22,270.63,140.44,576.05,8
HCPCS,G0554,HC ADD 20 MINS OF MONTHLY DMHT TREATMENT,128.87,45.11,36.91,96.01,8
HCPCS,G0555,Replacment pt electronic sys,,,905.87,1474.94,4
HCPCS,G0556,HC ADVANCED PRIMARY CARE MGMT LVL 1,178.74,62.56,39.52,64.35,6
HCPCS,G0557,HC ADVANCED PRIMARY CARE MGMT LVL 2,178.74,62.56,39.52,64.35,6
HCPCS,G0558,HC ADVANCED PRIMARY CARE MGMT LVL 3,555.0,194.25,107.17,190.37,6
HCPCS,G0559,Unrelat prac follow up visit,,,9.74,15.87,4
HCPCS,G0560,Safety plan interven,,,43.15,70.25,4
HCPCS,G0561,HC TEMP TUBE DELIVERY UNIL,511.73,179.11,146.56,3000.0,5
HCPCS,G0562,HC COMPLEX SIMULATION W/PET-CT,11703.0,4096.05,2013.93,8718.74,9
HCPCS,G0563,HC SBRT W/ POSITRON EMISSION DEL,22503.0,7876.05,3356.21,16764.74,9
HCPCS,G0564,Ambulatory Surgery Groups,,,3200.0,3200.0,1
HCPCS,G0564,Ambulatory Surgery Groups - CPT/HCPCS,,,6987.0,6987.0,1
HCPCS,G0565,Ambulatory Surgery Groups,,,3200.0,3200.0,1
HCPCS,G0565,Ambulatory Surgery Groups - CPT/HCPCS,,,6987.0,6987.0,1
HCPCS,G0566,3d bn img algor drvd fr mri,,,135.74,221.0,4
HCPCS,G0567,Screening hep c detect,,,35.09,57.13,4
HCPCS,G0568,"Int psych care mng, 1 cal mo",,,107.17,174.49,4
HCPCS,G0569,"Subs psych care mng, subs mo",,,107.17,174.49,4
HCPCS,G0570,"Care manage serv, pr cal mo",,,39.52,64.35,4
HCPCS,G0571,Intraop nerve cryoablation,,,65.4,106.49,4
HCPCS,G0659,Drug test def simple all cl,,,62.14,217.29,7
HCPCS,G0660,Team remote e/m new pt 10 mn,,,77.68,126.49,4
HCPCS,G0661,Team remote e/m new pt 20 mn,,,77.68,126.49,4
HCPCS,G0662,Team remote e/m new pt 30 mn,,,120.8,196.69,4
HCPCS,G0663,Team remote e/m new pt 45 mn,,,181.93,296.21,4
HCPCS,G0664,Team remote e/m new pt 60 mn,,,242.49,394.82,4
HCPCS,G0665,Team remote e/m est pt 10 mn,,,61.48,100.09,4
HCPCS,G0666,Team remote e/m est pt 15 mn,,,98.18,159.85,4
HCPCS,G0667,Team remote e/m est pt 25 mn,,,139.63,227.34,4
HCPCS,G0668,Team remote e/m est pt 40 mn,,,197.85,322.15,4
HCPCS,G0680,Cr art clc art vlv clc w rpt,,,16.0,26.06,4
HCPCS,G0913,Improve visual funct,,,0.02,0.02,1
HCPCS,G0914,Survey not complete,,,0.02,0.02,1
HCPCS,G0915,No improve visual funct,,,0.02,0.02,1
HCPCS,G0916,Satisfy with care,,,0.02,0.02,1
HCPCS,G0917,Care survey not complete,,,0.02,0.02,1
HCPCS,G0918,No satisfy with care,,,0.02,0.02,1
HCPCS,G1028,Take home supply 8mg per 0.1,,,234.22,234.22,1
HCPCS,G2000,Blinded conv. tx mdd clin tr,,,20.76,640.92,5
HCPCS,G2001,Post D/C H Vst new pt 20 m,,,50.46,3330.9,6
HCPCS,G2002,Post-D/C H Vst new pt 30 m,,,75.95,4972.64,6
HCPCS,G2003,Post-d/c h vst new pt 45 m,,,122.41,8256.01,6
HCPCS,G2004,Post-d/c h vst new pt 60 m,,,166.76,10900.05,6
HCPCS,G2005,Post-d/c h vst new pt 75 m,,,221.53,14196.89,6
HCPCS,G2006,Post-d/c h vst ext pt 20 m,,,50.48,3260.58,6
HCPCS,G2007,Post-d/c h vst ext pt 30 m,,,82.63,5302.29,6
HCPCS,G2008,Post-d/c h vst ext pt 45 m,,,131.26,8390.64,6
HCPCS,G2009,Post-d/c h vst ext pt 60 m,,,186.08,11871.72,6
HCPCS,G2010,Remot image submit by pt,,,13.45,619.85,6
HCPCS,G2011,HC ALCOHOL AND/OR SUBS (OTHER THAN TOBACCO) MISUSE STRUCTURED ASSESSMENT&BRIEF INTV 5-14 MIN,271.15,94.91,30.51,93.0,6
HCPCS,G2012,Mammogram,,,845.01,845.01,1
HCPCS,G2012,Other Outpatient Services - CPT/HCPCS,,,27.89,27.89,1
HCPCS,G2013,Post-d/c h vst ext pt 75 m,,,221.53,14196.89,6
HCPCS,G2014,Post-d/c care plan overs 30m,,,75.42,5108.01,6
HCPCS,G2015,Post-d/c care plan overs 60m,,,105.36,7126.93,6
HCPCS,G2023,Mammogram,,,166.85,166.85,1
HCPCS,G2025,HC DISTANT SITE TELEHEALTH SERVICES PROVIDED BY AN RHC/FQHC,186.01,65.11,63.8,163.35,6
HCPCS,G2058,Mammogram,,,1811.16,1811.16,1
HCPCS,G2061,Mammogram,,,779.35,779.35,1
HCPCS,G2062,Mammogram,,,1374.33,1374.33,1
HCPCS,G2063,Mammogram,,,2129.54,2129.54,1
HCPCS,G2064,Mammogram,,,5034.26,5034.26,1
HCPCS,G2065,Mammogram,,,2560.99,2560.99,1
HCPCS,G2067,Med assist tx meth wk,,,462.69,462.69,1
HCPCS,G2068,Med assist tx bupre oral,,,538.31,538.31,1
HCPCS,G2069,Med assist tx inject,,,3590.51,3590.51,1
HCPCS,G2070,Other Outpatient Services - CPT/HCPCS,,,9940.22,9940.22,1
HCPCS,G2071,Other Outpatient Services - CPT/HCPCS,,,901.92,901.92,1
HCPCS,G2072,Other Outpatient Services - CPT/HCPCS,,,10379.36,10379.36,1
HCPCS,G2073,Med tx naltrexone,,,2862.01,2862.01,1
HCPCS,G2074,Med assist tx no drug,,,369.58,369.58,1
HCPCS,G2076,Intake act w/med exam,,,359.67,359.67,1
HCPCS,G2077,Periodic assessment,,,221.01,221.01,1
HCPCS,G2078,Take-home meth,,,72.05,72.05,1
HCPCS,G2079,Take-hom buprenorphine,,,147.67,147.67,1
HCPCS,G2080,Add 30 mins counsel,,,62.02,62.02,1
HCPCS,G2081,Pt 66+ SNP or LTC POS > 90d,,,0.02,0.02,1
HCPCS,G2082,Visit esketamine 56m or less,,,1084.66,2368.05,6
HCPCS,G2083,"Visit esketamine, > 56m",,,1704.17,2774.74,6
HCPCS,G2086,Off base opioid tx 70min,,,187.24,19227.11,6
HCPCS,G2087,"Off base opioid tx, 60 m",,,187.24,20480.9,6
HCPCS,G2088,"Off base opioid tx, add30",,,62.78,2372.7,6
HCPCS,G2090,Pt 66+ frailty and med dem,,,0.02,0.02,1
HCPCS,G2091,Pt 66+ frailty and adv ill,,,0.02,0.02,1
HCPCS,G2092,Ace arb arni,,,0.02,0.02,1
HCPCS,G2093,Med doc rsn no ace arn arni,,,0.02,0.02,1
HCPCS,G2094,Pt rsn no ace arn arni,,,0.02,0.02,1
HCPCS,G2096,No rsn ace arb arni,,,0.02,0.02,1
HCPCS,G2097,Dx URI 3d after other dx,,,0.02,0.02,1
HCPCS,G2098,Pt 66+ frailty and med dem,,,0.02,0.02,1
HCPCS,G2099,Pt 66+ frailty and adv ill,,,0.02,0.02,1
HCPCS,G2100,Pt 66+ frailty and med dem,,,0.02,0.02,1
HCPCS,G2101,Pt 66+ frailty and adv ill,,,0.02,0.02,1
HCPCS,G2105,Pt 66+ SNP or LTC POS > 90d,,,0.02,0.02,1
HCPCS,G2106,Pt 66+ lt ints > 90,,,0.02,0.02,1
HCPCS,G2107,Pt 66+ frailty and adv ill,,,0.02,0.02,1
HCPCS,G2108,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G2112,Pred<=5 mg ra glu <6m,,,0.02,0.02,1
HCPCS,G2113,"Pred>5 mg >6m, no chg da",,,0.02,0.02,1
HCPCS,G2115,Pt 66-80 frailty and med dem,,,0.02,0.02,1
HCPCS,G2116,Pt 66-80 frailty and adv ill,,,0.02,0.02,1
HCPCS,G2118,Pt 81+ frailty,,,0.02,0.02,1
HCPCS,G2121,Psy dep anx ap and icd asse,,,0.02,0.02,1
HCPCS,G2122,Psy/dep/anx/apandicd noasse,,,0.02,0.02,1
HCPCS,G2125,Pt 81+ frailty,,,0.02,0.02,1
HCPCS,G2126,Pt 66-80 frailty and adv ill,,,0.02,0.02,1
HCPCS,G2127,Pt 66-80 frailty and med dem,,,0.02,0.02,1
HCPCS,G2128,No aspirin med rsn,,,0.02,0.02,1
HCPCS,G2129,No bp outpt,,,0.02,0.02,1
HCPCS,G2136,Bk pain vas 6-20wk <= 3,,,0.02,0.02,1
HCPCS,G2137,Bk pain vas 6-20wk > 3,,,0.02,0.02,1
HCPCS,G2138,Bk pain vas 9-15mo <= 3,,,0.02,0.02,1
HCPCS,G2139,Bk pain vas 9-15mo > 3,,,0.02,0.02,1
HCPCS,G2140,Leg pain vas 6-20wk <= 3,,,0.02,0.02,1
HCPCS,G2141,Leg pain vas 6-20wk > 3,,,0.02,0.02,1
HCPCS,G2142,FS ODI 9-15mo postop<= 22,,,0.02,0.02,1
HCPCS,G2143,FS ODI  9-15mo > 22,,,0.02,0.02,1
HCPCS,G2144,FS ODI  6-20wk postop <= 22,,,0.02,0.02,1
HCPCS,G2145,FSODI  6-20wk >22 or chg 30pt,,,0.02,0.02,1
HCPCS,G2146,Leg pain vas 9-15mo <= 3,,,0.02,0.02,1
HCPCS,G2147,Leg pain vas 9-15mo > 3,,,0.02,0.02,1
HCPCS,G2148,MPM used,,,0.02,0.02,1
HCPCS,G2149,No mpm med rsn,,,0.02,0.02,1
HCPCS,G2150,No MPM,,,0.02,0.02,1
HCPCS,G2151,Dx degen neuro,,,0.02,0.02,1
HCPCS,G2152,Res change sc >=0,,,0.02,0.02,1
HCPCS,G2167,Res change sc < 0,,,0.02,0.02,1
HCPCS,G2211,Complex e/m visit add on,,,0.02,28.85,5
HCPCS,G2212,Prolong outpt/office vis,,,34.72,2108.1,6
HCPCS,G2213,Initiat med assist tx in er,,,67.19,4192.69,6
HCPCS,G2214,Init/sub psych care m 1st 30,,,107.17,2568.46,6
HCPCS,G2215,Home supply nasal naloxone,,,144.26,144.26,1
HCPCS,G2216,Home supply inject naloxon,,,144.26,144.26,1
HCPCS,G2250,"Remot img sub by pt, non E/M",,,13.45,619.85,6
HCPCS,G2251,"Brief chkin, 5-10, non-E/M",,,14.4,845.01,6
HCPCS,G2252,"Brief chkin by md/qhp, 11-20",,,28.96,1714.02,6
HCPCS,G3002,Chronic pain mgmt 30 mins,,,88.04,4967.99,6
HCPCS,G3003,Chronic pain mgmt addl 15m,,,32.42,1714.02,6
HCPCS,G6001,Mammogram,,,10603.97,10603.97,1
HCPCS,G6001,Other Outpatient Services - CPT/HCPCS,,,276.51,276.51,1
HCPCS,G6002,Mammogram,,,3856.91,3856.91,1
HCPCS,G6002,Other Outpatient Services - CPT/HCPCS,,,100.56,100.56,1
HCPCS,G6003,Other Outpatient Services - CPT/HCPCS,,,283.98,283.98,1
HCPCS,G6003,Radiation Therapy,,,1505.0,1505.0,1
HCPCS,G6004,Other Outpatient Services - CPT/HCPCS,,,239.83,239.83,1
HCPCS,G6004,Radiation Therapy,,,1505.0,1505.0,1
HCPCS,G6005,Other Outpatient Services - CPT/HCPCS,,,240.45,240.45,1
HCPCS,G6005,Radiation Therapy,,,1505.0,1505.0,1
HCPCS,G6006,Other Outpatient Services - CPT/HCPCS,,,239.21,239.21,1
HCPCS,G6006,Radiation Therapy,,,1505.0,1505.0,1
HCPCS,G6007,Other Outpatient Services - CPT/HCPCS,,,442.52,442.52,1
HCPCS,G6007,Radiation Therapy,,,1505.0,1505.0,1
HCPCS,G6008,Other Outpatient Services - CPT/HCPCS,,,331.07,331.07,1
HCPCS,G6008,Radiation Therapy,,,1505.0,1505.0,1
HCPCS,G6009,Other Outpatient Services - CPT/HCPCS,,,329.82,329.82,1
HCPCS,G6009,Radiation Therapy,,,1505.0,1505.0,1
HCPCS,G6010,Other Outpatient Services - CPT/HCPCS,,,327.97,327.97,1
HCPCS,G6010,Radiation Therapy,,,1505.0,1505.0,1
HCPCS,G6011,Other Outpatient Services - CPT/HCPCS,,,441.74,441.74,1
HCPCS,G6011,Radiation Therapy,,,1505.0,1505.0,1
HCPCS,G6012,Other Outpatient Services - CPT/HCPCS,,,436.77,436.77,1
HCPCS,G6012,Radiation Therapy,,,1505.0,1505.0,1
HCPCS,G6013,Other Outpatient Services - CPT/HCPCS,,,438.02,438.02,1
HCPCS,G6013,Radiation Therapy,,,1505.0,1505.0,1
HCPCS,G6014,Other Outpatient Services - CPT/HCPCS,,,435.53,435.53,1
HCPCS,G6014,Radiation Therapy,,,1505.0,1505.0,1
HCPCS,G6015,Other Outpatient Services - CPT/HCPCS,,,668.99,668.99,1
HCPCS,G6015,Radiation Therapy,,,1505.0,1505.0,1
HCPCS,G6016,Other Outpatient Services - CPT/HCPCS,,,667.57,667.57,1
HCPCS,G6016,Radiation Therapy,,,1505.0,1505.0,1
HCPCS,G6017,Other Outpatient Services - CPT/HCPCS,,,153.57,153.57,1
HCPCS,G6017,Radiation Therapy,,,1505.0,1505.0,1
HCPCS,G6018,Mammogram,,,10426.34,10426.34,1
HCPCS,G6019,Mammogram,,,17686.67,17686.67,1
HCPCS,G6020,Mammogram,,,17163.97,17163.97,1
HCPCS,G6022,Mammogram,,,11767.23,11767.23,1
HCPCS,G6023,Mammogram,,,10996.58,10996.58,1
HCPCS,G6024,Mammogram,,,21265.51,21265.51,1
HCPCS,G6025,Mammogram,,,21802.18,21802.18,1
HCPCS,G8395,LVEF>=40% doc normal or mild,,,0.02,0.02,1
HCPCS,G8396,LVEF not performed,,,0.02,0.02,1
HCPCS,G8397,Dil macula/fundus exam/w doc,,,0.02,0.02,1
HCPCS,G8399,Pt w/dxa results document,,,0.02,0.02,1
HCPCS,G8400,Pt w/dxa no results doc,,,0.02,0.02,1
HCPCS,G8404,Low extemity neur exam docum,,,0.02,0.02,1
HCPCS,G8405,Low extemity neur not perfor,,,0.02,0.02,1
HCPCS,G8410,Eval on foot documented,,,0.02,0.02,1
HCPCS,G8415,Eval on foot not performed,,,0.02,0.02,1
HCPCS,G8416,Pt inelig footwear evaluatio,,,0.02,0.02,1
HCPCS,G8417,Calc bmi abv up param f/u,,,0.02,0.02,1
HCPCS,G8418,Calc bmi blw low param f/u,,,0.02,0.02,1
HCPCS,G8419,Calc bmi out nrm param nof/u,,,0.02,0.02,1
HCPCS,G8420,Calc bmi norm parameters,,,0.02,0.02,1
HCPCS,G8421,Bmi not calculated,,,0.02,0.02,1
HCPCS,G8427,Docrev cur meds by elig clin,,,0.02,0.02,1
HCPCS,G8428,Cur meds not document,,,0.02,0.02,1
HCPCS,G8430,Doc med rsn no medrec,,,0.02,0.02,1
HCPCS,G8431,Pos clin depres scrn f/u doc,,,0.02,0.02,1
HCPCS,G8432,"Dep scr not doc, rng",,,0.02,0.02,1
HCPCS,G8433,Scr for dep not cpt doc rsn,,,0.02,0.02,1
HCPCS,G8450,Beta-bloc rx pt w/abn lvef,,,0.02,0.02,1
HCPCS,G8451,Pt w/abn lvef inelig b-bloc,,,0.02,0.02,1
HCPCS,G8452,Pt w/abn lvef b-bloc no rx,,,0.02,0.02,1
HCPCS,G8465,High risk recurrence pro ca,,,0.02,0.02,1
HCPCS,G8473,ACE/ARB thxpy rx'd,,,0.02,0.02,1
HCPCS,G8474,Ace/arb not rx'd; doc reas,,,0.02,0.02,1
HCPCS,G8475,ACE/ARB thxpy not rx'd,,,0.02,0.02,1
HCPCS,G8476,Bp sys &lt;140 and dias &lt;90,,,0.02,0.02,1
HCPCS,G8477,Bp sys&gt;=140 and/or dias &gt;=90,,,0.02,0.02,1
HCPCS,G8478,BP not performed/doc,,,0.02,0.02,1
HCPCS,G8482,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G8483,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G8484,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G8510,"Scr dep neg, no plan reqd",,,0.02,0.02,1
HCPCS,G8511,"Scr dep pos, no plan doc rng",,,0.02,0.02,1
HCPCS,G8535,Eld maltreatment not doc,,,0.02,0.02,1
HCPCS,G8536,No doc elder mal scrn,,,0.02,0.02,1
HCPCS,G8539,Doc funct and care plan,,,0.02,0.02,1
HCPCS,G8540,Foa not doc as being perf,,,0.02,0.02,1
HCPCS,G8541,No doc cur funct assess,,,0.02,0.02,1
HCPCS,G8542,Doc funct no deficiencies,,,0.02,0.02,1
HCPCS,G8543,Cur funct asses; no care pln,,,0.02,0.02,1
HCPCS,G8559,Pt ref doc oto eval,,,0.02,0.02,1
HCPCS,G8560,Pt hx act drain prev 90 days,,,0.02,0.02,1
HCPCS,G8561,Pt inelig for ref oto eval,,,0.02,0.02,1
HCPCS,G8562,Pt no hx act drain 90 d,,,0.02,0.02,1
HCPCS,G8563,Pt no ref oto reas no spec,,,0.02,0.02,1
HCPCS,G8564,Pt ref oto eval,,,0.02,0.02,1
HCPCS,G8565,Ver doc hear loss,,,0.02,0.02,1
HCPCS,G8566,Pt inelig ref oto eval,,,0.02,0.02,1
HCPCS,G8567,Pt no doc hear loss,,,0.02,0.02,1
HCPCS,G8568,Pt no ref otolo no spec,,,0.02,0.02,1
HCPCS,G8569,Prol intubation req,,,0.02,0.02,1
HCPCS,G8570,No prol intub req,,,0.02,0.02,1
HCPCS,G8575,Postop ren fail,,,0.02,0.02,1
HCPCS,G8576,No postop ren fail,,,0.02,0.02,1
HCPCS,G8577,Reop req bld grft oth,,,0.02,0.02,1
HCPCS,G8578,No reop req bld grft oth,,,0.02,0.02,1
HCPCS,G8598,Asa/antiplat ther used,,,0.02,0.02,1
HCPCS,G8599,No asa/antiplat ther use rng,,,0.02,0.02,1
HCPCS,G8600,Tpa initi w/in 4.5 hrs,,,0.02,0.02,1
HCPCS,G8601,No elig tpa init w/in 4.5 hr,,,0.02,0.02,1
HCPCS,G8602,No tpa init w/in 4.5 hrs,,,0.02,0.02,1
HCPCS,G8633,Pharm ther osteo rx,,,0.02,0.02,1
HCPCS,G8635,No pharm ther osteo rx,,,0.02,0.02,1
HCPCS,G8647,Rafscrs ki scor >= 0,,,0.02,0.02,1
HCPCS,G8648,Rafscrs ki scor < 0,,,0.02,0.02,1
HCPCS,G8650,Rafs crs ki no scor no rsn,,,0.02,0.02,1
HCPCS,G8651,Rafscrs hi scor >=0,,,0.02,0.02,1
HCPCS,G8652,Rafscrs hi scor < 0,,,0.02,0.02,1
HCPCS,G8654,Rafs crs hi no scor no surv,,,0.02,0.02,1
HCPCS,G8655,Rafscrs llfai scor >= 0,,,0.02,0.02,1
HCPCS,G8656,Rafscrs llfai scor < 0,,,0.02,0.02,1
HCPCS,G8658,Rafscrs llfai no scor + surv,,,0.02,0.02,1
HCPCS,G8659,Rafscrs lbi scor >= 0,,,0.02,0.02,1
HCPCS,G8660,Rafscrs lbi scor < 0,,,0.02,0.02,1
HCPCS,G8661,Rafscrs lbi no scor,,,0.02,0.02,1
HCPCS,G8662,Rafs crs lbi no scor no surv,,,0.02,0.02,1
HCPCS,G8663,Rafscrs si scor >= 0,,,0.02,0.02,1
HCPCS,G8664,Rafscrs si scor < 0,,,0.02,0.02,1
HCPCS,G8666,Rafs crs si no scor no surv,,,0.02,0.02,1
HCPCS,G8667,Rafscrs ewh scor >= 0,,,0.02,0.02,1
HCPCS,G8668,Rafscrs ewh scor < 0,,,0.02,0.02,1
HCPCS,G8670,Rafs crs ewh no scor no surv,,,0.02,0.02,1
HCPCS,G8694,Lvef <=40%,,,0.02,0.02,1
HCPCS,G8708,Antibiotic not pres,,,0.02,0.02,1
HCPCS,G8709,Uri ep compete diag,,,0.02,0.02,1
HCPCS,G8710,Pt pres antibiotic,,,0.02,0.02,1
HCPCS,G8711,Pres antibx on/within 3 day,,,0.02,0.02,1
HCPCS,G8712,Not pres antibiotic,,,0.02,0.02,1
HCPCS,G8721,"Pt, pn, hist grade doc",,,0.02,0.02,1
HCPCS,G8722,"Med reas pt, pn, not doc",,,0.02,0.02,1
HCPCS,G8723,Spec sit not prim tumor,,,0.02,0.02,1
HCPCS,G8724,"Pt, pn, hist grade not doc",,,0.02,0.02,1
HCPCS,G8733,Doc pos elder mal scrn plan,,,0.02,0.02,1
HCPCS,G8734,Doc neg eld req,,,0.02,0.02,1
HCPCS,G8735,Eld mal scrn pos no plan,,,0.02,0.02,1
HCPCS,G8749,No signs melanoma,,,0.02,0.02,1
HCPCS,G8752,Sys BP less 140,,,0.02,0.02,1
HCPCS,G8753,Sys BP > or = 140,,,0.02,0.02,1
HCPCS,G8754,Dias BP less 90,,,0.02,0.02,1
HCPCS,G8755,Dias BP > or = 90,,,0.02,0.02,1
HCPCS,G8756,No BP measure doc,,,0.02,0.02,1
HCPCS,G8783,BP scrn perf rec interval,,,0.02,0.02,1
HCPCS,G8785,BP scrn no perf at interval,,,0.02,0.02,1
HCPCS,G8797,Specimen site not esophagus,,,0.02,0.02,1
HCPCS,G8798,Specimen site not prostate,,,0.02,0.02,1
HCPCS,G8806,Perf ultrsnd to lct preg doc,,,0.02,0.02,1
HCPCS,G8807,No ta tv ultrasnd,,,0.02,0.02,1
HCPCS,G8808,"Ultrasound not perf, rng",,,0.02,0.02,1
HCPCS,G8815,Doc reas no statin therapy,,,0.02,0.02,1
HCPCS,G8816,Statin med pres at disch,,,0.02,0.02,1
HCPCS,G8817,Doc reas no statin med disch,,,0.02,0.02,1
HCPCS,G8826,Pt disch home day #2 evar,,,0.02,0.02,1
HCPCS,G8833,Pt not disch home day#2 EVAR,,,0.02,0.02,1
HCPCS,G8834,Pt disch home day #2 CEA,,,0.02,0.02,1
HCPCS,G8838,Not disch home by day #2,,,0.02,0.02,1
HCPCS,G8839,Sleep apnea assess,,,0.02,0.02,1
HCPCS,G8840,Doc reas no sleep apnea,,,0.02,0.02,1
HCPCS,G8841,No sleep apnea assess,,,0.02,0.02,1
HCPCS,G8842,Ahi rdi rei doc win 2mo,,,0.02,0.02,1
HCPCS,G8843,Doc reas no ahi rdi rei,,,0.02,0.02,1
HCPCS,G8844,No ahi rdi rei ini dx no rsn,,,0.02,0.02,1
HCPCS,G8845,Pos Airway Press prescribed,,,0.02,0.02,1
HCPCS,G8846,Mod or severe OSA,,,0.02,0.02,1
HCPCS,G8849,Doc reas no Pos Air Press,,,0.02,0.02,1
HCPCS,G8850,No PAP prescribed,,,0.02,0.02,1
HCPCS,G8851,Adhere tx assess at lst ann,,,0.02,0.02,1
HCPCS,G8852,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G8854,Reas no adhere therapy,,,0.02,0.02,1
HCPCS,G8855,Ther not assessed annually,,,0.02,0.02,1
HCPCS,G8856,Ref for oto eval,,,0.02,0.02,1
HCPCS,G8857,No elig ref for oto eval,,,0.02,0.02,1
HCPCS,G8858,Not ref for oto eval,,,0.02,0.02,1
HCPCS,G8863,No assess bone loss,,,0.02,0.02,1
HCPCS,G8864,Pneumococcal vaccine admin,,,0.02,0.02,1
HCPCS,G8865,Doc med reas no pneumococcal,,,0.02,0.02,1
HCPCS,G8866,Doc pt reas no pneumococcal,,,0.02,0.02,1
HCPCS,G8867,No pneumococcal admin,,,0.02,0.02,1
HCPCS,G8869,Doc immune hep b antitnf,,,0.02,0.02,1
HCPCS,G8875,Breast cancer dx min invsive,,,0.02,0.02,1
HCPCS,G8876,Doc reas no min inv dx,,,0.02,0.02,1
HCPCS,G8877,No brst cncr dx min invasive,,,0.02,0.02,1
HCPCS,G8878,Sent lymph node biopsy,,,0.02,0.02,1
HCPCS,G8880,Sen lym p node biop not perf,,,0.02,0.02,1
HCPCS,G8881,Brst cncr stage > T1N0M0,,,0.02,0.02,1
HCPCS,G8882,No sent lymph node biopsy,,,0.02,0.02,1
HCPCS,G8907,Pt doc no events on discharg,,,0.02,0.02,1
HCPCS,G8908,Pt doc w burn prior to D/C,,,0.02,0.02,1
HCPCS,G8909,Pt doc no burn prior to D/C,,,0.02,0.02,1
HCPCS,G8910,Pt doc to have fall in ASC,,,0.02,0.02,1
HCPCS,G8911,Pt doc no fall in ASC,,,0.02,0.02,1
HCPCS,G8912,Pt doc with wrong event,,,0.02,0.02,1
HCPCS,G8913,Pt doc no wrong event,,,0.02,0.02,1
HCPCS,G8914,Pt trans to hosp post D/C,,,0.02,0.02,1
HCPCS,G8915,Pt not trans to hosp at D/C,,,0.02,0.02,1
HCPCS,G8916,Pt w IV AB given on time,,,0.02,0.02,1
HCPCS,G8917,Pt w IV AB not given on time,,,0.02,0.02,1
HCPCS,G8918,Pt w/o preop order IV AB pro,,,0.02,0.02,1
HCPCS,G8923,Lvef <= 40% or lvsd,,,0.02,0.02,1
HCPCS,G8924,Spir res doc fev1/fvc<70%,,,0.02,0.02,1
HCPCS,G8934,Lvef <=40% or dep lv sys fcn,,,0.02,0.02,1
HCPCS,G8935,Rx ACE or ARB therapy,,,0.02,0.02,1
HCPCS,G8936,Pt not eligible ace/arb,,,0.02,0.02,1
HCPCS,G8937,No rx ACE/ARB therapy,,,0.02,0.02,1
HCPCS,G8941,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G8942,Doc fcn/care plan w/30 days,,,0.02,0.02,1
HCPCS,G8944,AJCC Mel cnr stg 0 - IIC,,,0.02,0.02,1
HCPCS,G8946,Mibm but no dx of breast ca,,,0.02,0.02,1
HCPCS,G8950,"Pre-htn or htn doc, f/u indc",,,0.02,0.02,1
HCPCS,G8952,"Pre-htn/htn, no f/u, not gvn",,,0.02,0.02,1
HCPCS,G8955,Most recent assess vol mgmt,,,0.02,0.02,1
HCPCS,G8956,Pt rcv HeDia outpt dyls fac,,,0.02,0.02,1
HCPCS,G8958,Assess vol mgmt not doc,,,0.02,0.02,1
HCPCS,G8961,CSIT lowrisk surg pts preop,,,0.02,0.02,1
HCPCS,G8962,CSIT on pt any reas 30 days,,,0.02,0.02,1
HCPCS,G8965,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G8966,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G8967,Warf or other FDA drug presc,,,0.02,0.02,1
HCPCS,G8968,Doc med not presb,,,0.02,0.02,1
HCPCS,G8969,Doc pt rsn no presc warf/FDA,,,0.02,0.02,1
HCPCS,G8970,No rsk fac or 1 mod risk TE,,,0.02,0.02,1
HCPCS,G9001,"MCCD, initial rate",,,0.02,0.02,1
HCPCS,G9002,"MCCD,maintenance rate",,,0.02,0.02,1
HCPCS,G9003,"MCCD, risk adj hi, initial",,,0.02,0.02,1
HCPCS,G9004,"MCCD, risk adj lo, initial",,,0.02,0.02,1
HCPCS,G9005,"MCCD, risk adj, maintenance",,,0.02,0.02,1
HCPCS,G9006,"MCCD, Home monitoring",,,0.02,0.02,1
HCPCS,G9007,"MCCD, sch team conf",,,0.02,0.02,1
HCPCS,G9008,"Mccd,phys coor-care ovrsght",,,0.02,0.02,1
HCPCS,G9009,"MCCD, risk adj, level 3",,,0.02,0.02,1
HCPCS,G9010,"MCCD, risk adj, level 4",,,0.02,0.02,1
HCPCS,G9011,"MCCD, risk adj, level 5",,,0.02,0.02,1
HCPCS,G9012,Other Specified Case Mgmt,,,0.02,0.02,1
HCPCS,G9013,ESRD demo bundle level I,,,0.02,0.02,1
HCPCS,G9014,ESRD demo bundle-level II,,,0.02,0.02,1
HCPCS,G9016,Demo-smoking cessation coun,,,43.35,43.35,1
HCPCS,G9041,Mammogram,,,2314.39,2314.39,1
HCPCS,G9042,Mammogram,,,1184.7,1184.7,1
HCPCS,G9043,Mammogram,,,1184.7,1184.7,1
HCPCS,G9044,Mammogram,,,1018.47,1018.47,1
HCPCS,G9050,Oncology work-up evaluation,,,0.02,0.02,1
HCPCS,G9051,Oncology tx decision-mgmt,,,0.02,0.02,1
HCPCS,G9052,Onc surveillance for disease,,,0.02,0.02,1
HCPCS,G9053,Onc expectant management pt,,,0.02,0.02,1
HCPCS,G9054,Onc supervision palliative,,,0.02,0.02,1
HCPCS,G9055,Onc visit unspecified NOS,,,0.02,0.02,1
HCPCS,G9056,Onc prac mgmt adheres guide,,,0.02,0.02,1
HCPCS,G9057,Onc pract mgmt differs trial,,,0.02,0.02,1
HCPCS,G9058,Onc prac mgmt disagree w/gui,,,0.02,0.02,1
HCPCS,G9059,Onc prac mgmt pt opt alterna,,,0.02,0.02,1
HCPCS,G9060,Onc prac mgmt dif pt comorb,,,0.02,0.02,1
HCPCS,G9061,Onc prac cond noadd by guide,,,0.02,0.02,1
HCPCS,G9062,Onc prac guide differs nos,,,0.02,0.02,1
HCPCS,G9063,Onc dx nsclc stgI no progres,,,0.02,0.02,1
HCPCS,G9064,Onc dx nsclc stg2 no progres,,,0.02,0.02,1
HCPCS,G9065,Onc dx nsclc stg3A no progre,,,0.02,0.02,1
HCPCS,G9066,Onc dx nsclc stg3B-4 metasta,,,0.02,0.02,1
HCPCS,G9067,Onc dx nsclc dx unknown nos,,,0.02,0.02,1
HCPCS,G9068,Onc dx sclc/nsclc limited,,,0.02,0.02,1
HCPCS,G9069,Onc dx sclc/nsclc ext at dx,,,0.02,0.02,1
HCPCS,G9070,Onc dx sclc/nsclc ext unknwn,,,0.02,0.02,1
HCPCS,G9071,"Onc dx brst stg1-2B HR,nopro",,,0.02,0.02,1
HCPCS,G9072,Onc dx brst stg1-2 noprogres,,,0.02,0.02,1
HCPCS,G9073,"Onc dx brst stg3-HR, no pro",,,0.02,0.02,1
HCPCS,G9074,Onc dx brst stg3-noprogress,,,0.02,0.02,1
HCPCS,G9075,Onc dx brst metastic/ recur,,,0.02,0.02,1
HCPCS,G9077,Onc dx prostate T1no progres,,,0.02,0.02,1
HCPCS,G9078,Onc dx prostate T2no progres,,,0.02,0.02,1
HCPCS,G9079,Onc dx prostate T3b-T4noprog,,,0.02,0.02,1
HCPCS,G9080,Onc dx prostate w/rise PSA,,,0.02,0.02,1
HCPCS,G9083,Onc dx prostate unknwn nos,,,0.02,0.02,1
HCPCS,G9084,"Onc dx colon t1-3,n1-2,no pr",,,0.02,0.02,1
HCPCS,G9085,"Onc dx colon T4, N0 w/o prog",,,0.02,0.02,1
HCPCS,G9086,Onc dx colon T1-4 no dx prog,,,0.02,0.02,1
HCPCS,G9087,Onc dx colon metas evid dx,,,0.02,0.02,1
HCPCS,G9088,Onc dx colon metas noevid dx,,,0.02,0.02,1
HCPCS,G9089,Onc dx colon extent unknown,,,0.02,0.02,1
HCPCS,G9090,Onc dx rectal T1-2 no progr,,,0.02,0.02,1
HCPCS,G9091,Onc dx rectal T3 N0 no prog,,,0.02,0.02,1
HCPCS,G9092,"Onc dx rectal T1-3,N1-2noprg",,,0.02,0.02,1
HCPCS,G9093,"Onc dx rectal T4,N,M0 no prg",,,0.02,0.02,1
HCPCS,G9094,Onc dx rectal M1 w/mets prog,,,0.02,0.02,1
HCPCS,G9095,Onc dx rectal extent unknwn,,,0.02,0.02,1
HCPCS,G9096,Onc dx esophag T1-T3 noprog,,,0.02,0.02,1
HCPCS,G9097,Onc dx esophageal T4 no prog,,,0.02,0.02,1
HCPCS,G9098,Onc dx esophageal mets recur,,,0.02,0.02,1
HCPCS,G9099,Onc dx esophageal unknown,,,0.02,0.02,1
HCPCS,G9100,Onc dx gastric no recurrence,,,0.02,0.02,1
HCPCS,G9101,Onc dx gastric p R1-R2noprog,,,0.02,0.02,1
HCPCS,G9102,Onc dx gastric unresectable,,,0.02,0.02,1
HCPCS,G9103,Onc dx gastric recurrent,,,0.02,0.02,1
HCPCS,G9104,Onc dx gastric unknown NOS,,,0.02,0.02,1
HCPCS,G9105,Onc dx pancreatc p R0 res no,,,0.02,0.02,1
HCPCS,G9106,Onc dx pancreatc p R1/R2 no,,,0.02,0.02,1
HCPCS,G9107,Onc dx pancreatic unresectab,,,0.02,0.02,1
HCPCS,G9108,Onc dx pancreatic unknwn NOS,,,0.02,0.02,1
HCPCS,G9109,Onc dx head/neck T1-T2no prg,,,0.02,0.02,1
HCPCS,G9110,Onc dx head/neck T3-4 noprog,,,0.02,0.02,1
HCPCS,G9111,Onc dx head/neck M1 mets rec,,,0.02,0.02,1
HCPCS,G9112,Onc dx head/neck ext unknown,,,0.02,0.02,1
HCPCS,G9113,Onc dx ovarian stg1A-B no pr,,,0.02,0.02,1
HCPCS,G9114,Onc dx ovarian stg1A-B or 2,,,0.02,0.02,1
HCPCS,G9115,Onc dx ovarian stg3/4 noprog,,,0.02,0.02,1
HCPCS,G9116,Onc dx ovarian recurrence,,,0.02,0.02,1
HCPCS,G9117,Onc dx ovarian unknown NOS,,,0.02,0.02,1
HCPCS,G9123,Onc dx CML chronic phase,,,0.02,0.02,1
HCPCS,G9124,Onc dx CML acceler phase,,,0.02,0.02,1
HCPCS,G9125,Onc dx CML blast phase,,,0.02,0.02,1
HCPCS,G9126,Onc dx CML remission,,,0.02,0.02,1
HCPCS,G9128,Onc dx multi myeloma stage I,,,0.02,0.02,1
HCPCS,G9129,Onc dx mult myeloma stg2 hig,,,0.02,0.02,1
HCPCS,G9130,Onc dx multi myeloma unknown,,,0.02,0.02,1
HCPCS,G9131,Onc dx brst unknown NOS,,,0.02,0.02,1
HCPCS,G9132,Onc dx prostate mets no cast,,,0.02,0.02,1
HCPCS,G9133,Onc dx prostate clinical met,,,0.02,0.02,1
HCPCS,G9134,Onc NHLstg 1-2 no relap no,,,0.02,0.02,1
HCPCS,G9135,Onc dx NHL stg 3-4 not relap,,,0.02,0.02,1
HCPCS,G9136,Onc dx NHL trans to lg Bcell,,,0.02,0.02,1
HCPCS,G9137,Onc dx NHL relapse/refractor,,,0.02,0.02,1
HCPCS,G9138,Onc dx NHL stg unknown,,,0.02,0.02,1
HCPCS,G9139,Onc dx CML dx status unknown,,,0.02,0.02,1
HCPCS,G9140,Frontier extended stay demo,,,0.02,0.02,1
HCPCS,G9143,Warfarin respon genetic test,,,120.72,422.15,7
HCPCS,G9147,Outpt IV insulin tx any mea,,,0.02,0.02,1
HCPCS,G9148,Medical Home Level I,,,0.02,0.02,1
HCPCS,G9149,Medical Home Level II,,,0.02,0.02,1
HCPCS,G9150,Medical Home Level III,,,0.02,0.02,1
HCPCS,G9151,MAPCP demo state,,,0.02,0.02,1
HCPCS,G9152,MAPCP demo community,,,0.02,0.02,1
HCPCS,G9153,MAPCP demo physician,,,0.02,0.02,1
HCPCS,G9156,Evaluation for wheelchair,,,0.02,0.02,1
HCPCS,G9157,Transesoph doppl cardiac mon,,,88.74,6300.05,6
HCPCS,G9187,Bpci home visit,,,53.78,3200.93,6
HCPCS,G9188,Beta not given no reason,,,0.02,0.02,1
HCPCS,G9189,Beta pres or already taking,,,0.02,0.02,1
HCPCS,G9190,Medical reason for no beta,,,0.02,0.02,1
HCPCS,G9191,Pt reason for no beta,,,0.02,0.02,1
HCPCS,G9212,Doc of dsm-iv init eval,,,0.02,0.02,1
HCPCS,G9213,No doc of dsm-iv,,,0.02,0.02,1
HCPCS,G9223,Pjp proph ordered cd4 low,,,0.02,0.02,1
HCPCS,G9225,Norsn no foot exam,,,0.02,0.02,1
HCPCS,G9226,3 comp foot exam completed,,,0.02,0.02,1
HCPCS,G9227,"Foa doc, care plan not doc",,,0.02,0.02,1
HCPCS,G9228,Gc chl syp documented,,,0.02,0.02,1
HCPCS,G9229,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G9230,Norsn for gc chl syp test,,,0.02,0.02,1
HCPCS,G9231,Doc esrd dia trans preg,,,0.02,0.02,1
HCPCS,G9242,Doc viral load &gt;=200,,,0.02,0.02,1
HCPCS,G9243,Doc viral load &lt;200,,,0.02,0.02,1
HCPCS,G9246,No enc or enc/vir ld 90days,,,0.02,0.02,1
HCPCS,G9247,2 enc enc/vir ld 90d,,,0.02,0.02,1
HCPCS,G9254,Doc pt dischg >2d,,,0.02,0.02,1
HCPCS,G9255,Pt dc home 2nd po day,,,0.02,0.02,1
HCPCS,G9273,Sys&lt;140 and dia&lt;90,,,0.02,0.02,1
HCPCS,G9274,Bp out of nrml limits,,,0.02,0.02,1
HCPCS,G9275,Doc of non tobacco user,,,0.02,0.02,1
HCPCS,G9276,Doc of tobacco user,,,0.02,0.02,1
HCPCS,G9277,Doc daily aspirin or contra,,,0.02,0.02,1
HCPCS,G9278,Doc no daily aspirin,,,0.02,0.02,1
HCPCS,G9279,Pne scrn done doc vac done,,,0.02,0.02,1
HCPCS,G9280,Pne not given norsn,,,0.02,0.02,1
HCPCS,G9281,Pne scrn done doc not ind,,,0.02,0.02,1
HCPCS,G9282,Doc medrsn no histo type,,,0.02,0.02,1
HCPCS,G9283,Hist type doc on report,,,0.02,0.02,1
HCPCS,G9284,No hist type doc on report,,,0.02,0.02,1
HCPCS,G9285,Site not small cell lung ca,,,0.02,0.02,1
HCPCS,G9286,Antibio rx w in 10d of sympt,,,0.02,0.02,1
HCPCS,G9287,No antibio w in 10d of sympt,,,0.02,0.02,1
HCPCS,G9288,Doc medrsn no hist type rpt,,,0.02,0.02,1
HCPCS,G9289,Doc type nsm lung ca,,,0.02,0.02,1
HCPCS,G9290,No doc type nsm lung ca,,,0.02,0.02,1
HCPCS,G9291,Not nsm lung ca,,,0.02,0.02,1
HCPCS,G9292,Medrsn no pt category,,,0.02,0.02,1
HCPCS,G9293,No pt category on report,,,0.02,0.02,1
HCPCS,G9294,Pt cat and thck on report,,,0.02,0.02,1
HCPCS,G9295,Non cutaneous loc,,,0.02,0.02,1
HCPCS,G9296,Doc share dec prior proc,,,0.02,0.02,1
HCPCS,G9297,No doc share dec prior proc,,,0.02,0.02,1
HCPCS,G9298,Eval risk vte card 30d prior,,,0.02,0.02,1
HCPCS,G9299,No eval risk vte card prior,,,0.02,0.02,1
HCPCS,G9305,No interv req for leak,,,0.02,0.02,1
HCPCS,G9306,Interv req for leak,,,0.02,0.02,1
HCPCS,G9307,No ret for surg w in 30d,,,0.02,0.02,1
HCPCS,G9308,Unpl ret or w/compl w/in 30d,,,0.02,0.02,1
HCPCS,G9309,No unplnd hosp readm in 30d,,,0.02,0.02,1
HCPCS,G9310,Unplnd hosp readm in 30d,,,0.02,0.02,1
HCPCS,G9311,No surg site infection,,,0.02,0.02,1
HCPCS,G9312,Surgical site infection,,,0.02,0.02,1
HCPCS,G9313,Amoxic not presc as 1st line,,,0.02,0.02,1
HCPCS,G9314,Norsn not first line amox,,,0.02,0.02,1
HCPCS,G9315,Amox w/wo clav rx,,,0.02,0.02,1
HCPCS,G9316,Doc comm risk calc,,,0.02,0.02,1
HCPCS,G9317,No doc comm risk calc,,,0.02,0.02,1
HCPCS,G9318,Image std nomenclature,,,0.02,0.02,1
HCPCS,G9319,Image not std nomenclature,,,0.02,0.02,1
HCPCS,G9321,Prev ct nuc med cnt doc 12mo,,,0.02,0.02,1
HCPCS,G9322,No cnt ct nuc med doc 12mo,,,0.02,0.02,1
HCPCS,G9341,Srch for ct w in 12 mos,,,0.02,0.02,1
HCPCS,G9342,No srch for ct in 12mo norsn,,,0.02,0.02,1
HCPCS,G9344,Sysrsn no dicom srch,,,0.02,0.02,1
HCPCS,G9345,Follow up pulm nod,,,0.02,0.02,1
HCPCS,G9347,No follow up pulm nod norsn,,,0.02,0.02,1
HCPCS,G9351,Doc &gt;1 sinus ct w 90d dx,,,0.02,0.02,1
HCPCS,G9352,Not &gt;1 sinus ct w 90d dx,,,0.02,0.02,1
HCPCS,G9353,Medrsn &gt;1 sinus ct w 90d dx,,,0.02,0.02,1
HCPCS,G9354,1 or no ct sinus w/in 90d dx,,,0.02,0.02,1
HCPCS,G9355,No early ind/delivery,,,0.02,0.02,1
HCPCS,G9356,Early ind/delivery,,,0.02,0.02,1
HCPCS,G9357,Pp eval/edu perf,,,0.02,0.02,1
HCPCS,G9358,Pp eval/edu not perf,,,0.02,0.02,1
HCPCS,G9361,Doc rsn elect c-sec/induct,,,0.02,0.02,1
HCPCS,G9364,Sinus caus bac inx,,,0.02,0.02,1
HCPCS,G9367,>= 2 same hi-rsk med ord,,,0.02,0.02,1
HCPCS,G9368,>= 2 same hi-rsk med not ord,,,0.02,0.02,1
HCPCS,G9380,Off assis eol iss,,,0.02,0.02,1
HCPCS,G9382,No off assis eol,,,0.02,0.02,1
HCPCS,G9383,Recd scrn hcv infec,,,0.02,0.02,1
HCPCS,G9384,Doc med rsn no hcv scrn,,,0.02,0.02,1
HCPCS,G9385,Doc pt reas not rec hcv srn,,,0.02,0.02,1
HCPCS,G9386,Scrn hcv infec not recd,,,0.02,0.02,1
HCPCS,G9393,Ini phq9 &gt;9 remiss &lt;5,,,0.02,0.02,1
HCPCS,G9394,"Dx bipol, death, nhres, hosp",,,0.02,0.02,1
HCPCS,G9395,Ini phq9 &gt;9 no remiss &gt;=5,,,0.02,0.02,1
HCPCS,G9396,Ini phq9 &gt;9 not assess,,,0.02,0.02,1
HCPCS,G9402,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G9403,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G9404,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G9405,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G9406,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G9407,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G9408,Card tamp w/in 30d,,,0.02,0.02,1
HCPCS,G9409,No card tamp e/in 30d,,,0.02,0.02,1
HCPCS,G9410,Admit w/in 180d req remov,,,0.02,0.02,1
HCPCS,G9411,No admit w/in 180d req remov,,,0.02,0.02,1
HCPCS,G9412,Admit w/in 180d req surg rev,,,0.02,0.02,1
HCPCS,G9413,No admit req surg rev,,,0.02,0.02,1
HCPCS,G9414,1dose menig vac btwn 10 & 13,,,0.02,0.02,1
HCPCS,G9415,No 1dose meni vac btwn 10&13,,,0.02,0.02,1
HCPCS,G9416,Pt 1 tdap betw 10-13 yrs,,,0.02,0.02,1
HCPCS,G9417,Pt not 1 tdap betw 10-13 yrs,,,0.02,0.02,1
HCPCS,G9418,Lungcx bx rpt docs class,,,0.02,0.02,1
HCPCS,G9419,Med reas not incl histo type,,,0.02,0.02,1
HCPCS,G9420,Spec site no lung,,,0.02,0.02,1
HCPCS,G9421,Lung cx bx rpt no doc class,,,0.02,0.02,1
HCPCS,G9422,Rpt doc class histo type,,,0.02,0.02,1
HCPCS,G9423,Med reas rpt no histo type,,,0.02,0.02,1
HCPCS,G9424,Site no lung or lung cx,,,0.02,0.02,1
HCPCS,G9425,Spec rpt no doc class histo,,,0.02,0.02,1
HCPCS,G9426,Impr med time edarr pain med,,,0.02,0.02,1
HCPCS,G9427,No impro med time pain med,,,0.02,0.02,1
HCPCS,G9428,Patho rpt incl pt ctg,,,0.02,0.02,1
HCPCS,G9429,Doc med rsn no pt cat,,,0.02,0.02,1
HCPCS,G9430,Spec site no cutaneous,,,0.02,0.02,1
HCPCS,G9431,Patho rpt no pt ctg,,,0.02,0.02,1
HCPCS,G9432,Asth controlled,,,0.02,0.02,1
HCPCS,G9434,Asth not controlled,,,0.02,0.02,1
HCPCS,G9452,Doc med reas no hcv test,,,0.02,0.02,1
HCPCS,G9454,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G9455,"Abd imag w/us, ct or mri",,,0.02,0.02,1
HCPCS,G9456,Doc med pt reas no hcc scrn,,,0.02,0.02,1
HCPCS,G9457,Pt no abd img no doc rsn,,,0.02,0.02,1
HCPCS,G9458,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G9459,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G9460,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G9468,No recd cortico&gt;=10mg/d &gt;60d,,,0.02,0.02,1
HCPCS,G9470,No rec cortico&gt;60d 1rx 600mg,,,0.02,0.02,1
HCPCS,G9471,W/in 2yr dxa not order,,,0.02,0.02,1
HCPCS,G9480,Admission to mccm,,,0.02,0.02,1
HCPCS,G9481,Remote e/m new pt 10mins,,,17.79,1204.18,6
HCPCS,G9482,Remote E/M new pt 20mins,,,33.26,2266.86,6
HCPCS,G9483,Remote E/M new pt 30mins,,,52.17,3548.09,6
HCPCS,G9484,Remote E/M new pt 45mins,,,88.4,5961.71,6
HCPCS,G9485,Remote E/M new pt 60mins,,,116.54,7795.04,6
HCPCS,G9486,Remote E/M est. pt 10mins,,,17.79,1204.18,6
HCPCS,G9487,Remote E/M est. pt 15mins,,,35.14,2394.88,6
HCPCS,G9488,Remote E/M est. pt 25mins,,,54.35,3676.72,6
HCPCS,G9489,Remote E/M est. pt 40mins,,,76.8,5176.97,6
HCPCS,G9490,CMMI mod home visit,,,53.78,3182.92,6
HCPCS,G9497,Rec inst no smoke day surg,,,0.02,0.02,1
HCPCS,G9498,Abx reg prescribed,,,0.02,0.02,1
HCPCS,G9500,Rad expos ind/exp tm doc,,,0.02,0.02,1
HCPCS,G9501,Rad expos ind/exp tm no doc,,,0.02,0.02,1
HCPCS,G9502,Med reas no perf foot exam,,,0.02,0.02,1
HCPCS,G9504,Doc rsn hep b stat not asses,,,0.02,0.02,1
HCPCS,G9505,Abx pres w/in 10 dys of symp,,,0.02,0.02,1
HCPCS,G9507,Doc reas on statin or contra,,,0.02,0.02,1
HCPCS,G9508,Doc pt not on statin,,,0.02,0.02,1
HCPCS,G9509,Adit mdd dys rem 12 mnths,,,0.02,0.02,1
HCPCS,G9510,Remis12m not phq-9 score <5,,,0.02,0.02,1
HCPCS,G9511,Idx evt dte phq>9 doc 12 mo,,,0.02,0.02,1
HCPCS,G9512,Indiv pdc &gt; 0.8,,,0.02,0.02,1
HCPCS,G9513,Indiv pdc not &gt; 0.8,,,0.02,0.02,1
HCPCS,G9514,Req ret or w/in 90d of surg,,,0.02,0.02,1
HCPCS,G9515,"No reas, no ret or w/in 90d",,,0.02,0.02,1
HCPCS,G9516,Impr vis acuit w/in 90d,,,0.02,0.02,1
HCPCS,G9517,No impr vis acuit w/in 90d,,,0.02,0.02,1
HCPCS,G9518,Doc active inj drug use,,,0.02,0.02,1
HCPCS,G9519,Final ref +/- 1.0 w/in 90d,,,0.02,0.02,1
HCPCS,G9520,Refract not +/- 1.0 w/in 90d,,,0.02,0.02,1
HCPCS,G9521,Er and ip hosp &lt;2 in 12 mos,,,0.02,0.02,1
HCPCS,G9522,Er/ip hosp =/&gt;2 in 12 mos,,,0.02,0.02,1
HCPCS,G9529,Minor blunt trauma w/head ct,,,0.02,0.02,1
HCPCS,G9530,Pt mbht hd ct ord ec prov,,,0.02,0.02,1
HCPCS,G9531,Pt doc,,,0.02,0.02,1
HCPCS,G9533,Indic for head ct not valid,,,0.02,0.02,1
HCPCS,G9537,Img hd clin trial,,,0.02,0.02,1
HCPCS,G9539,Intent pot remv time placemt,,,0.02,0.02,1
HCPCS,G9540,Pt alive 3 mos post proc,,,0.02,0.02,1
HCPCS,G9541,Filter rem 3 mon plmt,,,0.02,0.02,1
HCPCS,G9542,Doc reass appr remo filt 3ms,,,0.02,0.02,1
HCPCS,G9543,Doc 2x re-assess filt remov,,,0.02,0.02,1
HCPCS,G9544,No filt remov w/in 3mos plcm,,,0.02,0.02,1
HCPCS,G9547,Cys ren les or adren,,,0.02,0.02,1
HCPCS,G9548,No f/u rec image study,,,0.02,0.02,1
HCPCS,G9549,Doc med rsn for f/u imag,,,0.02,0.02,1
HCPCS,G9550,Imag rec,,,0.02,0.02,1
HCPCS,G9551,Imag no les,,,0.02,0.02,1
HCPCS,G9552,Inc thyr node &lt;1.0 in rpt,,,0.02,0.02,1
HCPCS,G9553,Prior thyroid dise dx,,,0.02,0.02,1
HCPCS,G9554,Ct/cta/MRI/a chst foll rec,,,0.02,0.02,1
HCPCS,G9555,Doc med rsn for follup image,,,0.02,0.02,1
HCPCS,G9556,Ct/cta/MRI/a no follup imag,,,0.02,0.02,1
HCPCS,G9557,Ct/cta/MRI/a no thyr <1.0cm,,,0.02,0.02,1
HCPCS,G9580,Door to punc time <2hrs,,,0.02,0.02,1
HCPCS,G9582,"Door to punc time >2hr, nrg",,,0.02,0.02,1
HCPCS,G9593,Low pecarn ped head trauma,,,0.02,0.02,1
HCPCS,G9594,Pt mbht hd ct ord ec prov,,,0.02,0.02,1
HCPCS,G9595,Doc shnt/tum/coag,,,0.02,0.02,1
HCPCS,G9596,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G9597,No low pecarn ped head traum,,,0.02,0.02,1
HCPCS,G9598,Aor ane 5.5-5.9 cm max diam,,,0.02,0.02,1
HCPCS,G9599,Aor ane &gt;=6.0 cm max diam,,,0.02,0.02,1
HCPCS,G9603,Pt surv improv bsline tx,,,0.02,0.02,1
HCPCS,G9604,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G9605,Surv score no improv w/tx,,,0.02,0.02,1
HCPCS,G9606,Intraop cyst eval trac inj,,,0.02,0.02,1
HCPCS,G9607,Doc med rsn not perf cystosc,,,0.02,0.02,1
HCPCS,G9608,Intraop cyst eval not done,,,0.02,0.02,1
HCPCS,G9609,Doc order anti-plat,,,0.02,0.02,1
HCPCS,G9610,Doc md rsn no antipla,,,0.02,0.02,1
HCPCS,G9611,No doc order anti-plat rng,,,0.02,0.02,1
HCPCS,G9612,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G9614,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G9621,Scr unheal etoh w/counsel,,,0.02,0.02,1
HCPCS,G9622,No unheal etoh user,,,0.02,0.02,1
HCPCS,G9624,Pt not scrn or no counseling,,,0.02,0.02,1
HCPCS,G9625,Pt bl srg 30 day pst srg,,,0.02,0.02,1
HCPCS,G9626,Med rsn no rpt bladder inj,,,0.02,0.02,1
HCPCS,G9627,Pt no bl srg 30 day pst srg,,,0.02,0.02,1
HCPCS,G9628,Pt bwli srg 30 day pst srg,,,0.02,0.02,1
HCPCS,G9629,Med rsn no rpt bowel inj,,,0.02,0.02,1
HCPCS,G9630,Pt no bwli srg 30 day srg,,,0.02,0.02,1
HCPCS,G9637,Doc >1 dose reduc tech,,,0.02,0.02,1
HCPCS,G9638,No doc >1 dose reduc tech,,,0.02,0.02,1
HCPCS,G9642,Current smoker,,,0.02,0.02,1
HCPCS,G9643,Elective surgery,,,0.02,0.02,1
HCPCS,G9644,No smok b/4 anes day of surg,,,0.02,0.02,1
HCPCS,G9645,Had smoke b/4 anes day surg,,,0.02,0.02,1
HCPCS,G9646,Pt w/90d mrs 0-2,,,0.02,0.02,1
HCPCS,G9648,Pt w/90d mrs &gt;2,,,0.02,0.02,1
HCPCS,G9649,Psor as doc spc bm,,,0.02,0.02,1
HCPCS,G9651,Psor as doc no spc bm,,,0.02,0.02,1
HCPCS,G9654,Mon anesth care,,,0.02,0.02,1
HCPCS,G9655,Toc tool incl key elem,,,0.02,0.02,1
HCPCS,G9656,Pt trans from anest to pacu,,,0.02,0.02,1
HCPCS,G9658,Toc tool incl elem not used,,,0.02,0.02,1
HCPCS,G9659,>=86y scr colo nomed rsn,,,0.02,0.02,1
HCPCS,G9660,Doc med rsn colo pt >= 86y,,,0.02,0.02,1
HCPCS,G9661,Pt >= 86  w/ hi risk,,,0.02,0.02,1
HCPCS,G9662,Prior dx/active clin ascvd,,,0.02,0.02,1
HCPCS,G9663,Fast/dir ldl >= 190 mg/dl,,,0.02,0.02,1
HCPCS,G9664,Taking statin or rec&rsquo;d order,,,0.02,0.02,1
HCPCS,G9665,No statin/no order statin,,,0.02,0.02,1
HCPCS,G9674,Pt w/clin ascvd dx,,,0.02,0.02,1
HCPCS,G9675,Pt w/fast/dir lab ldl-c &gt;190,,,0.02,0.02,1
HCPCS,G9676,40-75y w/type 1/2 w/ldl-c rs,,,0.02,0.02,1
HCPCS,G9679,Acute care pneumonia,,,0.02,0.02,1
HCPCS,G9680,Acute care congestive heart failure (CHF),,,0.02,0.02,1
HCPCS,G9681,Acute care chronic obstructive pulmonary disease (COPD) /asthma,,,0.02,0.02,1
HCPCS,G9682,Acute care skin infection,,,0.02,0.02,1
HCPCS,G9683,Acute fluid/electro disorder,,,0.02,0.02,1
HCPCS,G9684,Acute care urinary tract infection (UTI),,,0.02,0.02,1
HCPCS,G9685,Acute nursing facility care,,,157.86,12600.11,6
HCPCS,G9686,Mammogram,,,5082.53,5082.53,1
HCPCS,G9687,Hospice anytime msmt per,,,0.02,0.02,1
HCPCS,G9688,Pt w/hosp anytime msmt per,,,0.02,0.02,1
HCPCS,G9689,Inpt elect carotid intervent,,,0.02,0.02,1
HCPCS,G9690,Pt in hos,,,0.02,0.02,1
HCPCS,G9691,Pt hosp dur msmt period,,,0.02,0.02,1
HCPCS,G9692,Hosp recd by pt dur msmt per,,,0.02,0.02,1
HCPCS,G9693,Pt use hosp during msmt per,,,0.02,0.02,1
HCPCS,G9694,Hosp srv used pt in msmt per,,,0.02,0.02,1
HCPCS,G9695,Long act inhal bronchdil pre,,,0.02,0.02,1
HCPCS,G9696,Med rsn no presc bronchdil,,,0.02,0.02,1
HCPCS,G9698,Sys rsn no presc bronchdil,,,0.02,0.02,1
HCPCS,G9699,Long inhal bronchdil no pres,,,0.02,0.02,1
HCPCS,G9700,Pt is w/hosp during msmt per,,,0.02,0.02,1
HCPCS,G9702,Pt use hosp during msmt per,,,0.02,0.02,1
HCPCS,G9703,Anbx 30 prior to episode,,,0.02,0.02,1
HCPCS,G9704,Ajcc br ca stg i: t1 mic/t1a,,,0.02,0.02,1
HCPCS,G9705,Ajcc br ca stg ib,,,0.02,0.02,1
HCPCS,G9706,Low recur prost ca,,,0.02,0.02,1
HCPCS,G9707,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G9708,Bilat mast/hx bi /unilat mas,,,0.02,0.02,1
HCPCS,G9709,Hosp srv used pt in msmt per,,,0.02,0.02,1
HCPCS,G9710,Pt prov hosp srv msmt per,,,0.02,0.02,1
HCPCS,G9711,Pt hx tot col or colon ca,,,0.02,0.02,1
HCPCS,G9712,Doc med rsn presc anbx,,,0.02,0.02,1
HCPCS,G9713,Pt use hosp during msmt per,,,0.02,0.02,1
HCPCS,G9714,Pt is w/hosp during msmt per,,,0.02,0.02,1
HCPCS,G9716,BMI doc onl fup not cmpltd,,,0.02,0.02,1
HCPCS,G9717,Doc pt dx bipol,,,0.02,0.02,1
HCPCS,G9719,Pt not ambul/immob/wc,,,0.02,0.02,1
HCPCS,G9720,Hospice anytime msmt per,,,0.02,0.02,1
HCPCS,G9721,Pt not ambul/immob/wc,,,0.02,0.02,1
HCPCS,G9722,Doc hx renal fail or cr+ >=4,,,0.02,0.02,1
HCPCS,G9723,Hosp recd by pt dur msmt per,,,0.02,0.02,1
HCPCS,G9724,Pt w/doc use anticoag mst yr,,,0.02,0.02,1
HCPCS,G9726,Refused to participate,,,0.02,0.02,1
HCPCS,G9727,Pt unable cmplt lepf prom,,,0.02,0.02,1
HCPCS,G9728,Refused to participate,,,0.02,0.02,1
HCPCS,G9729,Pt unbl cmplt lepf prom,,,0.02,0.02,1
HCPCS,G9730,Refused to participate,,,0.02,0.02,1
HCPCS,G9731,Pt unbl cmplt lepf prom,,,0.02,0.02,1
HCPCS,G9732,Refused to participate,,,0.02,0.02,1
HCPCS,G9733,Pt unbl cmplt lb fs prom,,,0.02,0.02,1
HCPCS,G9734,Refused to participate,,,0.02,0.02,1
HCPCS,G9735,Pt unbl cmplt shld fs prom,,,0.02,0.02,1
HCPCS,G9736,Refused to participate,,,0.02,0.02,1
HCPCS,G9737,Pt unbl cmplt ewh fs prom,,,0.02,0.02,1
HCPCS,G9740,Hosp srv to pt dur msmt per,,,0.02,0.02,1
HCPCS,G9741,Pt w/hosp anytime msmt per,,,0.02,0.02,1
HCPCS,G9744,Pt not eli d/t act dig htn,,,0.02,0.02,1
HCPCS,G9745,Doc rsn no hbp scrn or f/u,,,0.02,0.02,1
HCPCS,G9746,"Mit sten, valve or trans af",,,0.02,0.02,1
HCPCS,G9751,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G9752,Urgent surgery,,,0.02,0.02,1
HCPCS,G9753,"Doc no dicom, ct other fac",,,0.02,0.02,1
HCPCS,G9754,Incid pulm nodule,,,0.02,0.02,1
HCPCS,G9755,Doc med rsn no fllw up,,,0.02,0.02,1
HCPCS,G9756,Surg proc w/silicone oil,,,0.02,0.02,1
HCPCS,G9757,Surg proc w/silicone oil,,,0.02,0.02,1
HCPCS,G9758,Pt in hos,,,0.02,0.02,1
HCPCS,G9760,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G9761,Pt w/hosp anytime msmt per,,,0.02,0.02,1
HCPCS,G9762,Pt had >= 2-3 hpv vaccines,,,0.02,0.02,1
HCPCS,G9763,Pt not have 2-3 hpv vaccines,,,0.02,0.02,1
HCPCS,G9764,Pt treatd w/oral syst or bio,,,0.02,0.02,1
HCPCS,G9765,Doc pat declined therapy,,,0.02,0.02,1
HCPCS,G9766,Cva stroke dx tx transf fac,,,0.02,0.02,1
HCPCS,G9767,Hosp new dx cva consid evst,,,0.02,0.02,1
HCPCS,G9768,Pt w/hosp anytime msmt per,,,0.02,0.02,1
HCPCS,G9769,Bn den 2yr/got ost med/ther,,,0.02,0.02,1
HCPCS,G9770,Perip nerve block,,,0.02,0.02,1
HCPCS,G9771,"Anes end, 1 temp >35.5(95.9)",,,0.02,0.02,1
HCPCS,G9772,Doc med rsn no temp >= 35.5,,,0.02,0.02,1
HCPCS,G9773,1 bod temp >=35.5,,,0.02,0.02,1
HCPCS,G9775,Recd 2 anti-emet pre/intraop,,,0.02,0.02,1
HCPCS,G9776,Doc med rsn no proph antiem,,,0.02,0.02,1
HCPCS,G9777,Pt no antiemet pre/intraop,,,0.02,0.02,1
HCPCS,G9779,Pts breastfeeding,,,0.02,0.02,1
HCPCS,G9780,Pts dx w/rhabdomyolysis,,,0.02,0.02,1
HCPCS,G9781,Doc rsn no statin,,,0.02,0.02,1
HCPCS,G9782,Hx dx fam/pure hypercholes,,,0.02,0.02,1
HCPCS,G9784,Path/derm prov 2nd biop opin,,,0.02,0.02,1
HCPCS,G9785,Path report sent,,,0.02,0.02,1
HCPCS,G9786,Path report not sent,,,0.02,0.02,1
HCPCS,G9787,Pt alive,,,0.02,0.02,1
HCPCS,G9788,Most rct bp </= 130/80,,,0.02,0.02,1
HCPCS,G9789,"Record bp ip, er, urg/self",,,0.02,0.02,1
HCPCS,G9790,Most rct bp >/= 130/80,,,0.02,0.02,1
HCPCS,G9791,Most rct tob stat free,,,0.02,0.02,1
HCPCS,G9792,Most rct tob stat not free,,,0.02,0.02,1
HCPCS,G9793,Pt on daily asa/antiplat,,,0.02,0.02,1
HCPCS,G9794,Doc med rsn no daily aspirin,,,0.02,0.02,1
HCPCS,G9795,Pt no daily asa/antiplat,,,0.02,0.02,1
HCPCS,G9796,Pt currently on statin,,,0.02,0.02,1
HCPCS,G9797,Pt not currently on statin,,,0.02,0.02,1
HCPCS,G9805,Pt w/hosp anytime msmt per,,,0.02,0.02,1
HCPCS,G9806,Pt recd cerv cyto/hpv,,,0.02,0.02,1
HCPCS,G9807,Pt no recd cerv cyto/hpv,,,0.02,0.02,1
HCPCS,G9812,Pt died during inpt/30d aft,,,0.02,0.02,1
HCPCS,G9813,Pt not died w/in 30d of proc,,,0.02,0.02,1
HCPCS,G9818,Doc sex activity,,,0.02,0.02,1
HCPCS,G9819,Pt w/hosp anytime msmt per,,,0.02,0.02,1
HCPCS,G9820,Doc chlam scr test w/follow,,,0.02,0.02,1
HCPCS,G9821,No doc chlam scr ts w/follow,,,0.02,0.02,1
HCPCS,G9822,Endo abl proc yr prev ind dt,,,0.02,0.02,1
HCPCS,G9823,Endo smpl/hyst bx res doc,,,0.02,0.02,1
HCPCS,G9824,Endo smpl/hyst bx res no doc,,,0.02,0.02,1
HCPCS,G9830,Her-2 pos,,,0.02,0.02,1
HCPCS,G9831,Ajcc stg brt ca dx ii or iii,,,0.02,0.02,1
HCPCS,G9832,Br ca stg = 1 t stg = t1c,,,0.02,0.02,1
HCPCS,G9838,Pt met dis at dx,,,0.02,0.02,1
HCPCS,G9839,Anti-egfr mon anti ther,,,0.02,0.02,1
HCPCS,G9840,Gene testing performed,,,0.02,0.02,1
HCPCS,G9841,Gene testing not performed,,,0.02,0.02,1
HCPCS,G9842,Pt met dis at dx,,,0.02,0.02,1
HCPCS,G9843,Kras or nras gene mutation,,,0.02,0.02,1
HCPCS,G9844,Pt no recd anti-egfr ther,,,0.02,0.02,1
HCPCS,G9845,Pt recd anti-egfr ther,,,0.02,0.02,1
HCPCS,G9846,Pt died from cancer,,,0.02,0.02,1
HCPCS,G9847,Pt recd chemo last 14d life,,,0.02,0.02,1
HCPCS,G9848,Pt no chemo last 14d life,,,0.02,0.02,1
HCPCS,G9858,Pt enroll hospice,,,0.02,0.02,1
HCPCS,G9859,Pt died from cancer,,,0.02,0.02,1
HCPCS,G9860,Pt less 3d hospice,,,0.02,0.02,1
HCPCS,G9861,Pt more than 3d hospice,,,0.02,0.02,1
HCPCS,G9862,Doc rsn no 10 yr follow,,,0.02,0.02,1
HCPCS,G9868,CMMI asyntelehealth <10min,,,27.04,1825.99,6
HCPCS,G9869,CMMI asyntelehealth 10-20min,,,36.17,2441.79,6
HCPCS,G9870,CMMI asyntelehealth >20min,,,45.29,3058.21,6
HCPCS,G9873,1 EM core session,,,73.63,73.63,1
HCPCS,G9874,4 EM core sessions,,,222.82,222.82,1
HCPCS,G9875,9 EM core sessions,,,370.08,370.08,1
HCPCS,G9876,2 EM core MS mo 7-9 no WL,,,147.26,147.26,1
HCPCS,G9877,2 EM core MS mo 10-12 no WL,,,147.26,147.26,1
HCPCS,G9878,2 EM core MS mo 7-9  WL,,,195.7,195.7,1
HCPCS,G9879,2 EM core MS mo 10-12 WL,,,195.7,195.7,1
HCPCS,G9880,EM 5 percent WL,,,356.52,356.52,1
HCPCS,G9881,EM 9 percent WL,,,73.63,73.63,1
HCPCS,G9882,2 EM ongoing MS mo 13-15 WL,,,110.44,110.44,1
HCPCS,G9883,2 EM ongoing MS mo 16-18 WL,,,110.44,110.44,1
HCPCS,G9884,2 EM ongoing MS mo 19-21 WL,,,112.38,112.38,1
HCPCS,G9885,2 EM ongoing MS mo 22-24 WL,,,112.38,112.38,1
HCPCS,G9890,EM Bridge Payment,,,73.63,73.63,1
HCPCS,G9891,EM session reporting,,,0.02,0.02,1
HCPCS,G9892,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G9893,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G9894,Adr dep thrpy prescribed,,,0.02,0.02,1
HCPCS,G9895,Doc med rsn no adr dep thrpy,,,0.02,0.02,1
HCPCS,G9896,Doc pt rsn no adr dep thrpy,,,0.02,0.02,1
HCPCS,G9897,Pt nt prsc adr dep thrpy rng,,,0.02,0.02,1
HCPCS,G9898,Pt 66+ snp or ltc pos > 90d,,,0.02,0.02,1
HCPCS,G9900,Scrn mam perf rslts not doc,,,0.02,0.02,1
HCPCS,G9901,Pt 66+ snp or ltc pos > 90d,,,0.02,0.02,1
HCPCS,G9902,Pt scrn tbco and id as user,,,0.02,0.02,1
HCPCS,G9903,Pt scrn tbco id as non user,,,0.02,0.02,1
HCPCS,G9905,No pt tbco scrn rng,,,0.02,0.02,1
HCPCS,G9906,Pt recv tbco cess interv,,,0.02,0.02,1
HCPCS,G9908,No pt tbco cess interv rng,,,0.02,0.02,1
HCPCS,G9910,Pt 66+ snp or ltc pos > 90d,,,0.02,0.02,1
HCPCS,G9911,Node neg pre/post syst ther,,,0.02,0.02,1
HCPCS,G9912,Hbv status assesed and int,,,0.02,0.02,1
HCPCS,G9913,No hbv status assesd and int,,,0.02,0.02,1
HCPCS,G9914,Pt initiated anti-tnf agent,,,0.02,0.02,1
HCPCS,G9915,No documntd hbv results rcd,,,0.02,0.02,1
HCPCS,G9916,Funct status past 12 months,,,0.02,0.02,1
HCPCS,G9917,Adv dem crgvr limited,,,0.02,0.02,1
HCPCS,G9918,"No funct stat perf, rsn nos",,,0.02,0.02,1
HCPCS,G9919,Scrn nd pos nd prov of rec,,,0.02,0.02,1
HCPCS,G9920,Scrning perf and negative,,,0.02,0.02,1
HCPCS,G9921,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G9922,Sfty cncrns scrn nd mit recs,,,0.02,0.02,1
HCPCS,G9923,Safty cncrns scrn and neg,,,0.02,0.02,1
HCPCS,G9925,No scrn prov rsn nos,,,0.02,0.02,1
HCPCS,G9926,Sfty cncrns scrn but no recs,,,0.02,0.02,1
HCPCS,G9927,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G9928,No warf or FDA drug presc,,,0.02,0.02,1
HCPCS,G9929,Trs/rev af,,,0.02,0.02,1
HCPCS,G9930,Com care,,,0.02,0.02,1
HCPCS,G9931,No chad or chad scr 0 or 1,,,0.02,0.02,1
HCPCS,G9938,Pt 66+ snp or ltc pos > 90d,,,0.02,0.02,1
HCPCS,G9939,Same path/derm perf biopsy,,,0.02,0.02,1
HCPCS,G9940,Doc reas no statin therapy,,,0.02,0.02,1
HCPCS,G9943,Bk pn nt msr vas scl pre/pst,,,0.02,0.02,1
HCPCS,G9945,Pt w/cancer scoliosis,,,0.02,0.02,1
HCPCS,G9946,Bk pain no vas,,,0.02,0.02,1
HCPCS,G9949,Leg pain no vas,,,0.02,0.02,1
HCPCS,G9954,Pt >2 rsk fac post-op vomit,,,0.02,0.02,1
HCPCS,G9955,Inhlnt anesth only for induc,,,0.02,0.02,1
HCPCS,G9956,Combo thrpy of >= 2 prophly,,,0.02,0.02,1
HCPCS,G9957,Doc med rsn no combo thrpy,,,0.02,0.02,1
HCPCS,G9958,No combo prohpyl thrp for pt,,,0.02,0.02,1
HCPCS,G9959,Systemic antimicro not presc,,,0.02,0.02,1
HCPCS,G9960,Med rsn sys antimi nt rx,,,0.02,0.02,1
HCPCS,G9961,Systemic antimicro presc,,,0.02,0.02,1
HCPCS,G9962,Embolization doc separatly,,,0.02,0.02,1
HCPCS,G9963,Embolization not doc separat,,,0.02,0.02,1
HCPCS,G9964,Pt recv >=1 well-chld visit,,,0.02,0.02,1
HCPCS,G9965,No well-chld vist recv by pt,,,0.02,0.02,1
HCPCS,G9968,Pt refrd 2 pvdr/spclst in pp,,,0.02,0.02,1
HCPCS,G9969,Pvdr rfrd pt rprt rcvd,,,0.02,0.02,1
HCPCS,G9970,Pvdr rfrd pt no rprt rcvd,,,0.02,0.02,1
HCPCS,G9974,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G9975,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G9976,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G9977,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,G9978,Remote E/M new pt 10mins,,,43.54,1895.69,6
HCPCS,G9979,Remote E/M new pt 20mins,,,74.56,3244.54,6
HCPCS,G9980,Remote E/M new pt 30 mins,,,114.72,5169.62,6
HCPCS,G9981,Remote E/M new pt 45mins,,,176.18,8608.44,6
HCPCS,G9982,Remote E/M new pt 60mins,,,231.33,11466.98,6
HCPCS,G9983,Remote E/M est. pt 10mins,,,43.54,1895.69,6
HCPCS,G9984,Remote E/M est. pt  15mins,,,85.15,3706.24,6
HCPCS,G9985,Remote E/M est. pt 25mins,,,125.43,5631.33,6
HCPCS,G9986,Remote E/M est. pt 40mins,,,174.53,8109.87,6
HCPCS,G9987,BPCI Advanced In home visit,,,53.78,3200.93,6
HCPCS,G9990,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,H0001,HC ALCOHOL/DRUG ASSESSMENT,231.0,80.85,66.16,172.1,5
HCPCS,H0002,HC BEHAVIORAL HEALTH SCREENING TO DETERMINE ELIGIBILITY FOR ADMISSION TO TREATMENT PROGRAM,43.89,15.37,12.57,32.7,5
HCPCS,H0003,Alcohol and/or drug screenin,,,0.02,0.02,1
HCPCS,H0004,HC BEHAVIORAL HEALTH COUNSELING AND THERAPY PER 15 MINUTES,51.1,17.89,14.64,38.07,5
HCPCS,H0005,Alcohol and/or drug services,,,39.82,39.82,1
HCPCS,H0006,HC CASE MGMT ALCOHOL/DRUG,99.74,34.91,15.24,502.0,6
HCPCS,H0007,Alcohol and/or drug services,,,15.78,15.78,1
HCPCS,H0008,Alcohol and/or drug services,,,193.76,1384.32,2
HCPCS,H0009,Alcohol and/or drug services,,,44.84,1384.32,2
HCPCS,H0010,Alcohol and/or drug services,,,209.21,1384.32,2
HCPCS,H0011,Alcohol and/or drug services,,,442.69,1384.32,2
HCPCS,H0012,Alcohol and/or drug services,,,320.0,320.0,2
HCPCS,H0013,Alcohol and/or drug services,,,320.0,320.0,2
HCPCS,H0014,Alcohol and/or drug services,,,320.0,320.0,2
HCPCS,H0015,Alcohol and/or drug services,,,215.0,215.0,2
HCPCS,H0016,Alcohol and/or drug services,,,53.13,53.13,1
HCPCS,H0017,Alcohol and/or drug services,,,832.24,1340.35,2
HCPCS,H0018,Alcohol and/or drug services,,,514.68,832.24,2
HCPCS,H0019,Alcohol and/or drug services,,,215.64,832.24,2
HCPCS,H0020,HC DAILY METHADONE ADMINISTRATION,62.96,22.04,18.03,46.91,6
HCPCS,H0021,Alcohol and/or drug training,,,8.06,8.06,1
HCPCS,H0022,Alcohol and/or drug interven,,,32.96,32.96,1
HCPCS,H0023,HC ALCOHOL AND/OR DRUG OUTREACH,254.1,88.94,72.77,189.3,5
HCPCS,H0024,Alcohol and/or drug preventi,,,19.64,19.64,1
HCPCS,H0025,HC BEHAVIORAL HEALTH PREVENTION EDUCATION,398.13,139.35,114.02,296.61,5
HCPCS,H0026,Alcohol and/or drug preventi,,,47.66,47.66,1
HCPCS,H0029,Alcohol and/or drug preventi,,,249.78,249.78,1
HCPCS,H0030,Alcohol and/or drug hotline,,,8.23,8.23,1
HCPCS,H0031,HC MH HEALTH ASSESS BY NON-MD,295.52,103.44,84.64,220.16,5
HCPCS,H0032,MH svc plan dev by non-md,,,20.34,20.34,1
HCPCS,H0033,Oral med adm direct observe,,,39.48,39.48,1
HCPCS,H0034,Med trng & support per 15min,,,24.13,24.13,1
HCPCS,H0035,HC PARTIAL HOSPITALIZATION FULL D,664.13,232.45,213.19,602.0,6
HCPCS,H0035,HC PARTIAL HOSPITALIZATION HALF D,519.75,181.92,166.84,602.0,6
HCPCS,H0036,Comm psy face-face per 15min,,,419.0,419.0,1
HCPCS,H0037,Comm psy sup tx pgm per diem,,,193.03,193.03,1
HCPCS,H0038,Self-help/peer svc per 15min,,,3.96,3.96,1
HCPCS,H0039,Asser com tx face-face/15min,,,44.41,44.41,1
HCPCS,H0040,Assert comm tx pgm per diem,,,58.82,58.82,1
HCPCS,H0041,Fos c chld non-ther per diem,,,77.61,77.61,1
HCPCS,H0043,"Supported housing, per diem",,,190.75,190.75,1
HCPCS,H0044,"Supported housing, per month",,,533.26,533.26,1
HCPCS,H0045,Respite not-in-home per diem,,,148.12,148.12,1
HCPCS,H0048,Spec coll non-blood:a/d test,,,0.02,0.02,1
HCPCS,H0049,Alcohol/drug screening,,,0.02,0.02,1
HCPCS,H0050,Alcohol/drug service 15 min,,,48.89,48.89,1
HCPCS,H1000,Prenatal care atrisk assessm,,,47.04,47.04,1
HCPCS,H1001,Antepartum management,,,5.81,5.81,1
HCPCS,H1002,Carecoordination prenatal,,,25.78,25.78,1
HCPCS,H1004,Follow up home visit/prental,,,53.66,53.66,1
HCPCS,H1005,Prenatalcare enhanced srv pk,,,245.21,245.21,1
HCPCS,H1010,Nonmed family planning ed,,,157.34,157.34,1
HCPCS,H1011,Family assessment,,,146.46,146.46,1
HCPCS,H2000,Comp multidisipln evaluation,,,56.85,56.85,1
HCPCS,H2001,Rehabilitation program 1/2 d,,,79.2,79.2,1
HCPCS,H2010,Comprehensive med svc 15 min,,,65.48,65.48,1
HCPCS,H2011,"Crisis interven svc, 15 min",,,33.42,33.42,1
HCPCS,H2012,"Behav hlth day treat, per hr",,,67.95,67.95,1
HCPCS,H2013,"Psych hlth fac svc, per diem",,,309.88,309.88,1
HCPCS,H2014,"Skills train and dev, 15 min",,,16.44,16.44,1
HCPCS,H2015,"Comp comm supp svc, 15 min",,,17.82,17.82,1
HCPCS,H2016,"Comp comm supp svc, per diem",,,1.38,1.38,1
HCPCS,H2017,"Psysoc rehab svc, per 15 min",,,7.14,7.14,1
HCPCS,H2018,"Psysoc rehab svc, per diem",,,104.2,104.2,1
HCPCS,H2019,"Ther behav svc, per 15 min",,,23.72,23.72,1
HCPCS,H2020,"Ther behav svc, per diem",,,42.8,42.8,1
HCPCS,H2021,"Com wrap-around sv, 15 min",,,10.6,10.6,1
HCPCS,H2022,"Com wrap-around sv, per diem",,,230.09,230.09,1
HCPCS,H2023,"Supported employ, per 15 min",,,112.1,112.1,1
HCPCS,H2024,"Supported employ, per diem",,,112.1,112.1,1
HCPCS,H2025,"Supp maint employ, 15 min",,,197.55,197.55,1
HCPCS,H2026,"Supp maint employ, per diem",,,77.04,77.04,1
HCPCS,H2027,"Psychoed svc, per 15 min",,,17.89,17.89,1
HCPCS,H2029,"Sex offend tx svc, per diem",,,86.43,86.43,1
HCPCS,H2030,"MH clubhouse svc, per 15 min",,,4.19,4.19,1
HCPCS,H2031,"MH clubhouse svc, per diem",,,11.07,11.07,1
HCPCS,H2032,"Activity therapy, per 15 min",,,2.92,2.92,1
HCPCS,H2033,Multisys ther/juvenile 15min,,,12.01,12.01,1
HCPCS,H2034,"A/D halfway house, per diem",,,0.71,0.71,1
HCPCS,H2035,"A/D tx program, per hour",,,110.46,110.46,1
HCPCS,H2036,"A/D tx program, per diem",,,419.0,702.88,2
HCPCS,H2037,"Dev delay prev dp ch, 15 min",,,0.14,0.14,1
HCPCS,J0120,Tetracyclin injection,,,31.81,31.81,1
HCPCS,J0121,"Inj., omadacycline, 1 mg",,,4.13,19.3,8
HCPCS,J0122,"Inj., eravacycline, 1 mg",,,1.29,5.93,8
HCPCS,J0129,abatacept per 10 mg,2962.98,1037.05,44.72,1016.3,10
HCPCS,J0130,abciximab per 10 mg,3818.06,1336.33,0.05,3093.28,6
HCPCS,J0131,acetaminophen 10 mg/mL solution 100 mL Vial,73.03999999999999,25.57,0.08,45.98,42
HCPCS,J0132,acetylcysteine per 100 mg,461.865,161.66,1.02,570.66,84
HCPCS,J0133,acyclovir per 5 mg,53.24,18.64,0.06,34.0,48
HCPCS,J0134,acetaminophen 10 mg/mL solution 100 mL Bag,27.14,9.5,0.08,9.31,6
HCPCS,J0135,Drugs,,,3026.91,3026.91,1
HCPCS,J0135,Oncology Drugs,,,1636.59,1636.59,1
HCPCS,J0135,Other Outpatient Services - CPT/HCPCS,,,2794.6,2794.6,1
HCPCS,J0136,"Inj, acetaminophen (b braun)",,,0.09,0.25,4
HCPCS,J0137,"Inj, acetaminophen (hikma)",,,0.08,0.41,4
HCPCS,J0138,Inj acetaminoph 10mg/ibu 3mg,,,0.09,0.44,5
HCPCS,J0139,adalimumab 40 mg/0.8 mL pen injector kit 2 each KIT,9802.43,3430.86,2807.42,7302.81,5
HCPCS,J0139,adalimumab 40 mg/0.8 mL pen injector kit 4 each KIT,9802.45,3430.86,2807.42,7302.83,5
HCPCS,J0139,adalimumab per 20 mg,9802.43,3430.86,2807.42,7302.81,5
HCPCS,J0153,adenosine (diagnostic) per 30 mg,366.32000000000005,128.215,0.72,190.39,84
HCPCS,J0153,adenosine per 6 mg,57.875,20.265,0.72,66.39,84
HCPCS,J0163,EPINEPHrine in 0.9% NaCl 8 mg/250 mL (32 mcg/mL) solution 250 mL Bag,178.18,62.37,51.03,132.74,10
HCPCS,J0165,EPINEPHrine 1 mg/mL solution 10 mL Vial,254.88,89.21,73.0,189.89,5
HCPCS,J0165,EPINEPHrine 1 mg/mL solution 30 mL Vial,673.415,235.7,182.49,528.67,10
HCPCS,J0165,epinephrine per 0.1 mg,35.34,12.37,10.12,26.33,5
HCPCS,J0166,EPINEPHrine (PF) 1 mg/mL solution 1 mL AMPUL,41.3,14.46,11.83,30.77,10
HCPCS,J0166,epinephrine per 0.1 mg,70.685,24.744999999999997,10.12,78.99,10
HCPCS,J0167,EPINEPHrine 0.1 mg/mL syringe 10 mL Syringe,28.91,10.12,8.28,21.54,5
HCPCS,J0167,"EPINEPHrine endotracheal 0.1 mg/mL (1:10,000) syringe 10 mL Syringe",28.91,10.12,8.28,21.54,5
HCPCS,J0168,EPINEPHrine 0.1 mg/mL syringe 10 mL Syringe,38.92,13.63,11.15,29.0,5
HCPCS,J0168,"EPINEPHrine endotracheal 0.1 mg/mL (1:10,000) syringe 10 mL Syringe",38.92,13.63,11.15,29.0,5
HCPCS,J0169,epinephrine per 0.1 mg,43.415,15.2,6.87,94.69,20
HCPCS,J0171,"EPINEPHrine (1:10,000) 0.1 mg/mL syringe 10 mL Syringe",25.95,9.085,1.24,9.57,18
HCPCS,J0171,"EPINEPHrine endotracheal 0.1 mg/mL (1:10,000) syringe 10 mL Syringe",25.95,9.085,1.24,9.57,12
HCPCS,J0171,epinephrine per 0.1 mg,24.0,8.4,1.24,8.23,12
HCPCS,J0172,Drugs,,,9.87,9.87,1
HCPCS,J0172,Drugs - Other,,,31.35,31.35,1
HCPCS,J0172,Oncology Drugs,,,10.77,10.77,1
HCPCS,J0172,Other Outpatient Services - CPT/HCPCS,,,15.15,15.15,1
HCPCS,J0173,Drugs,,,2.95,2.95,1
HCPCS,J0173,Drugs - Other,,,8.45,8.45,1
HCPCS,J0173,Oncology Drugs,,,3.62,3.62,1
HCPCS,J0173,Other Outpatient Services - CPT/HCPCS,,,6.05,6.05,1
HCPCS,J0174,"Lecanemab-irmb, for iv inj",,,1.34,3.37,7
HCPCS,J0175,"Injection, donanemab-azbt, 2 mg",,,4.14,7.37,5
HCPCS,J0177,"Inj, aflibercept hd, 1 mg",,,301.18,600.66,5
HCPCS,J0178,aflibercept 2 mg/0.05 mL solution 0.05 mL Vial,5550.01,1942.51,731.89,4592.09,10
HCPCS,J0178,aflibercept 2 mg/0.05 mL syringe 0.05 mL Syringe,5304.6900000000005,1856.645,731.89,4592.09,20
HCPCS,J0179,"Inj, brolucizumab-dbll, 1 mg",,,353.07,858.54,8
HCPCS,J0180,Agalsidase beta injection,,,227.58,566.26,8
HCPCS,J0184,"Inj, amisulpride, 1 mg",,,9.56,20.65,7
HCPCS,J0185,"Inj., aprepitant, 1 mg",,,1.69,9.07,8
HCPCS,J0190,Other Outpatient Services - CPT/HCPCS,,,6.19,6.19,1
HCPCS,J0200,Oncology Drugs,,,30.59,30.59,1
HCPCS,J0200,Other Outpatient Services - CPT/HCPCS,,,38.31,38.31,1
HCPCS,J0202,"Injection, alemtuzumab",,,2440.42,6114.0,8
HCPCS,J0205,Drugs,,,50.24,50.24,1
HCPCS,J0205,Drugs - Other,,,0.05,0.05,1
HCPCS,J0205,Oncology Drugs,,,75.66,75.66,1
HCPCS,J0205,Other Outpatient Services - CPT/HCPCS,,,63.26,63.26,1
HCPCS,J0206,allopurinol 500 mg recon soln 1 each Vial,11168.075,3908.83,3.81,3872.93,20
HCPCS,J0207,Amifostine,,,1343.28,5618.58,4
HCPCS,J0208,"Inj, pedmark, 100 mg",,,95.45,479.0,8
HCPCS,J0209,"Inj, sod thiosulfate (hope)",,,0.88,1.44,5
HCPCS,J0210,Methyldopate hcl injection,,,0.05,91.78,4
HCPCS,J0211,"Inj, nithiodote, 3mg / 125mg",,,2.17,3.53,5
HCPCS,J0215,Drugs,,,42.14,42.14,1
HCPCS,J0215,Drugs - Other,,,0.05,0.05,1
HCPCS,J0215,Oncology Drugs,,,74.96,74.96,1
HCPCS,J0215,Other Outpatient Services - CPT/HCPCS,,,53.06,53.06,1
HCPCS,J0216,"Inj, alfentanil hcl, 500mcg",,,4.62,13.49,4
HCPCS,J0217,Inj velmanase alfa-tycv 1 mg,,,465.23,1116.75,7
HCPCS,J0218,Inj olipudase alfa-rpcp 1mg,,,395.6,1979.71,8
HCPCS,J0219,Inj aval alfa-nqpt 4mg,,,81.2,393.51,8
HCPCS,J0220,Alglucosidase alfa injection,,,0.05,372.06,3
HCPCS,J0221,Lumizyme injection,,,207.51,510.84,8
HCPCS,J0222,"Inj., patisiran, 0.1 mg",,,100.9,250.38,8
HCPCS,J0223,Inj givosiran 0.5 mg,,,120.98,589.9,8
HCPCS,J0224,"Inj. lumasiran, 0.5 mg",,,327.72,1672.87,8
HCPCS,J0225,"Inj, vutrisiran, 1 mg",,,5019.27,25910.85,8
HCPCS,J0248,remdesivir 100 mg recon soln 1 each Vial,1657.7350000000001,580.2149999999999,6.9,632.09,20
HCPCS,J0248,remdesivir 200 mg/250 mL solution 250 mL Bag,2955.31,1034.36,6.9,1013.67,10
HCPCS,J0248,remdesivir 5 mg/ml solution 1 each Vial,24.0,8.4,6.9,31.79,10
HCPCS,J0248,remdesivir 5 mg/ml solution 20 mL Vial,24.0,8.4,6.9,31.79,10
HCPCS,J0256,alpha 1 proteinase inhibitor per 10 mg,1368.8,479.08,5.14,469.5,30
HCPCS,J0256,"alpha-1 proteinase inhibitor 1,000 mg (+/-)/20 mL solution 1 each Vial",1439.6,503.86,5.14,493.78,10
HCPCS,J0257,Glassia injection,,,5.66,13.96,8
HCPCS,J0270,Alprostadil for injection,,,0.73,52.69,4
HCPCS,J0275,Alprostadil urethral suppos,,,46.29,94.09,2
HCPCS,J0278,amikcain per 100 mg,45.31,15.86,1.36,23.81,36
HCPCS,J0280,aminophylline 500 mg/20 mL solution 20 mL Vial,36.44,12.76,8.46,23.66,12
HCPCS,J0280,aminophylline per 250 mg,56.62,19.82,8.46,23.66,6
HCPCS,J0281,aminocaproic acid per 5 g,26.54,9.29,6.87,21.66,20
HCPCS,J0282,amiodarone per 30 mg,42.35,14.83,0.92,16.7,84
HCPCS,J0283,"Inj, amiodarone (nexterone)",,,4.58,20.13,4
HCPCS,J0285,amphotericin per 50 mg,141.6,49.56,15.74,218.51,6
HCPCS,J0287,amphotericin b lipid per 10 mg,297.36,104.08,18.36,101.99,6
HCPCS,J0288,Drugs,,,118.32,118.32,1
HCPCS,J0288,Drugs - Other,,,0.05,0.05,1
HCPCS,J0288,Oncology Drugs,,,25.2,25.2,1
HCPCS,J0288,Other Outpatient Services - CPT/HCPCS,,,148.99,148.99,1
HCPCS,J0289,amphotericin b liposome per 10 mg,721.45,284.01,22.81,309.2,30
HCPCS,J0290,ampicillin per 500 mg,37.56,13.105,1.41,13.56,246
HCPCS,J0291,"Inj., plazomicin, 5 mg",,,3.51,17.61,8
HCPCS,J0295,ampicillin-sulbactam per 1.5 g,99.12,34.7,2.92,72.85,210
HCPCS,J0300,Amobarbital 125 MG inj,,,188.5,961.04,4
HCPCS,J0330,Succinycholine chloride inj,,,1.52,4.24,4
HCPCS,J0348,Anidulafungin injection,,,0.76,2.52,4
HCPCS,J0349,rezafungin 200 mg recon soln 1 each Vial,5917.87,2071.26,10.79,2029.83,10
HCPCS,J0350,Other Outpatient Services - CPT/HCPCS,,,5421.62,5421.62,1
HCPCS,J0360,hydralazine per 20 mg,42.48,14.87,7.28,103.39,96
HCPCS,J0364,Apomorphine hydrochloride,,,63.74,182.08,4
HCPCS,J0365,Drugs,,,4.32,4.32,1
HCPCS,J0365,Drugs - Other,,,0.05,0.05,1
HCPCS,J0365,Oncology Drugs,,,4.77,4.77,1
HCPCS,J0365,Other Outpatient Services - CPT/HCPCS,,,5.07,5.07,1
HCPCS,J0380,Drugs,,,1.62,1.62,1
HCPCS,J0380,Oncology Drugs,,,2.06,2.06,1
HCPCS,J0380,Other Outpatient Services - CPT/HCPCS,,,2.56,2.56,1
HCPCS,J0390,Chloroquine injection,,,39.63,39.63,1
HCPCS,J0391,"Inj, artesunate, 1mg",,,51.83,103.87,7
HCPCS,J0395,Oncology Drugs,,,288.0,288.0,1
HCPCS,J0395,Other Outpatient Services - CPT/HCPCS,,,367.1,367.1,1
HCPCS,J0400,Aripiprazole injection,,,0.05,1.35,4
HCPCS,J0401,"ARIPiprazole 300 mg suspension,extended rel syring 1 each Syringe",6169.04,2159.17,7.27,2115.98,10
HCPCS,J0401,"ARIPiprazole 400 mg suspension,extended rel recon 1 each Vial",8225.38,2878.89,7.27,2821.31,20
HCPCS,J0401,"ARIPiprazole 400 mg suspension,extended rel syring 1 each Syringe",8225.38,2878.89,7.27,2821.31,10
HCPCS,J0402,"Inj, abilify asimtufii, 1 mg",,,6.02,14.99,7
HCPCS,J0456,azithromycin per 500 mg,40.83,14.3,3.71,33.75,84
HCPCS,J0457,aztreonam per 500 mg,132.085,46.235,3.54,65.03,60
HCPCS,J0458,Aztreonam/avibactam 10 mg,,,1.68,2.73,4
HCPCS,J0461,atropine per 0.01 mg,34.0,11.905,0.13,74.12,120
HCPCS,J0462,atropine per 0.01 mg,48.03,16.82,9.11,36.42,25
HCPCS,J0470,dimercaprol per 100 mg,454.37,159.03,98.19,295.87,6
HCPCS,J0475,"baclofen 40,000 mcg/20mL (2,000 mcg/mL) syringe 20 mL Syringe",3138.04,1098.32,178.05,1076.35,10
HCPCS,J0475,baclofen per 50 mcg,608.88,213.11,178.05,956.99,10
HCPCS,J0476,Baclofen intrathecal trial,,,61.78,235.82,4
HCPCS,J0480,Basiliximab,,,4812.31,23016.77,8
HCPCS,J0485,Belatacept injection,,,3.89,9.97,8
HCPCS,J0490,belimumab 80 mg/ml recon soln 1 each Vial,3972.5299999999997,1390.3899999999999,57.19,2096.24,20
HCPCS,J0491,anifrolumab-fnia 300 mg/2 mL (150 mg/mL) solution 2 mL Vial,15407.9,5392.77,18.31,5284.91,10
HCPCS,J0500,Dicyclomine injection,,,28.56,133.42,4
HCPCS,J0515,benztropine mesylate per 1 mg,138.65,48.53,27.13,85.0,24
HCPCS,J0517,benralizumab 30 mg/mL syringe 1 mL Syringe,16558.85,5795.6,163.36,5679.69,10
HCPCS,J0520,Bethanechol chloride inject,,,8.09,10.76,2
HCPCS,J0525,cefotetan per 500 mg,137.18,48.02,19.64,167.73,20
HCPCS,J0558,"penicillin G benzathine-procaine 1,200,000 unit/ 2 mL(900k/300k) syringe 2 mL Syringe",688.51,240.98,19.52,236.16,10
HCPCS,J0558,penicillin g benzathine and penicillin g procaine per 1200000 Units,688.51,240.98,19.52,236.16,20
HCPCS,J0561,penicillin g benzathine per 1200000 Units,1045.11,365.79,31.47,358.47,20
HCPCS,J0561,penicillin g benzathine per 2400000 Units,2141.61,749.57,31.47,734.57,20
HCPCS,J0561,penicillin g benzathine per 600000 Units,603.43,211.21,31.47,206.98,20
HCPCS,J0565,bezlotoxumab 25 mg/mL solution 40 mL Vial,10761.6,3766.56,39.83,3691.23,10
HCPCS,J0567,"Inj., cerliponase alfa 1 mg",,,121.17,543.76,7
HCPCS,J0570,Buprenorphine implant 74.2mg,,,0.05,2839.32,4
HCPCS,J0571,Buprenorphine oral 1mg,,,1.25,3.57,4
HCPCS,J0572,Bupren/nal up to 3mg bupreno,,,8.99,179999.58,3
HCPCS,J0573,Bupren/nal 3.1 to 6mg bupren,,,17.81,179999.58,3
HCPCS,J0574,Bupren/nal 6.1 to 10mg bupre,,,17.81,179999.58,3
HCPCS,J0575,Bupren/nal over 10mg bupreno,,,30.34,179999.58,3
HCPCS,J0576,Drugs,,,21.19,21.19,1
HCPCS,J0577,"Inj, brixadi, 7 days or less",,,417.21,772.49,5
HCPCS,J0578,"Inj brixadi, more than 7 day",,,1668.84,3089.91,5
HCPCS,J0583,bivalirudin per 1 mg,410.64,143.73,0.3,920.59,78
HCPCS,J0584,burosumab-twza 10 mg/mL solution 1 mL Vial,10199.92,3569.98,498.72,3498.57,10
HCPCS,J0584,burosumab-twza 20 mg/mL solution 1 mL Vial,20399.84,7139.95,498.72,6997.15,10
HCPCS,J0584,burosumab-twza 30 mg/mL solution 1 mL Vial,29356.04,10274.62,498.72,10069.12,10
HCPCS,J0585,botulinum toxin type A 200 unit recon soln 1 each Vial,3590.98,1256.85,6.51,1231.71,10
HCPCS,J0585,onabotulinumtoxina per 1 unit,1843.63,645.28,6.51,632.37,10
HCPCS,J0586,AbobotulinumtoxinA,,,8.9,21.61,8
HCPCS,J0587,"rimabotulinumtoxinB 5,000 unit/mL solution 1 mL Vial",1798.56,629.5,13.28,616.91,10
HCPCS,J0588,incobotulinumtoxinA 100 unit recon soln 1 each Vial,1404.67,491.64,5.29,481.8,10
HCPCS,J0589,Inj daxibotulinumtoxina-lanm,,,3.09,7.71,5
HCPCS,J0591,"Inj deoxycholic acid, 1 mg",,,27.54,78.66,3
HCPCS,J0592,Buprenorphine hydrochloride,,,6.81,21.3,4
HCPCS,J0593,"Inj., lanadelumab-flyo, 1 mg",,,86.85,195.67,8
HCPCS,J0594,Busulfan injection,,,0.68,7.24,8
HCPCS,J0595,butorphanol per 1 mg,39.29,13.76,4.62,26.47,6
HCPCS,J0596,"Injection, ruconest",,,36.68,87.81,8
HCPCS,J0597,c1 esterase inhibitor 500 unit (10 mL) kit 1 each KIT,12097.19,4234.02,76.05,4149.34,10
HCPCS,J0598,"C-1 esterase, cinryze",,,65.5,162.3,8
HCPCS,J0599,"Inj., haegarda 10 units",,,18.98,26.7,4
HCPCS,J0600,edetate calcium disodium per 1000 mg,15251.64,5338.08,5231.31,34200.97,10
HCPCS,J0601,sevelamer 800 mg tablet 1 each BLIST PACK,21.0,7.35,6.01,15.65,5
HCPCS,J0601,sevelamer 800 mg tablet 270 each Bottle,14.38,5.04,1.72,12.55,20
HCPCS,J0601,sevelamer 800 mg tablet 50 each BLIST PACK,21.0,7.35,6.01,15.65,5
HCPCS,J0602,sevelamer carbonate 2.4 gram powder in packet 1 each Packet,45.44,15.91,13.01,33.85,5
HCPCS,J0602,sevelamer carbonate 2.4 gram powder in packet 90 each Box,50.54,17.69,14.47,37.65,5
HCPCS,J0602,sevelamer carbonate 2.4 gram powder in packet 90 each Packet,45.44,15.91,12.36,37.65,15
HCPCS,J0603,sevelamer 400 MG tablet 360 each Bottle,9.49,3.33,2.72,7.07,5
HCPCS,J0603,sevelamer 800 MG tablet 180 each Bottle,20.02,7.015000000000001,5.44,15.69,10
HCPCS,J0604,"Cinacalcet, esrd on dialysis",,,0.03,1.63,4
HCPCS,J0606,"Inj, etelcalcetide, 0.1 mg",,,2.36,19.67,8
HCPCS,J0607,"lanthanum 1000 MG tablet,chewable 10 each Bottle",30.57,10.7,1.72,22.8,15
HCPCS,J0607,"lanthanum 1000 MG tablet,chewable 90 each Bottle",30.585,10.705,8.76,22.8,10
HCPCS,J0607,"lanthanum 1000 MG tablet,chewable 90 each Box",6.0,2.1,1.72,4.47,5
HCPCS,J0610,calcium gluconate per 10 mL,31.39,10.99,6.87,28.48,15
HCPCS,J0612,calcium gluconate 1 gram/50 mL solution 50 mL Bag,55.93,19.58,0.08,19.18,24
HCPCS,J0612,calcium gluconate 2 gram/100 mL solution 100 mL Bag,111.86,39.16,0.08,38.37,12
HCPCS,J0612,calcium gluconate per 10 mL,76.405,26.75,0.08,52.45,54
HCPCS,J0613,calcium gluconate 1 gram/50 mL solution 50 mL Bag,55.93,19.58,0.15,19.18,12
HCPCS,J0613,calcium gluconate 2 gram/100 mL solution 100 mL Bag,111.86,39.16,0.15,38.37,12
HCPCS,J0614,"Inj, treosulfan, 50 mg",,,31.61,51.46,4
HCPCS,J0615,calcium acetate 667 mg tablet 200 each Bottle,6.0,2.1,1.72,4.47,5
HCPCS,J0615,calcium acetate(phosphat bind) 667 mg capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
HCPCS,J0615,calcium acetate(phosphat bind) 667 mg capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
HCPCS,J0615,calcium acetate(phosphat bind) 667 mg capsule 200 each Bottle,6.0,2.1,1.72,4.47,30
HCPCS,J0615,calcium acetate(phosphat bind) 667 mg capsule 30 each Bottle,6.0,2.1,1.72,4.47,5
HCPCS,J0616,metoprolol 5 mg/5 mL solution 5 mL Vial,24.0,8.4,6.87,17.88,55
HCPCS,J0620,Calcium glycer & lact/10 ML,,,0.05,23.14,4
HCPCS,J0630,calcitonin per 400 Units,2832.0,991.2,777.1,7165.75,30
HCPCS,J0636,calcitriol per 0.1 mcg,24.0,8.4,1.77,8.23,6
HCPCS,J0637,caspofungin per 5 mg,975.0450000000001,341.27,8.96,340.84,12
HCPCS,J0638,canakinumab (PF) 150 mg/mL solution 1 mL Vial,49464.25,17312.49,149.57,16966.24,10
HCPCS,J0640,leucovorin 10 mg/ml recon soln 1 each Vial,66.63499999999999,23.325,7.32,24.64,12
HCPCS,J0640,leucovorin calcium per 50 mg,53.67,18.79,7.32,68.0,66
HCPCS,J0641,Inj levoleucovorin nos 0.5mg,,,0.1,1.79,4
HCPCS,J0642,"Injection, khapzory, 0.5 mg",,,2.49,7.76,4
HCPCS,J0650,levothyroxine 20 mcg/mL recon soln 1 each Vial,279.505,97.83,19.38,253.93,30
HCPCS,J0650,levothyroxine 40 mcg/mL recon soln 1 each Vial,610.3900000000001,213.64,19.38,507.87,12
HCPCS,J0651,levothyroxine 20 mcg/mL solution 5 mL Vial,251.17,87.91,6.96,187.12,10
HCPCS,J0652,"Inj, levothyroxine, hikma",,,13.76,13.76,1
HCPCS,J0654,"Inj, liothyronine, 1 mcg",,,39.29,63.97,4
HCPCS,J0665,BUPivacaine (PF) 0.5 % (5 mg/mL) solution 10 mL Vial,24.0,8.4,0.02,8.23,48
HCPCS,J0665,BUPivacaine (PF) 0.5 % (5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,8.23,60
HCPCS,J0665,BUPivacaine HCl 0.25 % (2.5 mg/mL) solution 50 mL Vial,24.0,8.4,0.02,8.23,6
HCPCS,J0665,BUPivacaine-dextrose-water(PF) 0.75 % (7.5 mg/mL) solution 2 mL AMPUL,24.0,8.4,0.02,8.23,30
HCPCS,J0665,bupivacaine PF 0.25 % (2.5 mg/mL) solution 10 mL Vial,24.0,8.4,0.02,8.23,60
HCPCS,J0665,bupivacaine PF 0.25 % (2.5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,8.23,48
HCPCS,J0665,bupivacaine PF 0.75 % (7.5 mg/mL) solution 10 mL Vial,24.0,8.4,0.02,8.23,30
HCPCS,J0665,bupivacaine PF 0.75 % (7.5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,8.23,36
HCPCS,J0666,bupivacaine liposome 1.3% (13.3 mg/mL) suspension 10 mL Vial,1366.68,478.34,1.45,1018.18,9
HCPCS,J0666,bupivacaine liposome 1.3% (13.3 mg/mL) suspension 20 mL Vial,1129.07,395.18,1.45,841.16,18
HCPCS,J0668,"Instill, bupivac and meloxic",,,0.85,1.39,4
HCPCS,J0670,mepivacaine 30 mg/mL (3 %) cartridge 1.8 mL Cartridge,30.0,10.5,5.43,16.14,6
HCPCS,J0670,mepivacaine PF 10 mg/mL (1 %) solution 30 mL Vial,27.79,9.73,5.43,16.14,12
HCPCS,J0670,mepivacaine PF 20 mg/mL (2 %) solution 20 mL Vial,32.510000000000005,11.379999999999999,5.43,16.14,12
HCPCS,J0670,mepivacaine per 10 mL,42.76,14.97,5.43,16.14,24
HCPCS,J0675,carboprost 250 mcg/mL solution 1 mL AMPUL,396.48,138.77,15.56,295.38,9
HCPCS,J0675,carboprost 250 mcg/mL solution 1 mL Vial,234.49,82.08,15.56,673.02,126
HCPCS,J0681,Inj ceftobipole medocarl 3mg,,,1.1,1.79,4
HCPCS,J0687,Inj cefazolin (wg crit care),,,1.88,1.88,1
HCPCS,J0688,"Inj cefazolin sodium, hikma",,,1.72,2.53,3
HCPCS,J0689,"Inj cefazolin sodium, baxter",,,2.03,6.39,4
HCPCS,J0690,cefazolin per 500 mg,31.29,10.96,1.25,14.34,96
HCPCS,J0691,Inj lefamulin 1 mg,,,1.19,3.78,4
HCPCS,J0692,cefepime per 500 mg,28.46,9.92,2.08,32.67,144
HCPCS,J0694,cefoxitin per 1 g,33.855000000000004,11.855,8.12,26.22,42
HCPCS,J0695,ceftolozane-tazobactam 1.5 gram recon soln 1 each Vial,493.79,172.83,8.84,169.37,10
HCPCS,J0696,ceftriaxone per 250 mg,87.31,30.564999999999998,0.8,74.0,168
HCPCS,J0697,cefuroxime per 750 mg,24.0,8.4,3.35,11.75,12
HCPCS,J0698,cefotaxime per 1 g,24.0,8.4,8.23,51.39,18
HCPCS,J0699,cefiderocoL 1 gram recon soln 1 each Vial,659.4,230.79,2.42,226.17,20
HCPCS,J0701,Inj. cefepime hcl (baxter),,,9.31,30.0,4
HCPCS,J0702,betamethasone acet & sod phos per 4 mg,118.46000000000001,41.465,11.25,53.46,24
HCPCS,J0703,cefepime per 500 mg,70.135,24.55,8.7,29.0,12
HCPCS,J0706,Caffeine citrate injection,,,2.73,8.98,4
HCPCS,J0710,Oncology Drugs,,,2.51,2.51,1
HCPCS,J0710,Other Outpatient Services - CPT/HCPCS,,,3.13,3.13,1
HCPCS,J0712,ceftaroline fosamil per 10 mg,729.13,255.2,4.25,250.09,20
HCPCS,J0713,ceftazidime per 500 mg,24.0,8.4,2.79,9.64,18
HCPCS,J0714,cefTAZidime-avibactam 2.5 gram recon soln 1 each Vial,1176.31,411.71,104.75,484.98,20
HCPCS,J0715,Drugs - Other,,,0.05,0.05,1
HCPCS,J0715,Oncology Drugs,,,9.44,9.44,1
HCPCS,J0715,Other Outpatient Services - CPT/HCPCS,,,10.9,10.9,1
HCPCS,J0716,Centruroides immune f(ab),,,8032.17,27511.08,4
HCPCS,J0717,Certolizumab pegol inj 1mg,,,3.79,26.59,8
HCPCS,J0720,Chloramphenicol sodium injec,,,89.31,263.58,4
HCPCS,J0725,"chorionic gonadotropin 10,000 unit recon soln 1 each Vial",185.87,65.06,14.58,121.03,12
HCPCS,J0735,clonidine per 1 mg,99.18,34.72,25.3,110.33,12
HCPCS,J0736,clindamycin per 300 mg,36.93,12.93,3.14,28.85,126
HCPCS,J0737,clindamycin in 0.9 % sod chloride 300 mg/50 mL piggyback 50 mL Bag,24.0,8.4,2.89,22.81,12
HCPCS,J0737,clindamycin per 300 mg,33.57,11.754999999999999,2.89,22.81,18
HCPCS,J0738,"Hiv prep, inj, lenacapavir",,,16.1,26.22,4
HCPCS,J0739,"Hiv prep, inj, cabotegravir",,,7.15,32.84,8
HCPCS,J0740,cidofovir 75 mg/mL solution 5 mL Vial,2095.68,733.49,560.79,3026.01,10
HCPCS,J0741,"cabotegravir-rilpivirine 400 mg/2 mL- 600 mg/2 mL suspension,extended release 4 mL Vial",11782.49,4123.88,24.18,4041.39,10
HCPCS,J0741,"cabotegravir-rilpivirine 600 mg/3 mL- 900 mg/3 mL suspension,extended release 6 mL Vial",17673.69,6185.8,24.18,6062.08,10
HCPCS,J0742,Inj imip 4 cilas 4 releb 2mg,,,4.06,13.05,4
HCPCS,J0743,imipenem-cilastatin per 250 mg,66.485,23.275,10.89,37.49,48
HCPCS,J0744,ciprofloxacin per 200 mg,24.0,8.4,2.1,10.28,24
HCPCS,J0745,Inj codeine phosphate /30 MG,,,0.05,2.06,3
HCPCS,J0750,emtricitabine-tenofovir (TDF) 200-300 mg tablet 1 each BLIST PACK,6.0,2.1,0.49,108.16,10
HCPCS,J0750,emtricitabine-tenofovir (TDF) 200-300 mg tablet 30 each BLIST PACK,6.0,2.1,0.49,108.16,10
HCPCS,J0750,emtricitabine-tenofovir (TDF) 200-300 mg tablet 30 each Bottle,169.565,59.349999999999994,0.49,108.16,50
HCPCS,J0751,"Hiv prep, ftc/taf 200/25mg",,,71.44,180.61,7
HCPCS,J0752,"Hiv prep, oral lenacapavir",,,621.96,1012.67,4
HCPCS,J0759,"Inj, clevidipine, 1 mg",,,2.84,4.63,4
HCPCS,J0770,colistimethate per 150 mg,79.285,27.755000000000003,22.11,64.39,18
HCPCS,J0775,collagenase 0.9 mg recon soln 1 each Vial,18377.495000000003,6432.13,78.35,6904.56,20
HCPCS,J0780,prochlorperazine edisylate per 10 mg,38.235,13.39,5.66,17.97,96
HCPCS,J0791,Inj crizanlizumab-tmca 5mg,,,129.94,663.96,8
HCPCS,J0795,Drugs,,,7.03,7.03,1
HCPCS,J0795,Drugs - Other,,,0.05,0.05,1
HCPCS,J0795,Oncology Drugs,,,16.76,16.76,1
HCPCS,J0795,Other Outpatient Services - CPT/HCPCS,,,20.94,20.94,1
HCPCS,J0800,corticotropin per 40 Units,84623.7,29618.3,20031.32,63044.66,5
HCPCS,J0801,Inj. acthar gel to 40 units,,,4094.26,9697.43,7
HCPCS,J0802,"Inj. (ani), up to 40 units",,,3571.35,8787.98,7
HCPCS,J0834,cosyntropin per 0.25 mg,249.71,87.4,44.73,146.22,24
HCPCS,J0840,crotalidae polyvalent immune fab recon soln 1 each Vial,9056.74,3169.86,1841.02,10783.7,10
HCPCS,J0841,Inj crotalidae im f(ab')2 eq,,,1504.93,5346.14,4
HCPCS,J0850,cytomegalovirus immune globulin per vial,4195.37,1468.38,1439.01,9513.85,10
HCPCS,J0870,"Injection, imetelstat, 1 mg",,,58.17,94.71,4
HCPCS,J0872,Daptomycin (xellia) unrefrig,,,0.08,0.08,1
HCPCS,J0873,Inj daptomycin (xellia),,,0.08,0.1,3
HCPCS,J0874,"Inj, daptomycin (baxter)",,,0.12,0.17,3
HCPCS,J0875,dalbavancin 500 mg solution 1 each Vial,5038.51,1763.48,15.0,1728.21,10
HCPCS,J0877,daptomycin per 1 mg,223.73,78.31,0.1,76.74,6
HCPCS,J0878,daptomycin per 1 mg,325.69,113.995,0.06,432.74,84
HCPCS,J0879,"Difelikefalin, esrd on dialy",,,0.44,1.21,4
HCPCS,J0881,darbepoetin alfa 100 mcg/0.5 mL syringe 0.5 mL Syringe,2191.97,767.19,3.07,751.85,20
HCPCS,J0881,darbepoetin alfa 100 mcg/mL syringe 0.4 mL Syringe,876.79,306.88,3.07,300.74,20
HCPCS,J0881,darbepoetin alfa 150 mcg/0.3 mL syringe 0.3 mL Syringe,3287.95,1150.79,3.07,1127.77,10
HCPCS,J0881,darbepoetin alfa 200 mcg/0.4 mL syringe 0.4 mL Syringe,4383.94,1534.38,3.07,1503.69,10
HCPCS,J0881,darbepoetin alfa 25 mcg/0.42 mL syringe 0.42 mL Syringe,547.99,191.8,3.07,187.96,20
HCPCS,J0881,darbepoetin alfa 300 mcg/0.6 mL syringe 0.6 mL Syringe,6575.9,2301.57,3.07,2255.53,10
HCPCS,J0881,darbepoetin alfa 40 mcg/0.4 mL syringe 0.4 mL Syringe,876.79,306.88,3.07,300.74,20
HCPCS,J0881,darbepoetin alfa 60 mcg/0.3 mL syringe 0.3 mL Syringe,1315.18,460.32,3.07,451.11,20
HCPCS,J0881,darbepoetin alfa-albumin per 1 mcg,10959.84,3835.95,3.07,3759.23,10
HCPCS,J0882,"Darbepoetin alfa, esrd use",,,3.07,7.53,8
HCPCS,J0883,argatroban 1 mg/mL solution 50 mL Vial,495.6,173.46,1.01,192.33,30
HCPCS,J0883,argatroban 50 mg/50 mL (1 mg/mL) solution 50 mL Vial,642.86,225.01,1.01,220.5,20
HCPCS,J0883,argatroban per 5 mg,842.085,294.735,1.01,495.4,50
HCPCS,J0884,Argatroban esrd dialysis 1mg,,,2.01,18.37,4
HCPCS,J0885,"epoetin alfa 20,000 unit/2 mL solution 2 mL Vial",1513.7,529.8,7.31,519.2,10
HCPCS,J0885,epoetin alfa per 1000 Units,151.4,52.99,7.31,1038.4,30
HCPCS,J0887,Epoetin beta esrd use,,,2.18,3.11,4
HCPCS,J0888,Epoetin beta non esrd,,,2.09,3.06,4
HCPCS,J0889,Drugs,,,7.74,7.74,1
HCPCS,J0889,Oncology Drugs,,,7.19,7.19,1
HCPCS,J0889,Other Outpatient Services - CPT/HCPCS,,,6.49,6.49,1
HCPCS,J0890,Peginesatide injection,,,0.05,14.76,2
HCPCS,J0891,argatroban 1 mg/mL solution 50 mL Vial,560.74,196.26,1.82,192.33,10
HCPCS,J0892,Argatroban dialysis (accord),,,2.4,7.28,4
HCPCS,J0893,decitabine per 1 mg,4356.09,1524.64,1.29,1494.14,6
HCPCS,J0894,decitabine per 1 mg,4845.55,1695.95,2.79,1662.02,6
HCPCS,J0895,deferoxamine mesylate per 500 mg,41.8,14.63,12.14,45.04,36
HCPCS,J0896,luspatercept-aamt 25 mg recon soln 1 each Vial,11648.42,4076.95,42.75,3995.41,10
HCPCS,J0896,luspatercept-aamt 75 mg recon soln 1 each Vial,34945.09,12230.79,42.75,11986.17,10
HCPCS,J0897,denosumab 120 mg/1.7 mL (70 mg/mL) solution 1.7 mL Vial,9769.67,3419.39,29.51,3351.0,10
HCPCS,J0897,denosumab 60 mg/mL syringe 1 mL Syringe,5311.23,1858.94,29.51,1821.75,10
HCPCS,J0898,argatroban 1 mg/mL solution 50 mL Vial,621.27,217.45,6.81,236.77,12
HCPCS,J0899,"Argatroban dialysis, auromed",,,6.81,8.94,4
HCPCS,J0911,Inst tauro 1.35mg/hep 100u,,,5.03,15.3,5
HCPCS,J0945,Brompheniramine maleate inj,,,0.54,1.77,3
HCPCS,J1000,Depo-estradiol cypionate inj,,,58.99,160.9,4
HCPCS,J1010,methylprednisolone per 40 mg,27.31,10.41,0.21,47.97,54
HCPCS,J1020,Drugs,,,11.62,11.62,1
HCPCS,J1020,Drugs - Other,,,37.6,37.6,1
HCPCS,J1030,Drugs,,,10.59,10.59,1
HCPCS,J1030,Drugs - Other,,,39.91,39.91,1
HCPCS,J1040,Drugs,,,16.17,16.17,1
HCPCS,J1040,Drugs - Other,,,62.45,62.45,1
HCPCS,J1050,medroxyPROGESTERone 150 mg/mL suspension 1 mL Syringe,198.24,69.39,0.05,93.25,30
HCPCS,J1050,medroxyPROGESTERone 150 mg/mL suspension 1 mL Vial,127.44,44.61,0.05,79.21,78
HCPCS,J1050,medroxyPROGESTERone 150 mg/mL syringe 1 mL Syringe,198.24,69.39,0.05,93.25,30
HCPCS,J1050,medroxyPROGESTERone 400 mg/mL suspension 2.5 mL Vial,1526.07,534.13,0.05,523.44,6
HCPCS,J1071,testosterone cypionate 200 mg/mL oil 1 mL Vial,58.49,20.475,0.05,23.11,24
HCPCS,J1072,"Inj, testosterone, azmiro",,,0.14,0.22,4
HCPCS,J1073,Testosterone pellet 75 mg,,,74.97,122.07,4
HCPCS,J1094,Drugs,,,0.54,0.54,1
HCPCS,J1094,Drugs - Other,,,0.05,0.05,1
HCPCS,J1094,Oncology Drugs,,,0.42,0.42,1
HCPCS,J1094,Other Outpatient Services - CPT/HCPCS,,,0.65,0.65,1
HCPCS,J1095,"Injection, dexamethasone 9%",,,2.1,6.02,4
HCPCS,J1096,Dexametha opth insert 0.1 mg,,,95.56,727.62,8
HCPCS,J1097,Phenylep Ketorolac opth soln,,,99.75,618.8,8
HCPCS,J1100,dexAMETHasone sodium phos (PF) 10 mg/mL solution 1 mL Vial,24.0,8.4,0.2,8.23,30
HCPCS,J1100,dexamethasone 4 mg/mL solution 0.1 mL Syringe,24.0,8.4,0.2,8.23,6
HCPCS,J1100,dexamethasone per 1 mg,43.87,15.36,0.2,45.07,78
HCPCS,J1105,"Dexmedetomidine film, 1 mcg",,,1.19,1.19,1
HCPCS,J1110,dihydroergotamine mesylate per 1 mg,325.375,113.88499999999999,67.09,265.3,48
HCPCS,J1120,acetazolamide per 500 mg,103.37,36.185,31.88,155.74,30
HCPCS,J1130,Inj diclofenac sodium 0.5mg,,,0.05,0.48,3
HCPCS,J1160,digoxin 250 mcg/mL (0.25 mg/mL) solution 2 mL AMPUL,207.025,72.46000000000001,8.23,133.79,36
HCPCS,J1160,digoxin per 500 mcg,390.05,136.52,15.53,139.13,18
HCPCS,J1162,digoxin immune fab 40 mg recon soln 1 each Vial,14086.37,4930.23,4831.62,24089.15,10
HCPCS,J1163,diltiazem 5 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,35
HCPCS,J1163,diltiazem 5 mg/mL solution 25 mL Vial,32.21,11.28,9.22,24.0,5
HCPCS,J1163,diltiazem 5 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,35
HCPCS,J1165,phenytoin per 50 mg,24.0,8.4,0.8,8.23,60
HCPCS,J1170,HYDROmorphone (PF) 6 mg/30 mL (0.2 mg/mL) patient control.analgesia soln 30 mL Vial,44.67,15.64,7.57,22.81,5
HCPCS,J1170,HYDROmorphone (PF) 6 mg/30 mL (0.2 mg/mL) pt controlled analgesia syring 30 mL Syringe,35.97,12.59,7.57,22.81,5
HCPCS,J1170,HYDROmorphone (PF)-0.9 % NaCL 0.2 mg/mL patient control.analgesia soln 30 mL Vial,39.285,13.75,7.57,22.81,10
HCPCS,J1170,HYDROmorphone 0.2 mg/mL patient control.analgesia soln 30 mL Vial,79.71,27.9,7.57,27.34,5
HCPCS,J1170,HYDROmorphone 1 mg/mL patient control.analgesia soln 30 mL Vial,49.849999999999994,17.455,7.57,30.97,20
HCPCS,J1170,HYDROmorphone in dextrose 5% 0.5 mg/mL 20 mL Syringe,30.0,10.5,7.57,22.81,10
HCPCS,J1170,hydromorphone in sodium chloride 0.9% 0.2 mg/mL 20 mL Syringe,30.0,10.5,7.57,22.81,5
HCPCS,J1170,hydromorphone per 4 mg,30.0,10.5,7.57,22.81,25
HCPCS,J1171,HYDROmorphone (PF) 2 mg/mL solution 1 mL Vial,30.0,10.5,0.17,22.35,24
HCPCS,J1171,HYDROmorphone (PF) 2 mg/mL syringe 1 mL Syringe,30.0,10.5,0.17,22.35,24
HCPCS,J1171,HYDROmorphone (PF) 6 mg/30 mL (0.2 mg/mL) patient control.analgesia soln 30 mL Vial,45.55,15.95,0.17,40.34,18
HCPCS,J1171,HYDROmorphone 0.6 mg in 3 mL (0.2 mg/mL) 3 mL Syringe,30.0,10.5,0.17,22.35,12
HCPCS,J1171,HYDROmorphone 2 mg/mL syringe 1 mL Cartridge,30.0,10.5,0.17,22.35,6
HCPCS,J1171,HYDROmorphone 2 mg/mL syringe 1 mL Syringe,30.0,10.5,0.17,22.35,6
HCPCS,J1171,HYDROmorphone 20 mg in 20 mL (1 mg/mL) 20 mL Syringe,30.0,10.5,0.17,22.35,12
HCPCS,J1171,HYDROmorphone 4 mg in 20 mL (0.2 mg/mL) 20 mL Syringe,30.0,10.5,0.17,22.35,12
HCPCS,J1171,HYDROmorphone 50 mg in 50 mL (1 mg/mL) 50 mL Syringe,74.36,26.03,0.17,55.4,12
HCPCS,J1171,hydromorphone per 4 mg,60.7,21.25,0.17,358.76,168
HCPCS,J1180,Dyphylline injection,,,18.14,18.14,1
HCPCS,J1190,dexrazoxane HCl(extravasation) 500 mg recon soln 1 each Vial,1299.89,454.97,49.74,597.3,10
HCPCS,J1200,diphenhydrAMINE 50 mg/mL syringe 1 mL Syringe,24.0,8.4,1.32,8.23,12
HCPCS,J1200,diphenhydramine per 50 mg,28.955,10.135,1.32,11.63,42
HCPCS,J1201,Inj. cetirizine hcl 0.5mg,,,16.92,79.03,8
HCPCS,J1202,Miglustat oral 65 mg,,,60.59,60.59,1
HCPCS,J1203,"Inj, cipaglucosidase, 5 mg",,,92.4,158.51,5
HCPCS,J1205,chlorothiazide per 500 mg,383.20500000000004,134.125,58.28,322.89,30
HCPCS,J1212,Dimethyl sulfoxide 50% 50 ML,,,748.98,3579.2,8
HCPCS,J1230,Methadone injection,,,32.46,89.88,4
HCPCS,J1240,Dimenhydrinate injection,,,14.77,47.08,4
HCPCS,J1245,dipyridamole per 10 mg,56.07,19.63,6.14,19.83,6
HCPCS,J1246,Other Outpatient Services - CPT/HCPCS,,,206.76,206.76,1
HCPCS,J1250,dobutamine per 250 mg,65.49000000000001,22.924999999999997,8.23,46.3,60
HCPCS,J1260,dolasetron mesylate per 10 mg,66.5,23.28,0.05,22.81,6
HCPCS,J1265,DOPamine 400 mg/10 mL (40 mg/mL) solution 10 mL Vial,24.0,8.4,1.27,8.23,24
HCPCS,J1265,dopamine per 40 mg,46.61,16.32,1.27,22.87,42
HCPCS,J1267,doripenem per 10 mg,118.21,41.38,0.05,40.55,6
HCPCS,J1270,"Injection, doxercalciferol",,,0.63,2.31,4
HCPCS,J1271,doxycycline 100 mg recon soln 1 each Vial,60.07,21.03,11.9,55.55,50
HCPCS,J1290,Ecallantide injection,,,578.75,1426.54,8
HCPCS,J1299,eculizumab 300 mg/30 mL solution 30 mL Vial,55419.41,19396.8,44.7,41287.46,9
HCPCS,J1300,Drugs,,,372.39,372.39,1
HCPCS,J1300,Oncology Drugs,,,404.34,404.34,1
HCPCS,J1300,Other Outpatient Services - CPT/HCPCS,,,567.89,567.89,1
HCPCS,J1300,Specialty Drugs,,,405.19,405.19,1
HCPCS,J1301,"Injection, edaravone, 1 mg",,,15.18,112.23,8
HCPCS,J1302,"Inj, sutimlimab-jome, 10 mg",,,19.64,93.09,8
HCPCS,J1303,ravulizumab-cwvz 10 mg/mL solution 30 mL Vial,18136.13,6347.65,223.68,6220.69,10
HCPCS,J1303,ravulizumab-cwvz 100 mg/mL solution 11 mL Vial,67829.12,23740.2,223.68,23265.39,10
HCPCS,J1303,ravulizumab-cwvz 100 mg/mL solution 3 mL Vial,18498.86,6474.61,223.68,6345.11,10
HCPCS,J1304,Inj tofersen intrathec 1 mg,,,160.01,393.54,7
HCPCS,J1305,"Inj, evinacumab-dgnb, 5mg",,,197.63,921.82,8
HCPCS,J1306,inclisiran 284 mg/1.5 mL syringe 1.5 mL Syringe,10160.46,3556.17,12.61,3485.04,10
HCPCS,J1307,"Inj, crovalimab-akkz, 10 mg",,,551.51,897.97,4
HCPCS,J1308,famotidine 20 mg/2 mL solution 2 mL Vial,27.755000000000003,9.715,6.87,23.47,25
HCPCS,J1308,famotidine per 20 mg,24.87,8.71,6.87,23.65,20
HCPCS,J1320,Amitriptyline injection,,,4.04,5.04,2
HCPCS,J1322,"Elosulfase alfa, injection",,,311.95,744.63,8
HCPCS,J1323,"Inj, elranatamab-bcmm, 1 mg",,,186.79,321.93,5
HCPCS,J1324,Enfuvirtide injection,,,1.23,3.46,4
HCPCS,J1325,epoprostenol 0.5 mg recon soln 1 each Vial,53.24,18.64,18.26,41.63,6
HCPCS,J1325,epoprostenol 1.5 mg recon soln 1 each Vial,119.57,41.855000000000004,26.33,45.5,12
HCPCS,J1326,"Inj, zolbetuximab-clzb, 2 mg",,,33.65,54.79,4
HCPCS,J1327,Eptifibatide injection,,,3.26,65.56,8
HCPCS,J1330,Drugs - Other,,,0.05,0.05,1
HCPCS,J1330,Oncology Drugs,,,8.76,8.76,1
HCPCS,J1335,ertapenem per 500 mg,279.05,97.67,18.75,134.83,78
HCPCS,J1364,erythromycin lactobionate per 500 mg,310.79,108.78,106.6,457.98,6
HCPCS,J1370,esomeprazole 40 mg recon soln 1 each Vial,141.6,49.56,40.55,105.49,5
HCPCS,J1380,estradiol 10 mg/mL oil 5 mL Vial,364.15999999999997,127.46,13.52,128.93,12
HCPCS,J1380,estradiol valerate per 10 mg,36.72,12.86,11.68,56.54,12
HCPCS,J1410,estrogens conjugated per 25 mg,1067.33,373.57,366.09,1950.23,10
HCPCS,J1411,"Inj, hemgenix, per tx dose",,,0.05,6121500.0,7
HCPCS,J1412,Inj roctavian ml 2x10^13vc g,,,12553.71,179999.58,7
HCPCS,J1413,Inj delandistrogene mox rokl,,,179999.58,5438400.0,6
HCPCS,J1426,"Injection, casimersen, 10 mg",,,166.2,839.06,8
HCPCS,J1427,Inj. viltolarsen,,,97.07,295.78,4
HCPCS,J1428,"Inj, eteplirsen, 10 mg",,,167.51,839.06,8
HCPCS,J1429,Inj golodirsen 10 mg,,,274.23,839.06,4
HCPCS,J1430,ethanolamine oleate per 100 mg,1427.04,499.47,489.47,2522.73,10
HCPCS,J1434,"Inj, focinvez, 1mg",,,2.55,5.6,5
HCPCS,J1435,Injection estrone per 1 MG,,,0.38,0.54,3
HCPCS,J1436,Etidronate disodium inj,,,154.56,154.56,1
HCPCS,J1437,Inj. fe derisomaltose 10 mg,,,21.93,108.09,8
HCPCS,J1438,etanercept 50 mg/mL (1 mL) syringe 0.98 mL Syringe,4538.14,1588.35,1304.79,4620.95,12
HCPCS,J1438,etanercept 50 mg/mL (1 mL) syringe 1 mL Syringe,5775.58,2021.46,1304.79,4620.95,6
HCPCS,J1439,ferric carboxymaltose 50 mg iron/mL solution 15 mL Vial,4344.15,1520.46,1.1,1490.04,10
HCPCS,J1440,Fecal microbiota jslm 1 ml,,,64.32,314.65,8
HCPCS,J1442,filgrastim per 300 mcg,891.61,312.07,1.02,305.82,20
HCPCS,J1442,filgrastim per 480 mcg,1419.76,496.92,1.02,486.98,10
HCPCS,J1443,Drugs,,,0.07,0.07,1
HCPCS,J1443,Drugs - Other,,,0.16,0.16,1
HCPCS,J1443,Oncology Drugs,,,0.06,0.06,1
HCPCS,J1443,Other Outpatient Services - CPT/HCPCS,,,0.07,0.07,1
HCPCS,J1444,Drugs,,,0.07,0.07,1
HCPCS,J1444,Drugs - Other,,,0.16,0.16,1
HCPCS,J1444,Oncology Drugs,,,0.06,0.06,1
HCPCS,J1444,Other Outpatient Services - CPT/HCPCS,,,0.07,0.07,1
HCPCS,J1445,Drugs - Other,,,0.94,0.94,1
HCPCS,J1445,Oncology Drugs,,,0.33,0.33,1
HCPCS,J1445,Other Outpatient Services - CPT/HCPCS,,,0.41,0.41,1
HCPCS,J1447,Inj tbo filgrastim 1 microg,,,0.25,2.24,8
HCPCS,J1448,"Injection, trilaciclib, 1mg",,,5.49,26.75,8
HCPCS,J1449,Inj eflapegrastim-xnst 0.1mg,,,38.96,166.6,8
HCPCS,J1450,fluconazole 2 mg/mL 100 mL Flex Cont,25.49,8.93,4.62,18.13,18
HCPCS,J1450,fluconazole per 200 mg,39.65,13.88,4.62,20.24,96
HCPCS,J1451,"Fomepizole, 15 mg",,,6.54,78.66,8
HCPCS,J1452,Oncology Drugs,,,381.6,381.6,1
HCPCS,J1452,Other Outpatient Services - CPT/HCPCS,,,1912.0,1912.0,1
HCPCS,J1453,fosaprepitant per 1 mg,497.02,173.96,0.23,325.05,66
HCPCS,J1454,"Inj fosnetupitant, palonoset",,,524.18,1950.81,8
HCPCS,J1455,foscarnet per 1000 mg,1394.17,487.96,96.96,485.49,36
HCPCS,J1456,"Inj, fosaprepitant (teva)",,,0.04,3.68,8
HCPCS,J1457,Drugs,,,2.16,2.16,1
HCPCS,J1457,Drugs - Other,,,0.05,0.05,1
HCPCS,J1457,Oncology Drugs,,,3.75,3.75,1
HCPCS,J1457,Other Outpatient Services - CPT/HCPCS,,,2.72,2.72,1
HCPCS,J1458,Galsulfase injection,,,513.6,1228.51,8
HCPCS,J1459,immune globulin 10 % solution 100 mL Vial,5433.43,1901.71,49.53,1863.67,10
HCPCS,J1459,immune globulin 10 % solution 200 mL Vial,10866.86,3803.41,49.53,3727.33,10
HCPCS,J1459,immune globulin 10 % solution 400 mL Vial,21733.71,7606.8,49.53,7454.66,10
HCPCS,J1459,immune globulin 10 % solution 50 mL Vial,2716.71,950.85,49.53,931.83,10
HCPCS,J1460,immune glob G (IgG)-glycine 15-18 % range solution 10 mL Vial,1346.31,471.21,48.95,461.78,10
HCPCS,J1460,immune glob G (IgG)-glycine 15-18 % range solution 2 mL Vial,263.745,92.315,48.95,125.19,20
HCPCS,J1551,Inj cutaquig 100 mg,,,13.93,75.46,8
HCPCS,J1552,"Inj, alyglo, 500 mg",,,123.13,200.47,4
HCPCS,J1553,Inj yimmugo 100 mg,,,24.32,39.6,4
HCPCS,J1554,Inj. asceniv,,,500.93,1253.96,8
HCPCS,J1555,"Inj cuvitru, 100 mg",,,17.58,42.09,8
HCPCS,J1556,"Inj, imm glob bivigam, 500mg",,,79.44,194.14,8
HCPCS,J1557,Gammaplex injection,,,64.65,143.81,8
HCPCS,J1558,"Inj. xembify, 100 mg",,,15.37,36.11,8
HCPCS,J1559,Hizentra injection,,,14.52,34.56,8
HCPCS,J1560,Gamma globulin > 10 CC inj,,,160.29,1251.91,8
HCPCS,J1561,Gamunex-C/Gammaked,,,49.73,124.16,8
HCPCS,J1562,Drugs,,,15.13,15.13,1
HCPCS,J1562,Drugs - Other,,,0.05,0.05,1
HCPCS,J1562,Other Outpatient Services - CPT/HCPCS,,,19.05,19.05,1
HCPCS,J1566,immun globG(IgG)-sucr-IgA ov50 12 gram recon soln 1 each Vial,3262.46,1141.87,80.4,1119.02,10
HCPCS,J1566,immune globulin 10 gram recon soln 1 each Vial,6446.2,2256.17,80.4,2211.05,10
HCPCS,J1566,immune globulin 5 gram recon soln 1 each Vial,3223.1,1128.09,80.4,1105.52,10
HCPCS,J1566,immune globulin 6% recon soln 1 each Vial,1631.23,570.94,80.4,559.51,10
HCPCS,J1568,Octagam injection,,,47.04,124.9,8
HCPCS,J1569,immune globulin 10 % solution 10 mL Vial,494.49,173.08,49.08,169.61,20
HCPCS,J1569,immune globulin 10 % solution 100 mL Vial,4944.91,1730.72,49.08,1696.1,20
HCPCS,J1569,immune globulin 10 % solution 200 mL Vial,9889.82,3461.44,49.08,3392.21,20
HCPCS,J1569,immune globulin 10 % solution 25 mL Vial,1236.29,432.71,49.08,424.05,20
HCPCS,J1569,immune globulin 10 % solution 300 mL Vial,14834.72,5192.16,49.08,5088.31,20
HCPCS,J1569,immune globulin 10 % solution 50 mL Vial,2472.45,865.36,49.08,848.05,20
HCPCS,J1570,ganciclovir per 500 mg,186.91,65.425,42.74,207.08,36
HCPCS,J1571,hepatitis b immune globulin per 0.5 mL,452.55,158.4,70.23,347.48,10
HCPCS,J1572,Drugs,,,92.6,92.6,1
HCPCS,J1572,Oncology Drugs,,,97.2,97.2,1
HCPCS,J1572,Other Outpatient Services - CPT/HCPCS,,,121.46,121.46,1
HCPCS,J1572,Outpatient Services,,,90.74,147.74,4
HCPCS,J1572,Specialty Drugs,,,100.71,100.71,1
HCPCS,J1573,hepatitis b immune globulin per 0.5 mL,575.89,201.57,70.23,466.68,20
HCPCS,J1574,"Inj, ganciclovir (exela)",,,91.8,262.21,4
HCPCS,J1575,Hyqvia 100mg immuneglobulin,,,18.8,44.81,8
HCPCS,J1576,"Inj, panzyga, 500 mg",,,73.83,344.74,8
HCPCS,J1580,gentamicin 120 mg/100 mL piggyback 100 mL Bag,24.0,8.4,4.44,15.69,6
HCPCS,J1580,gentamicin per 80 mg,65.75,23.02,4.44,32.36,84
HCPCS,J1595,Injection glatiramer acetate,,,105.57,301.55,4
HCPCS,J1596,glycopyrrolate 0.2 mg/mL solution 1 mL Vial,24.43,8.56,0.92,13.15,114
HCPCS,J1596,glycopyrrolate 0.2 mg/mL solution 2 mL Vial,24.0,8.4,0.92,8.23,18
HCPCS,J1597,"Inj glycopyrrolate, glyrx-pf",,,2.94,2.94,1
HCPCS,J1598,Inj glycopyrrolate fres kabi,,,3.24,3.24,1
HCPCS,J1599,"Ivig non-lyophilized, NOS",,,178.42,341.87,3
HCPCS,J1600,Gold sodium thiomaleate inj,,,0.05,54.27,4
HCPCS,J1602,golimumab 12.5 mg/mL solution 4 mL Vial,5661.72,1981.61,11.29,1941.97,10
HCPCS,J1610,glucagon (rdna) per 1 mg,795.23,278.34,146.33,1023.54,30
HCPCS,J1610,glucagon 1 mg/mL recon soln 1 each Vial,485.97,170.09,146.33,1023.54,20
HCPCS,J1611,glucagon 1 mg/mL recon soln 1 each Vial,570.2,199.57,135.0,531.81,30
HCPCS,J1612,Inj glucagon (gvoke) 0.01 mg,,,2.37,3.85,4
HCPCS,J1620,Other Outpatient Services - CPT/HCPCS,,,406.52,406.52,1
HCPCS,J1626,granisetron per 100 mcg,53.81,18.84,0.51,18.46,6
HCPCS,J1627,"Inj, granisetron, xr, 0.1 mg",,,3.88,30.85,8
HCPCS,J1628,"Inj., guselkumab, 1 mg",,,67.81,692.84,8
HCPCS,J1630,haloperidol lactate per 5 mg,24.0,8.4,1.86,8.23,36
HCPCS,J1631,haloperidol decanoate per 50 mg,79.53,27.84,12.21,84.58,78
HCPCS,J1632,"Inj., brexanolone, 1 mg",,,118.97,390.7,4
HCPCS,J1640,hemin 313 mg recon soln 1 each Vial,19504.53,6826.59,35.31,6690.05,20
HCPCS,J1642,heparin (PF) 1 unit/mL syringe 2 mL Syringe,24.0,8.4,0.03,8.23,6
HCPCS,J1642,heparin (PF) 1 unit/mL syringe 5 mL Syringe,24.0,8.4,0.03,8.23,6
HCPCS,J1642,heparin (PF) 10 unit/mL syringe 3 mL Syringe,24.0,8.4,0.03,8.23,6
HCPCS,J1642,heparin (PF) 10 unit/mL syringe 5 mL Syringe,24.0,8.4,0.03,8.23,18
HCPCS,J1642,heparin 100 unit/mL syringe 2.5 mL Syringe,73.16,25.61,0.03,25.09,6
HCPCS,J1642,heparin 100 unit/mL syringe 3 mL Syringe,24.0,8.4,0.03,8.23,12
HCPCS,J1642,heparin 100 unit/mL syringe 5 mL Syringe,24.0,8.4,0.03,8.23,18
HCPCS,J1643,"heparin (PF) 1,000 unit/mL solution 2 mL Vial",33.92,11.88,6.72,31.95,12
HCPCS,J1643,heparin (porcine) per 1000 Units,24.0,8.4,6.72,31.95,12
HCPCS,J1644,"heparin (PF) 1,000 unit/mL solution 2 mL Vial",28.174999999999997,9.865,0.39,13.35,30
HCPCS,J1644,"heparin (PF) 5,000 unit/0.5 mL solution 0.5 mL Vial",24.0,8.4,0.39,8.23,24
HCPCS,J1644,"heparin (PF) 5,000 unit/0.5 mL syringe 0.5 mL Syringe",24.0,8.4,0.39,8.23,12
HCPCS,J1644,heparin (porcine) per 1000 Units,35.989999999999995,12.600000000000001,0.39,16.96,402
HCPCS,J1644,heparin 5000 UNIT/0.5ML syringe 0.5 mL Syringe,24.0,8.4,0.39,8.23,24
HCPCS,J1644,heparin 5000 units/0.5 mL,44.71,15.649999999999999,0.39,22.44,30
HCPCS,J1645,dalteparin per 2500 units,269.36,94.28,28.71,92.39,12
HCPCS,J1650,enoxaparin per 10 mg,48.89,17.119999999999997,1.02,78.98,654
HCPCS,J1652,fondaparinux per 0.5 mg,184.225,64.485,1.65,109.93,162
HCPCS,J1655,Drugs,,,5.94,5.94,1
HCPCS,J1655,Drugs - Other,,,0.05,0.05,1
HCPCS,J1655,Oncology Drugs,,,6.29,6.29,1
HCPCS,J1655,Other Outpatient Services - CPT/HCPCS,,,7.48,7.48,1
HCPCS,J1670,tetanus immune globulin (PF) 250 unit/mL syringe 1 mL Syringe,1838.44,643.46,558.12,2837.01,10
HCPCS,J1675,Histrelin acetate,,,1.5,2.06,3
HCPCS,J1700,Hydrocortisone acetate inj,,,1.17,2.46,2
HCPCS,J1710,Oncology Drugs,,,8.43,8.43,1
HCPCS,J1710,Other Outpatient Services - CPT/HCPCS,,,11.21,11.21,1
HCPCS,J1720,hydrocortisone (PF) 100 mg/2 mL recon soln 1 each Vial,67.535,23.64,22.95,91.83,12
HCPCS,J1720,"hydrocortisone 1,000 mg/8 mL recon soln 1 each Vial",495.13,173.3,29.45,169.83,6
HCPCS,J1720,hydrocortisone 250 mg/2 mL recon soln 1 each Vial,124.935,43.735,29.45,91.83,12
HCPCS,J1720,hydrocortisone sod succinate 100 mg recon soln 1 each Vial,54.23,18.99,18.6,91.83,6
HCPCS,J1726,"Makena, 10 mg",,,19.93,179999.58,4
HCPCS,J1729,Inj hydroxyprogst capoat nos,,,25.04,71.54,4
HCPCS,J1730,Diazoxide injection,,,164.24,247.46,2
HCPCS,J1737,Inj meloxicam (azurity) 1mg,,,1.06,1.73,4
HCPCS,J1738,Inj. meloxicam 1 mg,,,5.76,17.4,4
HCPCS,J1740,ibandronate per 1 mg,1100.8,385.28,42.24,512.3,12
HCPCS,J1741,Ibuprofen injection,,,5.43,14.63,4
HCPCS,J1742,ibutilide fumarate per 1 mg,1232.725,431.455,219.22,1564.32,40
HCPCS,J1743,Idursulfase injection,,,558.22,1373.65,8
HCPCS,J1744,Icatibant injection,,,171.11,710.84,4
HCPCS,J1745,infliximab per 10 mg,3307.26,1157.55,31.04,1134.39,10
HCPCS,J1746,"Inj., ibalizumab-uiyk, 10 mg",,,77.68,389.57,8
HCPCS,J1747,"Inj, spesolimab-sbzo, 1 mg",,,65.73,315.79,8
HCPCS,J1748,"Inj, zymfentra, 10 mg",,,472.85,472.85,1
HCPCS,J1750,iron dextran 50 mg/mL solution 2 mL Vial,94.16,32.96,18.11,90.09,30
HCPCS,J1756,iron sucrose 200 mg iron/10 mL solution 10 mL Vial,267.07,93.48,0.36,126.17,18
HCPCS,J1756,iron sucrose per 1 mg,175.1,61.29,0.36,63.09,12
HCPCS,J1786,Imuglucerase injection,,,42.83,109.89,8
HCPCS,J1790,droperidol per 5 mg,28.755000000000003,10.07,9.4,46.95,18
HCPCS,J1800,propranolol per 1 mg,28.255,9.89,8.23,41.95,12
HCPCS,J1805,esmoloL 100 mg/10 mL (10 mg/mL) solution 10 mL Vial,34.43,12.06,0.35,17.44,42
HCPCS,J1805,"esmolol 2,500 mg/250 mL (10 mg/mL) parenteral solution 250 mL Bag",442.5,154.88,0.35,425.38,42
HCPCS,J1805,"esmolol 2,500 mg/250 mL (10 mg/mL) parenteral solution 250 mL Flex Cont",382.32,133.82,0.35,131.14,6
HCPCS,J1806,Inj esmolol hcl wg crit care,,,0.65,2.56,4
HCPCS,J1807,ethacrynic acid 50 mg recon soln 1 each Vial,10761.6,3766.56,18.27,8017.39,18
HCPCS,J1808,folic acid 5 mg/mL solution 10 mL Vial,142.13,49.75,29.57,134.85,10
HCPCS,J1809,"Inj, fosdenopterin, 0.1mg",,,17.59,28.64,4
HCPCS,J1810,Oncology Drugs,,,10.05,10.05,1
HCPCS,J1810,Other Outpatient Services - CPT/HCPCS,,,32.36,32.36,1
HCPCS,J1811,Fiasp for insulin pump use,,,11.22,37.76,4
HCPCS,J1812,insulin aspart 100 unit/mL solution 10 mL Vial,819.46,286.82,2.67,281.07,6
HCPCS,J1813,Lyumjev for insulin pump use,,,25.69,82.49,4
HCPCS,J1814,Inj. insulin (lyumjev),,,2.52,7.19,4
HCPCS,J1815,insulin aspart per 5 Units,204.87,71.71,0.42,70.27,6
HCPCS,J1815,insulin glargine per 5 Units,321.2,112.42,0.42,275.44,18
HCPCS,J1815,insulin isophane & regular per 5 Units,131.415,46.0,0.42,46.82,18
HCPCS,J1815,insulin isophane human per 5 Units,131.415,46.0,0.42,46.82,18
HCPCS,J1815,insulin lispro (human) per 5 Units,111.11,38.89,0.42,80.05,30
HCPCS,J1815,insulin lispro 100 unit/ml 10 mL Vial,24.0,8.4,0.42,8.23,12
HCPCS,J1815,insulin lispro 100 unit/ml 3 mL Vial,24.0,8.4,0.42,8.23,18
HCPCS,J1815,insulin regular 100 unit/100 mL (1 unit/mL) solution 100 mL Bag,99.12,34.7,0.42,34.0,6
HCPCS,J1815,insulin regular 500 unit/mL insulin pen 3 mL Syringe,813.07,284.58,0.42,278.88,12
HCPCS,J1815,insulin regular human per 5 Units,131.415,46.0,0.42,1444.43,30
HCPCS,J1817,Insulin for insulin pump use,,,4.43,44.06,4
HCPCS,J1823,"Inj. inebilizumab-cdon, 1 mg",,,495.55,2476.8,8
HCPCS,J1826,Interferon Beta-1A inj,,,3152.64,10419.91,4
HCPCS,J1830,Interferon beta-1b / .25 MG,,,797.97,2695.83,4
HCPCS,J1833,"Injection, isavuconazonium",,,1.01,5.13,8
HCPCS,J1834,isoniazid 100 mg/mL solution 10 mL Vial,830.86,290.81,0.3,618.99,9
HCPCS,J1835,Itraconazole injection,,,0.05,1519.27,3
HCPCS,J1836,metroNIDAZOLE 500 mg/100 mL piggyback 100 mL Bag,24.0,8.4,0.03,8.23,42
HCPCS,J1836,metroNIDAZOLE 500 mg/100 mL piggyback 100 mL Flex Cont,24.0,8.4,0.03,8.23,6
HCPCS,J1837,"Inj, posaconazole, 1 mg",,,0.35,0.56,4
HCPCS,J1840,Drugs,,,8.1,8.1,1
HCPCS,J1840,Drugs - Other,,,0.05,0.05,1
HCPCS,J1850,Drugs,,,1.07,1.07,1
HCPCS,J1850,Drugs - Other,,,0.05,0.05,1
HCPCS,J1885,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,400
HCPCS,J1890,Oncology Drugs,,,15.56,15.56,1
HCPCS,J1890,Other Outpatient Services - CPT/HCPCS,,,20.65,20.65,1
HCPCS,J1920,labetaloL 5 mg/mL solution 20 mL Vial,28.235,9.885,0.31,11.14,60
HCPCS,J1920,labetaloL 5 mg/mL solution 4 mL Syringe,24.0,8.4,0.31,8.23,6
HCPCS,J1920,labetaloL 5 mg/mL solution 40 mL Vial,26.68,9.34,0.31,10.07,12
HCPCS,J1921,"Inj labetalol hcl hikma, 5mg",,,2.94,6.5,4
HCPCS,J1930,lanreotide 120 mg/0.5 mL syringe 0.5 mL Syringe,22562.54,7896.89,35.72,9288.3,30
HCPCS,J1930,lanreotide 60 mg/0.2 mL syringe 0.2 mL Syringe,12212.53,4274.39,35.72,5913.74,20
HCPCS,J1930,lanreotide 90 mg/0.3 mL syringe 0.3 mL Syringe,19132.99,6696.55,35.72,7875.92,30
HCPCS,J1931,Laronidase injection,,,39.95,97.82,8
HCPCS,J1932,"Inj, lanreotide, (cipla) 1mg",,,32.19,269.44,8
HCPCS,J1938,furosemide per 20 mg,24.0,8.4,6.87,17.88,180
HCPCS,J1939,bumetanide per 0.5 mg,24.0,8.4,1.11,8.23,144
HCPCS,J1940,Drugs,,,0.94,0.94,1
HCPCS,J1940,Drugs - Other,,,2.63,2.63,1
HCPCS,J1940,Oncology Drugs,,,0.72,0.72,1
HCPCS,J1940,Other Outpatient Services - CPT/HCPCS,,,0.98,0.98,1
HCPCS,J1941,"Inj, furoscix, 20 mg",,,412.2,1077.67,4
HCPCS,J1943,"ARIPiprazole 675 mg/2.4 mL suspension,extended rel syring 2.4 mL Syringe",6896.51,2413.78,3.25,2365.5,10
HCPCS,J1944,"ARIPiprazole 1,064 mg/3.9 mL suspension,extended rel syring 3.9 mL Syringe",10870.94,3804.83,3.32,3728.73,10
HCPCS,J1944,"ARIPiprazole 441 mg/1.6 mL suspension,extended rel syring 1.6 mL Syringe",4505.71,1577.0,3.32,1545.46,10
HCPCS,J1944,"ARIPiprazole 662 mg/2.4 mL suspension,extended rel syring 2.4 mL Syringe",6763.69,2367.3,3.32,2319.95,10
HCPCS,J1944,"ARIPiprazole 882 mg/3.2 mL suspension,extended rel syring 3.2 mL Syringe",9011.4,3153.99,3.32,3090.91,10
HCPCS,J1945,Drugs,,,242.58,242.58,1
HCPCS,J1945,Drugs - Other,,,0.05,0.05,1
HCPCS,J1945,Oncology Drugs,,,1026.98,1026.98,1
HCPCS,J1945,Other Outpatient Services - CPT/HCPCS,,,305.47,305.47,1
HCPCS,J1950,leuprolide (pediatric 3 month) 30 mg syringe kit 1 each KIT,36809.51,12883.33,1765.57,12625.66,10
HCPCS,J1950,leuprolide 11.25 mg kit 1 each KIT,11140.19,3899.07,1765.57,4222.6,10
HCPCS,J1950,leuprolide 15 mg kit 1 each KIT,12269.78,4294.43,1765.57,4222.6,10
HCPCS,J1950,leuprolide 7.5 mg (Ped) kit 1 each KIT,6136.24,2147.69,1765.57,4222.6,10
HCPCS,J1950,leuprolide acetate (3 month) per 3.75 mg,15302.33,5355.82,1765.57,5248.7,10
HCPCS,J1950,leuprolide per 3.75 mg,5100.74,1785.26,1749.55,4222.6,10
HCPCS,J1951,Inj fensolvi 0.25 mg,,,140.71,727.92,8
HCPCS,J1952,"Leuprolide inj, camcevi, 1mg",,,39.95,410.67,8
HCPCS,J1953,"levETIRAcetam 1,500 mg/100 mL piggyback 100 mL Bag",79.88499999999999,27.965,0.1,76.74,72
HCPCS,J1953,levetriracetam per 10 mg,26.869999999999997,9.405000000000001,0.1,10.2,48
HCPCS,J1954,Inj leu acet lutr dpt 7.5 mg,,,446.43,2231.26,8
HCPCS,J1955,levocarnitine per 1 g,105.555,36.95,34.65,185.74,30
HCPCS,J1956,levofloxacin per 250 mg,31.15,10.91,1.5,35.62,132
HCPCS,J1960,Levorphanol tartrate inj,,,0.05,4.87,3
HCPCS,J1961,Inj lenacapavir (hiv tx) 1mg,,,22.3,110.33,8
HCPCS,J1980,hyoscyamine sulfate per 0.25 mg,305.86,107.06,58.51,174.27,12
HCPCS,J1990,Chlordiazepoxide injection,,,0.05,50.31,4
HCPCS,J2001,Drugs,,,0.05,0.05,1
HCPCS,J2001,Drugs - Other,,,0.16,0.16,1
HCPCS,J2001,Other Outpatient Services - CPT/HCPCS,,,0.07,0.07,1
HCPCS,J2002,lidocaine per 10 mg,25.115000000000002,8.795,0.02,19.54,12
HCPCS,J2003,lidocaine (cardiac) 100 mg/5 mL (2 %) syringe 5 mL Syringe,24.685000000000002,8.64,0.02,18.9,30
HCPCS,J2003,lidocaine (cardiac) 50 mg/5 mL (1 %) syringe 5 mL Syringe,42.44,14.86,0.02,31.62,12
HCPCS,J2003,lidocaine 1 % solution 10 mL AMPUL,24.0,8.4,0.02,17.88,6
HCPCS,J2003,lidocaine 1 % solution 10 mL Vial,24.0,8.4,0.02,17.88,30
HCPCS,J2003,lidocaine 1 % solution 2 mL AMPUL,24.0,8.4,0.02,17.88,12
HCPCS,J2003,lidocaine 1 % solution 2 mL Vial,24.0,8.4,0.02,17.88,30
HCPCS,J2003,lidocaine 1 % solution 20 mL Vial,24.0,8.4,0.02,17.88,48
HCPCS,J2003,lidocaine 1 % solution 30 mL Vial,28.71,10.05,0.02,24.9,24
HCPCS,J2003,lidocaine 1 % solution 5 mL AMPUL,24.0,8.4,0.02,17.88,18
HCPCS,J2003,lidocaine 1 % solution 5 mL Vial,24.0,8.4,0.02,17.88,30
HCPCS,J2003,lidocaine 1 % solution 50 mL Vial,24.0,8.4,0.02,17.88,30
HCPCS,J2003,lidocaine 20 mg/mL (2 %) solution 10 mL Vial,24.0,8.4,0.02,17.88,12
HCPCS,J2003,lidocaine 20 mg/mL (2 %) solution 2 mL Vial,24.0,8.4,0.02,17.88,6
HCPCS,J2003,lidocaine 20 mg/mL (2 %) solution 20 mL Vial,24.0,8.4,0.02,17.88,30
HCPCS,J2003,lidocaine 20 mg/mL (2 %) solution 50 mL Vial,24.0,8.4,0.02,17.88,24
HCPCS,J2003,lidocaine 20 mg/mL (2%) solution 10 mL AMPUL,24.0,8.4,0.02,17.88,18
HCPCS,J2003,lidocaine 20 mg/mL (2%) solution 10 mL Vial,24.0,8.4,0.02,17.88,12
HCPCS,J2003,lidocaine 20 mg/mL (2%) solution 2 mL Vial,24.0,8.4,0.02,17.88,24
HCPCS,J2003,lidocaine 20 mg/mL (2%) solution 20 mL Vial,24.0,8.4,0.02,17.88,30
HCPCS,J2003,lidocaine 20 mg/mL (2%) solution 5 mL Vial,24.0,8.4,0.02,17.88,24
HCPCS,J2003,lidocaine 20 mg/mL (2%) solution 50 mL Vial,24.0,8.4,0.02,17.88,18
HCPCS,J2003,lidocaine 40 mg/mL (4 %) solution 5 mL AMPUL,24.0,8.4,0.02,17.88,12
HCPCS,J2003,lidocaine PF 10 mg/mL (1 %) solution 10 mL AMPUL,24.0,8.4,0.02,17.88,6
HCPCS,J2003,lidocaine PF 10 mg/mL (1 %) solution 2 mL AMPUL,24.0,8.4,0.02,17.88,18
HCPCS,J2003,lidocaine PF 10 mg/mL (1 %) solution 2 mL Vial,24.0,8.4,0.02,17.88,24
HCPCS,J2003,lidocaine PF 10 mg/mL (1 %) solution 30 mL Vial,28.71,10.05,0.02,24.9,24
HCPCS,J2003,lidocaine PF 10 mg/mL (1 %) solution 5 mL AMPUL,24.0,8.4,0.02,17.88,18
HCPCS,J2003,lidocaine PF 10 mg/mL (1 %) solution 5 mL Vial,24.0,8.4,0.02,17.88,42
HCPCS,J2003,lidocaine PF 20 mg/mL (2 %) solution 10 mL AMPUL,24.0,8.4,0.02,17.88,18
HCPCS,J2003,lidocaine PF 20 mg/mL (2 %) solution 2 mL Vial,24.0,8.4,0.02,17.88,18
HCPCS,J2003,lidocaine PF 20 mg/mL (2 %) solution 5 mL Vial,24.0,8.4,0.02,17.88,30
HCPCS,J2003,lidocaine PF 5 mg/mL (0.5 %) solution 50 mL Vial,32.53,11.39,0.02,30.59,24
HCPCS,J2003,lidocaine buffered with 8.4% sod bicarb 0.9 % (1 mL) syringe 1 mL Syringe,24.0,8.4,0.02,17.88,6
HCPCS,J2004,"lidocaine-epinephrine (PF) 1 %-1:100,000 solution 10 mL Vial",24.07,8.43,0.02,17.93,6
HCPCS,J2004,lidocaine-epinephrine (PF) 1 %-1:200000 solution 30 mL Vial,43.54,15.24,0.02,32.44,12
HCPCS,J2004,lidocaine-epinephrine (PF) 1.5 %-1:200000 solution 30 mL Vial,50.48,17.67,0.02,39.08,24
HCPCS,J2004,lidocaine-epinephrine (PF) 1.5 %-1:200000 solution 5 mL AMPUL,24.0,8.4,0.02,17.88,6
HCPCS,J2004,lidocaine-epinephrine (PF) 2 %-1:200000 solution 10 mL Vial,29.275,10.25,0.02,24.7,18
HCPCS,J2004,lidocaine-epinephrine (PF) 2 %-1:200000 solution 20 mL Vial,45.275,15.850000000000001,0.02,49.58,18
HCPCS,J2004,lidocaine-epinephrine 0.5 %-1:200000 solution 50 mL Vial,24.92,8.725000000000001,0.02,19.25,24
HCPCS,J2004,lidocaine-epinephrine 1 %-1:100000 solution 10 mL Vial,24.0,8.4,0.02,17.88,6
HCPCS,J2004,lidocaine-epinephrine 1 %-1:100000 solution 20 mL Vial,24.0,8.4,0.02,17.88,24
HCPCS,J2004,lidocaine-epinephrine 1 %-1:100000 solution 30 mL Vial,32.14,11.25,0.02,23.94,12
HCPCS,J2004,lidocaine-epinephrine 1 %-1:100000 solution 50 mL Vial,30.41,10.645,0.02,27.43,18
HCPCS,J2004,"lidocaine-epinephrine 2 %-1:100,000 cartridge 1.7 mL Cartridge",6.0,2.1,0.02,4.47,12
HCPCS,J2004,lidocaine-epinephrine 2 %-1:100000 solution 20 mL Vial,24.0,8.4,0.02,17.88,30
HCPCS,J2004,lidocaine-epinephrine 2 %-1:100000 solution 30 mL Vial,24.0,8.4,0.02,17.88,6
HCPCS,J2004,lidocaine-epinephrine 2 %-1:100000 solution 50 mL Vial,27.67,9.685,0.02,22.33,18
HCPCS,J2010,Lincomycin injection,,,16.24,52.4,4
HCPCS,J2020,linezolid in dextrose 5% 600 mg/300 mL piggyback 300 mL Bag,92.04,32.22,5.45,69.94,108
HCPCS,J2021,"Inj, linezolid (hospira)",,,20.96,49.72,4
HCPCS,J2060,LORazepam 20 mg in 20 mL (1 mg/mL) 20 mL Syringe,30.0,10.5,1.85,10.29,12
HCPCS,J2060,LORazepam 3 mg in 3 mL (1 mg/mL) 3 mL Syringe,30.0,10.5,1.85,10.29,12
HCPCS,J2060,LORazepam 50 mg in 50 mL (1 mg/mL) 50 mL Syringe,74.86,26.21,1.85,25.68,12
HCPCS,J2060,LORazepam in dextrose 5% 0.2 mg/mL 2.2 mL Vial,30.0,10.5,1.85,10.29,6
HCPCS,J2060,LORazepam in sodium chloride 0.9% 1 mg/mL 50 mL Bag,74.86,26.21,1.85,25.68,6
HCPCS,J2060,lorazepam per 2 mg,33.205,11.625,1.85,12.49,84
HCPCS,J2062,Loxapine for inhalation 1 mg,,,27.54,78.66,4
HCPCS,J2150,Drugs,,,4.29,4.29,1
HCPCS,J2150,Drugs - Other,,,25.85,25.85,1
HCPCS,J2150,Oncology Drugs,,,4.7,4.7,1
HCPCS,J2150,Other Outpatient Services - CPT/HCPCS,,,6.43,6.43,1
HCPCS,J2151,mannitol per 50 mL,24.0,8.4,6.87,17.88,15
HCPCS,J2170,Mecasermin injection,,,269.99,771.13,4
HCPCS,J2175,meperidine (PF) 100 mg/mL solution 1 mL Vial,30.0,10.5,10.29,38.33,12
HCPCS,J2175,meperidine (PF) 25 mg/mL syringe 1 mL Cartridge,30.0,10.5,10.29,38.33,6
HCPCS,J2175,meperidine (PF) 25 mg/mL syringe 1 mL Syringe,30.0,10.5,10.29,38.33,6
HCPCS,J2175,meperidine (PF) 50 mg/mL syringe 1 mL Cartridge,30.0,10.5,10.29,38.33,12
HCPCS,J2175,meperidine (PF) 75 mg/mL syringe 1 mL Syringe,30.0,10.5,10.29,38.33,6
HCPCS,J2175,meperidine per 100 mg,30.0,10.5,10.29,38.33,36
HCPCS,J2180,Meperidine/promethazine inj,,,6.83,18.12,3
HCPCS,J2182,mepolizumab 100 mg/ml recon soln 1 each Vial,10203.18,3571.12,31.82,3499.69,10
HCPCS,J2183,meropenem per 100 mg,93.17,32.61,2.91,69.41,12
HCPCS,J2184,"Inj, meropenem (b. braun)",,,3.48,11.01,4
HCPCS,J2185,meropenem per 100 mg,58.64,20.53,0.63,58.28,102
HCPCS,J2186,"Inj., meropenem, vaborbactam",,,2.17,11.34,8
HCPCS,J2210,methylergonovine maleate per 0.2 mg,72.27,25.3,19.19,109.55,18
HCPCS,J2212,Methylnaltrexone injection,,,1.98,6.71,4
HCPCS,J2246,"Inj, micafungin (baxter)",,,1.65,1.65,1
HCPCS,J2247,micafungin 100 mg recon soln 1 each Vial,423.67,148.29,0.56,145.32,12
HCPCS,J2248,micafungin 100 mg recon soln 1 each Vial,220.9,77.32,0.53,181.65,54
HCPCS,J2248,micafungin per 1 mg,161.14000000000001,56.405,0.53,90.86,66
HCPCS,J2249,"Inj, remimazolam, 1 mg",,,3.8,10.85,4
HCPCS,J2250,midazolam (PF) 5 mg/mL cartridge 1 mL Cartridge,30.0,10.5,0.23,10.29,6
HCPCS,J2250,midazolam (PF) 5 mg/mL solution 1 mL Vial,30.0,10.5,0.23,10.29,6
HCPCS,J2250,midazolam (PF) 5 mg/mL solution 2 mL Vial,30.0,10.5,0.23,10.29,12
HCPCS,J2250,midazolam (PF) in sodium chloride 0.9% 1 mg/mL solution 100 mL Bag,68.85,24.1,0.23,23.62,6
HCPCS,J2250,midazolam (PF) in sodium chloride 0.9% 1 mg/mL solution 50 mL Bag,34.27,12.0,0.23,11.75,6
HCPCS,J2250,midazolam 0.9 mg in 3 mL (0.3 mg/mL) 3 mL Syringe,30.0,10.5,0.23,10.29,12
HCPCS,J2250,midazolam 100 mg in 20 mL (5 mg/mL) 20 mL Syringe,30.0,10.5,0.23,10.29,6
HCPCS,J2250,midazolam 20 mg in 20 mL (1 mg/mL) 20 mL Syringe,30.0,10.5,0.23,10.29,12
HCPCS,J2250,midazolam 250 mg in 50 mL (5 mg/mL) 50 mL Syringe,68.44,23.96,0.23,23.47,6
HCPCS,J2250,midazolam 5 mg/mL 50 mL Syringe,68.44,23.96,0.23,23.47,6
HCPCS,J2250,midazolam 50 mg in 50 mL (1 mg/mL) 50 mL Syringe,30.0,10.5,0.23,10.29,12
HCPCS,J2250,midazolam 6 mg in 20 mL (0.3 mg/mL) 20 mL Syringe,30.0,10.5,0.23,10.29,12
HCPCS,J2250,midazolam in dextrose 5% 0.1 mg/mL 2.2 mL Vial,30.0,10.5,0.23,10.29,6
HCPCS,J2250,midazolam in dextrose 5% 0.5 mg/mL 20 mL Syringe,30.0,10.5,0.23,10.29,6
HCPCS,J2250,midazolam in dextrose 5% 1 mg/mL 50 mL Syringe,30.0,10.5,0.23,10.29,6
HCPCS,J2250,midazolam in sodium chloride 0.9% 1 mg/mL 50 mL Bag,30.0,10.5,0.23,10.29,6
HCPCS,J2250,midazolam per 1 mg,34.03,11.92,0.23,25.05,186
HCPCS,J2251,midazolam (PF) in sodium chloride 0.9% 1 mg/mL solution 100 mL Bag,72.22,25.28,0.33,24.77,6
HCPCS,J2252,Inj midazolam in 0.8% nacl,,,0.12,0.12,1
HCPCS,J2260,milrinone 1 mg/mL solution 10 mL Vial,24.0,8.4,2.54,9.8,36
HCPCS,J2260,milrinone 1 mg/mL solution 20 mL Vial,26.01,9.11,2.54,9.8,12
HCPCS,J2260,milrinone 20 mg/100 mL (200 mcg/mL) piggyback 100 mL Bag,42.95,15.04,2.54,15.54,30
HCPCS,J2265,Minocycline hydrochloride,,,2.66,12.53,8
HCPCS,J2267,"Inj, mirikizumab-mrkz, 1 mg",,,42.09,71.18,5
HCPCS,J2270,morphine (PF) 1 mg/mL patient control.analgesia soln 30 mL Vial,53.42,18.7,7.71,26.36,12
HCPCS,J2270,morphine (PF) 30 mg/30 mL (1 mg/mL) patient control.analgesia soln 30 mL Vial,58.245000000000005,20.39,7.71,26.36,12
HCPCS,J2270,morphine (PF) 5 mg/mL patient control.analgesia soln 30 mL Vial,30.0,10.5,7.71,24.11,6
HCPCS,J2270,morphine 0.2 mg/mL 10 mL Syringe,30.0,10.5,7.71,24.11,12
HCPCS,J2270,morphine 0.2 mg/mL 5 mL Syringe,30.0,10.5,7.71,24.11,12
HCPCS,J2270,morphine 0.5 mg/mL 20 mL Syringe,30.0,10.5,7.71,24.11,12
HCPCS,J2270,morphine 0.6 mg in 3 mL (0.2 mg/mL) 3 mL Syringe,30.0,10.5,7.71,24.11,12
HCPCS,J2270,morphine 1 mg/mL 50 mL Syringe,30.0,10.5,7.71,24.11,6
HCPCS,J2270,morphine 10 mg/mL solution 1 mL Vial,30.0,10.5,7.71,24.11,12
HCPCS,J2270,morphine 10 mg/mL syringe 1 mL Cartridge,30.0,10.5,7.71,24.11,6
HCPCS,J2270,morphine 2 mg/mL syringe 1 mL Cartridge,30.0,10.5,7.71,24.11,6
HCPCS,J2270,morphine 20 mg in 20 mL (1 mg/mL) 20 mL Syringe,30.0,10.5,7.71,24.11,12
HCPCS,J2270,morphine 4 mg in 20 mL (0.2 mg/mL) 20 mL Syringe,35.85,12.55,7.71,24.11,12
HCPCS,J2270,morphine 4 mg/mL solution 1 mL Vial,30.0,10.5,7.71,24.11,12
HCPCS,J2270,morphine 4 mg/mL syringe 1 mL Cartridge,30.0,10.5,7.71,24.11,12
HCPCS,J2270,morphine 5 mg/mL 20 mL Syringe,32.405,11.344999999999999,7.71,24.11,12
HCPCS,J2270,morphine 5 mg/mL 50 mL Syringe,81.715,28.605,7.71,45.77,18
HCPCS,J2270,morphine 50 mg in 50 mL (1 mg/mL) 50 mL Syringe,30.0,10.5,7.71,24.11,12
HCPCS,J2270,morphine 50 mg/mL solution 20 mL Vial,52.86,18.505,7.71,24.11,12
HCPCS,J2270,morphine 50 mg/mL solution 50 mL Vial,93.57,32.75,7.71,32.09,6
HCPCS,J2270,morphine in dextrose 5% 1 mg/mL 100 mL Bag,30.0,10.5,7.71,24.11,12
HCPCS,J2270,morphine in sodium chloride 0.9% 0.2 mg/mL 1.2 mL Vial,30.0,10.5,7.71,24.11,6
HCPCS,J2270,morphine in sodium chloride 0.9% 0.2 mg/mL 2.2 mL Vial,30.0,10.5,7.71,24.11,6
HCPCS,J2270,morphine in sodium chloride 0.9% 1 mg/mL 100 mL Bag,41.67,14.585,7.71,24.11,24
HCPCS,J2270,morphine in sodium chloride 0.9% 2 mg/2 mL (1 mg/mL) syringe 2 mL Syringe,30.0,10.5,7.71,24.11,6
HCPCS,J2272,morphine 10 mg/mL solution 1 mL Vial,58.19,20.369999999999997,9.12,36.34,12
HCPCS,J2272,morphine 4 mg/mL solution 1 mL Vial,30.0,10.5,9.12,36.34,12
HCPCS,J2272,morphine per 10 mg,30.0,10.5,9.12,36.34,24
HCPCS,J2274,morphine (PF) 1 mg/mL patient control.analgesia soln 30 mL Vial,53.42,18.7,10.29,82.33,12
HCPCS,J2274,morphine (PF) 30 mg/30 mL (1 mg/mL) patient control.analgesia soln 30 mL Vial,58.245000000000005,20.39,13.6,82.33,12
HCPCS,J2274,morphine 0.5 mg/mL solution 10 mL AMPUL,82.01,28.71,18.55,82.33,6
HCPCS,J2274,morphine 0.5 mg/mL solution 10 mL Vial,59.92,20.98,18.55,82.33,6
HCPCS,J2274,morphine per 10 mg,30.0,10.5,10.29,82.33,24
HCPCS,J2277,"Inj, motixafortide, 0.25 mg",,,26.48,45.39,5
HCPCS,J2278,Ziconotide injection,,,10.46,47.61,8
HCPCS,J2280,moxifloxacin per 100 mg,135.7,47.5,15.56,51.66,6
HCPCS,J2281,Inj moxifloxacin (fres kabi),,,9.59,23.61,4
HCPCS,J2290,nafcillin per 2 g,61.285,21.455,6.87,305.93,105
HCPCS,J2300,nalbuphine per 10 mg,67.545,23.645,4.64,38.1,24
HCPCS,J2305,nitroglycerin 50 mg/10 mL (5 mg/mL) solution 10 mL Vial,44.04,15.42,2.13,15.11,6
HCPCS,J2305,nitroglycerin in dextrose 5% 50 mg/250 mL (200 mcg/mL) solution 10 mL Syringe,24.0,8.4,2.13,8.23,6
HCPCS,J2305,nitroglycerin in dextrose 5% 50 mg/250 mL (200 mcg/mL) solution 250 mL Bottle,66.67,23.34,2.13,22.87,6
HCPCS,J2310,naloxone per 1 mg,37.165,13.015,8.23,49.56,36
HCPCS,J2311,Drugs,,,9.5,9.5,1
HCPCS,J2311,Drugs - Other,,,44.63,44.63,1
HCPCS,J2311,Oncology Drugs,,,2.7,2.7,1
HCPCS,J2311,Other Outpatient Services - CPT/HCPCS,,,3.78,3.78,1
HCPCS,J2312,nalOXone 1 mg/mL syringe 2 mL Syringe,89.21,31.23,25.43,69.63,30
HCPCS,J2312,naloxone 1 mg/mL syringe 2 mL Syringe,89.21,31.23,25.43,69.63,40
HCPCS,J2312,naloxone per 1 mg,37.165,13.015,6.87,41.71,45
HCPCS,J2313,naloxone 5 mg/0.5 mL syringe 0.5 mL Syringe,177.0,61.95,50.69,131.87,5
HCPCS,J2315,"naltrexone microspheres 380 mg suspension,extended rel recon 1 each KIT",4008.11,1402.84,4.25,1374.78,10
HCPCS,J2320,Nandrolone decanoate 50 MG,,,0.05,8.13,4
HCPCS,J2323,natalizumab per 1 mg,25145.93,8801.08,24.32,8625.05,10
HCPCS,J2325,Nesiritide injection,,,0.05,161.9,4
HCPCS,J2326,"Inj, nusinersen, 0.1mg",,,1285.78,5822.58,7
HCPCS,J2327,risankizumab-rzaa 60 mg/mL solution 10 mL Vial,30109.87,10538.46,14.6,10327.69,10
HCPCS,J2329,"Inj ublituximab-xiiy, 1 mg",,,68.75,343.8,8
HCPCS,J2350,ocrelizumab 30 mg/mL solution 10 mL Vial,58455.19,20459.32,59.6,20050.13,10
HCPCS,J2351,Inj ocrelizumab 1mg hya-ocsq,,,46.79,76.19,4
HCPCS,J2353,"octreotide 20 mg suspension,extended rel recon 1 each Vial",11542.935000000001,4040.03,188.35,4484.16,20
HCPCS,J2353,"octreotide 30 mg suspension,extended rel recon 1 each Vial",17284.7,6049.65,188.35,6714.69,20
HCPCS,J2353,"octreotide,microspheres 10 mg suspension,extended rel recon 1 each Vial",8810.245,3083.59,188.35,3422.58,20
HCPCS,J2354,octreotide 100 mcg/mL (1 mL) syringe 1 mL Syringe,24.0,8.4,1.55,8.23,12
HCPCS,J2354,octreotide 50 mcg/mL (1 mL) syringe 1 mL Syringe,24.0,8.4,1.55,8.23,12
HCPCS,J2354,octreotide 50 mcg/mL solution 1 mL AMPUL,39.98,14.0,1.55,13.71,6
HCPCS,J2354,octreotide 50 mcg/mL solution 1 mL Syringe,24.0,8.4,1.55,8.23,12
HCPCS,J2354,octreotide 50 mcg/mL solution 1 mL Vial,24.0,8.4,1.55,8.23,36
HCPCS,J2354,octreotide 500 mcg/mL (1 mL) syringe 1 mL Syringe,112.43,39.36,1.55,38.56,12
HCPCS,J2354,octreotide per 25 mcg,77.17,27.015,1.55,482.66,198
HCPCS,J2355,Oprelvekin injection,,,0.05,1011.3,4
HCPCS,J2356,"Inj tezepelumab-ekko, 1mg",,,17.58,98.22,8
HCPCS,J2357,omalizumab 150 mg/mL syringe 1 mL Syringe,4170.85,1459.8,41.82,1430.6,10
HCPCS,J2357,omalizumab 75 mg/0.5 mL syringe 0.5 mL Syringe,4170.88,1459.81,41.82,1430.61,10
HCPCS,J2357,omalizumab per 5 mg,4170.85,1459.8,41.82,1430.6,10
HCPCS,J2358,Olanzapine long-acting inj,,,4.82,15.32,4
HCPCS,J2359,OLANZapine 10 mg recon soln 1 each Vial,99.155,34.705,1.57,38.36,30
HCPCS,J2360,Orphenadrine injection,,,15.83,86.75,4
HCPCS,J2371,phenylephrine 100 mcg/mL syringe 10 mL Syringe,29.37,10.280000000000001,0.02,11.92,30
HCPCS,J2371,phenylephrine per 1 mL,68.64,24.025,0.02,38.86,114
HCPCS,J2372,"Inj, biorphen, 20 micrograms",,,0.3,1.01,4
HCPCS,J2373,"Inj, immphentiv, 20 mcg",,,0.27,0.27,1
HCPCS,J2401,chloroprocaine per 30 mL,63.39,22.19,0.06,23.59,36
HCPCS,J2402,Chloroprocaine (clorotekal),,,0.56,1.63,4
HCPCS,J2403,"Chloroprocaine opht gel, 1mg",,,1.14,3.57,4
HCPCS,J2404,niCARdipine 20 mg/200 mL (0.1 mg/mL) piggyback 200 mL Bag,287.92,100.78,0.18,98.76,6
HCPCS,J2404,niCARdipine 25 mg/10 mL solution 10 mL Vial,60.13,21.05,0.18,29.86,66
HCPCS,J2404,niCARdipine 40 mg/200 mL (0.2 mg/mL) piggyback 200 mL Bag,460.67,161.24,0.18,197.51,30
HCPCS,J2405,ondansetron per 1 mg,24.78,8.68,0.17,19.67,126
HCPCS,J2406,"Injection, oritavancin 10 mg",,,43.72,218.83,8
HCPCS,J2407,"Injection, oritavancin",,,28.57,141.02,8
HCPCS,J2410,Oxymorphone hcl injection,,,0.05,7.17,4
HCPCS,J2425,Palifermin injection,,,36.72,131.15,8
HCPCS,J2426,paliperidone palmitate 117 mg/0.75 mL syringe 0.75 mL Syringe,5053.85,1768.85,15.08,1733.47,10
HCPCS,J2426,paliperidone palmitate 156 mg/mL syringe 1 mL Syringe,6738.72,2358.56,15.08,2311.38,10
HCPCS,J2426,paliperidone palmitate 234 mg/1.5 mL syringe 1.5 mL Syringe,10107.83,3537.75,15.08,3466.99,10
HCPCS,J2426,paliperidone palmitate 39 mg/0.25 mL syringe 0.25 mL Syringe,1684.5,589.58,15.08,577.78,10
HCPCS,J2426,paliperidone palmitate 78 mg/0.5 mL syringe 0.5 mL Syringe,3369.18,1179.22,15.08,1155.63,10
HCPCS,J2427,paliperidone palmitate (3 month) 273 mg/0.88 mL syringe 0.88 mL Syringe,10107.53,3537.64,12.95,3466.88,10
HCPCS,J2427,paliperidone palmitate (3 month) 410 mg/1.32 mL syringe 1.32 mL Syringe,15161.54,5306.54,12.95,5200.41,10
HCPCS,J2427,paliperidone palmitate (3 month) 546 mg/1.75 mL syringe 1.75 mL Syringe,20216.14,7075.65,12.95,6934.14,10
HCPCS,J2427,paliperidone palmitate (3 month) 819 mg/2.63 mL syringe 2.63 mL Syringe,30323.5,10613.23,12.95,10400.96,10
HCPCS,J2427,"paliperidone palmitate (6 month) 1,092 mg/3.5 mL syringe 3.5 mL Syringe",40432.3,14151.31,12.95,13868.28,10
HCPCS,J2427,"paliperidone palmitate (6 month) 1,560 mg/5 mL syringe 5 mL Syringe",60647.0,21226.45,12.95,20801.92,10
HCPCS,J2428,"Inj, erzofri, 1 mg",,,14.49,23.59,4
HCPCS,J2430,pamidronate disodium per 30 mg,91.305,31.964999999999996,14.03,90.88,24
HCPCS,J2440,Papaverin hcl injection,,,68.85,196.67,4
HCPCS,J2460,Oxytetracycline injection,,,1.7,2.1,2
HCPCS,J2468,"Inj, palonosetron (posfrea)",,,55.29,106.49,5
HCPCS,J2469,palonosetron per 25 mcg,50.98,17.85,1.07,194.28,24
HCPCS,J2470,Inj pantoprazole sodium 40mg,,,8.36,8.36,1
HCPCS,J2471,Inj pantoprazole(hikma) 40mg,,,11.94,11.94,1
HCPCS,J2501,paricalcitol per 1 mcg,24.0,8.4,1.11,8.23,6
HCPCS,J2502,"Inj, pasireotide long acting",,,596.3,2787.39,8
HCPCS,J2503,pegaptanib 0.3 mg/0.09 mL syringe 0.09 mL Syringe,2348.2,821.87,0.01,1700.25,6
HCPCS,J2504,Drugs,,,258.26,258.26,1
HCPCS,J2504,Drugs - Other,,,0.05,0.05,1
HCPCS,J2504,Oncology Drugs,,,662.33,662.33,1
HCPCS,J2504,Other Outpatient Services - CPT/HCPCS,,,796.47,796.47,1
HCPCS,J2506,"pegfilgrastim 6 mg/0.6 mL syringe, w/ wearable injector 0.6 mL Syringe",18175.75,6361.52,50.62,6234.28,10
HCPCS,J2506,pegfilgrastim per 6 mg,18175.75,6361.52,50.62,6234.28,10
HCPCS,J2507,Pegloticase injection,,,3824.52,8993.69,8
HCPCS,J2508,Pegunigalsidase alfa-iwxj,,,223.4,574.56,7
HCPCS,J2510,penicillin G procaine 1.2 million unit/2 mL syringe 2 mL Syringe,218.77,76.57,67.55,227.49,6
HCPCS,J2510,"penicillin G procaine 600,000 unit/mL syringe 1 mL Syringe",130.13,45.55,44.63,227.49,12
HCPCS,J2513,Drugs - Other,,,0.05,0.05,1
HCPCS,J2513,Oncology Drugs,,,22.89,22.89,1
HCPCS,J2513,Other Outpatient Services - CPT/HCPCS,,,30.4,30.4,1
HCPCS,J2515,pentobarbital per 50 mg,4687.315,1640.565,28.21,2938.41,110
HCPCS,J2540,penicillin g potassium per 600000 Units,37.07,12.98,1.27,53.43,66
HCPCS,J2543,piperacillin sod-tazobactam per 1 g,39.65,13.850000000000001,1.95,166.88,402
HCPCS,J2545,pentamidine 300 mg recon soln 1 each Vial,449.305,157.265,86.16,492.21,18
HCPCS,J2545,pentamidine isethionate per 300 mg,449.31,157.265,86.16,492.21,12
HCPCS,J2547,peramivir 200 mg/20 mL (10 mg/mL) solution 20 mL Vial,896.8,313.88,1.68,307.6,10
HCPCS,J2550,promethazine per 50 mg,24.0,8.4,5.92,16.51,66
HCPCS,J2560,phenobarbital per 120 mg,140.185,43.62,17.0,206.51,72
HCPCS,J2561,"Inj, sezaby, 1 mg",,,1.13,6.98,8
HCPCS,J2562,Plerixafor injection,,,32.74,2251.6,8
HCPCS,J2590,Oxytocin injection,,,2.58,7.35,4
HCPCS,J2597,desmopressin per 1 mcg,1013.855,354.855,9.75,797.99,84
HCPCS,J2598,vasopressin 40 unit/100 mL (0.4 unit/mL) solution 100 mL Vial,283.2,99.12,2.91,97.14,12
HCPCS,J2599,Inj vasopressin (am reg) 1 u,,,0.76,11.01,4
HCPCS,J2601,"Inj, vasopressin (baxter)",,,1.53,6.9,5
HCPCS,J2650,Prednisolone acetate inj,,,0.93,0.96,2
HCPCS,J2670,Totazoline hcl injection,,,6.2,7.89,2
HCPCS,J2675,progesterone per 50 mg,24.0,8.4,1.32,8.23,12
HCPCS,J2679,fluPHENAZine 2.5 mg/mL solution 10 mL Vial,27.2,9.52,7.79,19.48,6
HCPCS,J2680,fluphenazine decanoate per 25 mg,44.035,15.42,10.01,75.77,42
HCPCS,J2690,procainamide per 1 g,1181.5149999999999,413.535,121.81,1615.14,40
HCPCS,J2700,oxacillin per 250 mg,50.595,12.07,1.56,22.89,24
HCPCS,J2704,propofol (DIPRIVAN) injection 10 mg/mL emulsion 10 mL Vial,24.0,8.4,0.17,8.23,6
HCPCS,J2704,propofol (DIPRIVAN) injection 10 mg/mL emulsion 100 mL Vial,79.3,27.76,0.17,29.14,60
HCPCS,J2704,propofol (DIPRIVAN) injection 10 mg/mL emulsion 20 mL Vial,24.0,8.4,0.17,8.23,66
HCPCS,J2704,propofol (DIPRIVAN) injection 10 mg/mL emulsion 50 mL Vial,39.65,13.88,0.17,14.21,30
HCPCS,J2704,propofol (DIPROVAN) infusion 10 mg/mL 10 mL Vial,24.0,8.4,0.17,8.23,6
HCPCS,J2704,propofol (DIPROVAN) infusion 10 mg/mL 100 mL Bag,82.84,29.0,0.17,28.41,6
HCPCS,J2704,propofol (DIPROVAN) infusion 10 mg/mL 100 mL Vial,79.3,27.76,0.17,29.14,42
HCPCS,J2704,propofol (DIPROVAN) infusion 10 mg/mL 20 mL Vial,24.0,8.4,0.17,8.23,48
HCPCS,J2704,propofol (DIPROVAN) infusion 10 mg/mL 200 mL Bag,165.67,57.99,0.17,56.82,6
HCPCS,J2704,propofol (DIPROVAN) infusion 10 mg/mL 50 mL Vial,39.65,13.88,0.17,14.21,24
HCPCS,J2710,Neostigmine methylslfte inj,,,1.47,4.19,4
HCPCS,J2720,protamine sulfate per 10 mg,43.84,15.35,1.95,51.4,24
HCPCS,J2724,Protein c concentrate,,,15.05,79.23,8
HCPCS,J2725,Inj protirelin per 250 mcg,,,39.21,49.09,2
HCPCS,J2730,pralidoxime per 1 g,1473.21,515.63,159.18,505.31,12
HCPCS,J2760,phentolamine mesylate per 5 mg,1387.56,450.88,257.45,2402.74,30
HCPCS,J2765,metoclopramide per 10 mg,24.0,8.4,1.79,8.23,42
HCPCS,J2770,quinupristin-dalfopristin per 500 mg,1319.74,461.91,0.05,1069.21,6
HCPCS,J2777,"Inj, faricimab-svoa, 0.1mg",,,32.87,194.51,8
HCPCS,J2778,ranibizumab per 0.1 mg,2383.835,834.345,56.82,1578.49,20
HCPCS,J2779,"Inj, Susvimo 0.1 mg",,,76.2,424.89,8
HCPCS,J2780,ranitidine per 25 mg,36.51,12.78,0.05,14.77,15
HCPCS,J2781,"Inj, pegcetacoplan, 1mg",,,147.81,370.81,7
HCPCS,J2782,Inj avacincaptad pegol 0.1mg,,,103.4,197.16,5
HCPCS,J2783,rasburicase per 0.5 mg,3135.01,1097.26,382.19,1874.02,20
HCPCS,J2785,regadenoson 0.4 mg/5 mL syringe 5 mL Syringe,729.97,255.49,5.19,326.6,6
HCPCS,J2786,reslizumab 10 mg/mL solution 10 mL Vial,3154.85,1104.2,11.53,1082.11,10
HCPCS,J2787,Riboflavin 5'Phos opth<=3ml,,,3809.7,9885.13,4
HCPCS,J2788,Rho d immune globulin 50 mcg,,,39.27,141.18,4
HCPCS,J2790,HC RH IMMUNE GLOBULIN 300 MCG INJ,235.62,82.47,80.82,429.12,6
HCPCS,J2791,rho(D) immune globulin 300 mcg/2 mL syringe 2 mL Syringe,459.95500000000004,160.99,7.97,165.28,12
HCPCS,J2792,"rho(D) immune globulin 2,500 unit (500 mcg)/2.2 mL solution 2.2 mL Vial",2563.86,897.36,34.26,879.4,20
HCPCS,J2793,Rilonacept injection,,,44.55,127.69,4
HCPCS,J2794,risperidone microspheres per 0.5 mg,2153.845,753.85,10.8,1253.72,60
HCPCS,J2795,ropivacaine per 1 mg,25.06,8.78,0.11,122.88,66
HCPCS,J2796,Drugs,,,158.45,158.45,1
HCPCS,J2796,Oncology Drugs,,,181.89,181.89,1
HCPCS,J2796,Other Outpatient Services - CPT/HCPCS,,,243.28,243.28,1
HCPCS,J2796,Specialty Drugs,,,171.32,171.32,1
HCPCS,J2797,"Inj., rolapitant, 0.5 mg",,,0.05,2.03,3
HCPCS,J2798,"Inj., Perseris, 0.5 mg",,,12.17,61.19,8
HCPCS,J2799,"risperiDONE 100 mg/0.28 mL suspension,extended rel syring 0.28 mL Syringe",7438.81,2603.59,25.16,2551.51,10
HCPCS,J2799,"risperiDONE 125 mg/0.35 mL suspension,extended rel syring 0.35 mL Syringe",9298.31,3254.41,25.16,3189.32,10
HCPCS,J2799,"risperiDONE 200 mg/0.56 mL suspension,extended rel syring 0.56 mL Syringe",14877.06,5206.98,25.16,5102.83,10
HCPCS,J2799,"risperiDONE 250 mg/0.7 mL suspension,extended rel syring 0.7 mL Syringe",18596.61,6508.82,25.16,6378.64,10
HCPCS,J2800,methocarbamol per 10 mL,32.57,11.4,9.34,34.88,30
HCPCS,J2801,"Inj, rykindo, 0.5 mg",,,13.03,22.58,5
HCPCS,J2802,romiplostim per 10 mcg,7796.54,2728.79,11.11,11616.81,27
HCPCS,J2804,rifAMPin 600 mg recon soln 1 each Vial,469.49,164.325,124.1,376.73,15
HCPCS,J2805,sincalide per 5 mcg,500.98,175.35,171.84,700.3,6
HCPCS,J2806,Drugs - Other,,,143.33,143.33,1
HCPCS,J2806,Oncology Drugs,,,50.16,50.16,1
HCPCS,J2806,Other Outpatient Services - CPT/HCPCS,,,62.69,62.69,1
HCPCS,J2810,Inj theophylline per 40 MG,,,0.05,1.73,4
HCPCS,J2820,sargramostim per 50 mcg,835.585,292.46000000000004,61.89,305.78,30
HCPCS,J2840,Inj sebelipase alfa 1 mg,,,540.18,2677.12,8
HCPCS,J2850,secretin 16 mcg recon soln 1 each Vial,1871.95,655.19,40.23,642.08,10
HCPCS,J2860,siltuximab 20 mg/ml recon soln 1 each Vial,8306.67,2907.34,174.08,4558.7,20
HCPCS,J2865,sulfamethoxazole-trimethoprim 16 mg/mL of trimethoprim solution 10 mL Vial,35.71,12.504999999999999,10.17,26.75,15
HCPCS,J2865,sulfamethoxazole-trimethoprim 16 mg/mL of trimethoprim solution 5 mL Vial,24.0,8.4,6.87,17.88,15
HCPCS,J2910,Drugs - Other,,,0.05,0.05,1
HCPCS,J2910,Oncology Drugs,,,44.1,44.1,1
HCPCS,J2910,Other Outpatient Services - CPT/HCPCS,,,56.21,56.21,1
HCPCS,J2916,ferric gluconate 125 mg/110 mL solution 110 mL Bag,72.22,25.28,3.91,24.77,6
HCPCS,J2916,na ferric gluc cplx per 12.5 mg,57.575,20.16,3.91,30.89,36
HCPCS,J2919,"methylPREDNISolone sod suc(PF) 1,000 mg/8 mL recon soln 1 each Vial",195.17,68.31,0.54,145.4,6
HCPCS,J2919,methylPREDNISolone sod suc(PF) 125 mg/2 mL recon soln 1 each Vial,29.5,10.33,0.54,21.98,18
HCPCS,J2919,methylPREDNISolone sod suc(PF) 40 mg/mL recon soln 1 each Vial,24.0,8.4,0.54,17.88,24
HCPCS,J2919,methylprednisolone per 125 mg,92.04,32.22,0.54,92.8,30
HCPCS,J2919,methylprednisolone per 40 mg,24.0,8.4,0.54,17.88,30
HCPCS,J2920,methylprednisolone per 40 mg,24.0,8.4,6.91,22.24,5
HCPCS,J2930,Drugs,,,9.7,9.7,1
HCPCS,J2930,Drugs - Other,,,30.04,30.04,1
HCPCS,J2940,Oncology Drugs,,,76.13,76.13,1
HCPCS,J2940,Other Outpatient Services - CPT/HCPCS,,,101.1,101.1,1
HCPCS,J2941,Somatropin injection,,,269.86,796.1,4
HCPCS,J2950,Promazine hcl injection,,,1.98,1.98,1
HCPCS,J2993,Reteplase injection,,,2904.58,15088.21,8
HCPCS,J2995,Drugs,,,118.87,118.87,1
HCPCS,J2995,Oncology Drugs,,,143.1,143.1,1
HCPCS,J2995,Other Outpatient Services - CPT/HCPCS,,,179.25,179.25,1
HCPCS,J2997,alteplase 0.5 mg/0.5 ml recon soln 0.5 mL Syringe,124.61,43.62,42.74,467.5,10
HCPCS,J2997,alteplase 1 mg/1 mL recon soln 1 mL Syringe,249.22,87.23,85.48,467.5,10
HCPCS,J2997,alteplase 2 mg recon soln 1 each Vial,524.37,183.53,95.09,467.5,30
HCPCS,J2997,alteplase 2 mg/2 mL recon soln 2 mL Syringe,498.46,174.47,95.09,467.5,10
HCPCS,J2997,alteplase per 1 mg,18691.965,6542.195,95.09,8548.46,30
HCPCS,J2998,Inj plasminogen tvmh 1mg,,,38.39,157.85,8
HCPCS,J3000,streptomycin per 1 g,221.25,77.44,53.66,165.57,6
HCPCS,J3010,fentaNYL (PF) 10 mcg/mL patient control.analgesia soln 30 mL Vial,30.0,10.5,1.6,10.29,12
HCPCS,J3010,fentaNYL (PF) 100 mcg/2 mL (50 mcg/mL) syringe 2 mL Syringe,30.0,10.5,1.6,10.29,6
HCPCS,J3010,fentaNYL (PF) 300 mcg/30 mL (10 mcg/mL) patient control.analgesia soln 30 mL Vial,30.0,10.5,1.6,10.29,18
HCPCS,J3010,fentaNYL (PF) in sodium chloride 0.9% 10 mcg/mL patient control.analgesia soln 30 mL Vial,56.22,19.68,1.6,28.28,30
HCPCS,J3010,fentaNYL 100 mcg in 20 mL (5 mcg/mL) 20 mL Syringe,30.0,10.5,1.6,10.29,12
HCPCS,J3010,fentaNYL 15 mcg in 3 mL (5 mcg/mL) 3 mL Syringe,30.0,10.5,1.6,10.29,12
HCPCS,J3010,fentaNYL 200 mcg in 20 mL (10 mcg/mL) 20 mL Syringe,30.0,10.5,1.6,10.29,6
HCPCS,J3010,fentaNYL 500 mcg in 50 mL (10 mcg/mL) 50 mL Syringe,30.0,10.5,1.6,10.29,6
HCPCS,J3010,fentaNYL in dextrose 5% 10 mcg/mL 50 mL Syringe,30.0,10.5,1.6,10.29,12
HCPCS,J3010,fentaNYL in dextrose 5% 25 mcg/mL 50 mL Syringe,30.0,10.5,1.6,10.29,12
HCPCS,J3010,fentaNYL in dextrose 5% 5 mcg/mL 2.2 mL Vial,30.0,10.5,1.6,10.29,6
HCPCS,J3010,fentaNYL in sodium chloride 0.9% 0.5 mcg/mL 2 mL Syringe,30.0,10.5,1.6,10.29,6
HCPCS,J3010,fentaNYL in sodium chloride 0.9% 0.5 mcg/mL 2 mL Vial,30.0,10.5,1.6,10.29,6
HCPCS,J3010,fentaNYL in sodium chloride 0.9% 20 mcg/2 mL (10 mcg/mL) syringe 2 mL Syringe,30.0,10.5,1.6,10.29,6
HCPCS,J3010,"fentanyl 1,000 mcg in 20 mL (50 mcg/mL) 20 mL Syringe",30.0,10.5,1.6,10.29,6
HCPCS,J3010,"fentanyl 2,500 mcg in 50 mL (50 mcg/mL) 50 mL Syringe",67.97,23.79,1.6,23.31,6
HCPCS,J3010,fentanyl 50 mcg/mL 40 mL Syringe,54.37,19.03,1.6,18.65,6
HCPCS,J3010,fentanyl per 0.1 mg,50.974999999999994,17.845,1.6,30.44,168
HCPCS,J3030,Sumatriptan succinate / 6 MG,,,112.43,329.07,4
HCPCS,J3031,"Inj., fremanezumab-vfrm 1 mg",,,3.04,14.72,4
HCPCS,J3032,eptinezumab-jjmr 100 mg/mL solution 1 mL Vial,5494.27,1923.0,20.55,1884.53,10
HCPCS,J3055,Inj talquetamab-tgvs 0.25 mg,,,74.88,121.91,5
HCPCS,J3060,"Inj, taliglucerace alfa 10 u",,,40.66,105.45,8
HCPCS,J3070,Pentazocine injection,,,0.05,234.6,4
HCPCS,J3090,Inj tedizolid phosphate,,,1.96,8.98,8
HCPCS,J3095,Telavancin injection,,,7.03,35.82,8
HCPCS,J3101,tenecteplase per 50 mg,20049.325,7017.27,197.44,8059.76,30
HCPCS,J3105,terbutaline per 1 mg,226.56,79.3,4.08,436.92,48
HCPCS,J3110,Teriparatide injection,,,92.42,274.73,4
HCPCS,J3111,romosozumab-aqqg 210mg/2.34mL ( 105mg/1.17mLx2) syringe 1.17 mL Syringe,6322.42,2212.85,12.19,2168.59,10
HCPCS,J3121,testosterone enanthate 200 mg/mL oil 5 mL Vial,30.0,10.5,0.08,10.29,12
HCPCS,J3145,Testosterone undecanoate 1mg,,,2.13,9.96,8
HCPCS,J3230,chlorpromazine per 50 mg,87.775,30.725,28.06,188.54,30
HCPCS,J3240,thyrotropin alfa 0.9 mg recon soln 1 each Vial,5726.66,2004.34,1964.24,10496.01,20
HCPCS,J3240,thyrotropin alfa 1.1 mg (0.9 mg/ mL final conc.) recon soln 1 each Vial,4787.5,1675.63,1642.11,10496.01,20
HCPCS,J3241,teprotumumab-trbw 47.6 mg/ml recon soln 1 each Vial,51029.67,17860.39,367.91,17503.18,10
HCPCS,J3243,tigecycline per 1 mg,363.205,127.125,0.93,152.02,12
HCPCS,J3244,Inj. tigecycline (accord),,,4.37,13.12,4
HCPCS,J3245,"Inj., tildrakizumab, 1 mg",,,118.2,337.4,8
HCPCS,J3246,tirofiban 12.5 mg/250 mL solution 250 mL Bag,669.65,234.38,6.9,241.83,42
HCPCS,J3246,tirofiban per 0.25 mg,254.05,88.92,6.9,89.37,18
HCPCS,J3247,secukinumab 25 mg/mL solution 5 mL Vial,6232.26,2181.3,18.04,4643.03,10
HCPCS,J3250,Trimethobenzamide hcl inj,,,78.94,236.19,4
HCPCS,J3260,tobramycin per 80 mg,218.06,76.33,4.08,177.07,90
HCPCS,J3262,tocilizumab 200 mg/10 mL (20 mg/mL) solution 10 mL Vial,3760.64,1316.23,5.53,1289.9,10
HCPCS,J3262,tocilizumab 400 mg/20 mL (20 mg/mL) solution 20 mL Vial,7521.27,2632.45,5.53,2579.8,10
HCPCS,J3262,tocilizumab 80 mg/4 mL (20 mg/mL) solution 4 mL Vial,1504.25,526.49,5.53,515.96,10
HCPCS,J3263,"Inj, toripalimab-tpzi, 1 mg",,,39.99,69.96,5
HCPCS,J3265,Injection torsemide 10 mg/ml,,,0.05,3.95,2
HCPCS,J3280,Drugs,,,7.56,7.56,1
HCPCS,J3280,Oncology Drugs,,,8.57,8.57,1
HCPCS,J3280,Other Outpatient Services - CPT/HCPCS,,,14.2,14.2,1
HCPCS,J3285,Treprostinil injection,,,55.19,289.48,8
HCPCS,J3290,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL AMPUL",70.185,24.564999999999998,16.55,61.54,10
HCPCS,J3290,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",56.64,19.83,6.87,152.59,105
HCPCS,J3299,Inj xipere 1 mg,,,47.78,254.28,8
HCPCS,J3300,triamcinolone 40 mg/mL suspension 1 mL Vial,2673.41,935.7,7.97,916.98,10
HCPCS,J3301,triamcinolone acetonide per 10 mg,24.0,8.4,1.57,8.23,6
HCPCS,J3301,triamcinolone per 10 mg,24.55,8.6,1.57,9.23,60
HCPCS,J3302,Triamcinolone diacetate inj,,,0.51,0.54,3
HCPCS,J3303,Triamcinolone hexacetonl inj,,,14.93,42.64,4
HCPCS,J3304,Inj triamcinolone ace xr 1mg,,,18.64,89.72,8
HCPCS,J3305,Drugs - Other,,,0.05,0.05,1
HCPCS,J3305,Other Outpatient Services - CPT/HCPCS,,,337.56,337.56,1
HCPCS,J3310,Oncology Drugs,,,11.49,11.49,1
HCPCS,J3310,Other Outpatient Services - CPT/HCPCS,,,14.36,14.36,1
HCPCS,J3315,Triptorelin pamoate,,,469.38,1219.31,8
HCPCS,J3316,"Inj., triptorelin xr 3.75 mg",,,3723.76,16376.06,8
HCPCS,J3320,Oncology Drugs,,,54.15,54.15,1
HCPCS,J3320,Other Outpatient Services - CPT/HCPCS,,,67.83,67.83,1
HCPCS,J3350,Urea injection,,,135.99,169.93,2
HCPCS,J3355,Drugs,,,98.87,98.87,1
HCPCS,J3355,Drugs - Other,,,0.05,0.05,1
HCPCS,J3355,Oncology Drugs,,,114.18,114.18,1
HCPCS,J3355,Other Outpatient Services - CPT/HCPCS,,,287.13,287.13,1
HCPCS,J3357,"Ustekinumab sub cu inj, 1 mg",,,254.03,774.29,4
HCPCS,J3358,ustekinumab 130 mg/26 mL solution 26 mL Vial,6002.85,2101.0,11.62,2058.98,10
HCPCS,J3360,diazePAM 5 mg/mL syringe 2 mL Cartridge,95.33,33.37,9.03,32.7,12
HCPCS,J3360,diazePAM 5 mg/mL syringe 2 mL Syringe,69.705,24.4,9.03,27.53,24
HCPCS,J3360,diazepam per 5 mg,163.9,57.37,9.03,56.22,12
HCPCS,J3364,Drugs - Other,,,0.05,0.05,1
HCPCS,J3364,Oncology Drugs,,,16.49,16.49,1
HCPCS,J3365,Drugs - Other,,,0.05,0.05,1
HCPCS,J3365,Oncology Drugs,,,823.92,823.92,1
HCPCS,J3370,vancomycin per 500 mg,34.825,12.190000000000001,3.81,15.66,30
HCPCS,J3371,vancomycin 250 mg recon soln 1 each Vial,24.0,8.4,8.23,33.04,6
HCPCS,J3372,Drugs,,,10.86,10.86,1
HCPCS,J3372,Drugs - Other,,,34.51,34.51,1
HCPCS,J3372,Oncology Drugs,,,11.55,11.55,1
HCPCS,J3372,Other Outpatient Services - CPT/HCPCS,,,16.16,16.16,1
HCPCS,J3373,vancomycin 10 gram recon soln 1 each Bottle,601.8,210.63,172.36,448.34,5
HCPCS,J3373,vancomycin 10 gram recon soln 1 each Vial,441.06999999999994,154.375,44.61,458.32,40
HCPCS,J3373,vancomycin 5 gram recon soln 1 each Vial,238.5,83.47999999999999,40.55,190.43,20
HCPCS,J3373,vancomycin per 500 mg,36.44,12.76,6.87,51.38,140
HCPCS,J3374,vancomycin per 500 mg,42.48,14.87,7.86,50.89,75
HCPCS,J3380,Inj vedolizumab iv 1 mg,,,20.98,54.9,8
HCPCS,J3385,Velaglucerase alfa,,,388.16,947.54,8
HCPCS,J3387,Inj elivaldogene autotemecel,,,3180000.0,5177676.0,4
HCPCS,J3389,Topi adm prad zami per treat,,,3335820.0,5431382.12,4
HCPCS,J3391,"Inj, atidarsagene autotemcel",,,4505000.0,7335041.0,4
HCPCS,J3392,"Inj, exagamglogene autotem",,,2332000.0,3796962.4,4
HCPCS,J3393,"Inj, betibeglogene autotemce",,,179999.58,4784172.62,5
HCPCS,J3394,"Inj, lovotibeglogene autotem",,,179999.58,5284129.98,5
HCPCS,J3396,verteporfin per 0.1 mg,4841.89,1694.67,11.57,1660.77,10
HCPCS,J3397,"Inj., vestronidase alfa-vjbk",,,280.15,1342.49,8
HCPCS,J3398,Inj luxturna 1 billion vec g,,,0.05,179999.58,7
HCPCS,J3399,Inj onase abepar-xioi treat,,,0.05,4212295.47,6
HCPCS,J3400,Oncology Drugs,,,19.89,19.89,1
HCPCS,J3400,Other Outpatient Services - CPT/HCPCS,,,24.86,24.86,1
HCPCS,J3401,"Vyjuvek 5x10^9pfu/ml, 0.1 ml",,,1004.58,4121.29,7
HCPCS,J3402,Inj. remestemcel-l-rknd/ td,,,202713.58,330058.26,4
HCPCS,J3403,"Revakinagene, per implant",,,262233.77,426969.03,4
HCPCS,J3404,Inj zopapogene per ther dose,,,121900.0,198477.58,4
HCPCS,J3410,hydroxyzine per 25 mg,113.465,39.72,16.35,71.43,12
HCPCS,J3411,thiamine per 100 mg,24.0,8.4,3.23,13.12,78
HCPCS,J3415,pyridoxine per 100 mg,46.155,16.155,10.55,83.38,12
HCPCS,J3420,cyanocobalamin per 1000 mcg,24.0,8.4,2.07,8.23,54
HCPCS,J3424,Inj hydroxocobalamin iv 25mg,,,5.44,9.17,5
HCPCS,J3425,Hydroxocobalamin im 10mcg,,,0.02,0.02,3
HCPCS,J3430,phytonadione 1 mg/0.5 mL solution 0.5 mL AMPUL,24.0,8.4,4.52,15.05,12
HCPCS,J3430,phytonadione 1 mg/0.5 mL solution 0.5 mL Vial,24.0,8.4,4.52,15.05,12
HCPCS,J3430,phytonadione 1 mg/0.5 mL syringe 0.5 mL Syringe,70.04,24.52,4.52,24.02,6
HCPCS,J3430,phytonadione 10 mg/mL solution 1 mL AMPUL,135.92,47.58,4.52,47.57,48
HCPCS,J3465,voriconazole per 10 mg,143.95999999999998,50.39,1.41,123.51,54
HCPCS,J3470,Hyaluronidase injection,,,76.17,292.62,4
HCPCS,J3471,hyaluronidase ovine 200 unit/mL solution 1.2 mL Vial,292.81,102.49,0.83,100.43,6
HCPCS,J3472,"Ovine, 1000 USP units",,,0.05,310.7,4
HCPCS,J3473,hyaluronidase human 150 unit/mL solution 1 mL Vial,158.03,55.32,0.59,54.2,12
HCPCS,J3475,magnesium sulfate 2 gram/50 mL (4 %) piggyback 50 mL Bag,35.4,12.39,0.84,12.75,54
HCPCS,J3475,magnesium sulfate 2 gram/50 mL (4 %) piggyback 50 mL Flex Cont,35.99,12.600000000000001,0.84,15.74,54
HCPCS,J3475,magnesium sulfate 500 mg/mL (50 %) syringe 10 mL Syringe,115.4,40.39,0.84,39.58,6
HCPCS,J3475,magnesium sulfate in water 20 gram/500 mL (4 %) parenteral solution 500 mL Flex Cont,24.0,8.4,0.84,8.23,24
HCPCS,J3475,"magnesium sulfate in water 40 gram/1,000 mL (4 %) parenteral solution 1,000 mL Flex Cont",24.98,8.745000000000001,0.84,8.9,12
HCPCS,J3475,magnesium sulfate per 500 mg magnesium,24.86,8.705,0.84,8.82,12
HCPCS,J3475,magnesium sulfate per 500 mg of magnesium,44.98,15.745000000000001,0.84,22.62,96
HCPCS,J3480,"dextrose 5% with KCl 20 mEq/L 20 mEq/L parenteral solution 1,000 mL Bag",25.96,9.09,0.2,8.9,6
HCPCS,J3480,potassium chloride in sterile water 0.1 mEq/mL piggyback 0 mL Syringe,24.0,8.4,0.2,8.23,6
HCPCS,J3480,potassium chloride in sterile water 0.1 mEq/mL piggyback 100 mL Bag,24.0,8.4,0.2,8.23,12
HCPCS,J3480,potassium chloride in sterile water 0.1 mEq/mL piggyback 100 mL Flex Cont,68.64,24.025,0.2,38.86,12
HCPCS,J3480,potassium chloride in water 10 mEq/100 mL piggyback 100 mL Bag,24.0,8.4,0.2,8.23,18
HCPCS,J3480,potassium chloride in water 10 mEq/100 mL piggyback 100 mL Flex Cont,68.64,24.025,0.2,38.86,18
HCPCS,J3480,potassium chloride per 2 mEq,24.0,8.4,0.2,8.23,36
HCPCS,J3480,potassium chloride per 2 mEq of potassium,45.31,15.86,0.2,23.68,66
HCPCS,J3480,"sodium chloride 0.9 % with KCl 20 mEq/L 20 mEq/L parenteral solution 1,000 mL Bag",27.34,9.57,0.2,10.52,12
HCPCS,J3480,"sodium chloride 0.9 % with KCl 20 mEq/L 20 mEq/L parenteral solution 1,000 mL Box",24.0,8.4,0.2,8.23,6
HCPCS,J3480,"sodium chloride 0.9 % with KCl 20 mEq/L 20 mEq/L parenteral solution 1,000 mL Flex Cont",24.0,8.4,0.2,8.23,6
HCPCS,J3480,"sodium chloride 0.9% with KCl 40 mEq/L 40 mEq/L parenteral solution 1,000 mL Bag",33.04,11.57,0.2,11.33,6
HCPCS,J3480,"sodium chloride 0.9% with KCl 40 mEq/L 40 mEq/L parenteral solution 1,000 mL Box",24.0,8.4,0.2,8.23,6
HCPCS,J3480,"sodium chloride 0.9% with KCl 40 mEq/L 40 mEq/L parenteral solution 1,000 mL Flex Cont",24.0,8.4,0.2,8.23,12
HCPCS,J3485,zidovudine per 10 mg,82.65,28.93,1.51,28.35,20
HCPCS,J3486,ziprasidone mesylate per 10 mg,133.1,46.59,13.38,62.58,30
HCPCS,J3489,zoledronic ac-mannitol-0.9NaCl 4 mg/100 mL piggyback 100 mL Bag,339.84,118.94999999999999,11.64,174.85,12
HCPCS,J3489,zoledronic acid 5 mg/100 ml piggyback 100 mL Bottle,2346.08,821.13,11.64,1271.61,18
HCPCS,J3489,zoledronic acid per 1 mg,126.025,44.114999999999995,11.64,72.85,24
HCPCS,J3489,zoledronic acid-mannitoL-water 4 mg/100 mL piggyback 100 mL Vial,134.52,47.09,11.64,47.68,6
HCPCS,J3490,Drugs unclassified injection,,,179999.58,179999.58,1
HCPCS,J3520,Edetate disodium per 150 mg,,,0.05,2.28,4
HCPCS,J3570,Laetrile amygdalin vit B17,,,159999.99,159999.99,1
HCPCS,J3590,Unclassified biologics,,,179999.58,179999.58,1
HCPCS,J7030,"sodium chloride 0.9 % 1,000 mL Bag",24.0,8.4,4.44,13.33,6
HCPCS,J7030,"sodium chloride 0.9 % 1,000 mL Flex Cont",24.0,8.4,4.44,13.33,18
HCPCS,J7030,"sodium chloride 0.9 % parenteral solution 1,000 mL Bag",24.0,8.4,4.44,13.33,6
HCPCS,J7030,"sodium chloride 0.9 % parenteral solution 1,000 mL Flex Cont",24.0,8.4,4.44,13.33,12
HCPCS,J7030,sodium chloride per 500 mL,24.0,8.4,4.44,13.33,6
HCPCS,J7040,sodium chloride 0.9 % 500 mL Bag,24.0,8.4,2.23,8.23,6
HCPCS,J7040,sodium chloride 0.9 % 500 mL Flex Cont,24.0,8.4,2.23,8.23,12
HCPCS,J7040,sodium chloride 0.9 % parenteral solution 500 mL Bag,24.0,8.4,2.23,8.23,6
HCPCS,J7040,sodium chloride 0.9 % parenteral solution 500 mL Flex Cont,24.0,8.4,2.23,8.23,6
HCPCS,J7042,"dextrose 5% and sodium chloride 0.9% parenteral solution 1,000 mL Bag",24.0,8.4,2.06,8.23,18
HCPCS,J7042,"dextrose 5% and sodium chloride 0.9% parenteral solution 1,000 mL Flex Cont",24.0,8.4,2.06,8.23,6
HCPCS,J7042,dextrose 5% and sodium chloride 0.9% parenteral solution 500 mL Bag,24.0,8.4,2.06,8.23,6
HCPCS,J7050,sodium chloride 0.9 % 250 mL Bag,24.0,8.4,1.11,8.23,6
HCPCS,J7050,sodium chloride 0.9 % 250 mL Flex Cont,24.0,8.4,1.11,8.23,18
HCPCS,J7050,sodium chloride 0.9 % parenteral solution 250 mL Bag,24.0,8.4,1.11,8.23,6
HCPCS,J7050,sodium chloride 0.9 % parenteral solution 250 mL Flex Cont,24.0,8.4,1.11,8.23,6
HCPCS,J7050,sodium chloride per 500 mL,24.0,8.4,1.11,8.23,6
HCPCS,J7060,dextrose 5 % 5 % piggyback 100 mL Bag,24.0,8.4,3.18,9.48,6
HCPCS,J7060,dextrose 5% 5 % 250 mL Bag,24.0,8.4,3.18,9.48,12
HCPCS,J7060,dextrose 5% 5 % 250 mL Flex Cont,24.0,8.4,3.18,9.48,12
HCPCS,J7060,dextrose 5% 5 % 500 mL Bag,24.0,8.4,3.18,9.48,12
HCPCS,J7060,dextrose 5% per 500 mL,24.0,8.4,3.18,9.48,48
HCPCS,J7070,"dextrose 5% 5 % 1,000 mL Bag",24.0,8.4,6.37,18.98,12
HCPCS,J7070,dextrose 5% per 500 mL,24.0,8.4,6.37,18.98,12
HCPCS,J7100,Dextran 40 infusion,,,71.67,169.19,4
HCPCS,J7110,Dextran 75 infusion,,,0.05,27.77,3
HCPCS,J7120,"lactated ringer's 1,000 mL Bag",24.0,8.4,4.27,12.53,18
HCPCS,J7120,lactated ringer's 250 mL Bag,24.0,8.4,4.27,12.53,6
HCPCS,J7120,lactated ringer's 500 mL Bag,24.0,8.4,4.27,12.53,24
HCPCS,J7120,lactated ringers per 1000 mL,24.0,8.4,4.27,12.53,66
HCPCS,J7121,5% dextrose in lac ringers,,,9.82,40.53,4
HCPCS,J7131,Hypertonic saline sol,,,0.12,0.53,4
HCPCS,J7165,"Inj, human-lans, per i.u",,,1.72,5.78,5
HCPCS,J7168,"prothrombin 4-factor unactivated 1,000 unit (800-1240 unit) recon soln 1 Units Vial",24.0,8.4,2.05,15.62,10
HCPCS,J7168,prothrombin 4-factor unactivated 500 unit (400-620 unit) recon soln 1 Units Vial,24.0,8.4,2.05,15.62,20
HCPCS,J7169,"Inj andexxa, 10 mg",,,131.16,655.51,8
HCPCS,J7170,"Inj., emicizumab-kxwh 0.5 mg",,,55.64,131.78,8
HCPCS,J7171,"Inj, adzynma, 10 iu",,,35.58,62.28,5
HCPCS,J7172,"Inj marstacim-hncq, 0.5 mg",,,50.19,81.72,4
HCPCS,J7173,"Inj. concizumab-mtci, 0.5 mg",,,83.47,135.91,4
HCPCS,J7174,Injection fitusiran 0.04 mg,,,132.63,215.94,4
HCPCS,J7175,"Inj, factor x, (human), 1iu",,,9.95,24.14,8
HCPCS,J7177,"fibrinogen human 1 gram (700 mg- 1,300 mg) recon soln 1 each Vial",24.0,8.4,1.24,8.23,10
HCPCS,J7178,Inj human fibrinogen con nos,,,1.52,3.75,8
HCPCS,J7179,Vonvendi inj 1 iu vwf:rco,,,1.83,4.68,8
HCPCS,J7180,Factor XIII anti-hem factor,,,10.78,26.53,8
HCPCS,J7181,Factor xiii recomb a-subunit,,,18.33,43.5,8
HCPCS,J7182,Factor viii recomb novoeight,,,1.41,3.61,8
HCPCS,J7183,Wilate injection,,,1.32,3.25,8
HCPCS,J7185,"coagulation factor 8 1,000 (+/-) unit solution 1 each KIT",5404.4,1891.54,1.49,1853.71,10
HCPCS,J7185,"coagulation factor 8 2,000 (+/-) unit syringe 1 each KIT",9403.66,3291.29,1.49,3225.46,10
HCPCS,J7186,"coagulation factor 8-VWF 1,000 (400 vWF) unit/10 mL recon soln 1 each Vial",2397.0,838.95,1.25,822.17,10
HCPCS,J7186,"coagulation factor 8-VWFf 1,500 (600 vWF) unit/10 mL recon soln 1 each Vial",5954.75,2084.17,1.25,2567.36,30
HCPCS,J7187,antihemophilic factor per 1 Int'l Unit,4322.34,1512.82,1.49,1482.56,10
HCPCS,J7187,"coagulation factor 8-VWF 1,000-2,400 unit recon soln 1 each Vial",9163.36,3207.18,1.49,3143.03,10
HCPCS,J7188,Factor viii recomb obizur,,,3.24,8.17,8
HCPCS,J7189,"HC FACTOR VIIA, PER MCG",5.79,2.03,1.99,6.45,10
HCPCS,J7189,coagulation factor VIIA recomb per 1 mcg,12960.0,4536.0,2.64,11113.2,30
HCPCS,J7190,"HC FACTOR VIII,AHF-H PER IU",4.71,1.65,1.39,2.82,10
HCPCS,J7190,"antihemophilic factor VIII 1,000 (+/-) unit recon soln 1 each Vial",4450.255,1557.5900000000001,1.39,1568.45,20
HCPCS,J7190,coagulation factor 8 401-800 unit recon soln 1 each Vial,2570.04,899.52,1.39,881.52,10
HCPCS,J7190,"coagulation factor 8 801-1,500 unit recon soln 1 each Vial",4439.16,1553.71,1.39,1522.63,10
HCPCS,J7191,Factor VIII (porcine),,,4.21,8.89,5
HCPCS,J7192,Factor viii recombinant NOS,,,1.57,3.9,8
HCPCS,J7193,"coagulation factor 9 1,000 (+/-) unit recon soln 1 each Vial",4735.1,1657.29,1.37,1624.14,10
HCPCS,J7193,coagulation factor 9 500 (+/-) unit recon soln 1 each Vial,3108.24,1087.885,1.37,1303.26,20
HCPCS,J7194,factor IX per 1 Int'l Unit,999.895,349.965,1.7,677.7,20
HCPCS,J7195,"coagulation factor 9 1,000 unit recon soln 1 each Vial",4200.8,1470.28,1.84,1440.87,10
HCPCS,J7195,"coagulation factor IX 1,000 unit recon soln 1 each KIT",4848.55,1697.0,1.84,1663.05,10
HCPCS,J7195,"coagulation factor IX 3,000 unit recon soln 1 each KIT",16868.81,5904.09,1.84,5786.0,10
HCPCS,J7196,Antithrombin recombinant,,,257.96,736.81,3
HCPCS,J7197,HC ANTITHROMBIN III(HUMAN)-PER IU,901.25,315.44,4.1,309.13,10
HCPCS,J7198,"anti-inhibitor coagulant cmplx 1,750-3,250 unit recon soln 1 each Vial",18351.36,6422.98,2.42,6294.52,20
HCPCS,J7198,prothrombin complex concentrate 350-650 unit recon soln 1 each Vial,3693.21,1292.63,2.42,1266.77,20
HCPCS,J7198,prothrombin complex concentrate 400-650 unit recon soln 1 each Vial,3056.2,1069.67,2.42,1048.28,20
HCPCS,J7198,"prothrombin complex concentrate 651-1,200 unit recon soln 1 each Vial",4980.0,1743.0,2.42,1708.14,10
HCPCS,J7198,"prothrombin complex concentrate 700-1,300 unit recon soln 1 each Vial",7478.18,2617.37,2.42,2565.02,10
HCPCS,J7199,Hemophilia clot factor noc,,,179999.58,179999.58,1
HCPCS,J7200,Factor ix recombinan rixubis,,,1.74,4.18,8
HCPCS,J7201,Factor ix alprolix recomb,,,3.58,9.06,8
HCPCS,J7202,Factor ix idelvion inj,,,5.32,13.19,8
HCPCS,J7203,Factor ix recomb gly rebinyn,,,4.5,11.14,8
HCPCS,J7204,Inj recombin esperoct per iu,,,2.23,5.54,8
HCPCS,J7205,Factor viii fc fusion recomb,,,2.46,5.93,8
HCPCS,J7207,Factor viii pegylated recomb,,,2.14,5.31,8
HCPCS,J7208,Inj. jivi 1 iu,,,2.66,6.19,8
HCPCS,J7209,Factor viii nuwiq recomb 1iu,,,1.18,3.13,8
HCPCS,J7210,"Inj, afstyla, 1 i.u.",,,1.57,3.85,8
HCPCS,J7211,"Inj, kovaltry, 1 i.u.",,,1.56,3.75,8
HCPCS,J7212,Factor viia recomb sevenfact,,,2.2,5.95,8
HCPCS,J7213,"Inj, ixinity, 1 i.u.",,,1.97,9.18,8
HCPCS,J7214,Altuviiio per factor viii iu,,,4.49,11.76,7
HCPCS,J7294,Seg acet and eth estr yearly,,,4444.13,12089.12,4
HCPCS,J7295,Eth estr and eton monthly,,,225.3,724.95,4
HCPCS,J7296,"Kyleena, 19.5 mg",,,2123.88,5777.42,4
HCPCS,J7297,levonorgestreL 20.4 mcg/24 hr (8 yrs) 52 mg intrauterine device 1 each Box,2393.32,837.67,820.91,4431.79,6
HCPCS,J7298,levonorgestreL 21 mcg/24hr (up to 8 yrs) 52 mg intrauterine device 1 each Box,3439.84,1203.95,1179.87,5777.42,6
HCPCS,J7300,copper 380 square mm intrauterine device 1 each Packet,1962.835,686.995,240.11,5375.2,18
HCPCS,J7300,copper 380 square mm intrauterine device 5 each Packet,700.02,245.01,240.11,5375.2,6
HCPCS,J7301,levonorgestreL 14 mcg/24 hr (3 yrs) 13.5 mg intrauterine device 1 each KIT,2864.24,1002.49,982.43,4810.67,6
HCPCS,J7304,Contraceptive hormone patch,,,93.43,179999.58,2
HCPCS,J7306,Levonorgestrel implant sys,,,582.14,970.34,3
HCPCS,J7307,etonogestreL 68 mg implant 1 each PF APPLI,2637.815,923.24,686.36,5729.08,12
HCPCS,J7308,Aminolevulinic acid hcl top,,,390.02,2051.66,8
HCPCS,J7309,Drugs - Other,,,0.05,0.05,1
HCPCS,J7309,Oncology Drugs,,,150.65,150.65,1
HCPCS,J7310,Drugs,,,6856.15,6856.15,1
HCPCS,J7310,Drugs - Other,,,0.05,0.05,1
HCPCS,J7310,Oncology Drugs,,,30528.0,30528.0,1
HCPCS,J7310,Other Outpatient Services - CPT/HCPCS,,,8633.25,8633.25,1
HCPCS,J7311,fluocinolone 0.59 mg implant 1 each Packet,43890.69,15361.75,338.79,15054.51,10
HCPCS,J7312,dexAMETHasone 0.7 mg implant 1 each PF APPLI,3888.34,1360.92,203.79,1333.7,10
HCPCS,J7313,fluocinolone 0.19 mg implant 1 each PF APPLI,25683.88,8989.36,509.81,8809.57,10
HCPCS,J7314,"Inj., Yutiq, 0.01 mg",,,529.89,2775.55,8
HCPCS,J7315,Opthalmic mitomycin,,,789.48,2254.96,3
HCPCS,J7316,ocriplasmin 0.5 mg/0.2 mL solution 0.2 mL Vial,9322.0,3262.7,0.05,6944.89,6
HCPCS,J7318,"Inj, durolane 1 mg",,,6.73,31.79,8
HCPCS,J7320,"Genvisc 850, inj, 1mg",,,3.68,32.04,8
HCPCS,J7321,hyaluronate 10 mg/mL syringe 2 mL Syringe,538.08,188.33,120.62,385.34,6
HCPCS,J7321,hyaluronate 10 mg/mL syringe 2.5 mL Syringe,671.77,235.12,120.62,385.34,6
HCPCS,J7322,"Hyaluronan, hymo or hymo one",,,18.13,89.26,8
HCPCS,J7323,hyaluronate 10 mg/mL syringe 2 mL Syringe,1021.3,357.46,105.58,689.18,20
HCPCS,J7324,Orthovisc inj per dose,,,109.09,615.55,8
HCPCS,J7325,hylan polymers A & B 48 mg/6 mL syringe 6 mL Syringe,3878.75,1357.57,6.96,1330.41,10
HCPCS,J7326,Gel-one,,,526.79,2709.78,8
HCPCS,J7327,Monovisc inj per dose,,,655.34,3632.86,8
HCPCS,J7328,Gel-syn injection 0.1 mg,,,0.68,3.25,8
HCPCS,J7329,"Inj, trivisc 1 mg",,,3.27,46.14,8
HCPCS,J7330,Cultured chondrocytes implnt,,,111218.58,294566.34,4
HCPCS,J7331,"Synojoynt, inj., 1 mg",,,17.25,69.48,4
HCPCS,J7332,"Inj., Triluron, 1 mg",,,10.55,52.76,8
HCPCS,J7336,Capsaicin 8% patch,,,3.42,17.15,8
HCPCS,J7340,Carbidopa levodopa ent 100ml,,,244.04,1189.52,8
HCPCS,J7342,Ciprofloxacin otic susp 6 mg,,,49.53,157.44,4
HCPCS,J7345,"Aminolevulinic acid, 10% gel",,,1.77,8.66,8
HCPCS,J7351,Inj bimatoprost itc imp1mcg,,,214.02,1082.44,8
HCPCS,J7352,"Afamelanotide implant, 1 mg",,,2943.42,6819.51,7
HCPCS,J7353,Anacaulase-bcdb 8.8% gel 1 g,,,105.15,131.4,3
HCPCS,J7354,"Cantharidin top, applicator",,,667.07,1281.15,5
HCPCS,J7355,Inj travoprost intra impl,,,196.88,320.56,4
HCPCS,J7402,Mometasone sinus sinuva,,,11.35,59.52,8
HCPCS,J7500,azathioprine per 50 mg,6.0,2.1,2.06,71.84,30
HCPCS,J7501,Azathioprine parenteral,,,254.76,1311.03,8
HCPCS,J7502,cyclosporine modified per 100 mg,11.025,3.8600000000000003,2.06,9.23,36
HCPCS,J7502,cyclosporine per 100 mg,49.285,17.255000000000003,3.73,811.59,30
HCPCS,J7503,Tacrol envarsus ex rel oral,,,2.85,8.75,4
HCPCS,J7504,"lymphocyte, anti-thymo imm glob per 250 mg",14333.63,5016.78,4916.44,15676.93,10
HCPCS,J7505,Drugs,,,1450.65,1450.65,1
HCPCS,J7505,Drugs - Other,,,0.05,0.05,1
HCPCS,J7505,Other Outpatient Services - CPT/HCPCS,,,1826.65,1826.65,1
HCPCS,J7507,tacrolimus per 1 mg,13.465,4.715,0.4,7.19,72
HCPCS,J7508,Tacrol astagraf ex rel oral,,,0.91,2.89,4
HCPCS,J7509,methylprednisolone per 4 mg,7.07,2.475,0.38,2.79,36
HCPCS,J7510,prednisoLONE 5 mg base/5 mL (6.7 mg/5 mL) solution 120 mL Bottle,231.515,81.035,0.69,79.46,12
HCPCS,J7510,prednisolone per 5 mg,173.39,60.69,0.69,149.59,42
HCPCS,J7511,anti-thymocyte glob (rabbit) per 25 mg,3170.33,1109.62,1023.12,4827.34,10
HCPCS,J7512,predniSONE 5 mg/mL concentrate 30 mL Bottle,368.16,128.86,0.02,126.28,6
HCPCS,J7512,prednisone per 5 mg,6.0,2.1,0.02,2.06,126
HCPCS,J7513,Drugs,,,626.19,626.19,1
HCPCS,J7513,Drugs - Other,,,0.05,0.05,1
HCPCS,J7513,Other Outpatient Services - CPT/HCPCS,,,788.48,788.48,1
HCPCS,J7515,cyclosporine modified per 25 mg,6.0,2.1,1.39,3.94,24
HCPCS,J7515,cyclosporine per 25 mg,12.96,4.54,1.39,4.65,30
HCPCS,J7516,cyclosporine per 250 mg,201.57,70.55,69.14,205.09,6
HCPCS,J7517,mycophenolate mofetil per 250 mg,18.615000000000002,6.52,0.31,9.16,120
HCPCS,J7518,"mycophenolate 360 MG tablet,delayed release (DR/EC) 1 each BLIST PACK",23.6,8.26,0.8,8.09,6
HCPCS,J7518,"mycophenolate 360 MG tablet,delayed release (DR/EC) 30 each BLIST PACK",23.6,8.26,0.8,8.09,6
HCPCS,J7518,mycophenolate per 180 mg,11.875,4.16,0.8,7.24,30
HCPCS,J7519,mycophenolate 500 mg recon soln 1 each Vial,255.555,89.45,0.93,104.89,12
HCPCS,J7520,sirolimus 0.5 MG tablet 100 each Bottle,20.21,7.075,2.4,16.3,12
HCPCS,J7520,sirolimus per 1 mg,66.47,23.270000000000003,2.4,31.8,12
HCPCS,J7521,tacrolimus 1 mg granules in packet 50 each Packet,21.98,7.7,6.3,16.38,5
HCPCS,J7525,tacrolimus 5 mg/mL solution 1 mL AMPUL,722.24,252.79,247.73,1290.53,10
HCPCS,J7527,everolimus (immunosuppressive) 0.25 mg tablet 60 each BLIST PACK,23.655,8.285,4.54,16.79,10
HCPCS,J7527,everolimus (immunosuppressive) 0.75 mg tablet 1 each BLIST PACK,93.16,32.61,4.54,31.95,5
HCPCS,J7527,everolimus (immunosuppressive) 0.75 mg tablet 60 each BLIST PACK,93.16,32.61,4.54,31.95,5
HCPCS,J7599,Immunosuppressive drug noc,,,179999.58,179999.58,1
HCPCS,J7605,arformoteroL 15 mcg/2 mL solution for nebulization 2 mL Vial,47.81,16.74,1.23,17.24,12
HCPCS,J7606,"Formoterol fumarate, inh",,,4.29,27.23,4
HCPCS,J7608,acetylcysteine 100 mg/mL (10 %) solution 10 mL Vial,48.95,17.14,11.27,35.86,6
HCPCS,J7608,acetylcysteine 100 mg/mL (10 %) solution 30 mL Vial,56.99,19.95,11.27,35.86,6
HCPCS,J7608,acetylcysteine 100 mg/mL (10 %) solution 4 mL Vial,73.38,25.69,11.27,35.86,12
HCPCS,J7608,acetylcysteine 200 mg/mL (20 %) solution 10 mL Vial,48.95,17.14,11.27,35.86,6
HCPCS,J7608,acetylcysteine 200 mg/mL (20 %) solution 30 mL Vial,83.97,29.39,11.27,35.86,18
HCPCS,J7608,acetylcysteine 200 mg/mL (20 %) solution 4 mL Vial,43.97,15.395,11.27,35.86,12
HCPCS,J7609,Albuterol comp unit,,,0.92,2.56,3
HCPCS,J7610,Albuterol comp con,,,2.22,2.77,2
HCPCS,J7611,albuterol per 1 mg,143.39499999999998,50.19,0.25,51.45,18
HCPCS,J7612,levalbuterol per 0.5 mg,17.98,6.3,0.42,6.91,24
HCPCS,J7613,albuterol per 1 mg,7.25,2.54,0.07,2.92,78
HCPCS,J7614,levalbuterol per 0.5 mg,15.19,5.43,0.08,9.61,60
HCPCS,J7615,Levalbuterol comp unit,,,2.6,3.23,3
HCPCS,J7620,ipratropium-albuterol sulfate 0.5-3 mg/3 mL solution for nebulization 3 mL Vial,6.0,2.1,0.28,2.06,78
HCPCS,J7622,Beclomethasone comp unit,,,0.05,0.05,1
HCPCS,J7624,Betamethasone comp unit,,,2.32,2.32,1
HCPCS,J7626,budesonide per 0.25 mg,23.535,8.64,1.67,9.96,120
HCPCS,J7627,Budesonide comp unit,,,0.56,7.56,4
HCPCS,J7628,Bitolterol mesylate comp con,,,0.39,0.39,1
HCPCS,J7629,Bitolterol mesylate comp unt,,,0.53,0.53,1
HCPCS,J7631,cromolyn per 10 mg,16.04,5.62,0.55,8.7,6
HCPCS,J7632,Cromolyn sodium comp unit,,,0.51,0.69,3
HCPCS,J7633,Budesonide non-comp con,,,0.05,14.94,3
HCPCS,J7635,Atropine comp con,,,0.24,0.24,1
HCPCS,J7636,Atropine comp unit,,,1.29,1.29,1
HCPCS,J7637,Dexamethasone comp con,,,0.12,0.12,1
HCPCS,J7638,Dexamethasone comp unit,,,0.24,0.24,1
HCPCS,J7639,dornase alfa per 1 mg,378.85,132.6,85.93,273.91,12
HCPCS,J7640,Formoterol comp unit,,,3.12,5.64,2
HCPCS,J7641,Flunisolide comp unit,,,0.41,16.75,3
HCPCS,J7642,Glycopyrrolate comp con,,,2.27,2.27,1
HCPCS,J7643,Glycopyrrolate comp unit,,,1.37,1.37,1
HCPCS,J7644,ipratropium per 1 mg,6.0,2.1,0.53,2.06,66
HCPCS,J7645,Ipratropium bromide comp,,,0.09,0.12,2
HCPCS,J7648,Isoetharine non-comp con,,,0.33,0.33,1
HCPCS,J7649,Isoetharine non-comp unit,,,0.38,0.38,1
HCPCS,J7658,Isoproterenol non-comp con,,,3.97,3.97,1
HCPCS,J7659,Isoproterenol non-comp unit,,,3.97,3.97,1
HCPCS,J7665,Mannitol for inhaler,,,1.95,34.51,4
HCPCS,J7668,Metaproterenol non-comp con,,,0.6,0.6,1
HCPCS,J7669,Metaproterenol non-comp unit,,,0.05,0.84,3
HCPCS,J7674,methacholine 0 to 48 mg/3 mL solution for nebulization 18 mL Vial,226.84500000000003,79.4,1.42,133.76,12
HCPCS,J7674,methacholine chloride per 1 mg,257.71,90.2,1.42,88.39,12
HCPCS,J7677,Revefenacin inh non-com 1mcg,,,0.31,1.05,4
HCPCS,J7680,Terbutaline sulf comp con,,,0.05,21.07,3
HCPCS,J7681,Terbutaline sulf comp unit,,,0.05,21.07,3
HCPCS,J7682,tobramycin 4 % solution for nebulization 7.5 mL Syringe,15.42,5.4,5.29,155.33,6
HCPCS,J7682,tobramycin per 300 mg,333.61,116.77,28.71,155.33,6
HCPCS,J7683,Triamcinolone comp con,,,1.08,7.56,3
HCPCS,J7684,Triamcinolone comp unit,,,1.08,1.08,1
HCPCS,J7685,Tobramycin comp unit,,,89.67,121.77,3
HCPCS,J7686,"Treprostinil, non-comp unit",,,1205.03,3866.89,4
HCPCS,J7999,"Compounded drug, noc",,,179999.58,179999.58,1
HCPCS,J8498,Antiemetic rectal/supp NOS,,,179999.79,179999.79,1
HCPCS,J8499,Oral prescrip drug non chemo,,,179999.79,179999.79,1
HCPCS,J8501,aprepitant per 5 mg,550.24,192.59,5.88,332.04,60
HCPCS,J8510,busulfan per 2 mg,458.475,160.47000000000003,10.12,720.39,20
HCPCS,J8515,"Cabergoline, oral 0.25mg",,,5.14,30.24,4
HCPCS,J8520,Drugs,,,0.41,0.41,1
HCPCS,J8520,Drugs - Other,,,4.19,4.19,1
HCPCS,J8520,Other Outpatient Services - CPT/HCPCS,,,0.62,0.62,1
HCPCS,J8521,Drugs,,,0.94,0.94,1
HCPCS,J8521,Drugs - Other,,,120.0,120.0,1
HCPCS,J8521,Other Outpatient Services - CPT/HCPCS,,,1.09,1.09,1
HCPCS,J8522,capecitabine per 150 mg,38.39,13.44,0.03,28.6,10
HCPCS,J8522,capecitabine per 500 mg,92.32,32.32,0.03,95.34,40
HCPCS,J8530,cycloPHOSphamide 50 mg capsule 100 each Bottle,40.55,14.2,1.02,14.37,18
HCPCS,J8540,dexAMETHasone 0.1 mg/mL solution 500 mL Bottle,56.64,19.83,0.08,19.43,6
HCPCS,J8540,dexAMETHasone 1 mg/mL drops 30 mL DROP BTL,75.9,26.57,0.08,26.03,6
HCPCS,J8540,dexAMETHasone 2 MG tablet 100 each BLIST PACK,6.0,2.1,0.08,2.06,6
HCPCS,J8540,dexamethasone per 0.25 mg,6.0,2.1,0.08,2.06,66
HCPCS,J8541,"Oral, hemady, 0.25 mg",,,0.63,0.63,1
HCPCS,J8560,etoposide per 50 mg,245.12,85.8,84.08,405.83,10
HCPCS,J8562,Drugs - Other,,,0.05,0.05,1
HCPCS,J8565,Gefitinib oral,,,240.93,737.22,4
HCPCS,J8597,Antiemetic drug oral NOS,,,179999.79,179999.79,1
HCPCS,J8600,melphalan 2 mg tablet 50 each Bottle,28.82,10.09,9.89,48.04,6
HCPCS,J8610,methotrexate per 2.5 mg,9.004999999999999,3.1550000000000002,0.34,5.05,30
HCPCS,J8611,Oral methotrexate (jylamvo),,,18.71,33.51,5
HCPCS,J8612,Oral methotrexate (xatmep),,,22.3,36.3,5
HCPCS,J8650,Drugs,,,25.39,25.39,1
HCPCS,J8650,Drugs - Other,,,0.05,0.05,1
HCPCS,J8650,Oncology Drugs,,,71.97,71.97,1
HCPCS,J8650,Other Outpatient Services - CPT/HCPCS,,,89.94,89.94,1
HCPCS,J8655,"Oral netupitant, palonosetro",,,397.79,2418.9,8
HCPCS,J8670,"Rolapitant, oral, 1mg",,,2.62,8.54,4
HCPCS,J8700,temozolomide per 5 mg,343.345,120.175,0.46,490.83,24
HCPCS,J8705,topotecan 0.25 mg capsule 10 each Bottle,284.6,99.61,97.62,588.92,10
HCPCS,J8705,topotecan 1 mg capsule 10 each Bottle,1256.6399999999999,439.83000000000004,125.22,588.92,20
HCPCS,J8999,Oral prescription drug chemo,,,179999.79,179999.79,1
HCPCS,J9000,DOXOrubicin 20 mg/10 mL solution 10 mL Vial,57.49,20.13,5.41,19.72,6
HCPCS,J9000,DOXOrubicin 50 mg/25 mL solution 25 mL Vial,69.56,24.35,5.41,23.86,6
HCPCS,J9000,doxorubicin per 10 mg,358.25,125.39500000000001,5.41,135.99,36
HCPCS,J9011,datopotamab deruxtecan-dlnk 20 mg/ml recon soln 1 each Vial,13851.5,4848.03,51.52,10319.37,9
HCPCS,J9015,Aldesleukin injection,,,3338.87,29112.47,8
HCPCS,J9017,arsenic trioxide 2 mg/mL solution 6 mL Vial,3614.42,1265.05,8.88,1239.75,12
HCPCS,J9017,arsenic trioxide per 1 mg,1592.27,557.3,8.88,602.64,42
HCPCS,J9019,Drugs,,,705.0,705.0,1
HCPCS,J9019,Drugs - Other,,,2113.78,2113.78,1
HCPCS,J9019,Oncology Drugs,,,925.1,925.1,1
HCPCS,J9019,Other Outpatient Services - CPT/HCPCS,,,692.66,692.66,1
HCPCS,J9020,Drugs,,,85.37,85.37,1
HCPCS,J9020,Drugs - Other,,,0.05,0.05,1
HCPCS,J9020,Other Outpatient Services - CPT/HCPCS,,,80.51,80.51,1
HCPCS,J9021,"Inj, aspara, rylaze, 0.1 mg",,,56.29,259.73,8
HCPCS,J9022,"atezolizumab 1,200 mg/20 mL (60 mg/mL) solution 20 mL Vial",32821.09,11487.39,94.0,11257.63,10
HCPCS,J9022,atezolizumab 840 mg/14 mL (60 mg/mL) solution 14 mL Vial,21443.13,7505.1,94.0,7354.99,10
HCPCS,J9023,avelumab 20 mg/mL solution 10 mL Vial,5930.26,2075.6,105.55,2034.08,10
HCPCS,J9024,Inj atezolizumb 5mg hya-tqjs,,,31.95,52.02,4
HCPCS,J9025,azaCITIDine 10 MG/ML recon soln 1 each Vial,566.4,198.24,0.54,568.49,36
HCPCS,J9025,azaCITIDine 100 mg recon soln 1 each Vial,566.4,198.24,0.54,568.49,36
HCPCS,J9026,"Inj, tarlatamab-dlle, 1 mg",,,1567.72,2552.56,4
HCPCS,J9027,clofarabine per 1 mg,10094.48,3533.07,10.94,3462.41,10
HCPCS,J9028,"Inj, nogapendekin pmln, 1mcg",,,94.6,154.02,4
HCPCS,J9029,"Instill adstiladrin, tx dose",,,64282.3,135000.0,7
HCPCS,J9030,Bcg live intravesical 1mg,,,3.39,15.16,8
HCPCS,J9032,"Injection, belinostat, 10mg",,,53.11,249.72,8
HCPCS,J9033,bendamustine 180 mg/2 mL solution 2 mL Vial,11866.02,4153.11,2.16,4070.04,10
HCPCS,J9033,bendamustine 45 mg/0.5 mL solution 0.5 mL Vial,2999.11,1049.69,2.16,1028.69,10
HCPCS,J9034,bendamustine 25 mg/mL solution 4 mL Vial,7005.8,2452.03,12.9,2402.99,10
HCPCS,J9035,bevacizumab 25 mg/mL solution 0.12 mL Syringe,64.3,22.51,22.05,385.87,10
HCPCS,J9035,bevacizumab 25 mg/mL solution 0.15 mL Syringe,56.27,19.7,19.3,385.87,10
HCPCS,J9035,bevacizumab 25 mg/mL solution 0.175 mL Syringe,98.74,34.56,33.87,385.87,10
HCPCS,J9035,bevacizumab 25 mg/mL solution 16 mL Vial,60.18,21.07,20.64,385.87,10
HCPCS,J9035,bevacizumab 25 mg/mL solution 4 mL Vial,56.42,19.75,19.35,385.87,10
HCPCS,J9036,bendamustine 25 mg/mL solution 4 mL Vial,7363.2,2577.12,13.94,2525.58,10
HCPCS,J9037,Drugs,,,77.19,77.19,1
HCPCS,J9037,Drugs - Other,,,231.43,231.43,1
HCPCS,J9037,Oncology Drugs,,,101.3,101.3,1
HCPCS,J9037,Other Outpatient Services - CPT/HCPCS,,,75.84,75.84,1
HCPCS,J9038,Inj axatilimab-csfr 0.1 mg,,,55.65,90.61,4
HCPCS,J9039,"Injection, blinatumomab",,,163.96,342.41,8
HCPCS,J9040,bleomycin per 15 Units,129.845,45.45,29.81,128.63,30
HCPCS,J9041,bortezomib 1 mg/ml recon soln 1 each Vial,4539.65,1588.88,3.23,1557.1,12
HCPCS,J9041,bortezomib 3.5 mg recon soln 1 each Vial,708.0,247.8,3.23,1557.12,30
HCPCS,J9041,bortezomib per 0.1 mg,708.0,247.8,3.23,1557.12,30
HCPCS,J9042,brentuximab vedotin 5 mg/ml recon soln 1 each Vial,35897.87,12564.26,268.73,12312.97,10
HCPCS,J9043,cabazitaxeL 10 mg/mL (first dilution) solution 60 mg Vial,36296.75,12703.87,231.05,12449.79,10
HCPCS,J9045,carboplatin per 50 mg,150.5,52.68,5.94,97.57,84
HCPCS,J9046,"Inj, bortezomib, dr. reddy's",,,3.46,254.6,8
HCPCS,J9047,carfilzomib 2 mg/ml recon soln 1 each Vial,10017.33,3506.07,56.24,3435.94,10
HCPCS,J9047,carfilzomib 30 mg recon soln 1 each Vial,5008.68,1753.04,56.24,1717.98,10
HCPCS,J9048,"Inj, bortezomib freseniuskab",,,6.97,240.18,8
HCPCS,J9049,"Inj, bortezomib, hospira",,,2.51,20.4,4
HCPCS,J9050,carmustine per 100 mg,7469.09,2614.19,241.8,2561.9,10
HCPCS,J9051,"Inj, bortezomib (maia)",,,5.89,7.86,2
HCPCS,J9052,"Inj, carmustine (accord)",,,30.36,562.28,3
HCPCS,J9054,Inj bortezomib boruzu 0.1 mg,,,25.41,41.37,4
HCPCS,J9055,cetuximab per 10 mg,3553.455,1243.71,80.46,1625.11,20
HCPCS,J9056,"Inj, vivimusta, 1 mg",,,31.74,174.8,8
HCPCS,J9057,"Inj., copanlisib, 1 mg",,,144.47,441.35,4
HCPCS,J9058,Drugs,,,34.29,34.29,1
HCPCS,J9058,Drugs - Other,,,168.34,168.34,1
HCPCS,J9058,Oncology Drugs,,,34.25,34.25,1
HCPCS,J9058,Other Outpatient Services - CPT/HCPCS,,,38.09,38.09,1
HCPCS,J9059,Drugs,,,34.29,34.29,1
HCPCS,J9059,Drugs - Other,,,125.65,125.65,1
HCPCS,J9059,Oncology Drugs,,,34.25,34.25,1
HCPCS,J9059,Other Outpatient Services - CPT/HCPCS,,,38.09,38.09,1
HCPCS,J9060,cisplatin per 50 mg,107.735,37.71,5.1,39.99,36
HCPCS,J9061,amivantamab-vmjw 50 mg/mL solution 7 mL Vial,10780.52,3773.19,22.63,3697.72,20
HCPCS,J9063,mirvetuximab soravtansine-gynx 5 mg/mL solution 20 mL Vial,19207.62,6722.67,71.13,6588.21,10
HCPCS,J9065,Inj cladribine per 1 MG,,,8.73,95.97,8
HCPCS,J9070,Drugs,,,33.25,33.25,1
HCPCS,J9070,Drugs - Other,,,89.63,89.63,1
HCPCS,J9071,Inj cyclophosphamd auromedic,,,0.52,20.29,8
HCPCS,J9072,Inj cyclophos frindovyx 5 mg,,,6.2,15.04,7
HCPCS,J9073,cyclophosphamide per 100 mg,4148.88,1452.11,0.5,3090.92,10
HCPCS,J9074,"Inj, cyclophosphamd, sandoz",,,3.65,10.07,5
HCPCS,J9075,cyclophosphamide per 100 mg,1034.8600000000001,362.205,0.77,3090.92,150
HCPCS,J9076,"Inj, cyclophos (baxter) 5mg",,,3.72,6.06,4
HCPCS,J9098,Drugs,,,682.92,682.92,1
HCPCS,J9098,Drugs - Other,,,0.05,0.05,1
HCPCS,J9098,Oncology Drugs,,,1413.84,1413.84,1
HCPCS,J9098,Other Outpatient Services - CPT/HCPCS,,,984.53,984.53,1
HCPCS,J9100,cytarabine (PF) 100 mg/5 mL (20 mg/mL) solution 5 mL Vial,24.0,8.4,1.5,8.23,6
HCPCS,J9100,cytarabine (PF) 20 mg/mL solution 50 mL Vial,80.24,28.09,1.5,27.52,6
HCPCS,J9100,cytarabine per 100 mg,56.64,19.83,1.5,20.3,30
HCPCS,J9118,Inj. calaspargase pegol-mknl,,,82.08,382.13,8
HCPCS,J9119,cemiplimab-rwlc 50 mg/mL solution 7 mL Vial,30939.48,10828.82,29.76,10612.24,10
HCPCS,J9120,dactinomycin per 0.5 mg,7670.59,2684.71,337.67,3117.88,10
HCPCS,J9130,dacarbazine per 200 mg,40.224999999999994,14.085,6.15,21.23,18
HCPCS,J9144,"daratumumab-hyaluronidase-fihj 1,800 mg-30,000 unit/15 mL solution 15 mL Vial",29939.51,10478.83,55.03,10269.25,10
HCPCS,J9145,daratumumab 20 mg/mL solution 20 mL Vial,8329.76,2915.42,70.77,2857.11,10
HCPCS,J9145,daratumumab 20 mg/mL solution 5 mL Vial,2196.59,768.81,70.77,753.43,10
HCPCS,J9150,daunorubicin per 10 mg,379.88,132.96,44.62,239.24,30
HCPCS,J9151,Drugs,,,86.44,86.44,1
HCPCS,J9151,Drugs - Other,,,0.05,0.05,1
HCPCS,J9151,Oncology Drugs,,,129.74,129.74,1
HCPCS,J9151,Other Outpatient Services - CPT/HCPCS,,,81.52,81.52,1
HCPCS,J9153,"Inj daunorubicin, cytarabine",,,261.2,1191.62,8
HCPCS,J9155,degarelix 80 mg recon soln 1 each KIT,1383.29,484.16,4.46,474.47,10
HCPCS,J9160,Drugs - Other,,,0.05,0.05,1
HCPCS,J9160,Other Outpatient Services - CPT/HCPCS,,,1983.07,1983.07,1
HCPCS,J9165,Other Outpatient Services - CPT/HCPCS,,,21.73,21.73,1
HCPCS,J9171,DOCEtaxeL 160 mg/16 mL (10 mg/mL) solution 16 mL Vial,966.66,338.34,1.65,569.87,18
HCPCS,J9171,DOCEtaxeL 20 mg/2 mL (10 mg/mL) solution 2 mL Vial,555.92,194.575,1.65,314.58,12
HCPCS,J9171,DOCEtaxeL 80 mg/4 mL (20 mg/mL) solution 4 mL Vial,3447.02,1206.46,1.65,1182.33,6
HCPCS,J9171,DOCEtaxeL 80 mg/8 mL (10 mg/mL) solution 8 mL Vial,746.315,261.215,1.65,1228.93,24
HCPCS,J9172,"Docetaxel (docivyx), 1 mg",,,50.61,113.61,5
HCPCS,J9173,durvalumab 50 mg/mL solution 10 mL Vial,11923.99,4173.4,86.15,4089.93,10
HCPCS,J9173,durvalumab 50 mg/mL solution 2.4 mL Vial,2861.76,1001.62,86.15,981.58,10
HCPCS,J9174,"Inj, docetaxel (beizray) 1mg",,,46.09,75.05,4
HCPCS,J9175,Elliotts b solution per ml,,,17.52,50.86,4
HCPCS,J9176,"Injection, elotuzumab, 1mg",,,8.04,17.06,8
HCPCS,J9177,enfortumab vedotin-ejfv 20 mg recon soln 1 each Vial,7955.09,2784.29,36.71,2728.6,10
HCPCS,J9177,enfortumab vedotin-ejfv 30 mg recon soln 1 each Vial,11932.63,4176.43,36.71,4092.89,10
HCPCS,J9178,epirubicin per 2 mg,136.17,47.66,2.28,46.71,6
HCPCS,J9179,Eribulin mesylate injection,,,76.76,675.34,8
HCPCS,J9181,etoposide 20 mg/mL solution 25 mL Vial,134.17,46.96,1.63,60.41,18
HCPCS,J9181,etoposide 20 mg/mL solution 5 mL Vial,31.029999999999998,10.870000000000001,1.63,12.08,18
HCPCS,J9183,Gemcitabine intravesical sys,,,73088.26,119002.3,4
HCPCS,J9184,Inj gemcitabin (avyxa) 200mg,,,410.44,668.28,4
HCPCS,J9185,fludarabine per 50 mg,311.52,109.04,91.79,3171.38,18
HCPCS,J9190,fluorouracil per 500 mg,74.45500000000001,26.065,4.22,55.69,72
HCPCS,J9196,Inj gemcitabine hcl (accord),,,14.49,19.51,4
HCPCS,J9198,"Inj. infugem, 100 mg",,,65.3,211.23,4
HCPCS,J9200,Floxuridine injection,,,4250.97,18621.8,8
HCPCS,J9201,gemcitabine 1 gram/26.3 mL (38 mg/mL) solution 26.3 mL Vial,106.045,37.12,5.44,38.58,12
HCPCS,J9201,gemcitabine 2 gram/52.6 mL (38 mg/mL) solution 52.6 mL Vial,256.59,89.81,5.44,88.01,6
HCPCS,J9201,gemcitabine 200 mg/5.26 mL (38 mg/mL) solution 5.26 mL Vial,26.43,9.26,5.44,19.47,6
HCPCS,J9201,gemcitabine 38 mg/ml recon soln 1 each Vial,321.38,112.49,5.44,110.23,6
HCPCS,J9201,gemcitabine per 200 mg,135.34500000000003,47.375,5.44,48.23,12
HCPCS,J9201,gemcitabine solution 1 g/26.3 mL solution 26.3 mL Vial,106.045,37.12,5.44,38.58,12
HCPCS,J9202,goserelin acetate per 3.6 mg,6948.735,2432.06,1004.87,3003.78,12
HCPCS,J9202,goserelin per 3.6 mg,2448.195,856.875,587.68,1518.24,12
HCPCS,J9203,Gemtuzumab ozogamicin 0.1 mg,,,240.17,1163.34,8
HCPCS,J9204,"Inj, mogamulizumab-kpkc, 1 mg",,,253.47,1188.9,8
HCPCS,J9205,irinotecan liposomaL 4.3 mg/mL dispersion 10 mL Vial,8436.53,2952.79,66.37,2893.73,10
HCPCS,J9206,irinotecan per 20 mg,85.975,30.095,3.22,110.43,24
HCPCS,J9207,ixabepilone per 1 mg,5195.29,1818.3600000000001,139.75,2472.3,20
HCPCS,J9208,ifosfamide per 1 g,164.4,57.54,35.69,133.09,36
HCPCS,J9209,mesna per 200 mg,57.35,20.08,2.26,24.28,48
HCPCS,J9210,"Inj., emapalumab-lzsg, 1 mg",,,384.14,2064.71,7
HCPCS,J9211,idarubicin per 5 mg,305.24,106.84,52.36,319.97,30
HCPCS,J9212,Drugs,,,10.26,10.26,1
HCPCS,J9212,Drugs - Other,,,0.05,0.05,1
HCPCS,J9212,Oncology Drugs,,,14.75,14.75,1
HCPCS,J9212,Other Outpatient Services - CPT/HCPCS,,,9.68,9.68,1
HCPCS,J9213,Interferon alfa-2a inj,,,0.05,72.94,4
HCPCS,J9214,interferon alfa-2b per 1000000 Units,2045.0,715.755,52.8,910.13,24
HCPCS,J9215,Interferon alfa-n3 inj,,,51.75,157.32,4
HCPCS,J9216,Interferon gamma 1-b inj,,,13991.39,41095.29,4
HCPCS,J9217,leuprolide (6 month) per 7.5 mg,7675.1,2686.29,176.2,2632.56,10
HCPCS,J9217,leuprolide 7.5 mg (1 month) syringe 1 each Syringe,1279.19,447.72,176.2,438.76,30
HCPCS,J9217,leuprolide 7.5 mg syringe kit 1 each KIT,6078.35,2127.43,176.2,2084.87,10
HCPCS,J9217,leuprolide acetate,5116.74,1790.86,176.2,1755.04,10
HCPCS,J9217,leuprolide acetate (3 month) per 7.5 mg,18234.92,6382.23,176.2,6254.58,10
HCPCS,J9217,leuprolide acetate (4 month) per 7.5 mg,24313.29,8509.66,176.2,8339.46,10
HCPCS,J9217,leuprolide acetate (6 month) 45 mg syringe kit 1 each KIT,36470.47,12764.67,176.2,12509.37,10
HCPCS,J9218,Leuprolide acetate injeciton,,,16.92,22.69,4
HCPCS,J9219,Leuprolide acetate implant,,,0.05,10844.6,3
HCPCS,J9220,Indigotindisulfonate sod 1mg,,,9.3,15.14,4
HCPCS,J9223,lurbinectedin 0.5 mg/ml recon soln 1 each Vial,23364.0,8177.4,212.1,8013.85,10
HCPCS,J9225,Vantas implant,,,0.01,11185.52,4
HCPCS,J9226,histrelin 50 mg (65 mcg/day) kit 1 each KIT,135030.905,47260.82,41173.43,102038.0,20
HCPCS,J9227,isatuximab-irfc 20 mg/mL solution 25 mL Vial,9204.0,3221.4,83.58,3156.97,10
HCPCS,J9227,isatuximab-irfc 20 mg/mL solution 5 mL Vial,2463.58,862.26,83.58,845.01,10
HCPCS,J9228,ipilimumab 200 mg/40 mL (5 mg/mL) solution 40 mL Vial,102571.92,35900.18,187.17,35182.17,10
HCPCS,J9229,inotuzumab ozogamicin 0.9 mg (0.25 mg/mL initial) recon soln 1 each Vial,135459.94,47410.98,2816.77,46462.76,10
HCPCS,J9230,Mechlorethamine hcl inj,,,0.05,723.87,4
HCPCS,J9245,Inj melpha hydroch nos 50 mg,,,120.67,808.6,8
HCPCS,J9246,"Inj., evomela, 1 mg",,,19.43,86.22,8
HCPCS,J9247,Drugs,,,830.78,830.78,1
HCPCS,J9247,Drugs - Other,,,0.05,0.05,1
HCPCS,J9247,Oncology Drugs,,,1090.13,1090.13,1
HCPCS,J9247,Other Outpatient Services - CPT/HCPCS,,,816.24,816.24,1
HCPCS,J9248,Inj melphalan (hepzato) 1 mg,,,795.0,1675.35,5
HCPCS,J9249,"Inj, melphalan (apotex) 1 mg",,,64.78,105.47,4
HCPCS,J9250,Drugs,,,0.51,0.51,1
HCPCS,J9250,Drugs - Other,,,1.42,1.42,1
HCPCS,J9256,"Inj, nipocalimab-aahu, 3 mg",,,32.67,53.19,4
HCPCS,J9259,Drugs,,,25.49,25.49,1
HCPCS,J9259,Drugs - Other,,,82.6,82.6,1
HCPCS,J9259,Oncology Drugs,,,37.62,37.62,1
HCPCS,J9259,Other Outpatient Services - CPT/HCPCS,,,28.34,28.34,1
HCPCS,J9260,methotrexate sodium per 5 mg,24.0,8.4,5.0,14.22,6
HCPCS,J9260,methotrexate sodium per 50 mg,95.675,33.489999999999995,5.0,61.78,66
HCPCS,J9261,Nelarabine injection,,,52.71,676.44,8
HCPCS,J9262,"Inj, omacetaxine mep, 0.01mg",,,6.53,21.02,4
HCPCS,J9263,oxaliplatin per 0.5 mg,271.87,95.16,0.12,343.53,66
HCPCS,J9264,paclitaxel protein-bound part per 1 mg,4474.73,1566.16,6.02,1534.83,10
HCPCS,J9266,pegaspargase 750 unit/mL solution 5 mL Vial,48174.75,16861.17,16523.94,60908.7,10
HCPCS,J9267,paclitaxel per 30 mg,131.69,46.095,0.18,97.14,66
HCPCS,J9268,Pentostatin injection,,,2626.33,12521.49,8
HCPCS,J9269,Inj. tagraxofusp-erzs 10 mcg,,,357.28,1691.74,8
HCPCS,J9270,Other Outpatient Services - CPT/HCPCS,,,141.39,141.39,1
HCPCS,J9271,pembrolizumab 25 mg/mL solution 4 mL Vial,16702.335,5845.82,61.25,5728.9,20
HCPCS,J9272,"Inj, dostarlimab-gxly, 10 mg",,,247.08,531.9,8
HCPCS,J9273,tisotumab vedotin-tftv 10 mg/ml recon soln 1 each Vial,20959.07,7335.68,196.12,7188.96,10
HCPCS,J9274,"Inj, tebentafusp-tebn, 1 mcg",,,222.49,1068.9,8
HCPCS,J9275,"Inj cosibelimab-ipdl, 2 mg",,,22.92,37.32,4
HCPCS,J9276,"Inj zanidatamab-hrii, 2 mg",,,25.0,40.7,4
HCPCS,J9277,Pembrolizumab 1mg berahyalur,,,32.13,52.31,4
HCPCS,J9278,"Inj, carboplatin (avyxa)",,,5.24,8.54,4
HCPCS,J9280,mitoMYcin 40 mg recon soln 1 each Vial,3340.91,1169.32,28.46,1227.78,40
HCPCS,J9280,mitomycin per 5 mg,1179.695,412.9,28.46,613.89,40
HCPCS,J9281,Mitomycin instillation,,,323.17,1553.15,8
HCPCS,J9282,Mitomycin intravesical inst,,,278.33,453.18,4
HCPCS,J9285,olaratumab 10 mg/mL solution 50 mL Vial,6955.39,2434.39,0.05,2385.7,6
HCPCS,J9286,"Inj glofitamab gxbm, 2.5 mg",,,2840.68,6077.34,7
HCPCS,J9289,Inj nivolumab 2 mg hyaluron,,,27.73,45.15,4
HCPCS,J9292,"Inj, pemetrexed dipotassium",,,82.02,133.54,4
HCPCS,J9293,mitoxantrone per 5 mg,1595.12,558.3,38.61,547.13,10
HCPCS,J9294,"Inj pemetrexed, hospira 10mg",,,1.4,52.44,8
HCPCS,J9295,"Injection, necitumumab, 1 mg",,,5.73,30.09,8
HCPCS,J9296,Inj pemetrexed (accord) 10mg,,,9.66,50.65,8
HCPCS,J9297,Inj pemetrexed (sandoz) 10mg,,,2.15,9.07,4
HCPCS,J9298,nivolumab-relatlimab-rmbw 240-80 mg/20 mL solution 20 mL Vial,43675.01,15286.26,201.76,14980.53,10
HCPCS,J9299,nivolumab 100 mg/10 mL solution 10 mL Vial,9372.79,3280.48,33.62,3214.87,10
HCPCS,J9299,nivolumab 240 mg/24 mL solution 24 mL Vial,22494.8,7873.18,33.62,7715.72,10
HCPCS,J9299,nivolumab 40 mg/4 mL solution 4 mL Vial,3749.14,1312.2,33.62,1285.96,10
HCPCS,J9301,Obinutuzumab inj,,,81.81,167.84,8
HCPCS,J9302,Ofatumumab injection,,,62.23,316.43,8
HCPCS,J9303,panitumumab 400 mg/20 mL (20 mg/mL) solution 20 mL Vial,20522.37,7182.83,174.39,7039.17,10
HCPCS,J9303,panitumumab per 10 mg,5130.59,1795.71,174.39,1759.79,10
HCPCS,J9304,"Inj. pemetrexed, 10 mg",,,7.99,338.14,8
HCPCS,J9305,PEMEtrexed disodium 100 mg recon soln 1 each Vial,2289.96,801.49,4.04,785.46,10
HCPCS,J9305,pemetrexed per 10 mg,11449.78,4007.43,4.04,3927.27,10
HCPCS,J9306,pertuzumab 420 mg/14 mL (30 mg/mL) solution 14 mL Vial,18027.91,6309.77,17.02,6183.57,10
HCPCS,J9307,Pralatrexate injection,,,392.72,1869.58,8
HCPCS,J9308,ramucirumab 10 mg/mL solution 10 mL Vial,4250.24,1487.59,75.47,1457.83,10
HCPCS,J9309,polatuzumab vedotin-piiq 140 mg recon soln 1 each Vial,52707.51,18447.63,137.23,18078.68,10
HCPCS,J9309,polatuzumab vedotin-piiq 30 mg recon soln 1 each Vial,11294.49,3953.08,137.23,3874.01,10
HCPCS,J9311,"riTUXimab-hyaluronidase,human 1400 mg/11.7 mL (120 mg/mL) solution 11.7 mL Vial",18624.87,6518.71,36.28,6388.33,10
HCPCS,J9311,"riTUXimab-hyaluronidase,human 1600 mg/13.4 mL (120 mg/mL) solution 13.4 mL Vial",21285.58,7449.96,36.28,7300.95,10
HCPCS,J9312,rituximab per 100 mg,7982.135,2793.75,74.16,4563.12,20
HCPCS,J9313,"Inj., Lumoxiti, 0.01 mg",,,23.39,122.65,8
HCPCS,J9314,Inj pemetrexed (teva) 10mg,,,10.99,64.51,8
HCPCS,J9315,romiDEPsin 10 mg/2 mL recon soln 1 each Vial,8289.85,2901.45,2374.21,6175.94,5
HCPCS,J9316,"pertuzumab-trastuzumab-hy-zzxf 1,200 mg-600mg- 30000 unit/15mL solution 15 mL Vial",39411.63,13794.08,60.23,13518.19,10
HCPCS,J9316,pertuzumab-trastuzumab-hy-zzxf 600 mg-600 mg- 20000 unit/10mL solution 10 mL Vial,26273.36,9195.68,60.23,9011.76,10
HCPCS,J9317,sacituzumab govitecan-hziy 180 mg recon soln 1 each Vial,7259.83,2540.95,36.8,2490.12,10
HCPCS,J9318,Inj romidepsin non-lyo 0.1mg,,,28.52,167.77,8
HCPCS,J9319,Inj romidepsin lyophil 0.1mg,,,30.8,159.27,8
HCPCS,J9320,Streptozocin injection,,,600.12,1941.26,4
HCPCS,J9321,Inj epcoritamab-bysp 0.16 mg,,,56.92,121.89,7
HCPCS,J9322,Inj pemetrexed (bluepoint),,,10.6,50.4,7
HCPCS,J9323,Inj pemetrexed ditromethamin,,,9.92,57.69,4
HCPCS,J9324,"Inj, pemrydi rtu, 10 mg",,,70.48,183.38,5
HCPCS,J9325,talimogene laherparepvec 10exp6 (1 million) PFU/mL suspension 1 mL Vial,197.86,69.26,67.87,346.36,10
HCPCS,J9325,talimogene laherparepvec 10exp8 (100 million) PFU/mL suspension 1 mL Vial,19783.76,6924.32,73.94,6785.83,10
HCPCS,J9326,Telisotuzumab vedotin-tllv,,,145.99,237.71,4
HCPCS,J9328,Temozolomide injection,,,10.4,54.59,8
HCPCS,J9329,"Inj, tislelizumab-jsgr",,,58.27,119.43,5
HCPCS,J9330,temsirolimus per 1 mg,5664.9,1982.72,30.08,1943.06,10
HCPCS,J9331,Inj sirolimus prot part 1 mg,,,87.11,564.32,8
HCPCS,J9332,efgartigimod alfa-fcab 20 mg/mL solution 20 mL Vial,17359.29,6075.755,32.61,6013.19,20
HCPCS,J9333,Inj rozanolixizum-noli 1 mg,,,23.4,51.3,7
HCPCS,J9334,Inj efgart-alfa 2mg hya-qvfc,,,34.33,74.55,7
HCPCS,J9340,Drugs,,,414.5,414.5,1
HCPCS,J9340,Drugs - Other,,,1361.15,1361.15,1
HCPCS,J9340,Oncology Drugs,,,470.3,470.3,1
HCPCS,J9340,Other Outpatient Services - CPT/HCPCS,,,420.76,420.76,1
HCPCS,J9342,Inj thiotepa nos 1 mg,,,5.74,9.34,4
HCPCS,J9345,retifanlimab-dlwr 500 mg/20 mL solution 20 mL Vial,41752.18,14613.27,30.4,14321.0,10
HCPCS,J9347,tremelimumab-actl 20 mg/mL solution 1.25 mL Vial,9575.84,3351.55,143.23,3284.51,10
HCPCS,J9347,tremelimumab-actl 20 mg/mL solution 15 mL Vial,114910.1,40218.54,143.23,39414.16,10
HCPCS,J9348,"Inj. naxitamab-gqgk, 1 mg",,,686.09,3039.75,8
HCPCS,J9349,"Inj., tafasitamab-cxix",,,14.17,69.75,8
HCPCS,J9350,"Inj mosunetuzumab-axgb, 1 mg",,,654.54,3115.32,8
HCPCS,J9351,topotecan 4 mg/4 mL (1 mg/mL) solution 4 mL Vial,363.745,127.315,1.29,145.71,12
HCPCS,J9351,topotecan per 4 mg,845.47,295.92,1.29,290.0,6
HCPCS,J9352,trabectedin 0.05 mg/ml recon soln 1 each Vial,10448.22,3656.88,391.07,3583.74,10
HCPCS,J9353,"Inj. margetuximab-cmkb, 5 mg",,,53.27,240.61,8
HCPCS,J9354,ado-trastuzumab 20 mg/ml recon soln 1 each Vial,14688.215,5140.88,42.2,6200.68,20
HCPCS,J9355,trastuzumab 21 mg/ml recon soln 1 each Vial,4413.44,1544.71,73.43,1513.81,10
HCPCS,J9355,trastuzumab per 10 mg,11502.36,4025.83,73.43,3945.31,10
HCPCS,J9356,"trastuzumab-hyaluronidase-oysk 600 mg-10,000 unit/5 mL solution 5 mL Vial",13240.28,4634.1,59.91,4541.42,10
HCPCS,J9357,Valrubicin injection,,,1270.52,7298.73,8
HCPCS,J9358,fam-trastuzumab deruxtecn-nxki 20 mg/ml recon soln 1 each Vial,7959.735000000001,2785.91,31.26,2998.12,20
HCPCS,J9359,Inj lon tesirin-lpyl 0.075mg,,,221.49,1030.2,8
HCPCS,J9360,vinblastine per 1 mg,152.24,53.29,6.96,52.22,6
HCPCS,J9370,vinCRIStine 2 mg/2 mL solution 2 mL Vial,45.875,16.060000000000002,12.75,39.27,12
HCPCS,J9370,vincristine per 1 mg,50.27,17.6,12.75,39.27,6
HCPCS,J9371,Drugs,,,5644.29,5644.29,1
HCPCS,J9371,Drugs - Other,,,18036.25,18036.25,1
HCPCS,J9371,Other Outpatient Services - CPT/HCPCS,,,5910.17,5910.17,1
HCPCS,J9376,"Inj pozelimab-bbfg, 1 mg",,,91.73,198.62,5
HCPCS,J9380,Inj teclistamab cqyv 0.5 mg,,,34.5,162.25,8
HCPCS,J9381,Inj teplizumab mzwv 5 mcg,,,38.39,190.21,8
HCPCS,J9382,Inj zenocutuzumab-zbco 1 mg,,,33.57,54.65,4
HCPCS,J9390,vinorelbine tartrate per 10 mg,104.56,36.6,12.24,43.37,12
HCPCS,J9393,"Inj, fulvestrant (teva)",,,34.37,111.18,8
HCPCS,J9394,"Inj, fulvestrant (fresenius)",,,8.66,119.25,8
HCPCS,J9395,fulvestrant per 25 mg,2659.9,930.97,12.64,941.77,18
HCPCS,J9400,ziv-aflibercept 100 mg/4 mL (25 mg/mL) solution 4 mL Vial,4531.2,1585.92,8.61,1554.2,10
HCPCS,J9600,Porfimer sodium injection,,,37666.46,113534.77,4
HCPCS,J9601,Inj linvoseltamab-gcpt 1 mg,,,99.5,162.01,4
HCPCS,J9999,Chemotherapy drug,,,224999.49,224999.49,1
HCPCS,K0001,Standard wheelchair,,,186.37,186.37,1
HCPCS,K0002,Stnd hemi (low seat) whlchr,,,324.2,324.2,1
HCPCS,K0003,Lightweight wheelchair,,,295.21,295.21,1
HCPCS,K0004,High strength ltwt whlchr,,,366.05,366.05,1
HCPCS,K0005,Ultralightweight wheelchair,,,1244.09,1244.09,1
HCPCS,K0006,Heavy duty wheelchair,,,506.37,506.37,1
HCPCS,K0007,Extra heavy duty wheelchair,,,688.9,688.9,1
HCPCS,K0009,Other manual wheelchair/base,,,500.3,500.3,1
HCPCS,K0010,Stnd wt frame power whlchr,,,2866.68,2866.68,1
HCPCS,K0011,Stnd wt pwr whlchr w control,,,3447.35,3447.35,1
HCPCS,K0012,Ltwt portbl power whlchr,,,2186.53,2186.53,1
HCPCS,K0014,Other power whlchr base,,,8437.12,8437.12,1
HCPCS,K0015,Detach non-adjus hght armrst,,,92.24,92.24,1
HCPCS,K0017,Detach adjust armrest base,,,27.96,27.96,1
HCPCS,K0018,Detach adjust armrst upper,,,15.76,15.76,1
HCPCS,K0019,"Arm pad repl, each",,,8.55,8.55,1
HCPCS,K0020,Fixed adjust armrest pair,,,26.87,26.87,1
HCPCS,K0037,Hi mount flip-up footrest ea,,,26.33,26.33,1
HCPCS,K0038,Leg strap each,,,13.79,13.79,1
HCPCS,K0039,Leg strap h style each,,,29.88,29.88,1
HCPCS,K0040,Adjustable angle footplate,,,33.51,33.51,1
HCPCS,K0041,Large size footplate each,,,28.75,28.75,1
HCPCS,K0042,Standard size ftplate rep ea,,,18.82,18.82,1
HCPCS,K0043,Ftrst lowr exten tube rep ea,,,11.19,11.19,1
HCPCS,K0044,Ftrst upr hanger brac rep ea,,,9.65,9.65,1
HCPCS,K0045,Ftrst compl assembly repl ea,,,32.13,32.13,1
HCPCS,K0046,Elev lgrst lwr exten repl ea,,,11.26,11.26,1
HCPCS,K0047,Elev legrst upr hangr rep ea,,,40.81,40.81,1
HCPCS,K0050,Ratchet assembly replacement,,,18.51,18.51,1
HCPCS,K0051,Cam rel asm ft/legrst rep ea,,,29.44,29.44,1
HCPCS,K0052,Swingaway detach ftrest repl,,,45.57,45.57,1
HCPCS,K0053,Elevate footrest articulate,,,51.07,51.07,1
HCPCS,K0056,Seat ht <17 or >=21 ltwt wc,,,57.3,57.3,1
HCPCS,K0065,Spoke protectors,,,27.46,27.46,1
HCPCS,K0069,Rr whl compl sol tire rep ea,,,57.71,57.71,1
HCPCS,K0070,Rear whl compl pneum tire,,,98.71,98.71,1
HCPCS,K0071,Fr cstr comp pne tire rep ea,,,63.35,63.35,1
HCPCS,K0072,Fr cstr semi-pne tire rep ea,,,39.89,39.89,1
HCPCS,K0073,Caster pin lock each,,,20.97,20.97,1
HCPCS,K0077,Fr cstr asmb sol tire rep ea,,,34.57,34.57,1
HCPCS,K0098,"Drive belt for pwc, repl",,,13.93,13.93,1
HCPCS,K0105,Iv hanger,,,58.68,58.68,1
HCPCS,K0195,Elevating whlchair leg rests,,,77.26,77.26,1
HCPCS,K0455,Pump uninterrupted infusion,,,1782.37,1782.37,1
HCPCS,K0462,Temporary replacement eqpmnt,,,181.87,181.87,1
HCPCS,K0552,Sup/ext non-ins inf pump syr,,,2.21,5.65,5
HCPCS,K0601,Repl batt silver oxide 1.5 v,,,0.1,0.1,1
HCPCS,K0602,Repl batt silver oxide 3 v,,,0.55,0.55,1
HCPCS,K0603,Repl batt alkaline 1.5 v,,,0.05,0.05,1
HCPCS,K0604,Repl batt lithium 3.6 v,,,0.54,0.54,1
HCPCS,K0605,Repl batt lithium 4.5 v,,,1.28,1.28,1
HCPCS,K0606,AED garment w elec analysis,,,16946.72,16946.72,1
HCPCS,K0607,Repl batt for AED,,,130.75,130.75,1
HCPCS,K0608,Repl garment for AED,,,81.57,81.57,1
HCPCS,K0609,Repl electrode for AED,,,592.21,1870.44,5
HCPCS,K0669,Seat/back cus no dmepdac ver,,,116.17,116.17,1
HCPCS,K0672,Removable soft interface LE,,,66.33,171.56,5
HCPCS,K0730,Ctrl dose inh drug deliv sys,,,1160.12,1160.12,1
HCPCS,K0733,12-24hr sealed lead acid,,,16.9,16.9,1
HCPCS,K0738,Portable gas oxygen system,,,241.94,241.94,1
HCPCS,K0739,Repair/svc DME non-oxygen eq,,,12.96,32.74,5
HCPCS,K0740,Repair/svc oxygen equipment,,,17.3,17.3,1
HCPCS,K0743,Portable home suction pump,,,1100.19,1100.19,1
HCPCS,K0744,Absorp drg <= 16 suc pump,,,33.79,33.79,1
HCPCS,K0800,POV group 1 std up to 300lbs,,,541.78,541.78,1
HCPCS,K0801,POV group 1 hd 301-450 lbs,,,965.18,965.18,1
HCPCS,K0802,POV group 1 vhd 451-600 lbs,,,1203.02,1203.02,1
HCPCS,K0806,POV group 2 std up to 300lbs,,,835.94,835.94,1
HCPCS,K0807,POV group 2 hd 301-450 lbs,,,1288.16,1288.16,1
HCPCS,K0808,POV group 2 vhd 451-600 lbs,,,1991.75,1991.75,1
HCPCS,K0813,PWC gp 1 std port seat/back,,,1661.13,1661.13,1
HCPCS,K0814,PWC gp 1 std port cap chair,,,1862.99,1862.99,1
HCPCS,K0815,PWC gp 1 std seat/back,,,1996.97,1996.97,1
HCPCS,K0816,PWC gp 1 std cap chair,,,1923.97,1923.97,1
HCPCS,K0820,PWC gp 2 std port seat/back,,,1735.81,1735.81,1
HCPCS,K0821,PWC gp 2 std port cap chair,,,1910.96,1910.96,1
HCPCS,K0822,PWC gp 2 std seat/back,,,2120.1,2120.1,1
HCPCS,K0823,PWC gp 2 std cap chair,,,2066.71,2066.71,1
HCPCS,K0824,PWC gp 2 hd seat/back,,,2914.65,2914.65,1
HCPCS,K0825,PWC gp 2 hd cap chair,,,2671.47,2671.47,1
HCPCS,K0826,PWC gp 2 vhd seat/back,,,4554.33,4554.33,1
HCPCS,K0827,PWC gp vhd cap chair,,,3826.57,3826.57,1
HCPCS,K0828,PWC gp 2 xtra hd seat/back,,,5428.08,5428.08,1
HCPCS,K0829,PWC gp 2 xtra hd cap chair,,,5184.83,5184.83,1
HCPCS,K0830,PWC gp2 std seat elevate s/b,,,2408.85,2408.85,1
HCPCS,K0831,PWC gp2 std seat elevate cap,,,2408.87,2408.87,1
HCPCS,K0835,PWC gp2 std sing pow opt s/b,,,2447.69,2447.69,1
HCPCS,K0836,PWC gp2 std sing pow opt cap,,,2538.62,2538.62,1
HCPCS,K0837,PWC gp 2 hd sing pow opt s/b,,,3060.84,3060.84,1
HCPCS,K0838,PWC gp 2 hd sing pow opt cap,,,2721.65,2721.65,1
HCPCS,K0839,PWC gp2 vhd sing pow opt s/b,,,4030.38,4030.38,1
HCPCS,K0840,PWC gp2 xhd sing pow opt s/b,,,6160.15,6160.15,1
HCPCS,K0841,PWC gp2 std mult pow opt s/b,,,2703.19,2703.19,1
HCPCS,K0842,PWC gp2 std mult pow opt cap,,,2700.65,2700.65,1
HCPCS,K0843,PWC gp2 hd mult pow opt s/b,,,3221.81,3221.81,1
HCPCS,K0848,PWC gp 3 std seat/back,,,4597.65,4597.65,1
HCPCS,K0849,PWC gp 3 std cap chair,,,4420.29,4420.29,1
HCPCS,K0850,PWC gp 3 hd seat/back,,,5332.95,5332.95,1
HCPCS,K0851,PWC gp 3 hd cap chair,,,5127.7,5127.7,1
HCPCS,K0852,PWC gp 3 vhd seat/back,,,6161.91,6161.91,1
HCPCS,K0853,PWC gp 3 vhd cap chair,,,6329.91,6329.91,1
HCPCS,K0854,PWC gp 3 xhd seat/back,,,8385.69,8385.69,1
HCPCS,K0855,PWC gp 3 xhd cap chair,,,7921.51,7921.51,1
HCPCS,K0856,PWC gp3 std sing pow opt s/b,,,4934.91,4934.91,1
HCPCS,K0857,PWC gp3 std sing pow opt cap,,,5033.88,5033.88,1
HCPCS,K0858,PWC gp3 hd sing pow opt s/b,,,6122.85,6122.85,1
HCPCS,K0859,PWC gp3 hd sing pow opt cap,,,5839.32,5839.32,1
HCPCS,K0860,PWC gp3 vhd sing pow opt s/b,,,8747.3,8747.3,1
HCPCS,K0861,PWC gp3 std mult pow opt s/b,,,4942.85,4942.85,1
HCPCS,K0862,PWC gp3 hd mult pow opt s/b,,,6122.85,6122.85,1
HCPCS,K0863,PWC gp3 vhd mult pow opt s/b,,,8747.3,8747.3,1
HCPCS,K0864,PWC gp3 xhd mult pow opt s/b,,,10409.29,10409.29,1
HCPCS,K0868,PWC gp 4 std seat/back,,,7654.21,7654.21,1
HCPCS,K0869,PWC gp 4 std cap chair,,,8089.2,8089.2,1
HCPCS,K0877,PWC gp4 std sing pow opt s/b,,,7104.63,7104.63,1
HCPCS,K0878,PWC gp4 std sing pow opt cap,,,7104.63,7104.63,1
HCPCS,K0879,PWC gp4 hd sing pow opt s/b,,,9594.58,9594.58,1
HCPCS,K0880,PWC gp4 vhd sing pow opt s/b,,,15014.6,15014.6,1
HCPCS,K0884,PWC gp4 std mult pow opt s/b,,,8025.61,8025.61,1
HCPCS,K0885,PWC gp4 std mult pow opt cap,,,10719.22,10719.22,1
HCPCS,K0886,PWC gp4 hd mult pow s/b,,,9899.89,9899.89,1
HCPCS,K0890,PWC gp5 ped sing pow opt s/b,,,10217.28,10217.28,1
HCPCS,K0891,PWC gp5 ped mult pow opt s/b,,,17557.34,17557.34,1
HCPCS,K1002,Other Outpatient Services - CPT/HCPCS,,,251.66,251.66,1
HCPCS,K1007,Bil hkaf pc s/d micro sensor,,,95081.03,154810.93,4
HCPCS,K1019,Other Outpatient Services - CPT/HCPCS,,,340.2,340.2,1
HCPCS,K1034,COVID test self-admn/collect,,,20.76,20.76,1
HCPCS,L0112,Cranial cervical orthosis,,,1484.53,2831.33,5
HCPCS,L0113,Cranial cervical torticollis,,,326.04,576.92,5
HCPCS,L0120,Cerv flex n/adj foam pre ots,,,28.06,49.66,5
HCPCS,L0130,Flex thermoplastic collar mo,,,172.52,305.25,5
HCPCS,L0140,Cervical semi-rigid adjustab,,,76.43,135.24,5
HCPCS,L0150,Cerv semi-rig adj molded chn,,,114.27,202.19,5
HCPCS,L0160,Cerv sr wire occ/man pre ots,,,165.61,293.04,5
HCPCS,L0170,Cervical collar molded to pt,,,681.93,1206.63,5
HCPCS,L0172,Cerv col sr foam 2pc pre ots,,,139.46,246.75,5
HCPCS,L0174,Cerv sr 2pc thor ext pre ots,,,339.75,601.16,5
HCPCS,L0180,Cer post col occ/man sup adj,,,391.79,693.25,5
HCPCS,L0190,Cerv collar supp adj cerv ba,,,543.88,962.35,5
HCPCS,L0200,Cerv col supp adj bar & thor,,,590.66,1045.14,5
HCPCS,L0220,Thor rib belt custom fabrica,,,129.51,229.14,5
HCPCS,L0450,Tlso flex trunk/thor pre ots,,,95.25,155.09,5
HCPCS,L0452,tlso flex custom fab thoraci,,,242.2,242.2,1
HCPCS,L0454,Tlso trnk sj-t9 pre cst,,,396.5,701.58,5
HCPCS,L0455,Tlso flex trnk sj-t9 pre ots,,,176.82,287.9,5
HCPCS,L0456,Tlso flex trnk sj-ss pre cst,,,1137.08,2011.98,5
HCPCS,L0457,Tlso flex trnk sj-ss pre ots,,,507.07,825.61,5
HCPCS,L0458,TLSO 2Mod symphis-xipho pre,,,1019.61,1804.14,5
HCPCS,L0460,Tlso 2 shl symphys-stern cst,,,1147.66,2030.72,5
HCPCS,L0462,TLSO 3Mod sacro-scap pre,,,1427.47,2525.84,5
HCPCS,L0464,TLSO 4Mod sacro-scap pre,,,1699.38,3006.96,5
HCPCS,L0466,Tlso r fram soft ant pre cst,,,412.78,730.38,5
HCPCS,L0467,Tlso r fram soft pre ots,,,198.31,322.89,5
HCPCS,L0468,Tlso rig fram pelvic pre cst,,,484.69,857.64,5
HCPCS,L0469,Tlso rig fram pelvic pre ots,,,252.68,411.41,5
HCPCS,L0470,TLSO rigid frame pre subclav,,,674.15,1192.85,5
HCPCS,L0472,TLSO rigid frame hyperex pre,,,427.55,756.53,5
HCPCS,L0480,TLSO rigid plastic custom fa,,,1871.01,3310.62,5
HCPCS,L0482,TLSO rigid lined custom fab,,,2092.12,3701.86,5
HCPCS,L0484,TLSO rigid plastic cust fab,,,2257.98,3995.34,5
HCPCS,L0486,TLSO rigidlined cust fab two,,,2287.82,4048.14,5
HCPCS,L0488,TLSO rigid lined pre one pie,,,1147.66,2030.72,5
HCPCS,L0490,TLSO rigid plastic pre one,,,323.37,572.2,5
HCPCS,L0491,TLSO 2 piece rigid shell,,,878.04,1553.64,5
HCPCS,L0492,TLSO 3 piece rigid shell,,,553.34,979.1,5
HCPCS,L0621,Sio flex pelvic/sacr pre ots,,,50.21,81.75,5
HCPCS,L0622,SIO flex pelvisacral custom,,,273.17,483.36,5
HCPCS,L0623,Sio rig pnl pelv/sac pre ots,,,90.01,146.55,5
HCPCS,L0624,SIO panel custom,,,69.2,69.2,1
HCPCS,L0625,Lo flex l1-below l5 pre ots,,,28.1,45.75,5
HCPCS,L0626,Lo sag rig pnl stays pre cst,,,89.29,157.97,5
HCPCS,L0627,Lo sag ri an/pos pnl pre cst,,,470.87,833.18,5
HCPCS,L0628,Lso flex no ri stays pre ots,,,42.78,69.65,5
HCPCS,L0629,LSO flex w/rigid stays cust,,,299.29,299.29,1
HCPCS,L0630,Lso r post pnl sj-t9 pre cst,,,185.51,328.23,5
HCPCS,L0631,Lso sag r an/pos pnl pre cst,,,1175.98,2080.86,5
HCPCS,L0632,LSO sag rigid frame cust,,,77.85,77.85,1
HCPCS,L0633,Lso sc r pos/lat pnl pre cst,,,328.49,581.23,5
HCPCS,L0634,LSO flexion control custom,,,605.5,605.5,1
HCPCS,L0635,LSO sagit rigid panel prefab,,,1012.14,1790.91,5
HCPCS,L0636,LSO sagittal rigid panel cus,,,1761.31,3116.52,5
HCPCS,L0637,Lso sc r ant/pos pnl pre cst,,,1185.74,2098.1,5
HCPCS,L0638,LSO sag-coronal panel custom,,,1507.9,2668.12,5
HCPCS,L0639,Lso s/c shell/panel prefab,,,1185.74,2098.1,5
HCPCS,L0640,LSO s/c shell/panel custom,,,1196.3,2116.76,5
HCPCS,L0641,Lo rig pos pnl l1-l5 pre ots,,,39.75,64.72,5
HCPCS,L0642,Lo sag ri an/pos pnl pre ots,,,209.62,341.3,5
HCPCS,L0643,Lso sag ctr rigi pos pre ots,,,82.58,134.46,5
HCPCS,L0648,Lso sag r an/pos pnl pre ots,,,523.5,852.36,5
HCPCS,L0649,Lso sc r pos/lat pnl pre ots,,,146.23,238.09,5
HCPCS,L0650,Lso sc r ant/pos pnl pre ots,,,605.72,986.23,5
HCPCS,L0651,LSO sag-co shell pnl pre ots,,,605.72,986.23,5
HCPCS,L0700,Ctlso a-p-l control molded,,,2162.62,3826.61,5
HCPCS,L0710,Ctlso a-p-l control w/ inter,,,2523.62,4465.4,5
HCPCS,L0720,Ctlso a-p-l control custom,,,2272.58,3700.21,4
HCPCS,L0810,Halo cervical into jckt vest,,,2849.47,5041.93,5
HCPCS,L0820,Halo cervical into body jack,,,2465.15,4361.92,5
HCPCS,L0830,Halo cerv into milwaukee typ,,,3315.79,5867.06,5
HCPCS,L0859,MRI compatible system,,,1717.54,3039.08,5
HCPCS,L0861,Halo repl liner/interface,,,246.42,436.02,5
HCPCS,L0970,Tlso corset front,,,161.13,285.13,5
HCPCS,L0972,Lso corset front,,,117.05,207.11,5
HCPCS,L0974,Tlso full corset,,,189.31,334.97,5
HCPCS,L0976,Lso full corset,,,214.52,379.58,5
HCPCS,L0978,Axillary crutch extension,,,203.53,360.16,5
HCPCS,L0980,Peroneal straps pair pre ots,,,18.46,32.68,5
HCPCS,L0982,Stocking sup grips 4 pre ots,,,17.21,30.46,5
HCPCS,L0984,Protect body sock ea pre ots,,,70.46,124.67,5
HCPCS,L1000,Ctlso milwauke initial model,,,2501.61,4426.44,5
HCPCS,L1001,CTLSO infant immobilizer,,,78.89,78.89,1
HCPCS,L1005,Tension based scoliosis orth,,,3659.19,6474.68,5
HCPCS,L1006,Scoliosis orth sag/ cor,,,1309.09,2131.46,4
HCPCS,L1010,Ctlso axilla sling,,,70.96,125.57,5
HCPCS,L1020,Kyphosis pad,,,91.4,161.73,5
HCPCS,L1025,Kyphosis pad floating,,,131.84,233.32,5
HCPCS,L1030,Lumbar bolster pad,,,67.26,119.02,5
HCPCS,L1040,Lumbar or lumbar rib pad,,,82.49,145.97,5
HCPCS,L1050,Sternal pad,,,88.04,155.79,5
HCPCS,L1060,Thoracic pad,,,101.12,178.94,5
HCPCS,L1070,Trapezius sling,,,95.15,168.37,5
HCPCS,L1080,Outrigger,,,75.19,133.02,5
HCPCS,L1085,Outrigger bil w/ vert extens,,,162.76,288.0,5
HCPCS,L1090,Lumbar sling,,,104.7,185.24,5
HCPCS,L1100,Ring flange plastic/leather,,,168.16,297.54,5
HCPCS,L1110,Ring flange plas/leather mol,,,270.07,477.86,5
HCPCS,L1120,Covers for upright each,,,45.41,80.35,5
HCPCS,L1200,Furnsh initial orthosis only,,,1986.78,3515.48,5
HCPCS,L1210,Lateral thoracic extension,,,368.91,652.75,5
HCPCS,L1220,Anterior thoracic extension,,,244.24,432.17,5
HCPCS,L1230,Milwaukee type superstructur,,,798.97,1413.73,5
HCPCS,L1240,Lumbar derotation pad,,,82.11,145.27,5
HCPCS,L1250,Anterior asis pad,,,76.4,135.17,5
HCPCS,L1260,Anterior thoracic derotation,,,80.0,141.54,5
HCPCS,L1270,Abdominal pad,,,81.93,144.96,5
HCPCS,L1280,Rib gusset (elastic) each,,,91.22,161.42,5
HCPCS,L1290,Lateral trochanteric pad,,,83.11,147.06,5
HCPCS,L1300,Body jacket mold to patient,,,2195.06,3884.01,5
HCPCS,L1310,Post-operative body jacket,,,2324.41,4112.9,5
HCPCS,L1600,Ho flex frejka w/cov pre cst,,,139.35,246.57,5
HCPCS,L1610,Ho frejka cov only pre cst,,,46.43,82.14,5
HCPCS,L1620,Ho flex pavlik harns pre cst,,,141.67,250.68,5
HCPCS,L1630,Abduct control hip semi-flex,,,179.18,317.04,5
HCPCS,L1640,Pelv band/spread bar thigh c,,,598.65,1059.26,5
HCPCS,L1650,HO abduction hip adjustable,,,275.88,488.15,5
HCPCS,L1652,Ho bi thighcuffs w sprdr bar,,,407.54,721.11,5
HCPCS,L1653,Ho abduction static ots,,,442.89,721.11,4
HCPCS,L1660,HO abduction static plastic,,,180.96,320.2,5
HCPCS,L1680,Pelvic & hip control thigh c,,,1288.37,2279.66,5
HCPCS,L1681,Ho bilateral hip abduction,,,2326.87,3847.27,5
HCPCS,L1685,Post-op hip abduct custom fa,,,1257.76,2225.52,5
HCPCS,L1686,HO post-op hip abduction,,,1087.15,1923.64,5
HCPCS,L1690,Combination bilateral HO,,,2210.77,3911.82,5
HCPCS,L1700,Leg perthes orth toronto typ,,,1614.76,2857.23,5
HCPCS,L1710,Legg perthes orth newington,,,1890.25,3344.7,5
HCPCS,L1720,Legg perthes orthosis trilat,,,1393.34,2465.44,5
HCPCS,L1730,Legg perthes orth scottish r,,,1198.75,2121.1,5
HCPCS,L1755,Legg perthes patten bottom t,,,1674.12,2962.27,5
HCPCS,L1810,Ko elastic with joints,,,106.76,188.94,5
HCPCS,L1812,Ko elastic w/joints pre ots,,,71.44,116.32,5
HCPCS,L1820,Ko elas w/ condyle pads & jo,,,149.94,265.32,5
HCPCS,L1821,Ko elas w/ condyle pads otf,,,162.95,265.32,4
HCPCS,L1830,Ko immob canvas long pre ots,,,64.38,104.82,5
HCPCS,L1831,Knee orth pos locking joint,,,336.49,595.38,5
HCPCS,L1832,Ko adj jnt pos r sup pre cst,,,642.85,1137.51,5
HCPCS,L1833,Ko adj jnt pos r sup pre ots,,,463.72,755.03,5
HCPCS,L1834,Ko w/0 joint rigid molded to,,,867.08,1534.22,5
HCPCS,L1836,Ko rigid w/o joints pre ots,,,91.02,148.2,5
HCPCS,L1840,Ko derot ant cruciate custom,,,972.26,1720.36,5
HCPCS,L1843,Ko single upright pre cst,,,1025.84,1815.15,5
HCPCS,L1844,Ko w/adj jt rot cntrl molded,,,1898.0,3358.39,5
HCPCS,L1845,Ko double upright pre cst,,,892.63,1579.45,5
HCPCS,L1846,Ko w adj flex/ext rotat mold,,,1186.8,2099.97,5
HCPCS,L1847,Ko dbl upright w/air pre cst,,,657.56,1163.51,5
HCPCS,L1848,Ko dbl upright w/air pre ots,,,657.56,1163.51,5
HCPCS,L1850,Ko swedish type pre ots,,,209.64,341.34,5
HCPCS,L1851,Ko single upright prefab ots,,,612.07,996.57,5
HCPCS,L1852,Ko double upright prefab ots,,,583.9,950.71,5
HCPCS,L1860,Ko supracondylar socket mold,,,1134.66,2007.68,5
HCPCS,L1900,Afo sprng wir drsflx calf bd,,,311.07,550.43,5
HCPCS,L1902,Afo ankle gauntlet pre ots,,,84.41,149.35,5
HCPCS,L1904,Afo molded ankle gauntlet,,,497.24,879.81,5
HCPCS,L1906,Afo multilig ank sup pre ots,,,169.56,300.01,5
HCPCS,L1907,Afo supramalleolar custom,,,643.3,1138.26,5
HCPCS,L1910,Afo sing bar clasp attach sh,,,285.88,505.85,5
HCPCS,L1920,Afo sing upright w/ adjust s,,,464.95,822.7,5
HCPCS,L1930,Afo plastic,,,273.01,483.09,5
HCPCS,L1932,Afo rig ant tib tcf/= custom,,,1020.16,1805.1,5
HCPCS,L1933,Afo rig ant tib tcf/= ots,,,1108.65,1805.1,4
HCPCS,L1940,Afo molded to patient plasti,,,522.94,925.31,5
HCPCS,L1945,Afo molded plas rig ant tib,,,1007.14,1782.05,5
HCPCS,L1950,Afo spiral molded to pt plas,,,852.13,1507.79,5
HCPCS,L1951,Afo spiral prefab custom,,,960.15,1698.95,5
HCPCS,L1952,Afo spiral prefab ots,,,1043.45,1698.95,4
HCPCS,L1960,Afo pos solid ank plastic mo,,,586.11,1037.08,5
HCPCS,L1970,Afo plastic molded w/ankle j,,,790.45,1398.66,5
HCPCS,L1971,"Afo w/ankle joint, prefab",,,535.85,948.17,5
HCPCS,L1980,Afo sing solid stirrup calf,,,418.42,740.38,5
HCPCS,L1990,Afo doub solid stirrup calf,,,471.34,834.0,5
HCPCS,L2000,Kafo sing fre stirr thi/calf,,,1111.23,1966.25,5
HCPCS,L2005,KAFO sng/dbl mechanical act,,,4694.18,8306.05,5
HCPCS,L2006,Kaf sng/dbl swg/stn mcpr cus,,,39658.1,65570.95,5
HCPCS,L2010,Kafo sng solid stirrup w/o j,,,1143.95,2024.15,5
HCPCS,L2020,Kafo dbl solid stirrup band/,,,1234.68,2184.67,5
HCPCS,L2030,Kafo dbl solid stirrup w/o j,,,1071.2,1895.4,5
HCPCS,L2034,KAFO pla sin up w/wo k/a cus,,,2379.42,4210.25,5
HCPCS,L2035,KAFO plastic pediatric size,,,198.07,350.47,5
HCPCS,L2036,Kafo plas doub free knee mol,,,2153.52,3810.51,5
HCPCS,L2037,Kafo plas sing free knee mol,,,1761.21,3116.33,5
HCPCS,L2038,Kafo w/o joint multi-axis an,,,1511.8,2675.03,5
HCPCS,L2040,Hkafo torsion bil rot straps,,,243.95,431.64,5
HCPCS,L2050,Hkafo torsion cable hip pelv,,,557.3,986.12,5
HCPCS,L2060,Hkafo torsion ball bearing j,,,625.81,1107.36,5
HCPCS,L2070,Hkafo torsion unilat rot str,,,142.21,251.62,5
HCPCS,L2080,Hkafo unilat torsion cable,,,380.32,672.97,5
HCPCS,L2090,Hkafo unilat torsion ball br,,,515.44,912.04,5
HCPCS,L2106,Afo tib fx cast plaster mold,,,718.95,1272.13,5
HCPCS,L2108,Afo tib fx cast molded to pt,,,1286.53,2276.44,5
HCPCS,L2112,Afo tibial fracture soft,,,493.34,872.94,5
HCPCS,L2114,Afo tib fx semi-rigid,,,618.79,1094.9,5
HCPCS,L2116,Afo tibial fracture rigid,,,752.76,1331.95,5
HCPCS,L2126,Kafo fem fx cast thermoplas,,,1421.9,2515.98,5
HCPCS,L2128,Kafo fem fx cast molded to p,,,1813.16,3208.27,5
HCPCS,L2132,Kafo femoral fx cast soft,,,1102.93,1951.56,5
HCPCS,L2134,Kafo fem fx cast semi-rigid,,,1022.69,1809.6,5
HCPCS,L2136,Kafo femoral fx cast rigid,,,1405.52,2486.98,5
HCPCS,L2180,Plas shoe insert w ank joint,,,161.25,285.34,5
HCPCS,L2182,Drop lock knee,,,103.19,182.6,5
HCPCS,L2184,Limited motion knee joint,,,143.49,253.89,5
HCPCS,L2186,Adj motion knee jnt lerman t,,,190.61,337.28,5
HCPCS,L2188,Quadrilateral brim,,,316.68,560.35,5
HCPCS,L2190,Waist belt,,,95.63,169.24,5
HCPCS,L2192,Pelvic band & belt thigh fla,,,377.02,667.12,5
HCPCS,L2200,Limited ankle motion ea jnt,,,67.02,118.6,5
HCPCS,L2210,Dorsiflexion assist each joi,,,94.77,167.69,5
HCPCS,L2220,Dorsi & plantar flex ass/res,,,112.19,198.53,5
HCPCS,L2221,Ank mcrop plant & dorsi flex,,,2155.45,3509.5,4
HCPCS,L2230,Split flat caliper stirr & p,,,88.51,156.62,5
HCPCS,L2232,"Rocker bottom, contact AFO",,,109.86,194.37,5
HCPCS,L2240,Round caliper and plate atta,,,88.44,156.49,5
HCPCS,L2250,Foot plate molded stirrup at,,,444.78,787.02,5
HCPCS,L2260,Reinforced solid stirrup,,,242.39,428.87,5
HCPCS,L2265,Long tongue stirrup,,,124.53,220.34,5
HCPCS,L2270,Varus/valgus strap padded/li,,,62.35,110.33,5
HCPCS,L2275,Plastic mod low ext pad/line,,,157.52,278.7,5
HCPCS,L2280,Molded inner boot,,,478.79,847.2,5
HCPCS,L2300,Abduction bar jointed adjust,,,284.69,503.75,5
HCPCS,L2310,Abduction bar-straight,,,141.19,249.83,5
HCPCS,L2320,Non-molded lacer,,,277.63,491.26,5
HCPCS,L2330,Lacer molded to patient mode,,,457.64,809.75,5
HCPCS,L2335,Anterior swing band,,,252.06,446.01,5
HCPCS,L2340,Pre-tibial shell molded to p,,,472.58,836.21,5
HCPCS,L2350,Prosthetic type socket molde,,,1100.49,1947.25,5
HCPCS,L2360,Extended steel shank,,,60.79,107.58,5
HCPCS,L2370,Patten bottom,,,271.44,480.29,5
HCPCS,L2375,Torsion ank & half solid sti,,,119.47,211.41,5
HCPCS,L2380,Torsion straight knee joint,,,173.57,307.13,5
HCPCS,L2385,Straight knee joint heavy du,,,188.85,334.14,5
HCPCS,L2387,Add LE poly knee custom KAFO,,,174.99,309.65,5
HCPCS,L2390,Offset knee joint each,,,154.33,273.08,5
HCPCS,L2395,Offset knee joint heavy duty,,,196.56,347.82,5
HCPCS,L2397,Suspension sleeve lower ext,,,136.17,240.92,5
HCPCS,L2405,Knee joint drop lock ea jnt,,,99.67,176.35,5
HCPCS,L2415,Knee joint cam lock each joi,,,138.94,245.83,5
HCPCS,L2425,Knee disc/dial lock/adj flex,,,163.92,290.01,5
HCPCS,L2430,Knee jnt ratchet lock ea jnt,,,163.92,290.01,5
HCPCS,L2492,Knee lift loop drop lock rin,,,135.01,238.91,5
HCPCS,L2500,Thi/glut/ischia wgt bearing,,,333.6,590.26,5
HCPCS,L2510,Th/wght bear quad-lat brim m,,,768.07,1359.06,5
HCPCS,L2520,Th/wght bear quad-lat brim c,,,521.34,922.47,5
HCPCS,L2525,Th/wght bear nar m-l brim mo,,,1449.26,2564.37,5
HCPCS,L2526,Th/wght bear nar m-l brim cu,,,938.14,1659.98,5
HCPCS,L2530,Thigh/wght bear lacer non-mo,,,331.26,586.14,5
HCPCS,L2540,Thigh/wght bear lacer molded,,,507.41,897.82,5
HCPCS,L2550,Thigh/wght bear high roll cu,,,404.92,716.49,5
HCPCS,L2570,Hip clevis type 2 posit jnt,,,503.65,891.18,5
HCPCS,L2580,Pelvic control pelvic sling,,,641.9,1135.78,5
HCPCS,L2600,Hip clevis/thrust bearing fr,,,235.82,417.28,5
HCPCS,L2610,Hip clevis/thrust bearing lo,,,268.82,475.66,5
HCPCS,L2620,Pelvic control hip heavy dut,,,282.72,500.26,5
HCPCS,L2622,Hip joint adjustable flexion,,,324.25,573.76,5
HCPCS,L2624,Hip adj flex ext abduct cont,,,350.15,619.56,5
HCPCS,L2627,Plastic mold recipro hip & c,,,2416.93,4276.6,5
HCPCS,L2628,Metal frame recipro hip & ca,,,2362.07,4179.54,5
HCPCS,L2630,Pelvic control band & belt u,,,349.11,617.74,5
HCPCS,L2640,Pelvic control band & belt b,,,355.34,628.76,5
HCPCS,L2650,Pelv & thor control gluteal,,,126.9,224.53,5
HCPCS,L2660,Thoracic control thoracic ba,,,262.77,464.95,5
HCPCS,L2670,Thorac cont paraspinal uprig,,,240.5,425.55,5
HCPCS,L2680,Thorac cont lat support upri,,,220.63,390.38,5
HCPCS,L2750,Plating chrome/nickel pr bar,,,88.37,156.39,5
HCPCS,L2755,Carbon graphite lamination,,,149.33,264.24,5
HCPCS,L2760,Extension per extension per,,,85.67,151.57,5
HCPCS,L2768,Ortho sidebar disconnect,,,148.95,263.57,5
HCPCS,L2780,Non-corrosive finish,,,71.55,126.63,5
HCPCS,L2785,Drop lock retainer each,,,33.51,59.3,5
HCPCS,L2795,Knee control full kneecap,,,89.86,158.99,5
HCPCS,L2800,Knee cap medial or lateral p,,,123.71,218.9,5
HCPCS,L2810,Knee control condylar pad,,,82.59,146.13,5
HCPCS,L2820,Soft interface below knee se,,,122.43,216.63,5
HCPCS,L2830,Soft interface above knee se,,,132.45,234.36,5
HCPCS,L2840,Tibial length sock fx or equ,,,46.19,81.75,5
HCPCS,L2850,Femoral lgth sock fx or equa,,,84.08,148.77,5
HCPCS,L2861,Torsion mechanism knee/ankle,,,225.16,225.16,1
HCPCS,L3000,Ft insert ucb berkeley shell,,,359.1,635.41,5
HCPCS,L3001,Foot insert remov molded spe,,,151.2,267.56,5
HCPCS,L3002,Foot insert plastazote or eq,,,184.63,326.67,5
HCPCS,L3003,Foot insert silicone gel eac,,,199.21,352.46,5
HCPCS,L3010,Foot longitudinal arch suppo,,,199.21,352.46,5
HCPCS,L3020,Foot longitud/metatarsal sup,,,226.82,401.32,5
HCPCS,L3030,Foot arch support remov prem,,,87.21,154.32,5
HCPCS,L3031,Foot lamin/prepreg composite,,,140.04,247.8,5
HCPCS,L3040,Ft arch suprt premold longit,,,53.82,95.23,5
HCPCS,L3050,Foot arch supp premold metat,,,53.82,95.23,5
HCPCS,L3060,Foot arch supp longitud/meta,,,84.34,149.24,5
HCPCS,L3070,Arch suprt att to sho longit,,,36.35,64.31,5
HCPCS,L3080,Arch supp att to shoe metata,,,36.35,64.31,5
HCPCS,L3090,Arch supp att to shoe long/m,,,46.49,82.26,5
HCPCS,L3100,Hallus-valgus nt dyn pre ots,,,49.43,87.43,5
HCPCS,L3140,Abduction rotation bar shoe,,,101.79,180.1,5
HCPCS,L3150,Abduct rotation bar w/o shoe,,,93.06,164.63,5
HCPCS,L3160,Shoe styled positioning dev,,,7.85,7.85,1
HCPCS,L3170,Foot plas heel stabi pre ots,,,58.16,102.92,5
HCPCS,L3201,Oxford w supinat/pronat inf,,,37.2,37.2,1
HCPCS,L3202,Oxford w/ supinat/pronator c,,,36.49,36.49,1
HCPCS,L3203,Oxford w/ supinator/pronator,,,35.43,35.43,1
HCPCS,L3204,Hightop w/ supp/pronator inf,,,35.43,35.43,1
HCPCS,L3206,Hightop w/ supp/pronator chi,,,36.85,36.85,1
HCPCS,L3207,Hightop w/ supp/pronator jun,,,37.54,37.54,1
HCPCS,L3208,Surgical boot each infant,,,19.65,19.65,1
HCPCS,L3209,Surgical boot each child,,,28.08,28.08,1
HCPCS,L3211,Surgical boot each junior,,,29.83,29.83,1
HCPCS,L3212,Benesch boot pair infant,,,41.4,41.4,1
HCPCS,L3213,Benesch boot pair child,,,50.17,50.17,1
HCPCS,L3214,Benesch boot pair junior,,,53.34,53.34,1
HCPCS,L3215,Orthopedic ftwear ladies oxf,,,67.71,67.71,1
HCPCS,L3216,Orthoped ladies shoes dpth i,,,82.11,82.11,1
HCPCS,L3217,Ladies shoes hightop depth i,,,88.77,88.77,1
HCPCS,L3219,Orthopedic mens shoes oxford,,,76.14,76.14,1
HCPCS,L3221,Orthopedic mens shoes dpth i,,,91.22,91.22,1
HCPCS,L3222,Mens shoes hightop depth inl,,,101.05,101.05,1
HCPCS,L3224,Woman's shoe oxford brace,,,64.65,114.4,5
HCPCS,L3225,Man's shoe oxford brace,,,86.29,152.68,5
HCPCS,L3230,Custom shoes depth inlay,,,118.94,118.94,1
HCPCS,L3250,Custom mold shoe remov prost,,,231.23,231.23,1
HCPCS,L3251,Shoe molded to pt silicone s,,,31.94,31.94,1
HCPCS,L3252,Shoe molded plastazote cust,,,126.67,126.67,1
HCPCS,L3253,Shoe molded plastazote cust,,,31.57,31.57,1
HCPCS,L3254,Orth foot non-stndard size/w,,,24.31,24.31,1
HCPCS,L3255,Orth foot non-standard size/,,,33.86,33.86,1
HCPCS,L3257,Orth foot add charge split s,,,22.8,22.8,1
HCPCS,L3260,Ambulatory surgical boot eac,,,12.98,12.98,1
HCPCS,L3265,Plastazote sandal each,,,14.03,14.03,1
HCPCS,L3300,Sho lift taper to metatarsal,,,59.62,105.49,5
HCPCS,L3310,Shoe lift elev heel/sole neo,,,93.06,164.63,5
HCPCS,L3320,Shoe lift elev heel/sole cor,,,85.62,85.62,1
HCPCS,L3330,Lifts elevation metal extens,,,647.0,1144.84,5
HCPCS,L3332,Shoe lifts tapered to one-ha,,,84.34,149.24,5
HCPCS,L3334,Shoe lifts elevation heel /i,,,43.65,77.23,5
HCPCS,L3340,Shoe wedge sach,,,97.4,172.36,5
HCPCS,L3350,Shoe heel wedge,,,26.14,46.24,5
HCPCS,L3360,Shoe sole wedge outside sole,,,40.69,72.02,5
HCPCS,L3370,Shoe sole wedge between sole,,,56.71,100.36,5
HCPCS,L3380,Shoe clubfoot wedge,,,56.71,100.36,5
HCPCS,L3390,Shoe outflare wedge,,,56.71,100.36,5
HCPCS,L3400,Shoe metatarsal bar wedge ro,,,46.49,82.26,5
HCPCS,L3410,Shoe metatarsal bar between,,,106.19,187.88,5
HCPCS,L3420,Full sole/heel wedge btween,,,62.5,110.6,5
HCPCS,L3430,Sho heel count plast reinfor,,,183.22,324.19,5
HCPCS,L3440,Heel leather reinforced,,,87.21,154.32,5
HCPCS,L3450,Shoe heel sach cushion type,,,120.65,213.47,5
HCPCS,L3455,Shoe heel new leather standa,,,46.49,82.26,5
HCPCS,L3460,Shoe heel new rubber standar,,,39.29,69.52,5
HCPCS,L3465,Shoe heel thomas with wedge,,,66.9,118.37,5
HCPCS,L3470,Shoe heel thomas extend to b,,,71.29,126.14,5
HCPCS,L3480,Shoe heel pad & depress for,,,71.29,126.14,5
HCPCS,L3485,Shoe heel pad removable for,,,12.98,12.98,1
HCPCS,L3500,Ortho shoe add leather insol,,,33.42,59.12,5
HCPCS,L3510,Orthopedic shoe add rub insl,,,33.42,59.12,5
HCPCS,L3520,O shoe add felt w leath insl,,,36.35,64.31,5
HCPCS,L3530,Ortho shoe add half sole,,,36.35,64.31,5
HCPCS,L3540,Ortho shoe add full sole,,,58.16,102.92,5
HCPCS,L3550,O shoe add standard toe tap,,,10.21,18.06,5
HCPCS,L3560,O shoe add horseshoe toe tap,,,26.14,46.24,5
HCPCS,L3570,O shoe add instep extension,,,97.4,172.36,5
HCPCS,L3580,O shoe add instep velcro clo,,,74.15,131.18,5
HCPCS,L3590,O shoe convert to sof counte,,,61.07,108.05,5
HCPCS,L3595,Ortho shoe add march bar,,,47.96,84.85,5
HCPCS,L3600,Trans shoe calip plate exist,,,87.21,154.32,5
HCPCS,L3610,Trans shoe caliper plate new,,,114.87,203.26,5
HCPCS,L3620,Trans shoe solid stirrup exi,,,87.21,154.32,5
HCPCS,L3630,Trans shoe solid stirrup new,,,114.87,203.26,5
HCPCS,L3640,Shoe dennis browne splint bo,,,49.43,87.43,5
HCPCS,L3650,So 8 abd restraint pre ots,,,61.36,108.58,5
HCPCS,L3660,So 8 ab rstr can/web pre ots,,,138.82,245.63,5
HCPCS,L3670,So acro/clav can web pre ots,,,117.0,207.03,5
HCPCS,L3671,SO cap design w/o jnts CF,,,937.52,1658.88,5
HCPCS,L3674,SO airplane w/wo joint CF,,,1229.91,2176.25,5
HCPCS,L3675,So vest canvas/web pre ots,,,182.55,323.02,5
HCPCS,L3677,So hard plas stabili pre cst,,,93.68,93.68,1
HCPCS,L3678,So hard plas stabili pre ots,,,167.81,167.81,1
HCPCS,L3702,EO w/o joints CF,,,300.45,531.61,5
HCPCS,L3710,Eo elas w/metal jnts pre ots,,,127.9,226.34,5
HCPCS,L3720,Forearm/arm cuffs free motio,,,676.79,1197.52,5
HCPCS,L3730,Forearm/arm cuffs ext/flex a,,,932.75,1650.44,5
HCPCS,L3740,Cuffs adj lock w/ active con,,,1105.85,1956.74,5
HCPCS,L3760,Eo adj jt prefab custom fit,,,520.33,920.7,5
HCPCS,L3761,"Eo, adj lock joint prefab ot",,,520.33,920.7,5
HCPCS,L3762,Eo rigid w/o joints pre ots,,,111.86,197.91,5
HCPCS,L3763,EWHO rigid w/o jnts CF,,,698.9,1236.67,5
HCPCS,L3764,EWHO w/joint(s) CF,,,798.93,1413.67,5
HCPCS,L3765,EWHFO rigid w/o jnts CF,,,1334.16,2360.71,5
HCPCS,L3766,EWHFO w/joint(s) CF,,,1412.77,2499.79,5
HCPCS,L3806,WHFO w/joint(s) custom fab,,,472.64,836.28,5
HCPCS,L3807,Whfo w/o joints pre cst,,,260.14,460.29,5
HCPCS,L3808,"WHFO, rigid w/o joints",,,377.59,668.13,5
HCPCS,L3809,Whfo w/o joints pre ots,,,260.14,460.29,5
HCPCS,L3891,Torsion mechanism wrist/elbo,,,165.23,165.23,1
HCPCS,L3900,Hinge extension/flex wrist/f,,,1338.88,2369.05,5
HCPCS,L3901,Hinge ext/flex wrist finger,,,2130.48,3769.74,5
HCPCS,L3904,Whfo electric custom fitted,,,4040.16,7148.79,5
HCPCS,L3905,WHO w/nontorsion jnt(s) CF,,,1031.84,1825.8,5
HCPCS,L3906,WHO w/o joints CF,,,423.14,748.73,5
HCPCS,L3908,Who cock-up nonmolde pre ots,,,62.0,109.69,5
HCPCS,L3912,Hfo flexion glove pre ots,,,98.13,173.63,5
HCPCS,L3913,HFO w/o joints CF,,,281.8,498.62,5
HCPCS,L3915,Who nontorsion jnts pre cst,,,553.1,978.68,5
HCPCS,L3916,Who nontorsion jnts pre ots,,,553.1,978.68,5
HCPCS,L3917,Metacarp fx orthosis pre cst,,,109.89,194.42,5
HCPCS,L3918,Metacarp fx orthosis pre ots,,,109.89,194.42,5
HCPCS,L3919,HO w/o joints CF,,,281.8,498.62,5
HCPCS,L3921,HFO w/joint(s) CF,,,334.18,591.3,5
HCPCS,L3923,Hfo without joints pre cst,,,89.99,159.25,5
HCPCS,L3924,Hfo without joints pre ots,,,89.99,159.25,5
HCPCS,L3925,Fo pip dip jnt/sprng pre ots,,,51.09,90.37,5
HCPCS,L3927,Fo pip dip no jt spr pre ots,,,36.4,64.41,5
HCPCS,L3929,Hfo nontorsion jnts pre cst,,,80.89,143.12,5
HCPCS,L3930,Hfo nontorsion jnts pre ots,,,80.89,143.12,5
HCPCS,L3931,WHFO nontorsion joint prefab,,,199.82,353.56,5
HCPCS,L3933,FO w/o joints CF,,,221.99,392.8,5
HCPCS,L3935,FO nontorsion joint CF,,,229.93,406.84,5
HCPCS,L3956,Add joint upper ext orthosis,,,30.55,30.55,1
HCPCS,L3960,Sewho airplan desig abdu pos,,,760.44,1345.56,5
HCPCS,L3961,SEWHO cap design w/o jnts CF,,,1748.13,3093.19,5
HCPCS,L3962,Sewho erbs palsey design abd,,,742.41,1313.63,5
HCPCS,L3967,SEWHO airplane w/o jnts CF,,,2063.94,3652.02,5
HCPCS,L3971,SEWHO cap design w/jnt(s) CF,,,1959.12,3466.55,5
HCPCS,L3973,SEWHO airplane w/jnt(s) CF,,,2063.94,3652.02,5
HCPCS,L3975,SEWHFO cap design w/o jnt CF,,,1748.13,3093.19,5
HCPCS,L3976,SEWHFO airplane w/o jnts CF,,,1748.13,3093.19,5
HCPCS,L3977,SEWHFO cap desgn w/jnt(s) CF,,,1959.12,3466.55,5
HCPCS,L3978,SEWHFO airplane w/jnt(s) CF,,,2063.94,3652.02,5
HCPCS,L3980,Up ext fx orthos humeral nos,,,319.88,566.01,5
HCPCS,L3981,Ue fx orth shoul cap forearm,,,1049.44,1856.91,5
HCPCS,L3982,Upper ext fx orthosis rad/ul,,,395.51,699.85,5
HCPCS,L3984,Upper ext fx orthosis wrist,,,409.21,724.09,5
HCPCS,L3995,Sock fracture or equal each,,,33.84,59.87,5
HCPCS,L4000,Repl girdle milwaukee orth,,,1529.04,2705.53,5
HCPCS,L4002,"Replace strap, any orthosis",,,43.25,43.25,1
HCPCS,L4010,Replace trilateral socket br,,,769.24,1361.13,5
HCPCS,L4020,Replace quadlat socket brim,,,910.78,1611.54,5
HCPCS,L4030,Replace socket brim cust fit,,,533.86,944.63,5
HCPCS,L4040,Replace molded thigh lacer,,,450.56,797.25,5
HCPCS,L4045,Replace non-molded thigh lac,,,417.5,738.76,5
HCPCS,L4050,Replace molded calf lacer,,,436.53,772.42,5
HCPCS,L4055,Replace non-molded calf lace,,,282.68,500.18,5
HCPCS,L4060,Replace high roll cuff,,,448.07,792.8,5
HCPCS,L4070,Replace prox & dist upright,,,297.58,526.54,5
HCPCS,L4080,Repl met band kafo-afo prox,,,106.95,189.25,5
HCPCS,L4090,Repl met band kafo-afo calf/,,,95.5,168.96,5
HCPCS,L4100,Repl leath cuff kafo prox th,,,110.29,195.16,5
HCPCS,L4110,Repl leath cuff kafo-afo cal,,,90.84,160.77,5
HCPCS,L4130,Replace pretibial shell,,,602.91,1066.81,5
HCPCS,L4205,Ortho dvc repair per 15 min,,,28.42,48.76,5
HCPCS,L4210,Orth dev repair/repl minor p,,,34.6,34.6,1
HCPCS,L4350,Ankle control ortho pre ots,,,94.51,167.25,5
HCPCS,L4360,Pneumat walking boot pre cst,,,315.95,559.04,5
HCPCS,L4361,Pneuma/vac walk boot pre ots,,,315.95,559.04,5
HCPCS,L4370,Pneum full leg splnt pre ots,,,218.95,387.43,5
HCPCS,L4386,Non-pneum walk boot pre cst,,,181.25,320.72,5
HCPCS,L4387,Non-pneum walk boot pre ots,,,181.25,320.72,5
HCPCS,L4392,Replace AFO soft interface,,,26.43,46.78,5
HCPCS,L4394,Replace foot drop spint,,,19.27,34.09,5
HCPCS,L4396,Static or dynami afo pre cst,,,188.4,333.36,5
HCPCS,L4397,Static or dynami afo pre ots,,,188.4,333.36,5
HCPCS,L4398,Foot drop splint pre ots,,,86.76,153.54,5
HCPCS,L4631,"Afo, walk boot type, cus fab",,,1573.56,2784.3,5
HCPCS,L5000,Sho insert w arch toe filler,,,545.11,1007.14,5
HCPCS,L5010,Mold socket ank hgt w/ toe f,,,1372.62,2662.27,5
HCPCS,L5020,Tibial tubercle hgt w/ toe f,,,2408.3,4671.05,5
HCPCS,L5050,Ank symes mold sckt sach ft,,,2558.6,4962.59,5
HCPCS,L5060,Symes met fr leath socket ar,,,3467.98,6726.39,5
HCPCS,L5100,Molded socket shin sach foot,,,2388.56,4632.78,5
HCPCS,L5105,Plast socket jts/thgh lacer,,,3916.55,7596.4,5
HCPCS,L5150,Mold sckt ext knee shin sach,,,3997.41,7753.26,5
HCPCS,L5160,Mold socket bent knee shin s,,,4402.19,8538.36,5
HCPCS,L5200,Kne sing axis fric shin sach,,,3395.02,6584.88,5
HCPCS,L5210,No knee/ankle joints w/ ft b,,,2688.02,5213.61,5
HCPCS,L5220,No knee joint with artic ali,,,3097.27,6007.41,5
HCPCS,L5230,Fem focal defic constant fri,,,5212.78,10110.55,5
HCPCS,L5250,Hip canad sing axi cons fric,,,6698.01,12991.24,5
HCPCS,L5270,Tilt table locking hip sing,,,6109.79,11850.38,5
HCPCS,L5280,Hemipelvect canad sing axis,,,6940.22,13461.06,5
HCPCS,L5301,BK mold socket SACH ft endo,,,2379.1,4614.43,5
HCPCS,L5312,"Knee disart, SACH ft, endo",,,3748.13,7269.78,5
HCPCS,L5321,AK open end SACH,,,3377.79,6551.44,5
HCPCS,L5331,Hip disart canadian SACH ft,,,5757.54,11167.16,5
HCPCS,L5341,Hemipelvectomy canadian SACH,,,6234.25,12091.76,5
HCPCS,L5400,Postop dress & 1 cast chg bk,,,1261.26,2446.27,5
HCPCS,L5410,Postop dsg bk ea add cast ch,,,429.39,832.84,5
HCPCS,L5420,Postop dsg & 1 cast chg ak/d,,,1756.87,3407.58,5
HCPCS,L5430,Postop dsg ak ea add cast ch,,,517.17,1003.09,5
HCPCS,L5450,Postop app non-wgt bear dsg,,,503.53,976.64,5
HCPCS,L5460,Postop app non-wgt bear dsg,,,589.76,1143.89,5
HCPCS,L5500,Init bk ptb plaster direct,,,1738.77,3372.46,5
HCPCS,L5505,Init ak ischal plstr direct,,,2023.98,3925.66,5
HCPCS,L5510,Prep BK ptb plaster molded,,,1732.44,3360.2,5
HCPCS,L5520,Perp BK ptb thermopls direct,,,1477.9,2866.49,5
HCPCS,L5530,Prep BK ptb thermopls molded,,,1944.95,3772.38,5
HCPCS,L5535,Prep BK ptb open end socket,,,1742.8,3380.29,5
HCPCS,L5540,Prep BK ptb laminated socket,,,2087.59,4049.04,5
HCPCS,L5560,Prep AK ischial plast molded,,,2440.6,4733.71,5
HCPCS,L5570,Prep AK ischial direct form,,,2641.16,5122.69,5
HCPCS,L5580,Prep AK ischial thermo mold,,,2966.67,5754.06,5
HCPCS,L5585,Prep AK ischial open end,,,2974.42,5769.14,5
HCPCS,L5590,Prep AK ischial laminated,,,3155.21,6119.74,5
HCPCS,L5595,Hip disartic sach thermopls,,,4138.07,8026.1,5
HCPCS,L5600,Hip disart sach laminat mold,,,4569.67,8863.22,5
HCPCS,L5610,Above knee hydracadence,,,2755.46,5344.42,5
HCPCS,L5611,Ak 4 bar link w/fric swing,,,2207.76,4282.12,5
HCPCS,L5613,Ak 4 bar ling w/hydraul swig,,,3157.46,6124.12,5
HCPCS,L5614,4-bar link above knee w/swng,,,1763.42,3420.31,5
HCPCS,L5615,Ak 4 bar link hydl swg/stanc,,,7494.65,12925.22,5
HCPCS,L5616,Ak univ multiplex sys frict,,,1832.8,3554.83,5
HCPCS,L5617,AK/BK self-aligning unit ea,,,582.89,1130.59,5
HCPCS,L5618,Test socket symes,,,289.03,560.61,5
HCPCS,L5620,Test socket below knee,,,285.73,554.17,5
HCPCS,L5622,Test socket knee disarticula,,,372.57,722.63,5
HCPCS,L5624,Test socket above knee,,,374.8,726.94,5
HCPCS,L5626,Test socket hip disarticulat,,,489.99,950.38,5
HCPCS,L5628,Test socket hemipelvectomy,,,496.2,962.4,5
HCPCS,L5629,Below knee acrylic socket,,,326.61,633.47,5
HCPCS,L5630,Syme typ expandabl wall sckt,,,503.71,976.99,5
HCPCS,L5631,Ak/knee disartic acrylic soc,,,451.55,875.83,5
HCPCS,L5632,Symes type ptb brim design s,,,280.52,544.08,5
HCPCS,L5634,Symes type poster opening so,,,416.83,808.45,5
HCPCS,L5636,Symes type medial opening so,,,349.15,677.18,5
HCPCS,L5637,Below knee total contact,,,296.9,575.85,5
HCPCS,L5638,Below knee leather socket,,,666.86,1293.43,5
HCPCS,L5639,Below knee wood socket,,,1536.33,2979.82,5
HCPCS,L5640,Knee disarticulat leather so,,,876.19,1699.47,5
HCPCS,L5642,Above knee leather socket,,,848.98,1646.66,5
HCPCS,L5643,Hip flex inner socket ext fr,,,2132.76,4136.64,5
HCPCS,L5644,Above knee wood socket,,,809.35,1569.78,5
HCPCS,L5645,Bk flex inner socket ext fra,,,1093.34,2120.6,5
HCPCS,L5646,Below knee cushion socket,,,729.35,1414.63,5
HCPCS,L5647,Below knee suction socket,,,998.16,1935.99,5
HCPCS,L5648,Above knee cushion socket,,,902.16,1749.79,5
HCPCS,L5649,Isch containmt/narrow m-l so,,,2178.73,4225.81,5
HCPCS,L5650,Tot contact ak/knee disart s,,,668.96,1297.48,5
HCPCS,L5651,Ak flex inner socket ext fra,,,1645.59,3191.74,5
HCPCS,L5652,Suction susp ak/knee disart,,,597.42,1158.72,5
HCPCS,L5653,Knee disart expand wall sock,,,797.51,1546.81,5
HCPCS,L5654,Socket insert symes,,,342.66,664.61,5
HCPCS,L5655,Socket insert below knee,,,272.6,528.71,5
HCPCS,L5656,Socket insert knee articulat,,,393.4,763.02,5
HCPCS,L5657,Add low ext man aut vol any,,,306.32,498.75,4
HCPCS,L5658,Socket insert above knee,,,428.31,830.72,5
HCPCS,L5661,Multi-durometer symes,,,625.41,1213.03,5
HCPCS,L5665,Multi-durometer below knee,,,526.21,1020.62,5
HCPCS,L5666,Below knee cuff suspension,,,71.93,139.52,5
HCPCS,L5668,Bk molded distal cushion,,,103.78,201.29,5
HCPCS,L5670,Bk molded supracondylar susp,,,371.83,721.19,5
HCPCS,L5671,BK/AK locking mechanism,,,681.6,1322.0,5
HCPCS,L5672,Bk removable medial brim sus,,,408.59,792.51,5
HCPCS,L5673,Socket insert w lock mech,,,778.67,1510.3,5
HCPCS,L5676,Bk knee joints single axis p,,,460.58,893.34,5
HCPCS,L5677,Bk knee joints polycentric p,,,506.72,982.81,5
HCPCS,L5678,Bk joint covers pair,,,53.11,102.98,5
HCPCS,L5679,Socket insert w/o lock mech,,,648.87,1258.52,5
HCPCS,L5680,Bk thigh lacer non-molded,,,381.9,740.7,5
HCPCS,L5681,Intl custm cong/latyp insert,,,1377.37,2671.5,5
HCPCS,L5682,Bk thigh lacer glut/ischia m,,,642.71,1246.6,5
HCPCS,L5683,Initial custom socket insert,,,1377.37,2671.5,5
HCPCS,L5684,Bk fork strap,,,50.45,97.84,5
HCPCS,L5685,Below knee sus/seal sleeve,,,133.87,259.63,5
HCPCS,L5686,Bk back check,,,62.02,120.31,5
HCPCS,L5688,Bk waist belt webbing,,,62.78,121.76,5
HCPCS,L5690,Bk waist belt padded and lin,,,100.56,195.06,5
HCPCS,L5692,Ak pelvic control belt light,,,141.32,274.09,5
HCPCS,L5694,Ak pelvic control belt pad/l,,,207.84,403.13,5
HCPCS,L5695,Ak sleeve susp neoprene/equa,,,203.76,395.21,5
HCPCS,L5696,Ak/knee disartic pelvic join,,,190.14,368.8,5
HCPCS,L5697,Ak/knee disartic pelvic band,,,89.89,174.36,5
HCPCS,L5698,Ak/knee disartic silesian ba,,,107.21,207.92,5
HCPCS,L5699,Shoulder harness,,,191.63,371.65,5
HCPCS,L5700,Replace socket below knee,,,2916.26,5656.29,5
HCPCS,L5701,Replace socket above knee,,,3892.36,7549.52,5
HCPCS,L5702,Replace socket hip,,,5364.78,10405.37,5
HCPCS,L5703,Symes ankle w/o (SACH) foot,,,2325.26,4509.98,5
HCPCS,L5704,Custom shape cover BK,,,608.56,1180.35,5
HCPCS,L5705,Custom shape cover AK,,,1033.31,2004.18,5
HCPCS,L5706,Custom shape cvr knee disart,,,1019.58,1977.56,5
HCPCS,L5707,Custom shape cvr hip disart,,,1406.7,2728.39,5
HCPCS,L5710,Kne-shin exo sng axi mnl loc,,,436.15,845.96,5
HCPCS,L5711,Knee-shin exo mnl lock ultra,,,536.63,1040.83,5
HCPCS,L5712,Knee-shin exo frict swg & st,,,442.85,858.91,5
HCPCS,L5714,Knee-shin exo variable frict,,,521.61,1011.7,5
HCPCS,L5716,Knee-shin exo mech stance ph,,,998.71,1937.07,5
HCPCS,L5718,Knee-shin exo frct swg & sta,,,1248.28,2421.15,5
HCPCS,L5722,Knee-shin pneum swg frct exo,,,1032.24,2002.1,5
HCPCS,L5724,Knee-shin exo fluid swing ph,,,1621.36,3144.72,5
HCPCS,L5726,Knee-shin ext jnts fld swg e,,,1787.76,3467.51,5
HCPCS,L5728,Knee-shin fluid swg & stance,,,2943.66,5709.46,5
HCPCS,L5780,Knee-shin pneum/hydra pneum,,,1181.17,2290.98,5
HCPCS,L5781,Lower limb pros vacuum pump,,,4181.29,8109.93,5
HCPCS,L5782,HD low limb pros vacuum pump,,,4408.02,8549.68,5
HCPCS,L5783,Add low ext mec limb vol lam,,,3150.07,5128.94,4
HCPCS,L5785,Exoskeletal bk ultralt mater,,,533.95,1035.63,5
HCPCS,L5790,Exoskeletal ak ultra-light m,,,738.95,1433.24,5
HCPCS,L5795,Exoskel hip ultra-light mate,,,1103.45,2140.2,5
HCPCS,L5810,Endoskel knee-shin mnl lock,,,555.52,1077.49,5
HCPCS,L5811,Endo knee-shin mnl lck ultra,,,970.86,1883.06,5
HCPCS,L5812,Endo knee-shin frct swg & st,,,714.65,1386.1,5
HCPCS,L5814,Endo knee-shin hydral swg ph,,,3881.06,7527.59,5
HCPCS,L5816,Endo knee-shin polyc mch sta,,,1165.35,2260.28,5
HCPCS,L5818,Endo knee-shin frct swg & st,,,1315.91,2552.32,5
HCPCS,L5822,Endo knee-shin pneum swg frc,,,1935.65,3754.3,5
HCPCS,L5824,Endo knee-shin fluid swing p,,,2101.41,4075.82,5
HCPCS,L5826,Miniature knee joint,,,3263.51,6329.81,5
HCPCS,L5827,Endo knee shin single axis,,,7457.49,12142.29,4
HCPCS,L5828,Endo knee-shin fluid swg/sta,,,3263.56,6329.9,5
HCPCS,L5830,Endo knee-shin pneum/swg pha,,,1950.13,3782.39,5
HCPCS,L5840,Multi-axial knee/shin system,,,4010.71,7779.05,5
HCPCS,L5841,Addition endoskletl knee-shi,,,3239.03,5273.79,4
HCPCS,L5845,Knee-shin sys stance flexion,,,1873.04,3632.89,5
HCPCS,L5848,Knee-shin sys hydraul stance,,,1123.69,2179.49,5
HCPCS,L5850,Endo ak/hip knee extens assi,,,175.28,339.98,5
HCPCS,L5855,Mech hip extension assist,,,420.77,816.12,5
HCPCS,L5856,Elec knee-shin swing/stance,,,25068.79,48622.72,5
HCPCS,L5857,Elec knee-shin swing only,,,8883.95,17231.06,5
HCPCS,L5858,Stance phase only,,,19421.78,37669.94,5
HCPCS,L5859,Knee-shin pro flex/ext cont,,,15162.41,29408.58,5
HCPCS,L5910,Endo below knee alignable sy,,,496.29,962.58,5
HCPCS,L5920,Endo ak/hip alignable system,,,722.05,1400.48,5
HCPCS,L5925,Above knee manual lock,,,460.42,893.04,5
HCPCS,L5926,Endoskel posit rotat unit,,,697.17,1202.34,5
HCPCS,L5930,High activity knee frame,,,3506.45,6801.01,5
HCPCS,L5940,Endo bk ultra-light material,,,687.35,1333.15,5
HCPCS,L5950,Endo ak ultra-light material,,,830.76,1611.33,5
HCPCS,L5960,Endo hip ultra-light materia,,,990.75,1921.63,5
HCPCS,L5961,"Endo poly hip, pneu/hyd/rot",,,5269.53,10220.62,5
HCPCS,L5962,Below knee flex cover system,,,769.56,1492.59,5
HCPCS,L5964,Above knee flex cover system,,,1087.53,2109.35,5
HCPCS,L5966,Hip flexible cover system,,,1382.98,2682.39,5
HCPCS,L5968,Multiaxial ankle w dorsiflex,,,3797.51,7365.52,5
HCPCS,L5970,Foot external keel sach foot,,,233.34,452.59,5
HCPCS,L5971,"SACH foot, replacement",,,233.34,452.59,5
HCPCS,L5972,Flexible keel foot,,,452.45,877.55,5
HCPCS,L5973,Ank-foot sys dors-plant flex,,,18226.09,35350.81,5
HCPCS,L5974,Foot single axis ankle/foot,,,242.82,470.99,5
HCPCS,L5975,Combo ankle/foot prosthesis,,,484.47,939.65,5
HCPCS,L5976,Energy storing foot,,,621.42,1205.28,5
HCPCS,L5978,Ft prosth multiaxial ankl/ft,,,299.91,581.71,5
HCPCS,L5979,Multi-axial ankle/ft prosth,,,2838.58,5505.63,5
HCPCS,L5980,Flex foot system,,,5080.59,9854.19,5
HCPCS,L5981,Flex-walk sys low ext prosth,,,3320.06,6439.5,5
HCPCS,L5982,Exoskeletal axial rotation u,,,792.17,1536.48,5
HCPCS,L5984,Endoskeletal axial rotation,,,619.89,1202.34,5
HCPCS,L5985,Lwr ext dynamic prosth pylon,,,294.13,570.5,5
HCPCS,L5986,Multi-axial rotation unit,,,868.32,1684.19,5
HCPCS,L5987,Shank ft w vert load pylon,,,7517.56,14580.84,5
HCPCS,L5988,Vertical shock reducing pylo,,,2087.57,4048.98,5
HCPCS,L5990,User adjustable heel height,,,1895.86,3677.14,5
HCPCS,L5991,Low pros ext osseo connector,,,10816.77,19139.56,5
HCPCS,L5992,Low prosth foot shell repl,,,127.11,206.96,4
HCPCS,L6000,Other Outpatient Services - CPT/HCPCS,,,1365.51,1365.51,1
HCPCS,L6010,Other Outpatient Services - CPT/HCPCS,,,1617.83,1617.83,1
HCPCS,L6020,Other Outpatient Services - CPT/HCPCS,,,1440.28,1440.28,1
HCPCS,L6026,Part hand myo exclu term dev,,,4895.07,9494.36,5
HCPCS,L6028,Part handfng endoskel molded,,,1769.85,2881.67,4
HCPCS,L6029,Test interface part handfing,,,300.81,489.78,4
HCPCS,L6030,External frame part handfing,,,941.55,1533.03,4
HCPCS,L6031,Rep interface handfng molded,,,1646.6,2680.99,4
HCPCS,L6032,Part handfng ultralite tcf/=,,,381.55,621.24,4
HCPCS,L6033,Part handfing acrylic,,,458.43,746.42,4
HCPCS,L6034,Part hand finger distal amp,,,353.97,576.33,4
HCPCS,L6035,Prosthetic digit mechanical,,,1684.92,2743.39,4
HCPCS,L6036,Prosthetic thumb mechanical,,,1684.92,2743.39,4
HCPCS,L6037,Postop dsg cast chg handfing,,,1425.59,2321.15,4
HCPCS,L6038,Multiax rotation attachment,,,385.93,628.37,4
HCPCS,L6039,Passive custom digit/thumb,,,1823.32,2968.73,4
HCPCS,L6050,Wrst MLd sck flx hng tri pad,,,2100.93,4074.91,5
HCPCS,L6055,Wrst mold sock w/exp interfa,,,2908.67,5641.57,5
HCPCS,L6100,Elb mold sock flex hinge pad,,,2079.49,4033.33,5
HCPCS,L6110,Elbow mold sock suspension t,,,2146.13,4162.57,5
HCPCS,L6120,Elbow mold doub splt soc ste,,,2694.51,5226.21,5
HCPCS,L6130,Elbow stump activated lock h,,,2907.09,5638.51,5
HCPCS,L6200,Elbow mold outsid lock hinge,,,3133.74,6078.14,5
HCPCS,L6205,Elbow molded w/ expand inter,,,3838.11,7444.29,5
HCPCS,L6250,Elbow inter loc elbow forarm,,,2790.14,5411.68,5
HCPCS,L6300,Shlder disart int lock elbow,,,4091.23,7935.21,5
HCPCS,L6310,Shoulder passive restor comp,,,3118.71,6048.94,5
HCPCS,L6320,Shoulder passive restor cap,,,1872.38,3631.59,5
HCPCS,L6350,Thoracic intern lock elbow,,,4700.81,9117.56,5
HCPCS,L6360,Thoracic passive restor comp,,,3273.45,6349.07,5
HCPCS,L6370,Thoracic passive restor cap,,,2087.37,4048.58,5
HCPCS,L6380,Postop dsg cast chg wrst/elb,,,1196.73,2321.15,5
HCPCS,L6382,Postop dsg cast chg elb dis/,,,1626.53,3154.77,5
HCPCS,L6384,Postop dsg cast chg shlder/t,,,2255.54,4374.78,5
HCPCS,L6386,Postop ea cast chg & realign,,,412.73,800.49,5
HCPCS,L6388,Postop applicat rigid dsg on,,,519.57,1007.76,5
HCPCS,L6400,Below elbow prosth tiss shap,,,3179.6,6167.05,5
HCPCS,L6450,Elb disart prosth tiss shap,,,4224.69,8194.1,5
HCPCS,L6500,Above elbow prosth tiss shap,,,4154.47,8057.9,5
HCPCS,L6550,Shldr disar prosth tiss shap,,,5196.45,10078.9,5
HCPCS,L6570,Scap thorac prosth tiss shap,,,5406.82,10486.93,5
HCPCS,L6580,Wrist/elbow bowden cable mol,,,1933.24,3749.66,5
HCPCS,L6582,Wrist/elbow bowden cbl dir f,,,1885.92,3657.9,5
HCPCS,L6584,Elbow fair lead cable molded,,,2103.52,4079.94,5
HCPCS,L6586,Elbow fair lead cable dir fo,,,2188.64,4245.03,5
HCPCS,L6588,Shdr fair lead cable molded,,,2904.84,5634.16,5
HCPCS,L6590,Shdr fair lead cable direct,,,2913.41,5650.77,5
HCPCS,L6600,Polycentric hinge pair,,,192.77,373.9,5
HCPCS,L6605,Single pivot hinge pair,,,190.35,369.19,5
HCPCS,L6610,Flexible metal hinge pair,,,174.19,337.87,5
HCPCS,L6611,"Additional switch, ext power",,,430.25,834.52,5
HCPCS,L6615,Disconnect locking wrist uni,,,200.65,389.17,5
HCPCS,L6616,Disconnect insert locking wr,,,66.66,129.3,5
HCPCS,L6620,Flexion/extension wrist unit,,,349.62,678.11,5
HCPCS,L6621,Flex/ext wrist w/wo friction,,,2390.27,4636.1,5
HCPCS,L6623,Spring-ass rot wrst w/ latch,,,659.23,1278.64,5
HCPCS,L6624,Flex/ext/rotation wrist unit,,,3935.65,7633.47,5
HCPCS,L6625,Rotation wrst w/ cable lock,,,546.59,1060.14,5
HCPCS,L6628,Quick disconn hook adapter o,,,656.43,1273.2,5
HCPCS,L6629,Lamination collar w/ couplin,,,188.38,365.37,5
HCPCS,L6630,Stainless steel any wrist,,,221.49,429.6,5
HCPCS,L6632,Latex suspension sleeve each,,,89.03,172.67,5
HCPCS,L6635,Lift assist for elbow,,,212.89,412.91,5
HCPCS,L6637,Nudge control elbow lock,,,377.36,731.94,5
HCPCS,L6638,Elec lock on manual pw elbow,,,2613.3,5068.7,5
HCPCS,L6640,Shoulder abduction joint pai,,,301.45,584.67,5
HCPCS,L6641,Excursion amplifier pulley t,,,165.89,321.75,5
HCPCS,L6642,Excursion amplifier lever ty,,,223.46,433.44,5
HCPCS,L6645,Shoulder flexion-abduction j,,,328.08,636.33,5
HCPCS,L6646,Multipo locking shoulder jnt,,,3295.98,6392.8,5
HCPCS,L6647,Shoulder lock actuator,,,542.67,1052.53,5
HCPCS,L6648,Ext pwrd shlder lock/unlock,,,3399.33,6593.25,5
HCPCS,L6650,Shoulder universal joint,,,347.87,674.71,5
HCPCS,L6655,Standard control cable extra,,,77.21,149.75,5
HCPCS,L6660,Heavy duty control cable,,,96.6,187.36,5
HCPCS,L6665,Teflon or equal cable lining,,,47.33,91.8,5
HCPCS,L6670,Hook to hand cable adapter,,,49.29,95.59,5
HCPCS,L6672,Harness chest/shlder saddle,,,207.82,403.09,5
HCPCS,L6675,Harness figure of 8 sing con,,,123.42,239.38,5
HCPCS,L6676,Harness figure of 8 dual con,,,145.51,282.23,5
HCPCS,L6677,UE triple control harness,,,310.0,601.28,5
HCPCS,L6680,Test sock wrist disart/bel e,,,252.51,489.78,5
HCPCS,L6682,Test sock elbw disart/above,,,275.28,533.94,5
HCPCS,L6684,Test socket shldr disart/tho,,,391.33,759.0,5
HCPCS,L6686,Suction socket,,,606.73,1176.78,5
HCPCS,L6687,Frame typ socket bel elbow/w,,,790.4,1533.03,5
HCPCS,L6688,Frame typ sock above elb/dis,,,544.41,1055.94,5
HCPCS,L6689,Frame typ socket shoulder di,,,923.3,1790.79,5
HCPCS,L6690,Frame typ sock interscap-tho,,,706.67,1370.64,5
HCPCS,L6691,Removable insert each,,,354.75,688.08,5
HCPCS,L6692,Silicon gel insert w/wo lock,,,719.09,1394.72,5
HCPCS,L6693,Lockingelbow forearm cntrbal,,,2966.79,5754.32,5
HCPCS,L6694,Elbow socket ins use w/lock,,,778.67,1510.3,5
HCPCS,L6695,Elbow socket ins use w/o lck,,,648.87,1258.52,5
HCPCS,L6696,Cus elbo skt in for con/atyp,,,1377.37,2671.5,5
HCPCS,L6697,Cus elbo skt in not con/atyp,,,1377.37,2671.5,5
HCPCS,L6698,Add up-ex prosthes lock mech,,,681.6,1322.0,5
HCPCS,L6700,Ue add ext power myoel,,,29510.19,48048.49,4
HCPCS,L6703,"Term dev, passive hand mitt",,,380.1,737.23,5
HCPCS,L6704,"Term dev, sport/rec/work att",,,739.89,1435.06,5
HCPCS,L6706,Term dev mech hook vol open,,,475.59,922.46,5
HCPCS,L6707,Term dev mech hook vol close,,,1468.77,2848.8,5
HCPCS,L6708,Term dev mech hand vol open,,,1023.5,1985.18,5
HCPCS,L6709,Term dev mech hand vol close,,,1587.14,3078.34,5
HCPCS,L6711,"Ped term dev, hook, vol open",,,702.62,1362.77,5
HCPCS,L6712,"Ped term dev, hook, vol clos",,,1293.59,2509.02,5
HCPCS,L6713,"Ped term dev, hand, vol open",,,1632.65,3166.64,5
HCPCS,L6714,"Ped term dev, hand, vol clos",,,1382.82,2682.09,5
HCPCS,L6715,"Term device, multi art digit",,,3305.86,6411.97,5
HCPCS,L6721,"Hook/hand, hvy dty, vol open",,,2457.83,4767.16,5
HCPCS,L6722,"Hook/hand, hvy dty, vol clos",,,2118.87,4109.69,5
HCPCS,L6805,Term dev modifier wrist unit,,,365.98,709.85,5
HCPCS,L6810,Term dev precision pinch dev,,,226.27,438.87,5
HCPCS,L6880,Elec hand ind art digits,,,25017.95,48524.09,5
HCPCS,L6881,Term dev auto grasp feature,,,4272.24,8286.32,5
HCPCS,L6882,Microprocessor control uplmb,,,3240.76,6285.68,5
HCPCS,L6883,Replc sockt below e/w disa,,,1761.35,3416.26,5
HCPCS,L6884,Replc sockt above elbow disa,,,2294.38,4450.11,5
HCPCS,L6885,Replc sockt shldr dis/interc,,,3273.45,6349.07,5
HCPCS,L6890,Prefab glove for term device,,,186.77,362.26,5
HCPCS,L6895,Custom glove for term device,,,586.52,1137.61,5
HCPCS,L6900,Hand restorat thumb/1 finger,,,1552.33,3010.83,5
HCPCS,L6905,Hand restoration multiple fi,,,1508.91,2926.61,5
HCPCS,L6910,Hand restoration no fingers,,,1469.98,2851.12,5
HCPCS,L6915,Hand restoration replacmnt g,,,643.37,1247.87,5
HCPCS,L6920,Wrist disarticul switch ctrl,,,8337.2,16170.61,5
HCPCS,L6925,Wrist disart myoelectronic c,,,8992.0,17440.63,5
HCPCS,L6930,Below elbow switch control,,,8759.89,16990.45,5
HCPCS,L6935,Below elbow myoelectronic ct,,,9404.82,18241.33,5
HCPCS,L6940,Elbow disarticulation switch,,,12022.48,23318.46,5
HCPCS,L6945,Elbow disart myoelectronic c,,,13986.76,27128.3,5
HCPCS,L6950,Above elbow switch control,,,13665.24,26504.7,5
HCPCS,L6955,Above elbow myoelectronic ct,,,16365.99,31743.0,5
HCPCS,L6960,Shldr disartic switch contro,,,16506.33,32015.2,5
HCPCS,L6965,Shldr disartic myoelectronic,,,17883.68,34686.7,5
HCPCS,L6970,Interscapular-thor switch ct,,,18104.48,35114.93,5
HCPCS,L6975,Interscap-thor myoelectronic,,,19397.14,37622.15,5
HCPCS,L7007,Adult electric hand,,,3536.41,6859.15,5
HCPCS,L7008,Pediatric electric hand,,,5951.18,11542.75,5
HCPCS,L7009,Adult electric hook,,,3703.01,7182.23,5
HCPCS,L7040,Prehensile actuator,,,2897.3,5619.52,5
HCPCS,L7045,Pediatric electric hook,,,1661.13,3221.87,5
HCPCS,L7170,Electronic elbow hosmer swit,,,6322.7,12263.34,5
HCPCS,L7180,Electronic elbow sequential,,,36693.8,71170.23,5
HCPCS,L7181,Electronic elbo simultaneous,,,41871.73,81213.22,5
HCPCS,L7185,Electron elbow adolescent sw,,,6559.69,12723.0,5
HCPCS,L7186,Electron elbow child switch,,,11888.82,23059.22,5
HCPCS,L7190,Elbow adolescent myoelectron,,,8299.31,16097.09,5
HCPCS,L7191,Elbow child myoelectronic ct,,,12180.96,23625.87,5
HCPCS,L7259,Electronic wrist rotator any,,,3963.05,7686.63,5
HCPCS,L7360,Six volt bat otto bock/eq ea,,,233.71,453.27,5
HCPCS,L7362,Battery chrgr six volt otto,,,343.32,665.9,5
HCPCS,L7364,Twelve volt battery utah/equ,,,409.53,794.3,5
HCPCS,L7366,Battery chrgr 12 volt utah/e,,,551.63,1069.94,5
HCPCS,L7367,Replacemnt lithium ionbatter,,,406.83,789.09,5
HCPCS,L7368,Lithium ion battery charger,,,527.41,1022.95,5
HCPCS,L7400,"Add UE prost be/wd, ultlite",,,320.29,621.24,5
HCPCS,L7401,Add UE prost a/e ultlite mat,,,358.58,695.5,5
HCPCS,L7402,Add UE prost s/d ultlite mat,,,387.21,751.01,5
HCPCS,L7403,Add UE prost b/e acrylic,,,384.84,746.42,5
HCPCS,L7404,Add UE prost a/e acrylic,,,580.85,1126.6,5
HCPCS,L7405,Add UE prost s/d acrylic,,,759.63,1473.34,5
HCPCS,L7406,Add upp ext mec limb vol lam,,,3150.07,5128.94,4
HCPCS,L7510,Prosthetic device repair rep,,,316.35,316.35,1
HCPCS,L7520,Repair prosthesis per 15 min,,,35.21,66.22,5
HCPCS,L7600,Prosthetic donning sleeve,,,64.84,64.84,1
HCPCS,L7700,Pros soc insert gasket/seal,,,122.88,238.32,5
HCPCS,L7900,Male vacuum erection system,,,256.07,256.07,1
HCPCS,L7902,"Tension ring, vac erect dev",,,24.86,24.86,1
HCPCS,L8000,Mastectomy bra,,,38.67,74.99,5
HCPCS,L8001,Breast prosthesis bra & form,,,131.06,254.23,5
HCPCS,L8002,Brst prsth bra & bilat form,,,172.41,334.42,5
HCPCS,L8010,Other Outpatient Services - CPT/HCPCS,,,26.57,26.57,1
HCPCS,L8015,Ext breastprosthesis garment,,,62.66,121.53,5
HCPCS,L8020,Mastectomy form,,,206.16,399.89,5
HCPCS,L8030,Breast prosthes w/o adhesive,,,365.86,709.62,5
HCPCS,L8031,Breast prosthesis w adhesive,,,365.86,709.62,5
HCPCS,L8032,Reusable nipple prosthesis,,,40.91,79.37,5
HCPCS,L8035,Custom breast prosthesis,,,3828.52,7425.72,5
HCPCS,L8039,Breast prosthesis NOS,,,81.41,81.41,1
HCPCS,L8040,Nasal prosthesis,,,241.39,4681.71,5
HCPCS,L8041,Midfacial prosthesis,,,290.95,5643.26,5
HCPCS,L8042,Orbital prosthesis,,,326.92,6340.75,5
HCPCS,L8043,Upper facial prosthesis,,,366.14,7101.64,5
HCPCS,L8044,Hemi-facial prosthesis,,,405.37,7862.5,5
HCPCS,L8045,Auricular prosthesis,,,253.83,4923.07,5
HCPCS,L8046,Partial facial prosthesis,,,261.52,5072.58,5
HCPCS,L8047,Nasal septal prosthesis,,,134.04,2599.68,5
HCPCS,L8049,Repair maxillofacial prosth,,,49.06,49.06,1
HCPCS,L8300,Truss single w/ standard pad,,,98.9,191.85,5
HCPCS,L8310,Truss double w/ standard pad,,,159.54,309.44,5
HCPCS,L8320,Truss addition to std pad wa,,,54.93,106.55,5
HCPCS,L8330,Truss add to std pad scrotal,,,50.74,98.41,5
HCPCS,L8400,Sheath below knee,,,16.18,31.38,5
HCPCS,L8410,Sheath above knee,,,22.51,43.65,5
HCPCS,L8415,Sheath upper limb,,,24.32,47.19,5
HCPCS,L8417,Pros sheath/sock w gel cushn,,,78.58,152.4,5
HCPCS,L8420,Prosthetic sock multi ply BK,,,19.98,38.77,5
HCPCS,L8430,Prosthetic sock multi ply AK,,,25.24,48.96,5
HCPCS,L8435,Pros sock multi ply upper lm,,,21.61,41.91,5
HCPCS,L8440,Shrinker below knee,,,42.97,83.36,5
HCPCS,L8460,Shrinker above knee,,,68.49,132.84,5
HCPCS,L8465,Shrinker upper limb,,,50.12,97.22,5
HCPCS,L8470,Pros sock single ply BK,,,9.13,17.73,5
HCPCS,L8480,Pros sock single ply AK,,,12.61,24.47,5
HCPCS,L8485,Pros sock single ply upper l,,,13.7,26.59,5
HCPCS,L8500,Artificial larynx,,,678.25,1315.5,5
HCPCS,L8501,Tracheostomy speaking valve,,,124.14,240.78,5
HCPCS,L8505,"Artificial larynx, accessory",,,1.38,1.38,1
HCPCS,L8507,Trach-esoph voice pros pt in,,,43.77,84.88,5
HCPCS,L8509,Trach-esoph voice pros md in,,,114.11,221.32,5
HCPCS,L8510,Voice amplifier,,,264.07,512.17,5
HCPCS,L8511,Indwelling trach insert,,,76.0,147.42,5
HCPCS,L8512,Gel cap for trach voice pros,,,2.28,4.41,5
HCPCS,L8513,Trach pros cleaning device,,,5.45,10.57,5
HCPCS,L8514,Repl trach puncture dilator,,,98.54,191.13,5
HCPCS,L8515,Gel cap app device for trach,,,65.98,127.98,5
HCPCS,L8600,Implant breast silicone/eq,,,855.66,1659.62,5
HCPCS,L8603,Collagen imp urinary 2.5 ml,,,450.02,872.86,5
HCPCS,L8604,Dextranomer/hyaluronic acid,,,4108.53,4108.53,1
HCPCS,L8605,Inj bulking agent anal canal,,,893.39,7695.41,7
HCPCS,L8606,Synthetic implnt urinary 1ml,,,226.79,439.87,5
HCPCS,L8607,Inj vocal cord bulking agent,,,44.93,99.4,6
HCPCS,L8609,Artificial cornea,,,6822.32,13232.38,5
HCPCS,L8610,HC CATH PTOSIS SLING SILI 300 64,183.74,64.31,52.62,1555.63,12
HCPCS,L8612,Aqueous shunt prosthesis,,,691.29,1340.81,5
HCPCS,L8613,Ossicular implant,,,264.26,512.56,5
HCPCS,L8614,Cochlear device,,,19952.7,38699.68,5
HCPCS,L8615,Coch implant headset replace,,,472.27,916.03,5
HCPCS,L8616,Coch implant microphone repl,,,109.96,213.29,5
HCPCS,L8617,Coch implant trans coil repl,,,96.07,186.31,5
HCPCS,L8618,Coch implant tran cable repl,,,27.46,53.24,5
HCPCS,L8619,Coch imp ext proc/contr rplc,,,8565.56,16613.5,5
HCPCS,L8621,Repl zinc air battery,,,0.66,1.29,5
HCPCS,L8622,Repl alkaline battery,,,0.33,0.65,5
HCPCS,L8623,"Lith ion batt CID,non-earlvl",,,67.75,131.4,5
HCPCS,L8624,"Lith ion batt cid, ear level",,,168.83,327.45,5
HCPCS,L8625,Charger coch impl/aoi battry,,,197.76,383.57,5
HCPCS,L8627,CID ext speech process repl,,,7256.12,14073.79,5
HCPCS,L8628,CID ext controller repl,,,1309.44,2539.73,5
HCPCS,L8629,CID transmit coil and cable,,,187.48,363.63,5
HCPCS,L8630,Metacarpophalangeal implant,,,455.16,882.81,5
HCPCS,L8631,MCP joint repl 2 pc or more,,,2268.62,4400.15,5
HCPCS,L8641,Metatarsal joint implant,,,479.66,930.35,5
HCPCS,L8642,Hallux implant,,,313.98,608.95,5
HCPCS,L8658,Interphalangeal joint spacer,,,418.21,811.15,5
HCPCS,L8659,Interphalangeal joint repl,,,2020.59,3919.08,5
HCPCS,L8670,"Vascular graft, synthetic",,,572.09,1109.6,5
HCPCS,L8678,Ext sply implt neurostim,,,12.97,21.12,5
HCPCS,L8679,Imp neurosti pls gn any type,,,8831.91,17130.11,5
HCPCS,L8680,Implt neurostim elctr each,,,221.82,221.82,1
HCPCS,L8681,Pt prgrm for implt neurostim,,,1108.69,2150.4,5
HCPCS,L8682,Implt neurostim radiofq rec,,,6310.26,12239.21,5
HCPCS,L8683,Radiofq trsmtr for implt neu,,,5554.49,10773.33,5
HCPCS,L8684,Radiof trsmtr implt scrl neu,,,821.25,1592.87,5
HCPCS,L8685,Implt nrostm pls gen sng rec,,,6314.14,6314.14,1
HCPCS,L8686,Implt nrostm pls gen sng non,,,4029.0,4029.0,1
HCPCS,L8687,Implt nrostm pls gen dua rec,,,8217.4,8217.4,1
HCPCS,L8688,Implt nrostm pls gen dua non,,,5243.42,5243.42,1
HCPCS,L8689,External recharg sys intern,,,1806.21,3503.25,5
HCPCS,L8690,"Aud osseo dev, int/ext comp",,,4981.26,9661.53,5
HCPCS,L8691,Aoi snd proc repl excl actua,,,1803.28,3497.6,5
HCPCS,L8692,HC DEVICE PRCSSR HEAR AID LF SLV,8295.0,2903.25,2375.69,6179.78,7
HCPCS,L8692,HC DEVICE SFTBND HEAR AID PNK INF,184.8,64.68,52.93,4383.99,7
HCPCS,L8693,"Aud osseo dev, abutment",,,1587.76,3079.58,5
HCPCS,L8694,Aoi transducer/actuator repl,,,988.9,1918.04,5
HCPCS,L8695,External recharg sys extern,,,17.46,33.85,5
HCPCS,L8696,Ext antenna phren nerve stim,,,226.98,440.22,5
HCPCS,L8701,Ewh s/d uprt micro sensor,,,34970.13,56938.37,4
HCPCS,L8702,Ewhf s/d uprt micro sensor,,,68801.71,112022.94,4
HCPCS,L9900,O&P supply/accessory/service,,,117.86,117.86,1
HCPCS,M0076,Prolotherapy,,,120.67,120.67,1
HCPCS,M0100,Intragastric hypothermia,,,9.86,9.86,1
HCPCS,M0201,Pne flu hepb cov home admin,,,38.05,61.95,4
HCPCS,M0220,Other Outpatient Services - CPT/HCPCS,,,260.37,260.37,1
HCPCS,M0221,Other Outpatient Services - CPT/HCPCS,,,433.37,433.37,1
HCPCS,M0222,Infusion/Injection Therapy,,,327.0,327.0,1
HCPCS,M0222,Other Outpatient Services - CPT/HCPCS,,,606.37,606.37,1
HCPCS,M0223,Infusion/Injection Therapy,,,327.0,327.0,1
HCPCS,M0223,Other Outpatient Services - CPT/HCPCS,,,952.37,952.37,1
HCPCS,M0224,Pemivibart infusion,,,465.15,757.36,4
HCPCS,M0233,"Intra inf, toci, first dose",,,465.15,757.36,4
HCPCS,M0234,"Intra inf, toci, second dos",,,465.15,757.36,4
HCPCS,M0235,"Intrav inf, mon anti, fir do",,,465.15,757.36,4
HCPCS,M0236,"Intrav inf, mon anti, sec do",,,465.15,757.36,4
HCPCS,M0237,"Intrav inf, toci, first dose",,,465.15,757.36,4
HCPCS,M0238,"Intrav inf, toci, second dos",,,465.15,757.36,4
HCPCS,M0239,Infusion/Injection Therapy,,,327.0,327.0,1
HCPCS,M0240,Infusion/Injection Therapy,,,327.0,327.0,1
HCPCS,M0240,Other Outpatient Services - CPT/HCPCS,,,778.5,778.5,1
HCPCS,M0241,Infusion/Injection Therapy,,,327.0,327.0,1
HCPCS,M0241,Other Outpatient Services - CPT/HCPCS,,,1297.5,1297.5,1
HCPCS,M0243,Infusion/Injection Therapy,,,327.0,327.0,1
HCPCS,M0243,Other Outpatient Services - CPT/HCPCS,,,778.5,778.5,1
HCPCS,M0244,Infusion/Injection Therapy,,,327.0,327.0,1
HCPCS,M0244,Other Outpatient Services - CPT/HCPCS,,,1297.5,1297.5,1
HCPCS,M0245,Infusion/Injection Therapy,,,327.0,327.0,1
HCPCS,M0245,Other Outpatient Services - CPT/HCPCS,,,778.5,778.5,1
HCPCS,M0246,Infusion/Injection Therapy,,,327.0,327.0,1
HCPCS,M0246,Other Outpatient Services - CPT/HCPCS,,,1297.5,1297.5,1
HCPCS,M0247,Infusion/Injection Therapy,,,327.0,327.0,1
HCPCS,M0247,Other Outpatient Services - CPT/HCPCS,,,778.5,778.5,1
HCPCS,M0248,Infusion/Injection Therapy,,,327.0,327.0,1
HCPCS,M0248,Other Outpatient Services - CPT/HCPCS,,,1297.5,1297.5,1
HCPCS,M0249,Adm Tocilizu COVID-19 1st,,,327.0,778.5,6
HCPCS,M0250,Adm Tocilizu COVID-19 2nd,,,327.0,778.5,6
HCPCS,M0300,IV chelationtherapy,,,71.45,71.45,1
HCPCS,P2028,Cephalin floculation test,,,4.95,17.32,7
HCPCS,P2029,Congo red blood test,,,4.95,17.32,7
HCPCS,P2031,Hair analysis,,,4.95,17.32,7
HCPCS,P2033,Blood thymol turbidity,,,4.95,17.32,7
HCPCS,P2038,Blood mucoprotein,,,4.95,17.32,7
HCPCS,P3000,HC ABNORMAL PAP REVIEW(ON P3000),66.69,23.35,15.92,60.53,10
HCPCS,P3000,HC PAP SCREENING(NON-DIAGNOSTIC),66.69,23.35,15.92,60.53,10
HCPCS,P3001,Screening pap smear by phys,,,22.49,1588.7,7
HCPCS,P7001,Culture bacterial urine,,,18.69,27.52,2
HCPCS,P9010,HC RECONSTITUTED WHOLE BLOOD,1562.17,546.76,59.1,1163.82,9
HCPCS,P9010,HC WB LR,1386.0,485.1,59.1,1032.57,9
HCPCS,P9010,HC WB LR IRR,1510.74,528.76,59.1,1125.5,9
HCPCS,P9010,HC WHOLE BLOOD IRRADITATED LEUKOREDUCED (O NEG),1732.5,606.38,59.1,1290.71,9
HCPCS,P9010,HC WHOLE BLOOD LEUKOREDUCED (O NEG),1607.76,562.72,59.1,1197.78,9
HCPCS,P9011,HC PACKED CELL LP CPDA C PEDIPACK,333.0,116.55,84.48,253.74,9
HCPCS,P9011,HC PARTIAL UNIT BLD PROC,485.47,169.92,84.48,361.68,9
HCPCS,P9012,HC CRYOPPT PROCESS,230.73,80.76,13.29,171.89,9
HCPCS,P9012,HC CRYOPRECIPITATE UNIT 1,120.16,42.06,13.29,117.15,9
HCPCS,P9012,HC CRYOPRECIPITATE UNIT 2,120.16,42.06,13.29,117.15,9
HCPCS,P9012,HC CRYOPRECIPITATE UNIT 3,120.16,42.06,13.29,117.15,9
HCPCS,P9012,HC CRYOPRECIPITATE UNIT 4,120.16,42.06,13.29,117.15,9
HCPCS,P9012,HC CRYOPRECIPITATE UNIT 5,120.16,42.06,13.29,117.15,9
HCPCS,P9016,HC LEUKO-REDUCED PC (CPDA),865.19,302.82,184.91,644.57,9
HCPCS,P9016,HC RBC LR,865.19,302.82,184.91,644.57,9
HCPCS,P9017,HC FFP LARGE VOLUME (TFPA),557.58,195.16,85.98,415.4,9
HCPCS,P9017,HC LOW VOL APHERESIS FFP,209.09,73.19,59.88,155.77,9
HCPCS,P9019,"Platelets, each unit",,,53.17,273.25,5
HCPCS,P9020,Plaelet rich plasma unit,,,404.56,911.45,5
HCPCS,P9021,HC AUTO/DIR BLOOD PRODUCT,1766.45,618.26,127.29,1316.01,9
HCPCS,P9021,HC PACKED RED CELLS PROCESS,805.11,281.79,127.29,599.81,9
HCPCS,P9022,HC RBC LR IRR WASHED,1679.37,587.78,286.71,1251.13,9
HCPCS,P9022,HC RBC LR WASHED,1513.05,529.57,286.71,1127.22,9
HCPCS,P9022,HC WASHED PCKD CELLS PROCESS,1345.86,471.06,286.71,1002.67,9
HCPCS,P9023,"Frozen plasma, pooled, sd",,,1.42,91.11,6
HCPCS,P9025,Plasma cryo redu path each,,,133.76,217.79,4
HCPCS,P9026,HC INTERCEPT FIBRINOGEN COMPLEX,880.0,308.0,252.03,894.34,9
HCPCS,P9027,Rbc o2 co2 reduced,,,511.59,832.97,4
HCPCS,P9031,Platelets leukocytes reduced,,,144.26,242.58,5
HCPCS,P9032,"Platelets, irradiated",,,80.65,639.83,5
HCPCS,P9033,Platelets leukoreduced irrad,,,189.59,594.39,5
HCPCS,P9034,"HC PLAT PHERESIS AUTO/DIR,EA UNIT",3208.44,1122.96,308.96,2390.29,9
HCPCS,P9034,"HC PLATELETS, PHERESIS, EA UNIT",2126.95,744.44,308.96,1584.58,9
HCPCS,P9034,HC PLT PHERESIS LP VARIABLE VOLUM,1045.45,365.91,299.42,787.88,9
HCPCS,P9035,HC INTERCEPT PRT PLATELETS,1968.12,688.85,511.59,1466.25,9
HCPCS,P9035,HC PLATELET PHERESIS LR,2126.95,744.44,511.59,1584.58,9
HCPCS,P9036,Platelet pheresis irradiated,,,809.69,1545.37,5
HCPCS,P9037,HC PLATELET 2 APHERESIS IRR LP,3208.44,1122.96,680.61,2390.29,9
HCPCS,P9037,HC PLATELET 3 APHERESIS IRR LP,3208.44,1122.96,680.61,2390.29,9
HCPCS,P9037,HC PLATELET PHERESIS LR IRR,3208.44,1122.96,680.61,2390.29,9
HCPCS,P9038,"HC PACKED CELL, IRRADIATED",1069.49,374.33,22.54,796.77,9
HCPCS,P9039,HC RED CELLS LK DEGLYEROLIZED,1108.2,387.87,313.0,825.61,9
HCPCS,P9040,HC IRRAD LEUKO POOR PC CPDA,1069.49,374.33,265.41,796.77,9
HCPCS,P9040,HC IRRAD PACKED CELL CPD,1105.53,386.94,265.41,823.62,9
HCPCS,P9040,HC IRRAD PACKED CELL CPDA,1105.53,386.94,265.41,823.62,9
HCPCS,P9040,"HC PACKED CELL, IRRAD/LEUKOPOOR",1105.53,386.94,265.41,823.62,9
HCPCS,P9040,HC RBC LR IRR,1069.49,374.33,265.41,796.77,9
HCPCS,P9040,HC WASHED RBC DEGLY. W/FREEZE THA,1557.36,545.08,265.41,1160.23,9
HCPCS,P9041,"Albumin (human),5%, 50ml",,,10.62,60.21,8
HCPCS,P9043,"Plasma protein fract,5%,50ml",,,8.11,118.1,7
HCPCS,P9044,HC CRYO REDUCED PLASMA,188.5,65.98,53.99,215.0,9
HCPCS,P9045,"Albumin (human), 5%, 250 ml",,,53.08,278.35,8
HCPCS,P9046,"Albumin (human), 25%, 20 ml",,,21.23,111.34,8
HCPCS,P9047,"Albumin (human), 25%, 50ml",,,53.08,278.35,8
HCPCS,P9048,"Plasmaprotein fract,5%,250ml",,,35.32,277.36,7
HCPCS,P9050,"Granulocytes, pheresis unit",,,1347.88,1347.88,1
HCPCS,P9051,"Blood, l/r, cmv-neg",,,151.58,350.39,5
HCPCS,P9052,"Platelets, hla-m, l/r, unit",,,708.06,1152.86,5
HCPCS,P9053,"Plt, pher, l/r cmv-neg, irr",,,503.45,950.95,5
HCPCS,P9054,HC RBC LR DEGLYC WASHED,1293.6,452.76,238.0,963.73,9
HCPCS,P9055,"Plt, aph/pher, l/r, cmv-neg",,,250.49,407.85,5
HCPCS,P9056,"Blood, l/r, irradiated",,,84.55,203.08,5
HCPCS,P9057,HC RBC LR IRR DEGLYC WASHED,1852.62,648.42,422.69,1380.2,9
HCPCS,P9058,"RBC, l/r, cmv-neg, irrad",,,124.39,406.07,5
HCPCS,P9059,HC PLASMA LIQUID,129.36,45.28,37.05,120.11,9
HCPCS,P9059,HC PLASMA THAWED,323.4,113.19,73.77,240.93,9
HCPCS,P9060,Fr frz plasma donor retested,,,23.67,86.7,5
HCPCS,P9070,Pathogen reduced plasma pool,,,55.78,1211.0,5
HCPCS,P9071,Pathogen reduced plasma sing,,,294.48,479.47,4
HCPCS,P9073,HC PLATELET PHERESIS PATH REDUCED,1442.85,505.0,413.23,1447.09,9
HCPCS,P9099,Blood component/product noc,,,35.32,57.51,4
HCPCS,P9100,HC PATHOGEN TEST FOR PLATELETS,129.94,45.48,37.21,101.32,10
HCPCS,P9603,One-way allow prorated miles,,,1.44,1.44,1
HCPCS,P9604,One-way allow prorated trip,,,14.41,14.41,1
HCPCS,P9612,HC CATHETERIZE FOR URINE SPEC,29.7,10.4,3.0,3000.0,10
HCPCS,P9615,Urine specimen collect mult,,,3.0,3000.0,7
HCPCS,Q0035,Cardiokymography,,,17.59,661.99,6
HCPCS,Q0081,Infusion ther other than che,,,19.62,327.0,2
HCPCS,Q0083,Chemo by other than infusion,,,165.54,165.54,1
HCPCS,Q0084,Chemotherapy by infusion,,,218.52,218.52,1
HCPCS,Q0085,Chemo by both infusion and o,,,297.87,297.87,1
HCPCS,Q0091,HC OBTAINING SCREEN PAP SMEAR,86.56,30.3,25.23,1238.35,9
HCPCS,Q0092,Set up port xray equipment,,,27.27,1758.24,6
HCPCS,Q0111,Wet mounts/ w preparations,,,15.92,60.53,7
HCPCS,Q0112,Potassium hydroxide preps,,,5.83,20.38,7
HCPCS,Q0113,Pinworm examinations,,,4.27,14.92,7
HCPCS,Q0114,HC FERN TEST,22.7,7.95,7.79,34.05,10
HCPCS,Q0115,Post-coital mucous exam,,,25.0,87.42,7
HCPCS,Q0138,"Ferumoxytol, non-esrd",,,0.23,2.63,8
HCPCS,Q0139,"Ferumoxytol, esrd use",,,0.23,2.63,8
HCPCS,Q0144,"Azithromycin dihydrate, oral",,,21.07,127.28,4
HCPCS,Q0161,Chlorpromazine hcl 5mg oral,,,0.65,1.83,3
HCPCS,Q0162,ondansetron per 8 mg,56.55,19.78,0.02,33.4,204
HCPCS,Q0163,diphenhydramine per 50 mg,6.0,2.1,0.03,2.1,48
HCPCS,Q0164,prochlorperazine maleate per 10 mg,6.0,2.1,0.59,2.06,12
HCPCS,Q0164,prochlorperazine maleate per 5 mg,6.0,2.1,0.59,2.06,42
HCPCS,Q0166,granisetron per 1 mg,139.32999999999998,48.769999999999996,4.98,85.14,12
HCPCS,Q0167,dronabinol per 2.5 mg,13.91,4.87,1.34,6.87,42
HCPCS,Q0167,dronabinol per 5 mg,28.945,10.14,1.34,13.91,48
HCPCS,Q0169,promethazine per 25 mg,108.75,38.07,0.14,478.61,66
HCPCS,Q0173,Trimethobenzamide HCI 250mg,,,0.48,1.52,3
HCPCS,Q0174,Drugs,,,1.07,1.07,1
HCPCS,Q0174,Oncology Drugs,,,1.14,1.14,1
HCPCS,Q0174,Other Outpatient Services - CPT/HCPCS,,,0.85,0.85,1
HCPCS,Q0175,Perphenazine 4mg oral,,,0.87,2.47,4
HCPCS,Q0177,Hydroxyzine pamoate 25mg,,,0.12,3.23,4
HCPCS,Q0180,Dolasetron mesylate oral,,,0.05,237.22,4
HCPCS,Q0181,Unspecified oral anti-emetic,,,179999.79,179999.79,1
HCPCS,Q0220,Drugs,,,0.02,0.02,1
HCPCS,Q0220,Drugs - Other,,,0.05,0.05,1
HCPCS,Q0220,Oncology Drugs,,,0.02,0.02,1
HCPCS,Q0220,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,Q0221,Drugs,,,0.02,0.02,1
HCPCS,Q0221,Drugs - Other,,,0.05,0.05,1
HCPCS,Q0221,Oncology Drugs,,,0.02,0.02,1
HCPCS,Q0221,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,Q0222,Drugs,,,3950.1,3950.1,1
HCPCS,Q0222,Drugs - Other,,,12554.38,12554.38,1
HCPCS,Q0222,Oncology Drugs,,,3855.6,3855.6,1
HCPCS,Q0222,Other Outpatient Services - CPT/HCPCS,,,4141.62,4141.62,1
HCPCS,Q0224,"Inj, pemivibart, 4500 mg",,,7239.0,11786.54,4
HCPCS,Q0240,Drugs,,,0.02,0.02,1
HCPCS,Q0240,Drugs - Other,,,0.05,0.05,1
HCPCS,Q0240,Oncology Drugs,,,0.02,0.02,1
HCPCS,Q0240,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,Q0243,Drugs,,,0.02,0.02,1
HCPCS,Q0243,Drugs - Other,,,0.05,0.05,1
HCPCS,Q0243,Oncology Drugs,,,0.02,0.02,1
HCPCS,Q0243,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,Q0244,Drugs,,,0.02,0.02,1
HCPCS,Q0244,Drugs - Other,,,0.05,0.05,1
HCPCS,Q0244,Oncology Drugs,,,0.02,0.02,1
HCPCS,Q0244,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,Q0245,Drugs,,,0.02,0.02,1
HCPCS,Q0245,Drugs - Other,,,0.05,0.05,1
HCPCS,Q0245,Oncology Drugs,,,0.02,0.02,1
HCPCS,Q0245,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,Q0247,Drugs,,,4158.0,4158.0,1
HCPCS,Q0247,Drugs - Other,,,12554.38,12554.38,1
HCPCS,Q0247,Oncology Drugs,,,0.02,0.02,1
HCPCS,Q0247,Other Outpatient Services - CPT/HCPCS,,,0.02,0.02,1
HCPCS,Q0249,Tocilizumab for COVID-19,,,7.57,34.46,8
HCPCS,Q0477,Pwr module pt cable lvad rpl,,,609.29,1575.71,5
HCPCS,Q0478,"Power adapter, combo vad",,,136.91,373.2,5
HCPCS,Q0479,"Power module combo vad, rep",,,8925.76,24330.62,5
HCPCS,Q0480,"Driver pneumatic vad, rep",,,67103.07,182915.2,5
HCPCS,Q0481,"Microprcsr cu elec vad, rep",,,10826.31,29511.27,5
HCPCS,Q0482,"Microprcsr cu combo vad, rep",,,3391.01,9243.49,5
HCPCS,Q0483,"Monitor elec vad, rep",,,13969.4,38078.99,5
HCPCS,Q0484,Monitor elec or comb vad rep,,,2712.78,7394.71,5
HCPCS,Q0485,"Monitor cable elec vad, rep",,,261.94,714.01,5
HCPCS,Q0486,Mon cable elec/pneum vad rep,,,217.98,594.2,5
HCPCS,Q0487,"Leads any type vad, rep only",,,254.31,693.22,5
HCPCS,Q0488,"Pwr pack base elec vad, rep",,,185.72,185.72,1
HCPCS,Q0489,"Pwr pck base combo vad, rep",,,12110.73,33012.44,5
HCPCS,Q0490,"Emr pwr source elec vad, rep",,,523.84,1427.93,5
HCPCS,Q0491,Emr pwr source combo vad rep,,,823.57,2244.96,5
HCPCS,Q0492,"Emr pwr cbl elec vad, rep",,,66.35,180.84,5
HCPCS,Q0493,"Emr pwr cbl combo vad, rep",,,188.93,515.0,5
HCPCS,Q0494,"Emr hd pmp elec/combo, rep",,,159.87,435.79,5
HCPCS,Q0495,"Charger elec/combo vad, rep",,,3112.15,8483.36,5
HCPCS,Q0496,"Battery elec/combo vad, rep",,,1116.99,3044.8,5
HCPCS,Q0497,"Bat clps elec/comb vad, rep",,,348.8,950.82,5
HCPCS,Q0498,"Holster elec/combo vad, rep",,,382.71,1043.19,5
HCPCS,Q0499,Belt/vest elec/combo vad rep,,,124.34,338.93,5
HCPCS,Q0500,"Filters elec/combo vad, rep",,,22.75,61.99,5
HCPCS,Q0501,"Shwr cov elec/combo vad, rep",,,380.5,1037.21,5
HCPCS,Q0502,"Mobility cart pneum vad, rep",,,484.4,1320.44,5
HCPCS,Q0503,Battery pneum vad replacemnt,,,968.85,2640.97,5
HCPCS,Q0504,"Pwr adpt pneum vad, rep veh",,,511.23,1393.58,5
HCPCS,Q0506,Lith-ion batt elec/pneum VAD,,,636.36,1734.65,5
HCPCS,Q0507,HC CATH VASC IMPELLA RP,56000.0,19600.0,16038.4,41720.0,5
HCPCS,Q0510,Dispens fee immunosupressive,,,0.02,0.02,1
HCPCS,Q0511,"Sup fee antiem,antica,immuno",,,0.02,0.02,1
HCPCS,Q0512,Px sup fee anti-can sub pres,,,0.02,0.02,1
HCPCS,Q0515,Sermorelin acetate injection,,,0.05,3.24,4
HCPCS,Q1004,Ntiol category 4,,,5428.0,5428.0,1
HCPCS,Q1005,Ntiol category 5,,,5428.0,5428.0,1
HCPCS,Q2004,Bladder calculi irrig sol,,,163.95,517.7,3
HCPCS,Q2009,Fosphenytoin inj PE,,,1.33,13.12,8
HCPCS,Q2017,Drugs,,,4941.98,4941.98,1
HCPCS,Q2017,Drugs - Other,,,13089.02,13089.02,1
HCPCS,Q2017,Oncology Drugs,,,4582.56,4582.56,1
HCPCS,Q2017,Other Outpatient Services - CPT/HCPCS,,,4289.04,4289.04,1
HCPCS,Q2026,Radiesse injection,,,349.19,568.55,5
HCPCS,Q2028,"Inj, sculptra, 0.5mg",,,0.05,3.52,8
HCPCS,Q2034,Agriflu vaccine,,,0.05,0.05,1
HCPCS,Q2035,"Afluria vacc, 3 yrs & >, im",,,0.05,33.22,4
HCPCS,Q2036,"Flulaval vacc, 3 yrs & >, im",,,0.05,15.42,2
HCPCS,Q2037,"Fluvirin vacc, 3 yrs & >, im",,,0.05,32.21,4
HCPCS,Q2038,"Fluzone vacc, 3 yrs & >, im",,,0.05,127.48,4
HCPCS,Q2039,"Influenza virus vaccine, nos",,,28.7,28.7,1
HCPCS,Q2041,Axicabtagene ciloleucel car+,,,0.05,865956.73,7
HCPCS,Q2042,Tisagenlecleucel car-pos t,,,0.05,1000009.19,7
HCPCS,Q2043,Sipuleucel-T auto CD54+,,,56269.19,278264.75,8
HCPCS,Q2049,Imported Lipodox inj,,,0.05,915.18,8
HCPCS,Q2050,doxorubicin liposomal per 10 mg,3540.0,1239.0,71.86,1882.04,60
HCPCS,Q2053,Brexucabtagene CAR pos T,,,0.05,796662.96,7
HCPCS,Q2054,Lisocabtagene mara car pos t,,,0.05,915473.09,7
HCPCS,Q2055,Idecabtagene vicleucel car,,,0.05,911435.56,7
HCPCS,Q2056,Ciltacabtagene car-pos t,,,0.05,958187.25,7
HCPCS,Q2057,Afamitresgene autoleucel,,,770620.0,1254723.48,4
HCPCS,Q2058,Obecbtge autol up to 400 mil,,,278250.0,453046.65,4
HCPCS,Q3001,Brachytherapy Radioelements,,,99.96,107.78,2
HCPCS,Q3014,Telehealth facility fee,,,47.73,47.73,1
HCPCS,Q3027,Inj beta interferon im 1 mcg,,,88.59,278.72,4
HCPCS,Q3028,Inj beta interferon sq 1 mcg,,,72.6,197.08,4
HCPCS,Q3031,Collagen skin test,,,80.98,80.98,1
HCPCS,Q4001,Cast sup body cast plaster,,,37.25,101.53,5
HCPCS,Q4002,Cast sup body cast fiberglas,,,140.75,383.67,5
HCPCS,Q4003,Cast sup shoulder cast plstr,,,26.75,72.91,5
HCPCS,Q4004,Cast sup shoulder cast fbrgl,,,92.61,252.42,5
HCPCS,Q4005,Cast sup long arm adult plst,,,9.86,26.88,5
HCPCS,Q4006,Cast sup long arm adult fbrg,,,22.23,60.57,5
HCPCS,Q4007,Cast sup long arm ped plster,,,4.93,13.43,5
HCPCS,Q4008,Cast sup long arm ped fbrgls,,,11.11,30.27,5
HCPCS,Q4009,Cast sup sht arm adult plstr,,,6.59,17.96,5
HCPCS,Q4010,Cast sup sht arm adult fbrgl,,,14.81,40.38,5
HCPCS,Q4011,Cast sup sht arm ped plaster,,,3.29,8.96,5
HCPCS,Q4012,Cast sup sht arm ped fbrglas,,,7.42,20.24,5
HCPCS,Q4013,Cast sup gauntlet plaster,,,11.99,32.68,5
HCPCS,Q4014,Cast sup gauntlet fiberglass,,,20.21,55.1,5
HCPCS,Q4015,Cast sup gauntlet ped plster,,,6.0,16.36,5
HCPCS,Q4016,Cast sup gauntlet ped fbrgls,,,10.1,27.53,5
HCPCS,Q4017,Cast sup lng arm splint plst,,,6.92,18.89,5
HCPCS,Q4018,Cast sup lng arm splint fbrg,,,11.04,30.09,5
HCPCS,Q4019,Cast sup lng arm splnt ped p,,,3.48,9.44,5
HCPCS,Q4020,Cast sup lng arm splnt ped f,,,5.54,15.11,5
HCPCS,Q4021,Cast sup sht arm splint plst,,,5.12,13.99,5
HCPCS,Q4022,Cast sup sht arm splint fbrg,,,9.26,25.24,5
HCPCS,Q4023,Cast sup sht arm splnt ped p,,,2.58,7.02,5
HCPCS,Q4024,Cast sup sht arm splnt ped f,,,4.64,12.63,5
HCPCS,Q4025,Cast sup hip spica plaster,,,28.74,78.35,5
HCPCS,Q4026,Cast sup hip spica fiberglas,,,89.79,244.75,5
HCPCS,Q4027,Cast sup hip spica ped plstr,,,14.39,39.21,5
HCPCS,Q4028,Cast sup hip spica ped fbrgl,,,44.93,122.44,5
HCPCS,Q4029,Cast sup long leg plaster,,,21.99,59.95,5
HCPCS,Q4030,Cast sup long leg fiberglass,,,57.89,157.81,5
HCPCS,Q4031,Cast sup lng leg ped plaster,,,10.99,29.94,5
HCPCS,Q4032,Cast sup lng leg ped fbrgls,,,28.94,78.9,5
HCPCS,Q4033,Cast sup lng leg cylinder pl,,,20.52,55.93,5
HCPCS,Q4034,Cast sup lng leg cylinder fb,,,51.02,139.03,5
HCPCS,Q4035,Cast sup lngleg cylndr ped p,,,10.26,27.96,5
HCPCS,Q4036,Cast sup lngleg cylndr ped f,,,25.52,69.57,5
HCPCS,Q4037,Cast sup shrt leg plaster,,,12.49,34.06,5
HCPCS,Q4038,Cast sup shrt leg fiberglass,,,31.35,85.45,5
HCPCS,Q4039,Cast sup shrt leg ped plster,,,6.28,17.1,5
HCPCS,Q4040,Cast sup shrt leg ped fbrgls,,,15.67,42.71,5
HCPCS,Q4041,Cast sup lng leg splnt plstr,,,15.21,41.49,5
HCPCS,Q4042,Cast sup lng leg splnt fbrgl,,,25.97,70.81,5
HCPCS,Q4043,Cast sup lng leg splnt ped p,,,7.61,20.74,5
HCPCS,Q4044,Cast sup lng leg splnt ped f,,,13.01,35.46,5
HCPCS,Q4045,Cast sup sht leg splnt plstr,,,8.84,24.08,5
HCPCS,Q4046,Cast sup sht leg splnt fbrgl,,,14.2,38.73,5
HCPCS,Q4047,Cast sup sht leg splnt ped p,,,4.39,11.98,5
HCPCS,Q4048,Cast sup sht leg splnt ped f,,,7.11,19.38,5
HCPCS,Q4049,"Finger splint, static",,,1.61,4.36,5
HCPCS,Q4074,iloprost 20 mcg/mL solution for nebulization 1 mL AMPUL,217.12,76.0,74.47,757.39,6
HCPCS,Q4081,"Epoetin alfa, 100 units ESRD",,,1.35,3.62,4
HCPCS,Q4100,HC I TISSUE ENDOFRM ANTI DISC 1X1,21.99,7.7,6.3,16.38,8
HCPCS,Q4100,HC I TISSUE ENDOFRM ANTI FNST 4X5,110.63,38.73,31.68,82.42,8
HCPCS,Q4100,HC I TISSUE ENDOFRM ANTI HI FL 4X5,110.63,38.73,31.68,82.42,8
HCPCS,Q4100,HC I TISSUE ENDOFRM ANTI NFNST 2X2,31.78,11.13,9.1,23.68,8
HCPCS,Q4100,HC I TISSUE ENDOFRM ANTI NFNST 4X5,110.63,38.73,31.68,82.42,8
HCPCS,Q4100,HC I TISSUE ENDOFRM NTRL DISC 1X1,21.99,7.7,6.3,16.38,8
HCPCS,Q4100,HC I TISSUE ENDOFRM NTRL FNST 4X5,110.63,38.73,31.68,82.42,8
HCPCS,Q4100,HC I TISSUE ENDOFRM NTRL HI 6X8.5,370.39,129.64,106.08,275.94,8
HCPCS,Q4100,HC I TISSUE ENDOFRM NTRL HI FL 2X2,31.78,11.13,9.1,23.68,8
HCPCS,Q4100,HC I TISSUE ENDOFRM NTRL HI FL 4X5,110.63,38.73,31.68,82.42,8
HCPCS,Q4100,HC I TISSUE ENDOFRM NTRL NFNST 2X2,31.78,11.13,9.1,23.68,8
HCPCS,Q4100,HC I TISSUE ENDOFRM NTRL NFNST 4X5,110.63,38.73,31.68,82.42,8
HCPCS,Q4101,HC DSG GRAFT APLI BI LAYER,2991.45,1047.01,50.16,1026.07,10
HCPCS,Q4101,cultured skin substitute disk 1 each Box,5649.84,1977.45,50.16,1937.9,20
HCPCS,Q4102,Oasis wound matrix,,,22.05,213.74,7
HCPCS,Q4103,Oasis burn matrix,,,21.43,213.74,7
HCPCS,Q4104,Integra bmwd,,,81.72,213.74,7
HCPCS,Q4105,Integra drt or omnigraft,,,41.81,213.74,7
HCPCS,Q4106,HC DSG GRAFT DERMA SCAFFOLD,2887.5,1010.63,74.15,990.41,6
HCPCS,Q4106,"cultured skin substitute 2 X 3 "" sheet 1 each Bag",4502.88,1576.01,74.15,1544.49,12
HCPCS,Q4107,Graftjacket,,,131.27,225.18,7
HCPCS,Q4108,Integra matrix,,,73.19,213.74,7
HCPCS,Q4110,Primatrix,,,64.45,213.74,7
HCPCS,Q4111,Gammagraft,,,12.28,213.74,7
HCPCS,Q4112,Cymetra injectable,,,1569.75,1584.13,2
HCPCS,Q4113,Graftjacket xpress,,,1242.14,3295.88,3
HCPCS,Q4114,Integra flowable wound matri,,,2486.55,2850.78,3
HCPCS,Q4115,Alloskin,,,20.01,213.74,7
HCPCS,Q4116,Alloderm,,,43.06,213.74,6
HCPCS,Q4117,hyaluronic acid 2.5x2.5 cm pad 1 each Box,436.64,152.83,27.9,213.74,10
HCPCS,Q4117,hyaluronic acid 5x5 cm pad 1 each Box,800.14,280.05,27.9,274.45,10
HCPCS,Q4118,Matristem micromatrix,,,4.21,4.67,3
HCPCS,Q4121,Theraskin,,,74.25,213.74,7
HCPCS,Q4122,"Dermacell, awm, porous sq cm",,,131.27,213.74,7
HCPCS,Q4123,Alloskin,,,62.04,213.74,7
HCPCS,Q4124,Oasis tri-layer wound matrix,,,15.31,213.74,7
HCPCS,Q4125,Arthroflex,,,131.27,240.33,5
HCPCS,Q4126,Memoderm/derma/tranz/integup,,,129.26,213.74,7
HCPCS,Q4127,Talymed,,,113.01,213.74,7
HCPCS,Q4128,Flexhd/allopatchhd/sq cm,,,50.7,213.74,7
HCPCS,Q4130,Strattice tm,,,9.79,213.74,5
HCPCS,Q4132,"Grafix core, grafixpl core",,,131.27,290.17,7
HCPCS,Q4133,Grafix stravix prime pl sqcm,,,131.27,249.99,7
HCPCS,Q4134,Hmatrix,,,131.27,291.75,6
HCPCS,Q4135,Mediskin,,,44.98,213.74,5
HCPCS,Q4136,Ezderm,,,2.09,213.74,5
HCPCS,Q4137,Amnioexcel biodexcel 1sq cm,,,131.27,213.74,7
HCPCS,Q4138,"Biodfence dryflex, 1cm",,,131.27,432.08,6
HCPCS,Q4139,"Amnio or biodmatrix, inj 1cc",,,1107.2,1107.2,1
HCPCS,Q4140,Biodfence 1cm,,,131.27,683.37,6
HCPCS,Q4141,"Alloskin ac, 1 cm",,,65.09,213.74,7
HCPCS,Q4142,Xcm biologic tiss matrix 1cm,,,131.27,213.74,4
HCPCS,Q4143,"Repriza, 1cm",,,48.97,213.74,7
HCPCS,Q4145,"Epifix, inj, 1mg",,,34.65,45.9,2
HCPCS,Q4146,"Tensix, 1cm",,,131.27,213.74,4
HCPCS,Q4147,Architect ecm px fx 1 sq cm,,,131.27,269.98,7
HCPCS,Q4148,Neox neox rt or clarix cord,,,131.27,510.94,7
HCPCS,Q4149,"Excellagen, 0.1 cc",,,240.82,287.1,3
HCPCS,Q4150,Allowrap ds or dry 1 sq cm,,,128.14,213.74,7
HCPCS,Q4151,"Amnioband, guardian 1 sq cm",,,131.27,251.99,7
HCPCS,Q4152,Dermapure 1 square cm,,,83.19,213.74,7
HCPCS,Q4153,"Dermavest, plurivest sq cm",,,131.27,278.25,7
HCPCS,Q4154,Biovance 1 square cm,,,131.27,272.25,7
HCPCS,Q4155,Neoxflo or clarixflo 1 mg,,,47.4,56.27,3
HCPCS,Q4156,Neox 100 or clarix 100,,,119.16,296.97,7
HCPCS,Q4157,Revitalon 1 square cm,,,131.27,334.79,7
HCPCS,Q4158,"Kerecis omega3, per sq cm",,,131.27,327.54,7
HCPCS,Q4159,HC DSG GRAFT AFFNTY 1.5X1.5 2.25,1829.52,640.34,131.27,659.55,10
HCPCS,Q4159,HC DSG GRAFT AFFNTY 2.5X2.5 6.25,2758.14,965.35,131.27,946.04,10
HCPCS,Q4160,HC DSG GRAFT NUSHEILD 1.6,1459.92,510.98,131.27,500.75,10
HCPCS,Q4160,HC DSG GRAFT NUSHEILD 2X4 8,2633.4,921.69,131.27,903.26,10
HCPCS,Q4160,HC DSG GRAFT NUSHEILD 3X4 12,3234.0,1131.9,131.27,1109.26,10
HCPCS,Q4160,HC DSG GRAFT NUSHEILD 4X4 16,4296.6,1503.81,131.27,1473.73,10
HCPCS,Q4160,HC DSG GRAFT NUSHEILD 4X6 24,6006.0,2102.1,131.27,2060.06,10
HCPCS,Q4160,HC DSG GRAFT NUSHEILD 6X6 36,8200.5,2870.18,131.27,2812.77,10
HCPCS,Q4160,HC DSG GRAFT NUSHELID 2X3 6,2203.74,771.31,131.27,755.88,10
HCPCS,Q4160,placental allograft 12 cm2 sheet 1 each Box,3304.0,1156.4,131.27,1133.27,10
HCPCS,Q4160,placental allograft 16 cm2 sheet 1 each,4389.6,1536.36,131.27,1505.63,10
HCPCS,Q4160,placental allograft 24 cm2 sheet 1 each Box,6136.0,2147.6,131.27,2104.65,10
HCPCS,Q4160,placental allograft 36 cm2 sheet 1 each Box,8378.0,2932.3,131.27,2873.65,10
HCPCS,Q4160,placental allograft 6 cm2 sheet 1 each Box,1876.2,656.67,131.27,643.54,10
HCPCS,Q4160,placental allograft 8 cm2 sheet 1 each Box,2242.0,784.7,131.27,769.01,10
HCPCS,Q4161,Bio-connekt per square cm,,,131.27,3340.62,7
HCPCS,Q4162,"Wndex flw, bioskn flw, 0.5cc",,,3044.8,4235.01,3
HCPCS,Q4163,"Woundex, bioskin, per sq cm",,,131.27,324.08,7
HCPCS,Q4164,"Helicoll, per square cm",,,131.27,2943.12,7
HCPCS,Q4165,"Keramatrix, kerasorb sq cm",,,49.79,213.74,7
HCPCS,Q4166,"Cytal, per square centimeter",,,30.61,213.74,7
HCPCS,Q4167,"Truskin, per sq centimeter",,,131.27,213.74,7
HCPCS,Q4168,"Amnioband, 1 mg",,,23.87,30.69,2
HCPCS,Q4169,"Artacent wound, per sq cm",,,131.27,5085.72,7
HCPCS,Q4170,"Cygnus, per sq cm",,,76.16,237.5,7
HCPCS,Q4171,"Interfyl, 1 mg",,,19.37,21.54,3
HCPCS,Q4173,Palingen or palingen xplus,,,131.27,702.8,7
HCPCS,Q4174,Palingen or promatrx,,,2067.7,2378.48,3
HCPCS,Q4175,Miroderm,,,105.07,213.74,7
HCPCS,Q4176,"Neopatch or therion, 1 sq cm",,,131.27,293.04,7
HCPCS,Q4177,"Floweramnioflo, 0.1 cc",,,249.12,297.0,3
HCPCS,Q4178,"Floweramniopatch, per sq cm",,,131.27,213.74,7
HCPCS,Q4179,"Flowerderm, per sq cm",,,131.27,213.74,4
HCPCS,Q4180,"Revita, per sq cm",,,131.27,1127.15,7
HCPCS,Q4181,"Amnio wound, per square cm",,,131.27,269.02,5
HCPCS,Q4182,"Transcyte, per sq centimeter",,,65.32,213.74,6
HCPCS,Q4183,"Surgigraft, 1 sq cm",,,131.27,265.52,7
HCPCS,Q4184,Cellesta or duo per sq cm,,,131.27,1123.82,7
HCPCS,Q4185,Cellesta flowab amnion 0.5cc,,,1018.31,1018.31,1
HCPCS,Q4186,HC ALLOGRAFT WND DISK 1.5 SQ,941.85,329.65,131.27,659.3,12
HCPCS,Q4186,HC ALLOGRAFT WND DISK 2.5 SQ,2157.75,755.22,131.27,1510.43,12
HCPCS,Q4186,HC ALLOGRAFT WND MESH 10.1 SQ,4076.1,1426.64,131.27,2853.27,12
HCPCS,Q4186,HC ALLOGRAFT WND MESH 6 SQ,3603.6,1261.26,131.27,2522.52,12
HCPCS,Q4186,amniotic membrane 14 mm sheet 1 each Packet,1062.0,371.7,131.27,364.27,10
HCPCS,Q4186,amniotic membrane 2 X 3 cm sheet 1 each Packet,3752.4,1313.34,131.27,1287.07,10
HCPCS,Q4187,Epicord 1 sq cm,,,131.27,450.7,7
HCPCS,Q4188,Amnioarmor 1 sq cm,,,131.27,1616.47,7
HCPCS,Q4189,"Artacent ac, 1 mg",,,34.63,38.28,2
HCPCS,Q4190,Artacent ac 1 sq cm,,,131.27,810.76,7
HCPCS,Q4191,Restorigin 1 sq cm,,,131.27,2818.55,7
HCPCS,Q4193,Coll-e-derm 1 sq cm,,,131.27,3862.67,6
HCPCS,Q4194,Novachor 1 sq cm,,,131.27,1649.84,7
HCPCS,Q4195,HC DSG GRAFT PURAL 2X4,2284.13,799.45,130.63,783.46,10
HCPCS,Q4195,HC DSG GRAFT PURAL 5X5,5948.25,2081.89,130.63,2040.25,10
HCPCS,Q4195,HC DSG GRAFT PURAL 6X9,12848.22,4496.88,130.63,4406.94,10
HCPCS,Q4196,HC DSG GRAFT PURAL AM 1.6,1663.2,582.12,131.27,570.48,10
HCPCS,Q4196,HC DSG GRAFT PURAL AM 2X2 4,2079.0,727.65,131.27,713.1,10
HCPCS,Q4196,HC DSG GRAFT PURAL AM 2X4 8,2633.4,921.69,131.27,903.26,10
HCPCS,Q4196,HC DSG GRAFT PURAL AM 5X5 25,6468.0,2263.8,131.27,2218.52,10
HCPCS,Q4196,HC DSG GRAFT PURAL AM 6X9 54,13970.88,4889.81,131.27,4792.01,10
HCPCS,Q4196,HC DSG GRAFT PURAL AM 8X16 128,31185.0,10914.75,131.27,10696.46,10
HCPCS,Q4196,wound matrix 1.6 cm2 disk 1 each Box,1062.0,371.7,131.27,364.27,10
HCPCS,Q4196,wound matrix 128 cm2 sheet 1 each Box,31860.0,11151.0,131.27,10927.98,10
HCPCS,Q4196,wound matrix 25 cm2 sheet 1 each Box,6608.0,2312.8,131.27,2266.54,10
HCPCS,Q4196,wound matrix 4 cm2 sheet 1 each Box,1770.0,619.5,131.27,607.11,10
HCPCS,Q4196,wound matrix 54 cm2 sheet 1 each Box,14273.28,4995.65,131.27,4895.74,10
HCPCS,Q4196,wound matrix 8 cm2 sheet 1 each Box,2242.0,784.7,131.27,769.01,10
HCPCS,Q4197,Puraply xt 1 sq cm,,,131.27,225.52,7
HCPCS,Q4198,Genesis amnio membrane 1sqcm,,,131.27,213.74,4
HCPCS,Q4199,"Cygnus matrix, per sq cm",,,131.27,617.24,7
HCPCS,Q4200,Skin te 1 sq cm,,,131.27,213.74,4
HCPCS,Q4201,Matrion 1 sq cm,,,131.27,213.74,7
HCPCS,Q4203,"Derma-gide, 1 sq cm",,,131.27,519.95,7
HCPCS,Q4204,Xwrap 1 sq cm,,,131.27,5380.56,6
HCPCS,Q4205,Membrane graft or wrap sq cm,,,131.27,2683.35,7
HCPCS,Q4206,Fluid Flow or Fluid GF 1 cc,,,3985.92,5929.37,2
HCPCS,Q4208,Novafix per sq cm,,,131.27,734.4,6
HCPCS,Q4209,Surgraft per sq cm,,,131.27,213.74,4
HCPCS,Q4210,Drugs,,,1399.2,1399.2,1
HCPCS,Q4210,Other Outpatient Services - CPT/HCPCS,,,1555.06,1555.06,1
HCPCS,Q4211,Amnion bio or axobio sq cm,,,131.27,213.74,4
HCPCS,Q4213,"Ascent, 0.5 mg",,,95.41,113.82,3
HCPCS,Q4214,Cellesta cord per sq cm,,,131.27,213.74,4
HCPCS,Q4216,Artacent cord per sq cm,,,131.27,213.74,4
HCPCS,Q4217,Woundfix biowound plus xplus,,,131.27,1432.47,7
HCPCS,Q4218,Surgicord per sq cm,,,131.27,229.5,6
HCPCS,Q4219,Surgigraft dual per sq cm,,,131.27,1836.0,7
HCPCS,Q4220,"Bellacell hd, surederm sq cm",,,131.27,213.74,4
HCPCS,Q4221,Amniowrap2 per sq cm,,,131.27,3625.2,7
HCPCS,Q4222,"Progenamatrix, per sq cm",,,131.27,265.29,7
HCPCS,Q4224,Hhf10-p per sq cm,,,135.4,220.46,4
HCPCS,Q4225,"Amnio or derma tl, per sq cm",,,44.39,2889.18,7
HCPCS,Q4226,MyOwn harv prep proc sq cm,,,637.71,2203.2,3
HCPCS,Q4227,Amniocore per sq cm,,,131.27,1869.84,7
HCPCS,Q4229,Cogenex amnio memb per sq cm,,,131.27,1685.6,7
HCPCS,Q4231,Drugs,,,2453.85,2453.85,1
HCPCS,Q4231,Oncology Drugs,,,5584.5,5584.5,1
HCPCS,Q4231,Other Outpatient Services - CPT/HCPCS,,,2727.19,2727.19,1
HCPCS,Q4232,"Corplex, per sq cm",,,114.87,453.33,7
HCPCS,Q4234,"Xcellerate, per sq cm",,,131.27,1153.25,7
HCPCS,Q4235,Amniorepair or altiply sq cm,,,131.27,269.69,7
HCPCS,Q4236,Carepatch per sq cm,,,131.27,1592.0,7
HCPCS,Q4237,"Cryo-cord, per sq cm",,,131.27,824.04,7
HCPCS,Q4238,"Derm-maxx, per sq cm",,,131.27,2915.74,7
HCPCS,Q4239,Amnio-maxx or lite per sq cm,,,113.32,4436.46,7
HCPCS,Q4244,Drugs,,,19601.51,19601.51,1
HCPCS,Q4246,"Coretext or protext, per cc",,,4897.2,7389.9,3
HCPCS,Q4247,"Amniotext patch, per sq cm",,,131.27,2181.78,7
HCPCS,Q4248,Dermacyte amn mem allo sq cm,,,131.27,1993.86,7
HCPCS,Q4249,"Amniply, per sq cm",,,131.27,2610.8,7
HCPCS,Q4250,Amnioamp-mp per sq cm,,,131.27,4360.5,6
HCPCS,Q4251,"Vim, per square centimeter",,,131.27,297.0,7
HCPCS,Q4252,"Vendaje, per square centimet",,,131.27,542.77,7
HCPCS,Q4253,Zenith amniotic membrane psc,,,131.27,863.25,7
HCPCS,Q4254,Novafix dl per sq cm,,,131.27,734.4,6
HCPCS,Q4255,"Reguard, topical use per sq",,,131.27,213.74,4
HCPCS,Q4256,"Mlg complet, per sq cm",,,131.27,2627.87,6
HCPCS,Q4257,"Relese, per sq cm",,,131.27,1566.77,6
HCPCS,Q4258,"Enverse, per sq cm",,,121.52,213.74,7
HCPCS,Q4259,Celera per sq cm,,,131.27,2322.18,7
HCPCS,Q4260,"Signature apatch, per sq cm",,,131.27,213.74,4
HCPCS,Q4261,"Tag, per square centimeter",,,131.27,1194.96,7
HCPCS,Q4262,"Dual layer impax, per sq cm",,,131.27,2147.29,7
HCPCS,Q4263,"Surgraft tl, per sq cm",,,131.27,1933.38,7
HCPCS,Q4264,"Cocoon membrane, per sq cm",,,131.27,4957.2,5
HCPCS,Q4265,Neostim tl per sq cm,,,131.27,3806.46,7
HCPCS,Q4266,Neostim per sq cm,,,131.27,2776.77,7
HCPCS,Q4267,Neostim dl per sq cm,,,131.27,1603.66,7
HCPCS,Q4268,Surgraft ft per sq cm,,,131.27,1884.32,7
HCPCS,Q4269,Surgraft xt per sq cm,,,131.27,1377.0,5
HCPCS,Q4270,Complete sl per sq cm,,,131.27,213.74,4
HCPCS,Q4271,Complete ft per sq cm,,,131.27,3263.83,6
HCPCS,Q4272,"Esano a, per sq cm",,,131.27,577.67,7
HCPCS,Q4273,"Esano aaa, per sq cm",,,131.27,213.74,4
HCPCS,Q4274,"Esano ac, per sq cm",,,131.27,2435.43,6
HCPCS,Q4275,"Esano aca, per sq cm",,,131.27,213.74,4
HCPCS,Q4276,"Orion, per sq cm",,,131.27,2867.96,6
HCPCS,Q4277,Drugs,,,2834.91,2834.91,1
HCPCS,Q4278,"Epieffect, per sq cm",,,131.27,968.23,7
HCPCS,Q4279,"Vendaje ac, per sq cm",,,131.27,4293.0,5
HCPCS,Q4280,Xcell amnio matrix per sq cm,,,131.27,5724.0,5
HCPCS,Q4281,Barrera slor dl per sq cm,,,131.27,6134.63,6
HCPCS,Q4282,Cygnus dual per sq cm,,,131.27,1656.42,7
HCPCS,Q4283,"Biovance tri or 3l, sq cm",,,131.27,2968.2,6
HCPCS,Q4284,"Dermabind sl, per sq cm",,,131.27,213.74,4
HCPCS,Q4285,Nudyn dl or dl mesh pr sq cm,,,131.27,306.3,5
HCPCS,Q4286,"Nudyn sl or slw, per sq cm",,,131.27,327.5,5
HCPCS,Q4287,"Dermabind dl, per sq cm",,,131.27,213.74,4
HCPCS,Q4288,"Dermabind ch, per sq cm",,,131.27,213.74,4
HCPCS,Q4289,"Revoshield+ amnio, per sq cm",,,131.27,213.74,4
HCPCS,Q4290,Membrane wrap hydr per sq cm,,,131.27,3663.28,7
HCPCS,Q4291,"Lamellas xt, per sq cm",,,131.27,2295.0,5
HCPCS,Q4292,"Lamellas, per sq cm",,,131.27,2203.2,5
HCPCS,Q4293,"Acesso dl, per sq cm",,,131.27,2852.46,5
HCPCS,Q4294,"Amnio quad-core, per sq cm",,,131.27,4258.11,6
HCPCS,Q4295,"Amnio tri-core, per sq cm",,,131.27,3861.99,6
HCPCS,Q4296,"Rebound matrix, per sq cm",,,131.27,4102.2,5
HCPCS,Q4297,"Emerge matrix, per sq cm",,,131.27,4102.2,5
HCPCS,Q4298,"Amniocore pro, per sq cm",,,131.27,3763.8,5
HCPCS,Q4299,"Amniocore pro+, per sq cm",,,131.27,4483.8,5
HCPCS,Q4300,"Acesso tl, per sq cm",,,131.27,3806.46,5
HCPCS,Q4301,"Activate matrix, per sq cm",,,131.27,4293.0,5
HCPCS,Q4302,"Complete aca, per sq cm",,,131.27,3615.66,5
HCPCS,Q4303,"Complete aa, per sq cm",,,131.27,6229.59,5
HCPCS,Q4304,"Grafix plus, per sq cm",,,131.27,2672.74,7
HCPCS,Q4305,Amer am ac tri-lay per sq cm,,,131.27,213.74,4
HCPCS,Q4306,Americ amnion ac per sq cm,,,131.27,213.74,4
HCPCS,Q4307,"American amnion, per sq cm",,,131.27,213.74,4
HCPCS,Q4308,"Sanopellis, per sq cm",,,131.27,213.74,4
HCPCS,Q4309,"Via matrix, per sq cm",,,131.27,3213.0,5
HCPCS,Q4310,"Procenta, per 100 mg",,,4389.0,4389.0,1
HCPCS,Q4311,"Acesso, per sq cm",,,131.27,213.74,4
HCPCS,Q4312,"Acesso ac, per sq cm",,,131.27,213.74,4
HCPCS,Q4313,"Dermabind fm, per sq cm",,,131.27,5278.5,5
HCPCS,Q4314,"Reeva, per sq cm",,,131.27,213.74,4
HCPCS,Q4315,Regenelink amniotic mem allo,,,131.27,213.74,4
HCPCS,Q4316,"Amchoplast, per sq cm",,,131.27,213.74,4
HCPCS,Q4317,"Vitograft, per sq cm",,,131.27,213.74,4
HCPCS,Q4318,"E-graft, per sq cm",,,131.27,213.74,4
HCPCS,Q4319,"Sanograft, per sq cm",,,131.27,1147.5,5
HCPCS,Q4320,"Pellograft, per sq cm",,,131.27,1377.0,5
HCPCS,Q4321,"Renograft, per sq cm",,,131.27,213.74,4
HCPCS,Q4322,"Caregraft, per sq cm",,,131.27,3304.8,5
HCPCS,Q4323,"Alloply, per sq cm",,,131.27,2524.5,5
HCPCS,Q4324,"Amniotx, per sq cm",,,131.27,2524.5,5
HCPCS,Q4325,"Acapatch, per sq cm",,,131.27,3763.8,5
HCPCS,Q4326,"Woundplus, per sq cm",,,131.27,2868.75,5
HCPCS,Q4327,"Duoamnion, per sq cm",,,131.27,213.74,4
HCPCS,Q4328,"Most, per sq cm",,,131.27,213.74,4
HCPCS,Q4329,"Singlay, per sq cm",,,131.27,213.74,4
HCPCS,Q4330,"Total, per sq cm",,,131.27,213.74,4
HCPCS,Q4331,"Axolotl graft, per sq cm",,,131.27,3107.81,5
HCPCS,Q4332,"Axolotl dualgraft, per sq cm",,,131.27,3100.5,5
HCPCS,Q4333,"Ardeograft, per sq cm",,,131.27,1377.0,5
HCPCS,Q4334,"Amnioplast 1, per sq cm",,,131.27,213.74,4
HCPCS,Q4335,"Amnioplast 2, per sq cm",,,131.27,213.74,4
HCPCS,Q4336,"Artecent c, per sq cm",,,131.27,213.74,4
HCPCS,Q4337,"Artecent trident, per sq cm",,,131.27,213.74,4
HCPCS,Q4338,"Artacent velos, per sq cm",,,131.27,213.74,4
HCPCS,Q4339,"Artacent vericlen, per sq cm",,,131.27,213.74,4
HCPCS,Q4340,"Simpligraft, per sq cm",,,131.27,213.74,4
HCPCS,Q4341,"Simplimax, per sq cm",,,131.27,213.74,4
HCPCS,Q4342,"Theramend, per sq cm",,,131.27,213.74,4
HCPCS,Q4343,Dermacyte ac matrx per sq cm,,,131.27,2853.45,5
HCPCS,Q4344,"Tri membrane wrap, per sq cm",,,131.27,213.74,4
HCPCS,Q4345,Matrix hd allogrft per sq cm,,,131.27,213.74,4
HCPCS,Q4346,Shelter dm matrix per sq cm,,,131.27,213.74,4
HCPCS,Q4347,Rampart dl matrix per sq cm,,,131.27,213.74,4
HCPCS,Q4348,Sentry sl matrix per sq cm,,,131.27,213.74,4
HCPCS,Q4349,Mantle dl matrix per sq cm,,,131.27,213.74,4
HCPCS,Q4350,Palisade dm matrix per sq cm,,,131.27,213.74,4
HCPCS,Q4351,"Enclose tl matrix, per sq cm",,,131.27,213.74,4
HCPCS,Q4352,"Overlay sl matrix, per sq cm",,,131.27,213.74,4
HCPCS,Q4353,Xceed tl matrix per sq cm,,,131.27,213.74,4
HCPCS,Q4354,Palingen dl-palingen dl-x,,,131.27,213.74,4
HCPCS,Q4355,Abio xpl abio xpl hy p sq cm,,,131.27,213.74,4
HCPCS,Q4356,Abio mem abio hyd per sq cm,,,131.27,213.74,4
HCPCS,Q4357,"Xwrap plus, per sq cm",,,131.27,213.74,4
HCPCS,Q4358,"Xwrap dual, per sq cm",,,131.27,213.74,4
HCPCS,Q4359,"Choriply, per sq cm",,,131.27,213.74,4
HCPCS,Q4360,Amchoplast fd per sq cm,,,131.27,213.74,4
HCPCS,Q4361,"Epixpress, per sq cm",,,131.27,213.74,4
HCPCS,Q4362,"Cygnus disk, per sq cm",,,131.27,213.74,4
HCPCS,Q4363,Am bur mem hydro per sq cm,,,131.27,213.74,4
HCPCS,Q4364,Am bur xp mem xpl hy p sq cm,,,131.27,213.74,4
HCPCS,Q4365,Amnio bur dl mem per sq cm,,,131.27,213.74,4
HCPCS,Q4366,Dl amnio bur x-mem per sq cm,,,131.27,213.74,4
HCPCS,Q4367,"Amniocore sl, per sq cm",,,131.27,213.74,4
HCPCS,Q4368,Amchothick per sq cm,,,131.27,213.74,4
HCPCS,Q4369,Amnioplast 3 per sq cm,,,131.27,213.74,4
HCPCS,Q4370,Aeroguard per sq cm,,,131.27,213.74,4
HCPCS,Q4371,Neoguard per sq cm,,,131.27,213.74,4
HCPCS,Q4372,Amchoplast excl per sq cm,,,131.27,213.74,4
HCPCS,Q4373,Membrane wrp lt per sq cm,,,131.27,213.74,4
HCPCS,Q4375,Duograft ac per sq cm,,,131.27,213.74,4
HCPCS,Q4376,Duograft aa per sq cm,,,131.27,213.74,4
HCPCS,Q4377,Trigraft ft per sq cm,,,131.27,213.74,4
HCPCS,Q4378,Renew ft matrix per sq cm,,,131.27,213.74,4
HCPCS,Q4379,Amniodefend ft per sq cm,,,131.27,213.74,4
HCPCS,Q4380,Advograft one per sq cm,,,131.27,213.74,4
HCPCS,Q4382,Advograft dual per sq cm,,,131.27,213.74,4
HCPCS,Q4383,Axolotl graft ult per sq cm,,,131.27,213.74,4
HCPCS,Q4384,Axolotl dual ult per sq cm,,,131.27,213.74,4
HCPCS,Q4385,Apollo ft per sq cm,,,131.27,213.74,4
HCPCS,Q4386,Acesso trifaca per sq cm,,,131.27,213.74,4
HCPCS,Q4387,Neothelium ft per sq cm,,,131.27,213.74,4
HCPCS,Q4388,Neothelium 4l per sq cm,,,131.27,213.74,4
HCPCS,Q4389,Neothelium 4l+ per sq cm,,,131.27,213.74,4
HCPCS,Q4390,Ascendion per sq cm,,,131.27,213.74,4
HCPCS,Q4391,Amnioplast double per sq cm,,,131.27,213.74,4
HCPCS,Q4392,Grafix duo per sq cm,,,131.27,213.74,4
HCPCS,Q4393,Surgraft ac per sq cm,,,131.27,213.74,4
HCPCS,Q4394,Surgraft aca per sq cm,,,131.27,213.74,4
HCPCS,Q4395,Acelagraft per sq cm,,,131.27,213.74,4
HCPCS,Q4396,Natalin per sq cm,,,131.27,213.74,4
HCPCS,Q4397,Summit aaa per sq cm,,,131.27,213.74,4
HCPCS,Q4398,Summit ac per sq cm,,,131.27,213.74,4
HCPCS,Q4399,Summit fx per sq cm,,,131.27,213.74,4
HCPCS,Q4400,Polygon3 per sq cm,,,131.27,213.74,4
HCPCS,Q4401,Absolv3 per sq cm,,,131.27,213.74,4
HCPCS,Q4402,Xwrap 2.0 per sq cm,,,131.27,213.74,4
HCPCS,Q4403,Xwrap dual plus per sq cm,,,131.27,213.74,4
HCPCS,Q4404,Xwrap hydro plus per sq cm,,,131.27,213.74,4
HCPCS,Q4405,Xwrap fenestra plus sq cm,,,131.27,213.74,4
HCPCS,Q4406,Xwrap fenestra per sq cm,,,131.27,213.74,4
HCPCS,Q4407,Xwrap tribus per sq cm,,,131.27,213.74,4
HCPCS,Q4408,Xwrap hydro per sq cm,,,131.27,213.74,4
HCPCS,Q4409,Amniomatrixf3x per sq cm,,,131.27,213.74,4
HCPCS,Q4410,Amchomatrixdl per sq cm,,,131.27,213.74,4
HCPCS,Q4411,Amniomatrixf4x per sq cm,,,131.27,213.74,4
HCPCS,Q4412,Choriofix per sq cm,,,131.27,213.74,4
HCPCS,Q4413,Cygnus solo per sq cm,,,131.27,213.74,4
HCPCS,Q4414,Simplichor per sq cm,,,131.27,213.74,4
HCPCS,Q4415,Alexiguard st-l per sq cm,,,131.27,213.74,4
HCPCS,Q4416,Alexiguard tl-t per sq cm,,,131.27,213.74,4
HCPCS,Q4417,Alexiguard dl-t per sq cm,,,131.27,213.74,4
HCPCS,Q4418,Biolab wrap flow per sq cm,,,131.27,213.74,4
HCPCS,Q4419,Biolab wrap flw lt per sq cm,,,131.27,213.74,4
HCPCS,Q4420,Nuform per sq cm,,,131.27,213.74,4
HCPCS,Q4421,Biolab wrap solo per sq cm,,,131.27,213.74,4
HCPCS,Q4422,Ac wrap per sq cm,,,131.27,213.74,4
HCPCS,Q4423,Biolab tri wrap fl per sq cm,,,131.27,213.74,4
HCPCS,Q4424,Revive ft per sq cm,,,131.27,213.74,4
HCPCS,Q4425,Revive tl per sq cm,,,131.27,213.74,4
HCPCS,Q4426,"Dermbnd tl+, tlx per sq cm",,,131.27,213.74,4
HCPCS,Q4427,Dermbnd dln dl+ dlx sq cm,,,131.27,213.74,4
HCPCS,Q4428,Dermbnd sln sl+ slx sq cm,,,131.27,213.74,4
HCPCS,Q4429,"Dermbnd chn, chx per sq cm",,,131.27,213.74,4
HCPCS,Q4431,"Pma skin substitute, nos",,,131.27,213.74,4
HCPCS,Q4432,"510(k) skin subs, nos",,,131.27,213.74,4
HCPCS,Q4433,"361 hct/p skin subs, nos",,,131.27,213.74,4
HCPCS,Q4435,Renati membrane per sq cm,,,131.27,213.74,4
HCPCS,Q4436,Renati ac membrane per sq cm,,,131.27,213.74,4
HCPCS,Q4437,Revival ac per sq cm,,,131.27,213.74,4
HCPCS,Q4438,Pretect per sq cm,,,131.27,213.74,4
HCPCS,Q4439,Instagraft per sq cm,,,131.27,213.74,4
HCPCS,Q4440,Curamatrix per sq cm,,,131.27,213.74,4
HCPCS,Q5001,Hospice or home hlth in home,,,106.46,106.46,1
HCPCS,Q5002,Hospice/home hlth in asst lv,,,45.64,45.64,1
HCPCS,Q5003,Hospice in LT/non-skilled NF,,,227.88,227.88,1
HCPCS,Q5004,Hospice in SNF,,,192.1,192.1,1
HCPCS,Q5005,"Hospice, inpatient hospital",,,566.45,566.45,1
HCPCS,Q5006,Hospice in hospice facility,,,743.0,743.0,1
HCPCS,Q5007,Hospice in LTCH,,,147.92,147.92,1
HCPCS,Q5008,Hospice in inpatient psych,,,147.92,147.92,1
HCPCS,Q5009,"Hospice/home hlth, place NOS",,,0.02,0.02,1
HCPCS,Q5010,Hospice home care in hospice,,,51.24,51.24,1
HCPCS,Q5099,"Inj ustekinumab-stba, 1 mg",,,3.21,5.22,4
HCPCS,Q5100,ustekinumab-kfce 130 mg/26 mL solution 26 mL Vial,1132.77,396.47,3.35,843.91,9
HCPCS,Q5101,filgrastim-sndz 300 mcg/0.5 mL syringe 0.5 mL Syringe,777.0,272.595,0.35,267.77,30
HCPCS,Q5101,filgrastim-sndz 480 mcg/0.8 mL syringe 0.8 mL Syringe,1243.1950000000002,435.12,0.35,426.42,20
HCPCS,Q5103,inFLIXimab-dyyb 10 mg/ml recon soln 1 each Vial,2679.87,937.96,23.58,919.2,10
HCPCS,Q5104,inFLIXimab-abda 10 mg/ml recon soln 1 each Vial,2133.61,746.77,26.8,731.83,30
HCPCS,Q5105,Inj retacrit esrd on dialysi,,,1.29,3.94,4
HCPCS,Q5106,Inj retacrit non-esrd use,,,7.88,18.93,8
HCPCS,Q5107,bevacizumab-awwb 25 mg/mL solution 16 mL Vial,8430.71,2950.75,23.74,2891.73,10
HCPCS,Q5107,bevacizumab-awwb 25 mg/mL solution 4 mL Vial,1975.98,691.6,23.74,677.76,10
HCPCS,Q5108,pegfilgrastim-jmdb 6 mg/0.6 mL syringe 0.6 mL Syringe,5911.8,2069.13,79.5,2027.75,10
HCPCS,Q5110,filgrastim-aafi 300 mcg/0.5 mL syringe 0.5 mL Syringe,620.21,217.08,0.28,212.73,20
HCPCS,Q5110,filgrastim-aafi 480 mcg/0.8 mL syringe 0.8 mL Syringe,992.33,347.32,0.28,340.37,20
HCPCS,Q5111,pegfilgrastim-cbqv 6 mg/0.6 mL syringe 0.6 mL Syringe,11823.6,4138.26,135.89,4055.49,10
HCPCS,Q5111,"pegfilgrastim-cbqv 6 mg/0.6 mL syringe, w/ wearable injector 0.6 mL Syringe",11823.6,4138.26,135.89,4055.49,10
HCPCS,Q5112,Inj ontruzant 10 mg,,,29.81,84.22,8
HCPCS,Q5113,trastuzumab-pkrb 21 mg/ml recon soln 1 each Vial,5869.105,2054.19,53.6,2966.68,20
HCPCS,Q5114,Inj  ogivri 10 mg,,,35.78,98.36,8
HCPCS,Q5115,riTUXimab-abbs 10 mg/mL solution 10 mL Vial,2394.6,838.11,31.28,821.35,10
HCPCS,Q5115,riTUXimab-abbs 10 mg/mL solution 50 mL Vial,11972.99,4190.55,31.28,4106.74,10
HCPCS,Q5116,"Inj., Trazimera, 10 mg",,,10.43,41.54,8
HCPCS,Q5117,trastuzumab-anns 21 mg/ml recon soln 1 each Vial,3851.71,1348.1,22.19,1321.14,10
HCPCS,Q5118,bevacizumab-bvzr 25 mg/mL solution 16 mL Vial,7411.83,2594.15,25.85,2542.26,10
HCPCS,Q5118,bevacizumab-bvzr 25 mg/mL solution 4 mL Vial,1737.15,608.01,25.85,595.84,10
HCPCS,Q5119,riTUXimab-pvvr 10 mg/mL solution 10 mL Vial,2029.98,710.5,13.69,696.28,10
HCPCS,Q5119,riTUXimab-pvvr 10 mg/mL solution 50 mL Vial,10149.89,3552.47,13.69,3481.41,10
HCPCS,Q5120,Inj pegfilgrastim-bmez 0.5mg,,,62.59,600.6,8
HCPCS,Q5121,inFLIXimab-axxq 100 mg recon soln 1 each Vial,1416.0,495.6,28.04,485.69,10
HCPCS,Q5122,"Inj, nyvepria",,,102.93,534.33,8
HCPCS,Q5123,"Inj. riabni, 10 mg",,,20.26,80.0,8
HCPCS,Q5124,"Inj. byooviz, 0.1 mg",,,70.9,1158.05,8
HCPCS,Q5125,"Inj, releuko 1 mcg",,,0.32,3.09,8
HCPCS,Q5126,Inj alymsys 10 mg,,,51.59,380.3,8
HCPCS,Q5127,"Inj, stimufend, 0.5 mg",,,158.26,1824.53,8
HCPCS,Q5128,"Inj, cimerli, 0.1 mg",,,83.48,1465.74,8
HCPCS,Q5129,"Inj, vegzelma, 10 mg",,,34.65,355.22,8
HCPCS,Q5130,"Inj, fylnetra, 0.5 mg",,,112.13,1092.51,8
HCPCS,Q5131,Oncology Drugs,,,825.29,825.29,1
HCPCS,Q5131,Other Outpatient Services - CPT/HCPCS,,,5461.11,5461.11,1
HCPCS,Q5132,Drugs,,,1627.68,1627.68,1
HCPCS,Q5133,"Inj, tofidence, 1 mg",,,5.26,10.19,5
HCPCS,Q5134,"Inj, tyruko, 1 mg",,,24.32,39.6,4
HCPCS,Q5135,"Inj, tyenne, 1 mg",,,4.44,9.0,5
HCPCS,Q5136,"Inj. denosumab-bbdz, 1 mg",,,27.91,45.45,4
HCPCS,Q5138,"Inj, wezlana, iv, 1 mg",,,4.54,7.4,4
HCPCS,Q5146,"Inj, hercessi, 10 mg",,,37.87,61.65,4
HCPCS,Q5147,"Inj, aflibercept-ayyh, 1 mg",,,821.4,1337.4,4
HCPCS,Q5148,"Inj, nyposi 1 mcg",,,1.03,1.67,4
HCPCS,Q5151,"Inj, eculizumab-aagh, 2 mg",,,31.93,51.99,4
HCPCS,Q5152,"Inj, eculizumab-aeeb, 2 mg",,,41.79,68.04,4
HCPCS,Q5157,"Inj, denosumab-bmwo, 1 mg",,,26.21,42.67,4
HCPCS,Q5158,"Inj, denosumab-bnht, 1 mg",,,29.8,48.52,4
HCPCS,Q5160,"Inj, jobevne, 10 mg",,,84.38,137.38,4
HCPCS,Q5162,"Inj, den (bil/bil), bio, 1mg",,,15.84,25.79,4
HCPCS,Q9950,Inj sulf hexa lipid microsph,,,31.2,99.64,4
HCPCS,Q9951,"LOCM >= 400 mg/ml iodine,1ml",,,1.66,1.66,1
HCPCS,Q9953,"Inj Fe-based MR contrast,1ml",,,0.05,111.69,3
HCPCS,Q9954,"Oral MR contrast, 100 ml",,,0.05,18.48,2
HCPCS,Q9955,"Inj perflexane lip micros,ml",,,22.42,23.85,2
HCPCS,Q9956,"Inj octafluoropropane mic,ml",,,69.56,224.03,4
HCPCS,Q9957,"Inj perflutren lip micros,ml",,,69.56,224.03,4
HCPCS,Q9958,"HOCM <=149 mg/ml iodine, 1ml",,,0.12,0.41,4
HCPCS,Q9959,"HOCM 150-199mg/ml iodine,1ml",,,0.16,0.16,1
HCPCS,Q9960,HC CNTRST OMNIPAQ 240MG/100ML,27.09,9.49,0.05,20.18,5
HCPCS,Q9960,HC CNTRST OMNIPAQ 240MG/200ML,61.66,21.59,0.05,45.94,5
HCPCS,Q9960,HC CNTRST OMNIPAQ 240MG/50ML,11.09,3.89,0.05,8.26,5
HCPCS,Q9961,"HOCM 250-299mg/ml iodine,1ml",,,0.46,0.57,4
HCPCS,Q9962,"HOCM 300-349mg/ml iodine,1ml",,,0.05,0.43,3
HCPCS,Q9963,"HOCM 350-399mg/ml iodine,1ml",,,0.35,1.1,4
HCPCS,Q9964,"HOCM>= 400mg/ml iodine, 1ml",,,0.05,0.57,3
HCPCS,Q9965,"LOCM 100-199mg/ml iodine,1ml",,,2.26,6.87,4
HCPCS,Q9966,iohexoL 240 mg iodine/mL solution 100 mL Bottle,214.29,75.01,0.61,73.5,5
HCPCS,Q9966,iohexoL 240 mg iodine/mL solution 50 mL Bottle,102.6,35.915,0.61,38.05,10
HCPCS,Q9966,iohexoL 240 mg iodine/mL solution 50 mL Vial,110.8,38.78,0.61,38.0,5
HCPCS,Q9967,HC CNTRST OPTIRAY 320 150ML,70.13,24.55,0.2,24.05,5
HCPCS,Q9967,HC CNTRST VISIPAQUE 320MG 150ML,203.63,71.28,0.2,69.85,5
HCPCS,Q9967,HC OPTIRAY 320 50 ML,53.02,18.56,0.2,18.19,5
HCPCS,Q9967,HC VISIPAQUE 100 ML BOTTLE,261.26,91.45,0.2,89.61,5
HCPCS,Q9967,iohexoL 300 mg iodine/mL solution 50 mL Bottle,131.22,45.93,0.2,45.01,5
HCPCS,Q9968,Visualization adjunct,,,10.29,29.24,7
HCPCS,Q9969,Drugs,,,16.5,16.5,1
HCPCS,Q9969,Other Outpatient Services - CPT/HCPCS,,,7.03,7.03,1
HCPCS,Q9982,flutemetamol f18 diagnostic,,,1944.01,17305.53,8
HCPCS,Q9983,florbetaben f18 diagnostic,,,1584.67,14683.48,8
HCPCS,Q9991,"buprenorphine 100 mg/0.5 mL solution, extended rel syringe 0.5 mL Syringe",5996.31,2098.71,1996.56,9892.32,10
HCPCS,Q9992,"buprenorphine 300 mg/1.5 mL solution, extended rel syringe 1.5 mL Syringe",14220.0,4977.0,1996.56,9892.32,10
HCPCS,Q9997,Ustekinumab-ttwe iv inj 1 mg,,,4.53,7.38,4
HCPCS,Q9998,"Inj ustekinumab-aekn, 1 mg",,,11.75,19.14,4
HCPCS,Q9999,Inj ustekinumab-aauz 1 mg,,,14.05,22.88,4
HCPCS,R0070,Transport portable x-ray,,,143.61,143.61,1
HCPCS,R0075,Transport port x-ray multipl,,,348.16,348.16,1
HCPCS,R0076,Transport portable EKG,,,57.21,57.21,1
HCPCS,S0012,"Butorphanol tartrate, nasal",,,93.66,295.78,3
HCPCS,S0013,Drugs - Other,,,68.91,68.91,1
HCPCS,S0013,Oncology Drugs,,,25.32,25.32,1
HCPCS,S0013,Other Outpatient Services - CPT/HCPCS,,,21.82,21.82,1
HCPCS,S0014,"Tacrine hydrochloride, 10 mg",,,0.05,4.47,3
HCPCS,S0017,Drugs - Other,,,42.69,42.69,1
HCPCS,S0017,Oncology Drugs,,,14.94,14.94,1
HCPCS,S0017,Other Outpatient Services - CPT/HCPCS,,,13.53,13.53,1
HCPCS,S0021,"Injection, cefoperazone sod",,,24.91,27.54,2
HCPCS,S0023,"Injection, cimetidine hydroc",,,0.05,4.4,3
HCPCS,S0028,Drugs - Other,,,4.35,4.35,1
HCPCS,S0028,Oncology Drugs,,,1.65,1.65,1
HCPCS,S0028,Other Outpatient Services - CPT/HCPCS,,,1.49,1.49,1
HCPCS,S0032,Drugs - Other,,,115.37,115.37,1
HCPCS,S0032,Oncology Drugs,,,22.95,22.95,1
HCPCS,S0032,Other Outpatient Services - CPT/HCPCS,,,20.76,20.76,1
HCPCS,S0034,"Injection, ofloxacin, 400 mg",,,36.54,40.4,2
HCPCS,S0039,Drugs - Other,,,65.77,65.77,1
HCPCS,S0039,Oncology Drugs,,,23.03,23.03,1
HCPCS,S0039,Other Outpatient Services - CPT/HCPCS,,,20.83,20.83,1
HCPCS,S0040,"Injection, ticarcillin disod",,,0.05,24.48,3
HCPCS,S0074,Drugs - Other,,,63.5,63.5,1
HCPCS,S0074,Oncology Drugs,,,22.23,22.23,1
HCPCS,S0074,Other Outpatient Services - CPT/HCPCS,,,20.1,20.1,1
HCPCS,S0078,"Injection, fosphenytoin sodi",,,67.77,196.67,3
HCPCS,S0080,Drugs - Other,,,512.34,512.34,1
HCPCS,S0080,Oncology Drugs,,,179.37,179.37,1
HCPCS,S0080,Other Outpatient Services - CPT/HCPCS,,,162.26,162.26,1
HCPCS,S0081,"Injection, piperacillin sodi",,,0.05,3.21,3
HCPCS,S0088,Imatinib 100 mg,,,5.1,17.2,3
HCPCS,S0090,"Sildenafil citrate, 25 mg",,,0.45,3.14,3
HCPCS,S0091,Granisetron 1mg,,,4.98,15.73,3
HCPCS,S0092,Hydromorphone 250 mg,,,139.87,441.6,3
HCPCS,S0093,Morphine 500 mg,,,11.95,34.3,3
HCPCS,S0104,"Zidovudine, oral, 100 mg",,,2.53,7.92,3
HCPCS,S0106,Bupropion HCL SR 60 tablets,,,25.57,83.49,3
HCPCS,S0108,Mercaptopurine 50 mg,,,4.9,15.78,3
HCPCS,S0109,Methadone oral 5mg,,,0.52,1.63,3
HCPCS,S0117,Tretinoin topical 5 g,,,6.44,19.67,3
HCPCS,S0119,Ondansetron 4 mg,,,0.76,2.4,3
HCPCS,S0122,Inj menotropins 75 iu,,,387.64,1176.92,3
HCPCS,S0126,Inj follitropin alfa 75 iu,,,401.1,1266.51,3
HCPCS,S0128,Inj follitropin beta 75 iu,,,361.22,1140.6,3
HCPCS,S0132,Inj ganirelix acetat 250 mcg,,,305.62,965.03,3
HCPCS,S0136,"Clozapine, 25 mg",,,1.07,3.41,3
HCPCS,S0137,"Didanosine, 25 mg",,,0.05,1.02,3
HCPCS,S0138,"Finasteride, 5 mg",,,0.26,0.85,3
HCPCS,S0139,"Minoxidil, 10 mg",,,0.76,2.4,3
HCPCS,S0140,"Saquinavir, 200 mg",,,0.05,2.24,3
HCPCS,S0145,Peg interferon alfa-2A/180,,,1913.3,5356.79,3
HCPCS,S0148,Peg interferon alfa-2b/10,,,0.05,276.2,3
HCPCS,S0155,Epoprostenol dilutant,,,23.37,61.67,3
HCPCS,S0156,"Exemestane, 25 mg",,,4.01,15.73,3
HCPCS,S0157,"Becaplermin gel 1%, 0.5 gm",,,75.27,226.39,3
HCPCS,S0160,Dextroamphetamine,,,1.28,5.45,3
HCPCS,S0164,Drugs - Other,,,23.34,23.34,1
HCPCS,S0164,Other Outpatient Services - CPT/HCPCS,,,7.56,7.56,1
HCPCS,S0166,Drugs - Other,,,23.61,23.61,1
HCPCS,S0169,Calcitrol,,,0.45,1.42,3
HCPCS,S0170,Anastrozole 1 mg,,,0.82,2.63,3
HCPCS,S0171,Drugs - Other,,,4.03,4.03,1
HCPCS,S0172,Chlorambucil 2 mg,,,453.91,1385.22,3
HCPCS,S0174,Dolasetron 50 mg,,,49.1,155.01,3
HCPCS,S0175,Flutamide 125 mg,,,51.46,54.99,2
HCPCS,S0176,Hydroxyurea 500 mg,,,0.97,2.93,3
HCPCS,S0177,Levamisole 50 mg,,,5.51,8.81,2
HCPCS,S0178,Lomustine 10 mg,,,193.3,510.46,3
HCPCS,S0179,Megestrol 20 mg,,,0.47,1.01,3
HCPCS,S0182,"Procarbazine, oral",,,222.14,677.91,3
HCPCS,S0183,Prochlorperazine 5 mg,,,0.61,1.83,3
HCPCS,S0187,Tamoxifen 10 mg,,,0.32,1.51,3
HCPCS,S0189,Drugs - Other,,,551.32,551.32,1
HCPCS,S0189,Oncology Drugs,,,193.04,193.04,1
HCPCS,S0189,Other Outpatient Services - CPT/HCPCS,,,174.61,174.61,1
HCPCS,S0190,"Mifepristone, oral, 200 mg",,,59.51,225.5,3
HCPCS,S0191,"Misoprostol, oral, 200 mcg",,,1.66,5.08,3
HCPCS,S0194,Vitamin suppl 100 caps,,,16.37,51.66,3
HCPCS,S0197,Prenatal vitamins 30 day,,,7.16,7.16,1
HCPCS,S0199,Med abortion inc all ex drug,,,557.41,557.41,1
HCPCS,S0201,Partial hospitalization serv,,,604.15,604.15,1
HCPCS,S0207,Paramedicintercep nonhospals,,,646.92,646.92,1
HCPCS,S0208,Paramed intrcept nonvol,,,335.15,335.15,1
HCPCS,S0209,WC van mileage per mi,,,3.81,3.81,1
HCPCS,S0215,Nonemerg transp mileage,,,0.64,0.64,1
HCPCS,S0220,Medical conference by physic,,,72.28,72.28,1
HCPCS,S0221,"Medical conference, 60 min",,,100.51,100.51,1
HCPCS,S0250,Comp geriatr assmt team,,,164.06,164.06,1
HCPCS,S0255,Hospice refer visit nonmd,,,152.21,152.21,1
HCPCS,S0257,End of life counseling,,,6.66,6.66,1
HCPCS,S0260,H&p for surgery,,,113.07,113.07,1
HCPCS,S0265,Genetic counsel 15 mins,,,34.34,34.34,1
HCPCS,S0274,Nurse practr visit outs cap,,,31.23,31.23,1
HCPCS,S0280,"Medical home, initial plan",,,0.02,0.02,1
HCPCS,S0281,"Medical home, maintenance",,,0.02,0.02,1
HCPCS,S0285,cnslt before screen colonoscop,,,142.45,142.45,1
HCPCS,S0302,Completed EPSDT,,,119.89,119.89,1
HCPCS,S0310,Hospitalist visit,,,73.18,73.18,1
HCPCS,S0315,Disease management program,,,147.05,147.05,1
HCPCS,S0316,Follow-up/reassessment,,,34.6,34.6,1
HCPCS,S0317,Disease mgmt per diem,,,302.75,302.75,1
HCPCS,S0320,RN telephone calls to DMP,,,142.45,142.45,1
HCPCS,S0340,Lifestyle mod 1st stage,,,472.77,472.77,1
HCPCS,S0341,Lifestyle mod 2 or 3 stage,,,19.72,19.72,1
HCPCS,S0342,Lifestyle mod 4th stage,,,95.32,95.32,1
HCPCS,S0353,Cancer treatmentplan initial,,,5.21,5.21,1
HCPCS,S0354,Cancer treatment plan change,,,7.14,7.14,1
HCPCS,S0390,Rout foot care per visit,,,5428.0,5428.0,1
HCPCS,S0395,Impression casting ft,,,98.7,98.7,1
HCPCS,S0400,Global eswl kidney,,,5428.0,5428.0,1
HCPCS,S0500,Dispos cont lens,,,53.63,53.63,1
HCPCS,S0504,Singl prscrp lens,,,25.95,25.95,1
HCPCS,S0506,Bifoc prscp lens,,,32.87,32.87,1
HCPCS,S0508,Trifoc prscrp lens,,,43.25,43.25,1
HCPCS,S0510,Non-prscrp lens,,,86.5,86.5,1
HCPCS,S0512,Daily cont lens,,,53.63,53.63,1
HCPCS,S0514,Color cont lens,,,84.58,84.58,1
HCPCS,S0515,Scleral lens liquid bandage,,,1436.21,1436.21,1
HCPCS,S0516,Safety frames,,,69.89,69.89,1
HCPCS,S0518,Sunglass frames,,,41.52,41.52,1
HCPCS,S0580,Polycarb lens,,,12.46,12.46,1
HCPCS,S0581,Nonstnd lens,,,63.66,63.66,1
HCPCS,S0592,Comp cont lens eval,,,101.98,101.98,1
HCPCS,S0595,New lenses in pts old frame,,,10.38,10.38,1
HCPCS,S0601,Screening proctoscopy,,,5428.0,5428.0,1
HCPCS,S0610,Annual gynecological examina,,,95.15,95.15,1
HCPCS,S0612,Annual gynecological examina,,,95.15,95.15,1
HCPCS,S0613,Ann breast exam,,,43.25,43.25,1
HCPCS,S0618,Audiometry for hearing aid,,,74.42,74.42,1
HCPCS,S0620,Routine ophthalmological exa,,,65.74,65.74,1
HCPCS,S0621,Routine ophthalmological exa,,,65.74,65.74,1
HCPCS,S0622,Phys exam for college,,,58.91,58.91,1
HCPCS,S0630,Removal of sutures,,,98.75,98.75,1
HCPCS,S0800,Laser in situ keratomileusis,,,5428.0,5428.0,1
HCPCS,S0810,Photorefractive keratectomy,,,5428.0,5428.0,1
HCPCS,S0812,Phototherap keratect,,,5428.0,5428.0,1
HCPCS,S1015,HC CATH PICC EXT 6IN LEURO LOCK,3.3,1.16,0.95,17.3,6
HCPCS,S1015,HC SET INFUS PWRLC 20GX1 W YSITE,23.18,8.12,6.64,17.3,6
HCPCS,S1015,HC TUBE IV REWARM AV HEPARIN LVL1,234.1,81.94,17.3,174.4,6
HCPCS,S1016,Non-pvc intravenous administ,,,34.6,34.6,1
HCPCS,S1030,Gluc monitor purchase,,,65.01,65.01,1
HCPCS,S1031,Gluc monitor rental,,,65.01,65.01,1
HCPCS,S1040,Cranial remolding orthosis,,,2076.0,2076.0,1
HCPCS,S1091,Stent non-coronary propel,,,2574.24,8128.36,3
HCPCS,S2053,Transplantation of small int,,,5428.0,5428.0,1
HCPCS,S2054,Transplantation of multivisc,,,5428.0,5428.0,1
HCPCS,S2055,Harvesting of donor multivis,,,5428.0,5428.0,1
HCPCS,S2060,Lobar lung transplantation,,,5428.0,5428.0,1
HCPCS,S2061,Donor lobectomy (lung),,,5428.0,5428.0,1
HCPCS,S2065,Simult panc kidn trans,,,5428.0,5428.0,1
HCPCS,S2066,Breast GAP flap reconst,,,5428.0,5428.0,1
HCPCS,S2067,"Breast ""stacked"" DIEP/GAP",,,5428.0,5428.0,1
HCPCS,S2068,Breast DIEP or SIEA flap,,,5428.0,5428.0,1
HCPCS,S2070,Cysto laser tx ureteral calc,,,5428.0,5428.0,1
HCPCS,S2079,Lap esophagomyotomy,,,5428.0,5428.0,1
HCPCS,S2080,Laup,,,5428.0,5428.0,1
HCPCS,S2083,Adjustment gastric band,,,3000.0,3000.0,1
HCPCS,S2095,Transcath emboliz microspher,,,5583.0,5583.0,1
HCPCS,S2102,Islet cell tissue transplant,,,5428.0,5428.0,1
HCPCS,S2103,Adrenal tissue transplant,,,5428.0,5428.0,1
HCPCS,S2112,Knee arthroscp harv,,,5428.0,5428.0,1
HCPCS,S2115,Periacetabular osteotomy,,,5428.0,5428.0,1
HCPCS,S2117,"Arthroereisis, subtalar",,,5428.0,5428.0,1
HCPCS,S2118,Total hip resurfacing,,,5428.0,5428.0,1
HCPCS,S2120,Low density lipoprotein(LDL),,,5428.0,5428.0,1
HCPCS,S2140,Cord blood harvesting,,,5428.0,5428.0,1
HCPCS,S2142,Cord blood-derived stem-cell,,,5428.0,5428.0,1
HCPCS,S2150,BMT harv/transpl 28d pkg,,,5428.0,5428.0,1
HCPCS,S2152,Solid organ transpl pkg,,,5428.0,5428.0,1
HCPCS,S2202,Echosclerotherapy,,,5428.0,5428.0,1
HCPCS,S2205,Minimally invasive direct co,,,5428.0,5428.0,1
HCPCS,S2206,Minimally invasive direct co,,,5428.0,5428.0,1
HCPCS,S2207,Minimally invasive direct co,,,5428.0,5428.0,1
HCPCS,S2208,Minimally invasive direct co,,,5428.0,5428.0,1
HCPCS,S2209,Minimally invasive direct co,,,5428.0,5428.0,1
HCPCS,S2225,Myringotomy laser-assist,,,5583.0,5583.0,1
HCPCS,S2230,Implant semi-imp hear,,,5428.0,5428.0,1
HCPCS,S2235,Implant auditory brain imp,,,5428.0,5428.0,1
HCPCS,S2260,Induced abortion 17-24 weeks,,,5428.0,5428.0,1
HCPCS,S2265,Induced abortion 25-28 wks,,,5428.0,5428.0,1
HCPCS,S2266,Induced abortion 29-31 wks,,,5428.0,5428.0,1
HCPCS,S2267,Induced abortion 32 or more,,,5428.0,5428.0,1
HCPCS,S2300,"Arthroscopy, shoulder, surgi",,,5428.0,5428.0,1
HCPCS,S2325,Hip core decompression,,,5428.0,5428.0,1
HCPCS,S2340,Chemodenervation of abductor,,,5428.0,5428.0,1
HCPCS,S2341,Chemodenerv adduct vocal,,,5428.0,5428.0,1
HCPCS,S2342,Nasal endoscop po debrid,,,3478.0,5428.0,2
HCPCS,S2348,Decompress disc RF lumbar,,,5428.0,5428.0,1
HCPCS,S2350,"Diskectomy, anterior, with d",,,5428.0,5428.0,1
HCPCS,S2351,"Diskectomy, anterior, with d",,,5428.0,5428.0,1
HCPCS,S2400,Fetal surg congen hernia,,,5428.0,5428.0,1
HCPCS,S2401,Fetal surg urin trac obstr,,,5428.0,5428.0,1
HCPCS,S2402,Fetal surg cong cyst malf,,,5428.0,5428.0,1
HCPCS,S2403,Fetal surg pulmon sequest,,,5428.0,5428.0,1
HCPCS,S2404,Fetal surg myelomeningo,,,5428.0,5428.0,1
HCPCS,S2405,Fetal surg sacrococ teratoma,,,5428.0,5428.0,1
HCPCS,S2409,Fetal surg noc,,,5428.0,5428.0,1
HCPCS,S2411,Fetoscop laser ther TTTS,,,5428.0,5428.0,1
HCPCS,S2900,Robotic surgical system,,,5428.0,5428.0,1
HCPCS,S3000,Bilat dil retinal exam,,,86.57,86.57,1
HCPCS,S3005,Eval self-assess depression,,,3.77,3.77,1
HCPCS,S3600,Stat lab,,,5428.0,5428.0,1
HCPCS,S3601,Stat lab home/nf,,,39.57,39.57,1
HCPCS,S3630,Eosinophil blood count,,,7.43,7.43,1
HCPCS,S3645,HIV-1 antibody testing of or,,,35.32,35.32,1
HCPCS,S3650,"Saliva test, hormone level;",,,376.8,376.8,1
HCPCS,S3652,"Saliva test, hormone level;",,,136.09,136.09,1
HCPCS,S3655,Antisperm antibodies test,,,299.47,299.47,1
HCPCS,S3708,Gastrointestinal fat absorpt,,,9.86,9.86,1
HCPCS,S3845,Gene test alpha-thalassemia,,,0.76,0.76,1
HCPCS,S3854,Gene profile panel breast,,,4045.4,4045.4,1
HCPCS,S3861,Genetic test brugada,,,4340.28,4340.28,1
HCPCS,S3865,Comp genet test hyp cardiomy,,,8275.93,8275.93,1
HCPCS,S3866,Spec gene test hyp cardiomy,,,1346.36,1346.36,1
HCPCS,S3870,Cgh test developmental delay,,,682.14,682.14,1
HCPCS,S3900,Surface EMG,,,89.06,89.06,1
HCPCS,S4005,Interim labor facility globa,,,767.32,767.32,1
HCPCS,S4011,IVF package,,,8626.71,8626.71,1
HCPCS,S4013,Compl GIFT case rate,,,2140.88,2140.88,1
HCPCS,S4015,Complete IVF nos case rate,,,11768.05,11768.05,1
HCPCS,S4016,Frozen IVF case rate,,,7340.91,7340.91,1
HCPCS,S4017,IVF canc a stim case rate,,,1563.12,1563.12,1
HCPCS,S4018,F EMB trns canc case rate,,,1251.64,1251.64,1
HCPCS,S4020,Ivf canc b4 aspir case rate,,,5428.0,5428.0,1
HCPCS,S4021,Ivf canc aftr aspr case rate,,,5428.0,5428.0,1
HCPCS,S4022,Asst oocyte fert case rate,,,1308.14,1308.14,1
HCPCS,S4023,Incompl donor egg case rate,,,10539.99,10539.99,1
HCPCS,S4025,Donor serv IVF case rate,,,9323.94,9323.94,1
HCPCS,S4026,Procure donor sperm,,,200.65,200.65,1
HCPCS,S4027,Store prev froz embryos,,,24.25,24.25,1
HCPCS,S4028,Microsurg epi sperm asp,,,5428.0,5428.0,1
HCPCS,S4035,Stimulated IUI case rate,,,5428.0,5428.0,1
HCPCS,S4037,Cryo embryo transf case rate,,,721.55,721.55,1
HCPCS,S4040,Monit store cryo embryo 30 d,,,38.3,38.3,1
HCPCS,S4042,Ovulation mgmt per cycle,,,0.02,0.02,1
HCPCS,S4981,Insert levonorgestrel ius,,,5428.0,5428.0,1
HCPCS,S4989,Contracept IUD,,,660.05,660.05,1
HCPCS,S4990,Nicotine patch legend,,,3.49,3.49,1
HCPCS,S4991,Nicotine patch nonlegend,,,3.3,9.34,2
HCPCS,S4993,Contraceptive pills for bc,,,1.94,4.14,2
HCPCS,S4995,Smoking cessation gum,,,0.59,0.59,1
HCPCS,S5000,"Prescription drug, generic",,,179999.58,179999.58,1
HCPCS,S5001,"Prescription drug,brand name",,,179999.58,179999.58,1
HCPCS,S5010,5% dextrose and 0.45% saline,,,13.11,41.43,3
HCPCS,S5012,5% dextrose with potassium,,,7.89,24.92,3
HCPCS,S5035,HIT routine device maint,,,27.68,27.68,1
HCPCS,S5100,Adult daycare services 15min,,,3.79,3.79,1
HCPCS,S5101,Adult day care per half day,,,22.7,22.7,1
HCPCS,S5102,Adult day care per diem,,,86.5,86.5,1
HCPCS,S5105,Centerbased day care perdiem,,,96.97,96.97,1
HCPCS,S5108,Homecare train pt 15 min,,,32.54,32.54,1
HCPCS,S5109,Homecare train pt session,,,32.54,32.54,1
HCPCS,S5110,Family homecare training 15m,,,5.16,5.16,1
HCPCS,S5111,Family homecare train/sessio,,,20.76,20.76,1
HCPCS,S5115,Nonfamily homecare train/15m,,,8.22,8.22,1
HCPCS,S5116,Nonfamily HC train/session,,,38.28,38.28,1
HCPCS,S5120,Chore services per 15 min,,,0.78,0.78,1
HCPCS,S5121,Chore services per diem,,,2.63,2.63,1
HCPCS,S5125,Attendant care service /15m,,,10.55,10.55,1
HCPCS,S5126,Attendant care service /diem,,,27.49,27.49,1
HCPCS,S5130,Homaker service nos per 15m,,,3.13,3.13,1
HCPCS,S5131,Homemaker service nos /diem,,,59.17,59.17,1
HCPCS,S5135,Adult companioncare per 15m,,,3.62,3.62,1
HCPCS,S5136,Adult companioncare per diem,,,27.18,27.18,1
HCPCS,S5140,Adult foster care per diem,,,64.01,64.01,1
HCPCS,S5141,Adult foster care per month,,,18.36,18.36,1
HCPCS,S5145,Child fostercare th per diem,,,139.7,139.7,1
HCPCS,S5150,Unskilled respite care /15m,,,4.15,4.15,1
HCPCS,S5151,Unskilled respitecare /diem,,,11.0,11.0,1
HCPCS,S5160,Emer response sys instal&tst,,,66.29,66.29,1
HCPCS,S5161,Emer rspns sys serv permonth,,,37.96,37.96,1
HCPCS,S5162,Emer rspns system purchase,,,57.52,57.52,1
HCPCS,S5165,Home modifications per serv,,,100.81,100.81,1
HCPCS,S5170,Homedelivered prepared meal,,,8.44,8.44,1
HCPCS,S5175,"Laundry serv,ext,prof,/order",,,0.02,0.02,1
HCPCS,S5180,HH respiratory thrpy in eval,,,49.08,49.08,1
HCPCS,S5185,Med reminder serv per month,,,106.83,106.83,1
HCPCS,S5190,Wellness assessment by nonph,,,38.99,38.99,1
HCPCS,S5497,HIT cath care noc,,,5.19,5.19,1
HCPCS,S5498,HIT simple cath care,,,3.46,3.46,1
HCPCS,S5501,HIT complex cath care,,,5.19,5.19,1
HCPCS,S5502,HIT interim cath care,,,5.19,5.19,1
HCPCS,S5517,HIT declotting kit,,,34.6,34.6,1
HCPCS,S5518,HIT cath repair kit,,,41.52,41.52,1
HCPCS,S5520,HIT picc insert kit,,,43.25,43.25,1
HCPCS,S5521,HIT midline cath insert kit,,,17.3,17.3,1
HCPCS,S5522,HIT picc insert no supp,,,86.5,86.5,1
HCPCS,S5523,HIP midline cath insert kit,,,86.5,86.5,1
HCPCS,S5550,Insulin rapid 5 u,,,0.44,3.87,3
HCPCS,S5551,Insulin most rapid 5 u,,,0.78,7.19,3
HCPCS,S5552,Insulin intermed 5 u,,,0.44,3.78,3
HCPCS,S5553,Insulin long acting 5 u,,,1.05,7.08,3
HCPCS,S5561,Insulin reuse pen 3 ml,,,69.2,78.65,2
HCPCS,S5566,Insulin cartridge 300 u,,,49.34,535.38,3
HCPCS,S5570,Insulin dispos pen 1.5 ml,,,183.6,713.45,3
HCPCS,S5571,Insulin dispos pen 3 ml,,,58.41,452.78,3
HCPCS,S8030,Tantalum ring application,,,22.8,22.8,1
HCPCS,S8035,Magnetic source imaging,,,387.95,387.95,1
HCPCS,S8037,mrcp,,,657.4,657.4,1
HCPCS,S8040,Topographic brain mapping,,,81.83,81.83,1
HCPCS,S8042,MRI low field,,,657.4,657.4,1
HCPCS,S8055,Us guidance fetal reduct,,,71.92,71.92,1
HCPCS,S8080,Scintimammography,,,55.88,55.88,1
HCPCS,S8085,Fluorine-18 fluorodeoxygluco,,,2076.0,2076.0,1
HCPCS,S8092,Electron beam computed tomog,,,227.94,227.94,1
HCPCS,S8096,Portable peak flow meter,,,26.23,26.23,1
HCPCS,S8097,Asthma kit,,,26.23,26.23,1
HCPCS,S8100,Spacer without mask,,,8.65,8.65,1
HCPCS,S8101,Spacer with mask,,,8.65,8.65,1
HCPCS,S8110,Peak expiratory flow rate (p,,,24.13,24.13,1
HCPCS,S8120,O2 contents gas cubic ft,,,1.73,1.73,1
HCPCS,S8121,O2 contents liquid lb,,,1.73,1.73,1
HCPCS,S8130,Interferential stim 2 chan,,,619.34,619.34,1
HCPCS,S8185,Flutter device,,,3.96,3.96,1
HCPCS,S8186,Swivel adaptor,,,6.47,6.47,1
HCPCS,S8189,HC TRAP H20 VENT DISP CARDINAL,5.78,2.03,1.66,4.31,6
HCPCS,S8210,Mucus trap,,,4.69,4.69,1
HCPCS,S8265,Haberman feeder,,,109.8,109.8,1
HCPCS,S8270,Enuresis alarm,,,275.24,275.24,1
HCPCS,S8420,Custom gradient sleev/glov,,,6.33,6.33,1
HCPCS,S8421,Ready gradient sleev/glov,,,6.33,6.33,1
HCPCS,S8422,Custom grad sleeve med,,,6.33,6.33,1
HCPCS,S8423,Custom grad sleeve heavy,,,6.33,6.33,1
HCPCS,S8424,Ready gradient sleeve,,,6.33,6.33,1
HCPCS,S8425,Custom grad glove med,,,6.33,6.33,1
HCPCS,S8426,Custom grad glove heavy,,,6.33,6.33,1
HCPCS,S8427,Ready gradient glove,,,6.33,6.33,1
HCPCS,S8428,Ready gradient gauntlet,,,6.33,6.33,1
HCPCS,S8429,Gradient pressure wrap,,,0.43,0.43,1
HCPCS,S8430,Padding for comprssn bdg,,,0.43,0.43,1
HCPCS,S8431,Compression bandage,,,0.43,0.43,1
HCPCS,S8450,Splint digit,,,15.81,15.81,1
HCPCS,S8451,Splint wrist or ankle,,,15.81,15.81,1
HCPCS,S8452,Splint elbow,,,15.81,15.81,1
HCPCS,S8460,Camisole post-mast,,,40.69,40.69,1
HCPCS,S8490,100 insulin syringes,,,42.89,42.89,1
HCPCS,S8930,Auricular electrostimulation,,,43.56,43.56,1
HCPCS,S8940,Hippotherapy per session,,,122.33,122.33,1
HCPCS,S8948,Low-level laser trmt 15 min,,,32.63,32.63,1
HCPCS,S8950,"Complex lymphedema therapy,",,,31.43,31.43,1
HCPCS,S8990,Pt or manip for maint,,,46.4,46.4,1
HCPCS,S8999,Resuscitation bag,,,100.82,100.82,1
HCPCS,S9001,Home uterine monitor with or,,,216.25,216.25,1
HCPCS,S9024,Paranasal sinus ultrasound,,,92.24,92.24,1
HCPCS,S9025,Omnicardiogram/cardiointegra,,,257.89,257.89,1
HCPCS,S9034,ESWL for gallstones,,,5428.0,5428.0,1
HCPCS,S9055,Procuren or other growth fac,,,3.62,3.62,1
HCPCS,S9056,Coma stimulation per diem,,,33.11,33.11,1
HCPCS,S9061,Medical supplies and equipme,,,43.25,43.25,1
HCPCS,S9083,HC GLOBAL FEE URGENT CARE CENTERS,375.38,131.39,120.5,343.0,6
HCPCS,S9088,Services provided in urgent,,,50.6,50.6,1
HCPCS,S9090,Vertebral axial decompressio,,,31.43,31.43,1
HCPCS,S9097,Home visit wound care,,,138.4,138.4,1
HCPCS,S9098,Home phototherapy visit,,,155.7,155.7,1
HCPCS,S9110,Telemonitoring/home per mnth,,,43.25,43.25,1
HCPCS,S9117,Back school visit,,,33.79,33.79,1
HCPCS,S9122,Home health aide or certifie,,,25.95,25.95,1
HCPCS,S9123,Nursing care in home RN,,,51.9,51.9,1
HCPCS,S9124,"Nursing care, in the home; b",,,51.9,51.9,1
HCPCS,S9125,"Respite care, in the home, p",,,95.15,95.15,1
HCPCS,S9126,"Hospice care, in the home, p",,,95.15,95.15,1
HCPCS,S9127,"Social work visit, in the ho",,,86.5,86.5,1
HCPCS,S9128,"Speech therapy, in the home,",,,66.62,66.62,1
HCPCS,S9129,"Occupational therapy, in the",,,66.62,66.62,1
HCPCS,S9131,PT in the home per diem,,,133.26,133.26,1
HCPCS,S9140,"Diabetic Management Program,",,,34.6,34.6,1
HCPCS,S9141,"Diabetic Management Program,",,,43.25,43.25,1
HCPCS,S9145,Insulin pump initiation,,,17.3,17.3,1
HCPCS,S9152,"Speech therapy, re-eval",,,102.74,102.74,1
HCPCS,S9208,Home mgmt preterm labor,,,86.5,86.5,1
HCPCS,S9209,Home mgmt PPROM,,,232.53,232.53,1
HCPCS,S9211,Home mgmt gest hypertension,,,86.5,86.5,1
HCPCS,S9212,Hm postpar hyper per diem,,,86.5,86.5,1
HCPCS,S9213,Hm preeclamp per diem,,,86.5,86.5,1
HCPCS,S9214,Hm gest dm per diem,,,86.5,86.5,1
HCPCS,S9325,HIT pain mgmt per diem,,,43.25,43.25,1
HCPCS,S9326,HIT cont pain per diem,,,38.06,38.06,1
HCPCS,S9327,HIT int pain per diem,,,17.3,17.3,1
HCPCS,S9328,HIT pain imp pump diem,,,38.06,38.06,1
HCPCS,S9329,HIT chemo per diem,,,58.13,58.13,1
HCPCS,S9330,HIT cont chem diem,,,38.06,38.06,1
HCPCS,S9331,HIT intermit chemo diem,,,17.3,17.3,1
HCPCS,S9335,HT hemodialysis diem,,,155.7,155.7,1
HCPCS,S9336,HIT cont anticoag diem,,,38.06,38.06,1
HCPCS,S9338,HIT immunotherapy diem,,,38.06,38.06,1
HCPCS,S9339,HIT periton dialysis diem,,,34.6,34.6,1
HCPCS,S9340,HIT enteral per diem,,,10.38,10.38,1
HCPCS,S9341,HIT enteral grav diem,,,3.46,3.46,1
HCPCS,S9342,HIT enteral pump diem,,,6.92,6.92,1
HCPCS,S9343,HIT enteral bolus nurs,,,7.2,7.2,1
HCPCS,S9345,HIT anti-hemophil diem,,,43.25,43.25,1
HCPCS,S9346,HIT alpha-1-proteinas diem,,,43.25,43.25,1
HCPCS,S9347,HIT longterm infusion diem,,,43.25,43.25,1
HCPCS,S9348,HIT sympathomim diem,,,43.25,43.25,1
HCPCS,S9349,HIT tocolysis diem,,,43.25,43.25,1
HCPCS,S9351,HIT cont antiemetic diem,,,43.25,43.25,1
HCPCS,S9353,HIT cont insulin diem,,,43.25,43.25,1
HCPCS,S9355,HIT chelation diem,,,43.25,43.25,1
HCPCS,S9357,HIT enzyme replace diem,,,43.25,43.25,1
HCPCS,S9359,HIT anti-tnf per diem,,,43.25,43.25,1
HCPCS,S9361,HIT diuretic infus diem,,,43.25,43.25,1
HCPCS,S9363,HIT anti-spasmotic diem,,,43.25,43.25,1
HCPCS,S9364,HIT tpn total diem,,,86.5,86.5,1
HCPCS,S9365,HIT tpn 1 liter diem,,,86.5,86.5,1
HCPCS,S9366,HIT tpn 2 liter diem,,,86.5,86.5,1
HCPCS,S9367,HIT tpn 3 liter diem,,,86.5,86.5,1
HCPCS,S9368,HIT tpn over 3l diem,,,86.5,86.5,1
HCPCS,S9370,HT inj antiemetic diem,,,17.3,17.3,1
HCPCS,S9372,HT inj anticoag diem,,,17.3,17.3,1
HCPCS,S9373,HIT hydra total diem,,,43.25,43.25,1
HCPCS,S9374,HIT hydra 1 liter diem,,,43.25,43.25,1
HCPCS,S9375,HIT hydra 2 liter diem,,,43.25,43.25,1
HCPCS,S9376,HIT hydra 3 liter diem,,,43.25,43.25,1
HCPCS,S9377,HIT hydra over 3l diem,,,43.25,43.25,1
HCPCS,S9379,HIT noc per diem,,,43.25,43.25,1
HCPCS,S9381,HIT high risk/escort,,,44.79,44.79,1
HCPCS,S9401,Anticoag clinic per session,,,70.58,70.58,1
HCPCS,S9430,Pharmacy comp/disp serv,,,0.02,0.02,1
HCPCS,S9433,Medical food oral 100% nutr,,,40.95,40.95,1
HCPCS,S9434,Mod solid food suppl,,,15.57,15.57,1
HCPCS,S9435,Medical foods for inborn err,,,13.84,13.84,1
HCPCS,S9436,Lamaze class,,,65.88,65.88,1
HCPCS,S9437,Childbirth refresher class,,,96.97,96.97,1
HCPCS,S9438,Cesarean birth class,,,129.75,129.75,1
HCPCS,S9439,VBAC class,,,129.75,129.75,1
HCPCS,S9441,Asthma education,,,28.93,28.93,1
HCPCS,S9442,Birthing class,,,76.43,76.43,1
HCPCS,S9443,Lactation class,,,123.7,123.7,1
HCPCS,S9444,Parenting class,,,193.76,193.76,1
HCPCS,S9445,HC PT EDUCATION NOC INDIVID,46.2,16.17,13.23,34.42,5
HCPCS,S9446,PT education noc group,,,15.95,15.95,1
HCPCS,S9447,Infant safety class,,,61.55,61.55,1
HCPCS,S9449,Weight mgmt class,,,18.11,18.11,1
HCPCS,S9451,Exercise class,,,26.04,26.04,1
HCPCS,S9452,Nutrition class,,,38.11,38.11,1
HCPCS,S9453,Smoking cessation class,,,25.95,25.95,1
HCPCS,S9454,Stress mgmt class,,,148.81,148.81,1
HCPCS,S9455,"Diabetic Management Program,",,,25.95,25.95,1
HCPCS,S9460,"Diabetic Management Program,",,,43.25,43.25,1
HCPCS,S9465,"Diabetic Management Program,",,,43.25,43.25,1
HCPCS,S9470,"Nutritional counseling, diet",,,43.25,43.25,1
HCPCS,S9472,Cardiac rehabilitation progr,,,22.37,22.37,1
HCPCS,S9473,Pulmonary rehabilitation pro,,,108.32,108.32,1
HCPCS,S9474,Enterostomal therapy by a re,,,86.5,86.5,1
HCPCS,S9475,Ambulatory setting substance,,,119.87,119.87,1
HCPCS,S9476,Vestibular rehab per diem,,,82.21,82.21,1
HCPCS,S9480,Intensive outpatient psychia,,,215.0,215.0,2
HCPCS,S9482,Family stabilization 15 min,,,10.81,10.81,1
HCPCS,S9484,Crisis intervention per hour,,,213.27,213.27,1
HCPCS,S9485,Crisis intervention mental h,,,119.87,119.87,1
HCPCS,S9490,HIT corticosteroid/diem,,,43.25,43.25,1
HCPCS,S9494,HIT antibiotic total diem,,,43.25,43.25,1
HCPCS,S9497,HIT antibiotic q3h diem,,,43.25,43.25,1
HCPCS,S9500,HIT antibiotic q24h diem,,,43.25,43.25,1
HCPCS,S9501,HIT antibiotic q12h diem,,,43.25,43.25,1
HCPCS,S9502,HIT antibiotic q8h diem,,,43.25,43.25,1
HCPCS,S9503,HIT antibiotic q6h diem,,,43.25,43.25,1
HCPCS,S9504,HIT antibiotic q4h diem,,,43.25,43.25,1
HCPCS,S9529,Venipuncture home/snf,,,3.46,3.46,1
HCPCS,S9537,HT hem horm inj diem,,,17.3,17.3,1
HCPCS,S9538,HIT blood products diem,,,17.3,17.3,1
HCPCS,S9542,HT inj noc per diem,,,17.3,17.3,1
HCPCS,S9558,HT inj growth horm diem,,,17.3,17.3,1
HCPCS,S9559,HIT inj interferon diem,,,17.3,17.3,1
HCPCS,S9560,HT inj hormone diem,,,17.3,17.3,1
HCPCS,S9562,Ht inj palivizumab/ab diem,,,17.3,17.3,1
HCPCS,S9590,HT irrigation diem,,,17.3,17.3,1
HCPCS,S9810,HT pharm per hour,,,60.55,60.55,1
HCPCS,S9900,Christian Sci Pract visit,,,3.46,3.46,1
HCPCS,S9901,Christian sci nurse visit,,,17.3,17.3,1
HCPCS,S9975,Transplant related per diem,,,69.89,69.89,1
HCPCS,S9976,Lodging per diem,,,99.67,99.67,1
HCPCS,S9977,Meals per diem,,,42.7,42.7,1
HCPCS,S9981,Med record copy admin,,,13.18,13.18,1
HCPCS,S9982,Med record copy per page,,,0.59,0.59,1
HCPCS,S9986,Not medically necessary svc,,,0.02,0.02,1
HCPCS,S9988,Serv part of phase I trial,,,0.02,0.02,1
HCPCS,S9990,Services provided as part of,,,0.02,0.02,1
HCPCS,S9991,Services provided as part of,,,0.02,0.02,1
HCPCS,S9992,Transportation costs to and,,,0.02,0.02,1
HCPCS,S9996,Meals for clinical trial par,,,0.02,0.02,1
HCPCS,T1000,Private duty/independent nsg,,,8.65,8.65,1
HCPCS,T1001,Nursing assessment/evaluatn,,,34.6,34.6,1
HCPCS,T1002,RN services up to 15 minutes,,,17.3,17.3,1
HCPCS,T1003,LPN/LVN services up to 15min,,,12.11,12.11,1
HCPCS,T1004,Nsg aide service up to 15min,,,8.65,8.65,1
HCPCS,T1005,Respite care service 15 min,,,8.65,8.65,1
HCPCS,T1006,Family/Couple Counseling,,,36.97,36.97,1
HCPCS,T1007,HC TREATMENT PLAN DEVELOPMENT,28.88,10.11,9.27,502.0,6
HCPCS,T1009,Child Sitting Services,,,6.25,6.25,1
HCPCS,T1010,Meals when Receive Services,,,9.31,9.31,1
HCPCS,T1012,Alcohol/Substance Abuse Skil,,,6.23,6.23,1
HCPCS,T1013,Sign Lang/Oral Interpreter,,,28.77,28.77,1
HCPCS,T1014,"Telehealth transmit, per min",,,0.02,0.02,1
HCPCS,T1015,Clinic service,,,106.22,106.22,1
HCPCS,T1016,Case management,,,16.66,16.66,1
HCPCS,T1017,Targeted case management,,,41.69,41.69,1
HCPCS,T1018,School-based IEP ser bundled,,,31.23,31.23,1
HCPCS,T1019,Personal care ser per 15 min,,,2.49,2.49,1
HCPCS,T1020,Personal care ser per diem,,,17.2,17.2,1
HCPCS,T1021,HH Aide or cn aide per visit,,,43.25,43.25,1
HCPCS,T1022,Contracted services per day,,,86.5,86.5,1
HCPCS,T1023,Program intake assessment,,,17.3,17.3,1
HCPCS,T1024,Team evaluation & management,,,17.3,17.3,1
HCPCS,T1025,"Ped compr care pkg, per diem",,,190.3,190.3,1
HCPCS,T1026,"Ped compr care pkg, per hour",,,58.65,58.65,1
HCPCS,T1027,Family training & counseling,,,6.92,6.92,1
HCPCS,T1028,Home environment assessment,,,551.04,551.04,1
HCPCS,T1029,Dwelling lead investigation,,,117.74,117.74,1
HCPCS,T1030,RN home care per diem,,,184.92,184.92,1
HCPCS,T1031,LPN home care per diem,,,69.2,69.2,1
HCPCS,T1040,Comm bh clinic svc per diem,,,191.91,191.91,1
HCPCS,T1041,Comm bh clinic svc per month,,,419.68,419.68,1
HCPCS,T1502,Medication admin visit,,,3.46,3.46,1
HCPCS,T1503,"Med admin, not oral/inject",,,14.08,14.08,1
HCPCS,T2001,N-et; patient attend/escort,,,1.66,1.66,1
HCPCS,T2003,N-et; encounter/trip,,,13.48,13.48,1
HCPCS,T2004,N-et; commerc carrier pass,,,39.44,39.44,1
HCPCS,T2005,N-et; stretcher van,,,276.8,276.8,1
HCPCS,T2007,Non-emer transport wait time,,,24.05,24.05,1
HCPCS,T2010,PASRR Level I,,,9.74,9.74,1
HCPCS,T2011,PASRR Level II,,,205.44,205.44,1
HCPCS,T2012,"Habil ed waiver, per diem",,,305.69,305.69,1
HCPCS,T2013,Habil ed waiver per hour,,,118.33,118.33,1
HCPCS,T2014,"Habil prevoc waiver, per d",,,98.07,98.07,1
HCPCS,T2015,Habil prevoc waiver per hr,,,3.68,3.68,1
HCPCS,T2016,Habil res waiver per diem,,,160.42,160.42,1
HCPCS,T2017,Habil res waiver 15 min,,,12.92,12.92,1
HCPCS,T2018,Habil sup empl waiver/diem,,,107.48,107.48,1
HCPCS,T2019,Habil sup empl waiver 15min,,,2.18,2.18,1
HCPCS,T2020,Day habil waiver per diem,,,109.11,109.11,1
HCPCS,T2021,Day habil waiver per 15 min,,,5.76,5.76,1
HCPCS,T2022,"Case management, per month",,,311.4,311.4,1
HCPCS,T2023,Targeted case mgmt per month,,,346.0,346.0,1
HCPCS,T2024,Serv asmnt/care plan waiver,,,16.16,16.16,1
HCPCS,T2026,Special childcare waiver/d,,,226.37,226.37,1
HCPCS,T2027,Spec childcare waiver 15 min,,,198.86,198.86,1
HCPCS,T2030,Assist living waiver/month,,,157.78,157.78,1
HCPCS,T2031,Assist living waiver/diem,,,100.56,100.56,1
HCPCS,T2032,"Res care, nos waiver/month",,,535.37,535.37,1
HCPCS,T2033,"Res, nos waiver per diem",,,26.07,26.07,1
HCPCS,T2034,Crisis interven waiver/diem,,,221.27,221.27,1
HCPCS,T2035,Utility services waiver,,,0.02,0.02,1
HCPCS,T2036,Camp overnite waiver/session,,,0.02,0.02,1
HCPCS,T2037,Camp day waiver/session,,,0.02,0.02,1
HCPCS,T2038,Comm trans waiver/service,,,0.42,0.42,1
HCPCS,T2039,Vehicle mod waiver/service,,,0.02,0.02,1
HCPCS,T2040,Financial mgt waiver/15min,,,1.75,1.75,1
HCPCS,T2041,Support broker waiver/15 min,,,0.02,0.02,1
HCPCS,T2042,Hospice routine home care,,,129.75,129.75,1
HCPCS,T2043,Hospice continuous home care,,,43.25,43.25,1
HCPCS,T2044,Hospice respite care,,,951.5,951.5,1
HCPCS,T2045,Hospice general care,,,951.5,951.5,1
HCPCS,T2046,"Hospice long term care, r&b",,,129.75,129.75,1
HCPCS,T2048,"Bh ltc res r&b, per diem",,,402.69,402.69,1
HCPCS,T2049,"N-ET; stretcher van, mileage",,,3.32,3.32,1
HCPCS,T2101,Breast milk proc/store/dist,,,14.13,14.13,1
HCPCS,T4521,Adult size brief/diaper sm,,,0.02,0.02,1
HCPCS,T4522,Adult size brief/diaper med,,,0.02,0.02,1
HCPCS,T4523,Adult size brief/diaper lg,,,0.02,0.02,1
HCPCS,T4524,Adult size brief/diaper xl,,,0.02,0.02,1
HCPCS,T4525,Adult size pull-on sm,,,0.02,0.02,1
HCPCS,T4526,Adult size pull-on med,,,0.02,0.02,1
HCPCS,T4527,Adult size pull-on lg,,,0.02,0.02,1
HCPCS,T4528,Adult size pull-on xl,,,0.02,0.02,1
HCPCS,T4529,Ped size brief/diaper sm/med,,,0.02,0.02,1
HCPCS,T4530,Ped size brief/diaper lg,,,0.02,0.02,1
HCPCS,T4531,Ped size pull-on sm/med,,,0.02,0.02,1
HCPCS,T4532,Ped size pull-on lg,,,0.02,0.02,1
HCPCS,T4533,Youth size brief/diaper,,,0.02,0.02,1
HCPCS,T4534,Youth size pull-on,,,0.02,0.02,1
HCPCS,T4535,Disposable liner/shield/pad,,,2.72,2.72,1
HCPCS,T4536,Reusable pull-on any size,,,0.02,0.02,1
HCPCS,T4537,Reusable underpad bed size,,,0.02,0.02,1
HCPCS,T4538,Diaper serv reusable diaper,,,0.02,0.02,1
HCPCS,T4539,Reuse diaper/brief any size,,,0.02,0.02,1
HCPCS,T4540,Reusable underpad chair size,,,2.72,2.72,1
HCPCS,T4541,Large disposable underpad,,,2.72,2.72,1
HCPCS,T4542,Small disposable underpad,,,2.72,2.72,1
HCPCS,T4543,Adult disp brief/diap abv xl,,,0.97,0.97,1
HCPCS,T4544,Adlt disp und/pull on abv xl,,,0.71,0.71,1
HCPCS,T5001,Position seat spec orth need,,,812.32,812.32,1
HCPCS,U0001,2019-ncov diagnostic p,,,35.92,125.61,7
HCPCS,U0002,HC 2019 NOVEL CORONAVIRUS SARSCOV-2 BY PCR -ARUP 3002638,351.12,122.9,51.31,179.43,9
HCPCS,V2020,Vision svcs frames purchases,,,83.13,146.44,5
HCPCS,V2025,Eyeglasses delux frames,,,112.45,112.45,1
HCPCS,V2100,Lens spher single plano 4.00,,,63.95,104.12,5
HCPCS,V2101,Single visn sphere 4.12-7.00,,,67.38,109.71,5
HCPCS,V2102,Singl visn sphere 7.12-20.00,,,94.77,154.3,5
HCPCS,V2103,Spherocylindr 4.00d/12-2.00d,,,51.53,83.9,5
HCPCS,V2104,Spherocylindr 4.00d/2.12-4d,,,58.76,95.67,5
HCPCS,V2105,Spherocylinder 4.00d/4.25-6d,,,50.21,81.75,5
HCPCS,V2106,Spherocylinder 4.00d/>6.00d,,,55.71,90.71,5
HCPCS,V2107,Spherocylinder 4.25d/12-2d,,,57.15,93.05,5
HCPCS,V2108,Spherocylinder 4.25d/2.12-4d,,,69.54,113.23,5
HCPCS,V2109,Spherocylinder 4.25d/4.25-6d,,,60.7,98.83,5
HCPCS,V2110,Spherocylinder 4.25d/over 6d,,,59.9,97.53,5
HCPCS,V2111,Spherocylindr 7.25d/.25-2.25,,,62.44,101.66,5
HCPCS,V2112,Spherocylindr 7.25d/2.25-4d,,,68.16,110.98,5
HCPCS,V2113,Spherocylindr 7.25d/4.25-6d,,,77.87,126.79,5
HCPCS,V2114,Spherocylinder over 12.00d,,,102.17,166.35,5
HCPCS,V2115,Lens lenticular bifocal,,,107.96,175.78,5
HCPCS,V2118,Lens aniseikonic single,,,89.78,146.18,5
HCPCS,V2121,"Lenticular lens, single",,,95.78,155.95,5
HCPCS,V2200,Lens spher bifoc plano 4.00d,,,67.26,109.51,5
HCPCS,V2201,Lens sphere bifocal 4.12-7.0,,,78.89,128.45,5
HCPCS,V2202,Lens sphere bifocal 7.12-20.,,,104.33,169.87,5
HCPCS,V2203,Lens sphcyl bifocal 4.00d/.1,,,67.14,109.32,5
HCPCS,V2204,Lens sphcy bifocal 4.00d/2.1,,,69.77,113.6,5
HCPCS,V2205,Lens sphcy bifocal 4.00d/4.2,,,81.3,132.37,5
HCPCS,V2206,Lens sphcy bifocal 4.00d/ove,,,76.9,125.21,5
HCPCS,V2207,Lens sphcy bifocal 4.25-7d/.,,,78.36,127.59,5
HCPCS,V2208,Lens sphcy bifocal 4.25-7/2.,,,84.3,137.26,5
HCPCS,V2209,Lens sphcy bifocal 4.25-7/4.,,,85.4,139.05,5
HCPCS,V2210,Lens sphcy bifocal 4.25-7/ov,,,91.07,148.28,5
HCPCS,V2211,Lens sphcy bifo 7.25-12/.25-,,,120.55,196.28,5
HCPCS,V2212,Lens sphcyl bifo 7.25-12/2.2,,,124.48,202.68,5
HCPCS,V2213,Lens sphcyl bifo 7.25-12/4.2,,,125.75,204.75,5
HCPCS,V2214,Lens sphcyl bifocal over 12.,,,119.52,194.6,5
HCPCS,V2215,Lens lenticular bifocal,,,106.46,173.34,5
HCPCS,V2218,Lens aniseikonic bifocal,,,123.83,201.62,5
HCPCS,V2219,Lens bifocal seg width over,,,72.68,118.34,5
HCPCS,V2220,Lens bifocal add over 3.25d,,,45.72,74.44,5
HCPCS,V2221,"Lenticular lens, bifocal",,,111.54,181.61,5
HCPCS,V2299,Lens bifocal speciality,,,62.3,62.3,1
HCPCS,V2300,Lens sphere trifocal 4.00d,,,88.49,144.08,5
HCPCS,V2301,Lens sphere trifocal 4.12-7.,,,94.18,153.34,5
HCPCS,V2302,Lens sphere trifocal 7.12-20,,,100.39,163.45,5
HCPCS,V2303,Lens sphcy trifocal 4.0/.12-,,,84.24,137.16,5
HCPCS,V2304,Lens sphcy trifocal 4.0/2.25,,,90.33,147.08,5
HCPCS,V2305,Lens sphcy trifocal 4.0/4.25,,,100.93,164.33,5
HCPCS,V2306,Lens sphcyl trifocal 4.00/>6,,,113.55,184.88,5
HCPCS,V2307,Lens sphcy trifocal 4.25-7/.,,,96.19,156.62,5
HCPCS,V2308,Lens sphc trifocal 4.25-7/2.,,,100.15,163.06,5
HCPCS,V2309,Lens sphc trifocal 4.25-7/4.,,,106.09,172.74,5
HCPCS,V2310,Lens sphc trifocal 4.25-7/>6,,,104.83,170.68,5
HCPCS,V2311,Lens sphc trifo 7.25-12/.25-,,,109.08,177.6,5
HCPCS,V2312,Lens sphc trifo 7.25-12/2.25,,,109.7,178.61,5
HCPCS,V2313,Lens sphc trifo 7.25-12/4.25,,,122.52,199.49,5
HCPCS,V2314,Lens sphcyl trifocal over 12,,,131.58,214.24,5
HCPCS,V2315,Lens lenticular trifocal,,,146.08,237.85,5
HCPCS,V2318,Lens aniseikonic trifocal,,,179.58,292.39,5
HCPCS,V2319,Lens trifocal seg width > 28,,,60.8,98.99,5
HCPCS,V2320,Lens trifocal add over 3.25d,,,64.14,104.43,5
HCPCS,V2321,"Lenticular lens, trifocal",,,143.98,234.43,5
HCPCS,V2399,Lens trifocal speciality,,,144.4,144.4,1
HCPCS,V2410,Lens variab asphericity sing,,,146.36,238.3,5
HCPCS,V2430,Lens variable asphericity bi,,,150.52,245.08,5
HCPCS,V2499,Variable asphericity lens,,,49.27,49.27,1
HCPCS,V2500,Contact lens pmma spherical,,,105.25,171.37,5
HCPCS,V2501,Cntct lens pmma-toric/prism,,,185.22,301.58,5
HCPCS,V2502,Contact lens pmma bifocal,,,209.13,340.51,5
HCPCS,V2503,Cntct lens pmma color vision,,,171.97,280.0,5
HCPCS,V2510,Cntct gas permeable sphericl,,,151.64,246.9,5
HCPCS,V2511,Cntct toric prism ballast,,,195.17,317.78,5
HCPCS,V2512,Cntct lens gas permbl bifocl,,,230.62,375.5,5
HCPCS,V2513,Contact lens extended wear,,,193.62,315.25,5
HCPCS,V2520,Contact lens hydrophilic,,,127.67,207.87,5
HCPCS,V2521,Cntct lens hydrophilic toric,,,247.23,402.54,5
HCPCS,V2522,Cntct lens hydrophil bifocl,,,216.33,352.23,5
HCPCS,V2523,Cntct lens hydrophil extend,,,184.35,300.16,5
HCPCS,V2524,Cntct lens hydrophil photoch,,,135.96,240.58,5
HCPCS,V2530,Contact lens gas impermeable,,,297.16,483.84,5
HCPCS,V2531,Contact lens gas permeable,,,671.91,1094.0,5
HCPCS,V2600,Hand held low vision aids,,,48.44,48.44,1
HCPCS,V2610,Single lens spectacle mount,,,359.93,359.93,1
HCPCS,V2615,Telescop/othr compound lens,,,20.76,20.76,1
HCPCS,V2623,Plastic eye prosth custom,,,1162.77,1893.22,5
HCPCS,V2624,Polishing artifical eye,,,94.78,154.32,5
HCPCS,V2625,Enlargemnt of eye prosthesis,,,597.47,972.8,5
HCPCS,V2626,Reduction of eye prosthesis,,,244.25,397.69,5
HCPCS,V2627,Scleral cover shell,,,2049.79,3337.47,5
HCPCS,V2628,Fabrication & fitting,,,496.63,808.61,5
HCPCS,V2629,Prosthetic eye other type,,,995.23,995.23,1
HCPCS,V2630,Anter chamber intraocul lens,,,145.73,237.28,5
HCPCS,V2631,Iris support intraoclr lens,,,145.73,237.28,5
HCPCS,V2632,Post chmbr intraocular lens,,,145.73,237.28,5
HCPCS,V2700,Balance lens,,,63.23,102.95,5
HCPCS,V2702,Deluxe lens feature,,,30.07,30.07,1
HCPCS,V2710,Glass/plastic slab off prism,,,94.65,154.11,5
HCPCS,V2715,Prism lens/es,,,14.23,23.17,5
HCPCS,V2718,Fresnell prism press-on lens,,,34.95,56.91,5
HCPCS,V2730,Special base curve,,,25.81,42.02,5
HCPCS,V2744,Tint photochromatic lens/es,,,20.09,32.71,5
HCPCS,V2745,"Tint, any color/solid/grad",,,12.86,20.94,5
HCPCS,V2750,Anti-reflective coating,,,23.37,38.05,5
HCPCS,V2755,UV lens/es,,,21.49,34.99,5
HCPCS,V2756,Eye glass case,,,13.65,13.65,1
HCPCS,V2760,Scratch resistant coating,,,26.14,42.56,5
HCPCS,V2761,Mirror coating,,,12.99,12.99,1
HCPCS,V2762,"Polarization, any lens",,,74.19,120.8,5
HCPCS,V2770,Occluder lens/es,,,24.45,39.81,5
HCPCS,V2780,Oversize lens/es,,,15.34,24.98,5
HCPCS,V2781,Progressive lens per lens,,,137.93,137.93,1
HCPCS,V2782,"Lens, 1.54-1.65 p/1.60-1.79g",,,80.12,130.45,5
HCPCS,V2783,"Lens, >= 1.66 p/>=1.80 g",,,90.37,147.14,5
HCPCS,V2784,Lens polycarb or equal,,,58.79,95.72,5
HCPCS,V2785,Corneal tissue processing,,,2505.56,2505.56,1
HCPCS,V2786,Occupational multifocal lens,,,54.43,54.43,1
HCPCS,V2787,Astigmatism-correct function,,,396.79,396.79,1
HCPCS,V2788,Presbyopia-correct function,,,1147.66,1147.66,1
HCPCS,V2790,Amniotic membrane,,,699.14,699.14,1
HCPCS,V5008,Hearing screening,,,69.56,69.56,1
HCPCS,V5010,Assessment for hearing aid,,,91.1,91.1,1
HCPCS,V5011,Hearing aid fitting/checking,,,142.19,142.19,1
HCPCS,V5014,HC 6-MONTH WARRANTY FOR REPAIR,231.0,80.85,66.16,172.1,5
HCPCS,V5014,HC HEARING ACCESSORY/FILTERED PLUGS,346.5,121.28,99.24,258.14,5
HCPCS,V5014,HC REPAIR/ MODIFICATION OR LOSS,173.25,60.64,49.62,171.74,5
HCPCS,V5020,Conformity evaluation,,,80.03,80.03,1
HCPCS,V5030,Body-worn hearing aid air,,,1262.52,1262.52,1
HCPCS,V5040,Body-worn hearing aid bone,,,959.67,959.67,1
HCPCS,V5050,Hearing aid monaural in ear,,,1109.24,1109.24,1
HCPCS,V5060,Behind ear hearing aid,,,927.04,927.04,1
HCPCS,V5070,Glasses air conduction,,,515.23,515.23,1
HCPCS,V5080,Glasses bone conduction,,,1294.52,1294.52,1
HCPCS,V5090,Hearing aid dispensing fee,,,460.44,460.44,1
HCPCS,V5095,Implant mid ear hearing pros,,,171.96,171.96,1
HCPCS,V5100,Body-worn bilat hearing aid,,,2076.9,2076.9,1
HCPCS,V5110,Hearing aid dispensing fee,,,468.45,468.45,1
HCPCS,V5120,Body-worn binaur hearing aid,,,1815.29,1815.29,1
HCPCS,V5130,In ear binaural hearing aid,,,1931.63,1931.63,1
HCPCS,V5140,Behind ear binaur hearing ai,,,2008.58,2008.58,1
HCPCS,V5150,Glasses binaural hearing aid,,,2144.61,2144.61,1
HCPCS,V5160,Dispensing fee binaural,,,560.78,560.78,1
HCPCS,V5171,HC  CROS ITE,1400.78,490.28,401.18,1043.58,5
HCPCS,V5181,HC CROS BTE,1400.78,490.28,401.18,1043.58,5
HCPCS,V5190,Hearing aid monaural glasses,,,1475.5,1475.5,1
HCPCS,V5200,Disp fee contralateral monau,,,464.12,464.12,1
HCPCS,V5230,Hearing aid binaural glasses,,,1609.7,1609.7,1
HCPCS,V5240,Disp fee contralateral binau,,,480.75,480.75,1
HCPCS,V5241,"Dispensing fee, monaural",,,0.02,0.02,1
HCPCS,V5252,"Hearing aid, prog, bin, ite",,,1730.0,1730.0,1
HCPCS,V5253,"Hearing aid, prog, bin, bte",,,2335.5,2335.5,1
HCPCS,V5254,HC  PREMIUM LEVEL CIC,2743.02,960.06,785.6,2043.55,5
HCPCS,V5254,HC ADVANCED LEVEL CIC,1799.03,629.67,515.24,1427.25,5
HCPCS,V5254,HC ESSENTIAL LEVEL CIC,728.0,254.8,208.5,1427.25,5
HCPCS,V5254,"HC LATITUDE16, DIG,MONAURAL-CIC",1581.93,553.68,453.06,1427.25,5
HCPCS,V5254,"HC LATITUDE4, DIG ,MONAURAL-CIC",891.03,311.87,255.19,1427.25,5
HCPCS,V5254,"HC PASSPORT, DIG,MONAURAL-CIC",2096.43,733.76,600.42,1561.84,5
HCPCS,V5254,"HC PASSPORT,DIG,MONAURAL-CIC -W",2463.93,862.38,705.67,1835.63,5
HCPCS,V5254,HC STRIDE 600 CIC MONARL,1506.09,527.14,431.34,1427.25,5
HCPCS,V5255,HC  ADVANCED LEVEL ITC,1799.03,629.67,515.24,3278.35,5
HCPCS,V5255,HC ESSENTIAL LEVEL ITC,728.0,254.8,208.5,3278.35,5
HCPCS,V5255,"HC LATITUDE16, DIG,MONAURAL-ITC",1581.93,553.68,453.06,3278.35,5
HCPCS,V5255,"HC LATITUDE4, DIG ,MONAURAL-ITC",891.03,311.87,255.19,3278.35,5
HCPCS,V5255,"HC LATUITUDE8, DIG,MONAURAL-ITC",1067.43,373.61,305.71,3278.35,5
HCPCS,V5255,"HC PASSPORT, DIG, MONAURAL-ITC W",2463.93,862.38,705.67,3278.35,5
HCPCS,V5255,"HC PASSPORT, DIG,MONAURAL-ITC",2096.43,733.76,600.42,3278.35,5
HCPCS,V5255,HC PREMIUM LEVEL ITC,2743.02,960.06,785.6,3278.35,5
HCPCS,V5255,HC STRIDE 600 ITC MONARL,1506.09,527.14,431.34,3278.35,5
HCPCS,V5256,HC  ADVANCED LEVEL ITE,1799.03,629.67,515.24,1989.5,5
HCPCS,V5256,HC  PREMIUM LEVEL ITE,2743.02,960.06,785.6,2043.55,5
HCPCS,V5256,HC ESSENTIAL LEVEL ITE,728.0,254.8,208.5,1989.5,5
HCPCS,V5256,"HC LATITUDE16, DIG,MONAURAL-ITE",1581.93,553.68,453.06,1989.5,5
HCPCS,V5256,"HC PASSPORT, DIG,MONAURAL-ITE",2096.43,733.76,600.42,1989.5,5
HCPCS,V5256,HC QUANTUM PRO ITE MONAURAL,2533.55,886.75,725.61,1989.5,5
HCPCS,V5256,HC STRIDE 600 ITE MONARL,1506.09,527.14,431.34,1989.5,5
HCPCS,V5257,HC  ADVANCED LEVEL BTE,2076.23,726.69,594.63,2681.5,5
HCPCS,V5257,HC  ESSENTIAL LEVEL BTE/EARMOLD,788.0,275.8,225.68,2681.5,5
HCPCS,V5257,HC  OTICON OPN 1,2379.3,832.76,681.43,2681.5,5
HCPCS,V5257,HC  PEDIATRIC HEARING AID (MEDICAID),632.94,221.53,181.27,2681.5,5
HCPCS,V5257,"HC 360+, DIG,MONAURAL-BTE",1293.18,452.62,370.37,2681.5,5
HCPCS,V5257,HC ESSENTIAL LEVEL BTE/SLIMTUBE,728.0,254.8,208.5,2681.5,5
HCPCS,V5257,"HC LATITUDE16,DIG,MONAURAL BTE",1660.68,581.24,475.62,2681.5,5
HCPCS,V5257,HC MAX BTE/EARMOLD MONARL,1076.19,376.67,308.22,2681.5,5
HCPCS,V5257,"HC PASSPORT,DIG,MONAURAL BTE",2175.18,761.32,622.97,2681.5,5
HCPCS,V5257,"HC PASSPORT,DIG,MONAURAL BTE W",2542.68,889.94,728.22,2681.5,5
HCPCS,V5257,HC PHONAK AUDEO B90,2563.99,897.4,734.33,2681.5,5
HCPCS,V5257,HC PHONAK AUDEO B90-R,2797.18,979.02,801.11,2681.5,5
HCPCS,V5257,HC PHONAK BOLERO B50-PR,1663.2,582.12,476.34,2681.5,5
HCPCS,V5257,HC PHONAK SKY 50 HEARING AID,1422.96,498.04,407.54,2681.5,5
HCPCS,V5257,HC PHONAK SKY 70 HEARING AID,1926.54,674.29,551.76,2681.5,5
HCPCS,V5257,HC PREMIUM LEVEL BTE,2956.8,1034.88,846.83,2681.5,5
HCPCS,V5257,HC STARKEY HALO IQ I2400,2769.23,969.24,793.11,2681.5,5
HCPCS,V5257,HC STARKEY MUSE IQ I1600 BTE,1660.43,581.16,475.55,2681.5,5
HCPCS,V5257,HC STRIDE P600 BTE/EARMOLD MONARL,1506.09,527.14,431.34,2681.5,5
HCPCS,V5257,HC STRIDE P600 BTE/SLIM TUBE MONARL,1506.09,527.14,431.34,2681.5,5
HCPCS,V5257,HC STRIDE PRO BTE/EARMOLD MONARL,2743.02,960.06,785.6,2681.5,5
HCPCS,V5257,HC STRIDE PRO BTE/SLIM TUBE  MONARL,2743.02,960.06,785.6,2681.5,5
HCPCS,V5257,HC SUMO DIG MONAURAL-BTE,1357.65,475.18,388.83,2681.5,5
HCPCS,V5258,"HC LATITUDE4, DIG,BINAURAL-CIC",891.03,311.87,255.19,2854.5,5
HCPCS,V5258,"HC PASSPORT,DIG,BINAURAL-CIC",2096.43,733.76,600.42,2854.5,5
HCPCS,V5258,"HC PASSPORT,DIG. BINAURAL CIC W",2463.93,862.38,705.67,2854.5,5
HCPCS,V5258,HC STRIDE 500 CIC BINAURAL,2725.8,954.03,780.67,2854.5,5
HCPCS,V5258,HC STRIDE 500 ITC BINAURAL,2533.55,886.75,725.61,2854.5,5
HCPCS,V5258,HC STRIDE 600 CIC BINAURAL,669.9,234.47,191.86,2854.5,5
HCPCS,V5258,HC STRIDE 600 ITC BINAURAL,1067.43,373.61,305.71,2854.5,5
HCPCS,V5258,HC STRIDE PRO CIC BINAURAL,1180.87,413.31,338.2,2854.5,5
HCPCS,V5258,HC STRIDE PRO ITC BINAURAL,1581.93,553.68,453.06,2854.5,5
HCPCS,V5259,"HC LATITUDE16, DIG,BINAURAL-ITC",1581.93,553.68,453.06,5190.0,5
HCPCS,V5259,"HC LATITUDE4, DIG,BINAURAL-ITC",891.03,311.87,255.19,5190.0,5
HCPCS,V5259,"HC PASSPORT, DIG,BINAURAL-ITC",2096.43,733.76,600.42,5190.0,5
HCPCS,V5259,HC QUANTUM 10 ITC BINAURAL,1180.87,413.31,338.2,5190.0,5
HCPCS,V5260,"HC LATITUDE16, DIG,BINAURAL-ITE",1581.93,553.68,453.06,3979.0,5
HCPCS,V5260,"HC LATITUDE8, DIG,BINAURAL-ITE",1067.43,373.61,305.71,3979.0,5
HCPCS,V5260,"HC PASSPORT, DIG,BINAURAL-",2096.43,733.76,600.42,3979.0,5
HCPCS,V5260,"HC PASSPORT,DIG,BINAURAL ITE-W",2463.93,862.38,705.67,3979.0,5
HCPCS,V5260,HC STRIDE 500 ITE BINAURAL,2533.55,886.75,725.61,3979.0,5
HCPCS,V5260,HC STRIDE 600 ITE BINAURAL,736.89,257.92,211.05,3979.0,5
HCPCS,V5260,HC STRIDE PRO ITE BINAURAL,1298.96,454.64,372.02,3979.0,5
HCPCS,V5261,"HC 360+, DIG,BINAURAL-BTE",1293.18,452.62,370.37,5363.0,5
HCPCS,V5261,"HC LATITUDE16,DIG,BINAURAL-BTE",1660.68,581.24,475.62,5363.0,5
HCPCS,V5261,"HC LATITUDE8,DIG,BINAURAL-BTE",1146.18,401.17,328.27,5363.0,5
HCPCS,V5261,HC MAX BTE/EARMOLD BINAURAL,732.9,256.52,209.9,5363.0,5
HCPCS,V5261,HC QUANTUM PRO BTE BINAURAL,2596.55,908.8,743.65,5363.0,5
HCPCS,V5261,HC SKY Q BTE BINAURAL,2725.8,954.03,780.67,5363.0,5
HCPCS,V5261,HC STRIDE P500 BTE/EARMOLD BINAURAL,669.9,234.47,191.86,5363.0,5
HCPCS,V5261,HC STRIDE P500 BTE/SLIM TUBE BINAURAL,575.4,201.39,164.79,5363.0,5
HCPCS,V5261,HC STRIDE P600 BTE/EARMOLD BINAURAL,1180.87,413.31,338.2,5363.0,5
HCPCS,V5261,HC STRIDE P600 BTE/SLIM TUBE BINAURAL,978.35,342.43,280.2,5363.0,5
HCPCS,V5261,HC STRIDE PRO BTE/EARMOLD BINAURAL,2533.55,886.75,725.61,5363.0,5
HCPCS,V5261,HC STRIDE PRO BTE/SLIM TUBE BINAURAL,1243.87,435.36,356.24,5363.0,5
HCPCS,V5261,"HC SUMO, DIG,BINAURAL-BTE",1357.65,475.18,388.83,5363.0,5
HCPCS,V5261,SENSEI/SAFARI BTE/EARMLD BINAURAL,2533.55,886.75,725.61,5363.0,5
HCPCS,V5264,Ear mold/insert,,,99.39,99.39,1
HCPCS,V5265,"Ear mold/insert, disp",,,34.55,34.55,1
HCPCS,V5266,Battery for hearing device,,,1.64,1.64,1
HCPCS,V5267,HC HEARING AID SUPPLIES ETC,210.0,73.5,60.14,186.01,5
HCPCS,V5268,ALD Telephone Amplifier,,,291.28,291.28,1
HCPCS,V5269,"Alerting device, any type",,,294.1,294.1,1
HCPCS,V5270,"ALD, TV amplifier, any type",,,256.25,256.25,1
HCPCS,V5271,"ALD, TV caption decoder",,,2768.0,2768.0,1
HCPCS,V5272,Tdd,,,178.81,178.81,1
HCPCS,V5273,ALD for cochlear implant,,,1196.73,1196.73,1
HCPCS,V5275,HC  EARMOLD/EARPLUG,98.76,34.57,28.28,73.58,5
HCPCS,V5281,"Ald fm/dm system, monaural",,,2517.6,2517.6,1
HCPCS,V5282,Ald fm/dm system binaural,,,470.56,470.56,1
HCPCS,V5284,HC PHONAK ROGER X RECEIVER,2224.62,778.62,71.07,1657.34,5
HCPCS,V5286,Ald blu tooth fm/dm receiver,,,311.16,311.16,1
HCPCS,V5287,"Ald fm/dm receiver, NOS",,,16.14,16.14,1
HCPCS,V5288,HC PHONAK ROGER PEN,1486.49,520.28,224.93,1107.44,5
HCPCS,V5289,Ald fm/dm adapt/boot couplin,,,41.52,41.52,1
HCPCS,V5290,HC PHONAK ROGER CLIP ON MICROPHONE,1537.54,538.14,440.35,1145.47,5
HCPCS,V5336,Repair communication device,,,159.89,159.89,1
HCPCS,V5362,Speech screening,,,41.07,41.07,1
HCPCS,V5363,Language screening,,,31.45,31.45,1
HCPCS,V5364,Dysphagia screening,,,40.97,40.97,1
MS-DRG,001,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC,,,298278.83,840520.83,6
MS-DRG,001,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,002,HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC,,,128070.71,339874.68,6
MS-DRG,002,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,003,"ECMO OR TRACHEOSTOMY WITH MV &gt;96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES",,,228952.97,636607.42,6
MS-DRG,003,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,004,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,004,"TRACHEOSTOMY WITH MV &gt;96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES",,,153762.88,415445.04,6
MS-DRG,005,LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT,,,117656.59,309242.83,6
MS-DRG,005,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,006,LIVER TRANSPLANT WITHOUT MCC,,,59804.32,139077.54,6
MS-DRG,006,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,007,LUNG TRANSPLANT,,,144573.43,388415.35,6
MS-DRG,007,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,008,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT,,,69670.87,168098.77,6
MS-DRG,008,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,010,PANCREAS TRANSPLANT,,,85691.24,215220.77,6
MS-DRG,010,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,011,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,011,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC",,,68136.24,163584.82,6
MS-DRG,012,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,012,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC",,,55511.41,126450.49,6
MS-DRG,013,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,013,"TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC",,,41906.69,86433.83,6
MS-DRG,014,ALLOGENEIC BONE MARROW TRANSPLANT,,,6806.0,360452.87,7
MS-DRG,016,AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC,,,6806.0,177849.49,7
MS-DRG,017,AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC,,,6806.0,162930.97,7
MS-DRG,018,CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES,,,6806.0,1295181.72,7
MS-DRG,019,SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS,,,85272.17,213988.06,6
MS-DRG,019,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,020,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC,,,92758.75,236008.92,6
MS-DRG,020,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,021,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC,,,66501.67,158776.94,6
MS-DRG,021,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,022,INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC,,,44920.9,95299.76,6
MS-DRG,022,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,023,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR,,,70952.62,171868.89,6
MS-DRG,023,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,024,CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC,,,52410.53,117329.62,6
MS-DRG,024,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,025,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC,,,58883.55,136369.17,6
MS-DRG,025,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,026,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC,,,44225.47,93254.24,6
MS-DRG,026,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,027,CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,38247.01,75669.34,6
MS-DRG,027,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,028,SPINAL PROCEDURES WITH MCC,,,73787.36,180206.94,6
MS-DRG,028,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,029,SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS,,,47309.02,102324.12,6
MS-DRG,029,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,030,SPINAL PROCEDURES WITHOUT CC/MCC,,,34905.49,65840.63,6
MS-DRG,030,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,031,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,031,VENTRICULAR SHUNT PROCEDURES WITH MCC,,,58208.5,134383.64,6
MS-DRG,032,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,032,VENTRICULAR SHUNT PROCEDURES WITH CC,,,34250.82,63915.08,6
MS-DRG,033,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,033,VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC,,,29477.65,49875.36,6
MS-DRG,034,CAROTID ARTERY STENT PROCEDURES WITH MCC,,,51990.41,116093.91,6
MS-DRG,034,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,035,CAROTID ARTERY STENT PROCEDURES WITH CC,,,36896.93,71698.27,6
MS-DRG,035,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,036,CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC,,,32331.78,58270.4,6
MS-DRG,036,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,037,EXTRACRANIAL PROCEDURES WITH MCC,,,46090.49,98739.96,6
MS-DRG,037,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,038,EXTRACRANIAL PROCEDURES WITH CC,,,29066.72,48666.64,6
MS-DRG,038,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,039,EXTRACRANIAL PROCEDURES WITHOUT CC/MCC,,,24507.67,35256.77,6
MS-DRG,039,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,040,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC",,,51893.56,115808.97,6
MS-DRG,040,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,041,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR",,,34941.15,65945.61,6
MS-DRG,041,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,042,"PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC",,,30138.4,51818.91,6
MS-DRG,042,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,052,SPINAL DISORDERS AND INJURIES WITH CC/MCC,,,6806.0,54326.32,7
MS-DRG,053,SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC,,,6806.0,31670.46,7
MS-DRG,054,NERVOUS SYSTEM NEOPLASMS WITH MCC,,,6806.0,45796.31,7
MS-DRG,055,NERVOUS SYSTEM NEOPLASMS WITHOUT MCC,,,6806.0,32250.17,7
MS-DRG,056,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC,,,6806.0,69676.74,7
MS-DRG,057,DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC,,,6806.0,38858.93,7
MS-DRG,058,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC,,,6806.0,51273.03,7
MS-DRG,059,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC,,,6806.0,37218.31,7
MS-DRG,060,MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC,,,6806.0,30818.13,7
MS-DRG,061,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC",,,6806.0,82693.7,7
MS-DRG,062,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC",,,6806.0,52703.7,7
MS-DRG,063,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC",,,6806.0,42104.17,7
MS-DRG,064,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC,,,6806.0,60315.92,7
MS-DRG,065,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS,,,6806.0,32116.71,7
MS-DRG,066,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC,,,6806.0,27440.34,7
MS-DRG,067,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC,,,6806.0,44050.72,7
MS-DRG,068,PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC,,,6806.0,30023.19,7
MS-DRG,069,TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC,,,6806.0,29081.88,7
MS-DRG,070,OTHER CEREBROVASCULAR DISORDERS WITH MCC,,,6806.0,49932.35,7
MS-DRG,071,OTHER CEREBROVASCULAR DISORDERS WITH CC,,,6806.0,32342.0,7
MS-DRG,072,OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC,,,6806.0,28470.63,7
MS-DRG,073,CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC,,,6806.0,48117.77,7
MS-DRG,074,CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC,,,6806.0,32410.87,7
MS-DRG,075,VIRAL MENINGITIS WITH CC/MCC,,,6806.0,57511.58,7
MS-DRG,076,VIRAL MENINGITIS WITHOUT CC/MCC,,,6806.0,29460.67,7
MS-DRG,077,Other Inpatient MS-DRG,,,34830.41,34830.41,1
MS-DRG,078,Other Inpatient MS-DRG,,,22477.7,22477.7,1
MS-DRG,079,Other Inpatient MS-DRG,,,15017.42,15017.42,1
MS-DRG,080,NONTRAUMATIC STUPOR AND COMA WITH MCC,,,6806.0,54287.33,7
MS-DRG,081,NONTRAUMATIC STUPOR AND COMA WITHOUT MCC,,,6806.0,30470.86,7
MS-DRG,082,TRAUMATIC STUPOR AND COMA &gt;1 HOUR WITH MCC,,,6806.0,68552.0,7
MS-DRG,083,TRAUMATIC STUPOR AND COMA &gt;1 HOUR WITH CC,,,6806.0,41864.23,7
MS-DRG,084,TRAUMATIC STUPOR AND COMA &gt;1 HOUR WITHOUT CC/MCC,,,6806.0,31334.69,7
MS-DRG,085,TRAUMATIC STUPOR AND COMA &lt;1 HOUR WITH MCC,,,6806.0,68141.1,7
MS-DRG,086,TRAUMATIC STUPOR AND COMA &lt;1 HOUR WITH CC,,,6806.0,39071.88,7
MS-DRG,087,TRAUMATIC STUPOR AND COMA &lt;1 HOUR WITHOUT CC/MCC,,,6806.0,30744.93,7
MS-DRG,088,CONCUSSION WITH MCC,,,6806.0,40544.54,7
MS-DRG,089,CONCUSSION WITH CC,,,6806.0,33383.74,7
MS-DRG,090,CONCUSSION WITHOUT CC/MCC,,,6806.0,29432.01,7
MS-DRG,091,OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC,,,6806.0,52673.71,7
MS-DRG,092,OTHER DISORDERS OF NERVOUS SYSTEM WITH CC,,,6806.0,32298.93,7
MS-DRG,093,OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,6806.0,29045.99,7
MS-DRG,094,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC,,,6806.0,105557.36,7
MS-DRG,095,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC,,,6806.0,77357.95,7
MS-DRG,096,BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC,,,6806.0,77357.95,7
MS-DRG,097,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC,,,6806.0,108328.72,7
MS-DRG,098,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC,,,6806.0,68830.94,7
MS-DRG,099,NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC,,,6806.0,40862.46,7
MS-DRG,100,SEIZURES WITH MCC,,,6806.0,58090.44,7
MS-DRG,101,SEIZURES WITHOUT MCC,,,6806.0,30571.31,7
MS-DRG,102,HEADACHES WITH MCC,,,6806.0,33703.73,7
MS-DRG,103,HEADACHES WITHOUT MCC,,,6806.0,29619.98,7
MS-DRG,113,ORBITAL PROCEDURES WITH CC/MCC,,,36495.17,70516.54,6
MS-DRG,113,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,114,ORBITAL PROCEDURES WITHOUT CC/MCC,,,26317.61,40580.53,6
MS-DRG,114,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,115,EXTRAOCULAR PROCEDURES EXCEPT ORBIT,,,28172.44,46036.26,6
MS-DRG,115,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,116,INTRAOCULAR PROCEDURES WITH CC/MCC,,,30958.22,54230.34,6
MS-DRG,116,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,117,INTRAOCULAR PROCEDURES WITHOUT CC/MCC,,,23583.82,33187.15,6
MS-DRG,117,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,121,ACUTE MAJOR EYE INFECTIONS WITH CC/MCC,,,6806.0,34890.86,7
MS-DRG,122,ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC,,,6806.0,28895.35,7
MS-DRG,123,NEUROLOGICAL EYE DISORDERS,,,6806.0,29079.01,7
MS-DRG,124,OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT,,,6806.0,39683.74,7
MS-DRG,125,OTHER DISORDERS OF THE EYE WITHOUT MCC,,,6806.0,28637.04,7
MS-DRG,135,SINUS AND MASTOID PROCEDURES WITH CC/MCC,,,34648.51,65084.81,6
MS-DRG,135,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,136,SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC,,,22033.95,32188.45,6
MS-DRG,136,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,137,MOUTH PROCEDURES WITH CC/MCC,,,27747.23,44785.55,6
MS-DRG,137,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,138,MOUTH PROCEDURES WITHOUT CC/MCC,,,18324.09,30336.01,6
MS-DRG,138,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,139,SALIVARY GLAND PROCEDURES,,,25121.53,37062.35,6
MS-DRG,139,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,140,MAJOR HEAD AND NECK PROCEDURES WITH MCC,,,56014.13,127929.14,6
MS-DRG,140,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,141,MAJOR HEAD AND NECK PROCEDURES WITH CC,,,34761.7,65417.73,6
MS-DRG,141,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,142,MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC,,,28799.55,47880.83,6
MS-DRG,142,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,143,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC",,,50725.0,112371.77,6
MS-DRG,143,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,144,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC",,,30191.44,51974.87,6
MS-DRG,144,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,145,"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC",,,24780.94,36060.58,6
MS-DRG,145,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,146,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC",,,6806.0,63507.18,7
MS-DRG,147,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC",,,6806.0,38136.1,7
MS-DRG,148,"EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC",,,6806.0,29057.5,7
MS-DRG,149,DYSEQUILIBRIUM,,,6806.0,28404.59,7
MS-DRG,150,EPISTAXIS WITH MCC,,,6806.0,39935.68,7
MS-DRG,151,EPISTAXIS WITHOUT MCC,,,6806.0,28152.05,7
MS-DRG,152,OTITIS MEDIA AND URI WITH MCC,,,6806.0,35457.72,7
MS-DRG,153,OTITIS MEDIA AND URI WITHOUT MCC,,,6806.0,28212.35,7
MS-DRG,154,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC",,,6806.0,46894.06,7
MS-DRG,155,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC",,,6806.0,30770.78,7
MS-DRG,156,"OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC",,,6806.0,27536.48,7
MS-DRG,157,DENTAL AND ORAL DISEASES WITH MCC,,,6806.0,51491.98,7
MS-DRG,158,DENTAL AND ORAL DISEASES WITH CC,,,6806.0,30674.61,7
MS-DRG,159,DENTAL AND ORAL DISEASES WITHOUT CC/MCC,,,6806.0,27786.16,7
MS-DRG,163,MAJOR CHEST PROCEDURES WITH MCC,,,58221.77,134422.63,6
MS-DRG,163,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,164,MAJOR CHEST PROCEDURES WITH CC,,,38258.2,75702.33,6
MS-DRG,164,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,165,MAJOR CHEST PROCEDURES WITHOUT CC/MCC,,,32040.13,57412.6,6
MS-DRG,165,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,166,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC,,,50634.23,112104.84,6
MS-DRG,166,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,167,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC,,,30910.32,54089.38,6
MS-DRG,167,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,168,OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,26454.28,40982.44,6
MS-DRG,168,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,173,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,173,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM,,,42871.31,89271.17,6
MS-DRG,175,PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE,,,6806.0,41198.38,7
MS-DRG,176,PULMONARY EMBOLISM WITHOUT MCC,,,6806.0,29170.85,7
MS-DRG,177,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC,,,6806.0,46870.06,7
MS-DRG,178,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC,,,6806.0,31624.54,7
MS-DRG,179,RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC,,,6806.0,28453.39,7
MS-DRG,180,RESPIRATORY NEOPLASMS WITH MCC,,,6806.0,52967.64,7
MS-DRG,181,RESPIRATORY NEOPLASMS WITH CC,,,6806.0,32987.71,7
MS-DRG,182,RESPIRATORY NEOPLASMS WITHOUT CC/MCC,,,6806.0,28436.16,7
MS-DRG,183,MAJOR CHEST TRAUMA WITH MCC,,,6806.0,45886.29,7
MS-DRG,184,MAJOR CHEST TRAUMA WITH CC,,,6806.0,32888.7,7
MS-DRG,185,MAJOR CHEST TRAUMA WITHOUT CC/MCC,,,6806.0,28905.39,7
MS-DRG,186,PLEURAL EFFUSION WITH MCC,,,6806.0,46744.09,7
MS-DRG,187,PLEURAL EFFUSION WITH CC,,,6806.0,31812.53,7
MS-DRG,188,PLEURAL EFFUSION WITHOUT CC/MCC,,,6806.0,27911.0,7
MS-DRG,189,PULMONARY EDEMA AND RESPIRATORY FAILURE,,,6806.0,37053.35,7
MS-DRG,190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC,,,6806.0,33514.34,7
MS-DRG,191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC,,,6806.0,29716.1,7
MS-DRG,192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC,,,6806.0,26831.93,7
MS-DRG,193,SIMPLE PNEUMONIA AND PLEURISY WITH MCC,,,6806.0,39422.8,7
MS-DRG,194,SIMPLE PNEUMONIA AND PLEURISY WITH CC,,,6806.0,29183.77,7
MS-DRG,195,SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC,,,6806.0,26638.21,7
MS-DRG,196,INTERSTITIAL LUNG DISEASE WITH MCC,,,6806.0,56602.79,7
MS-DRG,197,INTERSTITIAL LUNG DISEASE WITH CC,,,6806.0,31238.53,7
MS-DRG,198,INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC,,,6806.0,27896.63,7
MS-DRG,199,PNEUMOTHORAX WITH MCC,,,6806.0,52910.65,7
MS-DRG,200,PNEUMOTHORAX WITH CC,,,6806.0,33393.77,7
MS-DRG,201,PNEUMOTHORAX WITHOUT CC/MCC,,,6806.0,27880.85,7
MS-DRG,202,BRONCHITIS AND ASTHMA WITH CC/MCC,,,6806.0,31555.67,7
MS-DRG,203,BRONCHITIS AND ASTHMA WITHOUT CC/MCC,,,6806.0,27233.71,7
MS-DRG,204,RESPIRATORY SIGNS AND SYMPTOMS,,,6806.0,29205.27,7
MS-DRG,205,OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC,,,6806.0,54917.18,7
MS-DRG,206,OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC,,,6806.0,31123.76,7
MS-DRG,207,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT &gt;96 HOURS,,,6806.0,192995.96,7
MS-DRG,208,RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT &lt;=96 HOURS,,,6806.0,82441.76,7
MS-DRG,209,COMPLEX AORTIC ARCH PROCEDURES,,,127938.16,339484.77,5
MS-DRG,209,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,212,CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES,,,123403.58,326146.88,6
MS-DRG,212,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,213,ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES,,,70714.02,171167.05,5
MS-DRG,213,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,215,OTHER HEART ASSIST SYSTEM IMPLANT,,,114051.96,298640.3,6
MS-DRG,215,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,,,112275.66,293415.52,6
MS-DRG,216,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,217,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC,,,79569.03,197212.97,6
MS-DRG,217,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,218,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,79569.03,197212.97,6
MS-DRG,218,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,219,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,90816.24,230295.25,6
MS-DRG,219,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,220,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC,,,66899.36,159946.67,6
MS-DRG,220,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,221,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC,,,63915.75,151170.72,6
MS-DRG,221,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,228,OTHER CARDIOTHORACIC PROCEDURES WITH MCC,,,62969.47,148387.37,6
MS-DRG,228,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,229,OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC,,,44636.39,94462.95,6
MS-DRG,229,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,231,CORONARY BYPASS WITH PTCA WITH MCC,,,98480.24,252837.99,6
MS-DRG,231,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,232,CORONARY BYPASS WITH PTCA WITHOUT MCC,,,74341.07,181835.56,6
MS-DRG,232,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,233,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC,,,90478.72,229302.48,6
MS-DRG,233,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,234,CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC,,,68223.93,163842.76,6
MS-DRG,234,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,235,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC,,,72362.85,176016.92,6
MS-DRG,235,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,236,CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC,,,55234.07,125634.68,6
MS-DRG,236,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,239,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC,,,62707.4,147616.55,6
MS-DRG,239,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,240,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC,,,41587.54,85495.05,6
MS-DRG,240,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,241,AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC,,,26637.82,41522.31,6
MS-DRG,241,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,242,PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC,,,45077.93,95761.65,6
MS-DRG,242,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,243,PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC,,,34249.82,63912.08,6
MS-DRG,243,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,244,PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC,,,30952.12,54212.35,6
MS-DRG,244,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,245,AICD GENERATOR PROCEDURES,,,59043.63,136840.06,6
MS-DRG,245,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,250,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC,,,34775.97,65459.72,6
MS-DRG,250,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,251,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC,,,27760.49,44824.54,6
MS-DRG,251,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,252,OTHER VASCULAR PROCEDURES WITH MCC,,,48091.1,104624.58,6
MS-DRG,252,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,253,OTHER VASCULAR PROCEDURES WITH CC,,,38988.32,77849.83,6
MS-DRG,253,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,254,OTHER VASCULAR PROCEDURES WITHOUT CC/MCC,,,30689.05,53438.53,6
MS-DRG,254,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,255,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,255,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC,,,40026.37,80903.12,6
MS-DRG,256,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,256,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC,,,29834.54,50925.11,6
MS-DRG,257,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,257,UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC,,,20090.05,33291.9,6
MS-DRG,258,CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC,,,44560.93,94241.01,6
MS-DRG,258,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,259,CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC,,,33140.38,60648.85,6
MS-DRG,259,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,260,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC,,,45689.73,97561.23,6
MS-DRG,260,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC,,,31798.47,56701.77,6
MS-DRG,261,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,262,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC,,,29141.15,48885.59,6
MS-DRG,262,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,263,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,263,VEIN LIGATION AND STRIPPING,,,43697.26,91700.6,6
MS-DRG,264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,,,46585.05,100194.62,6
MS-DRG,264,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,265,AICD LEAD PROCEDURES,,,49415.68,108520.67,6
MS-DRG,265,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC,,,75012.03,183809.1,6
MS-DRG,266,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC,,,61066.71,142790.67,6
MS-DRG,267,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,268,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC,,,82654.62,206288.85,6
MS-DRG,268,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC,,,55584.83,126666.44,6
MS-DRG,269,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,270,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC,,,66323.22,158252.07,6
MS-DRG,270,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,271,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC,,,48784.53,106664.11,6
MS-DRG,271,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,272,OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC,,,38553.92,76572.13,6
MS-DRG,272,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,273,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC,,,54588.59,123736.12,6
MS-DRG,273,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,274,PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC,,,46086.39,98727.96,6
MS-DRG,274,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,275,CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC,,,85229.34,213862.09,6
MS-DRG,275,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,276,CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR,,,73770.05,180155.95,6
MS-DRG,276,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,277,CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC,,,59615.69,138522.67,6
MS-DRG,277,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,278,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,278,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC,,,69279.33,166947.04,6
MS-DRG,279,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,279,ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC,,,49295.36,108166.76,6
MS-DRG,280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC",,,6806.0,48111.77,7
MS-DRG,281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC",,,6806.0,30808.08,7
MS-DRG,282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC",,,6806.0,27995.65,7
MS-DRG,283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC",,,6806.0,59410.13,7
MS-DRG,284,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC",,,6806.0,27552.26,7
MS-DRG,285,"ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC",,,6806.0,26213.49,7
MS-DRG,286,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC",,,6806.0,66368.51,7
MS-DRG,287,"CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC",,,6806.0,32974.82,7
MS-DRG,288,ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC,,,6806.0,81167.06,7
MS-DRG,289,ACUTE AND SUBACUTE ENDOCARDITIS WITH CC,,,6806.0,51195.05,7
MS-DRG,290,ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC,,,6806.0,30960.17,7
MS-DRG,291,HEART FAILURE AND SHOCK WITH MCC,,,6806.0,38505.01,7
MS-DRG,292,HEART FAILURE AND SHOCK WITH CC,,,6806.0,29802.23,7
MS-DRG,293,HEART FAILURE AND SHOCK WITHOUT CC/MCC,,,6806.0,25741.4,7
MS-DRG,294,Other Inpatient MS-DRG,,,27660.7,27660.7,1
MS-DRG,295,Other Inpatient MS-DRG,,,17790.24,17790.24,1
MS-DRG,296,"CARDIAC ARREST, UNEXPLAINED WITH MCC",,,6806.0,46846.07,7
MS-DRG,297,"CARDIAC ARREST, UNEXPLAINED WITH CC",,,6806.0,26717.14,7
MS-DRG,298,"CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC",,,6806.0,24150.07,7
MS-DRG,299,PERIPHERAL VASCULAR DISORDERS WITH MCC,,,6806.0,48969.57,7
MS-DRG,300,PERIPHERAL VASCULAR DISORDERS WITH CC,,,6806.0,32937.46,7
MS-DRG,301,PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC,,,6806.0,27946.87,7
MS-DRG,302,ATHEROSCLEROSIS WITH MCC,,,6806.0,35889.62,7
MS-DRG,303,ATHEROSCLEROSIS WITHOUT MCC,,,6806.0,27279.61,7
MS-DRG,304,HYPERTENSION WITH MCC,,,6806.0,35691.67,7
MS-DRG,305,HYPERTENSION WITHOUT MCC,,,6806.0,28454.82,7
MS-DRG,306,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC,,,6806.0,47262.97,7
MS-DRG,307,CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC,,,6806.0,30723.41,7
MS-DRG,308,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC,,,6806.0,36111.57,7
MS-DRG,309,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC,,,6806.0,28176.46,7
MS-DRG,310,CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC,,,6806.0,25742.82,7
MS-DRG,311,ANGINA PECTORIS,,,6806.0,27691.42,7
MS-DRG,312,SYNCOPE AND COLLAPSE,,,6806.0,30126.49,7
MS-DRG,313,CHEST PAIN,,,6806.0,27951.16,7
MS-DRG,314,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC,,,6806.0,62541.4,7
MS-DRG,315,OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC,,,6806.0,31442.32,7
MS-DRG,316,OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC,,,6806.0,27407.34,7
MS-DRG,317,CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION,,,80702.93,200548.19,5
MS-DRG,317,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,318,PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE,,,37220.17,72649.04,5
MS-DRG,318,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,319,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC,,,58029.06,133855.76,6
MS-DRG,319,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,320,OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC,,,37047.85,72142.16,6
MS-DRG,320,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,321,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES,,,40264.97,81604.95,6
MS-DRG,321,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,322,PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC,,,30498.35,52877.66,6
MS-DRG,322,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,323,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC,,,56647.37,129791.71,6
MS-DRG,323,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,324,CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC,,,44651.7,94507.94,6
MS-DRG,324,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,325,CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE,,,45257.39,96289.53,6
MS-DRG,325,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,326,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC",,,63377.32,149587.09,6
MS-DRG,326,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,327,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC",,,37444.51,73308.89,6
MS-DRG,327,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,328,"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC",,,28859.72,48057.78,6
MS-DRG,328,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,329,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,59391.36,137862.82,6
MS-DRG,329,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,330,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,36965.24,71899.22,6
MS-DRG,330,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,331,MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,29681.6,50475.22,6
MS-DRG,331,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,332,RECTAL RESECTION WITH MCC,,,49441.18,108595.66,6
MS-DRG,332,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,333,RECTAL RESECTION WITH CC,,,36404.43,70249.6,6
MS-DRG,333,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,334,RECTAL RESECTION WITHOUT CC/MCC,,,29222.73,49125.53,6
MS-DRG,334,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,335,PERITONEAL ADHESIOLYSIS WITH MCC,,,48933.37,107102.0,6
MS-DRG,335,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,336,PERITONEAL ADHESIOLYSIS WITH CC,,,34023.43,63246.24,6
MS-DRG,336,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,337,PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC,,,28173.47,46039.26,6
MS-DRG,337,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,344,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,,,38857.82,77465.92,6
MS-DRG,344,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,345,MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,,,27864.49,45130.47,6
MS-DRG,345,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,346,MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,,,24616.77,35577.7,6
MS-DRG,346,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,347,ANAL AND STOMAL PROCEDURES WITH MCC,,,35929.24,68851.93,6
MS-DRG,347,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,348,ANAL AND STOMAL PROCEDURES WITH CC,,,25866.9,39254.84,6
MS-DRG,348,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,349,ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC,,,19842.27,30112.14,6
MS-DRG,349,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,350,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC,,,37930.91,74739.56,6
MS-DRG,350,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,351,INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC,,,28066.38,45724.33,6
MS-DRG,351,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,352,INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC,,,24429.15,35025.83,6
MS-DRG,352,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,353,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC,,,42112.65,87039.69,6
MS-DRG,353,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,354,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC,,,29676.49,50460.22,6
MS-DRG,354,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,355,HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC,,,26236.05,40340.59,6
MS-DRG,355,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC,,,57314.23,131753.25,6
MS-DRG,356,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC,,,36234.14,69748.72,6
MS-DRG,357,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,26775.45,41927.21,6
MS-DRG,358,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,359,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC,,,47584.32,103133.93,5
MS-DRG,359,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,360,PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC,,,37139.62,72412.1,5
MS-DRG,360,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,368,MAJOR ESOPHAGEAL DISORDERS WITH MCC,,,6806.0,47745.86,7
MS-DRG,369,MAJOR ESOPHAGEAL DISORDERS WITH CC,,,6806.0,31971.78,7
MS-DRG,370,MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC,,,6806.0,27675.66,7
MS-DRG,371,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC,,,6806.0,53180.59,7
MS-DRG,372,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC,,,6806.0,32270.23,7
MS-DRG,373,MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC,,,6806.0,28057.36,7
MS-DRG,374,DIGESTIVE MALIGNANCY WITH MCC,,,6806.0,64146.03,7
MS-DRG,375,DIGESTIVE MALIGNANCY WITH CC,,,6806.0,36279.53,7
MS-DRG,376,DIGESTIVE MALIGNANCY WITHOUT CC/MCC,,,6806.0,30882.68,7
MS-DRG,377,GASTROINTESTINAL HEMORRHAGE WITH MCC,,,6806.0,54827.2,7
MS-DRG,378,GASTROINTESTINAL HEMORRHAGE WITH CC,,,6806.0,31691.97,7
MS-DRG,379,GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC,,,6806.0,26665.47,7
MS-DRG,380,COMPLICATED PEPTIC ULCER WITH MCC,,,6806.0,58852.26,7
MS-DRG,381,COMPLICATED PEPTIC ULCER WITH CC,,,6806.0,33167.1,7
MS-DRG,382,COMPLICATED PEPTIC ULCER WITHOUT CC/MCC,,,6806.0,29107.71,7
MS-DRG,383,UNCOMPLICATED PEPTIC ULCER WITH MCC,,,6806.0,41411.34,7
MS-DRG,384,UNCOMPLICATED PEPTIC ULCER WITHOUT MCC,,,6806.0,29885.42,7
MS-DRG,385,INFLAMMATORY BOWEL DISEASE WITH MCC,,,6806.0,47457.92,7
MS-DRG,386,INFLAMMATORY BOWEL DISEASE WITH CC,,,6806.0,31628.83,7
MS-DRG,387,INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC,,,6806.0,27395.86,7
MS-DRG,388,GASTROINTESTINAL OBSTRUCTION WITH MCC,,,6806.0,44293.66,7
MS-DRG,389,GASTROINTESTINAL OBSTRUCTION WITH CC,,,6806.0,28952.73,7
MS-DRG,390,GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC,,,6806.0,25425.74,7
MS-DRG,391,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC",,,6806.0,38040.12,7
MS-DRG,392,"ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC",,,6806.0,28806.37,7
MS-DRG,393,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC,,,6806.0,47967.8,7
MS-DRG,394,OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC,,,6806.0,31046.27,7
MS-DRG,395,OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,6806.0,26932.37,7
MS-DRG,397,APPENDIX PROCEDURES WITH MCC,,,36941.78,71830.24,6
MS-DRG,397,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,398,APPENDIX PROCEDURES WITH CC,,,27955.25,45397.4,6
MS-DRG,398,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,399,APPENDIX PROCEDURES WITHOUT CC/MCC,,,24193.62,34332.99,6
MS-DRG,399,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,402,SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL,,,53517.92,120586.86,5
MS-DRG,402,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,405,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC",,,68303.46,164076.71,6
MS-DRG,405,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,406,"PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC",,,42094.31,86985.7,6
MS-DRG,406,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,407,"PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC",,,35154.29,66572.46,6
MS-DRG,407,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,408,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC,,,48879.35,106943.04,6
MS-DRG,408,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,409,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC,,,34722.94,65303.76,6
MS-DRG,409,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,410,BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC,,,28710.83,47619.89,6
MS-DRG,410,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,411,CHOLECYSTECTOMY WITH C.D.E. WITH MCC,,,46204.68,99075.88,6
MS-DRG,411,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,412,CHOLECYSTECTOMY WITH C.D.E. WITH CC,,,33960.22,63060.28,6
MS-DRG,412,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,413,CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC,,,29453.17,49803.38,6
MS-DRG,413,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,414,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC,,,48848.75,106853.06,6
MS-DRG,414,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,415,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC,,,33595.16,61986.53,6
MS-DRG,415,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,416,CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC,,,26422.64,40889.46,6
MS-DRG,416,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,417,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC,,,36855.13,71575.3,6
MS-DRG,417,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,418,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC,,,29770.3,50736.16,6
MS-DRG,418,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,419,LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC,,,26448.15,40964.44,6
MS-DRG,419,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,420,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC,,,47263.12,102189.15,6
MS-DRG,420,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,421,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC,,,30238.34,52112.84,6
MS-DRG,421,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,422,HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC,,,26791.76,41975.2,6
MS-DRG,422,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,423,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC,,,54869.02,124560.93,6
MS-DRG,423,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,424,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC,,,34831.03,65621.68,6
MS-DRG,424,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,425,OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC,,,27819.62,44998.5,6
MS-DRG,425,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,426,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,124903.54,330558.85,5
MS-DRG,426,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,427,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC,,,86128.72,216507.47,5
MS-DRG,427,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,428,MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC,,,69848.31,168620.65,5
MS-DRG,428,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,429,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC,,,104391.41,270224.93,5
MS-DRG,429,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,430,COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC,,,71327.86,172972.63,5
MS-DRG,430,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,432,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC,,,6806.0,59032.22,7
MS-DRG,433,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC,,,6806.0,32775.33,7
MS-DRG,434,CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC,,,6806.0,27843.55,7
MS-DRG,435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC,,,6806.0,55088.14,7
MS-DRG,436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC,,,6806.0,33925.08,7
MS-DRG,437,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC,,,6806.0,29863.92,7
MS-DRG,438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC,,,6806.0,48894.59,7
MS-DRG,439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC,,,6806.0,29690.27,7
MS-DRG,440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC,,,6806.0,26536.33,7
MS-DRG,441,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC",,,6806.0,53828.44,7
MS-DRG,442,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC",,,6806.0,31471.0,7
MS-DRG,443,"DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC",,,6806.0,27659.87,7
MS-DRG,444,DISORDERS OF THE BILIARY TRACT WITH MCC,,,6806.0,50115.3,7
MS-DRG,445,DISORDERS OF THE BILIARY TRACT WITH CC,,,6806.0,33323.47,7
MS-DRG,446,DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC,,,6806.0,29490.83,7
MS-DRG,447,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,80652.96,200401.23,5
MS-DRG,447,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,448,MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,55764.31,127194.31,5
MS-DRG,448,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,450,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE,,,66866.72,159850.69,5
MS-DRG,450,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,451,SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,,,45461.32,96889.39,5
MS-DRG,451,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,456,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC",,,98210.02,252043.18,6
MS-DRG,456,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,457,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC",,,73326.48,178851.26,6
MS-DRG,457,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,458,"SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC",,,55068.88,125148.79,6
MS-DRG,458,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,461,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC,,,68838.8,165651.34,6
MS-DRG,461,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,462,BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC,,,39645.01,79781.38,6
MS-DRG,462,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,463,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,463,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,70638.56,170945.1,6
MS-DRG,464,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,464,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC,,,44281.54,93419.2,6
MS-DRG,465,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,465,WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,31117.31,54698.23,6
MS-DRG,466,REVISION OF HIP OR KNEE REPLACEMENT WITH MCC,,,65600.24,156125.56,6
MS-DRG,466,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,467,REVISION OF HIP OR KNEE REPLACEMENT WITH CC,,,48481.67,105773.31,6
MS-DRG,467,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,468,REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC,,,40542.32,82420.76,6
MS-DRG,468,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT,,,43450.49,90974.77,6
MS-DRG,469,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,,,32190.02,57853.5,6
MS-DRG,470,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,471,CERVICAL SPINAL FUSION WITH MCC,,,61759.08,144827.2,6
MS-DRG,471,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,472,CERVICAL SPINAL FUSION WITH CC,,,42562.34,88362.38,6
MS-DRG,472,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC,,,37414.94,73221.91,6
MS-DRG,473,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,474,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC,,,56295.56,128756.95,6
MS-DRG,474,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,475,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC,,,35726.34,68255.07,6
MS-DRG,475,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,476,AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,24555.59,35397.74,6
MS-DRG,476,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,477,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,47747.49,103613.82,6
MS-DRG,477,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,478,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC,,,37597.46,73758.79,6
MS-DRG,478,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,479,BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC,,,31476.25,55753.99,6
MS-DRG,479,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,480,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC,,,42217.68,87348.61,6
MS-DRG,480,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,481,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC,,,33878.64,62820.34,6
MS-DRG,481,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,482,HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC,,,29152.37,48918.58,6
MS-DRG,482,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,483,MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES,,,40786.03,83137.6,6
MS-DRG,483,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,485,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC,,,45427.69,96790.41,6
MS-DRG,485,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,486,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC,,,33844.0,62718.36,6
MS-DRG,486,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,487,KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,28491.61,46975.04,6
MS-DRG,487,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,488,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC,,,30558.53,53054.62,6
MS-DRG,488,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,489,KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC,,,23909.09,33644.87,6
MS-DRG,489,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,492,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC",,,49960.21,110122.3,6
MS-DRG,492,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,493,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC",,,38381.6,76065.25,6
MS-DRG,493,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,494,"LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC",,,32981.3,60180.95,6
MS-DRG,494,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,495,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC,,,49492.17,108745.62,6
MS-DRG,495,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,496,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC,,,30915.41,54104.37,6
MS-DRG,496,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,497,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC,,,24842.13,36240.54,6
MS-DRG,497,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,498,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC,,,43283.26,90482.88,6
MS-DRG,498,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,499,LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC,,,26147.02,60429.9,6
MS-DRG,499,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,500,SOFT TISSUE PROCEDURES WITH MCC,,,44792.42,94921.85,6
MS-DRG,500,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,501,SOFT TISSUE PROCEDURES WITH CC,,,30346.43,52430.76,6
MS-DRG,501,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,502,SOFT TISSUE PROCEDURES WITHOUT CC/MCC,,,26245.24,40367.58,6
MS-DRG,502,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,503,FOOT PROCEDURES WITH MCC,,,40981.82,83713.46,6
MS-DRG,503,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,504,FOOT PROCEDURES WITH CC,,,31581.27,56062.92,6
MS-DRG,504,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,505,FOOT PROCEDURES WITHOUT CC/MCC,,,30802.23,53771.45,6
MS-DRG,505,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,506,MAJOR THUMB OR JOINT PROCEDURES,,,26278.88,40466.56,6
MS-DRG,506,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,507,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC,,,30940.93,54179.36,6
MS-DRG,507,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,508,MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC,,,27963.4,45421.4,6
MS-DRG,508,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,509,Other Inpatient MS-DRG,,,39569.67,39569.67,1
MS-DRG,510,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC",,,43320.99,90593.86,6
MS-DRG,510,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,511,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC",,,33724.67,62367.44,6
MS-DRG,511,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,512,"SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC",,,29401.17,49650.41,6
MS-DRG,512,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,513,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC",,,28574.2,47217.98,6
MS-DRG,513,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,514,"HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC",,,22945.51,32288.92,6
MS-DRG,514,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,515,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC,,,45017.75,95584.69,6
MS-DRG,515,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,516,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC,,,33711.41,62328.45,6
MS-DRG,516,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,517,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC,,,28190.78,46090.24,6
MS-DRG,517,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,518,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR,,,50630.16,112092.84,6
MS-DRG,518,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,519,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC,,,32917.08,59992.0,6
MS-DRG,519,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,520,BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC,,,27754.36,44806.54,6
MS-DRG,520,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,521,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC,,,41788.4,86085.91,6
MS-DRG,521,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,522,HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC,,,34115.2,63516.18,6
MS-DRG,522,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,533,FRACTURES OF FEMUR WITH MCC,,,6806.0,47020.03,7
MS-DRG,534,FRACTURES OF FEMUR WITHOUT MCC,,,6806.0,29186.65,7
MS-DRG,535,FRACTURES OF HIP AND PELVIS WITH MCC,,,6806.0,38451.03,7
MS-DRG,536,FRACTURES OF HIP AND PELVIS WITHOUT MCC,,,6806.0,29208.14,7
MS-DRG,537,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC",,,6806.0,31313.14,7
MS-DRG,538,"SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC",,,6806.0,27955.46,7
MS-DRG,539,OSTEOMYELITIS WITH MCC,,,6806.0,59077.21,7
MS-DRG,540,OSTEOMYELITIS WITH CC,,,6806.0,38879.93,7
MS-DRG,541,OSTEOMYELITIS WITHOUT CC/MCC,,,6806.0,28918.28,7
MS-DRG,542,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC,,,6806.0,52982.63,7
MS-DRG,543,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC,,,6806.0,32370.71,7
MS-DRG,544,PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC,,,6806.0,28447.66,7
MS-DRG,545,CONNECTIVE TISSUE DISORDERS WITH MCC,,,6806.0,74433.63,7
MS-DRG,546,CONNECTIVE TISSUE DISORDERS WITH CC,,,6806.0,34593.93,7
MS-DRG,547,CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,,,6806.0,29618.53,7
MS-DRG,548,SEPTIC ARTHRITIS WITH MCC,,,6806.0,57913.48,7
MS-DRG,549,SEPTIC ARTHRITIS WITH CC,,,6806.0,36207.55,7
MS-DRG,550,SEPTIC ARTHRITIS WITHOUT CC/MCC,,,6806.0,30162.38,7
MS-DRG,551,MEDICAL BACK PROBLEMS WITH MCC,,,6806.0,50271.27,7
MS-DRG,552,MEDICAL BACK PROBLEMS WITHOUT MCC,,,6806.0,31413.6,7
MS-DRG,553,BONE DISEASES AND ARTHROPATHIES WITH MCC,,,6806.0,38879.93,7
MS-DRG,554,BONE DISEASES AND ARTHROPATHIES WITHOUT MCC,,,6806.0,29531.02,7
MS-DRG,555,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC,,,6806.0,39644.75,7
MS-DRG,556,SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC,,,6806.0,29538.18,7
MS-DRG,557,"TENDONITIS, MYOSITIS AND BURSITIS WITH MCC",,,6806.0,44596.59,7
MS-DRG,558,"TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC",,,6806.0,30436.43,7
MS-DRG,559,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC",,,6806.0,55933.95,7
MS-DRG,560,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC",,,6806.0,33778.36,7
MS-DRG,561,"AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC",,,6806.0,29155.05,7
MS-DRG,562,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC",,,6806.0,42734.03,7
MS-DRG,563,"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC",,,6806.0,30469.43,7
MS-DRG,564,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC,,,6806.0,46297.19,7
MS-DRG,565,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC,,,6806.0,31601.57,7
MS-DRG,566,OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC,,,6806.0,28371.61,7
MS-DRG,570,SKIN DEBRIDEMENT WITH MCC,,,42511.37,88212.41,6
MS-DRG,570,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,571,SKIN DEBRIDEMENT WITH CC,,,29748.9,50673.17,6
MS-DRG,571,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,572,SKIN DEBRIDEMENT WITHOUT CC/MCC,,,24209.91,34380.98,6
MS-DRG,572,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,573,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,79325.33,196496.14,6
MS-DRG,573,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,574,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC,,,47918.79,104117.7,6
MS-DRG,574,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,575,SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,30845.05,53897.42,6
MS-DRG,575,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,576,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC,,,62498.37,147001.69,6
MS-DRG,576,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,577,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC,,,39550.18,79502.45,6
MS-DRG,577,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,578,SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC,,,28901.53,48180.76,6
MS-DRG,578,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,579,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC",,,45543.93,97132.33,6
MS-DRG,579,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,580,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC",,,30141.46,51827.9,6
MS-DRG,580,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,581,"OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC",,,27236.36,43282.9,6
MS-DRG,581,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,582,MASTECTOMY FOR MALIGNANCY WITH CC/MCC,,,32166.57,57784.51,6
MS-DRG,582,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,583,MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC,,,30104.76,51719.93,6
MS-DRG,583,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,584,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC",,,34349.73,64206.02,6
MS-DRG,584,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,585,"BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC",,,32192.07,57859.5,6
MS-DRG,585,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,592,SKIN ULCERS WITH MCC,,,6806.0,58045.45,7
MS-DRG,593,SKIN ULCERS WITH CC,,,6806.0,35580.7,7
MS-DRG,594,SKIN ULCERS WITHOUT CC/MCC,,,6806.0,30057.61,7
MS-DRG,595,MAJOR SKIN DISORDERS WITH MCC,,,6806.0,63606.16,7
MS-DRG,596,MAJOR SKIN DISORDERS WITHOUT MCC,,,6806.0,33152.72,7
MS-DRG,597,MALIGNANT BREAST DISORDERS WITH MCC,,,6806.0,50001.33,7
MS-DRG,598,MALIGNANT BREAST DISORDERS WITH CC,,,6806.0,33931.08,7
MS-DRG,599,MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,6806.0,28660.01,7
MS-DRG,600,NON-MALIGNANT BREAST DISORDERS WITH CC/MCC,,,6806.0,32565.84,7
MS-DRG,601,NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC,,,6806.0,26301.02,7
MS-DRG,602,CELLULITIS WITH MCC,,,6806.0,42629.05,7
MS-DRG,603,CELLULITIS WITHOUT MCC,,,6806.0,30116.44,7
MS-DRG,604,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC",,,6806.0,44152.7,7
MS-DRG,605,"TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC",,,6806.0,30763.59,7
MS-DRG,606,MINOR SKIN DISORDERS WITH MCC,,,6806.0,45385.41,7
MS-DRG,607,MINOR SKIN DISORDERS WITHOUT MCC,,,6806.0,30625.84,7
MS-DRG,614,ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC,,,34870.8,65738.66,6
MS-DRG,614,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,615,ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC,,,26789.73,41969.2,6
MS-DRG,615,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,616,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,48081.94,104597.59,6
MS-DRG,616,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,617,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,31592.51,56095.91,6
MS-DRG,617,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,618,"AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,26983.47,42539.07,6
MS-DRG,618,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,619,O.R. PROCEDURES FOR OBESITY WITH MCC,,,32121.0,61414.41,8
MS-DRG,620,O.R. PROCEDURES FOR OBESITY WITH CC,,,28000.0,40582.71,8
MS-DRG,621,O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC,,,26000.0,39263.99,8
MS-DRG,622,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",,,48814.08,106751.09,6
MS-DRG,622,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,623,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",,,30813.45,53804.44,6
MS-DRG,623,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,624,"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC",,,22594.83,37548.24,6
MS-DRG,624,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,625,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,625,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC",,,43316.91,90581.86,6
MS-DRG,626,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,626,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC",,,27810.44,44971.5,6
MS-DRG,627,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,627,"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC",,,26065.75,39839.7,6
MS-DRG,628,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC",,,50523.08,111777.91,6
MS-DRG,628,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,629,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC",,,34738.25,65348.75,6
MS-DRG,629,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,630,"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC",,,27403.59,43774.78,6
MS-DRG,630,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,637,DIABETES WITH MCC,,,6806.0,43090.94,7
MS-DRG,638,DIABETES WITH CC,,,6806.0,30479.49,7
MS-DRG,639,DIABETES WITHOUT CC/MCC,,,6806.0,26533.45,7
MS-DRG,640,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC",,,6806.0,40058.65,7
MS-DRG,641,"MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC",,,6806.0,28786.3,7
MS-DRG,642,INBORN AND OTHER DISORDERS OF METABOLISM,,,6806.0,42653.05,7
MS-DRG,643,ENDOCRINE DISORDERS WITH MCC,,,6806.0,49371.48,7
MS-DRG,644,ENDOCRINE DISORDERS WITH CC,,,6806.0,32327.66,7
MS-DRG,645,ENDOCRINE DISORDERS WITHOUT CC/MCC,,,6806.0,28644.23,7
MS-DRG,650,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC,,,60461.0,141009.09,6
MS-DRG,650,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,651,KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC,,,50308.95,111148.06,6
MS-DRG,651,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,652,KIDNEY TRANSPLANT,,,45452.15,96862.39,6
MS-DRG,652,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,653,MAJOR BLADDER PROCEDURES WITH MCC,,,65508.48,155855.63,6
MS-DRG,653,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,654,MAJOR BLADDER PROCEDURES WITH CC,,,41065.43,83959.4,6
MS-DRG,654,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,655,MAJOR BLADDER PROCEDURES WITHOUT CC/MCC,,,34103.99,63483.18,6
MS-DRG,655,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,656,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC,,,44986.15,95491.71,6
MS-DRG,656,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,657,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC,,,31181.56,54887.19,6
MS-DRG,657,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,658,KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC,,,28344.76,46543.14,6
MS-DRG,658,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,659,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC,,,38430.55,76209.21,6
MS-DRG,659,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,660,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC,,,25998.45,39641.75,6
MS-DRG,660,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,661,KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC,,,23079.08,32476.88,6
MS-DRG,661,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,662,MINOR BLADDER PROCEDURES WITH MCC,,,43739.05,91823.57,6
MS-DRG,662,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,663,MINOR BLADDER PROCEDURES WITH CC,,,28022.55,45595.36,6
MS-DRG,663,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,664,MINOR BLADDER PROCEDURES WITHOUT CC/MCC,,,23196.35,32641.9,6
MS-DRG,664,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,665,PROSTATECTOMY WITH MCC,,,44347.84,93614.15,6
MS-DRG,665,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,666,PROSTATECTOMY WITH CC,,,30358.66,52466.75,6
MS-DRG,666,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,667,PROSTATECTOMY WITHOUT CC/MCC,,,23151.2,33492.78,6
MS-DRG,667,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,668,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,668,TRANSURETHRAL PROCEDURES WITH MCC,,,42296.19,87579.56,6
MS-DRG,669,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,669,TRANSURETHRAL PROCEDURES WITH CC,,,28346.82,46549.14,6
MS-DRG,670,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,670,TRANSURETHRAL PROCEDURES WITHOUT CC/MCC,,,21527.14,31643.2,6
MS-DRG,671,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,671,URETHRAL PROCEDURES WITH CC/MCC,,,30824.64,53837.44,6
MS-DRG,672,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,672,URETHRAL PROCEDURES WITHOUT CC/MCC,,,23528.76,33109.67,6
MS-DRG,673,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC,,,55364.59,126018.59,6
MS-DRG,673,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,674,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC,,,36367.7,70141.63,6
MS-DRG,674,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,675,OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC,,,29258.41,49230.51,6
MS-DRG,675,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,682,RENAL FAILURE WITH MCC,,,6806.0,44419.63,7
MS-DRG,683,RENAL FAILURE WITH CC,,,6806.0,30186.75,7
MS-DRG,684,RENAL FAILURE WITHOUT CC/MCC,,,6806.0,26233.6,7
MS-DRG,686,KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC,,,6806.0,54098.37,7
MS-DRG,687,KIDNEY AND URINARY TRACT NEOPLASMS WITH CC,,,6806.0,32654.82,7
MS-DRG,688,KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC,,,6806.0,28959.91,7
MS-DRG,689,KIDNEY AND URINARY TRACT INFECTIONS WITH MCC,,,6806.0,34800.88,7
MS-DRG,690,KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC,,,6806.0,29235.4,7
MS-DRG,693,URINARY STONES WITH MCC,,,6806.0,40325.59,7
MS-DRG,694,URINARY STONES WITHOUT MCC,,,6806.0,28836.5,7
MS-DRG,695,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC,,,6806.0,34305.99,7
MS-DRG,696,KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC,,,6806.0,27506.36,7
MS-DRG,697,URETHRAL STRICTURE,,,6806.0,33085.3,7
MS-DRG,698,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC,,,6806.0,49620.42,7
MS-DRG,699,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC,,,6806.0,32184.17,7
MS-DRG,700,OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC,,,6806.0,27519.26,7
MS-DRG,707,MAJOR MALE PELVIC PROCEDURES WITH CC/MCC,,,32918.1,59995.0,6
MS-DRG,707,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,708,MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC,,,28165.31,46015.26,6
MS-DRG,708,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,709,PENIS PROCEDURES WITH CC/MCC,,,36250.45,69796.71,6
MS-DRG,709,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,710,PENIS PROCEDURES WITHOUT CC/MCC,,,26809.11,42026.19,6
MS-DRG,710,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,711,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,711,TESTES PROCEDURES WITH CC/MCC,,,33769.54,62499.41,6
MS-DRG,712,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,712,TESTES PROCEDURES WITHOUT CC/MCC,,,23734.73,33399.51,6
MS-DRG,713,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,713,TRANSURETHRAL PROSTATECTOMY WITH CC/MCC,,,27851.26,45091.48,6
MS-DRG,714,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,714,TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC,,,21166.74,32792.54,6
MS-DRG,715,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC,,,35334.76,67103.34,6
MS-DRG,715,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC,,,27520.86,44119.7,6
MS-DRG,716,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,717,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC,,,31798.47,56701.77,6
MS-DRG,717,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,718,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC,,,26216.66,40283.6,6
MS-DRG,718,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,722,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC",,,6806.0,54278.33,7
MS-DRG,723,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC",,,6806.0,34273.0,7
MS-DRG,724,"MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,6806.0,27028.51,7
MS-DRG,725,BENIGN PROSTATIC HYPERTROPHY WITH MCC,,,6806.0,35097.81,7
MS-DRG,726,BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC,,,6806.0,27979.86,7
MS-DRG,727,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC,,,6806.0,44476.62,7
MS-DRG,728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC,,,6806.0,29259.81,7
MS-DRG,729,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC,,,6806.0,32811.22,7
MS-DRG,730,OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC,,,6806.0,27262.4,7
MS-DRG,734,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC",,,34240.64,63885.09,6
MS-DRG,734,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,735,"PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC",,,26241.15,40355.58,6
MS-DRG,735,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,736,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,736,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC,,,48970.09,107209.98,6
MS-DRG,737,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,737,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC,,,33532.96,61803.58,6
MS-DRG,738,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,738,UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,27495.37,44044.72,6
MS-DRG,739,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,739,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC,,,49054.73,107458.92,6
MS-DRG,740,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,740,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC,,,30973.54,54275.33,6
MS-DRG,741,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,741,UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC,,,27063.02,42773.02,6
MS-DRG,742,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,742,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC,,,31230.5,55031.16,6
MS-DRG,743,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,,,25172.51,37212.32,6
MS-DRG,744,"D&amp;C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC",,,33415.69,61458.66,6
MS-DRG,744,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,745,"D&amp;C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC",,,23083.62,34117.04,6
MS-DRG,745,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,746,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,746,"VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC",,,30234.26,52100.84,6
MS-DRG,747,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,747,"VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC",,,21287.48,29955.74,6
MS-DRG,748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,,,26667.36,41609.29,6
MS-DRG,748,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,749,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC,,,38702.81,77010.03,6
MS-DRG,749,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC,,,27569.8,44263.67,6
MS-DRG,750,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,754,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,6806.0,55238.11,7
MS-DRG,755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,6806.0,33228.76,7
MS-DRG,756,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,6806.0,31402.13,7
MS-DRG,757,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC",,,6806.0,42946.98,7
MS-DRG,758,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC",,,6806.0,31667.6,7
MS-DRG,759,"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC",,,6806.0,27141.89,7
MS-DRG,760,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC,,,6806.0,32076.55,7
MS-DRG,761,MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC,,,6806.0,25805.98,7
MS-DRG,768,VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&amp;C,,,6194.0,32996.34,8
MS-DRG,769,POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES,,,29751.94,50682.17,6
MS-DRG,769,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,770,"ABORTION WITH D&amp;C, ASPIRATION CURETTAGE OR HYSTEROTOMY",,,22745.64,32007.66,6
MS-DRG,770,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,776,POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES,,,6806.0,27014.17,7
MS-DRG,779,ABORTION WITHOUT D&amp;C,,,6806.0,29691.72,7
MS-DRG,780,False Labor,,,3232.0,3232.0,1
MS-DRG,783,CESAREAN SECTION WITH STERILIZATION WITH MCC,,,6650.0,73635.81,8
MS-DRG,784,CESAREAN SECTION WITH STERILIZATION WITH CC,,,6650.0,32831.27,8
MS-DRG,785,CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC,,,6650.0,31363.39,8
MS-DRG,786,CESAREAN SECTION WITHOUT STERILIZATION WITH MCC,,,6650.0,49473.45,8
MS-DRG,787,CESAREAN SECTION WITHOUT STERILIZATION WITH CC,,,6650.0,33644.87,8
MS-DRG,788,CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC,,,6650.0,31377.73,8
MS-DRG,789,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY",,,6806.0,54053.38,6
MS-DRG,790,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE",,,6806.0,178263.4,6
MS-DRG,791,PREMATURITY WITH MAJOR PROBLEMS,,,6806.0,121741.59,6
MS-DRG,792,PREMATURITY WITHOUT MAJOR PROBLEMS,,,6806.0,73458.86,6
MS-DRG,793,FULL TERM NEONATE WITH MAJOR PROBLEMS,,,6806.0,125058.81,6
MS-DRG,794,NEONATE WITH OTHER SIGNIFICANT PROBLEMS,,,6806.0,44266.67,6
MS-DRG,795,NORMAL NEWBORN,,,5992.6,20486.74,6
MS-DRG,796,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&amp;C WITH MCC,,,6194.0,35001.83,8
MS-DRG,797,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&amp;C WITH CC,,,6194.0,31974.67,8
MS-DRG,798,VAGINAL DELIVERY WITH STERILIZATION AND/OR D&amp;C WITHOUT CC/MCC,,,6194.0,31353.34,8
MS-DRG,799,SPLENIC PROCEDURES WITH MCC,,,58702.05,135835.3,6
MS-DRG,799,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,800,SPLENIC PROCEDURES WITH CC,,,41168.42,84262.33,6
MS-DRG,800,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,801,SPLENIC PROCEDURES WITHOUT CC/MCC,,,31986.09,57253.64,6
MS-DRG,801,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,802,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC,,,53146.76,119495.11,6
MS-DRG,802,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,803,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC,,,31476.25,55753.99,6
MS-DRG,803,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,804,OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC,,,24903.64,40670.51,6
MS-DRG,804,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,805,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&amp;C WITH MCC,,,6194.0,33105.37,8
MS-DRG,806,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&amp;C WITH CC,,,6194.0,28439.03,8
MS-DRG,807,VAGINAL DELIVERY WITHOUT STERILIZATION OR D&amp;C WITHOUT CC/MCC,,,6194.0,27294.01,8
MS-DRG,808,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC,,,6806.0,66221.54,7
MS-DRG,809,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC,,,6806.0,37968.14,7
MS-DRG,810,MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC,,,6806.0,32637.58,7
MS-DRG,811,RED BLOOD CELL DISORDERS WITH MCC,,,6806.0,42119.17,7
MS-DRG,812,RED BLOOD CELL DISORDERS WITHOUT MCC,,,6806.0,30795.16,7
MS-DRG,813,COAGULATION DISORDERS,,,6806.0,45748.32,7
MS-DRG,814,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC,,,6806.0,63786.11,7
MS-DRG,815,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC,,,6806.0,32169.8,7
MS-DRG,816,RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC,,,6806.0,26688.43,7
MS-DRG,817,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC,,,3232.0,68432.03,7
MS-DRG,818,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC,,,3232.0,34767.89,7
MS-DRG,819,OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,3232.0,29958.6,7
MS-DRG,820,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC,,,72324.11,175902.95,6
MS-DRG,820,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,821,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC,,,35348.02,67142.33,6
MS-DRG,821,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,822,LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,24798.26,36111.57,6
MS-DRG,822,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,823,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC,,,59272.05,137511.91,6
MS-DRG,823,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,824,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC,,,35623.33,67952.14,6
MS-DRG,824,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,825,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC,,,26280.93,40472.55,6
MS-DRG,825,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,826,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC,,,60220.36,140301.26,6
MS-DRG,826,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,827,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC,,,36088.32,69319.82,6
MS-DRG,827,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,828,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC,,,29894.7,51102.07,6
MS-DRG,828,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,829,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC,,,44743.46,94777.88,6
MS-DRG,829,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,830,MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC,,,27867.56,45139.47,6
MS-DRG,830,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,831,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC,,,3232.0,36066.58,7
MS-DRG,832,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC,,,3232.0,27974.12,7
MS-DRG,833,OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC,,,3232.0,25122.94,7
MS-DRG,834,ACUTE LEUKEMIA WITH MCC,,,6806.0,164658.57,7
MS-DRG,835,ACUTE LEUKEMIA WITH CC,,,6806.0,62559.4,7
MS-DRG,836,ACUTE LEUKEMIA WITHOUT CC/MCC,,,6806.0,36576.46,7
MS-DRG,837,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC,,,6806.0,144095.37,7
MS-DRG,838,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT,,,6806.0,62607.39,7
MS-DRG,839,CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,6806.0,43306.89,7
MS-DRG,840,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC,,,6806.0,97024.36,7
MS-DRG,841,LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC,,,6806.0,48930.58,7
MS-DRG,842,LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC,,,6806.0,32118.13,7
MS-DRG,843,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC,,,6806.0,59830.04,7
MS-DRG,844,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC,,,6806.0,36513.48,7
MS-DRG,845,OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC,,,6806.0,29839.51,7
MS-DRG,846,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC,,,6806.0,77756.85,7
MS-DRG,847,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC,,,6806.0,39236.84,7
MS-DRG,848,CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC,,,6806.0,29807.94,7
MS-DRG,849,RADIOTHERAPY,,,6806.0,81266.03,7
MS-DRG,850,ACUTE LEUKEMIA WITH OTHER PROCEDURES,,,100821.47,259724.38,5
MS-DRG,850,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,853,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC,,,62879.72,148123.43,6
MS-DRG,853,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,854,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC,,,32895.67,59929.01,6
MS-DRG,854,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,855,INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC,,,27788.02,44905.52,6
MS-DRG,855,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC,,,58903.94,136429.16,6
MS-DRG,856,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC,,,34357.9,64230.01,6
MS-DRG,857,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC,,,26724.49,41777.25,6
MS-DRG,858,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,862,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC,,,6806.0,54698.23,7
MS-DRG,863,POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC,,,6806.0,31938.78,7
MS-DRG,864,FEVER AND INFLAMMATORY CONDITIONS,,,6806.0,30357.51,7
MS-DRG,865,VIRAL ILLNESS WITH MCC,,,6806.0,44938.51,7
MS-DRG,866,VIRAL ILLNESS WITHOUT MCC,,,6806.0,30097.81,7
MS-DRG,867,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC,,,6806.0,62781.35,7
MS-DRG,868,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC,,,6806.0,32415.16,7
MS-DRG,869,OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC,,,6806.0,28090.34,7
MS-DRG,870,SEPTICEMIA OR SEVERE SEPSIS WITH MV &gt;96 HOURS,,,6806.0,207305.62,7
MS-DRG,871,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV &gt;96 HOURS WITH MCC,,,6806.0,58261.4,7
MS-DRG,872,SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV &gt;96 HOURS WITHOUT MCC,,,6806.0,32303.25,7
MS-DRG,876,O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS,,,31763.0,115919.95,8
MS-DRG,880,ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION,,,6806.0,31397.83,7
MS-DRG,881,DEPRESSIVE NEUROSES,,,6806.0,31120.88,7
MS-DRG,882,NEUROSES EXCEPT DEPRESSIVE,,,6806.0,33027.87,7
MS-DRG,883,DISORDERS OF PERSONALITY AND IMPULSE CONTROL,,,6806.0,58975.24,7
MS-DRG,884,ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY,,,6806.0,48255.74,7
MS-DRG,885,PSYCHOSES,,,6806.0,41894.22,7
MS-DRG,886,BEHAVIORAL AND DEVELOPMENTAL DISORDERS,,,6806.0,62244.47,7
MS-DRG,887,OTHER MENTAL DISORDER DIAGNOSES,,,6806.0,32986.27,7
MS-DRG,894,"ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA",,,6806.0,26471.78,7
MS-DRG,895,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY",,,6806.0,42458.09,7
MS-DRG,896,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC",,,6806.0,52340.78,7
MS-DRG,897,"ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC",,,6806.0,30287.21,7
MS-DRG,901,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,901,WOUND DEBRIDEMENTS FOR INJURIES WITH MCC,,,55313.61,125868.62,6
MS-DRG,902,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,902,WOUND DEBRIDEMENTS FOR INJURIES WITH CC,,,32043.2,57421.6,6
MS-DRG,903,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,903,WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC,,,24447.51,35079.81,6
MS-DRG,904,SKIN GRAFTS FOR INJURIES WITH CC/MCC,,,49975.49,110167.29,6
MS-DRG,904,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,905,SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC,,,27647.31,44491.62,6
MS-DRG,905,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,906,HAND PROCEDURES FOR INJURIES,,,32551.0,58915.25,6
MS-DRG,906,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,907,OTHER O.R. PROCEDURES FOR INJURIES WITH MCC,,,51670.25,115152.12,6
MS-DRG,907,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,908,OTHER O.R. PROCEDURES FOR INJURIES WITH CC,,,32866.09,59842.03,6
MS-DRG,908,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,909,OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC,,,25906.69,39371.81,6
MS-DRG,909,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,913,TRAUMATIC INJURY WITH MCC,,,6806.0,49026.56,7
MS-DRG,914,TRAUMATIC INJURY WITHOUT MCC,,,6806.0,30325.95,7
MS-DRG,915,ALLERGIC REACTIONS WITH MCC,,,6806.0,50436.23,7
MS-DRG,916,ALLERGIC REACTIONS WITHOUT MCC,,,6806.0,27180.59,7
MS-DRG,917,POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC,,,6806.0,47041.02,7
MS-DRG,918,POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC,,,6806.0,29918.44,7
MS-DRG,919,COMPLICATIONS OF TREATMENT WITH MCC,,,6806.0,54911.18,7
MS-DRG,920,COMPLICATIONS OF TREATMENT WITH CC,,,6806.0,32001.92,7
MS-DRG,921,COMPLICATIONS OF TREATMENT WITHOUT CC/MCC,,,6806.0,27497.73,7
MS-DRG,922,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC",,,6806.0,52469.75,7
MS-DRG,923,"OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC",,,6806.0,32222.9,7
MS-DRG,927,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV &gt;96 HOURS WITH SKIN GRAFT,,,230230.65,640365.55,6
MS-DRG,927,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,928,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC,,,85660.66,215130.79,6
MS-DRG,928,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,929,FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC,,,45363.43,96601.45,6
MS-DRG,929,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,933,EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV &gt;96 HOURS WITHOUT SKIN GRAFT,,,6806.0,116798.74,7
MS-DRG,934,FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY,,,6806.0,66302.53,7
MS-DRG,935,NON-EXTENSIVE BURNS,,,6806.0,61785.58,7
MS-DRG,939,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC,,,49520.72,108829.6,6
MS-DRG,939,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,940,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC,,,36350.37,70090.64,6
MS-DRG,940,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,941,O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC,,,33197.49,60816.81,6
MS-DRG,941,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,945,REHABILITATION WITH CC/MCC,,,6806.0,46447.16,7
MS-DRG,946,REHABILITATION WITHOUT CC/MCC,,,6806.0,34395.97,7
MS-DRG,947,SIGNS AND SYMPTOMS WITH MCC,,,6806.0,38073.11,7
MS-DRG,948,SIGNS AND SYMPTOMS WITHOUT MCC,,,6806.0,29106.27,7
MS-DRG,949,AFTERCARE WITH CC/MCC,,,6806.0,35682.67,7
MS-DRG,950,AFTERCARE WITHOUT CC/MCC,,,6806.0,26626.77,7
MS-DRG,951,OTHER FACTORS INFLUENCING HEALTH STATUS,,,6806.0,25597.91,7
MS-DRG,955,CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA,,,81157.71,201885.88,6
MS-DRG,955,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,956,"LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA",,,50892.21,112863.66,6
MS-DRG,956,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,90220.74,228543.66,6
MS-DRG,957,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,55490.0,126387.5,6
MS-DRG,958,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,959,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,42541.94,88302.39,6
MS-DRG,959,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,963,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC,,,6806.0,81994.86,7
MS-DRG,964,OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC,,,6806.0,45967.27,7
MS-DRG,965,OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC,,,6806.0,31115.16,7
MS-DRG,969,HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC,,,74939.63,183596.15,6
MS-DRG,969,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,970,HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC,,,39414.55,79103.54,6
MS-DRG,970,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,974,HIV WITH MAJOR RELATED CONDITION WITH MCC,,,6806.0,86559.8,7
MS-DRG,975,HIV WITH MAJOR RELATED CONDITION WITH CC,,,6806.0,38840.94,7
MS-DRG,976,HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC,,,6806.0,30572.74,7
MS-DRG,977,HIV WITH OR WITHOUT OTHER RELATED CONDITION,,,6806.0,38921.92,7
MS-DRG,981,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,60363.11,140721.16,6
MS-DRG,981,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,982,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,37590.33,73737.79,6
MS-DRG,982,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,983,EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,29998.72,51408.0,6
MS-DRG,983,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,987,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,,,47480.32,102828.0,6
MS-DRG,987,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,988,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,,,29280.85,49296.49,6
MS-DRG,988,Surgical Services - DRG,,,6852.0,6852.0,1
MS-DRG,989,NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,,,24749.33,35967.61,6
MS-DRG,989,Surgical Services - DRG,,,6852.0,6852.0,1
NDC,00000000103,LC Bead 100-300 micrometers 1 each,2360.0,826.0,675.9,1758.2,5
NDC,00000000104,LC Bead 300-500 micrometers 1 each,2360.0,826.0,675.9,1758.2,5
NDC,00000000105,LC Bead 500-700 micrometers 1 each,2360.0,826.0,675.9,1758.2,5
NDC,00002021301,insulin regular human per 5 Units,37.9,13.27,0.42,13.0,6
NDC,00002140701,quiniDINE gluconate 80 mg/mL solution 10 mL Vial,50.88,17.81,14.57,37.91,5
NDC,00002322730,atomoxetine 10 MG capsule 30 each Bottle,37.33,13.07,10.69,27.81,5
NDC,00002322830,atomoxetine 25 MG capsule 30 each Bottle,37.33,13.07,10.69,27.81,5
NDC,00002323830,atomoxetine 18 MG capsule 30 each Bottle,37.33,13.07,10.69,27.81,5
NDC,00002323930,atomoxetine 60 MG capsule 30 each Bottle,40.55,14.2,11.61,30.21,5
NDC,00002325030,atomoxetine 80 MG capsule 30 each Bottle,43.75,15.32,12.53,32.59,5
NDC,00002416530,raloxifene 60 mg tablet 30 each Bottle,18.69,6.55,5.35,13.92,5
NDC,00002418230,baricitinib 2 mg tablet 30 each Bottle,261.24,91.44,74.82,194.62,5
NDC,00002445385,"OLANZapine zydis 5 MG tablet,disintegrating 30 each BLIST PACK",47.38,16.59,13.57,35.3,5
NDC,00002751001,insulin lispro (human) per 5 Units,188.04,65.82,0.42,64.5,6
NDC,00002751001,insulin lispro 100 unit/ml 10 mL Vial,24.0,8.4,0.42,8.23,6
NDC,00002751017,insulin lispro (human) per 5 Units,233.38,81.69,0.42,80.05,6
NDC,00002751017,insulin lispro 100 unit/ml 3 mL Vial,24.0,8.4,0.42,8.23,6
NDC,00002753301,insulin lispro (human) per 5 Units,56.41,19.75,0.42,19.35,6
NDC,00002753301,insulin lispro 100 unit/ml 3 mL Vial,24.0,8.4,0.42,8.23,6
NDC,00002762301,pemetrexed per 10 mg,11449.78,4007.43,4.04,3927.27,10
NDC,00002764001,PEMEtrexed disodium 100 mg recon soln 1 each Vial,2289.96,801.49,4.04,785.46,10
NDC,00002766901,ramucirumab 10 mg/mL solution 10 mL Vial,4250.24,1487.59,75.47,1457.83,10
NDC,00002773701,insulin lispro (human) per 5 Units,70.8,24.78,0.42,24.28,6
NDC,00002773701,insulin lispro 100 unit/ml 10 mL Vial,24.0,8.4,0.42,8.23,6
NDC,00002791001,bamlanivimab 700 mg/20 mL (35 mg/mL) solution 20 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00002795001,etesevimab 700 mg/20 mL (35 mg/mL) solution 20 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00002803101,glucagon (rdna) per 1 mg,795.23,278.34,146.33,1023.54,10
NDC,00002821501,insulin regular human per 5 Units,126.33,44.22,0.42,43.33,6
NDC,00002821517,insulin regular human per 5 Units,126.33,44.22,0.42,43.33,6
NDC,00002831501,insulin isophane human per 5 Units,126.33,44.22,0.42,43.33,6
NDC,00002831517,insulin isophane human per 5 Units,126.33,44.22,0.42,43.33,6
NDC,00002840001,teriparatide 20 mcg/dose (560mcg/2.24mL) pen injector 2.24 mL Syringe,13016.76,4555.87,3728.0,9697.49,5
NDC,00002840001,teriparatide 20 mcg/dose (620mcg/2.48mL) pen injector 2.4 mL Syringe,10189.07,3566.18,2918.15,7590.86,5
NDC,00002850101,insulin regular human per 5 Units,4211.18,1473.92,0.42,1444.43,6
NDC,00002871501,insulin isophane & regular per 5 Units,126.33,44.22,0.42,43.33,6
NDC,00002871517,insulin isophane & regular per 5 Units,126.33,44.22,0.42,43.33,6
NDC,00002882401,insulin regular 500 unit/mL insulin pen 3 mL Syringe,813.07,284.58,0.42,278.88,6
NDC,00002882427,insulin regular 500 unit/mL insulin pen 3 mL Syringe,813.07,284.58,0.42,278.88,6
NDC,00002892601,olaratumab 10 mg/mL solution 50 mL Vial,6955.39,2434.39,0.05,2385.7,6
NDC,00003029305,triamcinolone per 10 mg,26.5,9.28,1.57,9.09,6
NDC,00003029320,triamcinolone per 10 mg,26.91,9.42,1.57,9.23,6
NDC,00003049420,triamcinolone acetonide per 10 mg,24.0,8.4,1.57,8.23,6
NDC,00003052411,dasatinib 70 mg tablet 60 each Bottle,955.68,334.49,273.71,711.98,5
NDC,00003052711,dasatinib 20 mg tablet 60 each Bottle,477.84,167.25,136.85,355.99,5
NDC,00003052811,dasatinib 50 mg tablet 60 each Bottle,955.68,334.49,273.71,711.98,5
NDC,00003085222,dasatinib 100 mg tablet 30 each Bottle,1722.45,602.86,493.31,1283.23,5
NDC,00003085522,dasatinib 80 mg tablet 30 each Bottle,1722.45,602.86,493.31,1283.23,5
NDC,00003085722,dasatinib 140 mg tablet 30 each Bottle,1722.45,602.86,493.31,1283.23,5
NDC,00003089321,apixaban 2.5 mg tablet 60 each Bottle,28.62,10.02,8.2,21.32,5
NDC,00003089331,apixaban 2.5 mg tablet 100 each BLIST PACK,28.62,10.02,8.2,21.32,5
NDC,00003089421,apixaban 5 mg tablet 60 each Bottle,28.62,10.02,8.2,21.32,5
NDC,00003089431,apixaban 5 mg tablet 100 each BLIST PACK,28.62,10.02,8.2,21.32,5
NDC,00003089470,apixaban 5 mg tablet 74 each Bottle,28.62,10.02,8.2,21.32,5
NDC,00003161212,entecavir 1 mg tablet 30 each Bottle,129.56,45.35,37.11,96.52,5
NDC,00003161412,entecavir 0.05 mg/mL solution 210 mL Bottle,129.56,45.35,37.11,96.52,5
NDC,00003196401,stavudine 15 MG capsule 60 each Bottle,16.12,5.65,4.62,12.01,5
NDC,00003218710,abatacept per 10 mg,2962.98,1037.05,44.72,1016.3,10
NDC,00003232822,ipilimumab 200 mg/40 mL (5 mg/mL) solution 40 mL Vial,102571.92,35900.18,187.17,35182.17,10
NDC,00003256016,aztreonam per 500 mg,83.155,29.11,3.54,61.19,11
NDC,00003257016,aztreonam per 500 mg,104.71000000000001,36.655,3.54,57.75,11
NDC,00003362412,atazanavir 150 MG capsule 60 each Bottle,69.07,24.18,19.78,51.46,5
NDC,00003373413,nivolumab 240 mg/24 mL solution 24 mL Vial,22494.8,7873.18,33.62,7715.72,10
NDC,00003377211,nivolumab 40 mg/4 mL solution 4 mL Vial,3749.14,1312.2,33.62,1285.96,10
NDC,00003377412,nivolumab 100 mg/10 mL solution 10 mL Vial,9372.79,3280.48,33.62,3214.87,10
NDC,00003519510,pravastatin 80 MG tablet 90 each Bottle,16.02,5.61,4.59,11.93,5
NDC,00003712511,nivolumab-relatlimab-rmbw 240-80 mg/20 mL solution 20 mL Vial,43675.01,15286.26,201.76,14980.53,10
NDC,00004003822,valGANciclovir 450 mg tablet 60 each Bottle,250.36,87.63,71.7,186.52,5
NDC,00004003909,valGANciclovir 50 mg/mL recon soln 88 mL Bottle,2963.39,1037.19,848.71,2207.73,5
NDC,00004019109,ibandronate per 1 mg,1493.6,522.76,42.24,512.3,6
NDC,00004024515,saquinavir 200 mg capsule 270 each Bottle,61.67,21.59,17.66,45.94,5
NDC,00004025901,mycophenolate mofetil per 250 mg,25.48,8.92,0.31,8.74,6
NDC,00004029809,mycophenolate 500 mg recon soln 1 each Vial,305.79,107.03,0.93,227.81,11
NDC,00004035009,peginterferon alfa-2a 180 mcg/mL solution 1 mL Vial,2892.86,1012.51,828.52,2155.18,5
NDC,00004080085,oseltamivir 75 MG capsule 10 each BLIST PACK,43.01,15.06,12.32,32.04,5
NDC,00004080285,oseltamivir 30 MG capsule 10 each BLIST PACK,39.46,13.82,11.3,29.4,5
NDC,00004082205,oseltamivir 6 mg/mL suspension for reconstitution 60 mL Bottle,430.18,150.57,123.2,320.48,5
NDC,00004110020,capecitabine per 150 mg,38.39,13.44,0.03,28.6,10
NDC,00004110150,capecitabine per 500 mg,127.97,44.79,0.03,95.34,10
NDC,00005010005,meningococcal B vaccine 120 mcg/0.5 mL syringe 0.5 mL Syringe,586.77,205.37,201.26,942.36,6
NDC,00005197101,pneumococcal 13-valent vaccine 0.5 mL syringe 0.5 mL Syringe,640.9,224.32,219.83,1352.93,10
NDC,00005197102,pneumococcal 13-valent vaccine 0.5 mL syringe 0.5 mL Syringe,640.9,224.32,219.83,1352.93,10
NDC,00005197105,pneumococcal 13-valent vaccine 0.5 mL syringe 0.5 mL Syringe,660.94,231.33,226.7,1352.93,10
NDC,00005200001,pneumococcal 20-valent vaccine 0.5 mL syringe 0.5 mL Syringe,801.69,280.6,274.98,1513.76,10
NDC,00005200002,pneumococcal 20-valent vaccine 0.5 mL syringe 0.5 mL Syringe,801.69,280.6,274.98,1513.76,10
NDC,00005200010,pneumococcal 20-valent vaccine 0.5 mL syringe 0.5 mL Syringe,777.32,272.07,266.62,1513.76,10
NDC,00005434462,multivitamin 9 mg iron/15 mL liquid 236 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00006003220,ivermectin 3 mg tablet 20 each BLIST PACK,13.18,4.62,3.77,9.82,5
NDC,00006011231,SITagliptin phosphate 50 MG tablet 30 each Bottle,31.15,10.91,8.92,23.21,5
NDC,00006022131,SITagliptin phosphate 25 MG tablet 30 each Bottle,31.15,10.91,8.92,23.21,5
NDC,00006022761,raltegravir 400 mg tablet 60 each Bottle,98.33,34.42,28.16,73.26,5
NDC,00006027731,SITagliptin phosphate 100 MG tablet 30 each Bottle,31.15,10.91,8.92,23.21,5
NDC,00006046101,aprepitant per 5 mg,619.55,216.85,5.88,212.51,6
NDC,00006046106,aprepitant per 5 mg,619.55,216.85,5.88,212.51,6
NDC,00006046201,aprepitant per 5 mg,968.06,338.83,5.88,332.04,6
NDC,00006046206,aprepitant per 5 mg,968.06,338.83,5.88,332.04,6
NDC,00006046405,aprepitant per 5 mg,334.29,117.01,5.88,114.66,6
NDC,00006047361,"raltegravir 25 mg tablet,chewable 60 each Bottle",6.15,2.16,1.76,4.58,5
NDC,00006047761,"raltegravir 100 mg tablet,chewable 60 each Bottle",24.58,8.61,7.04,18.31,5
NDC,00006057362,indinavir 400 MG capsule 180 each Bottle,14.37,5.03,4.12,10.71,5
NDC,00006095154,losartan 25 MG tablet 90 each Bottle,7.84,2.75,2.25,5.84,5
NDC,00006302500,bezlotoxumab 25 mg/mL solution 40 mL Vial,10761.6,3766.56,39.83,3691.23,10
NDC,00006302602,pembrolizumab 25 mg/mL solution 4 mL Vial,16702.33,5845.82,61.25,5728.9,10
NDC,00006302604,pembrolizumab 25 mg/mL solution 4 mL Vial,16702.34,5845.82,61.25,5728.9,10
NDC,00006306100,fosaprepitant per 1 mg,947.68,331.69,0.23,325.05,6
NDC,00006306101,fosaprepitant per 1 mg,947.68,331.69,0.23,325.05,6
NDC,00006351659,imipenem-cilastatin per 250 mg,92.47,32.37,12.53,37.49,6
NDC,00006351936,dorzolamide 2 % drops 10 mL DROP BTL,214.67,75.14,61.48,159.93,5
NDC,00006382210,caspofungin per 5 mg,956.39,334.74,8.96,328.04,6
NDC,00006382310,caspofungin per 5 mg,993.7,347.8,8.96,340.84,6
NDC,00006384371,ertapenem per 500 mg,364.37,127.53,18.75,124.98,6
NDC,00006404541,human papillomavirus vaccine 20-40-40-20 mcg/0.5 mL suspension 0.5 mL Vial,451.47,158.02,0.05,322.91,6
NDC,00006404701,rotavirus vaccine 2 mL solution 2 mL Tube,290.61,101.72,99.68,474.6,6
NDC,00006404741,rotavirus vaccine 2 mL solution 2 mL Tube,290.61,101.72,99.68,474.6,6
NDC,00006409602,hepatitis A vaccine (ADULT) 1 mL Syringe,236.78,82.88,81.22,376.8,6
NDC,00006411901,HPV9 vaccine 0.5 mL suspension 0.5 mL Vial,643.38,225.19,220.68,1409.45,6
NDC,00006411903,HPV9 vaccine 0.5 mL suspension 0.5 mL Vial,643.38,225.19,220.68,1409.45,6
NDC,00006412102,HPV9 vaccine 0.5 mL syringe 0.5 mL Syringe,931.63,326.08,319.55,1409.45,6
NDC,00006417100,MMRV vaccine 10exp3-4.3-3- 3.99 TCID50/0.5 suspension for reconstitution 1 each Vial,817.51,286.13,218.94,1375.9,6
NDC,00006430501,inFLIXimab-abda 10 mg/ml recon soln 1 each Vial,2133.61,746.77,26.8,731.83,10
NDC,00006430502,inFLIXimab-abda 10 mg/ml recon soln 1 each Vial,2133.61,746.77,26.8,731.83,10
NDC,00006468100,"measles, mumps & rubella vac per 0.5 mL",264.945,92.735,86.93,471.28,12
NDC,00006468101,"measles, mumps & rubella vac per 0.5 mL",253.44,88.71,86.93,471.28,6
NDC,00006482700,"varicella vaccine 1,350 unit/0.5 mL suspension for reconstitution 1 each Vial",543.72,190.31,186.5,839.01,6
NDC,00006482701,"varicella vaccine 1,350 unit/0.5 mL suspension for reconstitution 1 each Vial",543.72,190.31,186.5,839.01,6
NDC,00006483101,hepatitis A vaccine (PEDIATRIC) suspension 0.5 mL Vial,112.89,39.52,38.72,182.76,6
NDC,00006483141,hepatitis A vaccine (PEDIATRIC) suspension 0.5 mL Vial,112.89,39.52,38.72,182.76,6
NDC,00006483701,pneumococcal vac plyvalent per 0.5 mL,331.57,116.05,113.73,699.94,10
NDC,00006483703,pneumococcal vac plyvalent per 0.5 mL,331.57,116.05,113.73,699.94,10
NDC,00006484101,hepatitis A vaccine (ADULT) 1 mL Vial,240.6,84.21,82.53,376.8,6
NDC,00006484141,hepatitis A vaccine (ADULT) 1 mL Vial,236.78,82.88,81.22,376.8,6
NDC,00006489700,HIB vaccine 0.5 mL solution 0.5 mL Vial,88.78,31.08,30.45,151.39,6
NDC,00006489700,HIB vaccine 7.5 mcg/0.5 mL solution 0.5 mL Vial,72.17,25.26,24.75,151.39,6
NDC,00006489701,HIB vaccine 0.5 mL solution 0.5 mL Vial,88.78,31.08,30.45,151.39,6
NDC,00006489701,HIB vaccine 7.5 mcg/0.5 mL solution 0.5 mL Vial,72.17,25.26,24.75,151.39,6
NDC,00006494300,pneumococcal vac polyvalent per 0.5 mL,331.57,116.05,113.73,699.94,10
NDC,00006494301,pneumococcal vac polyvalent per 0.5 mL,331.57,116.05,113.73,699.94,10
NDC,00006496301,"zoster vaccine 19,400 unit/0.65 mL suspension for reconstitution 1 each Vial",631.87,221.16,0.05,428.75,6
NDC,00006496341,"zoster vaccine 19,400 unit/0.65 mL suspension for reconstitution 1 each Vial",602.27,210.8,0.05,428.75,6
NDC,00006498100,hepatitis B vaccine (pediatric) 0.5 mL syringe 0.5 mL Vial,82.52,28.89,28.3,156.8,10
NDC,00006498101,hepatitis B vaccine (pediatric) 0.5 mL syringe 0.5 mL Vial,82.52,28.89,28.3,156.8,10
NDC,00006499500,hepatitis B vaccine (adult) 20 mcg/mL 1 mL Vial,186.68,65.34,64.03,369.08,10
NDC,00006499501,hepatitis B vaccine (adult) 20 mcg/mL 1 mL Vial,204.15,71.46,70.02,369.08,10
NDC,00006499541,hepatitis B vaccine (adult) 20 mcg/mL 1 mL Vial,204.15,71.46,70.02,369.08,10
NDC,00006542302,sugammadex 100 mg/mL solution 2 mL Vial,385.55,134.95,110.42,287.23,5
NDC,00006542312,sugammadex 100 mg/mL solution 2 mL Vial,385.55,134.95,110.42,287.23,5
NDC,00006542402,"latrodectus mactans antivenin 6,000 unit recon soln 1 each Vial",78.47,27.47,22.47,58.46,5
NDC,00007337213,"carvedilol CR 40 MG capsule, ER multiphase 24 hr 30 each Bottle",25.99,9.1,7.44,19.36,5
NDC,00007420511,topotecan 0.25 mg capsule 10 each Bottle,284.6,99.61,97.62,588.92,10
NDC,00007420711,topotecan 1 mg capsule 10 each Bottle,1138.36,398.43,125.22,588.92,10
NDC,00007440701,argatroban per 5 mg,3719.83,1301.95,1065.36,2771.27,5
NDC,00007489220,rOPINIRole 1 MG tablet 100 each Bottle,15.91,5.57,4.56,11.85,5
NDC,00007489520,rOPINIRole 3 MG tablet 100 each Bottle,16.51,5.78,4.73,12.3,5
NDC,00008010001,inotuzumab ozogamicin 0.9 mg (0.25 mg/mL initial) recon soln 1 each Vial,135459.94,47410.98,2816.77,46462.76,10
NDC,00008092351,pantoprazole 40 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,00008092355,pantoprazole 40 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,00008092360,pantoprazole 40 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,00008103006,sirolimus per 1 mg,92.71,32.45,2.4,31.8,6
NDC,00008117901,temsirolimus per 1 mg,5664.9,1982.72,30.08,1943.06,10
NDC,00008121130,desvenlafaxine 50 MG tablet extended release 24 hr 30 each Bottle,41.34,14.47,11.84,30.8,5
NDC,00008411701,ethionamide 250 mg tablet 100 each Bottle,15.87,5.56,4.55,11.82,5
NDC,00008499002,tigecycline per 1 mg,443.21,155.13,0.93,152.02,6
NDC,00008499020,tigecycline per 1 mg,283.2,99.12,0.93,97.14,6
NDC,00009000501,"hydrocortisone 1,000 mg/8 mL recon soln 1 each Vial",495.13,173.3,29.45,169.83,6
NDC,00009001103,hydrocortisone (PF) 100 mg/2 mL recon soln 1 each Vial,68.16,23.86,23.38,91.83,6
NDC,00009001104,hydrocortisone (PF) 100 mg/2 mL recon soln 1 each Vial,66.91,23.42,22.95,91.83,6
NDC,00009001305,hydrocortisone 250 mg/2 mL recon soln 1 each Vial,126.12,44.15,29.45,91.83,6
NDC,00009001306,hydrocortisone 250 mg/2 mL recon soln 1 each Vial,123.75,43.32,29.45,91.83,6
NDC,00009001820,"methylPREDNISolone sod suc(PF) 1,000 mg/8 mL recon soln 1 each Vial",195.17,68.31,0.54,145.4,6
NDC,00009003101,hydrocortisone 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00009003928,methylPREDNISolone sod suc(PF) 40 mg/mL recon soln 1 each Vial,24.0,8.4,0.54,17.88,6
NDC,00009003930,methylPREDNISolone sod suc(PF) 40 mg/mL recon soln 1 each Vial,24.0,8.4,0.54,17.88,6
NDC,00009003932,methylPREDNISolone sod suc(PF) 40 mg/mL recon soln 1 each Vial,24.0,8.4,0.54,17.88,6
NDC,00009003933,methylPREDNISolone sod suc(PF) 40 mg/mL recon soln 1 each Vial,24.0,8.4,0.54,17.88,6
NDC,00009004722,methylPREDNISolone sod suc(PF) 125 mg/2 mL recon soln 1 each Vial,29.5,10.33,0.54,21.98,6
NDC,00009004725,methylPREDNISolone sod suc(PF) 125 mg/2 mL recon soln 1 each Vial,29.5,10.33,0.54,21.98,6
NDC,00009004726,methylPREDNISolone sod suc(PF) 125 mg/2 mL recon soln 1 each Vial,29.5,10.33,0.54,21.98,6
NDC,00009007301,methylprednisolone per 4 mg,8.14,2.85,0.38,2.79,6
NDC,00009023303,"bacitracin 50,000 unit recon soln 1 each Vial",31.41,11.0,9.0,23.4,5
NDC,00009023401,"bacitracin 50,000 unit recon soln 1 each Vial",31.41,11.0,9.0,23.4,5
NDC,00009023402,"bacitracin 50,000 unit recon soln 1 each Vial",31.41,11.0,9.0,23.4,5
NDC,00009028002,methylprednisolone per 40 mg,24.0,8.4,0.21,17.88,6
NDC,00009028051,methylprednisolone per 40 mg,24.0,8.4,0.21,17.88,6
NDC,00009028301,gelatin absorbable 10x12.5 cm film 1 each Packet,6353.78,2223.83,1819.72,4733.57,5
NDC,00009029703,gelatin adsorbable 2.5x5 cm film 6 each Packet,702.19,245.77,201.11,523.13,5
NDC,00009031508,gelatin absorbable 2x6 cm 12-7 mm sponge 12 each PF APPLI,26.97,9.44,7.72,20.09,5
NDC,00009032301,gelatin adsorbable 50 sponge 4 each PF APPLI,87.45,30.61,25.05,65.15,5
NDC,00009034201,gelatin adsorbable 8x12.5 cm 100 sponge 6 each PF APPLI,130.72,45.76,37.44,97.39,5
NDC,00009041701,testosterone cypionate 200 mg/mL oil 1 mL Vial,67.38,23.59,0.05,23.11,6
NDC,00009043304,gelatin absorbable powder 1 g Packet,237.6,83.16,68.05,177.01,5
NDC,00009043601,arginine (L-arginine) 10 % parenteral solution 300 mL Bag,118.94,41.63,34.06,88.61,5
NDC,00009062601,medroxyPROGESTERone 400 mg/mL suspension 2.5 mL Vial,1526.07,534.13,0.05,523.44,6
NDC,00009069801,methylprednisolone per 125 mg,124.56,43.6,0.54,92.8,6
NDC,00009072809,clindamycin per 300 mg,69.38,24.29,3.14,23.8,6
NDC,00009074635,medroxyPROGESTERone 150 mg/mL suspension 1 mL Vial,370.105,129.54,0.05,440.41,11
NDC,00009077526,clindamycin per 300 mg,24.0,8.4,3.14,8.45,6
NDC,00009082501,hydrocortisone sod succinate 100 mg recon soln 1 each Vial,54.23,18.99,18.6,91.83,6
NDC,00009082703,dinoprostone 20 MG suppository 1 each Box,6253.54,2188.74,1791.01,4658.89,5
NDC,00009085608,carboprost 250 mcg/mL solution 1 mL AMPUL,396.48,138.77,15.56,295.38,14
NDC,00009104001,gelatin absorbable syringe syringe 1 each Syringe,345.57,120.95,98.97,257.45,5
NDC,00009104006,gelatin absorbable syringe syringe 6 each Syringe,345.57,120.95,98.97,257.45,5
NDC,00009225001,"thrombin 5,000 unit syringe kit 1 each KIT",586.63,205.33,168.01,437.04,5
NDC,00009307301,methylprednisolone per 40 mg,32.17,11.26,0.21,23.97,6
NDC,00009307303,methylprednisolone per 40 mg,32.2,11.27,0.21,23.99,6
NDC,00009307323,methylprednisolone per 40 mg,64.39,22.54,0.21,47.97,6
NDC,00009316906,alprostadil per 1.25 mcg,479.58,167.86,137.35,357.29,5
NDC,00009338201,clindamycin per 300 mg,60.3,21.11,17.27,44.92,5
NDC,00009338202,clindamycin per 300 mg,60.3,21.11,17.27,44.92,5
NDC,00009379401,ibutilide fumarate per 1 mg,1585.45,554.91,219.22,1564.32,10
NDC,00009379422,ibutilide fumarate per 1 mg,1585.45,554.91,219.22,1564.32,10
NDC,00009407303,clindamycin per 300 mg,24.0,8.4,3.14,8.45,6
NDC,00009407304,clindamycin per 300 mg,24.0,8.4,3.14,8.45,6
NDC,00009454102,tolterodine 1 MG tablet 60 each Bottle,23.89,8.37,6.84,17.8,5
NDC,00009509101,epirubicin per 2 mg,136.17,47.66,2.28,46.71,6
NDC,00009509505,clindamycin per 300 mg,24.0,8.4,3.14,8.45,6
NDC,00009509506,clindamycin per 300 mg,24.0,8.4,3.14,8.45,6
NDC,00009513601,linezolid 100 mg/5 mL suspension for reconstitution 150 mL Bottle,695.26,243.35,199.12,517.97,5
NDC,00009514004,linezolid in dextrose 5% 600 mg/300 mL piggyback 300 mL Bag,93.46,32.72,5.45,32.06,6
NDC,00009519001,"tolterodine LA 2 MG capsule,extended release 24hr 30 each Bottle",38.91,13.62,11.14,28.99,5
NDC,00009722402,"lymphocyte, anti-thymo imm glob per 250 mg",14333.63,5016.78,4916.44,15676.93,10
NDC,00009752905,irinotecan per 20 mg,321.96,112.69,3.22,110.43,6
NDC,00009766304,exemestane 25 mg tablet 30 each Bottle,108.67,38.04,31.12,80.96,5
NDC,00013010130,sulfaSALAzine 500 mg tablet 300 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00013013202,estramustine 140 mg capsule 100 each Bottle,47.46,16.62,13.59,35.36,5
NDC,00013111401,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL AMPUL",57.77,20.22,16.55,43.04,10
NDC,00013111410,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL AMPUL",84.96,29.74,24.33,63.3,5
NDC,00013111420,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",84.96,29.74,24.33,63.3,5
NDC,00013111421,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",56.64,19.83,16.22,42.2,10
NDC,00013257691,idarubicin per 5 mg,152.64,53.43,52.36,177.77,6
NDC,00013258691,idarubicin per 5 mg,305.24,106.84,70.83,177.77,6
NDC,00013264902,somatropin 0.2 mg/0.25 mL syringe 7 each Cartridge,88.04,30.82,25.21,65.59,5
NDC,00013830304,latanoprost 0.005 % drops 2.5 mL DROP BTL,763.46,267.22,218.65,568.78,5
NDC,00015191012,ixabepilone per 1 mg,3182.72,1113.96,139.75,1091.67,10
NDC,00015191113,ixabepilone per 1 mg,7207.86,2522.76,139.75,2472.3,10
NDC,00015308060,mitotane 500 mg tablet 100 each Bottle,13.59,4.76,3.89,10.12,5
NDC,00023031604,fluorometholone 0.1 % ointment 3.5 g Tube,397.47,139.12,113.84,296.12,5
NDC,00023040350,carboxymethylcellulose 0.5 % dropperette 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00023040370,carboxymethylcellulose 0.5 % dropperette 70 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00023079801,carboxymethylcellulose sodium 0.5 % drops 15 mL DROP BTL,17.49,6.13,5.01,13.03,5
NDC,00023114501,onabotulinumtoxina per 1 unit,1843.63,645.28,6.51,632.37,10
NDC,00023218105,ketorolac 0.5 % drops 5 mL DROP BTL,780.03,273.02,223.4,581.12,5
NDC,00023320503,bimatoprost 0.01 % drops 2.5 mL DROP BTL,747.53,261.64,214.09,556.91,5
NDC,00023334807,dexAMETHasone 0.7 mg implant 1 each PF APPLI,3888.34,1360.92,203.79,1333.7,10
NDC,00023392102,botulinum toxin type A 200 unit recon soln 1 each Vial,3590.98,1256.85,6.51,1231.71,10
NDC,00023455430,"carboxymethylcellulose sodium 1 % dropperette,gel 30 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,00023585801,levonorgestreL 20.4 mcg/24 hr (8 yrs) 52 mg intrauterine device 1 each Box,2393.32,837.67,820.91,4431.79,6
NDC,00023599060,testosterone 2 mg/24 hour patch 24 hour 60 each Box,29.07,10.18,8.33,21.66,5
NDC,00023599230,testosterone 4 mg/24 hr patch 24 hour 30 each Box,58.14,20.35,16.65,43.31,5
NDC,00023608201,iron dextran 50 mg/mL solution 2 mL Vial,105.59,36.96,18.11,90.09,10
NDC,00023608210,iron dextran 50 mg/mL solution 2 mL Vial,105.59,36.96,18.11,90.09,10
NDC,00023782410,"polymyxin B-trimethoprim 10,000 unit- 1 mg/mL drops 10 mL DROP BTL",226.18,79.17,64.78,168.5,5
NDC,00023916330,cycloSPORINE 0.05 % dropperette 30 each BLIST PACK,30.47,10.67,8.73,22.7,5
NDC,00023917705,brimonidine 0.15 % drops 5 mL DROP BTL,587.05,205.47,168.13,437.35,5
NDC,00023917710,brimonidine 0.15 % drops 10 mL DROP BTL,1173.82,410.84,336.18,874.5,5
NDC,00023921105,brimonidine-timoloL 0.2-0.5 % drops 5 mL DROP BTL,578.11,202.34,165.57,430.69,5
NDC,00024065401,isatuximab-irfc 20 mg/mL solution 5 mL Vial,2463.58,862.26,83.58,845.01,10
NDC,00024065601,isatuximab-irfc 20 mg/mL solution 25 mL Vial,9204.0,3221.4,83.58,3156.97,10
NDC,00024159601,primaquine 26.3 mg (15 mg base) tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00024279201,na ferric gluc cplx per 12.5 mg,90.06,31.53,3.91,30.89,6
NDC,00024279210,na ferric gluc cplx per 12.5 mg,90.06,31.53,3.91,30.89,6
NDC,00024414260,dronedarone 400 mg tablet 60 each Bottle,38.23,13.39,10.95,28.48,5
NDC,00024515010,rasburicase per 0.5 mg,3135.01,1097.26,382.19,1874.02,10
NDC,00024515011,rasburicase per 0.5 mg,3135.01,1097.26,382.19,1874.02,10
NDC,00024582411,cabazitaxeL 10 mg/mL (first dilution) solution 60 mg Vial,36296.75,12703.87,231.05,12449.79,10
NDC,00024584001,ziv-aflibercept 100 mg/4 mL (25 mg/mL) solution 4 mL Vial,4531.2,1585.92,8.61,1554.2,10
NDC,00024584305,sargramostim per 50 mcg,780.14,273.05,61.89,305.78,10
NDC,00024585090,irbesartan 75 MG tablet 90 each Bottle,17.83,6.25,5.11,13.28,5
NDC,00024585130,irbesartan 150 MG tablet 30 each Bottle,21.68,7.59,6.21,16.15,5
NDC,00024586001,clofarabine per 1 mg,10094.48,3533.07,10.94,3462.41,10
NDC,00024592605,insulin lispro (human) per 5 Units,111.11,38.89,0.42,38.11,6
NDC,00024592605,insulin lispro 100 unit/ml 3 mL Vial,24.0,8.4,0.42,8.23,6
NDC,00025006131,diphenoxylate-atropine 2.5-0.025 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00025100131,spironolactone 25 MG tablet 100 each Bottle,7.75,2.72,2.22,5.77,5
NDC,00025146160,miSOPROStoL 200 MCG tablet 60 each Bottle,16.65,5.83,4.77,12.4,5
NDC,00025274231,"disopyramide CR 150 MG capsule, extended release 100 each Bottle",14.45,5.06,4.14,10.77,5
NDC,00029152603,mupirocin 2 % ointment 1 g Tube,48.33,16.92,13.84,36.01,5
NDC,00029152611,mupirocin 2 % ointment 1 g Tube,48.33,16.92,13.84,36.01,5
NDC,00032004670,"lipase-protease-amylase 6,000-19,000 -30,000 unit capsule,delayed release(DR/EC) 100 each Bottle",6.08,2.13,1.74,4.53,5
NDC,00032004770,"pancrelipase (Lip-Prot-Amyl) 12,000-38,000 -60,000 unit capsule,delayed release(DR/EC) 100 each Bottle",12.15,4.26,3.48,9.05,5
NDC,00032120370,"pancrelipase (Lip-Prot-Amyl) 3,000-9,500- 15,000 unit capsule,delayed release(DR/EC) 70 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00032120601,"lipase-protease-amylase 6,000-19,000 -30,000 unit capsule,delayed release(DR/EC) 100 each Bottle",6.08,2.13,1.74,4.53,5
NDC,00032120607,"lipase-protease-amylase 6,000-19,000 -30,000 unit capsule,delayed release(DR/EC) 250 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00032121201,"pancrelipase (Lip-Prot-Amyl) 12,000-38,000 -60,000 unit capsule,delayed release(DR/EC) 100 each Bottle",12.15,4.26,3.48,9.05,5
NDC,00032122401,"lipase-protease-amylase 24,000-76,000 -120,000 unit capsule,delayed release(DR/EC) 100 each Bottle",24.08,8.43,6.9,17.94,5
NDC,00032122407,"lipase-protease-amylase 24,000-76,000 -120,000 unit capsule,delayed release(DR/EC) 250 each Bottle",22.94,8.03,6.57,17.09,5
NDC,00032170801,progesterone 100 MG capsule 100 each Bottle,9.51,3.33,2.72,7.08,5
NDC,00032171101,progesterone 200 MG capsule 100 each Bottle,18.06,6.33,5.17,13.45,5
NDC,00032263601,"lipase-protease-amylase 24,000-76,000 -120,000 unit capsule,delayed release(DR/EC) 100 each Bottle",24.08,8.43,6.9,17.94,5
NDC,00032301613,"pancrelipase (Lip-Prot-Amyl) 36,000-114,000- 180,000 unit capsule,delayed release(DR/EC) 100 each Bottle",36.57,12.8,10.47,27.24,5
NDC,00037044267,felbamate 600 mg/5 mL suspension 237 mL Bottle,71.06,24.88,20.35,52.94,5
NDC,00037663104,sulfanilamide 15 % cream 120 g TUBE/KIT,640.32,224.12,183.39,477.04,5
NDC,00043001718,"simethicone 125 MG tablet,chewable 18 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00046074905,estrogens conjugated per 25 mg,1067.33,373.57,366.09,1950.23,10
NDC,00046087221,conjugated estrogens 0.625 mg/gram cream 30 g TUBE/KIT,1305.13,456.8,373.79,972.32,5
NDC,00046110511,conjugated estrogens-medroxyprogesterone 0.3-1.5 mg tablet 28 each BLIST PACK,25.04,8.77,7.17,18.65,5
NDC,00046257512,conjugated estrogens-medroxyprogesterone 0.625 mg (14)/ 0.625mg-5mg(14) tablet 28 each BLIST PACK,25.04,8.77,7.17,18.65,5
NDC,00049001483,ampicillin-sulbactam per 1.5 g,41.24,14.44,2.92,14.15,6
NDC,00049002428,ampicillin-sulbactam per 1.5 g,206.19,72.17,2.92,70.72,6
NDC,00049052083,penicillin g potassium per 600000 Units,36.03,12.62,1.27,12.36,6
NDC,00049053028,penicillin g potassium per 600000 Units,144.1,50.44,1.27,49.43,6
NDC,00049316044,voriconazole 200 mg/5 mL suspension for reconstitution 75 mL Bottle,1738.67,608.54,497.96,1295.31,5
NDC,00049319001,voriconazole per 10 mg,170.77,59.77,1.41,58.57,6
NDC,00049319028,voriconazole per 10 mg,170.77,59.77,1.41,58.57,6
NDC,00049345019,fluconazole 40 mg/mL suspension for reconstitution 35 mL Bottle,79.63,27.88,22.81,59.32,5
NDC,00049350079,fluconazole 150 MG tablet 1 each BLIST PACK,172.41,60.35,49.38,128.45,5
NDC,00049392020,ziprasidone mesylate per 10 mg,182.46,63.87,13.38,62.58,6
NDC,00049392083,ziprasidone mesylate per 10 mg,182.46,63.87,13.38,62.58,6
NDC,00052027303,etonogestreL-ethinyl estradioL 0.12-0.015 mg/24 hr ring 1 each Packet,460.57,161.2,131.91,343.12,5
NDC,00052027401,etonogestrel 68 mg implant 1 each PF APPLI,2001.04,700.37,573.1,1490.77,5
NDC,00052031510,"chorionic gonadotropin 10,000 unit recon soln 1 each Vial",329.24,115.24,34.53,121.03,6
NDC,00052060202,BCG live 50 mg suspension for reconstitution 1 each Vial,500.32,175.12,171.61,758.88,6
NDC,00052060302,BCG vaccine (LIVE) 50 mg suspension for reconstitution 1 each Vial,444.81,155.69,152.57,758.88,6
NDC,00052433001,etonogestreL 68 mg implant 1 each PF APPLI,2001.04,700.37,686.36,5729.08,6
NDC,00052433001,etonogestrel 68 mg implant 1 each PF APPLI,2001.04,700.37,573.1,1490.77,5
NDC,00054000385,fluconazole 40 mg/mL suspension for reconstitution 35 mL Bottle,308.59,108.01,88.38,229.9,5
NDC,00054000713,calcitrioL 0.25 MCG capsule 30 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00054001021,flecainide 50 MG tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00054001120,flecainide 100 MG tablet 100 each BLIST PACK,8.45,2.96,2.42,6.3,5
NDC,00054001720,prednisone per 5 mg,6.0,2.1,0.02,2.06,6
NDC,00054001820,prednisone per 5 mg,6.0,2.1,0.02,2.06,6
NDC,00054001920,prednisone per 5 mg,6.0,2.1,0.02,2.06,6
NDC,00054001925,prednisone per 5 mg,6.0,2.1,0.02,2.06,6
NDC,00054002511,mefloquine 250 mg tablet 25 each Bottle,31.97,11.19,9.16,23.82,5
NDC,00054002821,cilostazoL 50 MG tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00054004421,cilostazoL 100 MG tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00054005746,digoxin 50 mcg/mL (0.05 mg/mL) solution 60 mL DROP BTL,396.48,138.77,113.55,295.38,5
NDC,00054006344,risperiDONE 1 mg/mL solution 30 mL Bottle,395.7,138.5,113.33,294.8,5
NDC,00054006447,ondansetron per 8 mg,56.6,19.81,0.02,19.41,6
NDC,00054007928,balsalazide 750 mg capsule 280 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00054008813,calcium acetate(phosphat bind) 667 mg capsule 30 each Bottle,6.0,2.1,1.72,4.47,10
NDC,00054009820,OXcarbazepine 300 MG tablet 100 each BLIST PACK,6.58,2.31,1.88,4.9,5
NDC,00054011825,rOPINIRole 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00054012125,rOPINIRole 4 MG tablet 100 each Bottle,6.13,2.15,1.76,4.57,5
NDC,00054016625,mycophenolate mofetil per 250 mg,18.73,6.56,0.31,6.42,6
NDC,00054017613,"buprenorphine 2 mg tablet, sublingual 30 each Bottle",9.77,3.42,2.8,7.28,5
NDC,00054018813,"buprenorphine-naloxone 2-0.5 mg tablet, sublingual 30 each Bottle",13.75,4.82,3.94,10.24,5
NDC,00054018913,"buprenorphine-naloxone 8-2 mg tablet, sublingual 30 each Bottle",24.59,8.61,7.04,18.32,5
NDC,00054019959,OXcarbazepine 300 mg/5 mL (60 mg/mL) suspension 250 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00054023524,morphine 15 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00054023525,morphine 15 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00054023624,morphine 30 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00054023625,morphine 30 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00054023749,morphine 2 mg/mL solution 100 mL Bottle,29.03,10.17,8.31,21.63,5
NDC,00054023763,morphine 2 mg/mL solution 500 mL Bottle,100.3,35.11,28.73,74.72,5
NDC,00054024424,codeine 30 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00054024425,codeine 30 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00054031950,linezolid 100 mg/5 mL suspension for reconstitution 150 mL Bottle,2257.81,790.24,646.64,1682.07,5
NDC,00054034925,phenoxybenzamine 10 mg capsule 100 each Bottle,318.57,111.5,91.24,237.33,5
NDC,00054035625,disulfiram 250 mg tablet 100 each Bottle,9.52,3.34,2.73,7.09,5
NDC,00054037963,sodium polystyrene 15 g/60 mL suspension 500 mL Bottle,141.6,49.56,40.55,105.49,5
NDC,00054038325,cycloPHOSphamide 50 mg capsule 100 each Bottle,40.55,14.2,1.02,13.91,6
NDC,00054039168,"TAKE HOME methadone 10 mg/mL concentrate 1,000 mL Bottle",247.8,86.73,70.97,184.61,5
NDC,00054039168,"methadone 10 mg/mL concentrate 1,000 mL Bottle",9.0,3.15,2.58,6.71,5
NDC,00054039268,"TAKE HOME methadone 10 mg/mL concentrate 1,000 mL Bottle",247.8,86.73,70.97,184.61,5
NDC,00054039268,"methadone 10 mg/mL concentrate 1,000 mL Bottle",9.0,3.15,2.58,6.71,5
NDC,00054040113,desvenlafaxine 100 MG tablet extended release 24 hr 30 each Bottle,28.2,9.87,8.08,21.01,5
NDC,00054040444,morphine 20 mg/mL solution 30 mL Bottle,9.0,3.15,2.58,6.71,5
NDC,00054040450,morphine 20 mg/mL solution 120 mL Bottle,9.0,3.15,2.58,6.71,5
NDC,00054060313,desvenlafaxine 25 mg tablet extended release 24 hr 30 each Bottle,28.2,9.87,8.08,21.01,5
NDC,00054063905,methylergonovine 0.2 mg tablet 12 each Bottle,158.66,55.54,45.44,118.2,5
NDC,00054071020,methadone 10 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00054309036,butorphanol per 1 mg,227.32,79.57,65.1,169.35,5
NDC,00054311763,calcium carbonate 1250 mg/5 mL (500 mg elemental calcium/5 mL) suspension 500 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00054312041,calcitRIOL 1 mcg/mL solution 15 mL Bottle,7.04,2.47,2.02,5.24,5
NDC,00054317644,dexAMETHasone 1 mg/mL drops 30 mL DROP BTL,75.9,26.57,0.08,56.55,11
NDC,00054317763,dexAMETHasone 0.1 mg/mL solution 500 mL Bottle,56.64,19.83,0.08,42.2,11
NDC,00054318863,diazePAM 5 mg/5 mL (1 mg/mL) solution 500 mL Bottle,184.08,64.43,52.72,137.14,5
NDC,00054327099,"fluticasone propionate 50 mcg/actuation spray,suspension 16 g AER W/ADAP",220.25,77.09,63.08,164.09,5
NDC,00054329446,furosemide 10 mg/mL solution 60 mL Bottle,21.52,7.54,6.16,16.03,5
NDC,00054329450,furosemide 10 mg/mL solution 120 mL Bottle,41.63,14.58,11.92,31.01,5
NDC,00054350049,lidocaine 2 % solution 100 mL Bottle,31.15,10.91,8.92,23.21,5
NDC,00054350547,lidocaine 4 % (40 mg/mL) solution 50 mL Bottle,113.28,39.65,32.44,84.39,5
NDC,00054352763,lithium citrate 8 mEq/5 mL solution 500 mL Bottle,424.8,148.68,121.66,316.48,5
NDC,00054353244,LORazepam 2 mg/mL concentrate 30 mL Bottle,113.35,39.68,32.46,84.45,5
NDC,00054354563,meperidine 20 mg/2 mL solution 500 mL Bottle,377.6,132.16,108.14,281.31,5
NDC,00054355563,methadone 1 mg/1 mL solution 500 mL Bottle,94.4,33.04,27.04,70.33,5
NDC,00054356699,midazolam 2 mg/mL syrup 118 mL Bottle,590.1,206.54,169.0,439.62,5
NDC,00054372144,predniSONE 5 mg/mL concentrate 30 mL Bottle,368.16,128.86,0.02,126.28,6
NDC,00054372763,propranoloL 20 mg/5 mL (4 mg/mL) solution 500 mL Bottle,155.76,54.52,44.61,116.04,5
NDC,00054414622,clotrimazole 10 mg troche 70 each Bottle,7.59,2.66,2.17,5.65,5
NDC,00054414623,clotrimazole 10 mg troche 140 each Bottle,6.89,2.42,1.97,5.13,5
NDC,00054417925,dexamethasone per 0.25 mg,6.0,2.1,0.08,4.47,11
NDC,00054418425,dexamethasone per 0.25 mg,6.0,2.1,0.08,2.06,6
NDC,00054449613,leucovorin per 50 mg,6.0,2.1,1.72,4.47,5
NDC,00054455015,methotrexate per 2.5 mg,9.56,3.35,0.34,3.28,6
NDC,00054458111,mercaptopurine 50 mg tablet 25 each Bottle,19.32,6.77,5.53,14.39,5
NDC,00054472125,propantheline 15 MG tablet 100 each Bottle,7.08,2.48,2.03,5.27,5
NDC,00054474125,prednisone per 5 mg,6.0,2.1,0.02,2.06,6
NDC,00054814622,clotrimazole 10 mg troche 70 each BLIST PACK,8.11,2.84,2.32,6.04,5
NDC,00054817525,dexamethasone per 0.25 mg,6.0,2.1,0.08,2.06,6
NDC,00054817625,dexAMETHasone 2 MG tablet 100 each BLIST PACK,6.0,2.1,0.08,2.06,6
NDC,00054817925,dexamethasone per 0.25 mg,6.0,2.1,0.08,4.47,11
NDC,00054829725,furosemide 20mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00054829925,furosemide 40 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00054830125,furosemide 80 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00054849619,leucovorin per 50 mg,6.61,2.32,1.89,4.92,5
NDC,00054852625,lithium 150 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00054852725,lithium 300 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00054859511,meperidine 50 mg tablet 25 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00054872425,prednisone per 5 mg,6.0,2.1,0.02,2.06,6
NDC,00054873925,prednisone per 5 mg,6.0,2.1,0.02,2.06,6
NDC,00056016901,warfarin 1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00056016975,warfarin 1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00056017201,warfarin 5 MG tablet 100 each BLIST PACK,6.55,2.3,1.88,4.88,5
NDC,00056017275,warfarin 5 MG tablet 100 each BLIST PACK,6.55,2.3,1.88,4.88,5
NDC,00056051030,efavirenz 600 mg tablet 30 each Bottle,92.57,32.4,26.51,68.96,5
NDC,00065002315,carbachoL 0.01 % solution 1.5 mL Vial,131.6,46.06,37.69,98.04,5
NDC,00065008515,naphazoline-pheniramine 0.025-0.3 % drops 15 mL DROP BTL,22.2,7.77,6.36,16.54,5
NDC,00065008542,naphazoline-pheniramine 0.025-0.3 % drops 5 mL DROP BTL,7.85,2.75,2.25,5.85,5
NDC,00065009265,fluorescein 500 mg/5 mL (10 %) solution 5 mL Vial,162.67,56.94,46.59,121.19,5
NDC,00065024610,"betaxoloL 0.25 % drops,suspension 10 mL DROP BTL",923.4,323.19,264.46,687.93,5
NDC,00065026025,travoprost 0.004 % drops 2.5 mL DROP BTL,549.36,192.28,157.34,409.27,5
NDC,00065027105,olopatadine 0.1 % drops 5 mL DROP BTL,823.0,288.05,235.71,613.14,5
NDC,00065027225,olopatadine 0.2 % drops 2.5 mL DROP BTL,4228.55,1480.0,1211.06,3150.27,5
NDC,00065030355,atropine 1 % drops 5 mL DROP BTL,163.03,57.07,46.69,121.46,5
NDC,00065034510,lodoxamide 0.1 % drops 10 mL DROP BTL,559.04,195.67,160.11,416.48,5
NDC,00065035902,cyclopentolate-phenylephrine 0.2-1 % drops 2 mL DROP BTL,104.83,36.7,30.02,78.1,5
NDC,00065035905,cyclopentolate-phenylephrine 0.2-1 % drops 5 mL DROP BTL,184.2,64.47,52.75,137.23,5
NDC,00065039515,cyclopentolate 0.5 % drops 15 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,00065039602,cyclopentolate 1 % drops 2 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,00065039605,cyclopentolate 1 % drops 5 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,00065039702,cyclopentolate 2 % drops 2 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,00065039705,cyclopentolate 2 % drops 5 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,00065040872,artificial tears(hypromellose) 0.5 % drops 15 mL DROP BTL,79.19,27.72,22.68,59.0,5
NDC,00065041130,povidone-iodine 5 % solution 30 mL Bottle,31.86,11.16,9.12,23.74,5
NDC,00065050935,eye lubricant 94-3 % ointment 3.5 g Tube,20.2,7.07,5.79,15.05,5
NDC,00065050935,eye lubricant ointment 3.5 g Tube,22.67,7.94,6.49,16.89,5
NDC,00065051801,eye lubricant 94-3 % ointment 3.5 g Tube,17.72,6.21,5.08,13.2,5
NDC,00065051801,eye lubricant ointment 3.5 g Tube,17.72,6.21,5.08,13.2,5
NDC,00065054301,triamcinolone 40 mg/mL suspension 1 mL Vial,2673.41,935.7,7.97,916.98,10
NDC,00065063136,"neomycin-polymyxin B-dexameth 3.5 mg/g-10,000 unit/g-0.1 % ointment 3.5 g Tube",482.95,169.04,138.32,359.8,5
NDC,00065063825,"prednisoLONE acetate 1 % drops,suspension 10 mL DROP BTL",405.97,142.09,116.27,302.45,5
NDC,00065063827,"prednisoLONE acetate 1 % drops,suspension 5 mL DROP BTL",268.71,94.05,76.96,200.19,5
NDC,00065064725,"tobramycin-dexamethasone 0.3-0.1 % drops,suspension 2.5 mL DROP BTL",235.46,82.42,67.44,175.42,5
NDC,00065064835,tobramycin-dexamethasone 0.3-0.1 % ointment 3.5 g Tube,565.5,197.93,161.96,421.3,5
NDC,00065066505,apraclonidine 0.5 % drops 5 mL DROP BTL,472.5,165.38,135.32,352.01,5
NDC,00065074112,tetracaine HCl (PF) 0.5 % drops 2 mL DROP BTL,26.03,9.12,7.45,19.39,5
NDC,00065074114,tetracaine HCl (PF) 0.5 % drops 4 mL DROP BTL,39.31,13.76,11.26,29.29,5
NDC,00065079515,balanced salt (BSS) intraocular irrigation solution 15 mL Bottle,35.82,12.54,10.26,26.69,5
NDC,00065081701,atropine 1 % drops 5 mL DROP BTL,171.19,59.92,49.03,127.54,5
NDC,00065401105,ketotifen 0.025 % (0.035 %) drops 5 mL DROP BTL,29.45,10.31,8.43,21.94,5
NDC,00065401303,moxifloxacin 0.5 % drops 3 mL DROP BTL,493.1,172.59,141.22,367.36,5
NDC,00065427401,olopatadine 0.1 % drops 5 mL DROP BTL,35.21,12.33,10.08,26.23,5
NDC,00065924007,difluprednate 0.05 % drops 5 mL DROP BTL,617.38,216.09,176.82,459.95,5
NDC,00067094930,miconazole 2 % powder 85 g Jar,13.04,4.57,3.73,9.71,5
NDC,00067203924,aspirin-acetaminophen-caffeine 250-250-65 mg tablet 24 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00067489014,nicotine 14 mg/24 hr patch 24 hour 14 each Box,6.74,2.36,1.93,5.02,5
NDC,00067815203,diclofenac 1 % gel 100 g Tube,56.17,19.66,16.09,41.85,5
NDC,00068050960,rifAMPin-isoniazid 300-150 mg capsule 60 each Bottle,30.08,10.53,8.61,22.41,5
NDC,00068059701,rifAMPin 600 mg recon soln 1 each Vial,505.68,176.99,144.83,376.73,10
NDC,00068059901,rifAMPin 600 mg recon soln 1 each Vial,505.68,176.99,144.83,376.73,10
NDC,00069004301,"heparin (PF) 1,000 unit/mL solution 2 mL Vial",33.92,11.88,6.72,31.95,6
NDC,00069004302,"heparin (PF) 1,000 unit/mL solution 2 mL Vial",33.92,11.88,6.72,31.95,6
NDC,00069005801,heparin (porcine) per 1000 Units,24.0,8.4,6.72,31.95,6
NDC,00069005802,heparin (porcine) per 1000 Units,24.0,8.4,6.72,31.95,6
NDC,00069013501,bosutinib 100 mg tablet 120 each Bottle,459.79,160.93,131.68,342.54,5
NDC,00069013601,bosutinib 500 mg tablet 30 each Bottle,1839.16,643.71,526.74,1370.17,5
NDC,00069014501,axitinib 1 mg tablet 180 each Bottle,313.84,109.85,89.88,233.81,5
NDC,00069015111,axitinib 5 mg tablet 60 each Bottle,941.51,329.53,269.65,701.42,5
NDC,00069020601,dalteparin per 2500 units,269.36,94.28,28.71,92.39,6
NDC,00069020602,dalteparin per 2500 units,269.36,94.28,28.71,92.39,6
NDC,00069020701,RSV vaccine 120 mcg/0.5 mL recon soln 1 each Vial,868.86,304.11,248.84,594.72,6
NDC,00069020910,propofol (DIPRIVAN) injection 10 mg/mL emulsion 20 mL Vial,24.0,8.4,0.17,8.23,6
NDC,00069020910,propofol (DIPROVAN) infusion 10 mg/mL 20 mL Vial,24.0,8.4,0.17,8.23,6
NDC,00069023801,riTUXimab-pvvr 10 mg/mL solution 10 mL Vial,2029.98,710.5,13.69,696.28,10
NDC,00069024810,propofol (DIPRIVAN) injection 10 mg/mL emulsion 100 mL Vial,61.12,21.4,0.17,20.96,6
NDC,00069024810,propofol (DIPROVAN) infusion 10 mg/mL 100 mL Vial,61.12,21.4,0.17,20.96,6
NDC,00069024901,riTUXimab-pvvr 10 mg/mL solution 50 mL Vial,10149.89,3552.47,13.69,3481.41,10
NDC,00069029101,filgrastim-aafi 300 mcg/0.5 mL syringe 0.5 mL Syringe,620.21,217.08,0.28,212.73,10
NDC,00069029110,filgrastim-aafi 300 mcg/0.5 mL syringe 0.5 mL Syringe,620.21,217.08,0.28,212.73,10
NDC,00069029201,filgrastim-aafi 480 mcg/0.8 mL syringe 0.8 mL Syringe,992.33,347.32,0.28,340.37,10
NDC,00069029210,filgrastim-aafi 480 mcg/0.8 mL syringe 0.8 mL Syringe,992.33,347.32,0.28,340.37,10
NDC,00069031401,meropenem per 100 mg,82.52,28.89,0.63,28.3,6
NDC,00069031410,meropenem per 100 mg,82.52,28.89,0.63,28.3,6
NDC,00069031501,bevacizumab-bvzr 25 mg/mL solution 4 mL Vial,1737.15,608.01,25.85,595.84,10
NDC,00069034201,bevacizumab-bvzr 25 mg/mL solution 16 mL Vial,7411.83,2594.15,25.85,2542.26,10
NDC,00069034405,RSV vaccine 120 mcg/0.5 mL recon soln 1 each Vial,868.86,304.11,248.84,594.72,6
NDC,00069034530,"nirmatrelvir-ritonavir 300 mg (150 mg x 2)-100 mg tablets,dose pack 30 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,00069046856,varenicline 0.5 MG tablet 56 each Bottle,23.73,8.31,6.8,17.68,5
NDC,00069046956,varenicline tartrate 1 mg tablet 56 each Bottle,23.73,8.31,6.8,17.68,5
NDC,00069055038,SUNItinib malate 12.5 MG capsule 28 each Bottle,634.0,221.9,181.58,472.33,5
NDC,00069077038,SUNItinib malate 25 MG capsule 28 each Bottle,1268.0,443.8,363.16,944.66,5
NDC,00069080901,inFLIXimab-dyyb 10 mg/ml recon soln 1 each Vial,2679.87,937.96,23.58,919.2,10
NDC,00069098038,SUNItinib malate 50 MG capsule 28 each Bottle,2207.41,772.6,632.2,1644.52,5
NDC,00069154220,doxorubicin per 10 mg,185.02,64.76,5.41,63.46,6
NDC,00069246510,RSV vaccine 120 mcg/0.5 mL recon soln 1 each Vial,868.86,304.11,248.84,594.72,6
NDC,00069246519,RSV vaccine 120 mcg/0.5 mL recon soln 1 each Vial,868.86,304.11,248.84,594.72,6
NDC,00069303120,DOXOrubicin 20 mg/10 mL solution 10 mL Vial,57.49,20.13,5.41,19.72,6
NDC,00069303220,DOXOrubicin 50 mg/25 mL solution 25 mL Vial,69.56,24.35,5.41,23.86,6
NDC,00069303420,doxorubicin per 10 mg,185.02,64.76,5.41,63.46,6
NDC,00069305175,azithromycin 1 gram packet 3 each Packet,69.95,24.49,20.03,52.11,5
NDC,00069306075,azithromycin 250 MG tablet 6 each BLIST PACK,6.12,2.15,1.75,4.56,5
NDC,00069315083,azithromycin per 500 mg,24.0,8.4,3.71,14.59,6
NDC,00069420030,sildenafiL 25 MG tablet 30 each Bottle,247.6,86.66,70.91,184.46,5
NDC,00069421030,sildenafiL 50 MG tablet 30 each Bottle,247.6,86.66,70.91,184.46,5
NDC,00069422030,sildenafiL 100 MG tablet 30 each Bottle,247.6,86.66,70.91,184.46,5
NDC,00069581043,dofetilide 250 MCG capsule 40 each BLIST PACK,31.38,10.99,8.99,23.38,5
NDC,00069581061,dofetilide 250 MCG capsule 14 each Bottle,29.43,10.31,8.43,21.93,5
NDC,00069814020,crizotinib 250 mg capsule 60 each Bottle,998.66,349.54,286.02,744.0,5
NDC,00069814120,crizotinib 200 mg capsule 60 each Bottle,998.66,349.54,286.02,744.0,5
NDC,00071000740,"phenytoin 50 mg tablet,chewable 100 each BLIST PACK",6.33,2.22,1.81,4.72,5
NDC,00071036940,phenytoin 100 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00071041813,"nitroglycerin 0.4 MG tablet, sublingual 25 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00071052524,methsuximide 300 mg capsule 100 each Bottle,13.0,4.55,3.72,9.69,5
NDC,00071101268,pregabalin 25 MG capsule 90 each Bottle,28.66,10.04,8.21,21.35,5
NDC,00071101441,pregabalin 75 MG capsule 100 each BLIST PACK,31.52,11.04,9.03,23.48,5
NDC,00074057611,venetoclax 100 mg tablet 1 each BLIST PACK,368.58,129.01,105.56,274.59,5
NDC,00074104004,beractant 25 mg/mL suspension 4 mL Vial,1084.66,379.64,310.65,808.07,5
NDC,00074104008,beractant 25 mg/mL suspension 8 mL Vial,1919.78,671.93,549.82,1430.24,5
NDC,00074156410,valproate 500 mg/5 mL (100 mg/mL) solution 5 mL Vial,89.82,31.44,25.72,66.92,5
NDC,00074194063,ritonavir 80 mg/mL solution 240 mL Bottle,21.24,7.44,6.08,15.82,5
NDC,00074210803,leuprolide 7.5 mg (Ped) kit 1 each KIT,6136.24,2147.69,1765.57,4222.6,10
NDC,00074228203,leuprolide 11.25 mg kit 1 each KIT,11140.19,3899.07,1765.57,4222.6,10
NDC,00074244003,leuprolide 15 mg kit 1 each KIT,12269.78,4294.43,1765.57,4222.6,10
NDC,00074262501,glecaprevir-pibrentasvir 100-40 mg tablet 3 each BLIST PACK,445.03,155.77,127.46,331.55,5
NDC,00074262528,glecaprevir-pibrentasvir 100-40 mg tablet 84 each BLIST PACK,445.03,155.77,127.46,331.55,5
NDC,00074333330,ritonavir 100 mg tablet 30 each Bottle,24.28,8.5,6.95,18.09,5
NDC,00074334603,leuprolide acetate (3 month) per 7.5 mg,18234.92,6382.23,176.2,6254.58,10
NDC,00074347303,leuprolide acetate (6 month) 45 mg syringe kit 1 each KIT,36470.47,12764.67,176.2,12509.37,10
NDC,00074364103,leuprolide per 3.75 mg,5100.74,1785.26,1749.55,4222.6,10
NDC,00074364203,leuprolide 7.5 mg syringe kit 1 each KIT,6078.35,2127.43,176.2,2084.87,10
NDC,00074366303,leuprolide acetate (3 month) per 3.75 mg,15302.33,5355.82,1765.57,5248.7,10
NDC,00074368303,leuprolide acetate (4 month) per 7.5 mg,24313.29,8509.66,176.2,8339.46,10
NDC,00074379902,adalimumab per 20 mg,9802.43,3430.86,2807.42,7302.81,5
NDC,00074395646,lopinavir-ritonavir 400-100 mg/5 mL solution 160 mL Bottle,1450.36,507.63,415.38,1080.52,5
NDC,00074433902,adalimumab 40 mg/0.8 mL pen injector kit 2 each KIT,9802.43,3430.86,2807.42,7302.81,5
NDC,00074433907,adalimumab 40 mg/0.8 mL pen injector kit 4 each KIT,9802.45,3430.86,2807.42,7302.83,5
NDC,00074455211,levothyroxine 50 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00074463701,paricalcitol per 1 mcg,24.0,8.4,1.11,8.23,6
NDC,00074501501,risankizumab-rzaa 60 mg/mL solution 10 mL Vial,30109.87,10538.46,14.6,10327.69,10
NDC,00074518211,levothyroxine 75 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00074568216,valproic acid 250 mg/5 mL solution 480 mL Bottle,1440.92,504.33,412.68,1073.49,5
NDC,00074611411,"divalproex sprinkle 125 mg capsule, delayed rel sprinkle 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,00074662411,levothyroxine 100 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00074663330,ritonavir 100 mg capsule 30 each Bottle,20.23,7.09,5.79,15.07,5
NDC,00074679922,lopinavir-ritonavir 200-50 mg tablet 120 each Bottle,24.17,8.46,6.92,18.01,5
NDC,00074706811,levothyroxine 125 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00074706911,levothyroxine 150 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00074714811,levothyroxine 200 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00074726950,cyclosporine modified per 100 mg,6.0,2.1,2.06,9.23,6
NDC,00074736203,carbamide peroxide 6.5 % drops 15 mL DROP BTL,16.46,5.77,4.71,12.26,5
NDC,00074969403,leuprolide (pediatric 3 month) 30 mg syringe kit 1 each KIT,36809.51,12883.33,1765.57,12625.66,10
NDC,00075062300,enoxaparin per 10 mg,70.34,24.62,1.02,24.13,6
NDC,00075062430,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,00078010901,cyclosporine per 250 mg,201.57,70.55,69.14,205.09,6
NDC,00078011022,cyclosporine per 100 mg,2366.14,828.15,3.73,811.59,6
NDC,00078018001,octreotide 50 mcg/mL solution 1 mL AMPUL,39.98,14.0,1.55,13.71,6
NDC,00078018001,octreotide per 25 mcg,39.98,14.0,1.55,13.71,6
NDC,00078018061,octreotide per 25 mcg,39.98,14.0,1.55,13.71,6
NDC,00078024015,cyclosporine per 25 mg,12.96,4.54,1.39,4.45,6
NDC,00078024061,cyclosporine per 25 mg,12.96,4.54,1.39,4.45,6
NDC,00078024115,cyclosporine per 100 mg,51.71,18.1,3.73,17.74,6
NDC,00078027422,cyclosporine modified per 100 mg,9.08,3.18,3.11,9.23,6
NDC,00078034542,estradiol semi-weekly 0.075 mg/24 hr patch semiweekly 8 each Box,54.54,19.09,15.62,40.63,5
NDC,00078035205,nateglinide 120 MG tablet 100 each Bottle,10.59,3.71,3.03,7.89,5
NDC,00078038566,mycophenolate per 180 mg,21.12,7.4,0.8,7.24,6
NDC,00078040134,imatinib 100 MG tablet 90 each Bottle,265.18,92.82,75.95,197.56,5
NDC,00078040605,amLODIPine-benazepriL 5-20 mg capsule 100 each Bottle,36.01,12.61,10.31,26.83,5
NDC,00078041520,everolimus (immunosuppressive) 0.75 mg tablet 60 each BLIST PACK,93.16,32.61,4.54,31.95,5
NDC,00078041561,everolimus (immunosuppressive) 0.75 mg tablet 1 each BLIST PACK,93.16,32.61,4.54,31.95,5
NDC,00078043205,"dexmethylphenidate XR 20 MG capsule,ER biphasic 50-50 100 each Bottle",14.54,5.09,4.16,10.83,5
NDC,00078043561,zoledronic acid 5 mg/100 ml piggyback 100 mL Bottle,3707.32,1297.57,11.64,1271.61,6
NDC,00078043815,imatinib 400 MG tablet 30 each Bottle,955.56,334.45,273.67,711.89,5
NDC,00078043905,methylphenidate HCl 5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00078046761,deferoxamine mesylate per 500 mg,98.33,34.42,12.21,45.04,6
NDC,00078046791,deferoxamine mesylate per 500 mg,96.4,33.74,12.21,45.04,6
NDC,00078047397,eye lubricant 94-3 % ointment 3.5 g Tube,16.69,5.85,4.78,12.43,5
NDC,00078051205,carbamazepine XR 400 MG tablet extended release 12 hr 100 each Bottle,18.67,6.54,5.35,13.91,5
NDC,00078052651,nilotinib HCl 200 mg capsule 28 each BLIST PACK,547.31,191.56,156.75,407.75,5
NDC,00078052687,nilotinib HCl 200 mg capsule 28 each BLIST PACK,547.31,191.56,156.75,407.75,5
NDC,00078052705,carbidopa-levodopa-entacapone 50-200-200 mg tablet 100 each Bottle,21.66,7.59,6.2,16.14,5
NDC,00078056845,artemether-lumefantrine 20-120 mg tablet 24 each Bottle,15.9,5.57,4.55,11.85,5
NDC,00078059251,nilotinib HCl 150 mg capsule 28 each BLIST PACK,547.31,191.56,156.75,407.75,5
NDC,00078059287,nilotinib HCl 150 mg capsule 28 each BLIST PACK,547.31,191.56,156.75,407.75,5
NDC,00078064070,ceritinib 150 mg capsule 70 each Bottle,1660.43,581.16,475.55,1237.02,5
NDC,00078064681,"octreotide,microspheres 10 mg suspension,extended rel recon 1 each Vial",7642.13,2674.75,188.35,2621.25,10
NDC,00078064781,"octreotide 20 mg suspension,extended rel recon 1 each Vial",10012.51,3504.38,188.35,3434.29,10
NDC,00078064881,"octreotide 30 mg suspension,extended rel recon 1 each Vial",14993.03,5247.57,188.35,5142.61,10
NDC,00078064930,imatinib 400 MG tablet 30 each BLIST PACK,955.56,334.45,273.67,711.89,5
NDC,00078065515,deferasirox 180 mg tablet 30 each Bottle,312.42,109.35,89.48,232.75,5
NDC,00078065920,sacubitriL-valsartan 24-26 mg tablet 60 each Bottle,33.29,11.66,9.53,24.8,5
NDC,00078065967,sacubitriL-valsartan 24-26 mg tablet 180 each Bottle,33.29,11.66,9.53,24.8,5
NDC,00078067066,PAZOPanib 200 mg tablet 120 each Bottle,362.43,126.86,103.8,270.01,5
NDC,00078067301,topotecan 1 mg capsule 10 each Bottle,1374.92,481.23,125.22,588.92,10
NDC,00078068166,dabrafenib 75 mg capsule 120 each Bottle,371.29,129.96,106.34,276.61,5
NDC,00078068615,eltrombopag olamine 50 MG tablet 30 each Bottle,1337.01,467.96,382.92,996.07,5
NDC,00078069620,sacubitriL-valsartan 97-103 mg tablet 60 each Bottle,33.29,11.66,9.53,24.8,5
NDC,00078069667,sacubitriL-valsartan 97-103 mg tablet 180 each Bottle,33.29,11.66,9.53,24.8,5
NDC,00078073461,canakinumab (PF) 150 mg/mL solution 1 mL Vial,49464.25,17312.49,149.57,16966.24,10
NDC,00078077720,sacubitriL-valsartan 49-51 mg tablet 60 each Bottle,33.29,11.66,9.53,24.8,5
NDC,00078081181,"octreotide,microspheres 10 mg suspension,extended rel recon 1 each Vial",9978.36,3492.43,188.35,3422.58,10
NDC,00078081881,"octreotide 20 mg suspension,extended rel recon 1 each Vial",13073.36,4575.68,188.35,4484.16,10
NDC,00078082581,"octreotide 30 mg suspension,extended rel recon 1 each Vial",19576.37,6851.73,188.35,6714.69,10
NDC,00078087601,tobramycin-dexamethasone 0.3-0.1 % ointment 3.5 g Tube,738.68,258.54,211.56,550.32,5
NDC,00078100060,inclisiran 284 mg/1.5 mL syringe 1.5 mL Syringe,10160.46,3556.17,12.61,3485.04,10
NDC,00078107766,PAZOPanib 200 mg tablet 120 each Bottle,420.52,147.19,120.44,313.29,5
NDC,00078116861,secukinumab 25 mg/mL solution 5 mL Vial,6232.26,2181.3,18.04,4643.03,10
NDC,00085053901,interferon alfa-2b per 1000000 Units,2378.01,832.31,52.8,815.66,6
NDC,00085092401,clotrimazole-betamethasone 1-0.05 % cream 15 g Tube,165.67,57.99,47.45,123.42,5
NDC,00085111001,interferon alfa-2b per 1000000 Units,1711.99,599.2,52.8,587.21,6
NDC,00085113204,albuterol 90 mcg/actuation HFA aerosol inhaler 6.7 g CANISTER,225.81,79.04,64.67,168.23,5
NDC,00085116801,interferon alfa-2b per 1000000 Units,2653.44,928.71,52.8,910.13,6
NDC,00085117701,eptifibatide per 5 mg,738.48,258.475,141.0,733.56,10
NDC,00085117702,eptifibatide per 5 mg,4258.86,1490.61,1219.74,3172.85,5
NDC,00085128801,"mometasone 50 mcg/actuation spray,non-aerosol 17 g CANISTER",712.05,249.22,203.93,530.48,5
NDC,00085132801,posaconazole 200 mg/5 mL suspension 105 mL Bottle,194.13,67.95,55.6,144.63,5
NDC,00085140101,"formoterol 12 mcg capsule, w/inhalation device 60 each BLIST PACK",11.47,4.02,3.29,8.55,5
NDC,00085432001,betamethasone acet & sod phos per 4 mg,105.92,37.08,11.25,36.5,6
NDC,00085432402,"posaconazole 100 mg tablet,delayed release (DR/EC) 60 each Bottle",194.08,67.93,55.58,144.59,5
NDC,00085433101,posaconazole 300 mg/16.7 mL solution 16.7 mL Vial,1502.23,525.79,430.24,1119.16,5
NDC,00085435001,interferon alfa-2b per 1000000 Units,870.27,304.6,52.8,298.5,6
NDC,00085461001,mometasone-formoterol 200-5 mcg/actuation HFA aerosol inhaler 13 g AER W/ADAP,881.74,308.61,252.53,656.9,5
NDC,00085461005,mometasone-formoterol 200-5 mcg/actuation HFA aerosol inhaler 8.8 g AER W/ADAP,596.87,208.91,170.94,444.67,5
NDC,00085720601,mometasone-formoterol 100-5 mcg/actuation HFA aerosol inhaler 13 g AER W/ADAP,881.74,308.61,252.53,656.9,5
NDC,00087036503,medium chain triglycerides 7.7 kcal/mL oil 946 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00087040203,pediatric multivitamin 750-35-400 unit-mg-unit/mL drops 50 mL DROP BTL,20.18,7.07,5.78,15.03,5
NDC,00087040203,pediatric multivitamin no.192 250 mcg-50 mg- 10 mcg/mL drops 50 mL DROP BTL,23.25,8.14,6.66,17.32,5
NDC,00087040303,multivitamin (TRI-VI-SOL) 250 mcg-50 mg- 10 mcg/mL drops 50 mL DROP BTL,23.25,8.14,6.66,17.32,5
NDC,00087040303,multivitamin (TRI-VI-SOL) 750 unit-35 mg -400 unit/mL drops 50 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,00087040501,multivitamin 11 mg iron/mL drops 50 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,00087074002,ferrous sulfate 15 mg/mL (elemental iron) drops 50 mL DROP BTL,25.25,8.84,7.23,18.81,5
NDC,00087086644,cholecalciferol 10 mcg/mL (400 unit/mL) drops 50 mL DROP BTL,23.25,8.14,6.66,17.32,5
NDC,00087667117,"didanosine EC 125 MG capsule,delayed release(DR/EC) 30 each Bottle",12.75,4.47,3.65,9.5,5
NDC,00087667317,"didanosine EC 250 MG capsule,delayed release(DR/EC) 30 each Bottle",25.98,9.1,7.44,19.36,5
NDC,00088117547,"aluminum hydroxide-magnesium trisilicate 80-14.2 mg tablet,chewable 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00088120806,dolasetron mesylate per 10 mg,66.5,23.28,0.05,22.81,6
NDC,00088210024,rifapentine 150 mg tablet 24 each BLIST PACK,10.76,3.77,3.08,8.02,5
NDC,00088210201,rifapentine 150 mg tablet 1 each BLIST PACK,14.06,4.93,4.03,10.47,5
NDC,00088222033,insulin glargine per 5 Units,181.98,63.7,0.42,62.42,6
NDC,00088502101,insulin glargine per 5 Units,803.04,281.07,0.42,275.44,6
NDC,00093001806,tolterodine 2 MG tablet 60 each Bottle,8.02,2.81,2.3,5.97,5
NDC,00093002901,enalapril 20 MG tablet 100 each Bottle,6.53,2.29,1.87,4.86,5
NDC,00093002910,"enalapril 20 MG tablet 1,000 each Bottle",6.53,2.29,1.87,4.86,5
NDC,00093005401,busPIRone 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093006456,"RABEprazole 20 mg tablet,delayed release (DR/EC) 30 each Bottle",27.05,9.47,7.75,20.15,5
NDC,00093013201,"lamotrigine 25 MG tablet, chewable dispersible 100 each Bottle",7.55,2.65,2.16,5.62,5
NDC,00093022056,bicalutamide 50 mg tablet 30 each Bottle,43.8,15.33,12.54,32.63,5
NDC,00093026215,fluocinonide 0.05 % cream 15 g Tube,107.51,37.63,30.79,80.09,5
NDC,00093026292,fluocinonide 0.05 % cream 60 g Tube,430.04,150.52,123.16,320.38,5
NDC,00093031901,diltiazem 60 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093032001,diltiazem 90 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093068801,"lamotrigine 5 MG tablet, chewable dispersible 100 each Bottle",36.03,12.62,10.32,26.84,5
NDC,00093075301,atenoloL 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093075601,piroxicam 10 MG capsule 100 each Bottle,6.15,2.16,1.76,4.58,5
NDC,00093077198,pravastatin 10 MG tablet 90 each Bottle,7.59,2.66,2.17,5.65,5
NDC,00093081001,nortriptyline 10 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093083201,clonazepam 0.5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00093083205,clonazepam 0.5 MG tablet 500 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00093083301,clonazepam 1 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00093089201,etodolac 400 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093100301,busPIRone 15 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093100305,busPIRone 15 MG tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093101042,mupirocin 2 % ointment 22 g Tube,201.76,70.62,57.78,150.31,5
NDC,00093102406,nefazodone 100 MG tablet 60 each Bottle,11.33,3.97,3.24,8.44,5
NDC,00093102506,nefazodone 200 MG tablet 60 each Bottle,11.76,4.12,3.37,8.76,5
NDC,00093106101,sotaloL 80 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093117701,neomycin 500 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093202623,azithromycin 200 mg/5 mL suspension for reconstitution 15 mL Bottle,82.31,28.81,23.57,61.32,5
NDC,00093202631,azithromycin 200 mg/5 mL suspension for reconstitution 30 mL Bottle,82.34,28.82,23.58,61.34,5
NDC,00093206506,cilostazoL 50 MG tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093220301,metoclopramide 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093221001,sucralfate 1 gram tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093226701,"amoxicillin 125 MG tablet,chewable 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00093226801,"amoxicillin 250 MG tablet,chewable 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00093301084,"cloZAPine 100 MG tablet,disintegrating 48 each BLIST PACK",19.29,6.76,5.52,14.37,5
NDC,00093310953,amoxicillin 500 MG capsule 50 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093312301,dicloxacillin 250 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093312701,disopyramide 100 MG capsule 100 each Bottle,6.74,2.36,1.93,5.02,5
NDC,00093314501,cephalexin 250 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093314701,cephalexin 500 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093317431,albuterol 90 mcg/actuation HFA aerosol inhaler 8.5 g CANISTER,174.68,61.14,50.03,130.14,5
NDC,00093321201,clonazepam 1 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00093321301,clonazepam 2 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00093342501,LORazepam 0.5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00093342505,LORazepam 0.5 MG tablet 500 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00093342601,LORazepam 1 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00093354143,estradioL 0.01 % (0.1 mg/gram) cream 42.5 g Tube,847.13,296.5,242.62,631.11,5
NDC,00093365528,methylergonovine 0.2 mg tablet 28 each Bottle,167.38,58.59,47.94,124.7,5
NDC,00093412573,penicillin v potassium 125 mg/5 mL recon soln 100 mL Bottle,23.6,8.26,6.76,17.58,5
NDC,00093412774,penicillin v potassium 250 mg/5 mL recon soln 200 mL Bottle,38.23,13.39,10.95,28.48,5
NDC,00093413664,cefdinir 125 mg/5 mL suspension for reconstitution 60 mL Bottle,120.36,42.13,34.47,89.67,5
NDC,00093413764,cefdinir 250 mg/5 mL suspension for reconstitution 60 mL Bottle,234.77,82.17,67.24,174.9,5
NDC,00093417573,cephalexin 125 mg/5 mL suspension for reconstitution 100 mL Bottle,56.17,19.66,16.09,41.85,5
NDC,00093417773,cephalexin 250 mg/5 mL suspension for reconstitution 100 mL Bottle,67.97,23.79,19.47,50.64,5
NDC,00093423501,nadoloL 20 MG tablet 100 each Bottle,8.01,2.81,2.29,5.97,5
NDC,00093435901,cloZAPine 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093435919,cloZAPine 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00093435993,cloZAPine 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00093440519,cloZAPine 200 MG tablet 1 each BLIST PACK,15.37,5.38,4.4,11.45,5
NDC,00093440593,cloZAPine 200 MG tablet 100 each BLIST PACK,15.37,5.38,4.4,11.45,5
NDC,00093503501,disulfiram 250 mg tablet 100 each Bottle,9.63,3.38,2.76,7.17,5
NDC,00093506001,hydrOXYzine 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093506005,hydrOXYzine 10 MG tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093506101,hydrOXYzine 25mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093506105,hydrOXYzine 25mg tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093506110,"hydrOXYzine 25mg tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00093506201,hydrOXYzine 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093506205,hydrOXYzine 50 MG tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093514256,alendronate 40 MG tablet 30 each Bottle,15.57,5.45,4.46,11.6,5
NDC,00093527601,dexmethylphenidate 5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00093535301,progesterone 100 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093538256,abacavir-lamivudine 600-300 mg tablet 30 each Bottle,109.74,38.41,31.43,81.76,5
NDC,00093542328,drospirenone-ethinyl estradioL 3-0.02 mg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00093550656,olanzapine-fluoxetine 12-25 mg capsule 30 each Bottle,51.51,18.03,14.75,38.37,5
NDC,00093552706,atazanavir 200 MG capsule 60 each Bottle,65.61,22.97,18.79,48.88,5
NDC,00093552856,atazanavir 300 MG capsule 30 each Bottle,129.98,45.5,37.23,96.84,5
NDC,00093553756,eszopiclone 1 MG tablet 30 each Bottle,27.55,9.65,7.89,20.52,5
NDC,00093553801,eszopiclone 2 MG tablet 100 each Bottle,27.55,9.65,7.89,20.52,5
NDC,00093574065,cyclosporine modified per 25 mg,6.0,2.1,1.39,3.94,6
NDC,00093574265,cyclosporine modified per 100 mg,12.97,4.54,3.73,9.23,6
NDC,00093578656,entecavir 0.5 mg tablet 30 each Bottle,104.87,36.71,30.03,78.13,5
NDC,00093613832,diazePAM 5-7.5-10 mg kit 1 each KIT,788.33,275.92,225.78,587.31,5
NDC,00093681545,budesonide per 0.25 mg,22.22,7.78,1.67,7.62,6
NDC,00093681573,budesonide per 0.25 mg,22.22,7.78,1.67,7.62,6
NDC,00093681673,budesonide per 0.25 mg,26.15,9.16,1.67,8.97,6
NDC,00093711306,nefazodone 150 MG tablet 60 each Bottle,11.54,4.04,3.31,8.6,5
NDC,00093716405,"tolterodine LA 4 MG capsule,extended release 24hr 500 each Bottle",18.96,6.64,5.43,14.13,5
NDC,00093717801,nefazodone 50 MG tablet 100 each Bottle,11.06,3.88,3.17,8.24,5
NDC,00093720298,pravastatin 40 MG tablet 90 each Bottle,11.31,3.96,3.24,8.43,5
NDC,00093724806,lamotrigine 200 MG tablet 60 each Bottle,13.38,4.69,3.83,9.97,5
NDC,00093729501,carvediloL 12.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093731601,desmopressin 0.1 MG tablet 100 each Bottle,12.47,4.37,3.57,9.29,5
NDC,00093733606,"topiramate 25 MG capsule, sprinkle 60 each Bottle",6.9,2.42,1.98,5.14,5
NDC,00093738556,"venlafaxine XR 75 MG capsule,extended release 24hr 30 each Bottle",11.01,3.86,3.15,8.2,5
NDC,00093738756,moxifloxacin 400 mg tablet 30 each Bottle,64.25,22.49,18.4,47.87,5
NDC,00093742456,"montelukast 4 MG tablet,chewable 30 each Bottle",13.35,4.68,3.82,9.95,5
NDC,00093742556,"montelukast 5 MG tablet,chewable 30 each Bottle",13.35,4.68,3.82,9.95,5
NDC,00093747701,mycophenolate mofetil per 250 mg,18.73,6.56,0.31,6.42,6
NDC,00093748512,granisetron per 1 mg,139.29,48.76,4.98,85.14,6
NDC,00093760041,temozolomide per 5 mg,114.45,40.06,0.46,39.26,6
NDC,00093760141,temozolomide per 5 mg,572.24,200.29,0.46,196.28,6
NDC,00093760257,temozolomide per 5 mg,1430.98,500.85,0.46,490.83,6
NDC,00093777219,cloZAPine 100 MG tablet 1 each BLIST PACK,8.09,2.84,2.32,6.03,5
NDC,00093777293,cloZAPine 100 MG tablet 100 each BLIST PACK,8.09,2.84,2.32,6.03,5
NDC,00093803501,glyBURIDE micronized 3 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093820401,cimetidine 400 MG tablet 100 each Bottle,7.88,2.76,2.26,5.87,5
NDC,00093823256,irbesartan-hydrochlorothiazide 300-12.5 mg tablet 30 each Bottle,9.55,3.35,2.74,7.11,5
NDC,00093823298,irbesartan-hydrochlorothiazide 300-12.5 mg tablet 90 each Bottle,9.55,3.35,2.74,7.11,5
NDC,00093823898,irbesartan-hydrochlorothiazide 150-12.5 mg tablet 90 each Bottle,8.77,3.07,2.51,6.53,5
NDC,00093873901,mexiletine 150 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093874001,mexiletine 200 MG capsule 100 each Bottle,7.14,2.5,2.04,5.32,5
NDC,00093901819,cyclosporine modified per 25 mg,6.0,2.1,1.39,3.94,6
NDC,00093901865,cyclosporine modified per 25 mg,6.0,2.1,1.39,3.94,6
NDC,00093902019,cyclosporine modified per 100 mg,12.97,4.54,3.73,9.23,6
NDC,00093902065,cyclosporine modified per 100 mg,12.97,4.54,3.73,9.23,6
NDC,00093929067,"clonazePAM 0.125 MG tablet,disintegrating 60 each BLIST PACK",9.0,3.15,2.58,6.71,5
NDC,00093929167,"clonazepam 0.25 MG tablet,disintegrating 60 each BLIST PACK",9.0,3.15,2.58,6.71,5
NDC,00093936401,glyBURIDE 5mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00093943301,glyBURIDE 2.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00096070737,aluminum chloride 20 % solution 37.5 mL Bottle,23.9,8.37,6.84,17.81,5
NDC,00096070760,aluminum chloride 20 % solution 60 mL Bottle,35.54,12.44,10.18,26.48,5
NDC,00113087305,nicotine polacrilex 4 MG lozenge 72 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00114236712,lactobacillus acidoph-lactobacillus bulgar 100 million cell granules in packet 12 each Packet,6.0,2.1,1.72,4.47,5
NDC,00115133101,"amphetamine-dextroamphetamine XR 20 MG capsule,extended release 24hr 100 each Bottle",14.47,5.07,4.14,10.78,5
NDC,00115133301,"amphetamine-dextroamphetamine XR 30 MG capsule,extended release 24hr 100 each Bottle",14.47,5.07,4.14,10.78,5
NDC,00115136629,sevelamer carbonate 2.4 gram powder in packet 90 each Packet,45.44,15.91,13.01,33.85,10
NDC,00115136630,sevelamer carbonate 2.4 gram powder in packet 1 each Packet,45.44,15.91,13.01,33.85,10
NDC,00115146860,lidocaine-prilocaine 2.5-2.5 % cream 5 g Tube,18.97,6.64,5.43,14.13,5
NDC,00115155601,"oxycoDONE 10 mg tablet,oral only,ext.rel.12 hr 100 each Bottle",9.0,3.15,2.58,6.71,5
NDC,00115165901,propranoloL 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00115166001,propranoloL 20 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00115167808,alendronate 10 MG tablet 30 each Bottle,6.91,2.42,1.98,5.15,5
NDC,00115168774,budesonide per 0.25 mg,22.22,7.78,1.67,7.62,6
NDC,00115168776,budesonide per 0.25 mg,22.22,7.78,1.67,7.62,6
NDC,00115169449,EPINEPHrine 0.3 mg/0.3 mL auto-injector 2 each Syringe,582.93,204.03,166.95,434.28,5
NDC,00115169549,EPINEPHrine 0.15 mg/0.15 mL auto-injector 2 each Syringe,582.93,204.03,166.95,434.28,5
NDC,00115170149,albendazole 200 mg tablet 2 each Bottle,594.06,207.93,170.14,442.57,5
NDC,00115175701,cyproheptadine 4 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00115261101,terbutaline 2.5 MG tablet 100 each Bottle,12.84,4.5,3.68,9.57,5
NDC,00115441101,dantrolene 25 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00115992101,"dexmethylphenidate XR 20 MG capsule,ER biphasic 50-50 100 each Bottle",22.08,7.73,6.32,16.45,5
NDC,00115993276,levalbuterol per 0.5 mg,15.19,5.32,0.08,5.21,6
NDC,00115993278,levalbuterol per 0.5 mg,15.19,5.32,0.08,5.21,6
NDC,00116200115,chlorhexidine 0.12 % mouthwash 15 mL Bottle,7.68,2.69,2.2,5.72,5
NDC,00116200116,chlorhexidine 0.12 % mouthwash 473 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00116400508,lactulose 10 gram/15 mL solution 237 mL Bottle,31.88,11.16,9.13,23.75,5
NDC,00116400511,lactulose 10 gram/15 mL solution 30 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00116400511,lactulose 20 gram/30 mL solution 30 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00116400530,lactulose 20 gram/30 mL solution 30 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00116400541,lactulose 20 gram/30 mL solution 30 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00121043130,magnesium hydroxide 400 mg/5 mL suspension 30 mL BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00121048900,diphenhydramine per 50 mg,12.3,4.31,3.52,9.16,5
NDC,00121048905,diphenhydramine per 50 mg,12.3,4.31,3.52,9.16,5
NDC,00121050412,acetaminophen-codeine 300 mg-30 mg /12.5 mL solution 12.5 mL BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00121053005,ferrous sulfate 300 mg (60 mg iron)/5 mL liquid 5 mL Cup,9.61,3.37,2.75,7.16,5
NDC,00121054410,docusate 100 mg/10 mL liquid 10 mL BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00121057716,lactulose 10 gram/15 mL solution 473 mL Bottle,80.37,28.13,23.02,59.88,5
NDC,00121058104,haloperidol 2 mg/mL concentrate 120 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00121058105,haloperidol 2 mg/mL concentrate 5 mL Cup,9.89,3.47,2.83,7.37,5
NDC,00121059516,sodium citrate-citric acid 500-334 mg/5 mL solution 473 mL Bottle,39.07,13.68,11.19,29.11,5
NDC,00121059530,sodium citrate-citric acid 500-334 mg/5 mL solution 30 mL BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00121063800,guaifenesin-dextromethorphan 100-10 mg/5mL syrup 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00121063805,guaifenesin-dextromethorphan 100-10 mg/5mL syrup 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00121064610,amantadine 50 mg/5 mL solution 10 mL Cup,11.66,4.09,3.34,8.69,5
NDC,00121064616,amantadine 50 mg/5 mL solution 473 mL Bottle,169.67,59.39,48.59,126.4,5
NDC,00121065304,fluPHENAZine 5 mg/mL concentrate 120 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00121065402,fluPHENAZine 2.5 mg/5 mL elixir 60 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00121065416,fluPHENAZine 2.5 mg/5 mL elixir 473 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00121065700,acetaminophen 160 mg/5 mL solution 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00121065711,acetaminophen 325 mg/10.15 mL solution 10.15 mL BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00121067016,ethosuximide 250 mg/5 mL solution 473 mL Bottle,545.86,191.06,156.33,406.67,5
NDC,00121067516,valproic acid 250 mg/5 mL solution 473 mL Bottle,168.56,59.0,48.28,125.58,5
NDC,00121067585,valproic acid 250 mg/5 mL solution 473 mL Bottle,140.65,49.23,40.28,104.78,5
NDC,00121067616,"potassium citrate-citric acid 1,100-334 mg/5 mL solution 473 mL Bottle",118.33,41.42,33.89,88.16,5
NDC,00121067716,potassium-citrate-sodium citrate-citric acid 550-500-334 mg/5 mL solution 473 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00121072104,FLUoxetine 20 mg/5 mL (4 mg/mL) solution 120 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00121072208,senna leaf extract 176 mg/5 mL syrup 237 mL Bottle,39.71,13.9,11.37,29.58,5
NDC,00121072716,ranitidine 15 mg/mL syrup 473 mL Bottle,814.88,285.21,233.38,607.09,5
NDC,00121074710,sucralfate 100 mg/mL suspension 10 mL Cup,25.49,8.93,7.3,18.99,5
NDC,00121074740,sucralfate 100 mg/mL suspension 10 mL Cup,28.74,10.06,8.23,21.41,5
NDC,00121075908,prednisolone per 5 mg,172.27,60.3,0.69,59.09,6
NDC,00121076616,calcium carbonate 1250 mg/5 mL (500 mg elemental calcium/5 mL) suspension 473 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00121077001,LORazepam 2 mg/mL concentrate 30 mL Bottle,113.35,39.68,32.46,84.45,5
NDC,00121077508,codeine-guaifenesin 10-100 mg/5 mL liquid 237 mL Bottle,60.41,21.15,17.3,45.01,5
NDC,00121077516,codeine-guaifenesin 10-100 mg/5 mL liquid 473 mL Bottle,110.51,38.68,31.65,82.33,5
NDC,00121079916,levetiracetam 100 mg/mL solution 473 mL Bottle,715.54,250.44,204.93,533.08,5
NDC,00121082016,theophylline 80 mg/15 mL elixir 473 mL Bottle,260.09,91.04,74.49,193.77,5
NDC,00121085416,sulfamethoxazole-trimethoprim 200-40 mg/5 mL suspension 473 mL Bottle,262.33,91.82,75.13,195.44,5
NDC,00121086800,"nystatin 100,000 unit/mL suspension 5 mL Cup",6.0,2.1,1.72,4.47,5
NDC,00121086802,"nystatin 100,000 unit/mL suspension 60 mL Bottle",33.98,11.9,9.73,25.32,5
NDC,00121086805,"nystatin 100,000 unit/mL suspension 5 mL Cup",6.0,2.1,1.72,4.47,5
NDC,00121086816,"nystatin 100,000 unit/mL suspension 473 mL Bottle",270.14,94.55,77.37,201.25,5
NDC,00121086850,"nystatin 100,000 unit/mL suspension 5 mL Cup",6.0,2.1,1.72,4.47,5
NDC,00121087308,lactulose 10 gram/15 mL solution 237 mL Bottle,31.88,11.16,9.13,23.75,5
NDC,00121087316,lactulose 10 gram/15 mL solution 473 mL Bottle,80.37,28.13,23.02,59.88,5
NDC,00121089300,chlorhexidine 0.12 % mouthwash 15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00121089315,chlorhexidine 0.12 % mouthwash 15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00121090315,lidocaine 2 % solution 15 mL Cup,11.01,3.86,3.15,8.2,5
NDC,00121090340,lidocaine 2 % solution 15 mL Cup,11.01,3.86,3.15,8.2,5
NDC,00121090805,propranoloL 20 mg/5 mL (4 mg/mL) solution 5 mL Cup,9.96,3.49,2.85,7.42,5
NDC,00121090840,propranoloL 20 mg/5 mL (4 mg/mL) solution 5 mL Cup,9.96,3.49,2.85,7.42,5
NDC,00121091400,ibuprofen 100 mg/5 mL suspension 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00121091405,ibuprofen 100 mg/5 mL suspension 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00121091805,ibuprofen 100 mg/5 mL suspension 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00121092716,promethazine per 25 mg,111.63,39.08,0.14,38.29,6
NDC,00121093516,docusate 100 mg/10 mL liquid 473 mL Bottle,31.26,10.95,8.95,23.29,5
NDC,00121097251,lidocaine 4 % (40 mg/mL) solution 50 mL Bottle,152.57,53.4,43.7,113.66,5
NDC,00121097400,sucralfate 100 mg/mL suspension 10 mL Cup,25.49,8.93,7.3,18.99,5
NDC,00121097800,diphenhydramine per 50 mg,12.18,4.27,3.49,9.07,5
NDC,00121097810,diphenhydramine per 50 mg,12.18,4.27,3.49,9.07,5
NDC,00121101605,atovaquone 750 mg/5 mL suspension 5 mL Cup,118.76,41.57,34.01,88.48,5
NDC,00121101618,atovaquone 750 mg/5 mL suspension 5 mL Cup,118.76,41.57,34.01,88.48,5
NDC,00121101930,"buprenorphine 2 mg tablet, sublingual 30 each Bottle",10.62,3.72,3.04,7.91,5
NDC,00121103416,hydrOXYzine 10 mg/5 mL solution 473 mL Bottle,1395.35,488.38,399.63,1039.54,5
NDC,00121104516,"nystatin 100,000 unit/mL suspension 473 mL Bottle",270.14,94.55,77.37,201.25,5
NDC,00121115400,lactulose 10 gram/15 mL solution 30 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00121115400,lactulose 20 gram/30 mL solution 30 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00121115440,lactulose 20 gram/30 mL solution 30 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00121119000,sodium citrate-citric acid 500-334 mg/5 mL solution 30 mL Cup,14.94,5.23,4.28,11.13,5
NDC,00121119030,sodium citrate-citric acid 500-334 mg/5 mL solution 30 mL Cup,14.94,5.23,4.28,11.13,5
NDC,00121127600,guaifenesin-dextromethorphan 100-10 mg/5mL syrup 10 mL Cup,6.54,2.29,1.87,4.87,5
NDC,00121127610,guaifenesin-dextromethorphan 100-10 mg/5mL syrup 10 mL Cup,6.54,2.29,1.87,4.87,5
NDC,00121131400,acetaminophen 325 mg/10.15 mL solution 10.15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00121131411,acetaminophen 325 mg/10.15 mL solution 10.15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00121148800,guaiFENesin 100 mg/5 mL liquid 10 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00121148810,guaiFENesin 100 mg/5 mL liquid 10 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00121155000,codeine-guaifenesin 10-100 mg/5 mL liquid 10 mL Cup,9.0,3.15,2.58,6.71,5
NDC,00121155010,codeine-guaifenesin 10-100 mg/5 mL liquid 10 mL Cup,12.04,4.22,3.45,8.97,5
NDC,00121155040,codeine-guaifenesin 10-100 mg/5 mL liquid 10 mL Cup,12.04,4.22,3.45,8.97,5
NDC,00121157610,metoclopramide 5 mg/5 mL solution 10 mL Cup,11.47,4.02,3.29,8.55,5
NDC,00121168000,potassium chloride 20 mEq/15 mL liquid 15 mL Cup,34.13,11.95,9.77,25.43,5
NDC,00121168015,potassium chloride 20 mEq/15 mL liquid 15 mL Cup,39.9,13.97,11.43,29.73,5
NDC,00121174400,guaiFENesin 100 mg/5 mL liquid 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00121174405,guaiFENesin 100 mg/5 mL liquid 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00121176030,aluminum-magnesium hydroxide 200-200 mg/5 mL suspension 30 mL Cup,13.38,4.69,3.83,9.97,5
NDC,00121176130,aluminum-magnesium hydroxide-simethicone 200-200-20 mg/5 mL suspension 30 mL Cup,8.92,3.13,2.55,6.65,5
NDC,00121177540,codeine-guaifenesin 10-100 mg/5 mL liquid 5 mL Cup,10.15,3.56,2.91,7.56,5
NDC,00121182800,ibuprofen 100 mg/5 mL suspension 10 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00121187000,docusate 100 mg/10 mL liquid 10 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00121187010,docusate 100 mg/10 mL liquid 10 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00121204400,ibuprofen 100 mg/5 mL suspension 10 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00121204410,ibuprofen 100 mg/5 mL suspension 10 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00121213406,gabapentin 300 mg/6 mL (6 mL) solution 6 mL Cup,17.02,5.96,4.87,12.68,5
NDC,00121213440,gabapentin 300 mg/6 mL (6 mL) solution 6 mL Cup,17.02,5.96,4.87,12.68,5
NDC,00121231650,HYDROcodone-acetaminophen 7.5-325 mg/15 mL solution 15 mL Cup,13.2,4.62,3.78,9.83,5
NDC,00121467500,valproic acid 250 mg/5 mL (5 mL) solution 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00121467505,valproic acid 250 mg/5 mL (5 mL) solution 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00121467540,valproic acid 250 mg/5 mL (5 mL) solution 5 mL Cup,6.37,2.23,1.82,4.75,5
NDC,00121472105,FLUoxetine 20 mg/5 mL (4 mg/mL) solution 5 mL Cup,16.14,5.65,4.62,12.02,5
NDC,00121472215,senna leaf extract 176 mg/5 mL syrup 15 mL Cup,11.4,3.99,3.26,8.49,5
NDC,00121472710,ranitidine 15 mg/mL syrup 10 mL Cup,16.33,5.72,4.68,12.17,5
NDC,00121477610,megestroL 400 mg/10 mL (10 mL) suspension 10 mL Cup,10.12,3.55,2.9,7.54,5
NDC,00121479905,levETIRAcetam 100 mg/mL solution 5 mL Cup,22.05,7.72,6.32,16.43,5
NDC,00121479940,levETIRAcetam 100 mg/mL solution 5 mL Cup,22.05,7.72,6.32,16.43,5
NDC,00121479950,levETIRAcetam 100 mg/mL solution 5 mL Cup,16.21,5.68,4.64,12.08,5
NDC,00121481000,"nystatin 100,000 unit/mL suspension 5 mL Cup",6.0,2.1,1.72,4.47,5
NDC,00121481005,"nystatin 100,000 unit/mL suspension 5 mL Cup",6.0,2.1,1.72,4.47,5
NDC,00121482705,oxyCODONE 5 mg/5 mL solution 5 mL Cup,17.55,6.15,5.03,13.07,5
NDC,00121482740,oxyCODONE 5 mg/5 mL solution 5 mL Cup,17.55,6.15,5.03,13.07,5
NDC,00121495015,lidocaine 2 % solution 15 mL Cup,18.16,6.36,5.2,13.53,5
NDC,00121495040,lidocaine 2 % solution 15 mL Cup,18.16,6.36,5.2,13.53,5
NDC,00126001661,sodium fluoride 1.1 % gel 100 mL Bottle,43.66,15.29,12.5,32.53,5
NDC,00126001661,sodium fluoride 1.1 % paste 100 mL Bottle,54.04,18.92,15.48,40.26,5
NDC,00126028802,sodium fluoride 1.1 % gel 56.6 g Tube,100.25,35.09,28.71,74.69,5
NDC,00131181067,lacosamide 10 solution 20 mL Vial,280.6,98.21,80.36,209.05,5
NDC,00131247760,lacosamide 50 mg tablet 60 each BLIST PACK,37.61,13.17,10.77,28.02,5
NDC,00131247835,lacosamide 100 mg tablet 60 each Bottle,53.45,18.71,15.31,39.82,5
NDC,00131247860,lacosamide 100 mg tablet 60 each BLIST PACK,58.8,20.58,16.84,43.81,5
NDC,00131248035,lacosamide 200 mg tablet 60 each Bottle,56.62,19.82,16.22,42.18,5
NDC,00131541071,lacosamide 10 mg/mL solution 200 mL Bottle,26.08,9.13,7.47,19.43,5
NDC,00131541072,lacosamide 10 mg/mL solution 200 mL Bottle,33.17,11.61,9.5,24.71,5
NDC,00132007950,glycerin (adult) suppository 50 each Jar,6.0,2.1,1.72,4.47,5
NDC,00132020140,sodium phosphates 19-7 gram/118 mL enema 133 mL SQUEEZ BTL,6.0,2.1,1.72,4.47,5
NDC,00132020142,sodium phosphates 19-7 gram/118 mL enema 266 mL SQUEEZ BTL,8.16,2.86,2.34,6.08,5
NDC,00132020220,sodium phosphates 9.5-3.5 gram/59 mL enema 66 mL SQUEEZ BTL,6.0,2.1,1.72,4.47,5
NDC,00132030140,mineral oil enema 133 mL SQUEEZ BTL,8.16,2.86,2.34,6.08,5
NDC,00135051007,nicotine polacrilex 2 MG lozenge 144 each Box,6.0,2.1,1.72,4.47,5
NDC,00135051101,nicotine polacrilex 4 MG lozenge 72 each Box,6.0,2.1,1.72,4.47,5
NDC,00143117101,captopriL 12.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00143117301,captopriL 50 MG tablet 100 each Bottle,6.84,2.4,1.96,5.1,5
NDC,00143122701,dicyclomine per 20 mg,6.0,2.1,1.72,4.47,5
NDC,00143124001,digoxin 125 mcg (0.125 mg) tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00143124101,digoxin 250 mcg (0.25 mg) tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00143176901,isosorbide dinitrate 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00143177101,isosorbide dinitrate 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00143177201,isosorbide dinitrate 20 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00143301801,colchicine 0.6 mg capsule 100 each Bottle,17.69,6.2,5.07,13.18,5
NDC,00143312601,dicyclomine 10 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00143900601,acetazolamide per 500 mg,93.46,32.72,32.06,155.74,6
NDC,00143908701,doxorubicin per 10 mg,396.48,138.77,5.41,135.99,6
NDC,00143909801,bortezomib 3.5 mg recon soln 1 each Vial,99.12,34.7,3.23,34.0,6
NDC,00143909801,bortezomib per 0.1 mg,99.12,34.7,3.23,34.0,6
NDC,00143914101,dobutamine per 250 mg,24.0,8.4,8.23,46.3,6
NDC,00143914110,dobutamine per 250 mg,24.0,8.4,8.23,46.3,6
NDC,00143915201,vancomycin per 500 mg,56.92,19.93,16.3,42.41,5
NDC,00143915210,vancomycin per 500 mg,56.92,19.93,16.3,42.41,5
NDC,00143915301,vancomycin per 500 mg,68.31,23.91,19.56,50.89,5
NDC,00143915310,vancomycin per 500 mg,68.31,23.91,19.56,50.89,5
NDC,00143916201,vancomycin per 500 mg,24.0,8.4,6.87,17.88,5
NDC,00143916210,vancomycin per 500 mg,24.0,8.4,6.87,17.88,5
NDC,00143916401,vancomycin 10 gram recon soln 1 each Vial,155.76,54.52,44.61,116.04,5
NDC,00143917201,lidocaine 1 % solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00143918001,calcium gluconate per 10 mL,28.37,9.93,0.08,9.73,6
NDC,00143918025,calcium gluconate per 10 mL,28.37,9.93,0.08,9.73,6
NDC,00143919201,foscarnet per 1000 mg,1255.52,439.44,96.96,430.64,6
NDC,00143920910,chloroprocaine per 30 mL,60.37,21.13,0.06,20.71,6
NDC,00143921001,chloroprocaine per 30 mL,63.39,22.19,0.06,21.74,6
NDC,00143921010,chloroprocaine per 30 mL,63.39,22.19,0.06,21.74,6
NDC,00143923301,benztropine mesylate per 1 mg,127.44,44.61,27.13,85.0,6
NDC,00143923410,vecuronium 10 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,00143924001,bleomycin per 15 Units,161.99,56.7,34.68,128.63,6
NDC,00143924101,bleomycin per 15 Units,300.48,105.17,34.68,128.63,6
NDC,00143924510,dacarbazine per 200 mg,33.98,11.9,6.15,21.23,6
NDC,00143924920,amoxicillin-clavulanate 875-125 mg tablet 20 each Bottle,11.92,4.18,3.41,8.88,5
NDC,00143925001,rocuronium 10 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00143925010,rocuronium 10 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00143925101,rocuronium 10 mg/mL solution 10 mL Vial,29.1,10.19,8.33,21.68,5
NDC,00143925110,rocuronium 10 mg/mL solution 10 mL Vial,29.1,10.19,8.33,21.68,5
NDC,00143925401,DOPamine 400 mg/10 mL (40 mg/mL) solution 10 mL Vial,24.0,8.4,1.27,8.23,6
NDC,00143925425,DOPamine 400 mg/10 mL (40 mg/mL) solution 10 mL Vial,24.0,8.4,1.27,8.23,6
NDC,00143926201,cefazolin per 500 mg,24.0,8.4,1.25,8.23,6
NDC,00143926225,cefazolin per 500 mg,24.0,8.4,1.25,8.23,6
NDC,00143926301,ropivacaine per 1 mg,24.69,8.65,0.11,8.47,6
NDC,00143926310,ropivacaine per 1 mg,24.69,8.65,0.11,8.47,6
NDC,00143927301,dihydroergotamine mesylate per 1 mg,297.36,104.08,69.86,265.3,6
NDC,00143927310,dihydroergotamine mesylate per 1 mg,297.36,104.08,69.86,265.3,6
NDC,00143928001,mitoMYcin 40 mg recon soln 1 each Vial,2832.0,991.2,28.46,971.38,10
NDC,00143928410,pantoprazole 40 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,00143929801,na ferric gluc cplx per 12.5 mg,25.09,8.79,3.91,11.11,6
NDC,00143929810,na ferric gluc cplx per 12.5 mg,25.09,8.79,3.91,11.11,6
NDC,00143930001,pantoprazole 40 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,00143930010,pantoprazole 40 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,00143931001,etomidate 2 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00143931010,etomidate 2 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00143931110,etomidate 2 mg/mL solution 20 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00143931501,levofloxacin per 250 mg,24.0,8.4,1.5,8.23,6
NDC,00143931524,levofloxacin per 250 mg,24.0,8.4,1.5,8.23,6
NDC,00143931810,norepinephrine 1 mg/mL solution 4 mL Vial,40.83,14.3,11.69,30.42,5
NDC,00143933001,bupivacaine 0.25 % (2.5 mg/mL) solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00143933001,bupivacaine PF 0.25 % (2.5 mg/mL) solution 10 mL Vial,24.0,8.4,0.02,8.23,6
NDC,00143933010,bupivacaine 0.25 % (2.5 mg/mL) solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00143933010,bupivacaine PF 0.25 % (2.5 mg/mL) solution 10 mL Vial,24.0,8.4,0.02,8.23,6
NDC,00143933101,BUPivacaine (PF) 0.5 % (5 mg/mL) solution 10 mL Vial,24.0,8.4,0.02,17.88,11
NDC,00143933110,BUPivacaine (PF) 0.5 % (5 mg/mL) solution 10 mL Vial,24.0,8.4,0.02,17.88,11
NDC,00143933210,bupivacaine PF 0.75 % (7.5 mg/mL) solution 10 mL Vial,24.0,8.4,0.02,17.88,11
NDC,00143933310,bupivacaine PF 0.25 % (2.5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,8.23,6
NDC,00143933401,BUPivacaine (PF) 0.5 % (5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,17.88,11
NDC,00143933410,BUPivacaine (PF) 0.5 % (5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,8.23,6
NDC,00143933501,bupivacaine PF 0.75 % (7.5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,17.88,11
NDC,00143933510,bupivacaine PF 0.75 % (7.5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,17.88,11
NDC,00143936101,micafungin per 1 mg,211.83,74.15,0.53,72.66,6
NDC,00143936701,methotrexate sodium per 50 mg,127.44,44.61,5.0,43.71,6
NDC,00143937501,terbutaline per 1 mg,24.0,8.4,4.08,12.85,6
NDC,00143937510,terbutaline per 1 mg,24.0,8.4,4.08,12.85,6
NDC,00143937801,daptomycin per 1 mg,99.12,34.7,0.06,34.0,6
NDC,00143938401,fosaprepitant per 1 mg,118.94,41.63,0.23,40.8,6
NDC,00143939801,ertapenem per 500 mg,113.28,39.65,18.75,69.85,6
NDC,00143939810,ertapenem per 500 mg,113.28,39.65,18.75,69.85,6
NDC,00143943101,meropenem per 100 mg,169.92,59.48,0.63,58.28,6
NDC,00143943110,meropenem per 100 mg,169.92,59.48,0.63,58.28,6
NDC,00143950125,haloperidol lactate per 5 mg,24.0,8.4,1.86,8.23,6
NDC,00143950201,haloperidol lactate per 5 mg,24.0,8.4,1.86,8.23,6
NDC,00143950301,acetazolamide per 500 mg,124.49,43.58,42.57,155.74,6
NDC,00143950610,etomidate 2 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00143950701,etomidate 2 mg/mL solution 20 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00143950710,etomidate 2 mg/mL solution 20 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00143950801,ketamine 50 mg/mL solution 10 mL Vial,30.0,10.5,8.59,22.35,5
NDC,00143950810,ketamine 50 mg/mL solution 10 mL Vial,30.0,10.5,8.59,22.35,5
NDC,00143950901,ketamine 100 mg/mL solution 5 mL Vial,36.08,12.63,10.33,26.88,5
NDC,00143950910,ketamine 100 mg/mL solution 5 mL Vial,36.08,12.63,10.33,26.88,5
NDC,00143951101,etoposide 20 mg/mL solution 25 mL Vial,107.62,37.67,1.63,36.91,6
NDC,00143951401,droperidol per 5 mg,27.41,9.6,9.4,46.95,6
NDC,00143951425,droperidol per 5 mg,27.41,9.6,9.4,46.95,6
NDC,00143951910,methotrexate sodium per 50 mg,24.0,8.4,5.0,14.22,6
NDC,00143952501,dexMEDEtomidine 400 mcg/100 mL (4 mcg/mL) solution 100 mL Flex Cont,90.62,31.72,25.95,67.51,5
NDC,00143952510,dexMEDEtomidine 400 mcg/100 mL (4 mcg/mL) solution 100 mL Flex Cont,90.62,31.72,25.95,67.51,5
NDC,00143952901,fluphenazine decanoate per 25 mg,68.53,23.99,15.1,57.43,6
NDC,00143953101,ifosfamide per 1 g,104.08,36.43,35.7,133.09,6
NDC,00143953201,dexmedeTOMIDine 100 mcg/mL solution 2 mL Vial,36.82,12.89,10.55,27.43,5
NDC,00143953225,dexmedeTOMIDine 100 mcg/mL solution 2 mL Vial,36.82,12.89,10.55,27.43,5
NDC,00143953301,allopurinol 500 mg recon soln 1 each Vial,11044.8,3865.68,3.81,8228.38,15
NDC,00143953401,linezolid in dextrose 5% 600 mg/300 mL piggyback 300 mL Bag,39.65,13.88,5.45,18.21,6
NDC,00143953410,linezolid in dextrose 5% 600 mg/300 mL piggyback 300 mL Bag,39.65,13.88,5.45,18.21,6
NDC,00143955110,daunorubicin per 10 mg,379.88,132.96,44.62,239.24,6
NDC,00143955201,leucovorin calcium per 50 mg,73.63,25.78,7.32,25.26,6
NDC,00143955301,leucovorin 10 mg/ml recon soln 1 each Vial,67.97,23.79,7.32,24.64,6
NDC,00143955501,leucovorin calcium per 50 mg,28.32,9.92,7.32,24.64,6
NDC,00143955901,argatroban 1 mg/mL solution 50 mL Vial,560.74,196.26,1.01,417.75,15
NDC,00143956401,phentolamine mesylate per 5 mg,1387.56,485.65,257.45,2402.74,10
NDC,00143956410,phentolamine mesylate per 5 mg,1387.57,485.65,257.45,2402.74,10
NDC,00143957010,na ferric gluc cplx per 12.5 mg,90.06,31.53,3.91,30.89,6
NDC,00143957510,lidocaine 20 mg/mL (2 %) solution 50 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00143957510,lidocaine 20 mg/mL (2%) solution 50 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00143957701,lidocaine 1 % solution 50 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00143957710,lidocaine 1 % solution 50 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00143959310,niCARdipine 25 mg/10 mL solution 10 mL Vial,57.04,19.97,0.18,42.49,11
NDC,00143959425,lidocaine 20 mg/mL (2%) solution 5 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00143959425,lidocaine PF 20 mg/mL (2 %) solution 5 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00143959501,lidocaine PF 10 mg/mL (1 %) solution 5 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00143959525,lidocaine 1 % solution 5 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00143959525,lidocaine PF 10 mg/mL (1 %) solution 5 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00143962125,cyanocobalamin per 1000 mcg,24.0,8.4,2.07,8.23,6
NDC,00143962201,labetaloL 5 mg/mL solution 20 mL Vial,24.0,8.4,0.31,17.88,11
NDC,00143963301,niCARdipine 40 mg/200 mL (0.2 mg/mL) piggyback 200 mL Bag,460.67,161.24,0.18,343.2,11
NDC,00143963310,niCARdipine 40 mg/200 mL (0.2 mg/mL) piggyback 200 mL Bag,460.67,161.24,0.18,343.2,11
NDC,00143963701,valproate 500 mg/5 mL (100 mg/mL) solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00143963710,valproate 500 mg/5 mL (100 mg/mL) solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00143963801,SUMAtriptan 6 mg/0.5 mL solution 0.5 mL Vial,33.98,11.9,9.73,25.32,5
NDC,00143963805,SUMAtriptan 6 mg/0.5 mL solution 0.5 mL Vial,33.98,11.9,9.73,25.32,5
NDC,00143965901,testosterone cypionate 200 mg/mL oil 1 mL Vial,42.48,14.87,0.05,14.57,6
NDC,00143966001,metoprolol 5 mg/5 mL solution 5 mL Vial,24.0,8.4,6.87,17.88,10
NDC,00143966010,metoprolol 5 mg/5 mL solution 5 mL Vial,24.0,8.4,6.87,17.88,10
NDC,00143967110,cefotetan per 500 mg,108.95,38.14,31.2,81.17,5
NDC,00143967325,levetriracetam per 10 mg,24.0,8.4,0.1,8.23,6
NDC,00143967401,argatroban per 5 mg,977.04,341.96500000000003,1.01,1054.92,15
NDC,00143968125,glycopyrrolate 0.2 mg/mL solution 2 mL Vial,24.0,8.4,0.92,17.88,11
NDC,00143968201,glycopyrrolate 0.2 mg/mL solution 1 mL Vial,24.0,8.4,0.92,17.88,11
NDC,00143968225,glycopyrrolate 0.2 mg/mL solution 1 mL Vial,24.0,8.4,0.92,17.88,11
NDC,00143968401,flumazeniL 0.1 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00143968410,flumazeniL 0.1 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00143968901,niCARdipine 25 mg/10 mL solution 10 mL Vial,72.26,25.3,0.18,53.83,11
NDC,00143968910,niCARdipine 25 mg/10 mL solution 10 mL Vial,72.26,25.3,0.18,53.83,11
NDC,00143970101,irinotecan per 20 mg,42.48,14.87,3.22,15.73,6
NDC,00143970901,milrinone 1 mg/mL solution 20 mL Vial,26.01,9.11,2.54,9.8,6
NDC,00143970910,milrinone 1 mg/mL solution 20 mL Vial,26.01,9.11,2.54,9.8,6
NDC,00143971001,milrinone 1 mg/mL solution 10 mL Vial,24.0,8.4,2.54,9.8,6
NDC,00143971010,milrinone 1 mg/mL solution 10 mL Vial,24.0,8.4,2.54,9.8,6
NDC,00143971901,milrinone 20 mg/100 mL (200 mcg/mL) piggyback 100 mL Bag,42.95,15.04,2.54,14.73,6
NDC,00143971910,milrinone 20 mg/100 mL (200 mcg/mL) piggyback 100 mL Bag,42.95,15.04,2.54,14.73,6
NDC,00143972024,levofloxacin per 250 mg,24.0,8.4,1.5,8.23,6
NDC,00143972101,levofloxacin per 250 mg,24.0,8.4,1.5,8.23,6
NDC,00143972124,levofloxacin per 250 mg,24.0,8.4,1.5,8.23,6
NDC,00143972224,levofloxacin per 250 mg,24.0,8.4,1.5,8.23,6
NDC,00143972501,progesterone per 50 mg,24.0,8.4,1.32,8.23,6
NDC,00143972901,benztropine mesylate per 1 mg,177.0,61.95,27.13,85.0,6
NDC,00143972905,benztropine mesylate per 1 mg,177.0,61.95,27.13,85.0,6
NDC,00143974601,terbutaline per 1 mg,24.0,8.4,4.08,12.85,6
NDC,00143974610,terbutaline per 1 mg,24.0,8.4,4.08,12.85,6
NDC,00143975001,testosterone enanthate 200 mg/mL oil 5 mL Vial,30.0,10.5,0.08,10.29,6
NDC,00143975301,methylprednisolone per 40 mg,24.0,8.4,0.54,17.88,6
NDC,00143975325,methylprednisolone per 40 mg,24.0,8.4,0.54,17.88,6
NDC,00143978401,flumazeniL 0.1 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00143978410,flumazeniL 0.1 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00143978501,valproate 500 mg/5 mL (100 mg/mL) solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00143978510,valproate 500 mg/5 mL (100 mg/mL) solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00143978601,enalaprilat 1.25 mg/mL solution 2 mL Vial,26.85,9.4,7.69,20.0,5
NDC,00143978610,enalaprilat 1.25 mg/mL solution 2 mL Vial,26.85,9.4,7.69,20.0,5
NDC,00143978710,enalaprilat 1.25 mg/mL solution 1 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00143985201,levocarnitine per 1 g,101.02,35.36,34.65,185.74,6
NDC,00143985210,levocarnitine per 1 g,101.02,35.36,34.65,185.74,6
NDC,00143985316,amoxicillin-clavulanate 600-42.9 mg/5 mL suspension for reconstitution 125 mL Bottle,150.75,52.77,43.17,112.31,5
NDC,00143985375,amoxicillin-clavulanate 600-42.9 mg/5 mL suspension for reconstitution 75 mL Bottle,90.27,31.6,25.85,67.25,5
NDC,00143985601,ceftriaxone per 250 mg,24.0,8.4,0.8,8.23,6
NDC,00143985625,ceftriaxone per 250 mg,24.0,8.4,0.8,8.23,6
NDC,00143985701,ceftriaxone per 250 mg,24.0,8.4,0.8,8.23,6
NDC,00143985725,ceftriaxone per 250 mg,24.0,8.4,0.8,8.23,6
NDC,00143985801,ceftriaxone per 250 mg,24.0,8.4,0.8,8.23,6
NDC,00143985825,ceftriaxone per 250 mg,24.0,8.4,0.8,8.23,6
NDC,00143987201,propranolol per 1 mg,24.0,8.4,8.23,41.95,6
NDC,00143987325,metoprolol 5 mg/5 mL solution 5 mL Vial,24.0,8.4,6.87,17.88,10
NDC,00143987501,amiodarone per 30 mg,24.0,8.4,0.92,17.88,11
NDC,00143987525,amiodarone per 30 mg,24.0,8.4,0.92,17.88,11
NDC,00143987801,cefoxitin per 1 g,28.04,9.82,8.12,26.22,6
NDC,00143988701,amoxicillin 400 mg/5 mL suspension for reconstitution 100 mL Bottle,23.13,8.1,6.62,17.23,5
NDC,00143988750,amoxicillin 400 mg/5 mL suspension for reconstitution 50 mL Bottle,11.56,4.05,3.31,8.61,5
NDC,00143988775,amoxicillin 400 mg/5 mL suspension for reconstitution 75 mL Bottle,17.35,6.08,4.97,12.93,5
NDC,00143988801,amoxicillin 125 mg/5 mL suspension for reconstitution 100 mL Bottle,8.5,2.98,2.43,6.33,5
NDC,00143988815,amoxicillin 125 mg/5 mL suspension for reconstitution 150 mL Bottle,9.56,3.35,2.74,7.12,5
NDC,00143988901,amoxicillin 250 mg/5 mL suspension for reconstitution 100 mL Bottle,14.4,5.04,4.12,10.73,5
NDC,00143988915,amoxicillin 250 mg/5 mL suspension for reconstitution 150 mL Bottle,16.64,5.83,4.77,12.4,5
NDC,00143988980,amoxicillin 250 mg/5 mL suspension for reconstitution 80 mL Bottle,12.46,4.37,3.57,9.28,5
NDC,00143989001,ondansetron per 1 mg,24.0,8.4,0.17,8.23,6
NDC,00143992390,cefazolin per 500 mg,24.0,8.4,1.25,8.23,6
NDC,00143992490,cefazolin per 500 mg,24.0,8.4,1.25,8.23,6
NDC,00143992801,ciprofloxacin 500 MG tablet 100 each Bottle,12.67,4.44,3.63,9.44,5
NDC,00143992950,ciprofloxacin 750 MG tablet 50 each Bottle,13.32,4.67,3.81,9.92,5
NDC,00143993101,cefotaxime per 1 g,24.0,8.4,8.23,51.39,6
NDC,00143993125,cefotaxime per 1 g,24.0,8.4,8.23,51.39,6
NDC,00143993325,cefotaxime per 1 g,24.0,8.4,8.23,51.39,6
NDC,00143997790,cefuroxime per 750 mg,24.0,8.4,3.35,11.75,6
NDC,00143997922,cefuroxime per 750 mg,24.0,8.4,3.35,11.75,6
NDC,00143998250,amoxicillin-clavulanate 400-57 mg/5 mL suspension for reconstitution 50 mL Bottle,89.09,31.19,25.52,66.37,5
NDC,00143998391,cefazolin per 500 mg,31.29,10.96,1.25,10.73,6
NDC,00145009125,acitretin 25 MG capsule 30 each Bottle,153.36,53.68,43.92,114.25,5
NDC,00168000415,triamcinolone 0.1 % cream 15 g Tube,8.5,2.98,2.43,6.33,5
NDC,00168000615,triamcinolone 0.1 % ointment 15 g Tube,13.17,4.61,3.77,9.81,5
NDC,00168000680,triamcinolone 0.1 % ointment 80 g Tube,32.85,11.5,9.41,24.47,5
NDC,00168001631,hydrocortisone 0.5 % ointment 28.35 g Tube,8.83,3.1,2.53,6.58,5
NDC,00168002031,hydrocortisone 1 % ointment 28.35 g Tube,18.4,6.44,5.27,13.71,5
NDC,00168005546,betamethasone dipropionate 0.05 % cream 45 g Tube,249.36,87.28,71.42,185.77,5
NDC,00168005615,betamethasone dipropionate 0.05 % ointment 15 g Tube,145.1,50.79,41.56,108.1,5
NDC,00168005646,betamethasone dipropionate 0.05 % ointment 45 g Tube,290.24,101.59,83.12,216.23,5
NDC,00168006231,zinc oxide 20 % ointment 28.35 g Tube,6.89,2.42,1.97,5.13,5
NDC,00168008031,hydrocortisone 2.5 % cream 30 g Tube,25.98,9.1,7.44,19.36,5
NDC,00168009915,ketoconazole 2 % cream 15 g Tube,72.92,25.53,20.88,54.33,5
NDC,00168013915,fluocinonide 0.05 % cream 15 g Tube,107.51,37.63,30.79,80.09,5
NDC,00168013960,fluocinonide 0.05 % cream 60 g Tube,430.04,150.52,123.16,320.38,5
NDC,00168016215,clobetasoL 0.05 % ointment 15 g Tube,366.85,128.4,105.07,273.3,5
NDC,00168016230,clobetasoL 0.05 % ointment 30 g Tube,612.99,214.55,175.56,456.68,5
NDC,00168016260,clobetasoL 0.05 % ointment 60 g Jar,1225.97,429.09,351.12,913.35,5
NDC,00168018131,hydrocortisone 1 % ointment 28.35 g Tube,10.7,3.75,3.06,7.97,5
NDC,00168020360,clindamycin 1 % lotion 60 mL Bottle,340.41,119.15,97.49,253.61,5
NDC,00168020437,lidocaine 5 % ointment 35.44 g Tube,708.0,247.8,202.77,527.46,5
NDC,00168030960,desonide 0.05 % ointment 60 g Tube,567.39,198.59,162.5,422.71,5
NDC,00168043224,imiquimod 5 % cream in packet 24 each Packet,17.7,6.2,5.07,13.19,5
NDC,00169183311,insulin regular human per 5 Units,136.5,47.78,0.42,46.82,6
NDC,00169183411,insulin isophane human per 5 Units,136.5,47.78,0.42,46.82,6
NDC,00169183711,insulin isophane & regular per 5 Units,136.5,47.78,0.42,46.82,6
NDC,00169266015,insulin degludec 100 unit/mL (3 mL) insulin pen 3 mL Syringe,287.985,100.8,82.48,214.55,10
NDC,00169320111,insulin aspart 100 unit/mL solution 10 mL Vial,819.46,286.82,2.67,281.07,6
NDC,00169368712,insulin detemir per 5 Units,305.43,106.91,87.48,227.55,5
NDC,00169406012,liraglutide 0.6 mg/0.1 mL (18 mg/3 mL) pen injector 3 mL Syringe,769.61,269.37,220.42,573.36,5
NDC,00169706515,glucagon (rdna) per 1 mg,871.41,305.0,146.33,1023.54,10
NDC,00169720101,coagulation factor VIIA recomb per 1 mcg,6480.0,2268.0,2.64,2222.64,10
NDC,00169720201,coagulation factor VIIA recomb per 1 mcg,12960.0,4536.0,2.64,4445.28,10
NDC,00169720501,coagulation factor VIIA recomb per 1 mcg,32400.0,11340.0,2.64,11113.2,10
NDC,00169750111,insulin aspart per 5 Units,204.87,71.71,0.42,70.27,6
NDC,00172208960,hydroCHLOROthiazide 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00172392560,diazePAM 2 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00172392660,diazePAM 5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00172524160,anagrelide 0.5 MG capsule 100 each Bottle,26.35,9.23,7.55,19.63,5
NDC,00172541211,fluconazole 150 MG tablet 1 each BLIST PACK,32.88,11.51,9.42,24.5,5
NDC,00172541279,fluconazole 150 MG tablet 1 each BLIST PACK,32.88,11.51,9.42,24.5,5
NDC,00172572860,famotidine 20 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00172572960,famotidine 40 MG tablet 100 each Bottle,11.05,3.87,3.16,8.23,5
NDC,00172640649,cromolyn per 10 mg,16.04,5.62,0.55,8.7,6
NDC,00172731320,cyclosporine modified per 100 mg,14.14,4.95,3.73,9.23,6
NDC,00173013555,buPROPion SR 150 MG tablet sustained-release 12 hr 60 each Bottle,22.3,7.81,6.39,16.61,5
NDC,00173047900,SUMAtriptan 6 mg/0.5 mL pen injector 0.5 mL Syringe,683.23,239.14,195.68,509.01,5
NDC,00173054700,atovaquone 750 mg/5 mL suspension 5 mL BLIST PACK,93.89,32.87,26.89,69.95,5
NDC,00173066518,atovaquone 750 mg/5 mL suspension 210 mL Bottle,4265.13,1492.8,1221.53,3177.52,5
NDC,00173068101,zanamivir 5 mg/actuation blister with device 20 each Box,8.35,2.93,2.39,6.22,5
NDC,00173068220,albuterol 90 mcg/actuation HFA aerosol inhaler 18 g CANISTER,161.47,56.52,46.25,120.3,5
NDC,00173068224,albuterol 90 mcg/actuation HFA aerosol inhaler 8 g CANISTER,64.34,22.52,18.43,47.93,5
NDC,00173069504,fluticasone propion-salmeteroL 100-50 mcg/dose blister with device 14 each BLIST PACK,9.21,3.23,2.64,6.86,5
NDC,00173069600,fluticasone propion-salmeteroL 250-50 mcg/dose blister with device 60 each BLIST PACK,9.24,3.24,2.65,6.88,5
NDC,00173069604,fluticasone propion-salmeteroL 250-50 mcg/dose blister with device 14 each BLIST PACK,9.21,3.23,2.64,6.86,5
NDC,00173069700,fluticasone propion-salmeteroL 500-50 mcg/dose blister with device 60 each BLIST PACK,12.52,4.39,3.59,9.33,5
NDC,00173069704,fluticasone propion-salmeteroL 500-50 mcg/dose blister with device 14 each BLIST PACK,15.01,5.26,4.3,11.18,5
NDC,00173071520,fluticasone propion-salmeteroL 45-21 mcg/actuation HFA aerosol inhaler 12 g CANISTER,710.27,248.6,203.42,529.15,5
NDC,00173071522,fluticasone propion-salmeteroL 45-21 mcg/actuation HFA aerosol inhaler 8 g CANISTER,477.21,167.03,136.67,355.52,5
NDC,00173071620,fluticasone propion-salmeteroL 115-21 mcg/actuation HFA aerosol inhaler 12 g CANISTER,903.18,316.12,258.67,672.87,5
NDC,00173071622,fluticasone propion-salmeteroL 115-21 mcg/actuation HFA aerosol inhaler 8 g CANISTER,443.11,155.09,126.91,330.12,5
NDC,00173071720,fluticasone propion-salmeteroL 230-21 mcg/actuation HFA aerosol inhaler 12 g CANISTER,1245.29,435.86,356.65,927.74,5
NDC,00173071722,fluticasone propion-salmeteroL 230-21 mcg/actuation HFA aerosol inhaler 8 g CANISTER,724.29,253.51,207.44,539.6,5
NDC,00173071820,fluticasone propionate 44 mcg/actuation HFA aerosol inhaler 10.6 g AER W/ADAP,579.27,202.75,165.9,431.56,5
NDC,00173071920,fluticasone propionate 110 mcg/actuation HFA aerosol inhaler 12 g AER W/ADAP,775.49,271.43,222.1,577.74,5
NDC,00173072020,fluticasone propionate 220 mcg/actuation HFA aerosol inhaler 12 g AER W/ADAP,1204.53,421.59,344.98,897.37,5
NDC,00173074000,cefuroxime 125 mg/5 mL suspension for reconstitution 100 mL Bottle,411.35,143.98,117.81,306.46,5
NDC,00173074100,cefuroxime 250 mg/5 mL suspension for reconstitution 100 mL Bottle,699.98,245.0,200.47,521.49,5
NDC,00173075200,lapatinib 250 mg tablet 150 each Bottle,449.16,157.21,128.64,334.62,5
NDC,00173077602,"lamotrigine 100 MG tablet,disintegrating 30 each Bottle",43.31,15.16,12.4,32.27,5
NDC,00173080409,PAZOPanib 200 mg tablet 120 each Bottle,221.36,77.48,63.4,164.91,5
NDC,00173084608,dabrafenib 50 mg capsule 120 each Bottle,147.43,51.61,42.22,109.84,5
NDC,00173084708,dabrafenib 75 mg capsule 120 each Bottle,221.13,77.4,63.33,164.74,5
NDC,00173088101,mepolizumab 100 mg/ml recon soln 1 each Vial,10203.18,3571.12,31.82,3499.69,10
NDC,00179801730,miconazole 2 % cream 30 g Tube,6.0,2.1,1.72,4.47,5
NDC,00179830201,cetirizine 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00185003201,reserpine 0.1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00185005501,metOLazone 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00185011101,dextroamphetamine-amphetamine 10 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00185012901,bumetanide 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00185013001,bumetanide 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00185020501,methIMAzole 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00185027260,oxandrolone 10 MG tablet 60 each Bottle,44.25,15.49,12.67,32.97,5
NDC,00185061001,lisinopriL 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00185075701,sulfaDIAZINE 500 mg tablet 100 each Bottle,11.91,4.17,3.41,8.87,5
NDC,00185084201,dextroamphetamine-amphetamine 10 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00185505001,metOLazone 2.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00186037020,budesonide-formoteroL 160-4.5 mcg/actuation HFA aerosol inhaler 10.2 g AER W/ADAP,663.5,232.23,190.03,494.31,5
NDC,00186037028,budesonide-formoteroL 160-4.5 mcg/actuation HFA aerosol inhaler 6 g AER W/ADAP,450.85,157.8,129.12,335.88,5
NDC,00186037220,budesonide-formoteroL 80-4.5 mcg/actuation HFA aerosol inhaler 10.2 g AER W/ADAP,580.47,203.17,166.25,432.45,5
NDC,00186037228,budesonide-formoteroL 80-4.5 mcg/actuation HFA aerosol inhaler 6.9 g AER W/ADAP,391.96,137.19,112.26,292.01,5
NDC,00186077739,ticagrelor 90 mg tablet 100 each BLIST PACK,21.94,7.68,6.28,16.35,5
NDC,00186077760,ticagrelor 90 mg tablet 60 each Bottle,21.94,7.68,6.28,16.35,5
NDC,00186091612,budesonide 180 mcg/actuation aerosol powdr breath activated 1 each CANISTER,749.35,262.28,214.61,558.27,5
NDC,00186198804,budesonide per 0.25 mg,24.68,8.64,1.67,8.47,6
NDC,00186198904,budesonide per 0.25 mg,29.05,10.17,1.67,9.96,6
NDC,00186402501,esomeprazole 2.5 mg granules DR for susp in packet 30 each Packet,27.12,9.5,7.77,20.2,5
NDC,00186502031,"esomeprazole 20 MG capsule,delayed release(DR/EC) 30 each Bottle",25.99,9.1,7.44,19.36,5
NDC,00186504031,"esomeprazole 40 MG capsule,delayed release(DR/EC) 30 each Bottle",25.99,9.1,7.44,19.36,5
NDC,00187006401,LORazepam 1 MG tablet 100 each Bottle,139.95,48.99,40.08,104.26,5
NDC,00187014330,enalapril 20 MG tablet 30 each Bottle,92.7,32.45,26.55,69.06,5
NDC,00187014390,enalapril 20 MG tablet 90 each Bottle,92.69,32.45,26.55,69.05,5
NDC,00187074633,dextrose 24 gram/31 gram gel 31 g Tube,10.54,3.69,3.02,7.85,5
NDC,00187093801,tolcapone 100 MG tablet 90 each Bottle,335.7,117.5,96.14,250.1,5
NDC,00187170405,phytonadione 5 mg tablet 100 each Bottle,166.41,58.25,47.66,123.98,5
NDC,00187301330,pyridostigmine 180 mg tablet extended release 30 each Bottle,116.14,40.65,33.26,86.52,5
NDC,00187320447,fluorouraciL 5 % cream 40 g Tube,169.92,59.48,48.67,126.59,5
NDC,00187430202,nitroprusside 25 mg/mL solution 2 mL Vial,849.6,297.36,243.33,632.95,5
NDC,00187430305,amobarbital per 125 mg,2076.0,726.6,594.57,1546.62,5
NDC,00187433001,isoproterenol 0.2 mg/mL solution 1 mL AMPUL,4169.99,1459.5,1194.29,3106.64,5
NDC,00187511045,emollient emulsion 45 g Tube,141.56,49.55,40.54,105.46,5
NDC,00187516220,tretinoin 0.05 % cream 20 g Tube,46.73,16.36,13.38,34.81,5
NDC,00187552675,bexarotene 75 mg capsule 100 each Bottle,704.45,246.56,201.75,524.82,5
NDC,00187560015,verteporfin per 0.1 mg,4841.89,1694.67,11.57,1660.77,10
NDC,00223172101,sodium bicarbonate 650 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00223176001,sodium chloride 1 gram tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00223176001,"sodium chloride 1 gram tablet,soluble 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00225080047,"phenylephrine 0.25 % spray,non-aerosol 15 mL SQUEEZ BTL",9.81,3.44,2.81,7.31,5
NDC,00225080547,"phenylephrine 0.5 % spray,non-aerosol 15 mL SQUEEZ BTL",9.81,3.44,2.81,7.31,5
NDC,00225081047,"phenylephrine 1 % spray,non-aerosol 15 mL SQUEEZ BTL",11.01,3.86,3.15,8.2,5
NDC,00228202710,ALPRAZolam 0.25 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00228203110,ALPRAZolam 1 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00228207610,temazepam 15 mg capsule 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00228249710,NIFEdipine 10 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00228275111,glyburide-metformin 1.25-250 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00228275311,glyburide-metformin 5-500 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00228277811,"propranoloL 60 MG capsule,extended release 24 hr 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00228277911,"propranoloL 80 MG capsule,extended release 24 hr 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00228280111,pilocarpine 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00228284803,"fluvoxaMINE 100 mg capsule,extended release 24hr 30 each Bottle",24.03,8.42,6.88,17.9,5
NDC,00228285011,guanFACINE 1 mg tablet extended release 24 hr 100 each Bottle,24.76,8.67,7.09,18.45,5
NDC,00228300311,clonazepam 0.5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00228300411,clonazepam 1 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00228300511,clonazepam 2 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00228315303,"buprenorphine 8 mg tablet, sublingual 30 each Bottle",19.97,6.99,5.72,14.88,5
NDC,00228315573,"buprenorphine-naloxone 8-2 mg tablet, sublingual 30 each BLIST PACK",24.62,8.62,7.05,18.34,5
NDC,00228315603,"buprenorphine 2 mg tablet, sublingual 30 each Bottle",10.62,3.72,3.04,7.91,5
NDC,00228424106,cloNIDine ER 0.1 mg tablet extended release 12 hr 60 each Bottle,10.62,3.72,3.04,7.91,5
NDC,00234057504,chlorhexidine 4 % liquid 118 mL Bottle,9.19,3.22,2.63,6.85,5
NDC,00234057517,chlorhexidine 4 % liquid 15 mL Packet,6.0,2.1,1.72,4.47,5
NDC,00240021201,camphor-phenol 10.8-4.7 % gel 6.5 g Tube,14.14,4.95,4.05,10.53,5
NDC,00245008711,"propranolol LA 160 mg capsule,extended release 24 hr 100 each Bottle",9.22,3.23,2.64,6.87,5
NDC,00245014701,amiodarone 200 MG tablet 100 each BLIST PACK,18.75,6.57,5.37,13.97,5
NDC,00245014789,amiodarone 200 MG tablet 1 each BLIST PACK,18.75,6.57,5.37,13.97,5
NDC,00245021111,midodrine 2.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00245021211,midodrine 5 MG tablet 100 each Bottle,9.81,3.44,2.81,7.31,5
NDC,00245021311,midodrine 10 MG tablet 100 each Bottle,22.94,8.03,6.57,17.09,5
NDC,00245086070,metroNIDAZOLE 0.75 % (37.5mg/5 gram) gel 70 g Tube,384.75,134.67,110.19,286.64,5
NDC,00245531901,"potassium chloride 20 MEQ tablet,ER particles/crystals 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,00245531901,potassium chloride 20 mEq tablet extended release 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00245531989,"potassium chloride 20 MEQ tablet,ER particles/crystals 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,00245531989,potassium chloride 20 mEq tablet extended release 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00254100752,albuterol 90 mcg/actuation HFA aerosol inhaler 6.7 g CANISTER,174.69,61.15,50.03,130.14,5
NDC,00254203380,desogestreL-ethinyl estradioL 0.15-0.03 mg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00254203391,desogestreL-ethinyl estradioL 0.15-0.03 mg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00254302902,lubiprostone 24 MCG capsule 60 each Bottle,15.76,5.52,4.51,11.74,5
NDC,00259161001,incobotulinumtoxinA 100 unit recon soln 1 each Vial,1404.67,491.64,5.29,481.8,10
NDC,00264150990,"levETIRAcetam 1,500 mg/100 mL piggyback 100 mL Bag",35.64,12.48,0.1,12.22,6
NDC,00264151031,dextrose 5% 5 % 50 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00264151031,dextrose 5% per 500 mL,24.0,8.4,6.87,17.88,5
NDC,00264151032,dextrose 5% 5 % 100 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00264151032,dextrose 5% per 500 mL,24.0,8.4,6.87,17.88,5
NDC,00264180031,sodium chloride 0.9 % 50 mL Bag,35.105000000000004,12.295,9.12,28.57,10
NDC,00264180031,sodium chloride 0.9 % parenteral solution 50 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00264180032,sodium chloride 0.9 % 100 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00264180032,sodium chloride 0.9 % parenteral solution 100 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00264191507,"amino acids 3%-electrolytes-glycerin 3 % parenteral solution 1,000 mL Bag",96.76,33.87,27.71,72.09,5
NDC,00264193310,trophamine 10 % parenteral solution 500 mL Bag,126.26,44.2,36.16,94.06,5
NDC,00264194320,sodium-pot-mag-Ca-chlor-acetat 25-20-5-5-30-30 mEq/20 mL solution 250 mL Vial,56.05,19.62,16.05,41.76,5
NDC,00264194420,potassium chloride per 2 mEq of potassium,69.03,24.17,0.2,23.68,6
NDC,00264210100,"water for irrigation (sterile) solution 1,000 mL Bottle",11.8,4.13,3.38,8.79,5
NDC,00264210110,water for irrigation (sterile) solution 500 mL Bottle,9.44,3.31,2.7,7.03,5
NDC,00264220100,"sodium chloride 0.9 % solution 1,000 mL Bottle",11.8,4.13,3.38,8.79,5
NDC,00264220110,sodium chloride 0.9 % solution 500 mL Bottle,10.62,3.72,3.04,7.91,5
NDC,00264230400,"acetic acid 0.25 % solution 1,000 mL Bottle",23.6,8.26,6.76,17.58,5
NDC,00264230410,acetic acid 0.25 % solution 500 mL Bottle,21.24,7.44,6.08,15.82,5
NDC,00264310311,cefazolin per 500 mg,37.17,13.01,1.25,12.75,6
NDC,00264310511,cefazolin per 500 mg,41.8,14.63,1.25,14.34,6
NDC,00264312311,cefoxitin per 1 g,53.41,18.7,8.12,26.22,6
NDC,00264317311,cefotetan per 500 mg,64.29,22.51,18.41,47.9,5
NDC,00264317511,cefotetan per 500 mg,90.4,31.64,25.89,67.35,5
NDC,00264319311,cefepime per 500 mg,55.73,19.51,8.7,26.75,6
NDC,00264319511,cefepime per 500 mg,84.54,29.59,8.7,29.0,6
NDC,00264420452,magnesium sulfate 2 gram/50 mL (4 %) piggyback 50 mL Bag,24.0,8.4,0.84,8.23,6
NDC,00264446030,fat emulsion 20 % emulsion 250 mL Flex Cont,79.65,27.88,22.81,59.34,5
NDC,00264553532,metroNIDAZOLE 5 mg/mL piggyback 100 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00264553532,metroNIDAZOLE 500 mg/100 mL piggyback 100 mL Bag,24.0,8.4,0.03,17.88,11
NDC,00264570505,"heparin (PF) 5,000 unit/0.5 mL syringe 0.5 mL Syringe",24.0,8.4,0.39,8.23,6
NDC,00264570505,heparin 5000 UNIT/0.5ML syringe 0.5 mL Syringe,24.0,8.4,0.39,8.23,6
NDC,00264570505,heparin 5000 units/0.5 mL,65.42,22.9,0.39,22.44,6
NDC,00264570510,"heparin (PF) 5,000 unit/0.5 mL syringe 0.5 mL Syringe",24.0,8.4,0.39,8.23,6
NDC,00264570510,heparin 5000 UNIT/0.5ML syringe 0.5 mL Syringe,24.0,8.4,0.39,8.23,6
NDC,00264570510,heparin 5000 units/0.5 mL,65.42,22.9,0.39,22.44,6
NDC,00264580400,"sodium chloride 0.45 % parenteral solution 1,000 mL Flex Cont",24.0,8.4,6.87,17.88,5
NDC,00264738750,"dextrose 70% (D70W) parenteral solution 2,000 mL Bag",42.48,14.87,12.17,31.65,5
NDC,00264738860,"sodium chloride 0.9 % solution 3,000 mL Bag",49.56,17.35,14.19,36.92,5
NDC,00264751000,"dextrose 5% 5 % 1,000 mL Bag",24.0,8.4,6.37,18.98,6
NDC,00264751000,dextrose 5% per 500 mL,24.0,8.4,6.37,18.98,6
NDC,00264751010,dextrose 5% 5 % 500 mL Bag,24.0,8.4,3.18,9.48,6
NDC,00264751010,dextrose 5% per 500 mL,24.0,8.4,3.18,9.48,6
NDC,00264751020,dextrose 5% 5 % 250 mL Bag,24.0,8.4,3.18,9.48,6
NDC,00264751020,dextrose 5% per 500 mL,24.0,8.4,3.18,9.48,6
NDC,00264757810,mannitol 20 % parenteral solution 500 mL Bag,142.78,49.98,40.89,106.37,5
NDC,00264757820,mannitol 20 % parenteral solution 250 mL Bag,57.82,20.24,16.56,43.08,5
NDC,00264761000,"dextrose 5% and sodium chloride 0.9% parenteral solution 1,000 mL Bag",24.0,8.4,2.06,8.23,6
NDC,00264761000,dextrose 5% in normal saline per 1000 mL,24.0,8.4,6.87,17.88,5
NDC,00264761200,"dextrose 5% and sodium chloride 0.45% parenteral solution 1,000 mL Bag",24.0,8.4,6.87,17.88,5
NDC,00264762200,"dextrose 10% and sodium chloride 0.45% parenteral solution 1,000 mL Bag",25.96,9.09,7.43,19.34,5
NDC,00264762320,dextrose 10% and sodium chloride 0.2% parenteral solution 250 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00264765200,"dextrose 5% and sodium chloride 0.9% with KCl 20 mEq/L 20 mEq/L parenteral solution 1,000 mL Bag",24.0,8.4,6.87,17.88,5
NDC,00264775000,"lactated ringer's 1,000 mL Bag",24.0,8.4,4.27,12.53,6
NDC,00264775000,lactated ringers per 1000 mL,24.0,8.4,4.27,12.53,6
NDC,00264775007,lactated ringers per 1000 mL,24.0,8.4,4.27,12.53,6
NDC,00264775010,lactated ringer's 500 mL Bag,24.0,8.4,4.27,17.88,11
NDC,00264775010,lactated ringers per 1000 mL,24.0,8.4,4.27,12.53,6
NDC,00264775100,dextrose 5% in lactated ringers per 1000 mL,24.0,8.4,6.87,17.88,5
NDC,00264780000,"sodium chloride 0.9 % 1,000 mL Flex Cont",24.0,8.4,4.44,13.33,6
NDC,00264780000,"sodium chloride 0.9 % parenteral solution 1,000 mL Flex Cont",24.0,8.4,4.44,13.33,6
NDC,00264780009,"sodium chloride 0.9 % 1,000 mL Flex Cont",24.0,8.4,4.44,13.33,6
NDC,00264780009,"sodium chloride 0.9 % parenteral solution 1,000 mL Flex Cont",24.0,8.4,4.44,13.33,6
NDC,00264780010,sodium chloride 0.9 % 500 mL Flex Cont,24.0,8.4,2.23,8.23,6
NDC,00264780010,sodium chloride 0.9 % parenteral solution 500 mL Flex Cont,24.0,8.4,2.23,8.23,6
NDC,00264780020,sodium chloride 0.9 % 250 mL Flex Cont,24.0,8.4,1.11,8.23,6
NDC,00264780020,sodium chloride 0.9 % parenteral solution 250 mL Flex Cont,24.0,8.4,1.11,8.23,6
NDC,00264780200,"sodium chloride 0.45 % 0.45 % 1,000 mL Bag",24.0,8.4,6.87,17.88,5
NDC,00264780210,sodium chloride 0.45 % parenteral solution 500 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00264780510,sodium chloride 3 % parenteral solution 500 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00264786500,"sodium chloride 0.9 % with KCl 20 mEq/L 20 mEq/L parenteral solution 1,000 mL Bag",24.0,8.4,0.2,8.23,6
NDC,00264934155,trophamine 10 % parenteral solution 500 mL Bag,100.3,35.11,28.73,74.72,5
NDC,00264935055,amino acid infusion 6.9 % parenteral solution 750 mL Bag,155.76,54.52,44.61,116.04,5
NDC,00264936155,amino acid infusion 6 % parenteral solution 500 mL Bag,63.72,22.31,18.25,47.47,5
NDC,00264957710,heparin (porcine) per 1000 Units,41.89,14.665,0.39,15.78,12
NDC,00268024705,histamine phosphate solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00270055615,sincalide per 5 mcg,500.98,175.35,171.84,700.3,6
NDC,00281020536,surgical lubricant gel 120.49 g Tube,9.1,3.19,2.61,6.78,5
NDC,00281020537,surgical lubricant gel 120.49 g Tube,9.1,3.19,2.61,6.78,5
NDC,00281020543,surgical lubricant gel 3 g Packet,6.0,2.1,1.72,4.47,5
NDC,00281020545,surgical lubricant gel 5 g BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00281032608,nitroglycerin 2 % ointment 1 g Packet,7.15,2.51,2.05,5.33,5
NDC,00283067902,"benzocaine 20 % aerosol,spray 57 g Can",73.18,25.62,20.96,54.52,5
NDC,00299591545,adapalene 0.1 % cream 45 g Tube,1498.38,524.44,429.14,1116.29,5
NDC,00310028239,quetiapine XR 200 MG tablet extended release 24 hr 100 each BLIST PACK,45.96,16.09,13.16,34.24,5
NDC,00310028260,quetiapine XR 200 MG tablet extended release 24 hr 60 each Bottle,45.96,16.09,13.16,34.24,5
NDC,00310028439,quetiapine XR 400 MG tablet extended release 24 hr 100 each BLIST PACK,70.83,24.8,20.29,52.77,5
NDC,00310028460,quetiapine XR 400 MG tablet extended release 24 hr 60 each Bottle,70.83,24.8,20.29,52.77,5
NDC,00310072010,fulvestrant per 25 mg,2745.69,961.0,12.64,941.77,6
NDC,00310095036,goserelin per 3.6 mg,1713.36,599.68,587.68,1518.24,6
NDC,00310095130,goserelin acetate per 3.6 mg,5140.08,1799.03,1004.87,1763.05,6
NDC,00310111001,sodium zirconium cyclosilicate 10 gram powder in packet 1 each Packet,81.33,28.47,23.29,60.59,5
NDC,00310111030,sodium zirconium cyclosilicate 10 gram powder in packet 30 each Packet,81.33,28.47,23.29,60.59,5
NDC,00310111039,sodium zirconium cyclosilicate 10 gram powder in packet 11 each Packet,81.33,28.47,23.29,60.59,5
NDC,00310173030,benralizumab 30 mg/mL syringe 1 mL Syringe,15008.41,5252.945,163.36,10026.19,15
NDC,00310304000,anifrolumab-fnia 300 mg/2 mL (150 mg/mL) solution 2 mL Vial,15407.9,5392.77,18.31,5284.91,10
NDC,00310450012,durvalumab 50 mg/mL solution 2.4 mL Vial,2861.76,1001.62,86.15,981.58,10
NDC,00310450525,tremelimumab-actl 20 mg/mL solution 1.25 mL Vial,9575.84,3351.55,143.23,3284.51,10
NDC,00310453530,tremelimumab-actl 20 mg/mL solution 15 mL Vial,114910.1,40218.54,143.23,39414.16,10
NDC,00310461150,durvalumab 50 mg/mL solution 10 mL Vial,11923.99,4173.4,86.15,4089.93,10
NDC,00310651201,exenatide 5 mcg/dose (250 mcg/mL) 1.2 mL pen injector 1.2 mL Syringe,2407.06,842.48,689.38,1793.26,5
NDC,00310652401,exenatide 10 mcg/dose(250 mcg/mL) 2.4 mL pen injector 2.4 mL Syringe,2407.06,842.48,689.38,1793.26,5
NDC,00310782030,vandetanib 100 mg tablet 30 each Bottle,450.62,157.72,129.06,335.71,5
NDC,00310784030,vandetanib 300 mg tablet 30 each Bottle,901.23,315.44,258.11,671.42,5
NDC,00316018601,hydrocortisone 1 % cream 28.4 g Tube,11.33,3.97,3.24,8.44,5
NDC,00316022530,miconazole 2 % powder 85 g Bottle,18.46,6.47,5.29,13.75,5
NDC,00316023125,miconazole 2 % powder 71 g Bottle,19.1,6.69,5.47,14.23,5
NDC,00338000402,water for irrigation (sterile) solution 250 mL Flex Cont,30.68,10.74,8.79,22.86,5
NDC,00338000403,water for irrigation (sterile) solution 500 mL Bottle,12.98,4.55,3.72,9.67,5
NDC,00338000404,"water for irrigation (sterile) solution 1,000 mL Bottle",8.21,2.88,2.35,6.12,5
NDC,00338000405,"water for irrigation (sterile) solution 1,500 mL Flex Cont",15.39,5.39,4.41,11.47,5
NDC,00338000801,fosaprepitant per 1 mg,84.96,29.74,0.23,29.14,6
NDC,00338001304,"water for injection (sterile) parenteral solution 1,000 mL Bag",28.32,9.92,8.11,21.1,5
NDC,00338001306,"water for injection (sterile) parenteral solution 2,000 mL Bag",24.0,8.4,6.87,17.88,5
NDC,00338001308,"water for injection (sterile) parenteral solution 3,000 mL Bag",35.4,12.39,10.14,26.37,5
NDC,00338001702,dextrose 5% 5 % 250 mL Bag,24.0,8.4,3.18,9.48,6
NDC,00338001702,dextrose 5% per 500 mL,24.0,8.4,3.18,9.48,6
NDC,00338001703,dextrose 5% 5 % 500 mL Bag,24.0,8.4,3.18,9.48,6
NDC,00338001703,dextrose 5% per 500 mL,24.0,8.4,3.18,9.48,6
NDC,00338001704,"dextrose 5% 5 % 1,000 mL Bag",24.0,8.4,6.37,18.98,6
NDC,00338001704,dextrose 5% per 500 mL,24.0,8.4,6.37,18.98,6
NDC,00338001718,dextrose 5% 5 % 100 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00338001718,dextrose 5% per 500 mL,24.0,8.4,6.87,17.88,5
NDC,00338001731,dextrose 5% 5 % 50 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00338001731,dextrose 5% per 500 mL,24.0,8.4,6.87,17.88,5
NDC,00338001738,dextrose 5% 5 % 100 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00338001738,dextrose 5% per 500 mL,24.0,8.4,6.87,17.88,5
NDC,00338002302,dextrose 10 % 10% 250 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00338002302,dextrose 10 % parenteral solution 250 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00338002303,dextrose 10 % 10% 500 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00338002303,dextrose 10 % parenteral solution 500 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00338002304,"dextrose 10 % 10% 1,000 mL Bag",24.0,8.4,6.87,17.88,5
NDC,00338002304,"dextrose 10 % parenteral solution 1,000 mL Bag",24.0,8.4,6.87,17.88,5
NDC,00338004303,sodium chloride 0.45 % 0.45 % 500 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00338004303,sodium chloride 0.45 % parenteral solution 500 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00338004304,"sodium chloride 0.45 % 0.45 % 1,000 mL Bag",24.0,8.4,6.87,17.88,5
NDC,00338004304,"sodium chloride 0.45 % parenteral solution 1,000 mL Bag",24.0,8.4,6.87,17.88,5
NDC,00338004727,"sodium chloride 0.9 % solution 3,000 mL Bag",49.56,17.35,14.19,36.92,5
NDC,00338004747,"sodium chloride 0.9 % solution 3,000 mL Bag",56.64,19.83,16.22,42.2,5
NDC,00338004802,sodium chloride 0.9 % solution 250 mL Bottle,28.32,9.92,8.11,21.1,5
NDC,00338004803,sodium chloride 0.9 % solution 500 mL Bottle,12.98,4.55,3.72,9.67,5
NDC,00338004804,"sodium chloride 0.9 % solution 1,000 mL Bottle",14.16,4.96,4.06,10.55,5
NDC,00338004902,sodium chloride 0.9 % 250 mL Bag,24.0,8.4,1.11,8.23,6
NDC,00338004902,sodium chloride 0.9 % 250 mL Flex Cont,24.0,8.4,1.11,8.23,6
NDC,00338004902,sodium chloride 0.9 % parenteral solution 250 mL Bag,24.0,8.4,1.11,8.23,6
NDC,00338004903,sodium chloride 0.9 % 500 mL Bag,24.0,8.4,2.23,8.23,6
NDC,00338004903,sodium chloride 0.9 % 500 mL Flex Cont,24.0,8.4,2.23,8.23,6
NDC,00338004903,sodium chloride 0.9 % parenteral solution 500 mL Bag,24.0,8.4,2.23,8.23,6
NDC,00338004904,"sodium chloride 0.9 % 1,000 mL Bag",24.0,8.4,4.44,13.33,6
NDC,00338004904,"sodium chloride 0.9 % 1,000 mL Flex Cont",24.0,8.4,4.44,13.33,6
NDC,00338004904,"sodium chloride 0.9 % parenteral solution 1,000 mL Bag",24.0,8.4,4.44,13.33,6
NDC,00338004911,sodium chloride 0.9 % 50 mL Bag,40.71,14.25,11.66,30.33,5
NDC,00338004911,sodium chloride 0.9 % 50 mL Flex Cont,24.0,8.4,6.87,17.88,5
NDC,00338004911,sodium chloride 0.9 % parenteral solution 50 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00338004918,sodium chloride 0.9 % 100 mL Bag,24.78,8.68,7.1,18.46,5
NDC,00338004918,sodium chloride 0.9 % 100 mL Flex Cont,24.0,8.4,6.87,17.88,5
NDC,00338004918,sodium chloride 0.9 % parenteral solution 100 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00338004931,sodium chloride 0.9 % 50 mL Bag,36.58,12.81,10.48,27.25,5
NDC,00338004931,sodium chloride 0.9 % parenteral solution 50 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00338004938,sodium chloride 0.9 % 100 mL Bag,24.07,8.43,6.89,17.93,5
NDC,00338004938,sodium chloride 0.9 % 100 mL Flex Cont,24.0,8.4,6.87,17.88,5
NDC,00338004938,sodium chloride 0.9 % parenteral solution 100 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00338004948,sodium chloride 0.9 % 100 mL Bag,25.49,8.93,7.3,18.99,5
NDC,00338004948,sodium chloride 0.9 % 100 mL Flex Cont,24.0,8.4,6.87,17.88,5
NDC,00338004948,sodium chloride 0.9 % parenteral solution 100 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00338005144,"sodium chloride 0.9 % solution 1,000 mL Bag",320.96,112.34,91.92,239.12,5
NDC,00338005403,sodium chloride 3 % parenteral solution 500 mL Flex Cont,24.0,8.4,6.87,17.88,5
NDC,00338006230,dextrose 5% 5 % 250 mL Flex Cont,24.0,8.4,3.18,9.48,6
NDC,00338006230,dextrose 5% per 500 mL,24.0,8.4,3.18,9.48,6
NDC,00338006910,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,00338007225,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,00338007703,dextrose 5% and sodium chloride 0.2% parenteral solution 500 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00338007704,"dextrose 5% and sodium chloride 0.2% parenteral solution 1,000 mL Bag",24.0,8.4,6.87,17.88,5
NDC,00338008503,dextrose 5% and sodium chloride 0.45% parenteral solution 500 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00338008503,dextrose 5% in sodium chloride 0.45% normal saline per 500 mL,24.0,8.4,6.87,17.88,5
NDC,00338008504,"dextrose 5% and sodium chloride 0.45% parenteral solution 1,000 mL Bag",24.0,8.4,6.87,17.88,5
NDC,00338008504,dextrose 5% in sodium chloride 0.45% normal saline per 500 mL,24.0,8.4,6.87,17.88,5
NDC,00338008903,dextrose 5% and sodium chloride 0.9% parenteral solution 500 mL Bag,24.0,8.4,2.06,8.23,6
NDC,00338008903,dextrose 5% in normal saline per 1000 mL,24.0,8.4,6.87,17.88,5
NDC,00338008904,"dextrose 5% and sodium chloride 0.9% parenteral solution 1,000 mL Bag",24.0,8.4,2.06,8.23,6
NDC,00338008904,dextrose 5% in normal saline per 1000 mL,24.0,8.4,6.87,17.88,5
NDC,00338010820,norepinephrine in 5% dextrose 8 mg/250 mL solution 250 mL Bag,98.53,34.49,28.22,73.4,5
NDC,00338011404,"lactated ringer's solution 1,000 mL Bottle",9.44,3.31,2.7,7.03,5
NDC,00338011702,lactated ringer's 250 mL Bag,24.0,8.4,4.27,17.88,11
NDC,00338011702,lactated ringers per 1000 mL,24.0,8.4,4.27,12.53,6
NDC,00338011703,lactated ringer's 500 mL Bag,24.0,8.4,4.27,17.88,11
NDC,00338011703,lactated ringers per 1000 mL,24.0,8.4,4.27,12.53,6
NDC,00338011704,"lactated ringer's 1,000 mL Bag",24.0,8.4,4.27,17.88,11
NDC,00338011704,lactated ringers per 1000 mL,24.0,8.4,4.27,12.53,6
NDC,00338012503,dextrose 5% in lactated ringers per 1000 mL,24.0,8.4,6.87,17.88,5
NDC,00338012504,dextrose 5% in lactated ringers per 1000 mL,24.0,8.4,6.87,17.88,5
NDC,00338012612,insulin regular 100 unit/100 mL (1 unit/mL) solution 100 mL Bag,99.12,34.7,0.42,34.0,6
NDC,00338022104,"electrolyte parenteral solution 1,000 mL Bag",47.2,16.52,13.52,35.16,5
NDC,00338032201,"thrombin (recombinant) 5,000 unit recon soln 1 each KIT",243.55,85.25,69.75,181.44,5
NDC,00338032601,"thrombin (recombinant) 20,000 unit recon soln 1 each KIT",974.21,340.98,279.01,725.79,5
NDC,00338033001,"thrombin (recombinant) 20,000 unit recon soln 1 each KIT",988.37,345.93,283.07,736.34,5
NDC,00338035702,mannitol 20 % parenteral solution 250 mL Bag,161.07,56.38,46.13,120.0,5
NDC,00338035703,mannitol 20 % parenteral solution 500 mL Bag,178.18,62.37,51.03,132.74,5
NDC,00338040903,lidocaine per 10 mg,24.0,8.4,0.02,17.88,6
NDC,00338050748,gentamicin 120 mg/100 mL piggyback 100 mL Bag,24.0,8.4,4.44,15.69,6
NDC,00338050941,gentamicin per 80 mg,24.0,8.4,4.44,15.69,6
NDC,00338051141,gentamicin per 80 mg,24.0,8.4,4.44,15.69,6
NDC,00338051909,fat emulsion 20 % emulsion 250 mL Bag,139.24,48.74,39.88,103.73,5
NDC,00338051913,fat emulsion 20 % emulsion 500 mL Bag,118.0,41.3,33.8,87.91,5
NDC,00338051914,"fat emulsion 20 % emulsion 1,000 mL Bag",207.68,72.69,59.48,154.72,5
NDC,00338051958,fat emulsion 20 % emulsion 100 mL Bag,88.97,31.14,25.48,66.28,5
NDC,00338055118,dextrose 5 % 5 % piggyback 100 mL Bag,24.0,8.4,3.18,9.48,6
NDC,00338055311,sodium chloride piggyback 50 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00338055318,sodium chloride piggyback 100 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00338066304,"dextrose 5% and sodium chlordie 0.2% with KCl 20 mEq/L 20 mEq/L parenteral solution 1,000 mL Bag",25.96,9.09,7.43,19.34,5
NDC,00338067104,"dextrose 5% and sodium chloride 0.45% with KCl 20 mEq/L 20 mEq/L parenteral solution 1,000 mL Bag",24.0,8.4,6.87,17.88,5
NDC,00338067504,"dextrose 5% and sodium chlordie 0.45% with KCL 40 mEq/L 40 mEq/L parenteral solution 1,000 mL Bag",28.32,9.92,8.11,21.1,5
NDC,00338068304,"dextrose 5% with KCl 20 mEq/L 20 mEq/L parenteral solution 1,000 mL Bag",25.96,9.09,0.2,8.9,6
NDC,00338069104,"sodium chloride 0.9 % with KCl 20 mEq/L 20 mEq/L parenteral solution 1,000 mL Bag",30.68,10.74,0.2,10.52,6
NDC,00338069504,"sodium chloride 0.9% with KCl 40 mEq/L 40 mEq/L parenteral solution 1,000 mL Bag",33.04,11.57,0.2,11.33,6
NDC,00338070434,potassium chloride per 2 mEq,24.0,8.4,0.2,8.23,6
NDC,00338070548,potassium chloride per 2 mEq,24.0,8.4,0.2,8.23,6
NDC,00338070948,potassium chloride in sterile water 0.1 mEq/mL piggyback 100 mL Bag,24.0,8.4,0.2,8.23,6
NDC,00338070948,potassium chloride in water 10 mEq/100 mL piggyback 100 mL Bag,24.0,8.4,0.2,8.23,6
NDC,00338071906,"dextrose 70% (D70W) parenteral solution 2,000 mL Bag",56.64,19.83,16.22,42.2,5
NDC,00338080304,"dextrose 5% and sodium chloride 0.9% with KCl 20 mEq/L 20 mEq/L parenteral solution 1,000 mL Bag",30.68,10.74,8.79,22.86,5
NDC,00338080704,"dextrose 5% and sodium chloride 0.9% with KCl 40 mEq/L 40 mEq/L parenteral solution 1,000 mL Bag",28.32,9.92,8.11,21.1,5
NDC,00338100902,dopamine per 40 mg,58.41,20.45,1.27,20.03,6
NDC,00338102541,penicillin g potassium per 600000 Units,30.33,10.62,1.27,10.4,6
NDC,00338104902,nitroglycerin 50 mg/250 mL (200 mcg/mL) solution 250 mL Bottle,66.67,23.34,19.09,49.67,5
NDC,00338104902,nitroglycerin in 5 % dextrose 200 mcg/mL solution 250 mL Bottle,66.67,23.34,19.09,49.67,5
NDC,00338104902,nitroglycerin in dextrose 5% 50 mg/250 mL (200 mcg/mL) solution 250 mL Bottle,66.67,23.34,2.13,22.87,6
NDC,00338105548,metroNIDAZOLE 5 mg/mL piggyback 100 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00338105548,metroNIDAZOLE 500 mg/100 mL piggyback 100 mL Bag,24.0,8.4,0.03,17.88,11
NDC,00338107302,dobutamine per 250 mg,66.08,23.13,14.28,46.3,6
NDC,00338130501,mesna per 200 mg,70.8,24.78,2.26,24.28,6
NDC,00338170840,magnesium sulfate 2 gram/50 mL (4 %) piggyback 50 mL Flex Cont,35.64,12.48,0.84,12.22,6
NDC,00338381424,clindamycin per 300 mg,36.93,12.93,3.14,27.51,11
NDC,00338381450,clindamycin per 300 mg,36.93,12.93,3.14,27.51,11
NDC,00338519741,famotidine per 20 mg,31.74,11.11,9.09,23.65,10
NDC,00338604537,fluconazole per 200 mg,59.0,20.65,4.62,20.24,6
NDC,00338604648,fluconazole 2 mg/mL 100 mL Flex Cont,52.86,18.51,4.62,39.38,11
NDC,00338604648,fluconazole per 200 mg,52.86,18.51,4.62,18.13,6
NDC,00338634603,dextrose 5% per 500 mL,24.0,8.4,3.18,9.48,6
NDC,00338915930,sodium chloride piggyback 100 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00338954524,clindamycin in 0.9 % sod chloride 300 mg/50 mL piggyback 50 mL Bag,24.0,8.4,2.89,22.81,11
NDC,00338954550,clindamycin in 0.9 % sod chloride 300 mg/50 mL piggyback 50 mL Bag,24.0,8.4,2.89,22.81,11
NDC,00338954924,clindamycin per 300 mg,30.21,10.58,2.89,22.81,11
NDC,00338955324,clindamycin per 300 mg,36.93,12.93,2.89,27.51,11
NDC,00338955350,clindamycin per 300 mg,36.93,12.93,2.89,27.51,11
NDC,00338955712,dexMEDEtomidine 400 mcg/100 mL (4 mcg/mL) solution 100 mL Bag,56.17,19.66,16.09,41.85,5
NDC,00378001801,metoprolol tartrate 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378002801,nadoloL 20 MG tablet 100 each Bottle,8.01,2.81,2.29,5.97,5
NDC,00378004001,clorazepate 7.5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00378004501,diltiazem 60 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378006001,maprotiline 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378007001,clorazepate 15 MG tablet 100 each Bottle,11.03,3.87,3.16,8.22,5
NDC,00378007801,carbidopa-levodopa 10-100 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378014491,tamoxifen 10 MG tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378018101,allopurinoL 300 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378018201,propranoloL 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378020810,"furosemide 20mg tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00378021401,haloperidoL 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378021701,TOLAZamide 250 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378025701,haloperidoL 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378025710,"haloperidoL 1 MG tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00378026101,ketoconazole 200 mg tablet 100 each Bottle,8.94,3.13,2.56,6.66,5
NDC,00378027101,diazePAM 2 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00378033401,haloperidoL 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378033501,haloperidoL 20 MG tablet 100 each Bottle,8.54,2.99,2.45,6.36,5
NDC,00378034501,diazePAM 5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00378035101,haloperidoL 0.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378035110,"haloperidoL 0.5 MG tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00378040301,spironolacton-hydrochlorothiaz 25-25 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378041401,fluvoxaMINE 100 MG tablet 100 each Bottle,6.23,2.19,1.78,4.64,5
NDC,00378042101,methyldopa 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378046601,piroxicam 10 MG capsule 100 each Bottle,6.15,2.16,1.76,4.58,5
NDC,00378061401,thioridazine 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378061601,thioridazine 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378075701,atenoloL 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378086001,cloZAPine 100 MG tablet 100 each Bottle,8.07,2.83,2.31,6.01,5
NDC,00378097301,cloZAPine 200 MG tablet 100 each Bottle,14.92,5.23,4.27,11.12,5
NDC,00378104901,doxepin 10 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378105401,enalapril 20 MG tablet 100 each Bottle,6.53,2.29,1.87,4.86,5
NDC,00378105405,enalapril 20 MG tablet 500 each Bottle,6.53,2.29,1.87,4.86,5
NDC,00378116001,guanFACINE 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378162001,dicyclomine per 20 mg,6.0,2.1,1.72,4.47,5
NDC,00378164093,voriconazole 200 MG tablet 30 each Bottle,110.7,38.75,31.7,82.47,5
NDC,00378170001,nitrofurantoin 100 MG capsule 100 each Bottle,7.97,2.79,2.28,5.94,5
NDC,00378193093,emtricitabine-tenofovir (TDF) 200-300 mg tablet 30 each Bottle,165.22,57.83,0.49,108.16,10
NDC,00378204201,bromocriptine 2.5 mg tablet 100 each Bottle,14.79,5.18,4.24,11.02,5
NDC,00378204293,bromocriptine 2.5 mg tablet 30 each Bottle,14.79,5.18,4.24,11.02,5
NDC,00378222201,nisoldipine 20 MG tablet extended release 24 hr 100 each Bottle,38.83,13.6,11.12,28.93,5
NDC,00378222301,nisoldipine 30 MG tablet extended release 24 hr 100 each Bottle,42.34,14.82,12.13,31.54,5
NDC,00378230201,prazosin 2 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378233078,rufinamide 200 MG tablet 120 each Bottle,33.61,11.77,9.63,25.04,5
NDC,00378240201,trifluoperazine 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378240501,trifluoperazine 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378241001,trifluoperazine 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378251278,capecitabine per 500 mg,92.22,32.28,0.03,68.7,10
NDC,00378268501,amitriptyline 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378300501,thiothixene 5 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378306677,fenofibrate 145 MG tablet 90 each Bottle,13.52,4.74,3.87,10.07,5
NDC,00378320525,prazosin 5 MG capsule 250 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378326694,etoposide per 50 mg,245.12,85.8,84.08,405.83,10
NDC,00378334053,norelgestromin-ethinyl estradiol 150-35 mcg/24 hr patch weekly 3 each Box,120.12,42.05,34.4,89.49,5
NDC,00378334999,estradiol weekly 0.025 mg/24 hr patch weekly 4 each Box,54.77,19.17,15.69,40.8,5
NDC,00378335016,estradiol weekly 0.05 mg/24 hr patch weekly 1 each Box,54.77,19.17,15.69,40.8,5
NDC,00378335099,estradiol weekly 0.05 mg/24 hr patch weekly 4 each Box,54.77,19.17,15.69,40.8,5
NDC,00378335216,estradiol weekly 0.1 mg/24 hr patch weekly 1 each Box,54.77,19.17,15.69,40.8,5
NDC,00378335299,estradiol weekly 0.1 mg/24 hr patch weekly 4 each Box,54.77,19.17,15.69,40.8,5
NDC,00378340493,"tolterodine LA 4 MG capsule,extended release 24hr 30 each Bottle",18.94,6.63,5.42,14.11,5
NDC,00378395377,atorvastatin 80 MG tablet 90 each Bottle,13.61,4.77,3.9,10.14,5
NDC,00378405091,nevirapine 200 mg tablet 60 each Bottle,25.57,8.95,7.32,19.05,5
NDC,00378425001,doxepin 50 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378464026,estradiol semi-weekly 0.1 mg/24 hr patch semiweekly 8 each Box,26.8,9.38,7.68,19.97,5
NDC,00378479106,fluorouraciL 5 % cream 40 g Tube,670.62,234.72,192.07,499.61,5
NDC,00378501001,thiothixene 10 MG capsule 100 each Bottle,7.92,2.78,2.27,5.9,5
NDC,00378501101,felodipine 2.5 MG tablet extended release 24 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378501201,felodipine 5 MG tablet extended release 24 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378501301,felodipine 10 MG tablet extended release 24 hr 100 each Bottle,6.41,2.25,1.84,4.78,5
NDC,00378516893,lamiVUDine 100 MG tablet 30 each Bottle,37.98,13.3,10.88,28.3,5
NDC,00378518693,prasugreL HCl 10 mg tablet 30 each Bottle,38.95,13.64,11.16,29.02,5
NDC,00378543035,moxifloxacin 0.5 % drops 3 mL DROP BTL,394.94,138.23,113.11,294.23,5
NDC,00378551093,"OLANZapine zydis 5 MG tablet,disintegrating 30 each Bottle",33.31,11.66,9.54,24.82,5
NDC,00378552501,rOPINIRole 0.25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378606001,"diltiazem SR 60 MG capsule,extended release 12 hr 100 each Bottle",7.49,2.63,2.15,5.58,5
NDC,00378623301,citalopram 40 MG tablet 100 each Bottle,6.27,2.2,1.8,4.67,5
NDC,00378627045,voriconazole 200 mg/5 mL suspension for reconstitution 75 mL Bottle,2490.57,871.7,713.3,1855.47,5
NDC,00378633380,"acamprosate 333 mg tablet,delayed release (DR/EC) 180 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00378641001,doxepin 100 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378647097,scopolamine 1 mg/patch patch 3 day 10 each Box,54.22,18.98,15.53,40.39,5
NDC,00378647099,scopolamine 1 mg/patch patch 3 day 4 each Box,47.67,16.69,13.65,35.51,5
NDC,00378655053,levonorgestrel-ethinyl estradiol 0.15-0.03 mg tablet 28 each BLIST PACK,73.02,25.56,20.91,54.4,5
NDC,00378655085,levonorgestrel-ethinyl estradiol 0.15-0.03 mg tablet 28 each BLIST PACK,73.02,25.56,20.91,54.4,5
NDC,00378661493,ISOtretinoin 40 MG capsule 30 each BLIST PACK,58.6,20.51,16.78,43.66,5
NDC,00378672701,zonisamide 100 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00378698501,sodium chloride 0.9 % solution for nebulization 3 mL Vial,6.0,2.1,1.72,4.47,5
NDC,00378698601,sodium chloride 0.9 % solution for nebulization 5 mL Vial,6.0,2.1,1.72,4.47,5
NDC,00378699331,levalbuterol per 0.5 mg,15.81,5.54,0.42,5.42,6
NDC,00378699393,levalbuterol per 0.5 mg,15.81,5.54,0.42,5.42,6
NDC,00378699789,sodium chloride 3 % solution for nebulization 15 mL Vial,6.0,2.1,1.72,4.47,5
NDC,00378699889,sodium chloride 10 % solution for nebulization 15 mL Vial,6.0,2.1,1.72,4.47,5
NDC,00378727253,norethindrone 0.35 mg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00378728253,desogestreL-ethinyl estradioL 0.15-0.03 mg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00378728353,norethindrone-ethinyl estradiol-iron 1 mg-20 mcg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00378730685,ethynodiol diac-eth estradioL 1-50 mg-mcg tablet 28 each BLIST PACK,70.64,24.73,20.23,52.63,5
NDC,00378773293,ondansetron per 8 mg,52.61,18.42,0.02,18.05,6
NDC,00378797031,ipratropium per 1 mg,6.0,2.1,0.53,2.06,6
NDC,00378797052,ipratropium per 1 mg,6.0,2.1,0.53,2.06,6
NDC,00378797055,ipratropium per 1 mg,6.0,2.1,0.53,2.06,6
NDC,00378797064,ipratropium per 1 mg,6.0,2.1,0.53,2.06,6
NDC,00378797093,ipratropium per 1 mg,6.0,2.1,0.53,2.06,6
NDC,00378802093,fluvastatin 20 MG capsule 30 each Bottle,11.81,4.14,3.38,8.8,5
NDC,00378802177,fluvastatin 40 MG capsule 90 each Bottle,11.8,4.13,3.38,8.79,5
NDC,00378802193,fluvastatin 40 MG capsule 30 each Bottle,11.81,4.14,3.38,8.8,5
NDC,00378827031,albuterol per 1 mg,6.0,2.1,0.07,2.06,6
NDC,00378827055,albuterol per 1 mg,6.0,2.1,0.07,2.06,6
NDC,00378827064,albuterol per 1 mg,6.0,2.1,0.07,2.06,6
NDC,00378827093,albuterol per 1 mg,6.0,2.1,0.07,2.06,6
NDC,00378868854,clindamycin-benzoyl peroxide 1-5 % gel 50 g Jar,1003.83,351.35,287.5,747.85,5
NDC,00378876516,buprenorphine-naloxone 2-0.5 mg film 1 each Packet,12.16,4.26,3.48,9.06,5
NDC,00378876593,buprenorphine-naloxone 2-0.5 mg film 30 each Packet,12.16,4.26,3.48,9.06,5
NDC,00378888693,"didanosine EC 125 MG capsule,delayed release(DR/EC) 30 each Bottle",9.11,3.19,2.61,6.79,5
NDC,00378905516,"lidocaine 5 % adhesive patch,medicated 1 each Box",24.25,8.49,6.95,18.07,5
NDC,00378905593,"lidocaine 5 % adhesive patch,medicated 30 each Box",24.25,8.49,6.95,18.07,5
NDC,00378907116,rivastigmine 9.5 mg/24 hour patch 24 hour 1 each Packet,39.88,13.96,11.42,29.71,5
NDC,00378907193,rivastigmine 9.5 mg/24 hour patch 24 hour 30 each Box,39.88,13.96,11.42,29.71,5
NDC,00378910216,nitroglycerin 0.1 mg/hr patch 24 hour 1 each Packet,6.0,2.1,1.72,4.47,5
NDC,00378910293,nitroglycerin 0.1 mg/hr patch 24 hour 30 each Packet,6.0,2.1,1.72,4.47,5
NDC,00378911293,nitroglycerin 0.4 mg/hr patch 24 hour 30 each Packet,6.0,2.1,1.72,4.47,5
NDC,00378911916,fentaNYL 12 mcg/hr patch 72 hour 1 each Box,47.91,16.77,13.72,35.69,5
NDC,00378911998,fentaNYL 12 mcg/hr patch 72 hour 5 each Box,47.91,16.77,13.72,35.69,5
NDC,00378912198,fentaNYL 25 mcg/hr patch 72 hour 5 each Box,34.03,11.92,9.75,25.35,5
NDC,00378912298,fentaNYL 50 mcg/hr patch 72 hour 5 each Box,62.21,21.78,17.82,46.35,5
NDC,00378912398,fentaNYL 75 mcg/hr patch 72 hour 5 each Box,94.9,33.22,27.18,70.7,5
NDC,00378912498,fentaNYL 100 mcg/hr patch 72 hour 5 each Box,125.93,44.08,36.07,93.82,5
NDC,00378963943,butorphanol per 1 mg,187.05,65.47,53.57,139.35,5
NDC,00378967130,ipratropium-albuterol sulfate 0.5-3 mg/3 mL solution for nebulization 3 mL Vial,6.0,2.1,0.28,2.06,6
NDC,00378967131,ipratropium-albuterol sulfate 0.5-3 mg/3 mL solution for nebulization 3 mL Vial,6.0,2.1,0.28,2.06,6
NDC,00378967164,ipratropium-albuterol sulfate 0.5-3 mg/3 mL solution for nebulization 3 mL Vial,6.0,2.1,0.28,2.06,6
NDC,00378967193,ipratropium-albuterol sulfate 0.5-3 mg/3 mL solution for nebulization 3 mL Vial,6.0,2.1,0.28,2.06,6
NDC,00378969252,levalbuterol per 0.5 mg,15.83,5.55,0.08,5.43,6
NDC,00386000102,"ethyl chloride 100 % aerosol,spray 116 mL SQUEEZ BTL",141.67,49.59,40.57,105.54,5
NDC,00386000103,"ethyl chloride 100 % aerosol,spray 116 mL SQUEEZ BTL",155.35,54.38,44.49,115.74,5
NDC,00386000404,"norflurane-pentafluoropropane aerosol,spray 116 mL CANISTER",155.35,54.38,44.49,115.74,5
NDC,00386000802,"norflurane-pentafluoropropane aerosol,spray 116 mL CANISTER",147.04,51.47,42.11,109.54,5
NDC,00386000803,"norflurane-pentafluoropropane aerosol,spray 116 mL CANISTER",141.67,49.59,40.57,105.54,5
NDC,00395004912,alum ammonium powder 340 g Jar,47.34,16.57,13.56,35.27,5
NDC,00395024316,benzoin compound 10 % 10-2-8-4 % tincture 473 mL Bottle,150.7,52.75,43.16,112.27,5
NDC,00395024392,benzoin compound 10 % 10-2-8-4 % tincture 59 mL Bottle,24.78,8.68,7.1,18.46,5
NDC,00395030312,boric acid (bulk) powder 340 g Jar,38.52,13.49,11.03,28.7,5
NDC,00395030396,boric acid (bulk) powder 170 g Jar,21.66,7.59,6.2,16.14,5
NDC,00395041396,calamine-zinc oxide 8-8 % lotion 177 mL Bottle,10.44,3.66,2.99,7.78,5
NDC,00395100392,gentian violet 1 % solution 59 mL Bottle,19.35,6.78,5.54,14.42,5
NDC,00395100592,gentian violet 2 % solution 59 mL Bottle,36.62,12.82,10.49,27.28,5
NDC,00395103116,glycerin 99.5 % solution 473 mL Bottle,63.63,22.28,18.22,47.4,5
NDC,00395103128,"glycerin 100 % liquid 3,840 mL Bottle",344.37,120.53,98.63,256.56,5
NDC,00395103128,"glycerin 99.5 % solution 3,800 mL Bottle",358.72,125.56,102.74,267.25,5
NDC,00395124928,"isopropyl alcohoL 70 % solution 3,840 mL Bottle",81.56,28.55,23.36,60.76,5
NDC,00395166792,methyl salicylate liquid 59 mL Bottle,21.38,7.49,6.12,15.93,5
NDC,00395194988,clove oil oil 3.7 mL Bottle,31.12,10.9,8.91,23.18,5
NDC,00395201591,peppermint oiL oil 30 mL Bottle,63.44,22.21,18.17,47.26,5
NDC,00395266116,simple syrup syrup 473 mL Bottle,41.3,14.46,11.83,30.77,5
NDC,00395266216,cherry syrup liquid 473 mL Bottle,41.3,14.46,11.83,30.77,5
NDC,00395268594,sodium bicarbonate powder 113 g Jar,16.8,5.88,4.81,12.52,5
NDC,00395277516,potassium iodide-iodine 5 % solution 473 mL Bottle,195.35,68.38,55.95,145.54,5
NDC,00404651205,"lidocaine-epinephrine 2 %-1:100,000 cartridge 1.7 mL Cartridge",6.0,2.1,0.02,4.47,6
NDC,00406012323,HYDROcodone-acetaminophen 5-325 mg tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00406012362,HYDROcodone-acetaminophen 5-325 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00406012401,HYDROcodone-acetaminophen 7.5-325 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00406012462,HYDROcodone-acetaminophen 7.5-325 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00406012701,methylphenidate HCl 27 MG tablet extended release 24hr 100 each Bottle,15.05,5.27,4.31,11.21,5
NDC,00406048462,acetaminophen-codeine 300-30 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00406051223,oxyCODONE-acetaminophen 5-325 mg tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00406051262,oxyCODONE-acetaminophen 5-325 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00406052710,"TAKE HOME methadone 10 mg/mL concentrate 1,000 mL Bottle",247.8,86.73,70.97,184.61,5
NDC,00406052710,"methadone 10 mg/mL concentrate 1,000 mL Bottle",9.0,3.15,2.58,6.71,5
NDC,00406054034,"methadone 40 mg tablet,soluble 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00406055201,oxyCODONE 5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00406055262,oxyCODONE 5 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00406114201,methylphenidate HCl 5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00406114401,methylphenidate HCl 10 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00406117001,naltrexone 50 mg tablet 100 each Bottle,13.02,4.56,3.73,9.7,5
NDC,00406123601,diphenoxylate-atropine 2.5-0.025 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00406147301,methylphenidate ER 20 MG tablet extended release 100 each Bottle,18.29,6.41,5.24,13.63,5
NDC,00406324301,HYDROmorphone 2 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00406324901,HYDROmorphone 8 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00406575523,methadone 5 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00406575562,methadone 5 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00406800330,morphine 20 mg/mL solution 30 mL Bottle,9.0,3.15,2.58,6.71,5
NDC,00406800503,"buprenorphine-naloxone 2-0.5 mg tablet, sublingual 30 each Bottle",13.75,4.82,3.94,10.24,5
NDC,00406802003,"buprenorphine-naloxone 8-2 mg tablet, sublingual 30 each Bottle",24.59,8.61,7.04,18.32,5
NDC,00406831501,morphine 15 MG tablet extended release 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00406831523,morphine 15 MG tablet extended release 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00406831562,morphine 15 MG tablet extended release 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00406833001,morphine 30 MG tablet extended release 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00406833023,morphine 30 MG tablet extended release 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00406833062,morphine 30 MG tablet extended release 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00406839023,morphine 100 MG tablet extended release 1 each BLIST PACK,21.45,7.51,6.14,15.98,5
NDC,00406839062,morphine 100 MG tablet extended release 100 each BLIST PACK,21.45,7.51,6.14,15.98,5
NDC,00406851001,oxyCODONE 10 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00406851062,oxyCODONE 10 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00406872510,"methadone 10 mg/mL concentrate 1,000 mL Bottle",9.0,3.15,2.58,6.71,5
NDC,00406880601,clomiPRAMINE 25 MG capsule 100 each Bottle,26.53,9.29,7.6,19.76,5
NDC,00406880701,clomiPRAMINE 50 MG capsule 100 each Bottle,26.53,9.29,7.6,19.76,5
NDC,00406888501,dextroamphetamine-amphetamine 15 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00406889101,dextroamphetamine-amphetamine 5 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00406895101,"amphetamine-dextroamphetamine XR 5 MG capsule,extended release 24hr 100 each Bottle",14.47,5.07,4.14,10.78,5
NDC,00406895401,"amphetamine-dextroamphetamine XR 20 MG capsule,extended release 24hr 100 each Bottle",14.47,5.07,4.14,10.78,5
NDC,00406895801,dextroamphetamine sulfate 5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00406896001,"dextroamphetamine sulfate 5 MG capsule, extended release 100 each Bottle",9.56,3.35,2.74,7.12,5
NDC,00406900076,fentaNYL 100 mcg/hr patch 72 hour 5 each Box,125.93,44.08,36.07,93.82,5
NDC,00406901276,fentaNYL 12 mcg/hr patch 72 hour 5 each Box,47.91,16.77,13.72,35.69,5
NDC,00406902576,fentaNYL 25 mcg/hr patch 72 hour 5 each Box,34.03,11.92,9.75,25.35,5
NDC,00406905076,fentaNYL 50 mcg/hr patch 72 hour 5 each Box,62.21,21.78,17.82,46.35,5
NDC,00406907576,fentaNYL 75 mcg/hr patch 72 hour 5 each Box,94.9,33.22,27.18,70.7,5
NDC,00406910076,fentaNYL 100 mcg/hr patch 72 hour 5 each Box,125.93,44.08,36.07,93.82,5
NDC,00406911276,fentaNYL 12 mcg/hr patch 72 hour 5 each Box,47.91,16.77,13.72,35.69,5
NDC,00406912576,fentaNYL 25 mcg/hr patch 72 hour 5 each Box,34.03,11.92,9.75,25.35,5
NDC,00406915076,fentaNYL 50 mcg/hr patch 72 hour 5 each Packet,62.21,21.78,17.82,46.35,5
NDC,00406917576,fentaNYL 75 mcg/hr patch 72 hour 5 each Packet,94.9,33.22,27.18,70.7,5
NDC,00407141230,iohexoL 240 mg iodine/mL solution 50 mL Bottle,110.92,38.83,0.61,38.05,5
NDC,00407141233,iohexoL 240 mg iodine/mL solution 100 mL Bottle,214.29,75.01,0.61,73.5,5
NDC,00407141238,iohexoL 240 mg iodine/mL solution 50 mL Bottle,94.28,33.0,0.61,32.34,5
NDC,00407141250,iohexoL 240 mg iodine/mL solution 50 mL Vial,110.8,38.78,0.61,38.0,5
NDC,00407141361,iohexoL 300 mg iodine/mL solution 50 mL Bottle,131.22,45.93,0.2,45.01,5
NDC,00409000125,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,00409000701,lidocaine-epinephrine 1 %-1:100000 solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409000710,lidocaine-epinephrine 1 %-1:100000 solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409004010,ketamine 100 mg/mL solution 5 mL Vial,30.0,10.5,8.59,22.35,5
NDC,00409006410,carboprost 250 mcg/mL solution 1 mL Vial,299.06,104.68,15.56,222.8,14
NDC,00409012201,daptomycin per 1 mg,223.73,78.31,0.1,76.74,6
NDC,00409012501,labetaloL 5 mg/mL solution 20 mL Vial,68.075,23.83,0.31,83.55,11
NDC,00409012525,labetaloL 5 mg/mL solution 20 mL Vial,68.075,23.83,0.31,83.55,11
NDC,00409014701,lidocaine-epinephrine 2 %-1:100000 solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409014710,lidocaine-epinephrine 2 %-1:100000 solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409015201,metroNIDAZOLE 500 mg/100 mL piggyback 100 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00409015224,metroNIDAZOLE 5 mg/mL piggyback 100 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00409015224,metroNIDAZOLE 500 mg/100 mL piggyback 100 mL Bag,24.0,8.4,0.03,17.88,11
NDC,00409018101,gemcitabine 1 gram/26.3 mL (38 mg/mL) solution 26.3 mL Vial,112.47,39.37,5.44,38.58,6
NDC,00409018101,gemcitabine solution 1 g/26.3 mL solution 26.3 mL Vial,112.47,39.37,5.44,38.58,6
NDC,00409018201,gemcitabine 2 gram/52.6 mL (38 mg/mL) solution 52.6 mL Vial,256.59,89.81,5.44,88.01,6
NDC,00409018301,gemcitabine 200 mg/5.26 mL (38 mg/mL) solution 5.26 mL Vial,26.43,9.26,5.44,19.47,6
NDC,00409018701,gemcitabine 38 mg/ml recon soln 1 each Vial,321.38,112.49,5.44,110.23,6
NDC,00409020110,DOCEtaxeL 80 mg/8 mL (10 mg/mL) solution 8 mL Vial,713.83,249.85,1.65,244.84,6
NDC,00409021201,milrinone 1 mg/mL solution 10 mL Vial,24.0,8.4,2.54,9.8,6
NDC,00409021210,milrinone 1 mg/mL solution 10 mL Vial,24.0,8.4,2.54,9.8,6
NDC,00409021811,cefepime per 500 mg,27.73,9.71,2.08,9.51,6
NDC,00409080501,cefazolin per 500 mg,24.0,8.4,1.25,8.23,6
NDC,00409080511,cefazolin per 500 mg,24.0,8.4,1.25,8.23,6
NDC,00409082901,aztreonam per 500 mg,94.86,33.21,3.54,69.63,11
NDC,00409082911,aztreonam per 500 mg,94.86,33.21,3.54,69.63,11
NDC,00409083001,aztreonam per 500 mg,186.84,65.39500000000001,3.54,137.14,11
NDC,00409083011,aztreonam per 500 mg,186.84,65.39500000000001,3.54,137.14,11
NDC,00409103630,mepivacaine PF 10 mg/mL (1 %) solution 30 mL Vial,24.0,8.4,5.43,16.14,6
NDC,00409103850,mepivacaine per 10 mL,24.0,8.4,5.43,16.14,6
NDC,00409104130,mepivacaine per 10 mL,24.0,8.4,5.43,16.14,6
NDC,00409110502,atracurium 10 mg/mL solution 10 mL Vial,39.84,13.95,11.41,29.68,5
NDC,00409110522,atracurium 10 mg/mL solution 10 mL Vial,39.84,13.95,11.41,29.68,5
NDC,00409110901,atracurium 10 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409113403,morphine 50 mg/mL solution 20 mL Vial,44.08,15.43,7.71,24.11,6
NDC,00409113405,morphine 50 mg/mL solution 50 mL Vial,93.57,32.75,7.71,32.09,6
NDC,00409114001,argatroban per 5 mg,769.43,269.31,1.01,573.23,15
NDC,00409114102,sodium chloride 4 mEq/mL solution 100 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409114405,verapamiL 2.5 mg/mL solution 2 mL Vial,83.19,29.12,23.83,61.98,5
NDC,00409115901,bupivacaine 0.25 % (2.5 mg/mL) solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409115901,bupivacaine PF 0.25 % (2.5 mg/mL) solution 10 mL Vial,24.0,8.4,0.02,8.23,6
NDC,00409115902,bupivacaine 0.25 % (2.5 mg/mL) solution 30 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409115902,bupivacaine PF 0.25 % (2.5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,8.23,6
NDC,00409115909,bupivacaine 0.25 % (2.5 mg/mL) solution 30 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409115909,bupivacaine PF 0.25 % (2.5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,8.23,6
NDC,00409115910,bupivacaine 0.25 % (2.5 mg/mL) solution 30 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409115910,bupivacaine PF 0.25 % (2.5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,8.23,6
NDC,00409115918,bupivacaine 0.25 % (2.5 mg/mL) solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409115918,bupivacaine PF 0.25 % (2.5 mg/mL) solution 10 mL Vial,24.0,8.4,0.02,8.23,6
NDC,00409116001,BUPivacaine HCl 0.25 % (2.5 mg/mL) solution 50 mL Vial,24.0,8.4,0.02,17.88,11
NDC,00409116201,BUPivacaine (PF) 0.5 % (5 mg/mL) solution 10 mL Vial,24.0,8.4,0.02,17.88,11
NDC,00409116202,BUPivacaine (PF) 0.5 % (5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,17.88,11
NDC,00409116209,BUPivacaine (PF) 0.5 % (5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,17.88,11
NDC,00409116210,BUPivacaine (PF) 0.5 % (5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,17.88,11
NDC,00409116501,bupivacaine PF 0.75 % (7.5 mg/mL) solution 10 mL Vial,24.0,8.4,0.02,17.88,11
NDC,00409116502,bupivacaine PF 0.75 % (7.5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,17.88,11
NDC,00409117630,meperidine (PF) 25 mg/mL syringe 1 mL Cartridge,30.0,10.5,10.29,38.33,6
NDC,00409117803,meperidine (PF) 50 mg/mL syringe 1 mL Cartridge,30.0,10.5,10.29,38.33,6
NDC,00409117830,meperidine (PF) 50 mg/mL syringe 1 mL Cartridge,30.0,10.5,10.29,38.33,6
NDC,00409117930,meperidine (PF) 75 mg/mL syringe 1 mL Syringe,30.0,10.5,10.29,38.33,6
NDC,00409120703,gentamicin per 80 mg,24.0,8.4,4.44,15.69,6
NDC,00409120725,gentamicin per 80 mg,24.0,8.4,4.44,15.69,6
NDC,00409120901,lidocaine-epinephrine (PF) 1.5 %-1:200000 solution 5 mL AMPUL,24.0,8.4,0.02,17.88,6
NDC,00409120901,"lidocaine-epinephrine 1.5 %-1:200,000 solution 5 mL AMPUL",24.0,8.4,6.87,17.88,5
NDC,00409121501,naloxone per 1 mg,44.83,15.7,12.03,49.56,11
NDC,00409121521,naloxone per 1 mg,44.83,15.7,12.84,33.4,5
NDC,00409125301,meperidine per 100 mg,30.0,10.5,10.29,38.33,6
NDC,00409125311,meperidine per 100 mg,30.0,10.5,10.29,38.33,6
NDC,00409127303,diazePAM 5 mg/mL syringe 2 mL Cartridge,95.33,33.37,9.03,32.7,6
NDC,00409127332,diazePAM 5 mg/mL syringe 2 mL Cartridge,95.33,33.37,9.03,32.7,6
NDC,00409127632,fentaNYL (PF) 100 mcg/2 mL (50 mcg/mL) syringe 2 mL Syringe,30.0,10.5,1.6,10.29,6
NDC,00409128303,hydromorphone per 4 mg,30.0,10.5,0.17,22.35,6
NDC,00409128331,hydromorphone per 4 mg,30.0,10.5,0.17,22.35,6
NDC,00409130403,hydromorphone per 4 mg,30.0,10.5,0.17,22.35,6
NDC,00409130431,hydromorphone per 4 mg,30.0,10.5,0.17,22.35,6
NDC,00409131230,HYDROmorphone 2 mg/mL syringe 1 mL Cartridge,30.0,10.5,0.17,22.35,6
NDC,00409131236,HYDROmorphone 2 mg/mL syringe 1 mL Syringe,30.0,10.5,0.17,22.35,6
NDC,00409131611,heparin 5000 UNIT/0.5ML syringe 0.5 mL Syringe,24.0,8.4,0.39,8.23,6
NDC,00409131632,heparin 5000 UNIT/0.5ML syringe 0.5 mL Syringe,24.0,8.4,0.39,8.23,6
NDC,00409131632,heparin 5000 units/0.5 mL,24.0,8.4,0.39,8.23,6
NDC,00409131901,vancomycin 10 gram recon soln 1 each Vial,615.2,215.32,176.19,458.32,5
NDC,00409132305,lidocaine (cardiac) 100 mg/5 mL (2 %) syringe 5 mL Syringe,24.0,8.4,0.02,17.88,6
NDC,00409132315,lidocaine (cardiac) 100 mg/5 mL (2 %) syringe 5 mL Syringe,24.0,8.4,0.02,17.88,6
NDC,00409136201,meperidine (PF) 25 mg/mL syringe 1 mL Syringe,30.0,10.5,10.29,38.33,6
NDC,00409139121,meropenem per 100 mg,58.64,20.53,0.63,20.11,6
NDC,00409139122,meropenem per 100 mg,58.64,20.53,0.63,20.11,6
NDC,00409141204,bumetanide per 0.5 mg,24.0,8.4,1.11,17.88,11
NDC,00409141210,bumetanide per 0.5 mg,24.0,8.4,1.11,17.88,11
NDC,00409141234,bumetanide per 0.5 mg,24.0,8.4,1.11,17.88,11
NDC,00409146301,nalbuphine per 10 mg,24.0,8.4,4.64,14.27,6
NDC,00409146349,nalbuphine per 10 mg,24.0,8.4,4.64,14.27,6
NDC,00409146371,nalbuphine per 10 mg,24.0,8.4,4.64,14.27,6
NDC,00409146401,nalbuphine per 10 mg,111.09,38.89,4.64,38.1,6
NDC,00409154101,"bupivacaine-EPINEPHrine (PF) 0.25 %-1:200,000 solution 30 mL Vial",32.85,11.5,9.41,24.47,5
NDC,00409154110,"bupivacaine-EPINEPHrine (PF) 0.25 %-1:200,000 solution 30 mL Vial",32.85,11.5,9.41,24.47,5
NDC,00409155910,bupivacaine 0.25 % (2.5 mg/mL) solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409155910,bupivacaine PF 0.25 % (2.5 mg/mL) solution 10 mL Vial,24.0,8.4,0.02,8.23,6
NDC,00409155918,bupivacaine 0.25 % (2.5 mg/mL) solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409155918,bupivacaine PF 0.25 % (2.5 mg/mL) solution 10 mL Vial,24.0,8.4,0.02,8.23,6
NDC,00409155919,bupivacaine 0.25 % (2.5 mg/mL) solution 30 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409155919,bupivacaine PF 0.25 % (2.5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,8.23,6
NDC,00409155930,bupivacaine 0.25 % (2.5 mg/mL) solution 30 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409155930,bupivacaine PF 0.25 % (2.5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,8.23,6
NDC,00409156010,BUPivacaine (PF) 0.5 % (5 mg/mL) solution 10 mL Vial,24.0,8.4,0.02,17.88,11
NDC,00409156018,BUPivacaine (PF) 0.5 % (5 mg/mL) solution 10 mL Vial,24.0,8.4,0.02,17.88,11
NDC,00409156019,BUPivacaine (PF) 0.5 % (5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,17.88,11
NDC,00409156029,BUPivacaine (PF) 0.5 % (5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,17.88,11
NDC,00409158210,bupivacaine PF 0.75 % (7.5 mg/mL) solution 10 mL Vial,24.0,8.4,0.02,17.88,11
NDC,00409158218,bupivacaine PF 0.75 % (7.5 mg/mL) solution 10 mL Vial,24.0,8.4,0.02,17.88,11
NDC,00409158229,bupivacaine PF 0.75 % (7.5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,17.88,11
NDC,00409159304,tromethamine 36 mg/mL (0.3 M) solution 500 mL Glass Cont,1111.56,389.05,318.35,828.11,5
NDC,00409159314,tromethamine 36 mg/mL (0.3 M) solution 500 mL Glass Cont,1111.56,389.05,318.35,828.11,5
NDC,00409162601,butorphanol per 1 mg,39.29,13.76,4.62,26.47,6
NDC,00409163010,atropine per 0.01 mg,29.08,10.18,0.13,9.97,6
NDC,00409163110,calcium chloride 100 mg/mL (10 %) syringe 10 mL Syringe,35.73,12.51,10.23,26.62,5
NDC,00409163140,calcium chloride 100 mg/mL (10 %) syringe 10 mL Syringe,35.73,12.51,10.23,26.62,5
NDC,00409163201,vecuronium 10 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,00409163221,vecuronium 10 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,00409163401,vecuronium 20 mg recon soln 1 each Vial,37.92,13.28,10.86,28.25,5
NDC,00409163802,dexmedeTOMIDine 100 mcg/mL solution 2 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409166010,dexMEDEtomidine 400 mcg/100 mL (4 mcg/mL) solution 100 mL Bottle,141.6,49.56,40.55,105.49,5
NDC,00409166020,dexmedeTOMIDine 4 mcg/mL solution 20 mL Vial,75.1,26.29,21.51,55.95,5
NDC,00409166020,dexmedetomidine 4 mcg/mL 20 mL Vial,75.1,26.29,21.51,55.95,5
NDC,00409166020,dexmedetomidine in 0.9% sodium chloride 4 mcg/mL 20 mL Vial,75.1,26.29,21.51,55.95,5
NDC,00409166022,dexmedeTOMIDine 4 mcg/mL solution 20 mL Vial,75.1,26.29,21.51,55.95,5
NDC,00409174630,"bupivacaine-EPINEPHrine (PF) 0.25 %-1:200,000 solution 30 mL Vial",32.85,11.5,9.41,24.47,5
NDC,00409174671,"bupivacaine-EPINEPHrine (PF) 0.25 %-1:200,000 solution 30 mL Vial",32.85,11.5,9.41,24.47,5
NDC,00409174910,"BUPivacaine-EPINEPHrine (PF) 0.5 %-1:200,000 solution 10 mL Vial",24.0,8.4,6.87,17.88,5
NDC,00409174929,"BUPivacaine-EPINEPHrine (PF) 0.5 %-1:200,000 solution 30 mL Vial",27.75,9.72,7.95,20.67,5
NDC,00409174970,"BUPivacaine-EPINEPHrine (PF) 0.5 %-1:200,000 solution 10 mL Vial",24.0,8.4,6.87,17.88,5
NDC,00409174971,"BUPivacaine-EPINEPHrine (PF) 0.5 %-1:200,000 solution 30 mL Vial",27.75,9.72,7.95,20.67,5
NDC,00409175410,magnesium sulfate 500 mg/mL (50 %) syringe 10 mL Syringe,115.4,40.39,0.84,39.58,6
NDC,00409176102,BUPivacaine-dextrose-water(PF) 0.75 % (7.5 mg/mL) solution 2 mL AMPUL,24.0,8.4,0.02,17.88,11
NDC,00409176110,BUPivacaine-dextrose-water(PF) 0.75 % (7.5 mg/mL) solution 2 mL AMPUL,24.0,8.4,0.02,17.88,11
NDC,00409176118,BUPivacaine-dextrose-water(PF) 0.75 % (7.5 mg/mL) solution 2 mL AMPUL,24.0,8.4,0.02,17.88,11
NDC,00409176119,BUPivacaine-dextrose-water(PF) 0.75 % (7.5 mg/mL) solution 2 mL AMPUL,24.0,8.4,0.02,17.88,11
NDC,00409177510,dextrose 25 % syringe 10 mL Syringe,58.29,20.41,16.69,43.43,5
NDC,00409177540,dextrose 25 % syringe 10 mL Syringe,58.29,20.41,16.69,43.43,5
NDC,00409177805,metoprolol 5 mg/5 mL solution 5 mL Vial,24.0,8.4,6.87,17.88,10
NDC,00409177815,metoprolol 5 mg/5 mL solution 5 mL Vial,24.0,8.4,6.87,17.88,10
NDC,00409186601,tetracaine 2 % solution 30 mL Bottle,37.45,13.11,10.73,27.9,5
NDC,00409188602,levetriracetam per 10 mg,24.0,8.4,0.1,8.23,6
NDC,00409189001,morphine 2 mg/mL syringe 1 mL Cartridge,30.0,10.5,7.71,24.11,6
NDC,00409189101,morphine 4 mg/mL syringe 1 mL Cartridge,30.0,10.5,7.71,24.11,6
NDC,00409189103,morphine 4 mg/mL syringe 1 mL Cartridge,30.0,10.5,7.71,24.11,6
NDC,00409189301,morphine 10 mg/mL syringe 1 mL Cartridge,30.0,10.5,7.71,24.11,6
NDC,00409189620,morphine 50 mg/mL solution 20 mL Vial,61.64,21.58,7.71,24.11,6
NDC,00409190201,procainamide per 1 g,1160.62,406.22,214.81,1615.14,10
NDC,00409190211,procainamide per 1 g,1202.41,420.85,214.81,1615.14,10
NDC,00409196602,sodium chloride bacteriostatic 0.9 % solution 30 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409196605,sodium chloride bacteriostatic 0.9 % solution 20 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409196607,sodium chloride bacteriostatic 0.9 % solution 30 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409198503,lorazepam per 2 mg,30.0,10.5,1.85,10.29,6
NDC,00409198530,lorazepam per 2 mg,30.0,10.5,1.85,10.29,6
NDC,00409202902,morphine (PF) 1 mg/mL patient control.analgesia soln 30 mL Vial,30.0,10.5,7.71,82.33,12
NDC,00409204501,milrinone 20 mg/100 mL (200 mcg/mL) piggyback 100 mL Bag,45.31,15.86,2.54,15.54,6
NDC,00409204510,milrinone 20 mg/100 mL (200 mcg/mL) piggyback 100 mL Bag,45.31,15.86,2.54,15.54,6
NDC,00409205001,magnesium sulfate in water 20 gram/500 mL (4 %) parenteral solution 500 mL Flex Cont,24.0,8.4,0.84,8.23,6
NDC,00409205020,magnesium sulfate in water 20 gram/500 mL (4 %) parenteral solution 500 mL Flex Cont,24.0,8.4,0.84,8.23,6
NDC,00409205105,ketamine 100 mg/mL solution 5 mL Vial,30.0,10.5,8.59,22.35,5
NDC,00409205115,ketamine 100 mg/mL solution 5 mL Vial,30.0,10.5,8.59,22.35,5
NDC,00409206605,lidocaine 20 mg/mL (2%) solution 5 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409206605,lidocaine PF 20 mg/mL (2 %) solution 5 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409206610,lidocaine PF 20 mg/mL (2 %) solution 5 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409212201,enalaprilat 1.25 mg/mL solution 1 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409216817,magnesium sulfate per 500 mg of magnesium,24.0,8.4,0.84,8.23,6
NDC,00409216877,magnesium sulfate per 500 mg of magnesium,24.0,8.4,0.84,8.23,6
NDC,00409222001,levofloxacin per 250 mg,24.0,8.4,1.5,8.23,6
NDC,00409222024,levofloxacin per 250 mg,24.0,8.4,1.5,8.23,6
NDC,00409226720,labetaloL 5 mg/mL solution 20 mL Vial,24.0,8.4,0.31,17.88,11
NDC,00409226726,labetaloL 5 mg/mL solution 40 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409226754,labetaloL 5 mg/mL solution 40 mL Vial,28.65,10.03,0.31,20.82,11
NDC,00409228731,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,00409229031,diphenhydrAMINE 50 mg/mL syringe 1 mL Syringe,24.0,8.4,1.32,8.23,6
NDC,00409230505,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,00409230517,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,00409230760,midazolam (PF) 5 mg/mL cartridge 1 mL Cartridge,30.0,10.5,0.23,10.29,6
NDC,00409230801,midazolam (PF) 5 mg/mL solution 1 mL Vial,30.0,10.5,0.23,10.29,6
NDC,00409230802,midazolam (PF) 5 mg/mL solution 2 mL Vial,30.0,10.5,0.23,10.29,6
NDC,00409230822,midazolam (PF) 5 mg/mL solution 2 mL Vial,30.0,10.5,0.23,10.29,6
NDC,00409234401,dobutamine per 250 mg,24.0,8.4,8.23,46.3,6
NDC,00409234402,dobutamine per 250 mg,24.0,8.4,8.23,46.3,6
NDC,00409234488,dobutamine per 250 mg,24.0,8.4,8.23,46.3,6
NDC,00409234632,dobutamine per 250 mg,64.9,22.72,14.28,46.3,6
NDC,00409255201,hydromorphone per 4 mg,30.0,10.5,0.17,22.35,6
NDC,00409255211,hydromorphone per 4 mg,30.0,10.5,0.17,22.35,6
NDC,00409259605,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,00409263401,hydromorphone per 4 mg,46.34,16.22,0.17,34.52,6
NDC,00409263405,hydromorphone per 4 mg,43.19,15.12,0.17,32.18,6
NDC,00409263410,hydromorphone per 4 mg,30.0,10.5,7.57,22.81,5
NDC,00409263450,hydromorphone per 4 mg,468.34,163.92,0.17,348.91,6
NDC,00409272001,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,00409272002,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,00409272030,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,00409272031,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,00409272301,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,00409272330,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,00409275701,daptomycin per 1 mg,225.97,79.09,0.06,77.51,6
NDC,00409315005,heparin (porcine) per 1000 Units,30.68,10.74,0.39,10.52,6
NDC,00409315020,heparin (porcine) per 1000 Units,30.68,10.74,0.39,22.86,11
NDC,00409317701,lidocaine-epinephrine 0.5 %-1:200000 solution 50 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409317716,lidocaine-epinephrine 0.5 %-1:200000 solution 50 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409317801,lidocaine-epinephrine 1 %-1:100000 solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409317802,lidocaine-epinephrine 1 %-1:100000 solution 30 mL Vial,32.14,11.25,0.02,23.94,6
NDC,00409317803,lidocaine-epinephrine 1 %-1:100000 solution 50 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409317816,lidocaine-epinephrine 1 %-1:100000 solution 20 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409317817,lidocaine-epinephrine 1 %-1:100000 solution 30 mL Vial,32.14,11.25,0.02,23.94,6
NDC,00409318101,lidocaine-epinephrine (PF) 1.5 %-1:200000 solution 30 mL Vial,52.46,18.37,0.02,39.08,6
NDC,00409318111,lidocaine-epinephrine (PF) 1.5 %-1:200000 solution 30 mL Vial,52.46,18.37,0.02,39.08,6
NDC,00409318201,lidocaine-epinephrine 2 %-1:100000 solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409318202,lidocaine-epinephrine 2 %-1:100000 solution 30 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409318203,lidocaine-epinephrine 2 %-1:100000 solution 50 mL Vial,25.37,8.88,0.02,18.9,6
NDC,00409318211,lidocaine-epinephrine 2 %-1:100000 solution 20 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409318221,lidocaine-epinephrine 2 %-1:100000 solution 30 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409318231,lidocaine-epinephrine 2 %-1:100000 solution 50 mL Vial,25.37,8.88,0.02,18.9,6
NDC,00409318301,lidocaine-epinephrine (PF) 2 %-1:200000 solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409318301,"lidocaine-epinephrine 2 %-1:200,000 solution 20 mL Vial",24.0,8.4,6.87,17.88,5
NDC,00409318311,lidocaine-epinephrine (PF) 2 %-1:200000 solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409318905,rocuronium 10 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409318910,rocuronium 10 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409321311,diazepam per 5 mg,163.9,57.37,9.03,56.22,6
NDC,00409321312,diazepam per 5 mg,163.9,57.37,9.03,56.22,6
NDC,00409329906,sodium acetate 2 mEq/mL solution 100 mL Vial,25.02,8.76,7.17,18.64,5
NDC,00409329915,sodium acetate 2 mEq/mL solution 50 mL Vial,34.34,12.02,9.83,25.58,5
NDC,00409329926,sodium acetate 2 mEq/mL solution 50 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409330001,ciprofloxacin per 200 mg,24.0,8.4,2.1,10.28,6
NDC,00409330024,ciprofloxacin per 200 mg,24.0,8.4,2.1,10.28,6
NDC,00409330703,acetylcysteine 100 mg/mL (10 %) solution 30 mL Vial,56.99,19.95,11.27,35.86,6
NDC,00409330803,acetylcysteine 200 mg/mL (20 %) solution 30 mL Vial,72.15,25.26,11.27,35.86,6
NDC,00409336501,hydromorphone per 4 mg,30.0,10.5,7.57,22.81,5
NDC,00409336510,hydromorphone per 4 mg,30.0,10.5,0.17,22.35,6
NDC,00409336511,hydromorphone per 4 mg,30.0,10.5,0.17,22.35,6
NDC,00409337504,norepinephrine 1 mg/mL solution 4 mL Vial,63.65,22.28,18.23,47.42,5
NDC,00409338221,SUfentanil 50 mcg/mL solution 1 mL Vial,37.14,13.0,10.64,27.67,5
NDC,00409338302,piperacillin sod-tazobactam per 1 g,24.0,8.4,1.95,8.23,6
NDC,00409338513,piperacillin sod-tazobactam per 1 g,29.61,10.37,1.95,10.16,6
NDC,00409339004,piperacillin sod-tazobactam per 1 g,39.48,13.82,1.95,13.54,6
NDC,00409341401,metoclopramide per 10 mg,24.0,8.4,1.79,8.23,6
NDC,00409341411,metoclopramide per 10 mg,24.0,8.4,1.79,8.23,6
NDC,00409341421,metoclopramide per 10 mg,24.0,8.4,1.79,8.23,6
NDC,00409351501,vancomycin per 500 mg,68.97,24.14,19.75,51.38,5
NDC,00409351511,vancomycin per 500 mg,68.97,24.14,19.75,51.38,5
NDC,00409357801,tobramycin per 80 mg,24.0,8.4,4.08,13.9,6
NDC,00409361301,BUPivacaine-dextrose-water(PF) 0.75 % (7.5 mg/mL) solution 2 mL AMPUL,24.0,8.4,0.02,17.88,11
NDC,00409371501,nafcillin per 2 g,311.52,109.04,89.22,232.08,5
NDC,00409371510,nafcillin per 2 g,311.52,109.04,89.22,232.08,5
NDC,00409371801,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,00409371901,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,00409372001,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,00409372010,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,00409372411,dobutamine per 250 mg,85.55,29.95,14.28,46.3,6
NDC,00409372601,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,00409379301,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,00409379325,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,00409379501,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,00409379519,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,00409379601,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,00409381201,BUPivacaine-EPINEPHrine 0.25 %-1:200000 solution 50 mL Vial,34.69,12.15,9.94,25.84,5
NDC,00409381412,morphine 0.5 mg/mL solution 10 mL Vial,59.92,20.98,18.55,82.33,6
NDC,00409381512,morphine per 10 mg,30.0,10.5,10.29,82.33,6
NDC,00409397701,water for injection (bacteriostatic) solution 30 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409397703,water for injection (bacteriostatic) solution 30 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409403101,mannitol per 50 mL,24.0,8.4,6.87,17.88,5
NDC,00409403116,mannitol per 50 mL,24.0,8.4,6.87,17.88,5
NDC,00409409201,copper 0.4 mg/mL solution 10 mL Vial,89.8,31.43,25.72,66.9,5
NDC,00409409211,copper 0.4 mg/mL solution 10 mL Vial,89.8,31.43,25.72,66.9,5
NDC,00409409310,chromium 4 mcg/mL solution 10 mL Vial,56.17,19.66,16.09,41.85,5
NDC,00409426401,hydromorphone per 4 mg,30.0,10.5,0.17,22.35,6
NDC,00409426411,hydromorphone per 4 mg,30.0,10.5,0.17,22.35,6
NDC,00409427601,lidocaine 1 % solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409427602,lidocaine 1 % solution 50 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409427616,lidocaine 1 % solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409427701,lidocaine 20 mg/mL (2 %) solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409427701,lidocaine 20 mg/mL (2%) solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409427702,lidocaine 20 mg/mL (2 %) solution 50 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409427702,lidocaine 20 mg/mL (2%) solution 50 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409427716,lidocaine 20 mg/mL (2 %) solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409427716,lidocaine 20 mg/mL (2%) solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409427717,lidocaine 20 mg/mL (2 %) solution 50 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409427801,lidocaine PF 5 mg/mL (0.5 %) solution 50 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409427816,lidocaine PF 5 mg/mL (0.5 %) solution 50 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409427902,lidocaine 1 % solution 30 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409427902,lidocaine PF 10 mg/mL (1 %) solution 30 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409427916,lidocaine 1 % solution 30 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409427916,lidocaine PF 10 mg/mL (1 %) solution 30 mL Vial,24.0,8.4,0.02,17.88,6
NDC,00409428202,lidocaine 20 mg/mL (2%) solution 10 mL AMPUL,24.0,8.4,0.02,17.88,6
NDC,00409428202,lidocaine PF 20 mg/mL (2 %) solution 10 mL AMPUL,24.0,8.4,0.02,17.88,6
NDC,00409428212,lidocaine 20 mg/mL (2%) solution 10 mL AMPUL,24.0,8.4,0.02,17.88,6
NDC,00409428212,lidocaine PF 20 mg/mL (2 %) solution 10 mL AMPUL,24.0,8.4,0.02,17.88,6
NDC,00409428301,lidocaine 40 mg/mL (4 %) solution 5 mL AMPUL,24.0,8.4,0.02,17.88,6
NDC,00409428325,lidocaine 40 mg/mL (4 %) solution 5 mL AMPUL,24.0,8.4,0.02,17.88,6
NDC,00409433201,vancomycin per 500 mg,24.0,8.4,6.87,17.88,5
NDC,00409434673,aminocaproic acid per 5 g,24.0,8.4,6.87,17.88,10
NDC,00409444401,levofloxacin per 250 mg,28.32,9.92,1.5,9.71,6
NDC,00409444424,levofloxacin per 250 mg,28.32,9.92,1.5,9.71,6
NDC,00409464601,pancuronium 1 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409468812,fluconazole per 200 mg,24.0,8.4,4.62,14.06,6
NDC,00409468816,fluconazole per 200 mg,24.0,8.4,4.62,14.06,6
NDC,00409469924,propofol (DIPRIVAN) injection 10 mg/mL emulsion 100 mL Vial,61.12,21.4,0.17,20.96,6
NDC,00409469924,propofol (DIPROVAN) infusion 10 mg/mL 100 mL Vial,61.12,21.4,0.17,20.96,6
NDC,00409469930,propofol (DIPRIVAN) injection 10 mg/mL emulsion 20 mL Vial,24.0,8.4,0.17,8.23,6
NDC,00409469930,propofol (DIPROVAN) infusion 10 mg/mL 20 mL Vial,24.0,8.4,0.17,8.23,6
NDC,00409469933,propofol (DIPRIVAN) injection 10 mg/mL emulsion 50 mL Vial,30.56,10.7,0.17,10.48,6
NDC,00409469933,propofol (DIPROVAN) infusion 10 mg/mL 50 mL Vial,30.56,10.7,0.17,10.48,6
NDC,00409469953,propofol (DIPRIVAN) injection 10 mg/mL emulsion 50 mL Vial,30.56,10.7,0.17,10.48,6
NDC,00409469954,propofol (DIPRIVAN) injection 10 mg/mL emulsion 100 mL Vial,61.12,21.4,0.17,20.96,6
NDC,00409471201,lidocaine per 10 mg,26.23,9.19,0.02,19.54,6
NDC,00409471302,lidocaine 1 % solution 5 mL AMPUL,24.0,8.4,0.02,17.88,6
NDC,00409471302,lidocaine PF 10 mg/mL (1 %) solution 5 mL AMPUL,24.0,8.4,0.02,17.88,6
NDC,00409471312,lidocaine 1 % solution 5 mL AMPUL,24.0,8.4,0.02,17.88,6
NDC,00409471312,lidocaine PF 10 mg/mL (1 %) solution 5 mL AMPUL,24.0,8.4,0.02,17.88,6
NDC,00409471325,lidocaine PF 10 mg/mL (1 %) solution 2 mL AMPUL,24.0,8.4,0.02,17.88,6
NDC,00409471332,lidocaine 1 % solution 2 mL AMPUL,24.0,8.4,0.02,17.88,6
NDC,00409471332,lidocaine PF 10 mg/mL (1 %) solution 2 mL AMPUL,24.0,8.4,0.02,17.88,6
NDC,00409471365,lidocaine 1 % solution 5 mL AMPUL,24.0,8.4,6.87,17.88,5
NDC,00409471365,lidocaine PF 10 mg/mL (1 %) solution 5 mL AMPUL,24.0,8.4,6.87,17.88,5
NDC,00409475503,ondansetron per 1 mg,24.0,8.4,0.17,8.23,6
NDC,00409475901,ondansetron per 1 mg,24.0,8.4,0.17,8.23,6
NDC,00409477702,ciprofloxacin per 200 mg,24.0,8.4,2.1,10.28,6
NDC,00409488710,sterile water solution 10 mL Vial,9.7,3.4,2.78,7.23,5
NDC,00409488720,sterile water solution 20 mL Vial,13.69,4.8,3.92,10.2,5
NDC,00409488723,sterile water solution 20 mL Vial,13.69,4.8,3.92,10.2,5
NDC,00409488724,sterile water solution 50 mL Vial,19.94,6.98,5.71,14.86,5
NDC,00409488725,sterile water solution 100 mL Vial,23.13,8.1,6.62,17.23,5
NDC,00409488750,sterile water solution 50 mL Vial,19.94,6.98,5.71,14.86,5
NDC,00409488799,sterile water solution 100 mL Vial,23.13,8.1,6.62,17.23,5
NDC,00409488801,sodium chloride 0.9 % (PF) solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409488803,sodium chloride 0.9 % (PF) solution 20 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409488806,sodium chloride 0.9 % (PF) solution 50 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409488810,sodium chloride 0.9 % (PF) solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409488820,sodium chloride 0.9 % (PF) solution 20 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409488850,sodium chloride 0.9 % (PF) solution 50 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409490034,sodium bicarbonate 10 mEq/10 mL (8.4 %) syringe 10 mL Syringe,198.95,69.64,56.98,148.22,5
NDC,00409490234,dextrose 50% syringe 50 mL Syringe,51.92,18.18,14.87,38.68,5
NDC,00409490264,dextrose 50% syringe 50 mL Syringe,51.92,18.18,14.87,38.68,5
NDC,00409490311,lidocaine (cardiac) 100 mg/5 mL (2 %) syringe 5 mL Syringe,24.0,8.4,0.02,17.88,6
NDC,00409490334,lidocaine (cardiac) 100 mg/5 mL (2 %) syringe 5 mL Syringe,24.0,8.4,0.02,17.88,6
NDC,00409491034,atropine per 0.01 mg,55.22,19.33,0.13,18.94,6
NDC,00409491111,atropine per 0.01 mg,52.27,18.3,0.13,17.93,6
NDC,00409491134,atropine per 0.01 mg,52.27,18.3,0.13,17.93,6
NDC,00409492120,"EPINEPHrine (1:10,000) 0.1 mg/mL syringe 10 mL Syringe",24.0,8.4,1.24,17.88,11
NDC,00409492134,"EPINEPHrine (1:10,000) 0.1 mg/mL syringe 10 mL Syringe",24.0,8.4,1.24,17.88,11
NDC,00409492134,"EPINEPHrine endotracheal 0.1 mg/mL (1:10,000) syringe 10 mL Syringe",24.0,8.4,1.24,17.88,11
NDC,00409492834,calcium chloride 100 mg/mL (10 %) syringe 10 mL Syringe,48.43,16.96,13.87,36.08,5
NDC,00409493301,"EPINEPHrine (1:10,000) 0.1 mg/mL syringe 10 mL Syringe",24.0,8.4,6.87,17.88,5
NDC,00409493301,EPINEPHrine 0.1 mg/mL syringe 10 mL Syringe,28.91,10.12,8.28,21.54,5
NDC,00409493301,"EPINEPHrine endotracheal 0.1 mg/mL (1:10,000) syringe 10 mL Syringe",26.455,9.26,6.87,21.54,10
NDC,00409501701,vancomycin 10 gram recon soln 1 each Vial,615.2,215.32,176.19,458.32,5
NDC,00409508216,ceftazidime per 500 mg,24.0,8.4,2.79,9.64,6
NDC,00409523901,magnesium sulfate 2 gram/50 mL (4 %) piggyback 50 mL Flex Cont,45.9,16.07,0.84,15.74,6
NDC,00409523960,magnesium sulfate 2 gram/50 mL (4 %) piggyback 50 mL Flex Cont,45.9,16.07,0.84,15.74,6
NDC,00409553414,sodium bicarbonate 4.2 % (0.5 mEq/mL) syringe 10 mL Syringe,62.66,21.94,17.95,46.68,5
NDC,00409553424,sodium bicarbonate 4.2 % (0.5 mEq/mL) syringe 10 mL Syringe,62.66,21.94,17.95,46.68,5
NDC,00409553434,sodium bicarbonate 4.2 % (0.5 mEq/mL) syringe 10 mL Syringe,30.61,10.72,8.77,22.8,5
NDC,00409555501,sodium bicarbonate 4.2 % solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409555502,sodium bicarbonate 4.2 % solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409555511,sodium bicarbonate 4.2 % solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409555512,sodium bicarbonate 4.2 % solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409582001,dopamine per 40 mg,30.0,10.5,1.27,10.29,6
NDC,00409582011,dopamine per 40 mg,30.0,10.5,1.27,10.29,6
NDC,00409592101,aminophylline per 250 mg,56.62,19.82,8.46,23.66,6
NDC,00409592201,aminophylline 500 mg/20 mL solution 20 mL Vial,36.44,12.76,8.46,23.66,6
NDC,00409592216,aminophylline 500 mg/20 mL solution 20 mL Vial,36.44,12.76,8.46,23.66,6
NDC,00409601025,propofol (DIPRIVAN) injection 10 mg/mL emulsion 20 mL Vial,24.0,8.4,0.17,8.23,6
NDC,00409601025,propofol (DIPROVAN) infusion 10 mg/mL 20 mL Vial,24.0,8.4,0.17,8.23,6
NDC,00409602804,morphine (PF) 5 mg/mL patient control.analgesia soln 30 mL Vial,30.0,10.5,7.71,24.11,6
NDC,00409610202,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,00409610204,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,00409610210,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,00409610226,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,00409610227,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,00409610237,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,00409613803,sodium chloride 0.9 % solution 500 mL Bottle,15.34,5.37,4.39,11.43,5
NDC,00409613903,water for irrigation (sterile) solution 500 mL Bottle,15.34,5.37,4.39,11.43,5
NDC,00409614322,acetic acid 0.25 % solution 250 mL Bottle,15.34,5.37,4.39,11.43,5
NDC,00409648201,erythromycin lactobionate per 500 mg,310.79,108.78,106.6,457.98,6
NDC,00409650901,vancomycin 5 gram recon soln 1 each Vial,255.61,89.47,73.21,190.43,5
NDC,00409651001,vancomycin 10 gram recon soln 1 each Vial,615.2,215.32,176.19,458.32,5
NDC,00409653102,vancomycin per 500 mg,27.85,9.75,7.98,20.75,5
NDC,00409653112,vancomycin per 500 mg,27.85,9.75,7.98,20.75,5
NDC,00409653301,vancomycin per 500 mg,45.65,15.98,3.81,15.66,6
NDC,00409653321,vancomycin per 500 mg,46.11,16.14,13.21,34.35,5
NDC,00409653331,vancomycin per 500 mg,24.0,8.4,6.87,17.88,5
NDC,00409656201,testosterone cypionate 200 mg/mL oil 1 mL Vial,62.28,21.8,0.05,21.36,6
NDC,00409660902,sodium bicarbonate 4 % solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409662502,sodium bicarbonate 1 mEq/mL (8.4 %) solution 50 mL Vial,27.61,9.67,7.91,20.57,5
NDC,00409662514,sodium bicarbonate 1 mEq/mL (8.4 %) solution 50 mL Vial,27.85,9.75,7.98,20.75,5
NDC,00409662530,sodium bicarbonate 1 mEq/mL (8.4 %) solution 50 mL Vial,25.96,9.09,7.43,19.34,5
NDC,00409662535,sodium bicarbonate 1 mEq/mL (8.4 %) solution 50 mL Vial,25.96,9.09,7.43,19.34,5
NDC,00409662902,succinylcholine per 20 mg,54.87,19.21,15.71,40.88,5
NDC,00409663714,sodium bicarbonate 8.4 % (1 mEq/mL) syringe 50 mL Syringe,59.71,20.9,17.1,44.48,5
NDC,00409663724,sodium bicarbonate 8.4 % (1 mEq/mL) syringe 50 mL Syringe,59.71,20.9,17.1,44.48,5
NDC,00409663734,sodium bicarbonate 8.4 % (1 mEq/mL) syringe 50 mL Syringe,30.68,10.74,8.79,22.86,5
NDC,00409664802,dextrose 50% per 500 mL,24.0,8.4,6.87,17.88,5
NDC,00409665106,potassium chloride per 2 mEq of potassium,24.0,8.4,0.2,8.23,6
NDC,00409665119,potassium chloride per 2 mEq of potassium,24.0,8.4,0.2,8.23,6
NDC,00409665305,potassium chloride per 2 mEq of potassium,24.0,8.4,0.2,8.23,6
NDC,00409665318,potassium chloride per 2 mEq of potassium,24.0,8.4,0.2,8.23,6
NDC,00409669501,etomidate 2 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409669502,etomidate 2 mg/mL solution 20 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409672903,magnesium sulfate in water 20 gram/500 mL (4 %) parenteral solution 500 mL Flex Cont,24.0,8.4,0.84,8.23,6
NDC,00409672909,"magnesium sulfate in water 40 gram/1,000 mL (4 %) parenteral solution 1,000 mL Flex Cont",24.0,8.4,0.84,8.23,6
NDC,00409672924,magnesium sulfate 2 gram/50 mL (4 %) piggyback 50 mL Flex Cont,45.9,16.07,0.84,15.74,6
NDC,00409677802,lorazepam per 2 mg,30.0,10.5,1.85,10.29,6
NDC,00409703710,rocuronium 10 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409707426,potassium chloride in water 10 mEq/100 mL piggyback 100 mL Bag,24.0,8.4,0.2,8.23,6
NDC,00409707526,potassium chloride per 2 mEq,24.0,8.4,0.2,8.23,6
NDC,00409710709,"dextrose 5% and sodium chloride 0.9% with KCl 20 mEq/L 20 mEq/L parenteral solution 1,000 mL Bag",24.0,8.4,6.87,17.88,5
NDC,00409711609,"sodium chloride 0.9% with KCl 40 mEq/L 40 mEq/L parenteral solution 1,000 mL Flex Cont",24.0,8.4,0.2,8.23,6
NDC,00409712007,"dextrose 70% (D70W) parenteral solution 2,000 mL Bag",51.92,18.18,14.87,38.68,5
NDC,00409713809,"sodium chloride 0.9 % solution 1,000 mL Bottle",14.16,4.96,4.06,10.55,5
NDC,00409713836,"sodium chloride 0.9 % solution 1,500 mL Bottle",14.16,4.96,4.06,10.55,5
NDC,00409713909,"water for irrigation (sterile) solution 1,000 mL Bottle",14.16,4.96,4.06,10.55,5
NDC,00409724101,epinephrine per 0.1 mg,24.0,8.4,1.24,8.23,6
NDC,00409724110,epinephrine per 0.1 mg,24.0,8.4,1.24,8.23,6
NDC,00409724803,hetastarch 6 % 6 % solution 500 mL Bag,120.36,42.13,34.47,89.67,5
NDC,00409724813,hetastarch 6 % 6 % solution 500 mL Bag,120.36,42.13,34.47,89.67,5
NDC,00409729501,potassium phosphate 3 mmol/mL solution 15 mL Vial,41.88,14.66,11.99,31.2,5
NDC,00409729973,sodium acetate 2 mEq/mL solution 20 mL Vial,31.67,11.09,9.07,23.59,5
NDC,00409733201,ceftriaxone per 250 mg,24.0,8.4,0.8,8.23,6
NDC,00409733503,ceftriaxone per 250 mg,24.0,8.4,0.8,8.23,6
NDC,00409733513,ceftriaxone per 250 mg,24.0,8.4,0.8,8.23,6
NDC,00409733701,ceftriaxone per 250 mg,24.0,8.4,0.8,8.23,6
NDC,00409733801,ceftriaxone per 250 mg,24.0,8.4,0.8,8.23,6
NDC,00409733811,ceftriaxone per 250 mg,24.0,8.4,0.8,8.23,6
NDC,00409739172,sodium phosphate 3 mmol/mL solution 15 mL Vial,113.88,39.86,32.62,84.84,5
NDC,00409739182,sodium phosphate 3 mmol/mL solution 15 mL Vial,113.88,39.86,32.62,84.84,5
NDC,00409741803,dextran 40 10% in dextrose 5% 10 % parenteral solution 500 mL Flex Cont,188.8,66.08,54.07,140.66,5
NDC,00409741903,dextran 40 10% in sodium chloride 0.9% 10 % parenteral solution 500 mL Bag,197.06,68.98,56.44,146.81,5
NDC,00409751716,dextrose 50% syringe 50 mL Syringe,55.81,19.54,15.98,41.58,5
NDC,00409751766,dextrose 50% syringe 50 mL Syringe,55.81,19.54,15.98,41.58,5
NDC,00409755101,mepivacaine 30 mg/mL (3 %) cartridge 1.8 mL Cartridge,30.0,10.5,5.43,16.14,6
NDC,00409760001,"bupivacaine-epinephrine 0.5 %-1:200,000 cartridge 1.8 mL Cartridge",6.0,2.1,1.72,4.47,5
NDC,00409765103,heparin (porcine) per 1000 Units,24.78,8.68,0.39,18.46,11
NDC,00409765113,heparin (porcine) per 1000 Units,24.78,8.68,0.39,18.46,11
NDC,00409771512,mannitol 20 % parenteral solution 250 mL Flex Cont,65.49,22.93,18.76,48.79,5
NDC,00409780922,dopamine per 40 mg,46.61,16.32,1.27,15.99,6
NDC,00409781011,dopamine per 40 mg,66.67,23.34,1.27,22.87,6
NDC,00409781022,dopamine per 40 mg,66.67,23.34,1.27,22.87,6
NDC,00409781124,metroNIDAZOLE 5 mg/mL piggyback 100 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00409781124,metroNIDAZOLE 500 mg/100 mL piggyback 100 mL Bag,24.0,8.4,0.03,17.88,11
NDC,00409781137,metroNIDAZOLE 5 mg/mL piggyback 100 mL Bag,24.0,8.4,6.87,17.88,5
NDC,00409781137,metroNIDAZOLE 500 mg/100 mL piggyback 100 mL Bag,24.0,8.4,0.03,17.88,11
NDC,00409791819,dextrose 70% (D70W) parenteral solution 500 mL Bag,36.58,12.81,10.48,27.25,5
NDC,00409792225,dextrose 5% per 500 mL,24.0,8.4,3.18,9.48,6
NDC,00409792403,dextrose 5% and sodium chloride 0.2% parenteral solution 500 mL Flex Cont,24.0,8.4,6.87,17.88,5
NDC,00409794109,"dextrose 5% and sodium chloride 0.9% parenteral solution 1,000 mL Bag",24.0,8.4,2.06,8.23,6
NDC,00409794109,dextrose 5% in normal saline per 1000 mL,24.0,8.4,6.87,17.88,5
NDC,00409795303,lactated ringer's 500 mL Bag,24.0,8.4,4.27,17.88,11
NDC,00409795303,lactated ringers per 1000 mL,24.0,8.4,4.27,12.53,6
NDC,00409795309,"lactated ringer's 1,000 mL Bag",24.0,8.4,4.27,17.88,11
NDC,00409795309,lactated ringers per 1000 mL,24.0,8.4,4.27,12.53,6
NDC,00409797208,"sodium chloride 0.9 % solution 3,000 mL Bag",22.18,7.77,6.35,16.52,5
NDC,00409797308,"water for irrigation (sterile) solution 3,000 mL Flex Cont",28.32,9.92,8.11,21.1,5
NDC,00409797408,"glycine urologic solution 1.5 % solution 3,000 mL Bottle",35.4,12.39,10.14,26.37,5
NDC,00409798108,"sorbitoL-mannitoL 2.7-0.54 gram/100 mL solution 3,000 mL Bottle",42.48,14.87,12.17,31.65,5
NDC,00409798302,sodium chloride 0.9 % 250 mL Flex Cont,24.0,8.4,1.11,8.23,6
NDC,00409798302,sodium chloride per 500 mL,24.0,8.4,1.11,8.23,6
NDC,00409798309,sodium chloride per 500 mL,24.0,8.4,4.44,13.33,6
NDC,00409798437,sodium chloride per 500 mL,24.0,8.4,6.87,17.88,5
NDC,00409812601,"BUPivacaine-EPINEPHrine (PF) 0.5 %-1:200,000 solution 10 mL Vial",24.0,8.4,6.87,17.88,5
NDC,00409812610,"BUPivacaine-EPINEPHrine (PF) 0.5 %-1:200,000 solution 10 mL Vial",24.0,8.4,6.87,17.88,5
NDC,00409818301,potassium acetate 2 mEq/mL solution 20 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409830010,bivalirudin per 1 mg,1433.72,501.81,0.3,491.77,6
NDC,00409830020,bivalirudin per 1 mg,1433.72,501.81,0.3,491.77,6
NDC,00409904517,"BUPivacaine-EPINEPHrine (PF) 0.5 %-1:200,000 solution 30 mL Vial",24.0,8.4,6.87,17.88,5
NDC,00409904601,"BUPivacaine-EPINEPHrine 0.5 %-1:200,000 solution 50 mL Vial",26.31,9.21,7.54,19.6,5
NDC,00409909332,fentanyl per 0.1 mg,30.0,10.5,1.6,10.29,6
NDC,00409909335,fentanyl per 0.1 mg,30.0,10.5,1.6,10.29,6
NDC,00409909337,fentanyl per 0.1 mg,30.0,10.5,1.6,10.29,6
NDC,00409909409,fentanyl per 0.1 mg,30.0,10.5,1.6,10.29,6
NDC,00409909411,fentanyl per 0.1 mg,30.0,10.5,1.6,10.29,6
NDC,00409909416,fentanyl per 0.1 mg,30.0,10.5,1.6,10.29,6
NDC,00409909418,fentanyl per 0.1 mg,30.0,10.5,1.6,10.29,6
NDC,00409909422,fentanyl per 0.1 mg,30.0,10.5,1.6,10.29,6
NDC,00409909425,fentanyl per 0.1 mg,30.0,10.5,1.6,10.29,6
NDC,00409909428,fentanyl per 0.1 mg,30.0,10.5,1.6,10.29,6
NDC,00409909431,fentanyl per 0.1 mg,30.0,10.5,1.6,10.29,6
NDC,00409909441,fentanyl per 0.1 mg,88.74,31.06,1.6,30.44,6
NDC,00409909461,fentanyl per 0.1 mg,88.74,31.06,1.6,30.44,6
NDC,00409910420,DOPamine 400 mg/10 mL (40 mg/mL) solution 10 mL Vial,24.0,8.4,1.27,8.23,6
NDC,00409910421,DOPamine 400 mg/10 mL (40 mg/mL) solution 10 mL Vial,24.0,8.4,1.27,8.23,6
NDC,00409913705,lidocaine (cardiac) 50 mg/5 mL (1 %) syringe 5 mL Syringe,42.44,14.86,0.02,31.62,6
NDC,00409913711,lidocaine (cardiac) 50 mg/5 mL (1 %) syringe 5 mL Syringe,42.44,14.86,0.02,31.62,6
NDC,00409915701,phytonadione 1 mg/0.5 mL solution 0.5 mL AMPUL,24.0,8.4,4.52,15.05,6
NDC,00409915725,phytonadione 1 mg/0.5 mL solution 0.5 mL AMPUL,24.0,8.4,4.52,15.05,6
NDC,00409915801,phytonadione 10 mg/mL solution 1 mL AMPUL,138.68,48.54,4.52,47.57,6
NDC,00409915825,phytonadione 10 mg/mL solution 1 mL AMPUL,135.92,47.58,4.52,46.62,6
NDC,00409915831,phytonadione 10 mg/mL solution 1 mL AMPUL,138.68,48.54,4.52,47.57,6
NDC,00409930020,ropivacaine per 1 mg,24.0,8.4,0.11,8.23,6
NDC,00409930021,ropivacaine per 1 mg,24.0,8.4,0.11,8.23,6
NDC,00409955805,rocuronium 10 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409955810,rocuronium 10 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409955811,rocuronium 10 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409955849,rocuronium 10 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00409956601,cefepime per 500 mg,24.0,8.4,2.08,8.23,6
NDC,00409956610,cefepime per 500 mg,24.0,8.4,2.08,8.23,6
NDC,00409973501,cefepime per 500 mg,28.46,9.97,2.08,9.76,6
NDC,00409973510,cefepime per 500 mg,28.46,9.97,2.08,9.76,6
NDC,00430017015,darifenacin 7.5 MG tablet extended release 24 hr 30 each Bottle,35.97,12.59,10.3,26.8,5
NDC,00430042014,norethindrone-ethinyl estradiol-iron 1 mg-10 mcg tablet 28 each BLIST PACK,19.07,6.68,5.46,14.21,5
NDC,00436067216,sodium hypochlorite 0.125 % solution 473 mL Bottle,32.37,11.33,9.27,24.12,5
NDC,00436093616,sodium hypochlorite 0.25 % solution 473 mL Bottle,32.37,11.33,9.27,24.12,5
NDC,00436094616,sodium hypochlorite 0.5 % solution 473 mL Bottle,32.37,11.33,9.27,24.12,5
NDC,00450008002,"lactase 3,000 unit tablet 120 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00450012230,acetaminophen 160 mg/5 mL suspension 30 mL Bottle,11.68,4.09,3.35,8.7,5
NDC,00450013404,loperamide 1 mg/7.5 mL liquid 120 mL Bottle,12.18,4.27,3.49,9.07,5
NDC,00450051824,"acetaminophen 160 MG tablet,chewable 24 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00450055320,"diphenhydrAMINE 12.5 mg tablet,chewable 20 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,00450091032,"lactase 9,000 unit tablet 32 each Box",6.0,2.1,1.72,4.47,5
NDC,00450093032,"lactase 9,000 unit tablet,chewable 32 each Box",6.0,2.1,1.72,4.47,5
NDC,00456045701,"thyroid, pork 15 mg tablet 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00456045801,thyroid 30 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00456045901,thyroid 60 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00456060001,ceftaroline fosamil per 10 mg,729.13,255.2,4.25,250.09,10
NDC,00456060010,ceftaroline fosamil per 10 mg,729.13,255.2,4.25,250.09,10
NDC,00456112030,vilazodone 20 mg tablet 30 each Bottle,34.44,12.06,9.86,25.66,5
NDC,00456114030,vilazodone 40 mg tablet 30 each Bottle,34.44,12.06,9.86,25.66,5
NDC,00456120130,linaCLOtide 145 mcg capsule 30 each Bottle,53.62,18.77,15.36,39.95,5
NDC,00456120230,linaCLOtide 290 mcg capsule 30 each Bottle,53.62,18.77,15.36,39.95,5
NDC,00456120330,linaCLOtide 72 mcg capsule 30 each Bottle,53.62,18.77,15.36,39.95,5
NDC,00456140530,nebivoloL 5 MG tablet 30 each Bottle,16.44,5.76,4.71,12.25,5
NDC,00456224030,"levomilnacipran 40 mg capsule,extended release 24 hr 30 each Bottle",49.69,17.4,14.23,37.02,5
NDC,00456240260,"asenapine maleate 2.5 mg tablet, sublingual 60 each BLIST PACK",59.51,20.83,17.04,44.33,5
NDC,00456240560,"asenapine maleate 5 mg tablet, sublingual 60 each BLIST PACK",59.51,20.83,17.04,44.33,5
NDC,00456241006,"asenapine maleate 10 mg tablet, sublingual 10 each BLIST PACK",59.51,20.83,17.04,44.33,5
NDC,00456241060,"asenapine maleate 10 mg tablet, sublingual 60 each BLIST PACK",59.51,20.83,17.04,44.33,5
NDC,00456270001,cefTAZidime-avibactam 2.5 gram recon soln 1 each Vial,1176.31,411.71,104.75,484.98,10
NDC,00456270010,cefTAZidime-avibactam 2.5 gram recon soln 1 each Vial,1176.31,411.71,104.75,484.98,10
NDC,00456320511,memantine 5 MG tablet 1 each BLIST PACK,20.99,7.35,6.01,15.64,5
NDC,00456320560,memantine 5 MG tablet 60 each Bottle,20.99,7.35,6.01,15.64,5
NDC,00456430001,fosfomycin 3 gram packet 1 each Packet,258.47,90.47,74.03,192.56,5
NDC,00469012599,enzalutamide 40 mg capsule 120 each Bottle,351.78,123.13,100.75,262.08,5
NDC,00469042001,isavuconazonium 372 mg recon soln 1 each Vial,1116.89,390.92,319.88,832.08,5
NDC,00469042099,isavuconazonium 372 mg recon soln 1 each Vial,10327.17,3614.51,2957.7,7693.74,5
NDC,00469052002,isavuconazonium 186 mg capsule 14 each BLIST PACK,327.8,114.73,93.88,244.21,5
NDC,00469052014,isavuconazonium 186 mg capsule 14 each BLIST PACK,285.94,100.08,81.89,213.03,5
NDC,00469061773,tacrolimus per 1 mg,20.95,7.34,0.4,7.19,6
NDC,00469133050,tacrolimus 1 mg granules in packet 50 each Packet,21.98,7.7,6.3,16.38,5
NDC,00469260130,mirabegron 25 mg tablet extended release 24 hr 30 each Bottle,43.45,15.21,12.44,32.37,5
NDC,00469301601,tacrolimus 5 mg/mL solution 1 mL AMPUL,722.24,252.79,247.73,1290.53,10
NDC,00469305130,amphotericin b liposome per 10 mg,901.45,315.51,22.81,309.2,10
NDC,00469321110,micafungin 100 mg recon soln 1 each Vial,529.58,185.36,0.53,181.65,6
NDC,00469321199,micafungin 100 mg recon soln 1 each Vial,529.58,185.36,0.53,181.65,6
NDC,00469325010,micafungin per 1 mg,264.91,92.72,0.53,90.86,6
NDC,00469325050,micafungin per 1 mg,264.79,92.68,0.53,90.82,6
NDC,00469520230,tacrolimus 0.1 % ointment 30 g Tube,655.61,229.47,187.77,488.43,5
NDC,00469520260,tacrolimus 0.1 % ointment 60 g Tube,1311.22,458.93,375.53,976.86,5
NDC,00469650189,regadenoson 0.4 mg/5 mL syringe 5 mL Syringe,729.97,255.49,5.19,326.6,6
NDC,00469823412,adenosine per 6 mg,102.05,35.72,0.72,35.0,6
NDC,00469823414,adenosine per 6 mg,193.55,67.75,0.72,66.39,6
NDC,00472008216,acyclovir 200 mg/5 mL suspension 473 mL Bottle,1035.91,362.57,296.68,771.75,5
NDC,00472009473,minoxidiL 5 % solution 60 mL Bottle,59.47,20.82,17.03,44.31,5
NDC,00472016615,"nystatin 100,000 unit/gram ointment 15 g Tube",41.31,14.46,11.83,30.78,5
NDC,00472017956,"neomycin-bacitracnZn-polymyxnB 3.5mg-400 unit- 5,000 unit/gram ointment 28 g Tube",16.78,5.88,4.81,12.5,5
NDC,00472024260,permethrin 5 % cream 60 g Tube,292.12,102.25,83.66,217.63,5
NDC,00472038045,betamethasone dipropionate 0.05 % cream 45 g Tube,196.36,68.73,56.24,146.29,5
NDC,00472038115,betamethasone dipropionate 0.05 % ointment 15 g Tube,119.05,41.67,34.1,88.69,5
NDC,00472038145,betamethasone dipropionate 0.05 % ointment 45 g Tube,239.69,83.9,68.65,178.57,5
NDC,00472038215,betamethasone (augmented) 0.05 % ointment 15 g Tube,149.71,52.4,42.88,111.53,5
NDC,00472038245,betamethasone (augmented) 0.05 % ointment 45 g Tube,301.4,105.49,86.32,224.54,5
NDC,00472073514,miconazole 2 % cream 14 g Tube,6.0,2.1,1.72,4.47,5
NDC,00472073556,miconazole 2 % cream 28 g Tube,7.27,2.55,2.08,5.42,5
NDC,00472082516,albuterol 2 mg/5 mL syrup 473 mL Bottle,71.44,25.01,20.46,53.22,5
NDC,00472082902,fluocinonide 0.05 % solution 60 mL Bottle,229.39,80.29,65.7,170.9,5
NDC,00472110556,bacitracin 500 unit/gram ointment 28 g Tube,18.7,6.55,5.36,13.93,5
NDC,00472125594,ibuprofen 100 mg/5 mL suspension 118 mL Bottle,8.63,3.03,2.47,6.43,5
NDC,00472127094,ibuprofen 100 mg/5 mL suspension 118 mL Bottle,26.18,9.17,7.5,19.5,5
NDC,00480134208,risperidone microspheres per 0.5 mg,2480.22,868.08,10.8,850.72,10
NDC,00480773606,darunavir 600 MG tablet 60 each Bottle,93.95,32.89,26.91,69.99,5
NDC,00486111101,"potassium phosphate 500 mg tablet,soluble 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00487020101,ipratropium-albuterol sulfate 0.5-3 mg/3 mL solution for nebulization 3 mL Vial,6.0,2.1,0.28,2.06,6
NDC,00487020103,ipratropium-albuterol sulfate 0.5-3 mg/3 mL solution for nebulization 3 mL Vial,6.0,2.1,0.28,2.06,6
NDC,00487020160,ipratropium-albuterol sulfate 0.5-3 mg/3 mL solution for nebulization 3 mL Vial,6.0,2.1,0.28,2.06,6
NDC,00487278401,racemic epinephrine 2.25 % solution for nebulization 1 each Vial,6.0,2.1,1.72,4.47,5
NDC,00487590199,racemic epinephrine 2.25 % solution for nebulization 1 each Vial,6.0,2.1,1.72,4.47,5
NDC,00487900330,sodium chloride 3 % solution for nebulization 4 mL Vial,6.0,2.1,1.72,4.47,5
NDC,00487900360,sodium chloride 3 % solution for nebulization 4 mL Vial,6.0,2.1,1.72,4.47,5
NDC,00487930103,sodium chloride 0.9 % solution for nebulization 3 mL Vial,6.0,2.1,1.72,4.47,5
NDC,00487930133,sodium chloride 0.9 % solution for nebulization 3 mL Vial,6.0,2.1,1.72,4.47,5
NDC,00487950101,albuterol per 1 mg,6.0,2.1,0.07,2.06,6
NDC,00487950103,albuterol per 1 mg,6.0,2.1,0.07,2.06,6
NDC,00487960101,budesonide per 0.25 mg,22.39,7.84,1.67,7.68,6
NDC,00487960130,budesonide per 0.25 mg,14.04,4.92,1.67,4.82,6
NDC,00487970101,budesonide per 0.25 mg,26.35,9.23,1.67,9.04,6
NDC,00487980101,ipratropium per 1 mg,6.0,2.1,0.53,2.06,6
NDC,00496088206,lidocaine 4 % cream 5 g Tube,19.82,6.94,5.68,14.77,5
NDC,00501340002,zinc oxide 40 % ointment 57 g Tube,10.49,3.68,3.0,7.82,5
NDC,00501340104,zinc oxide 13 % cream 113 g Tube,13.33,4.67,3.82,9.93,5
NDC,00517003125,cyanocobalamin per 1000 mcg,24.0,8.4,2.07,8.23,6
NDC,00517037401,methylene blue 5 mg/mL solution 10 mL AMPUL,663.8,232.33,190.11,494.53,5
NDC,00517037405,methylene blue 5 mg/mL solution 10 mL AMPUL,663.8,232.33,190.11,494.53,5
NDC,00517037505,indigotindisulfonate 8 mg/mL (0.8 %) solution 5 mL AMPUL,533.61,186.77,152.83,397.54,5
NDC,00517038105,methylene blue 5 mg/mL solution 10 mL Vial,663.8,232.33,190.11,494.53,5
NDC,00517040125,atropine per 0.01 mg,24.0,8.4,0.13,8.23,6
NDC,00517042001,estradiol valerate per 10 mg,39.38,13.79,13.51,56.54,6
NDC,00517065001,ferric carboxymaltose 50 mg iron/mL solution 15 mL Vial,4344.15,1520.46,1.1,1490.04,10
NDC,00517071001,fomepizone per 15 mg,4903.92,1716.38,1404.48,3653.42,5
NDC,00517072001,betamethasone acet & sod phos per 4 mg,155.85,54.55,11.25,53.46,6
NDC,00517073501,niCARdipine 25 mg/10 mL solution 10 mL Vial,87.06,30.48,0.18,64.86,11
NDC,00517073510,niCARdipine 25 mg/10 mL solution 10 mL Vial,87.06,30.48,0.18,64.86,11
NDC,00517074001,methylergonovine maleate per 0.2 mg,88.58,31.01,30.38,109.55,6
NDC,00517074020,methylergonovine maleate per 0.2 mg,88.58,31.01,30.38,109.55,6
NDC,00517090101,hydralazine per 20 mg,42.48,14.87,7.28,29.95,6
NDC,00517090125,hydralazine per 20 mg,42.48,14.87,7.28,29.95,6
NDC,00517095501,OLANZapine 10 mg recon soln 1 each Vial,109.28,38.254999999999995,1.57,79.51,11
NDC,00517096001,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",58.95,20.64,16.88,43.92,5
NDC,00517096010,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",58.95,20.64,16.88,43.92,5
NDC,00517100101,atropine per 0.01 mg,48.03,16.82,0.13,35.78,11
NDC,00517100125,atropine per 0.01 mg,48.03,16.82,0.13,35.78,11
NDC,00517100401,atropine per 0.01 mg,31.195,10.920000000000002,0.13,23.69,11
NDC,00517100425,atropine per 0.01 mg,31.195,10.920000000000002,0.13,23.69,11
NDC,00517101025,atropine per 0.01 mg,35.57,12.45,0.13,12.2,6
NDC,00517102001,vasopressin 20 unit/mL solution 1 mL Vial,141.6,49.56,40.55,105.49,5
NDC,00517102025,vasopressin 20 unit/mL solution 1 mL Vial,141.6,49.56,40.55,105.49,5
NDC,00517104501,levocarnitine per 1 g,101.02,35.36,34.65,185.74,6
NDC,00517104505,levocarnitine per 1 g,101.02,35.36,34.65,185.74,6
NDC,00517176701,hydroxyprogesterone 250 mg/mL (1 mL) oil 1 mL Vial,2013.53,704.74,576.67,1500.08,5
NDC,00517176701,hydroxyprogesterone 250 mg/mL oil 1 mL Vial,2013.53,704.74,576.67,1500.08,5
NDC,00517182001,chlorothiazide per 500 mg,472.0,165.2,71.82,322.89,6
NDC,00517190525,dopamine per 40 mg,24.0,8.4,1.27,8.23,6
NDC,00517205101,potassium phosphate 3 mmol/mL solution 5 mL Vial,67.89,23.77,19.44,50.58,5
NDC,00517205125,potassium phosphate 3 mmol/mL solution 5 mL Vial,67.89,23.77,19.44,50.58,5
NDC,00517210201,potassium phosphate 3 mmol/mL solution 15 mL Vial,135.79,47.53,38.89,101.16,5
NDC,00517210225,potassium phosphate 3 mmol/mL solution 15 mL Vial,135.79,47.53,38.89,101.16,5
NDC,00517231005,iron sucrose 200 mg iron/10 mL solution 10 mL Vial,367.83,128.75,0.36,126.17,6
NDC,00517234010,iron sucrose per 1 mg,183.94,64.38,0.36,63.09,6
NDC,00517250210,caffeine-sodium benzoate 250 mg/mL (125 mg/mL caffeine) solution 2 mL Vial,110.84,38.8,31.74,82.58,5
NDC,00517271025,calcium chloride 100 mg/mL (10 %) solution 10 mL Vial,54.73,19.16,15.67,40.77,5
NDC,00517301001,sterile water solution 10 mL Vial,8.83,3.1,2.53,6.58,5
NDC,00517301025,sterile water solution 10 mL Vial,8.83,3.1,2.53,6.58,5
NDC,00517390025,calcium gluconate per 10 mL,38.23,13.39,10.95,28.48,5
NDC,00517400201,papaverine per 60 mg,117.27,41.05,33.59,87.37,5
NDC,00517400225,papaverine per 60 mg,117.27,41.05,33.59,87.37,5
NDC,00517460125,glycopyrrolate 0.2 mg/mL solution 1 mL Vial,38.35,13.43,0.92,28.57,11
NDC,00517481025,nitroglycerin 50 mg/10 mL (5 mg/mL) solution 10 mL Vial,42.22,14.780000000000001,2.13,30.1,11
NDC,00517560125,hydroxyzine per 25 mg,95.47,33.42,16.35,71.43,6
NDC,00517560225,hydroxyzine per 25 mg,131.46,46.02,16.35,71.43,6
NDC,00517611025,zinc sulfate 1 mg/mL solution 10 mL Vial,75.28,26.35,21.56,56.08,5
NDC,00517620225,trace elements Cr-Cu-Mn-Zn 0.85 mcg-0.1 mg -25mcg-1.5mg/mL solution 2 mL Vial,32.79,11.48,9.39,24.43,5
NDC,00517651025,selenium 40 mcg/mL solution 10 mL Vial,50.22,17.58,14.38,37.41,5
NDC,00517671001,calcium chloride 100 mg/mL (10 %) solution 10 mL Vial,57.25,20.04,16.4,42.65,5
NDC,00517671010,calcium chloride 100 mg/mL (10 %) solution 10 mL Vial,57.25,20.04,16.4,42.65,5
NDC,00517730501,sodium phosphate 3 mmol/mL solution 5 mL Vial,54.94,19.23,15.73,40.93,5
NDC,00517730525,sodium phosphate 3 mmol/mL solution 5 mL Vial,54.94,19.23,15.73,40.93,5
NDC,00517750425,acetylcysteine 100 mg/mL (10 %) solution 4 mL Vial,64.29,22.51,11.27,35.86,6
NDC,00517760425,acetylcysteine 200 mg/mL (20 %) solution 4 mL Vial,42.71,14.95,11.27,35.86,6
NDC,00517763003,acetylcysteine 200 mg/mL (20 %) solution 30 mL Vial,89.99,31.5,11.27,35.86,6
NDC,00517912001,aminocaproic acid per 5 g,27.284999999999997,9.555,7.3,21.66,10
NDC,00517912025,aminocaproic acid per 5 g,27.284999999999997,9.555,7.3,21.66,10
NDC,00517970225,droperidol per 5 mg,30.1,10.54,10.32,46.95,6
NDC,00527111610,"sodium chloride 1,000 mg tablet,soluble 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00527128201,dicyclomine per 20 mg,6.0,2.1,1.72,4.47,5
NDC,00527130101,primidone 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00527131101,terbutaline 5 mg tablet 100 each Bottle,15.68,5.49,4.49,11.68,5
NDC,00527131301,pilocarpine 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00527131501,rifAMPin 300 MG capsule 100 each Bottle,10.84,3.8,3.1,8.08,5
NDC,00527131530,rifAMPin 300 MG capsule 30 each Bottle,10.84,3.8,3.1,8.08,5
NDC,00527131801,terbutaline 2.5 MG tablet 100 each Bottle,12.84,4.5,3.68,9.57,5
NDC,00527133201,bethanechol 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00527134101,levothyroxine 25 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00527134201,levothyroxine 50 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00527134301,levothyroxine 75 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00527134401,levothyroxine 88 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00527134501,levothyroxine 100 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00527134601,levothyroxine 112 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00527135001,levothyroxine 175 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00527136701,probenecid 500 mg tablet 100 each Bottle,8.81,3.09,2.52,6.56,5
NDC,00527139401,loxapine 5 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00527139501,loxapine 10 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00527139601,loxapine 25 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00527139701,loxapine 50 MG capsule 100 each Bottle,6.07,2.13,1.74,4.52,5
NDC,00527142562,morphine 20 mg/mL solution 120 mL Bottle,9.0,3.15,2.58,6.71,5
NDC,00527145106,dronabinol per 5 mg,28.93,10.13,1.34,9.92,6
NDC,00527150237,dextroamphetamine-amphetamine 10 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00527169501,butalbital-acetaminophen-caffeine 50-325-40 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00527172874,cocaine 4 % solution 4 mL Bottle,526.56,184.3,150.81,392.29,5
NDC,00527178801,fluPHENAZine 1 MG tablet 100 each Bottle,10.37,3.63,2.97,7.73,5
NDC,00527178901,fluPHENAZine 2.5 MG tablet 100 each Bottle,16.05,5.62,4.6,11.96,5
NDC,00527179001,fluPHENAZine 5 MG tablet 100 each Bottle,21.71,7.6,6.22,16.17,5
NDC,00527179101,fluPHENAZine 10 MG tablet 100 each Bottle,27.38,9.59,7.84,20.4,5
NDC,00527193206,clarithromycin 500 MG tablet 60 each Bottle,14.2,4.97,4.07,10.58,5
NDC,00527194866,levoFLOXacin 25 mg/mL solution 100 mL Bottle,757.56,265.15,216.97,564.38,5
NDC,00527213335,"posaconazole 100 mg tablet,delayed release (DR/EC) 60 each Bottle",174.66,61.14,50.02,130.12,5
NDC,00527293037,prednisone per 5 mg,6.0,2.1,0.02,2.06,6
NDC,00527321937,dantrolene 25 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00527328146,levothyroxine 50 MCG tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00527411637,"propranoloL 60 MG capsule,extended release 24 hr 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00527411737,"propranoloL 80 MG capsule,extended release 24 hr 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00527459113,oseltamivir 30 MG capsule 10 each BLIST PACK,33.47,11.72,9.59,24.94,5
NDC,00527459313,oseltamivir 75 MG capsule 10 each BLIST PACK,36.48,12.77,10.45,27.18,5
NDC,00527516082,mycophenolate mofetil per 250 mg,26.72,9.36,0.31,9.16,6
NDC,00527551037,"amphetamine-dextroamphetamine XR 5 MG capsule,extended release 24hr 100 each Bottle",14.47,5.07,4.14,10.78,5
NDC,00527551337,"amphetamine-dextroamphetamine XR 20 MG capsule,extended release 24hr 100 each Bottle",14.47,5.07,4.14,10.78,5
NDC,00527600480,lidocaine 4 % (40 mg/mL) solution 50 mL Bottle,152.57,53.4,43.7,113.66,5
NDC,00536009185,aluminum hydroxide 320 mg/5 mL suspension 473 mL Bottle,17.86,6.26,5.12,13.31,5
NDC,00536102107,"bismuth subsalicylate 262 mg tablet,chewable 30 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00536104710,"sodium bicarbonate 650 MG tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00536104815,"calcium carbonate 200 mg calcium (500 mg) tablet,chewable 150 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00536105301,aspirin 325 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00536105556,benzoyl peroxide 5 % gel 42.5 g Tube,13.44,4.71,3.85,10.01,5
NDC,00536105656,benzoyl peroxide 10 % gel 42.5 g Tube,16.35,5.73,4.68,12.18,5
NDC,00536108494,polyvinyl alcohol 1.4 % drops 15 mL DROP BTL,6.27,2.2,1.8,4.67,5
NDC,00536113428,miconazole 2 % cream 30 g Tube,12.46,4.37,3.57,9.28,5
NDC,00536118612,phenylephrine 0.25% suppository 12 each Box,6.0,2.1,1.72,4.47,5
NDC,00536120215,"lidocaine 4 % adhesive patch,medicated 5 each Box",6.0,2.1,1.72,4.47,5
NDC,00536121195,dibucaine 1 % ointment 28 g Tube,12.95,4.54,3.71,9.65,5
NDC,00536122308,"simethicone 125 MG tablet,chewable 60 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00536123801,bisacodyL 10 mg suppository 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00536125240,ketotifen 0.025 % (0.035 %) drops 5 mL DROP BTL,30.02,10.51,8.6,22.36,5
NDC,00536125391,sodium chloride 5 % ointment 3.5 g Tube,25.42,8.9,7.28,18.94,5
NDC,00536125494,sodium chloride 5 % drops 15 mL DROP BTL,12.43,4.36,3.56,9.26,5
NDC,00536126659,senna 8.8 mg/5 mL syrup 237 mL Bottle,29.08,10.18,8.33,21.66,5
NDC,00536127780,hydrocortisone-aloe vera 1 % cream 28 g Tube,6.0,2.1,1.72,4.47,5
NDC,00536129701,meclizine 12.5 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00536130375,"simethicone 40 mg/0.6 mL drops,suspension 30 mL DROP BTL",6.16,2.16,1.76,4.59,5
NDC,00536130485,docusate 100 mg/10 mL liquid 473 mL Bottle,29.02,10.16,8.31,21.62,5
NDC,00536132594,polyvinyl alcohol 1.4 % drops 15 mL DROP BTL,14.83,5.2,4.25,11.05,5
NDC,00536132701,acetaminophen 325 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00536132710,"acetaminophen 325 MG tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00536136206,nicotine polacrilex 2 mg gum 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00536136223,nicotine polacrilex 2 mg gum 110 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00536138912,phenylephrine 0.25 % suppository 12 each Box,6.0,2.1,1.72,4.47,5
NDC,00536140894,polyvinyl alcohol 1.4 % drops 15 mL DROP BTL,15.19,5.32,4.35,11.32,5
NDC,00536185097,pseudoephedrine 30 mg/5 mL liquid 118 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00536196297,salicylic acid-sulfur 2-2 % shampoo 118 mL Bottle,10.3,3.61,2.95,7.67,5
NDC,00536222075,"simethicone 40 mg/0.6 mL drops,suspension 30 mL DROP BTL",16.64,5.83,4.77,12.4,5
NDC,00536242558,"phenoL 1.4 % aerosol,spray 177 mL Bottle",6.68,2.34,1.91,4.98,5
NDC,00536252525,capsaicin 0.025 % cream 60 g Tube,23.51,8.23,6.73,17.51,5
NDC,00536277085,calcium glubionate 115 mg/5 mL (1.8 gram/5 mL) syrup 473 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00536302934,nicotine polacrilex 2 mg gum 20 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00536303025,nicotine polacrilex 4 MG gum 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00536355601,cyanocobalamin 1000 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00536407601,niacin 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00536440601,pyridoxine 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00536589453,nicotine 7 mg/24 hr patch 24 hour 7 each Box,6.0,2.1,1.72,4.47,5
NDC,00536589488,nicotine 7 mg/24 hr patch 24 hour 14 each Box,6.0,2.1,1.72,4.47,5
NDC,00536589533,nicotine 14 mg/24 hr patch 24 hour 1 each Box,6.0,2.1,1.72,4.47,5
NDC,00536589588,nicotine 14 mg/24 hr patch 24 hour 14 each Box,6.0,2.1,1.72,4.47,5
NDC,00536589671,nicotine 21 mg/24 hr patch 24 hour 28 each Box,6.0,2.1,1.72,4.47,5
NDC,00536589688,nicotine 21 mg/24 hr patch 24 hour 14 each Box,6.0,2.1,1.72,4.47,5
NDC,00536641208,melatonin 3 mg tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00536730001,multivitamin 0.8 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00536741008,levOCARNitine tartrate 250 mg capsule 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00536741551,sodium phosphates 19-7 gram/118 mL enema 133 mL SQUEEZ BTL,6.0,2.1,1.72,4.47,5
NDC,00536845080,"pediatric polyvitamin 1,500-35-400 unit-mg-unit/mL drops 50 mL DROP BTL",12.39,4.34,3.55,9.23,5
NDC,00548540000,medroxyPROGESTERone 150 mg/mL suspension 1 mL Vial,99.12,34.695,0.05,94.94,11
NDC,00548540025,medroxyPROGESTERone 150 mg/mL suspension 1 mL Vial,99.12,34.695,0.05,94.94,11
NDC,00548541000,medroxyPROGESTERone 150 mg/mL suspension 1 mL Vial,127.44,44.61,0.05,43.71,6
NDC,00548570100,medroxyPROGESTERone 150 mg/mL suspension 1 mL Syringe,70.8,24.78,0.05,24.28,6
NDC,00548570100,medroxyPROGESTERone 150 mg/mL syringe 1 mL Syringe,70.8,24.78,0.05,24.28,6
NDC,00548585000,glucagon (rdna) per 1 mg,792.96,277.54,146.33,1023.54,10
NDC,00548590000,cosyntropin per 0.25 mg,301.83,105.65,44.73,146.22,6
NDC,00548950100,isoproterenol 0.2 mg/mL solution 1 mL Vial,523.92,183.38,150.05,390.32,5
NDC,00548950200,isoproterenol 0.2 mg/mL solution 5 mL Vial,566.4,198.24,162.22,421.97,5
NDC,00548960200,neostigmine 1 mg/mL solution 10 mL Vial,50.98,17.85,14.6,37.98,5
NDC,00555006602,isoniazid 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00555007101,isoniazid 300 MG tablet 30 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00555007102,isoniazid 300 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00555014009,galantamine 12 MG tablet 60 each Bottle,7.51,2.63,2.15,5.59,5
NDC,00555017178,mefloquine 250 mg tablet 25 each BLIST PACK,24.99,8.75,7.16,18.62,5
NDC,00555021110,norethindrone 5 mg tablet 50 each Bottle,6.25,2.19,1.79,4.66,5
NDC,00555025202,dipyridamole 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00555058801,"didanosine EC 200 MG capsule,delayed release(DR/EC) 30 each Bottle",14.57,5.1,4.17,10.85,5
NDC,00555060702,megestroL 40 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00555063302,danazoL 50 MG capsule 100 each Bottle,8.56,3.0,2.45,6.38,5
NDC,00555063502,danazoL 200 MG capsule 100 each Bottle,21.4,7.49,6.13,15.94,5
NDC,00555077702,dextroamphetamine-amphetamine 15 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00555080802,tretinoin 10 mg capsule 100 each Bottle,88.15,30.86,25.25,65.67,5
NDC,00555087202,medroxyPROGESTERone 2.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00555088702,estradioL 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00555089902,estradioL 0.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00555095502,"dextroamphetamine 10 MG capsule, extended release 100 each Bottle",11.94,4.18,3.42,8.9,5
NDC,00555097102,dextroamphetamine-amphetamine 5 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00555901467,levonorgestrel-ethinyl estradiol 0.1-20 mg-mcg tablet 28 each BLIST PACK,82.53,28.89,23.64,61.48,5
NDC,00555901479,levonorgestrel-ethinyl estradiol 0.1-20 mg-mcg tablet 28 each BLIST PACK,82.53,28.89,23.64,61.48,5
NDC,00555901658,norgestimate-ethinyl estradioL 0.25-0.035 mg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00555901858,norgestimate-ethinyl estradioL 0.18/0.215/0.25 mg-0.035mg (28) tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00555902058,levonorgestrel-ethinyl estradiol 0.15-0.03 mg tablet 28 each BLIST PACK,73.02,25.56,20.91,54.4,5
NDC,00555902079,levonorgestrel-ethinyl estradiol 0.15-0.03 mg tablet 28 each BLIST PACK,73.02,25.56,20.91,54.4,5
NDC,00555904358,desogestreL-ethinyl estradioL 0.15-0.03 mg tablet 28 each BLIST PACK,72.03,25.22,20.63,53.66,5
NDC,00555904379,desogestreL-ethinyl estradioL 0.15-0.03 mg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00555904558,levonorgestrel-ethinyl estradiol 0.1-20 mg-mcg tablet 28 each BLIST PACK,83.0,29.05,23.77,61.84,5
NDC,00555904579,levonorgestrel-ethinyl estradiol 0.1-20 mg-mcg tablet 28 each BLIST PACK,83.0,29.05,23.77,61.84,5
NDC,00555904758,levonorgestrel-ethinyl estradiol 50-30 (6)/75-40 (5)/125-30(10) tablet 28 each BLIST PACK,64.89,22.72,18.58,48.34,5
NDC,00555912366,"levonorgestreL-ethinyl estrad 0.15-30 mg-mcg tablets,dose pack,3 month 91 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,00555913167,drospirenone-ethinyl estradioL 3-0.03 mg tablet 28 each BLIST PACK,180.99,63.35,51.84,134.84,5
NDC,00573288311,phenylephrine 0.25% suppository 12 each Box,6.0,2.1,1.72,4.47,5
NDC,00574006716,isopropyl alcohoL 70 % solution 473 mL Bottle,6.7,2.35,1.92,4.99,5
NDC,00574006915,dextrose 40 % gel 37.5 g Tube,9.29,3.26,2.66,6.92,5
NDC,00574006930,dextrose 40 % gel 37.5 g Tube,9.29,3.26,2.66,6.92,5
NDC,00574007015,dextrose 40 % gel 37.5 g Tube,9.29,3.26,2.66,6.92,5
NDC,00574007030,dextrose 40 % gel 37.5 g Tube,9.29,3.26,2.66,6.92,5
NDC,00574010601,bromocriptine 2.5 mg tablet 100 each Bottle,8.86,3.11,2.54,6.6,5
NDC,00574010603,bromocriptine 2.5 mg tablet 30 each Bottle,9.76,3.42,2.8,7.27,5
NDC,00574010777,clotrimazole 10 mg troche 70 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00574012004,activated charcoal-sorbitoL 25 gram/120 mL suspension 120 mL Bottle,39.36,13.78,11.27,29.32,5
NDC,00574012008,activated charcoal-sorbitoL 50 gram/240 mL suspension 240 mL Bottle,56.07,19.63,16.06,41.77,5
NDC,00574012108,activated charcoaL 50 gram/240 mL suspension 240 mL Bottle,56.07,19.63,16.06,41.77,5
NDC,00574012901,clindamycin 75 mg/5 mL recon soln 100 mL Bottle,69.15,24.21,19.8,51.52,5
NDC,00574015004,midazolam 2 mg/mL syrup 118 mL Bottle,188.53,65.99,53.99,140.45,5
NDC,00574022201,liothyronine 25 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00574027500,potassium chloride 10 meq tablet extended release 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00574029201,AMILoride 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00574030216,Ora-Sweet (Sugar Free) liquid 473 mL Bottle,51.35,17.98,14.71,38.26,5
NDC,00574030316,Ora-Plus suspension 473 mL Bottle,51.35,17.98,14.71,38.26,5
NDC,00574030416,Ora-Sweet liquid 473 mL Bottle,51.35,17.98,14.71,38.26,5
NDC,00574030416,Ora-Sweet syrup 473 mL Bottle,51.35,17.98,14.71,38.26,5
NDC,00574041207,polyethylene glycol 17 gram powder in packet 14 each Packet,7.1,2.49,2.03,5.29,5
NDC,00574050811,ferrous gluconate 324 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00574052176,activated charcoaL 50 gram/240 mL suspension 240 mL Tube,56.07,19.63,16.06,41.77,5
NDC,00574060115,podophyllum resin 25 % liquid 15 mL Bottle,289.11,101.19,82.8,215.39,5
NDC,00574060811,"ferrous sulfate 324 mg (65 mg iron) tablet,delayed release (DR/EC) 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,00574061816,mineral oil oil 473 mL Bottle,15.63,5.48,4.48,11.64,5
NDC,00574080530,acetylcysteine per 100 mg,1597.25,559.04,1.02,547.86,6
NDC,00574082701,testosterone cypionate 200 mg/mL oil 1 mL Vial,54.7,19.15,0.05,18.76,6
NDC,00574085005,dihydroergotamine mesylate per 1 mg,371.98,130.2,69.86,265.3,6
NDC,00574085010,dihydroergotamine mesylate per 1 mg,353.39,123.69,69.86,265.3,6
NDC,00574087005,estradiol valerate per 10 mg,34.06,11.93,11.68,56.54,6
NDC,00574113304,spironolactone 25 mg/5 mL suspension 118 mL Bottle,1041.52,364.54,298.29,775.93,5
NDC,00574200302,sodium polystyrene 15 g/60 mL suspension 60 mL Bottle,26.62,9.32,7.62,19.83,5
NDC,00574200815,"nystatin 100,000 unit/gram powder 15 g SQUEEZ BTL",64.82,22.69,18.56,48.29,5
NDC,00574200830,"nystatin 100,000 unit/gram powder 30 g SQUEEZ BTL",127.02,44.46,36.38,94.63,5
NDC,00574202001,hydrocortisone 100 mg/60 mL enema 60 mL SQUEEZ BTL,29.88,10.46,8.56,22.26,5
NDC,00574402411,erythromycin 5 mg/gram (0.5 %) ointment 1 g Tube,20.52,7.19,5.88,15.29,5
NDC,00574402435,erythromycin 5 mg/gram (0.5 %) ointment 3.5 g Tube,37.09,12.99,10.62,27.63,5
NDC,00574402439,erythromycin 5 mg/gram (0.5 %) ointment 3.5 g Tube,37.1,12.99,10.63,27.64,5
NDC,00574402450,erythromycin 5 mg/gram (0.5 %) ointment 1 g Tube,20.52,7.19,5.88,15.29,5
NDC,00574403125,"tobramycin-dexamethasone 0.3-0.1 % drops,suspension 2.5 mL DROP BTL",107.43,37.61,30.77,80.04,5
NDC,00574416035,"neomycin-polymyxin B-dexameth 3.5 mg/g-10,000 unit/g-0.1 % ointment 3.5 g Tube",31.29,10.96,8.96,23.31,5
NDC,00574703412,aspirin 300 MG suppository 12 each Box,6.0,2.1,1.72,4.47,5
NDC,00574703612,aspirin 600 MG suppository 12 each Box,6.0,2.1,1.72,4.47,5
NDC,00574704004,belladonna-opium 16.2-60 MG suppository 4 each Box,118.42,41.45,33.92,88.22,5
NDC,00574704012,belladonna-opium 16.2-60 MG suppository 12 each Box,78.95,27.64,22.61,58.82,5
NDC,00574705012,bisacodyL 10 mg suppository 12 each Box,6.0,2.1,1.72,4.47,5
NDC,00574705050,bisacodyL 10 mg suppository 50 each Box,6.0,2.1,1.72,4.47,5
NDC,00574709012,hydrocortisone 25 mg suppository 12 each Box,34.04,11.92,9.75,25.36,5
NDC,00574722612,prochlorperazine 25 MG suppository 12 each Box,29.7,10.4,8.51,22.13,5
NDC,00574985510,"budesonide 3 mg capsule,delayed,extend.release 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00575620030,diazoxide 50 mg/mL suspension 30 mL Bottle,1378.05,482.32,394.67,1026.65,5
NDC,00591014987,na ferric gluc cplx per 12.5 mg,90.06,31.53,3.91,30.89,6
NDC,00591024001,LORazepam 0.5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00591024101,LORazepam 1 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00591024105,LORazepam 1 MG tablet 500 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00591024110,"LORazepam 1 MG tablet 1,000 each Bottle",9.0,3.15,2.58,6.71,5
NDC,00591034301,verapamiL 80 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00591034501,verapamiL 120 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00591036901,loxapine 5 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00591040801,lisinopriL 20mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00591040810,"lisinopriL 20mg tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00591044401,guanFACINE 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00591058201,propafenone 150 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00591058301,propafenone 225 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00591079501,dicyclomine per 20 mg,6.0,2.1,1.72,4.47,5
NDC,00591079601,sulfaSALAzine 500 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00591086201,lisinopriL-hydrochlorothiazide 20-25 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00591207030,lidocaine-prilocaine 2.5-2.5 % cream 30 g Tube,125.39,43.89,35.91,93.42,5
NDC,00591207504,risedronate 35 MG tablet 4 each DOSE-PACK,146.21,51.18,41.87,108.93,5
NDC,00591210230,risedronate 5 MG tablet 30 each Bottle,20.9,7.32,5.99,15.57,5
NDC,00591224522,"mesalamine 1.2 gram tablet,delayed release (DR/EC) 120 each Bottle",25.18,8.82,7.21,18.76,5
NDC,00591247260,tamoxifen 10 MG tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00591247330,tamoxifen 20 MG tablet 30 each Bottle,8.94,3.13,2.56,6.66,5
NDC,00591248279,dorzolamide-timoloL 22.3-6.8 mg/mL drops 10 mL DROP BTL,289.34,101.27,82.87,215.56,5
NDC,00591253360,dalfampridine 10 mg tablet extended release 12 hr 60 each Bottle,157.75,55.22,45.18,117.52,5
NDC,00591256201,colchicine 0.6 mg tablet 100 each Bottle,19.34,6.77,5.54,14.41,5
NDC,00591257920,valGANciclovir 50 mg/mL recon soln 88 mL Bottle,2308.36,807.93,661.11,1719.73,5
NDC,00591267911,"lidocaine 5 % adhesive patch,medicated 1 each Box",22.09,7.74,6.33,16.46,5
NDC,00591267930,"lidocaine 5 % adhesive patch,medicated 30 each Box",22.09,7.74,6.33,16.46,5
NDC,00591271202,albendazole 200 mg tablet 2 each Bottle,652.88,228.51,186.98,486.4,5
NDC,00591271501,methylphenidate HCl 18 MG tablet extended release 24hr 100 each Bottle,22.97,8.04,6.58,17.11,5
NDC,00591271601,methylphenidate HCl 27 MG tablet extended release 24hr 100 each Bottle,23.54,8.24,6.74,17.54,5
NDC,00591288001,"verapamil PM 120 MG capsule,ext rel. pellets 24 hr 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00591288201,"verapamil PM 180 MG capsule,ext rel. pellets 24 hr 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00591299239,promethazine 25 MG suppository 12 each Box,41.78,14.63,11.97,31.13,5
NDC,00591301226,lidocaine 2 % jelly 5 mL Tube,18.41,6.45,5.27,13.72,5
NDC,00591304101,hydroxychloroquine 200 mg tablet 100 each Bottle,9.65,3.38,2.76,7.19,5
NDC,00591312879,progesterone per 50 mg,24.0,8.4,1.32,8.23,6
NDC,00591315901,ursodioL 300 mg capsule 100 each Bottle,17.35,6.08,4.97,12.93,5
NDC,00591320860,rivastigmine 1.5 MG capsule 60 each Bottle,10.02,3.51,2.87,7.46,5
NDC,00591321254,fentaNYL 50 mcg/hr patch 72 hour 5 each Box,62.27,21.8,17.83,46.39,5
NDC,00591321272,fentaNYL 50 mcg/hr patch 72 hour 5 each Box,62.27,21.8,17.83,46.39,5
NDC,00591321730,testosterone 1 % (50 mg/5 gram) gel in packet 5 g Packet,35.36,12.38,10.13,26.34,5
NDC,00591322126,testosterone enanthate 200 mg/mL oil 5 mL Vial,30.0,10.5,0.08,10.29,6
NDC,00591336901,butalbital-acetaminophen-caffeine 50-325-40 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00591350804,cloNIDine 0.1 mg/24 hr patch weekly 4 each Box,78.17,27.36,22.39,58.24,5
NDC,00591350904,cloNIDine 0.2 mg/24 hr patch weekly 4 each Box,131.61,46.07,37.69,98.05,5
NDC,00591350954,cloNIDine 0.2 mg/24 hr patch weekly 1 each Box,131.61,46.07,37.69,98.05,5
NDC,00591352511,"lidocaine 5 % adhesive patch,medicated 1 each Box",22.09,7.74,6.33,16.46,5
NDC,00591352530,"lidocaine 5 % adhesive patch,medicated 30 each Box",22.09,7.74,6.33,16.46,5
NDC,00591359160,dronabinol per 2.5 mg,13.91,4.87,1.34,4.77,6
NDC,00591359260,dronabinol per 5 mg,28.95,10.14,1.34,9.93,6
NDC,00591367001,nabumetone 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00591369430,paliperidone 6 MG tablet extended release 24hr 30 each Bottle,72.21,25.28,20.68,53.8,5
NDC,00591372030,tranexamic acid 650 mg tablet 30 each Bottle,12.32,4.32,3.53,9.18,5
NDC,00591376730,budesonide per 0.25 mg,22.21,7.78,1.67,7.62,6
NDC,00591387544,memantine 10 MG tablet 100 each BLIST PACK,14.4,5.04,4.12,10.73,5
NDC,00591387545,memantine 10 MG tablet 1 each BLIST PACK,14.4,5.04,4.12,10.73,5
NDC,00591396401,progesterone 100 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00591410301,perphenazine per 8 mg,6.84,2.4,1.96,5.1,5
NDC,00591532501,probenecid-colchicine 500-0.5 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00591533501,trihexyphenidyL 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00591533701,trihexyphenidyL 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00591534701,probenecid 500 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00591555401,propranoloL 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00591555501,propranoloL 20 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00591555510,"propranoloL 20 MG tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00591555701,propranoloL 80 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00591565801,cyclobenzaprine 10mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00591566001,sulindac 200 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00591569401,minocycline 50 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00597000160,"aspirin-dipyridamole 25-200 mg capsule, ER multiphase 12 hr 60 each Bottle",26.62,9.32,7.62,19.83,5
NDC,00597000302,tipranavir 250 mg capsule 120 each Bottle,49.46,17.32,14.17,36.85,5
NDC,00597002402,ipratropium-albuteroL 20-100 mcg/actuation mist 4 g AER W/ADAP,1427.38,499.59,408.8,1063.4,5
NDC,00597004724,nevirapine 50 mg/5 mL suspension 240 mL Bottle,46.3,16.21,13.26,34.49,5
NDC,00597005238,bisacodyL 10 mg suppository 8 each Box,6.0,2.1,1.72,4.47,5
NDC,00597005345,glucagon 1 mg/mL recon soln 1 each Vial,485.97,170.09,146.33,1023.54,10
NDC,00597007541,"tiotropium 18 mcg capsule, w/inhalation device 30 each BLIST PACK",31.42,11.0,9.0,23.41,5
NDC,00597007575,"tiotropium 18 mcg capsule, w/inhalation device 5 each BLIST PACK",34.47,12.07,9.87,25.68,5
NDC,00597008717,ipratropium 17 mcg/actuation HFA aerosol inhaler 12.9 g AER W/ADAP,868.96,304.14,248.87,647.38,5
NDC,00597010051,tiotropium 2.5 mcg/actuation mist 4 g AER W/ADAP,212.4,74.34,60.83,158.24,5
NDC,00597010061,tiotropium 2.5 mcg/actuation mist 4 g AER W/ADAP,1493.58,522.76,427.76,1112.72,5
NDC,00597013730,afatinib 30 mg tablet 30 each Bottle,1113.14,389.6,318.8,829.29,5
NDC,00597013830,afatinib 40 mg tablet 30 each Bottle,1113.14,389.6,318.8,829.29,5
NDC,00597014130,afatinib 20 mg tablet 30 each Bottle,1113.14,389.6,318.8,829.29,5
NDC,00597015230,empagliflozin 10 mg tablet 30 each Bottle,59.42,20.8,17.02,44.27,5
NDC,00597015237,empagliflozin 10 mg tablet 30 each BLIST PACK,59.42,20.8,17.02,44.27,5
NDC,00597015290,empagliflozin 10 mg tablet 90 each Bottle,59.42,20.8,17.02,44.27,5
NDC,00597015330,empagliflozin 25 mg tablet 30 each Bottle,59.42,20.8,17.02,44.27,5
NDC,00597015337,empagliflozin 25 mg tablet 30 each BLIST PACK,59.42,20.8,17.02,44.27,5
NDC,00597019705,idaruCIZUmab 2.5 gram/50 mL solution 50 mL Vial,7225.02,2528.76,2069.25,5382.64,5
NDC,00597026010,glucagon 1 mg/mL recon soln 1 each Vial,485.97,170.09,146.33,1023.54,10
NDC,00597035509,dabigatran 75 mg capsule 60 each Bottle,9.36,3.28,2.68,6.97,5
NDC,00597035556,dabigatran 75 mg capsule 60 each BLIST PACK,9.36,3.28,2.68,6.97,5
NDC,00597036055,dabigatran etexilate 150 mg capsule 60 each Bottle,9.36,3.28,2.68,6.97,5
NDC,00597036082,dabigatran etexilate 150 mg capsule 60 each BLIST PACK,9.36,3.28,2.68,6.97,5
NDC,00603020922,magnesium oxide 400 mg (241.3 mg magnesium) tablet 120 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00603085594,guaifenesin-dextromethorphan 100-10 mg/5mL syrup 118 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00603090058,sorbitol 70 % solution 473 mL Bottle,58.05,20.32,16.63,43.25,5
NDC,00603107554,codeine-guaifenesin 10-100 mg/5 mL liquid 118 mL Bottle,31.19,10.92,8.93,23.24,5
NDC,00603116158,dicyclomine 10 mg/5 mL solution 473 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00603137856,lactulose 10 gram/15 mL solution 236 mL Bottle,42.33,14.82,12.12,31.54,5
NDC,00603144947,pediatric multivit with fluoride 0.25 mg/mL drops 50 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,00603148149,"nystatin 100,000 unit/mL suspension 60 mL Bottle",39.93,13.98,11.44,29.75,5
NDC,00603150858,PHENobarbitaL 20 mg/5 mL (4 mg/mL) elixir 473 mL Bottle,213.21,74.63,61.06,158.84,5
NDC,00603156758,prednisolone per 5 mg,436.13,152.65,0.69,149.59,6
NDC,00603158454,promethazine per 25 mg,17.28,6.05,0.14,5.93,6
NDC,00603158458,promethazine per 25 mg,52.11,18.24,0.14,17.87,6
NDC,00603188016,"lidocaine 5 % adhesive patch,medicated 30 each Box",24.25,8.49,6.95,18.07,5
NDC,00603243521,benztropine 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00603243821,benztropine 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00603243921,benztropine 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00603389121,HYDROcodone-acetaminophen 7.5-325 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00603459321,methylprednisolone per 4 mg,6.0,2.1,0.38,2.06,6
NDC,00603506221,perphenazine per 8 mg,6.0,2.1,1.72,4.47,5
NDC,00603516621,PHENobarbitaL 32.4 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00603516721,PHENobarbitaL 64.8 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00603516821,PHENobarbitaL 97.2 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,00603544921,propafenone 225 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00603548321,propranoloL 20 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00603548421,propranoloL 40 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00603548621,propranoloL 80 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00603763401,levonorgestrel-ethinyl estradiol 0.1-20 mg-mcg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00603763417,levonorgestrel-ethinyl estradiol 0.1-20 mg-mcg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00603764217,norgestimate-ethinyl estradioL 0.25-35 mg-mcg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00603766317,norgestimate-ethinyl estradioL 0.18/0.215/0.25 mg-35 mcg (28) tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00603781874,"nystatin 100,000 unit/gram cream 15 g Tube",41.31,14.46,11.83,30.78,5
NDC,00603786174,triamcinolone 0.025 % cream 15 g Tube,10.51,3.68,3.01,7.83,5
NDC,00603917154,griseofulvin microsize 125 mg/5 mL suspension 118 mL Bottle,143.97,50.39,41.23,107.26,5
NDC,00641012121,hydromorphone per 4 mg,30.0,10.5,7.57,22.81,5
NDC,00641012125,hydromorphone per 4 mg,30.0,10.5,7.57,22.81,5
NDC,00641036721,dexamethasone per 1 mg,24.0,8.4,0.2,8.23,6
NDC,00641036725,dexamethasone per 1 mg,24.0,8.4,0.2,8.23,6
NDC,00641037621,diphenhydramine per 50 mg,24.0,8.4,1.32,8.23,6
NDC,00641037625,diphenhydramine per 50 mg,24.0,8.4,1.32,8.23,6
NDC,00641040012,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,00641040037,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,00641047621,phenobarbital per 120 mg,74.64,26.13,25.6,206.51,6
NDC,00641047625,phenobarbital per 120 mg,74.64,26.13,25.6,206.51,6
NDC,00641047721,phenobarbital per 120 mg,193.7,67.8,51.86,206.51,6
NDC,00641047725,phenobarbital per 120 mg,193.7,67.8,51.86,206.51,6
NDC,00641049321,phenytoin per 50 mg,24.0,8.4,0.8,8.23,6
NDC,00641049325,phenytoin per 50 mg,24.0,8.4,0.8,8.23,6
NDC,00641092821,promethazine per 50 mg,24.0,8.4,5.92,16.51,6
NDC,00641092825,promethazine per 50 mg,24.0,8.4,5.92,16.51,6
NDC,00641094835,promethazine per 50 mg,24.0,8.4,5.92,16.51,6
NDC,00641095521,promethazine per 50 mg,24.0,8.4,5.92,16.51,6
NDC,00641095525,promethazine per 50 mg,24.0,8.4,5.92,16.51,6
NDC,00641139735,chlorpromazine per 50 mg,81.81,28.64,28.06,188.54,6
NDC,00641139831,chlorpromazine per 50 mg,93.74,32.81,32.15,188.54,6
NDC,00641139835,chlorpromazine per 50 mg,93.74,32.81,32.15,188.54,6
NDC,00641141031,digoxin 250 mcg/mL (0.25 mg/mL) solution 2 mL AMPUL,24.0,8.4,8.23,56.68,6
NDC,00641141035,digoxin 250 mcg/mL (0.25 mg/mL) solution 2 mL AMPUL,24.0,8.4,8.23,56.68,6
NDC,00641149531,promethazine per 50 mg,24.0,8.4,5.92,16.51,6
NDC,00641149535,promethazine per 50 mg,24.0,8.4,5.92,16.51,6
NDC,00641234141,hydromorphone per 4 mg,60.7,21.25,0.17,45.22,6
NDC,00641255510,phenytoin per 50 mg,24.0,8.4,0.8,8.23,6
NDC,00641255541,phenytoin per 50 mg,24.0,8.4,0.8,8.23,6
NDC,00641255545,phenytoin per 50 mg,24.0,8.4,0.8,8.23,6
NDC,00641256944,dipyridamole per 10 mg,56.07,19.63,6.14,19.83,6
NDC,00641600125,lorazepam per 2 mg,30.0,10.5,1.85,10.29,6
NDC,00641600601,atropine per 0.01 mg,99.4,34.79,0.13,34.09,6
NDC,00641600610,atropine per 0.01 mg,99.4,34.79,0.13,34.09,6
NDC,00641600701,bumetanide per 0.5 mg,24.0,8.4,1.11,17.88,11
NDC,00641600710,bumetanide per 0.5 mg,24.0,8.4,1.11,17.88,11
NDC,00641600801,bumetanide per 0.5 mg,24.0,8.4,1.11,17.88,11
NDC,00641600810,bumetanide per 0.5 mg,24.0,8.4,1.11,17.88,11
NDC,00641601301,diltiazem 5 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,10
NDC,00641601310,diltiazem 5 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,10
NDC,00641601401,diltiazem 5 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,10
NDC,00641601801,doxapram 20 mg/mL solution 20 mL Vial,150.71,52.75,43.16,112.28,5
NDC,00641601901,morphine per 10 mg,30.0,10.5,10.29,82.33,6
NDC,00641601910,morphine per 10 mg,30.0,10.5,10.29,82.33,6
NDC,00641602010,morphine 0.5 mg/mL solution 10 mL AMPUL,82.01,28.71,18.55,82.33,6
NDC,00641602110,famotidine per 20 mg,24.87,8.71,7.12,18.53,10
NDC,00641602201,famotidine 20 mg/2 mL solution 2 mL Vial,24.0,8.4,6.87,17.88,10
NDC,00641602225,famotidine 20 mg/2 mL solution 2 mL Vial,24.0,8.4,6.87,17.88,10
NDC,00641602325,famotidine per 20 mg,24.0,8.4,6.87,17.88,10
NDC,00641602701,fentanyl per 0.1 mg,30.0,10.5,1.6,10.29,6
NDC,00641602725,fentanyl per 0.1 mg,30.0,10.5,1.6,10.29,6
NDC,00641602801,fentanyl per 0.1 mg,30.0,10.5,1.6,10.29,6
NDC,00641602825,fentanyl per 0.1 mg,30.0,10.5,1.6,10.29,6
NDC,00641602901,fentanyl per 0.1 mg,31.15,10.91,1.6,10.68,6
NDC,00641603001,fentanyl per 0.1 mg,70.8,24.78,1.6,24.28,6
NDC,00641604225,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,00641604401,lorazepam per 2 mg,30.0,10.5,1.85,10.29,6
NDC,00641604425,lorazepam per 2 mg,30.0,10.5,1.85,10.29,6
NDC,00641604610,lorazepam per 2 mg,36.41,12.75,1.85,12.49,6
NDC,00641604710,lorazepam per 2 mg,30.0,10.5,1.85,10.29,6
NDC,00641604801,lorazepam per 2 mg,30.0,10.5,1.85,10.29,6
NDC,00641604825,lorazepam per 2 mg,30.0,10.5,1.85,10.29,6
NDC,00641605110,lorazepam per 2 mg,30.0,10.5,1.85,10.29,6
NDC,00641605201,meperidine per 100 mg,30.0,10.5,10.29,38.33,6
NDC,00641605225,meperidine per 100 mg,30.0,10.5,10.29,38.33,6
NDC,00641605301,meperidine per 100 mg,30.0,10.5,10.29,38.33,6
NDC,00641605325,meperidine per 100 mg,30.0,10.5,10.29,38.33,6
NDC,00641605401,meperidine (PF) 100 mg/mL solution 1 mL Vial,30.0,10.5,10.29,38.33,6
NDC,00641605425,meperidine (PF) 100 mg/mL solution 1 mL Vial,30.0,10.5,10.29,38.33,6
NDC,00641605610,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,00641605701,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,00641605710,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,00641605725,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,00641606001,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,00641606010,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,00641606101,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,00641606110,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,00641606125,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,00641606301,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,00641606325,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,00641607201,morphine 15 mg/mL solution 20 mL Vial,30.0,10.5,8.59,22.35,5
NDC,00641607801,ondansetron per 1 mg,24.0,8.4,0.17,8.23,6
NDC,00641607825,ondansetron per 1 mg,24.0,8.4,0.17,8.23,6
NDC,00641608001,ondansetron per 1 mg,24.0,8.4,0.17,8.23,6
NDC,00641608025,ondansetron per 1 mg,24.0,8.4,0.17,8.23,6
NDC,00641608401,promethazine per 50 mg,24.0,8.4,5.92,16.51,6
NDC,00641608425,promethazine per 50 mg,24.0,8.4,5.92,16.51,6
NDC,00641610301,methocarbamol per 10 mL,32.57,11.4,9.34,34.88,6
NDC,00641610310,methocarbamol per 10 mL,32.57,11.4,9.34,34.88,6
NDC,00641611601,ampicillin-sulbactam per 1.5 g,24.0,8.4,2.92,9.92,6
NDC,00641611610,ampicillin-sulbactam per 1.5 g,24.0,8.4,2.92,9.92,6
NDC,00641611710,ampicillin-sulbactam per 1.5 g,24.0,8.4,2.92,9.92,6
NDC,00641612501,morphine 4 mg/mL solution 1 mL Vial,30.0,10.5,7.71,24.11,6
NDC,00641612525,morphine 4 mg/mL solution 1 mL Vial,30.0,10.5,7.71,24.11,6
NDC,00641612701,morphine 10 mg/mL solution 1 mL Vial,30.0,10.5,7.71,24.11,6
NDC,00641612725,morphine 10 mg/mL solution 1 mL Vial,30.0,10.5,7.71,24.11,6
NDC,00641613201,naloxone per 1 mg,24.0,8.4,6.87,17.88,5
NDC,00641613225,naloxone per 1 mg,24.0,8.4,6.87,49.56,11
NDC,00641613501,prochlorperazine edisylate per 10 mg,24.0,8.4,5.66,15.78,6
NDC,00641613525,prochlorperazine edisylate per 10 mg,24.0,8.4,5.66,15.78,6
NDC,00641613901,phenytoin per 50 mg,24.0,8.4,0.8,8.23,6
NDC,00641613910,phenytoin per 50 mg,24.0,8.4,0.8,8.23,6
NDC,00641613925,phenytoin per 50 mg,24.0,8.4,0.8,8.23,6
NDC,00641614201,phenylephrine per 1 mL,24.0,8.4,0.02,17.88,11
NDC,00641614225,phenylephrine per 1 mL,24.0,8.4,0.02,17.88,11
NDC,00641614501,dexamethasone per 1 mg,24.0,8.4,0.2,8.23,6
NDC,00641614525,dexamethasone per 1 mg,24.0,8.4,0.2,8.23,6
NDC,00641614710,sterile water solution 10 mL Vial,8.83,3.1,2.53,6.58,5
NDC,00641614901,neostigmine 1 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00641614910,neostigmine 1 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00641615101,HYDROmorphone (PF) 2 mg/mL solution 1 mL Vial,30.0,10.5,0.17,22.35,6
NDC,00641615125,HYDROmorphone (PF) 2 mg/mL solution 1 mL Vial,30.0,10.5,0.17,22.35,6
NDC,00641616101,bumetanide per 0.5 mg,24.0,8.4,1.11,17.88,11
NDC,00641616110,bumetanide per 0.5 mg,24.0,8.4,1.11,17.88,11
NDC,00641616201,bumetanide per 0.5 mg,24.0,8.4,1.11,17.88,11
NDC,00641616210,bumetanide per 0.5 mg,24.0,8.4,1.11,17.88,11
NDC,00641616601,amikcain per 100 mg,45.31,15.86,1.36,15.54,6
NDC,00641616610,amikcain per 100 mg,45.31,15.86,1.36,15.54,6
NDC,00641617401,octreotide 50 mcg/mL solution 1 mL Vial,24.0,8.4,1.55,8.23,6
NDC,00641617401,octreotide per 25 mcg,24.0,8.4,1.55,8.23,6
NDC,00641617410,octreotide 50 mcg/mL solution 1 mL Vial,24.0,8.4,1.55,8.23,6
NDC,00641617410,octreotide per 25 mcg,24.0,8.4,1.55,8.23,6
NDC,00641617501,octreotide per 25 mcg,24.0,8.4,1.55,8.23,6
NDC,00641617510,octreotide per 25 mcg,24.0,8.4,1.55,8.23,6
NDC,00641617601,octreotide per 25 mcg,99.12,34.7,1.55,34.0,6
NDC,00641617610,octreotide per 25 mcg,99.12,34.7,1.55,34.0,6
NDC,00641617801,octreotide per 25 mcg,679.68,237.89,1.55,233.13,6
NDC,00641618401,digoxin 250 mcg/mL (0.25 mg/mL) solution 2 mL AMPUL,24.0,8.4,8.23,56.68,6
NDC,00641618425,digoxin 250 mcg/mL (0.25 mg/mL) solution 2 mL AMPUL,24.0,8.4,8.23,56.68,6
NDC,00641618910,phenylephrine per 1 mL,113.28,39.65,0.02,84.39,11
NDC,00641619010,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,00641619410,propofol (DIPRIVAN) injection 10 mg/mL emulsion 20 mL Vial,24.0,8.4,0.17,8.23,6
NDC,00641619410,propofol (DIPROVAN) infusion 10 mg/mL 20 mL Vial,24.0,8.4,0.17,8.23,6
NDC,00641619601,propofol (DIPRIVAN) injection 10 mg/mL emulsion 100 mL Vial,84.96,29.74,0.17,29.14,6
NDC,00641619610,propofol (DIPRIVAN) injection 10 mg/mL emulsion 100 mL Vial,84.96,29.74,0.17,29.14,6
NDC,00641619610,propofol (DIPROVAN) infusion 10 mg/mL 100 mL Vial,84.96,29.74,0.17,29.14,6
NDC,00641620501,naloxone 1 mg/mL syringe 2 mL Syringe,89.21,31.23,25.55,66.46,5
NDC,00641620510,nalOXone 1 mg/mL syringe 2 mL Syringe,89.21,31.23,25.55,66.46,5
NDC,00641620510,naloxone 1 mg/mL syringe 2 mL Syringe,89.21,31.23,25.55,66.46,5
NDC,00641622801,thiamine per 100 mg,24.0,8.4,3.23,13.12,6
NDC,00641622825,thiamine per 100 mg,24.0,8.4,3.23,13.12,6
NDC,00641623101,hydralazine per 20 mg,39.65,13.88,7.28,29.95,6
NDC,00641623125,hydralazine per 20 mg,39.65,13.88,7.28,29.95,6
NDC,00641623825,ePHEDrine 50 mg/mL solution 1 mL Vial,70.83,24.8,20.29,52.77,5
NDC,00641624410,diazePAM 5 mg/mL syringe 2 mL Syringe,69.7,24.4,9.03,27.53,6
NDC,00641624725,fentanyl per 0.1 mg,30.0,10.5,1.6,10.29,6
NDC,00641921701,diltiazem 5 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,10
NDC,00641921710,diltiazem 5 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,10
NDC,00641921801,diltiazem 5 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,10
NDC,00641921810,diltiazem 5 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,10
NDC,00641921901,diltiazem 5 mg/mL solution 25 mL Vial,24.0,8.4,6.87,17.88,5
NDC,00699310002,"benzocaine 20 % aerosol,spray 57 g Can",99.81,34.94,28.59,74.36,5
NDC,00703003101,methylprednisolone per 40 mg,24.64,8.63,0.21,18.36,6
NDC,00703003104,methylprednisolone per 40 mg,24.64,8.63,0.21,18.36,6
NDC,00703011001,hydromorphone per 4 mg,30.0,10.5,0.17,22.35,6
NDC,00703011003,hydromorphone per 4 mg,30.0,10.5,0.17,22.35,6
NDC,00703011303,hydromorphone per 4 mg,30.0,10.5,0.17,22.35,6
NDC,00703012501,daptomycin per 1 mg,297.36,104.08,0.06,101.99,6
NDC,00703024101,triamcinolone per 10 mg,24.0,8.4,1.57,8.23,6
NDC,00703024301,triamcinolone per 10 mg,24.0,8.4,1.57,8.23,6
NDC,00703115301,norepinephrine 1 mg/mL solution 4 mL Vial,51.03,17.87,14.61,38.02,5
NDC,00703115303,norepinephrine 1 mg/mL solution 4 mL Vial,51.03,17.87,14.61,38.02,5
NDC,00703150102,alprostadil per 1.25 mcg,306.82,107.39,87.87,228.58,5
NDC,00703291401,vecuronium 10 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,00703291403,vecuronium 10 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,00703315401,bleomycin per 15 Units,161.99,56.7,34.68,128.63,6
NDC,00703321601,paclitaxel per 30 mg,94.39,33.04,0.18,32.38,6
NDC,00703321801,paclitaxel per 30 mg,283.2,99.12,0.18,97.14,6
NDC,00703330101,octreotide 50 mcg/mL solution 1 mL Vial,24.0,8.4,1.55,8.23,6
NDC,00703330101,octreotide per 25 mcg,24.0,8.4,1.55,8.23,6
NDC,00703330104,octreotide 50 mcg/mL solution 1 mL Vial,24.0,8.4,1.55,8.23,6
NDC,00703330104,octreotide per 25 mcg,24.0,8.4,1.55,8.23,6
NDC,00703331101,octreotide per 25 mcg,24.0,8.4,1.55,8.23,6
NDC,00703331104,octreotide per 25 mcg,24.0,8.4,1.55,8.23,6
NDC,00703332101,octreotide per 25 mcg,99.12,34.7,1.55,34.0,6
NDC,00703332104,octreotide per 25 mcg,99.12,34.7,1.55,34.0,6
NDC,00703342711,ifosfamide per 1 g,104.08,36.43,35.7,133.09,6
NDC,00703342911,ifosfamide per 1 g,304.58,106.61,44.14,133.09,6
NDC,00703367101,methotrexate sodium per 50 mg,29.31,10.26,5.0,14.22,6
NDC,00703367501,methotrexate sodium per 50 mg,25.58,8.96,5.0,14.22,6
NDC,00703367801,methotrexate sodium per 50 mg,94.21,32.98,5.0,32.31,6
NDC,00703415411,idarubicin per 5 mg,233.22,81.63,70.83,177.77,6
NDC,00703415511,idarubicin per 5 mg,466.43,163.26,70.83,177.77,6
NDC,00703415611,idarubicin per 5 mg,932.86,326.51,70.83,319.97,6
NDC,00703423901,carboplatin per 50 mg,187.2,65.52,5.94,64.21,6
NDC,00703424401,carboplatin per 50 mg,24.0,8.4,5.94,12.64,6
NDC,00703424801,carboplatin per 50 mg,184.04,64.42,5.94,63.13,6
NDC,00703450201,metoclopramide per 10 mg,24.0,8.4,1.79,8.23,6
NDC,00703450204,metoclopramide per 10 mg,24.0,8.4,1.79,8.23,6
NDC,00703471401,topotecan 4 mg/4 mL (1 mg/mL) solution 4 mL Vial,302.69,105.95,1.29,103.82,6
NDC,00703476601,paclitaxel per 30 mg,94.39,33.04,0.18,32.38,6
NDC,00703505401,desmopressin per 1 mcg,1685.61,589.97,9.75,578.16,6
NDC,00703507501,dacarbazine per 200 mg,46.47,16.27,6.15,21.23,6
NDC,00703514001,leucovorin calcium per 50 mg,56.64,19.83,7.32,24.64,6
NDC,00703514501,leucovorin calcium per 50 mg,53.67,18.79,7.32,24.64,6
NDC,00703523313,daunorubicin per 10 mg,379.89,132.97,44.62,239.24,6
NDC,00703523393,daunorubicin per 10 mg,223.44,78.21,44.62,239.24,6
NDC,00703574811,cisplatin per 50 mg,114.22,39.98,5.1,39.18,6
NDC,00703585401,fludarabine per 50 mg,267.62,93.67,91.79,3171.38,6
NDC,00703680101,medroxyPROGESTERone 150 mg/mL suspension 1 mL Vial,179.185,62.72,0.05,172.04,11
NDC,00703797103,granisetron per 100 mcg,53.81,18.84,0.51,18.46,6
NDC,00703851021,enoxaparin per 10 mg,84.42,29.55,1.02,28.96,6
NDC,00703851023,enoxaparin per 10 mg,84.42,29.55,1.02,28.96,6
NDC,00703853021,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,00703853023,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,00703854021,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,00703854023,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,00703856023,enoxaparin per 10 mg,33.79,11.83,1.02,11.59,6
NDC,00703858021,enoxaparin per 10 mg,56.3,19.71,1.02,19.31,6
NDC,00703858023,enoxaparin per 10 mg,56.3,19.71,1.02,19.31,6
NDC,00703861023,enoxaparin per 10 mg,67.54,23.64,1.02,23.17,6
NDC,00703868021,enoxaparin per 10 mg,45.03,15.77,1.02,15.45,6
NDC,00703868023,enoxaparin per 10 mg,45.03,15.77,1.02,15.45,6
NDC,00703877601,adenosine (diagnostic) per 30 mg,245.35,85.88,0.72,84.16,6
NDC,00703877701,adenosine (diagnostic) per 30 mg,361.5,126.53,0.72,123.99,6
NDC,00703904003,amikcain per 100 mg,69.41,24.3,1.36,23.81,6
NDC,00703950303,sulfamethoxazole-trimethoprim 16 mg/mL of trimethoprim solution 5 mL Vial,24.0,8.4,6.87,17.88,10
NDC,00703951401,sulfamethoxazole-trimethoprim 16 mg/mL of trimethoprim solution 10 mL Vial,35.52,12.44,10.17,26.46,5
NDC,00703951403,sulfamethoxazole-trimethoprim 16 mg/mL of trimethoprim solution 10 mL Vial,35.52,12.44,10.17,26.46,5
NDC,00703951491,sulfamethoxazole-trimethoprim 16 mg/mL of trimethoprim solution 10 mL Vial,35.52,12.44,10.17,26.46,10
NDC,00703951493,sulfamethoxazole-trimethoprim 16 mg/mL of trimethoprim solution 10 mL Vial,35.52,12.44,10.17,26.46,10
NDC,00713010106,glycerin (adult) suppository 1 each Box,6.0,2.1,1.72,4.47,5
NDC,00713010109,glycerin (adult) suppository 10 each Box,6.0,2.1,1.72,4.47,5
NDC,00713010906,bisacodyL 10 mg suppository 1 each Box,6.0,2.1,1.72,4.47,5
NDC,00713011806,acetaminophen 120 MG suppository 12 each Box,6.0,2.1,1.72,4.47,5
NDC,00713011812,acetaminophen 120 MG suppository 12 each Box,6.0,2.1,1.72,4.47,5
NDC,00713013512,prochlorperazine 25 MG suppository 12 each BLIST PACK,28.93,10.13,8.29,21.55,5
NDC,00713016501,acetaminophen 650 MG suppository 100 each Box,6.0,2.1,1.72,4.47,5
NDC,00713016506,acetaminophen 650 MG suppository 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00713016512,acetaminophen 650 MG suppository 12 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00713016550,acetaminophen 650 MG suppository 50 each Box,6.0,2.1,1.72,4.47,5
NDC,00713022815,triamcinolone 0.1 % ointment 15 g Tube,13.13,4.6,3.76,9.78,5
NDC,00713022980,triamcinolone 0.025 % ointment 80 g Tube,23.79,8.33,6.81,17.72,5
NDC,00713035102,prochlorperazine edisylate per 10 mg,24.0,8.4,5.66,15.78,6
NDC,00713035125,prochlorperazine edisylate per 10 mg,24.0,8.4,5.66,15.78,6
NDC,00713050306,hydrocortisone 25 mg suppository 1 each Box,53.45,18.71,15.31,39.82,5
NDC,00713050312,hydrocortisone 25 mg suppository 12 each Box,53.45,18.71,15.31,39.82,5
NDC,00713050324,hydrocortisone 25 mg suppository 24 each Box,50.77,17.77,14.54,37.82,5
NDC,00713052606,promethazine 25 MG suppository 1 each Box,41.78,14.63,11.97,31.13,5
NDC,00713052612,promethazine 25 MG suppository 12 each Box,41.78,14.63,11.97,31.13,5
NDC,00713053612,promethazine 12.5 MG suppository 12 each Box,41.78,14.63,11.97,31.13,5
NDC,00713065937,betamethasone dipropionate 0.05 % cream 45 g Tube,249.36,87.28,71.42,185.77,5
NDC,00713067815,"nystatin 100,000 unit/gram cream 15 g Tube",41.31,14.46,11.83,30.78,5
NDC,00713068215,gentamicin 0.1 % ointment 15 g Tube,116.54,40.79,33.38,86.82,5
NDC,00713068615,"nystatin 100,000 unit/gram ointment 15 g Tube",41.31,14.46,11.83,30.78,5
NDC,00731040106,zinc sulfate 50 mg zinc (220 mg) capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00781107101,methazolAMIDE 50 MG tablet 100 each Bottle,18.08,6.33,5.18,13.47,5
NDC,00781139313,haloperidoL 2 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00781139613,haloperidoL 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00781139713,haloperidoL 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00781148901,amitriptyline 75 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00781149001,amitriptyline 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00781165501,penicillin v potassium 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00781185201,amoxicillin-clavulanate 875-125 mg tablet 100 each Bottle,11.56,4.05,3.31,8.61,5
NDC,00781185220,amoxicillin-clavulanate 875-125 mg tablet 20 each Bottle,11.92,4.18,3.41,8.88,5
NDC,00781187431,amoxicillin-clavulanate 250-125 mg tablet 30 each Bottle,13.97,4.89,4.0,10.41,5
NDC,00781196160,clarithromycin 250 MG tablet 60 each Bottle,14.2,4.97,4.07,10.58,5
NDC,00781196260,clarithromycin 500 MG tablet 60 each Bottle,14.2,4.97,4.07,10.58,5
NDC,00781197301,desipramine 50 MG tablet 100 each Bottle,8.1,2.84,2.32,6.03,5
NDC,00781197501,desipramine 100 MG tablet 100 each Bottle,13.54,4.74,3.88,10.09,5
NDC,00781202001,amoxicillin 250 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00781208102,calcium acetate(phosphat bind) 667 mg capsule 200 each Bottle,6.0,2.1,1.72,4.47,10
NDC,00781232206,aprepitant per 5 mg,480.93,168.33,5.88,164.96,6
NDC,00781232901,"amphetamine-dextroamphetamine XR 5 MG capsule,extended release 24hr 100 each Bottle",14.47,5.07,4.14,10.78,5
NDC,00781235201,"amphetamine-dextroamphetamine XR 20 MG capsule,extended release 24hr 100 each Bottle",14.47,5.07,4.14,10.78,5
NDC,00781261301,amoxicillin 500 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00781268401,"dexmethylphenidate XR 15 MG capsule,ER biphasic 50-50 100 each Bottle",18.19,6.37,5.21,13.55,5
NDC,00781268501,"dexmethylphenidate XR 20 MG capsule,ER biphasic 50-50 100 each Bottle",23.0,8.05,6.59,17.14,5
NDC,00781269175,temozolomide per 5 mg,29.59,10.36,0.46,10.15,6
NDC,00781304095,pyridostigmine 5 mg/mL solution 2 mL AMPUL,90.62,31.72,25.95,67.51,5
NDC,00781305670,isoniazid 100 mg/mL solution 10 mL Vial,830.86,290.81,0.3,618.99,14
NDC,00781305995,digoxin 250 mcg/mL (0.25 mg/mL) solution 2 mL AMPUL,24.0,8.4,8.23,56.68,6
NDC,00781309894,meropenem per 100 mg,85.96,30.09,0.63,29.48,6
NDC,00781309895,meropenem per 100 mg,85.96,30.09,0.63,29.48,6
NDC,00781311090,piperacillin sod-tazobactam per 1 g,29.05,10.17,1.95,9.96,6
NDC,00781311095,piperacillin sod-tazobactam per 1 g,29.05,10.17,1.95,9.96,6
NDC,00781311390,piperacillin sod-tazobactam per 1 g,43.58,15.26,1.95,14.95,6
NDC,00781311395,piperacillin sod-tazobactam per 1 g,43.58,15.26,1.95,14.95,6
NDC,00781311491,piperacillin sod-tazobactam per 1 g,55.19,19.32,1.95,18.93,6
NDC,00781311495,piperacillin sod-tazobactam per 1 g,55.19,19.32,1.95,18.93,6
NDC,00781312646,nafcillin per 2 g,327.5,114.63,93.8,243.99,5
NDC,00781312695,nafcillin per 2 g,327.5,114.63,93.8,243.99,5
NDC,00781313301,enoxaparin per 10 mg,57.47,20.12,1.02,19.71,6
NDC,00781313363,enoxaparin per 10 mg,57.47,20.12,1.02,19.71,6
NDC,00781315606,acetaminophen 10 mg/mL solution 100 mL Vial,104.78,36.68,0.08,78.06,11
NDC,00781315695,acetaminophen 10 mg/mL solution 100 mL Vial,104.78,36.68,0.08,78.06,11
NDC,00781315894,bivalirudin per 1 mg,2683.95,939.39,0.3,920.59,6
NDC,00781315895,bivalirudin per 1 mg,2683.95,939.39,0.3,920.59,6
NDC,00781315972,OLANZapine 10 mg recon soln 1 each Vial,97.94,34.28,1.57,72.97,11
NDC,00781317414,SUMAtriptan 6 mg/0.5 mL solution 0.5 mL Vial,214.39,75.04,61.4,159.72,5
NDC,00781320685,ceftriaxone per 250 mg,24.0,8.4,0.8,8.23,6
NDC,00781320785,ceftriaxone per 250 mg,63.44,22.21,0.8,21.76,6
NDC,00781320885,ceftriaxone per 250 mg,108.56,38.0,0.8,37.24,6
NDC,00781320895,ceftriaxone per 250 mg,108.56,38.0,0.8,37.24,6
NDC,00781320990,ceftriaxone per 250 mg,215.73,75.51,0.8,74.0,6
NDC,00781320995,ceftriaxone per 250 mg,215.73,75.51,0.8,74.0,6
NDC,00781322092,rocuronium 10 mg/mL solution 10 mL Vial,89.11,31.19,25.52,66.39,5
NDC,00781322095,rocuronium 10 mg/mL solution 5 mL Vial,46.41,16.25,13.29,34.58,5
NDC,00781322402,enoxaparin per 10 mg,76.63,26.83,1.02,26.28,6
NDC,00781322464,enoxaparin per 10 mg,76.63,26.83,1.02,26.28,6
NDC,00781323294,pantoprazole 40 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,00781323295,pantoprazole 40 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,00781323863,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,00781324494,cyclophosphamide per 100 mg,1944.78,680.68,0.77,1448.86,10
NDC,00781324602,enoxaparin per 10 mg,26.35,9.23,1.02,9.04,6
NDC,00781324664,enoxaparin per 10 mg,26.35,9.23,1.02,9.04,6
NDC,00781325394,azaCITIDine 10 MG/ML recon soln 1 each Vial,1457.58,510.16,0.54,499.95,6
NDC,00781325394,azaCITIDine 100 mg recon soln 1 each Vial,1457.58,510.16,0.54,499.95,6
NDC,00781325594,cyclophosphamide per 100 mg,3889.59,1361.36,0.77,2897.74,10
NDC,00781325603,enoxaparin per 10 mg,39.57,13.85,1.02,13.57,6
NDC,00781325666,enoxaparin per 10 mg,39.57,13.85,1.02,13.57,6
NDC,00781326268,enoxaparin per 10 mg,52.75,18.47,1.02,18.09,6
NDC,00781326869,enoxaparin per 10 mg,65.94,23.08,1.02,22.62,6
NDC,00781326995,ePHEDrine 50 mg/mL solution 1 mL Vial,139.51,48.83,39.96,103.93,5
NDC,00781328909,clindamycin per 300 mg,35.05,12.27,3.14,26.11,11
NDC,00781328991,clindamycin per 300 mg,35.05,12.27,10.04,26.11,5
NDC,00781329009,clindamycin per 300 mg,42.72,14.96,3.14,31.83,11
NDC,00781329091,clindamycin per 300 mg,42.72,14.96,12.24,31.83,5
NDC,00781329570,daptomycin per 1 mg,383.5,134.23,0.06,131.54,6
NDC,00781329804,enoxaparin per 10 mg,79.15,27.71,1.02,27.15,6
NDC,00781329868,enoxaparin per 10 mg,79.15,27.71,1.02,27.15,6
NDC,00781329969,enoxaparin per 10 mg,98.94,34.63,1.02,33.94,6
NDC,00781331491,argatroban 50 mg/50 mL (1 mg/mL) solution 50 mL Vial,649.0,227.15,185.87,483.51,5
NDC,00781331495,argatroban 50 mg/50 mL (1 mg/mL) solution 50 mL Vial,649.0,227.15,185.87,483.51,5
NDC,00781331780,oxaliplatin per 0.5 mg,1001.54,350.54,0.12,343.53,6
NDC,00781334495,piperacillin sod-tazobactam per 1 g,29.05,10.17,1.95,9.96,6
NDC,00781340278,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,00781340295,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,00781340485,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,00781340495,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,00781340778,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,00781340795,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,00781340880,ampicillin per 500 mg,39.54,13.84,1.41,13.56,6
NDC,00781340895,ampicillin per 500 mg,39.54,13.84,1.41,13.56,6
NDC,00781341195,succinylcholine per 20 mg,56.59,19.81,16.21,42.16,5
NDC,00781341694,voriconazole per 10 mg,360.09,126.04,1.41,123.51,6
NDC,00781343346,linezolid in dextrose 5% 600 mg/300 mL piggyback 300 mL Bag,184.08,64.43,5.45,63.14,6
NDC,00781343395,linezolid in dextrose 5% 600 mg/300 mL piggyback 300 mL Bag,184.08,64.43,5.45,63.14,6
NDC,00781344095,cosyntropin per 0.25 mg,227.13,79.5,44.73,146.22,6
NDC,00781345196,cefazolin per 500 mg,24.0,8.4,1.25,8.23,6
NDC,00781346594,fondaparinux per 0.5 mg,163.13,57.1,1.65,55.95,6
NDC,00781346595,fondaparinux per 0.5 mg,163.13,57.1,1.65,55.95,6
NDC,00781349380,dexmedeTOMIDine 4 mcg/mL solution 20 mL Vial,76.7,26.85,21.97,57.14,5
NDC,00781349395,dexmedeTOMIDine 4 mcg/mL solution 20 mL Vial,76.7,26.85,21.97,57.14,5
NDC,00781349395,dexmedetomidine 4 mcg/mL 20 mL Vial,76.7,26.85,21.97,57.14,5
NDC,00781349395,dexmedetomidine in 0.9% sodium chloride 4 mcg/mL 20 mL Vial,76.7,26.85,21.97,57.14,5
NDC,00781349775,fosaprepitant per 1 mg,401.67,140.59,0.23,137.77,6
NDC,00781350005,enoxaparin per 10 mg,191.82,67.14,1.02,65.79,6
NDC,00781350069,enoxaparin per 10 mg,191.82,67.14,1.02,65.79,6
NDC,00781353810,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,00781353825,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,00781354010,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,00781354025,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,00781354510,heparin (porcine) per 1000 Units,24.0,8.4,6.87,17.88,5
NDC,00781354525,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,00781355525,"heparin (PF) 1,000 unit/mL solution 2 mL Vial",24.0,8.4,0.39,8.23,6
NDC,00781361204,enoxaparin per 10 mg,230.27,80.6,1.02,78.98,6
NDC,00781361268,enoxaparin per 10 mg,230.27,80.6,1.02,78.98,6
NDC,00781375595,norepinephrine 1 mg/mL solution 4 mL Vial,53.71,18.8,15.38,40.01,5
NDC,00781520492,losartan-hydrochlorothiazide 100-12.5 mg tablet 90 each Bottle,8.04,2.82,2.3,5.99,5
NDC,00781520631,losartan-hydrochlorothiazide 50-12.5 mg tablet 30 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00781520792,losartan-hydrochlorothiazide 100-25 mg tablet 90 each Bottle,8.04,2.82,2.3,5.99,5
NDC,00781523806,ondansetron per 8 mg,52.61,18.42,0.02,18.05,6
NDC,00781523864,ondansetron per 8 mg,52.61,18.42,0.02,18.05,6
NDC,00781527764,"donepezil ODT 10 MG tablet,disintegrating 30 each BLIST PACK",18.38,6.44,5.26,13.69,5
NDC,00781531008,"risperiDONE 0.5 MG tablet,disintegrating 28 each BLIST PACK",11.11,3.89,3.18,8.28,5
NDC,00781531108,"risperiDONE 1 MG tablet,disintegrating 28 each BLIST PACK",12.99,4.55,3.72,9.68,5
NDC,00781531206,"risperiDONE 2 MG tablet,disintegrating 1 each BLIST PACK",21.11,7.39,6.05,15.73,5
NDC,00781531208,"risperiDONE 2 MG tablet,disintegrating 28 each BLIST PACK",21.11,7.39,6.05,15.73,5
NDC,00781531308,"risperiDONE 3 MG tablet,disintegrating 28 each BLIST PACK",26.64,9.33,7.63,19.85,5
NDC,00781532501,bromocriptine 2.5 mg tablet 100 each Bottle,14.75,5.17,4.22,10.99,5
NDC,00781532531,bromocriptine 2.5 mg tablet 30 each Bottle,14.79,5.18,4.24,11.02,5
NDC,00781540501,ergotamine-caffeine 1-100 mg tablet 100 each Bottle,36.43,12.76,10.43,27.14,5
NDC,00781543820,cefpodoxime 100 MG tablet 20 each Bottle,15.9,5.57,4.55,11.85,5
NDC,00781557801,entacapone 200 mg tablet 100 each Bottle,9.32,3.27,2.67,6.94,5
NDC,00781565615,drospirenone-ethinyl estradioL 3-0.02 mg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00781565815,drospirenone-ethinyl estradiol 3-0.03 mg tablet 28 each BLIST PACK,6.46,2.27,1.85,4.81,5
NDC,00781577626,azithromycin 250 MG tablet 6 each BLIST PACK,18.37,6.43,5.26,13.69,5
NDC,00781577631,azithromycin 250 MG tablet 30 each Bottle,18.37,6.43,5.26,13.69,5
NDC,00781577669,azithromycin 250 MG tablet 50 each BLIST PACK,18.37,6.43,5.26,13.69,5
NDC,00781591301,chlorpromazine per 10 mg,10.15,3.56,2.91,7.56,5
NDC,00781591701,chlorpromazine per 25 mg,42.16,14.76,12.07,31.41,5
NDC,00781598701,carbamazepine XR 200 MG tablet extended release 12 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00781599401,hydroxychloroquine 200 mg tablet 100 each Bottle,9.65,3.38,2.76,7.19,5
NDC,00781600078,difluprednate 0.05 % drops 5 mL DROP BTL,522.5,182.88,149.64,389.26,5
NDC,00781602346,clarithromycin 250 mg/5 mL suspension for reconstitution 100 mL Bottle,514.95,180.24,147.48,383.64,5
NDC,00781602352,clarithromycin 250 mg/5 mL suspension for reconstitution 50 mL Bottle,277.89,97.27,79.59,207.03,5
NDC,00781604155,amoxicillin 250 mg/5 mL suspension for reconstitution 150 mL Bottle,16.64,5.83,4.77,12.4,5
NDC,00781604158,amoxicillin 250 mg/5 mL suspension for reconstitution 80 mL Bottle,12.46,4.37,3.57,9.28,5
NDC,00781607761,cefdinir 125 mg/5 mL suspension for reconstitution 60 mL Bottle,120.36,42.13,34.47,89.67,5
NDC,00781610446,amoxicillin-clavulanate 400-57 mg/5 mL suspension for reconstitution 100 mL Bottle,162.6,56.91,46.57,121.14,5
NDC,00781613595,penicillin g potassium per 600000 Units,37.47,13.12,1.27,12.85,6
NDC,00781613948,amoxicillin-clavulanate 600-42.9 mg/5 mL suspension for reconstitution 200 mL Bottle,307.78,107.73,88.15,229.3,5
NDC,00781613954,amoxicillin-clavulanate 600-42.9 mg/5 mL suspension for reconstitution 125 mL Bottle,204.14,71.45,58.47,152.08,5
NDC,00781613957,amoxicillin-clavulanate 600-42.9 mg/5 mL suspension for reconstitution 75 mL Bottle,122.31,42.81,35.03,91.12,5
NDC,00781615394,penicillin G sodium 5 million unit recon soln 1 each Vial,135.93,47.58,38.93,101.27,5
NDC,00781615395,penicillin G sodium 5 million unit recon soln 1 each Vial,135.93,47.58,38.93,101.27,5
NDC,00781615746,amoxicillin 400 mg/5 mL suspension for reconstitution 100 mL Bottle,23.13,8.1,6.62,17.23,5
NDC,00781615752,amoxicillin 400 mg/5 mL suspension for reconstitution 50 mL Bottle,11.56,4.05,3.31,8.61,5
NDC,00781615757,amoxicillin 400 mg/5 mL suspension for reconstitution 75 mL Bottle,17.35,6.08,4.97,12.93,5
NDC,00781616086,sevoflurane 99.97 % liquid 250 mL Bottle,396.48,138.77,113.55,295.38,5
NDC,00781627043,OXcarbazepine 300 mg/5 mL (60 mg/mL) suspension 250 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00781707787,metroNIDAZOLE 0.75 % (37.5mg/5 gram) gel 70 g Tube,360.63,126.23,103.28,268.67,5
NDC,00781713593,moxifloxacin 0.5 % drops 3 mL DROP BTL,411.42,144.0,117.83,306.51,5
NDC,00781721606,buprenorphine-naloxone 2-0.5 mg film 1 each Packet,12.08,4.23,3.46,9.0,5
NDC,00781721664,buprenorphine-naloxone 2-0.5 mg film 30 each Packet,12.08,4.23,3.46,9.0,5
NDC,00781724455,fentaNYL 100 mcg/hr patch 72 hour 5 each Box,126.06,44.13,36.1,93.91,5
NDC,00781729685,albuterol 90 mcg/actuation HFA aerosol inhaler 6.7 g CANISTER,106.15,37.16,30.4,79.08,5
NDC,00781730431,rivastigmine 4.6 mg/24 hour patch 24 hour 30 each Box,39.88,13.96,11.42,29.71,5
NDC,00781730931,rivastigmine 9.5 mg/24 hour patch 24 hour 30 each Box,39.88,13.96,11.42,29.71,5
NDC,00781751587,budesonide per 0.25 mg,22.22,7.78,1.67,7.62,6
NDC,00781802801,trifluoperazine 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00781803201,trifluoperazine 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00781803601,trifluoperazine 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00781804801,perphenazine per 8 mg,6.84,2.4,1.96,5.1,5
NDC,00781805201,captopriL 12.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00781807501,captopriL 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00781808926,azithromycin 250 MG tablet 6 each BLIST PACK,18.37,6.43,5.26,13.69,5
NDC,00781894070,cysteine (L-Cysteine) 50 mg/mL solution 10 mL Vial,66.03,23.12,18.91,49.19,5
NDC,00781910995,oxacillin per 250 mg,34.46,12.07,1.56,11.82,6
NDC,00781921390,piperacillin sod-tazobactam per 1 g,43.58,15.26,1.95,14.95,6
NDC,00781921395,piperacillin sod-tazobactam per 1 g,43.58,15.26,1.95,14.95,6
NDC,00781922209,clindamycin per 300 mg,42.72,14.96,3.14,31.83,11
NDC,00781922291,clindamycin per 300 mg,42.72,14.96,3.14,31.83,11
NDC,00781931495,argatroban 50 mg/50 mL (1 mg/mL) solution 50 mL Vial,649.0,227.15,185.87,483.51,5
NDC,00781940295,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,00781940880,ampicillin per 500 mg,39.54,13.84,1.41,13.56,6
NDC,00781940895,ampicillin per 500 mg,39.54,13.84,1.41,13.56,6
NDC,00832030100,chlorpromazine per 25 mg,18.03,6.32,5.16,13.43,5
NDC,00832030200,chlorpromazine per 25 mg,24.49,8.58,7.01,18.25,5
NDC,00832030201,chlorpromazine per 25 mg,35.5,12.43,10.17,26.45,5
NDC,00832030289,chlorpromazine per 25 mg,35.5,12.43,10.17,26.45,5
NDC,00832030300,chlorpromazine per 25 mg,35.13,12.3,10.06,26.17,5
NDC,00832046515,"nystatin 100,000 unit/gram powder 15 g SQUEEZ BTL",88.39,30.94,25.31,65.85,5
NDC,00832048030,eplerenone 25 MG tablet 30 each Bottle,10.24,3.59,2.93,7.63,5
NDC,00832048090,eplerenone 25 MG tablet 90 each Bottle,10.24,3.59,2.93,7.63,5
NDC,00832051000,bethanechol 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00832051201,bethanechol 25 MG tablet 100 each BLIST PACK,6.3,2.21,1.8,4.69,5
NDC,00832051289,bethanechol 25 MG tablet 1 each BLIST PACK,6.3,2.21,1.8,4.69,5
NDC,00832054111,bumetanide 1 MG tablet 100 each Bottle,6.37,2.23,1.82,4.75,5
NDC,00832054211,bumetanide 2 MG tablet 100 each Bottle,6.99,2.45,2.0,5.21,5
NDC,00832058011,cloBAZam 10 mg tablet 100 each Bottle,43.2,15.12,12.37,32.18,5
NDC,00832058525,cloBAZam 2.5 mg/mL suspension 120 mL Bottle,18.92,6.63,5.42,14.1,5
NDC,00832063111,clomiPRAMINE 50 MG capsule 100 each Bottle,26.53,9.29,7.6,19.76,5
NDC,00832101550,amantadine 100 mg capsule 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00832102450,baclofen 10 MG tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00832112035,testosterone 1 % (50 mg/5 gram) gel in packet 5 g Packet,32.49,11.38,9.31,24.21,5
NDC,00832121100,warfarin 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00832121101,warfarin 1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00832121189,warfarin 1 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00832121600,warfarin 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00832121601,warfarin 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00832153011,haloperidoL 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00832154011,haloperidoL 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00832167111,fluvoxaMINE 50 MG tablet 100 each Bottle,6.07,2.13,1.74,4.52,5
NDC,00832600411,fluPHENAZine 2.5 MG tablet 100 each Bottle,16.05,5.62,4.6,11.96,5
NDC,00832600611,fluPHENAZine 10 MG tablet 100 each Bottle,27.38,9.59,7.84,20.4,5
NDC,00832601800,chlorpromazine per 25 mg,18.03,6.32,5.16,13.43,5
NDC,00832601900,chlorpromazine per 25 mg,24.49,8.58,7.01,18.25,5
NDC,00832604550,famotidine 40 mg/5 mL (8 mg/mL) suspension for reconstitution 50 mL Bottle,417.6,146.16,119.6,311.11,5
NDC,00832712301,"divalproex DR 250 MG tablet,delayed release (DR/EC) 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,00832712389,"divalproex DR 250 MG tablet,delayed release (DR/EC) 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,00832712401,"divalproex DR 500 MG tablet,delayed release (DR/EC) 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,00832712489,"divalproex DR 500 MG tablet,delayed release (DR/EC) 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,00869016638,magnesium citrate solution 296 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00869060243,magnesium sulfate 100 % crystals 454 g Jar,6.0,2.1,1.72,4.47,5
NDC,00869068638,magnesium citrate solution 296 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00869069338,magnesium citrate solution 296 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00869081043,isopropyl alcohoL 70 % solution 473 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00869087143,hydrogen peroxide 3 % solution 473 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00869115610,isopropyl alcohoL 70 % solution 473 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00869470610,hydrogen peroxide 3 % solution 473 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00884077304,griseofulvin 250 MG tablet 100 each Bottle,18.68,6.54,5.35,13.92,5
NDC,00884629730,phenoL 89 % swab 30 each Packet,12.88,4.51,3.69,9.6,5
NDC,00904000414,aluminum-magnesium hydroxide-simethicone 200-200-20 mg/5 mL suspension 355 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00904001259,chlorpheniramine 4 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904006100,guaiFENesin 100 mg/5 mL liquid 118 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00904026013,vitamin B-complex with C tablet 130 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904027460,vitamin E 180 mg (400 unit) capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904043004,doxycycline hyclate 100 MG tablet 30 each BLIST PACK,10.73,3.76,3.07,7.99,5
NDC,00904043006,doxycycline hyclate 100 MG tablet 50 each BLIST PACK,6.19,2.17,1.77,4.61,5
NDC,00904052060,pyridoxine 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904052360,ascorbic acid 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904052361,ascorbic acid 500 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904053060,multivitamin tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904053061,multivitamin tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904053080,"multivitamin tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00904053961,multivitamin tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904054460,thiamine 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904054480,"thiamine 100 MG tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00904072236,tolnaftate 1 % cream 14.18 g Tube,6.12,2.15,1.75,4.56,5
NDC,00904078914,magnesium hydroxide 400 mg/5 mL suspension 355 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00904110309,povidone-iodine 10 % solution 236 mL Bottle,9.47,3.32,2.71,7.06,5
NDC,00904122800,diphenhydrAMINE 12.5 mg/5 mL liquid 118 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00904122800,diphenhydramine per 50 mg,6.0,2.1,1.72,4.47,5
NDC,00904131309,bismuth subsalicylate 262 mg/15 mL suspension 236 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00904131546,"bismuth subsalicylate 262 mg tablet,chewable 30 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,00904145361,metroNIDAZOLE 250 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904188260,calcium carbonate-vitamin D3 250 mg-3 mcg (120 unit) tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904188260,calcium carbonate-vitamin D3 250 mg-3.125 mcg (125 unit) tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904188261,calcium carbonate-vitamin D3 250 mg-3.125 mcg (125 unit) tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904198260,acetaminophen 325 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904198261,acetaminophen 325 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904198861,acetaminophen 500 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904198880,"acetaminophen 500 MG tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00904205159,dimenhyDRINATE 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904205661,diphenhydramine per 50 mg,6.0,2.1,0.03,2.1,6
NDC,00904208560,vitamin A 10000 UNIT capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904208560,vitamin A capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904227260,niacin 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904252820,pyrethrins-piperonyl butoxide 0.33-4 % shampoo 118 mL Bottle,17.82,6.24,5.1,13.28,5
NDC,00904253321,calamine-zinc oxide 8-8 % lotion 177 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00904272561,sulfamethoxazole-trimethoprim 800-160 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904282161,oxybutynin 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904292061,verapamiL 80 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904292461,verapamiL 120 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904323352,calcium carbonate-vitamin D 600 mg-10 mcg (400 unit) tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904357161,megestroL 40 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904385461,"carbamazepine 100 mg tablet,chewable 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,00904386575,"sodium chloride 0.65 % aerosol,spray 44 mL SQUEEZ BTL",6.0,2.1,1.72,4.47,5
NDC,00904404073,"aspirin 81 MG tablet,chewable 36 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00904420260,niacinamide 500 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904501546,co-enzyme Q-10 30 mg capsule 30 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904505324,pseudoephedrine 30 MG tablet 24 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904505812,bisacodyL 10 mg suppository 12 each Box,6.0,2.1,1.72,4.47,5
NDC,00904506260,calcium citrate 200 mg (950 mg) tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904506860,"simethicone 80 MG tablet,chewable 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00904512546,pseudoephedrine 60 MG tablet 30 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904512559,pseudoephedrine 60 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904517416,diphenhydrAMINE 12.5 mg/5 mL liquid 473 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00904517416,diphenhydramine per 50 mg,6.0,2.1,1.72,4.47,5
NDC,00904525944,coal tar 0.5 % shampoo 251 mL Bottle,14.22,4.98,4.07,10.59,5
NDC,00904530661,diphenhydramine per 50 mg,6.0,2.1,0.03,2.1,6
NDC,00904530680,diphenhydramine per 50 mg,6.0,2.1,0.03,2.1,6
NDC,00904530760,diphenhydramine per 50 mg,6.0,2.1,0.03,2.1,6
NDC,00904533260,zinc sulfate 50 mg zinc (220 mg) capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904539261,atenoloL 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904543360,biotin 300 mcg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904544861,pentoxifylline 400 mg tablet extended release 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904546052,calcium carbonate-vitamin D 1250 mg (500 mg elemental calcium) tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904546080,"calcium carbonate-vitamin D 1250 mg (500 mg elemental calcium) tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00904546092,calcium carbonate-vitamin D 1250 mg (500 mg elemental calcium) tablet 150 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904549546,nitroglycerin 0.2 mg/hr patch 24 hour 30 each Packet,6.0,2.1,1.72,4.47,5
NDC,00904561161,enalapril 20 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904561646,co-enzyme Q-10 50 mg capsule 30 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904563161,gabapentin 100 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904565661,cloNIDine 0.1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904565761,cloNIDine 0.2 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904565861,cloNIDine 0.3 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904570916,bismuth subsalicylate 262 mg/15 mL suspension 473 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00904571130,"oxymetazoline 0.05 % spray,non-aerosol 30 mL SQUEEZ BTL",6.0,2.1,1.72,4.47,5
NDC,00904571135,"oxymetazoline 0.05 % spray,non-aerosol 15 mL SQUEEZ BTL",6.0,2.1,1.72,4.47,5
NDC,00904573611,nicotine polacrilex 2 mg gum 110 each Box,6.0,2.1,1.72,4.47,5
NDC,00904573711,nicotine polacrilex 4 MG gum 110 each Box,6.0,2.1,1.72,4.47,5
NDC,00904578461,FLUoxetine 10 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904578561,FLUoxetine 20mg capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904578961,acyclovir 200 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904579061,acyclovir 400 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904581161,lisinopriL 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904582360,cholecalciferol 10 mcg (400 unit) tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904582460,"cholecalciferol 25 mcg (1,000 unit) tablet 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00904582461,"cholecalciferol 25 mcg (1,000 unit) tablet 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,00904585440,ibuprofen 600mg tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904585461,ibuprofen 600mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904586061,ALPRAZolam 1 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00904588061,diazePAM 5 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00904588861,theophylline 200 MG tablet extended release 12 hr 100 each Box,6.0,2.1,1.72,4.47,5
NDC,00904589430,"simethicone 40 mg/0.6 mL drops,suspension 30 mL DROP BTL",8.28,2.9,2.37,6.17,5
NDC,00904592161,digoxin 125 mcg (0.125 mg) tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904592961,labetaloL 200 MG tablet 100 each BLIST PACK,8.23,2.89,2.36,6.13,5
NDC,00904595961,clindamycin 150 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904598426,ammonium lactate 12 % lotion 226 g Bottle,90.14,31.55,25.82,67.15,5
NDC,00904600761,LORazepam 0.5 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00904600861,LORazepam 1 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00904601946,bicalutamide 50 mg tablet 30 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904605261,levetiracetam 500 MG tablet 100 each BLIST PACK,7.46,2.62,2.14,5.56,5
NDC,00904608261,zolpidem 5 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00904608561,citalopram 20 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904608661,citalopram 40 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904610161,clonazepam 0.5 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00904610261,clonazepam 1 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00904617261,carbamazepine 200 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904623761,carbidopa-levodopa 25-100 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904625549,benzocaine-menthoL 15-3.6 mg lozenge 18 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904626945,ziprasidone 20 MG capsule 80 each BLIST PACK,7.81,2.74,2.24,5.82,5
NDC,00904627008,ziprasidone 40 MG capsule 40 each BLIST PACK,21.16,7.41,6.06,15.76,5
NDC,00904627861,quetiapine 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904628661,OLANZapine 15 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904628706,OLANZapine 20 MG tablet 50 each BLIST PACK,94.0,32.9,26.92,70.03,5
NDC,00904629261,atorvastatin 40 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904629461,clopidogreL 75 mg tablet 100 each BLIST PACK,10.29,3.61,2.95,7.67,5
NDC,00904630061,carvediloL 3.125 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904630161,carvediloL 6.25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904630261,carvediloL 12.5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904630361,carvediloL 25mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904630521,"phenoL 1.4 % aerosol,spray 177 mL Bottle",6.68,2.34,1.91,4.98,5
NDC,00904632078,sodium phosphates 19-7 gram/118 mL enema 133 mL SQUEEZ BTL,6.0,2.1,1.72,4.47,5
NDC,00904632261,metoprolol succinate 25 MG tablet extended release 24 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904632661,metFORMIN 500mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904633724,pseudoephedrine 30 MG tablet 24 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904633860,pseudoephedrine 30 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904635161,levoFLOXacin 250 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904635261,levoFLOXacin 500 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904635361,levoFLOXacin 750 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904635961,risperiDONE 1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904636061,risperiDONE 2 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904636561,traMADoL 50 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00904636961,amLODIPine 2.5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904637061,amLODIPine 5mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904637761,OLANZapine 5 MG tablet 100 each BLIST PACK,31.19,10.92,8.93,23.24,5
NDC,00904640161,tamsulosin 0.4 mg capsule 100 each BLIST PACK,9.93,3.48,2.84,7.4,5
NDC,00904640189,tamsulosin 0.4 mg capsule 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904640604,moxifloxacin 400 mg tablet 30 each BLIST PACK,21.84,7.65,6.25,16.27,5
NDC,00904640761,"bisacodyL 5 mg tablet,delayed release (DR/EC) 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,00904640861,donepeziL 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904641292,"calcium carbonate 200 mg calcium (500 mg) tablet,chewable 150 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00904642281,polyethylene glycol 17 gram powder in packet 100 each Packet,6.0,2.1,1.72,4.47,5
NDC,00904642286,polyethylene glycol 17 gram powder in packet 1 each Packet,6.0,2.1,1.72,4.47,5
NDC,00904642661,escitalopram 10 MG tablet 100 each BLIST PACK,10.34,3.62,2.96,7.7,5
NDC,00904642761,escitalopram 20 MG tablet 100 each BLIST PACK,10.79,3.78,3.09,8.04,5
NDC,00904644061,hydrALAZINE 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904644161,hydrALAZINE 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904644261,hydrALAZINE 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904644461,oxyCODONE 5 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00904644961,isosorbide mononitrate 30 MG tablet extended release 24 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904645204,"DULoxetine 20 MG capsule,delayed release(DR/EC) 30 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,00904645561,docusate 100mg capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904645780,"docusate 100mg capsule 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00904646161,promethazine per 25 mg,6.0,2.1,0.14,2.06,6
NDC,00904647561,baclofen 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904647661,baclofen 20 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904647761,donepeziL 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904647861,donepeziL 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904648838,eye lubricant 83-15 % ointment 3.5 g Tube,10.24,3.59,2.93,7.63,5
NDC,00904648838,eye lubricant ointment 3.5 g Tube,13.36,4.68,3.83,9.95,5
NDC,00904649235,polyvinyl alcohol 1.4 % drops 15 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,00904650106,fluconazole 200 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904650161,fluconazole 200 MG tablet 100 each BLIST PACK,38.57,13.5,11.05,28.73,5
NDC,00904650261,celecoxib 100 MG capsule 100 each BLIST PACK,10.3,3.61,2.95,7.67,5
NDC,00904650904,ARIPiprazole 2 MG tablet 30 each BLIST PACK,59.0,20.65,16.9,43.96,5
NDC,00904651304,ARIPiprazole 20 MG tablet 30 each BLIST PACK,76.46,26.77,21.9,56.96,5
NDC,00904651404,ARIPiprazole 30 MG tablet 30 each BLIST PACK,88.36,30.93,25.31,65.83,5
NDC,00904651961,mirtazapine 15 MG tablet 100 each BLIST PACK,6.75,2.37,1.93,5.03,5
NDC,00904652261,sennosides 8.6 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904653620,acetaminophen 160 mg/5 mL suspension 118 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00904655061,propranoloL 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904655161,ondansetron per 8 mg,6.0,2.1,0.02,2.06,6
NDC,00904655261,ondansetron per 8 mg,6.0,2.1,0.02,2.06,6
NDC,00904655304,linezolid 600 mg tablet 30 each BLIST PACK,431.88,151.16,123.69,321.75,5
NDC,00904655461,traZODone 50mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904655561,traZODone 100mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904655761,morphine 15 MG tablet extended release 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00904656561,valACYclovir 500 MG tablet 100 each BLIST PACK,6.9,2.42,1.98,5.14,5
NDC,00904656761,HYDROcodone-acetaminophen 5-325 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00904657161,allopurinoL 100 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904657261,allopurinoL 300 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904657561,PHENobarbitaL 32.4 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00904658561,buPROPion SR 150 MG tablet sustained-release 12 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904660961,magnesium oxide 400 mg (241.3 mg magnesium) tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904661761,hydrOXYzine 25mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904661961,isosorbide dinitrate 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904662735,carbamide peroxide 6.5 % drops 15 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,00904663861,quetiapine 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904663961,quetiapine 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904664061,quetiapine 100 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904664261,quetiapine 300 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904666561,gabapentin 100 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904666661,gabapentin 300mg capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904666761,gabapentin 400 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904667967,bacitracin 500 unit/gram ointment in packet 144 each Packet,6.0,2.1,1.72,4.47,5
NDC,00904668067,"neomycin-bacitracnZn-polymyxnB 3.5-400-5,000 mg-unit-unit ointment in packet 144 each Packet",6.0,2.1,1.72,4.47,5
NDC,00904668308,dofetilide 500 MCG capsule 40 each BLIST PACK,14.92,5.23,4.27,11.12,5
NDC,00904668961,metFORMIN 500mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904670561,propranoloL 20 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904670806,azithromycin 250 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904671015,"glucose 4 GM tablet,chewable 10 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00904671260,"aspirin 325 MG tablet,delayed release (DR/EC) 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00904671760,cetirizine 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904671761,cetirizine 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904671950,acetaminophen 325 MG tablet 50 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904672024,acetaminophen 500 MG tablet 24 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904672040,acetaminophen 500 MG tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904672559,sennosides 8.6 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904672760,pseudoephedrine 30 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904672846,pseudoephedrine 60 MG tablet 30 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904672852,pseudoephedrine 60 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904673060,acetaminophen 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904673061,acetaminophen 500 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904673080,"acetaminophen 500 MG tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00904673361,haloperidoL 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904674561,dronabinol per 2.5 mg,13.38,4.69,1.34,4.59,6
NDC,00904674604,dronabinol per 5 mg,27.31,9.56,1.34,9.37,6
NDC,00904674740,ibuprofen 200 MG tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904674770,ibuprofen 200 MG tablet 250 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904674860,"bisacodyL 5 mg tablet,delayed release (DR/EC) 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00904676130,"oxymetazoline 0.05 % spray,non-aerosol 30 mL SQUEEZ BTL",6.37,2.23,1.82,4.75,5
NDC,00904676320,guaiFENesin 100 mg/5 mL liquid 118 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00904676414,aluminum-magnesium hydroxide-simethicone 200-200-20 mg/5 mL suspension 355 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00904677361,acetaminophen 325 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904678744,magnesium citrate solution 296 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,00904679430,"aspirin 81 MG tablet,chewable 300 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,00904679480,"aspirin 81 MG tablet,chewable 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00904679761,lisinopriL 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904679861,lisinopriL 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904679961,lisinopriL 20mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904680161,quetiapine XR 50 mg tablet extended release 24 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904680261,quetiapine XR 150 mg tablet extended release 24 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904680461,quetiapine XR 300 MG tablet extended release 24 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904680861,montelukast 10 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904681706,midodrine 2.5 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904682461,HYDROcodone-acetaminophen 5-325 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00904683620,loperamide 1 mg/7.5 mL liquid 120 mL Bottle,10.48,3.67,3.0,7.81,5
NDC,00904686061,"divalproex DR 250 MG tablet,delayed release (DR/EC) 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,00904686161,"divalproex DR 500 MG tablet,delayed release (DR/EC) 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,00904686861,traZODone 50mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904686961,traZODone 100mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904690706,pseudoephedrine 60 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904693176,polyethylene glycol 17 gram powder in packet 30 each Packet,6.0,2.1,1.72,4.47,5
NDC,00904693186,polyethylene glycol 17 gram powder in packet 1 each Packet,6.0,2.1,1.72,4.47,5
NDC,00904693806,butalbital-acetaminophen-caffeine 50-325-40 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904693961,hydroxyurea 500 mg capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904694961,levothyroxine 25 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904695061,levothyroxine 50 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904696661,oxyCODONE 5 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00904698520,diphenhydrAMINE 12.5 mg/5 mL liquid 118 mL Bottle,6.68,2.34,1.91,4.98,5
NDC,00904698520,diphenhydramine per 50 mg,6.68,2.34,1.91,4.98,5
NDC,00904698861,dicyclomine per 20 mg,6.0,2.1,1.72,4.47,5
NDC,00904699061,pseudoephedrine 30 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904699104,pregabalin 25 MG capsule 30 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00904699880,"docusate 100mg capsule 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00904700061,pregabalin 75 MG capsule 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00904700635,"oxymetazoline 0.05 % spray,non-aerosol 15 mL SQUEEZ BTL",6.0,2.1,1.72,4.47,5
NDC,00904700861,lamotrigine 100 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904702367,bacitracin 500 unit/gram ointment in packet 144 each Packet,6.0,2.1,1.72,4.47,5
NDC,00904702761,oxybutynin 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904703604,naltrexone 50 mg tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904704161,allopurinoL 100 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904704261,amantadine 100 mg capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904704304,"DULoxetine 20 MG capsule,delayed release(DR/EC) 30 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,00904704461,"DULoxetine 30 MG capsule,delayed release(DR/EC) 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,00904704661,hydroxychloroquine 200 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904705361,doxepin 25 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904705761,methocarbamoL 500 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904707661,"venlafaxine XR 150 MG capsule,extended release 24hr 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,00904708361,ciprofloxacin 500 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904709361,oxyCODONE-acetaminophen 5-325 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00904709661,pioglitazone 30 MG tablet 100 each BLIST PACK,6.7,2.35,1.92,4.99,5
NDC,00904711061,labetaloL 200 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904711561,docusate 100mg capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904712361,levetiracetam 250 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904712461,levetiracetam 500 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904712661,metroNIDAZOLE 500 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904714110,methotrexate per 2.5 mg,8.45,2.96,0.34,2.9,6
NDC,00904714212,bisacodyL 10 mg suppository 12 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904714504,dronabinol per 5 mg,27.31,9.56,1.34,9.37,6
NDC,00904715661,metroNIDAZOLE 250 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904715861,fluPHENAZine 2.5 MG tablet 100 each BLIST PACK,20.97,7.34,6.01,15.62,5
NDC,00904716861,ursodioL 300 mg capsule 100 each BLIST PACK,12.44,4.36,3.56,9.27,5
NDC,00904717761,furosemide 20mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904717861,furosemide 40 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904718061,oxyCODONE 15 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00904718361,docusate 100mg capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904719361,famotidine 20 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904719907,"phenytoin 50 mg tablet,chewable 30 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,00904721104,dantrolene 25 MG capsule 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904721461,buPROPion SR 150 MG tablet sustained-release 12 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904721661,potassium chloride 10 meq tablet extended release 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904721761,"diltiazem CD 120 MG capsule,extended release 24hr 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,00904722461,folic acid 1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904722961,NIFEdipine 10 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904723761,diphenhydramine per 50 mg,6.0,2.1,0.03,2.1,6
NDC,00904724468,lacosamide 50 mg tablet 60 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00904724568,lacosamide 100 mg tablet 60 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,00904725260,sennosides 8.6 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904725261,sennosides 8.6 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904725280,"sennosides 8.6 mg tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00904727061,buPROPion SR 100 MG tablet sustained-release 12 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904727641,"nystatin 100,000 unit/mL suspension 5 mL Cup",6.0,2.1,1.72,4.47,5
NDC,00904727692,"nystatin 100,000 unit/mL suspension 5 mL Cup",6.0,2.1,1.72,4.47,5
NDC,00904727966,docusate 100 mg/10 mL liquid 10 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00904727972,docusate 100 mg/10 mL liquid 10 mL Cup,6.0,2.1,1.72,4.47,5
NDC,00904730561,carvediloL 3.125 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904730761,carvediloL 12.5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904730861,carvediloL 25mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904733706,cephalexin 500 MG capsule 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904733735,cephalexin 500 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904734561,FLUoxetine 10 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904734661,FLUoxetine 20mg capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904735006,azithromycin 250 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904751061,cetirizine 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904753060,buPROPion 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904759160,ferrous sulfate 325 (65 FE) MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00904759161,ferrous sulfate 325 (65 FE) MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904768822,phenylephrine 0.25 % suppository 12 each Box,6.0,2.1,1.72,4.47,5
NDC,00904773518,"multivitamin 5,000-60-30 unit-mg-unit tablet 120 each Bottle",6.0,2.1,1.72,4.47,5
NDC,00904780961,cyclobenzaprine 10mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904791461,ibuprofen 200 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,00904795544,caffeine 200 mg tablet 16 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00944049301,albumin human 25% per 50 mL,163.9,57.37,46.94,122.11,5
NDC,00944049302,albumin human 25% per 50 mL,327.8,114.73,93.88,244.21,5
NDC,00944049303,albumin human 25% per 50 mL,163.9,57.37,46.94,122.11,5
NDC,00944049505,albumin human 5% per 50 mL,853.73,298.81,244.51,636.03,5
NDC,00944049506,albumin human 5% per 50 mL,853.73,298.81,244.51,636.03,5
NDC,00944265603,immune globulin 5 gram recon soln 1 each Vial,3223.1,1128.09,80.4,1105.52,10
NDC,00944265804,immune globulin 10 gram recon soln 1 each Vial,6446.2,2256.17,80.4,2211.05,10
NDC,00944270002,immune globulin 10 % solution 10 mL Vial,494.49,173.08,49.08,169.61,10
NDC,00944270003,immune globulin 10 % solution 25 mL Vial,1236.29,432.71,49.08,424.05,10
NDC,00944270004,immune globulin 10 % solution 50 mL Vial,2472.45,865.36,49.08,848.05,10
NDC,00944270005,immune globulin 10 % solution 100 mL Vial,4944.91,1730.72,49.08,1696.1,10
NDC,00944270006,immune globulin 10 % solution 200 mL Vial,9889.82,3461.44,49.08,3392.21,10
NDC,00944270007,immune globulin 10 % solution 300 mL Vial,14834.72,5192.16,49.08,5088.31,10
NDC,00944270008,immune globulin 10 % solution 10 mL Vial,494.49,173.08,49.08,169.61,10
NDC,00944270009,immune globulin 10 % solution 25 mL Vial,1236.29,432.71,49.08,424.05,10
NDC,00944270010,immune globulin 10 % solution 50 mL Vial,2472.45,865.36,49.08,848.05,10
NDC,00944270011,immune globulin 10 % solution 100 mL Vial,4944.91,1730.72,49.08,1696.1,10
NDC,00944270012,immune globulin 10 % solution 200 mL Vial,9889.82,3461.44,49.08,3392.21,10
NDC,00944270013,immune globulin 10 % solution 300 mL Vial,14834.72,5192.16,49.08,5088.31,10
NDC,00944381001,pegaspargase 750 unit/mL solution 5 mL Vial,48174.75,16861.17,16523.94,60908.7,10
NDC,00944394202,coagulation factor 8 401-800 unit recon soln 1 each Vial,2570.04,899.52,1.39,881.52,10
NDC,00944394402,"coagulation factor 8 801-1,500 unit recon soln 1 each Vial",4439.16,1553.71,1.39,1522.63,10
NDC,00955100310,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,00955100401,enoxaparin per 10 mg,24.18,8.47,1.02,8.29,6
NDC,00955100410,enoxaparin per 10 mg,24.18,8.47,1.02,8.29,6
NDC,00955101010,enoxaparin per 10 mg,60.52,21.19,1.02,20.76,6
NDC,00955104090,irbesartan 75 MG tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00955104190,irbesartan 150 MG tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,00955170210,"zolpidem CR 6.25 MG tablet,ext release multiphase 100 each Bottle",9.0,3.15,2.58,6.71,5
NDC,00955172901,insulin glargine per 5 Units,321.2,112.42,0.42,110.17,6
NDC,00990613803,sodium chloride 0.9 % solution 500 mL Flex Cont,15.34,5.37,4.39,11.43,5
NDC,00990613903,water for irrigation (sterile) solution 500 mL Flex Cont,15.34,5.37,4.39,11.43,5
NDC,00990707426,potassium chloride in sterile water 0.1 mEq/mL piggyback 100 mL Flex Cont,24.0,8.4,0.2,8.23,6
NDC,00990707426,potassium chloride in water 10 mEq/100 mL piggyback 100 mL Flex Cont,24.0,8.4,0.2,8.23,6
NDC,00990707526,potassium chloride per 2 mEq,24.0,8.4,0.2,8.23,6
NDC,00990710709,"dextrose 5% and sodium chloride 0.9% with KCl 20 mEq/L 20 mEq/L parenteral solution 1,000 mL Flex Cont",24.0,8.4,6.87,17.88,5
NDC,00990710909,"dextrose 5% and sodium chloride 0.9% with KCl 40 mEq/L 40 mEq/L parenteral solution 1,000 mL Flex Cont",24.0,8.4,6.87,17.88,5
NDC,00990711509,"sodium chloride 0.9 % with KCl 20 mEq/L 20 mEq/L parenteral solution 1,000 mL Flex Cont",24.0,8.4,0.2,8.23,6
NDC,00990711609,"sodium chloride 0.9% with KCl 40 mEq/L 40 mEq/L parenteral solution 1,000 mL Flex Cont",24.0,8.4,0.2,8.23,6
NDC,00990711807,"water for injection (sterile) parenteral solution 2,000 mL Flex Cont",28.32,9.92,8.11,21.1,5
NDC,00990712007,"dextrose 70% (D70W) parenteral solution 2,000 mL Flex Cont",61.36,21.48,17.57,45.71,5
NDC,00990713909,"water for irrigation (sterile) solution 1,000 mL Bottle",14.16,4.96,4.06,10.55,5
NDC,00990771503,mannitol 20 % parenteral solution 500 mL Flex Cont,54.28,19.0,15.55,40.44,5
NDC,00990773036,sodium chloride 0.45 % 0.45 % 50 mL Flex Cont,24.0,8.4,6.87,17.88,5
NDC,00990773036,sodium chloride 0.45 % parenteral solution 50 mL Flex Cont,24.0,8.4,6.87,17.88,5
NDC,00990790209,"dextrose 5% and sodium chloride 0.45% with KCl 20 mEq/L 20 mEq/L parenteral solution 1,000 mL Flex Cont",24.0,8.4,6.87,17.88,5
NDC,00990791819,dextrose 70% (D70W) parenteral solution 500 mL Flex Cont,44.84,15.7,12.84,33.41,5
NDC,00990792202,dextrose 5% 5 % 250 mL Flex Cont,24.0,8.4,3.18,9.48,6
NDC,00990792202,dextrose 5% per 500 mL,24.0,8.4,3.18,9.48,6
NDC,00990792336,dextrose 5% 5 % 50 mL Flex Cont,24.0,8.4,6.87,17.88,5
NDC,00990792336,dextrose 5% per 500 mL,24.0,8.4,6.87,17.88,5
NDC,00990793002,dextrose 10 % parenteral solution 250 mL Flex Cont,24.0,8.4,6.87,17.88,5
NDC,00990793003,dextrose 10 % 10% 500 mL Flex Cont,24.0,8.4,6.87,17.88,5
NDC,00990793003,dextrose 10 % parenteral solution 500 mL Flex Cont,24.0,8.4,6.87,17.88,5
NDC,00990795303,lactated ringers per 1000 mL,24.0,8.4,4.27,12.53,6
NDC,00990797208,"sodium chloride 0.9 % solution 3,000 mL Flex Cont",35.4,12.39,10.14,26.37,5
NDC,00990797305,"water for irrigation (sterile) solution 1,000 mL Flex Cont",23.6,8.26,6.76,17.58,5
NDC,00990797308,"water for irrigation (sterile) solution 3,000 mL Flex Cont",35.4,12.39,10.14,26.37,5
NDC,00990797408,"glycine urologic solution 1.5 % solution 3,000 mL Flex Cont",42.48,14.87,12.17,31.65,5
NDC,00990798503,sodium chloride 0.45 % 0.45 % 500 mL Flex Cont,24.0,8.4,6.87,17.88,5
NDC,00990798503,sodium chloride 0.45 % parenteral solution 500 mL Flex Cont,24.0,8.4,6.87,17.88,5
NDC,00990925739,potassium chloride per 2 mEq,24.0,8.4,0.2,8.23,6
NDC,00998001615,proparacaine 0.5 % drops 15 mL DROP BTL,83.54,29.24,23.93,62.24,5
NDC,00998020415,pilocarpine 2 % drops 15 mL DROP BTL,269.5,94.33,77.18,200.78,5
NDC,00998035515,tropicamide 1 % drops 15 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,00998061505,"dexAMETHasone 0.1 % drops,suspension 5 mL DROP BTL",224.25,78.49,64.23,167.07,5
NDC,00998101002,microfibrillar collagen powder 1 g Packet,6.0,2.1,1.72,4.47,5
NDC,01320030140,mineral oil enema 133 mL SQUEEZ BTL,7.22,2.53,2.07,5.38,5
NDC,01490003904,bismuth subsalicylate 262 mg/15 mL suspension 118 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,01490003956,bismuth subsalicylate 262 mg/15 mL suspension 236 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,04142000007,Saccharomyces boulardii 250 mg capsule 50 each Bottle,6.0,2.1,1.72,4.47,5
NDC,05928000100,"sod chloride, sodium bicarb packet with rinse device 50 each KIT",6.0,2.1,1.72,4.47,5
NDC,05928000300,"sod chloride, sodium bicarb packet with rinse device 60 each KIT",6.0,2.1,1.72,4.47,5
NDC,05928000816,sodium bicarbonate/chloride packet with rinse device 60 each KIT,6.0,2.1,1.72,4.47,5
NDC,06373603001,permethrin 1 % liquid 59 mL Bottle,41.77,14.62,11.96,31.12,5
NDC,08290236712,lactobacillus acidoph-lactobacillus bulgar 100 million cell granules in packet 12 each Packet,6.0,2.1,1.72,4.47,5
NDC,08290236850,"Lactobacillus acidophilus-Lactobacilus bulgarius 1 million cell tablet,chewable 50 each Bottle",6.0,2.1,1.72,4.47,5
NDC,08290306414,heparin (PF) 10 unit/mL syringe 5 mL Syringe,24.0,8.4,0.03,8.23,6
NDC,08290306423,heparin 100 unit/mL syringe 3 mL Syringe,24.0,8.4,0.03,8.23,6
NDC,08290306424,heparin 100 unit/mL syringe 5 mL Syringe,24.0,8.4,0.03,8.23,6
NDC,08290306513,heparin 100 unit/mL syringe 5 mL Syringe,24.0,8.4,0.03,8.23,6
NDC,08290306546,sodium chloride 0.9% syringe 10 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,08290306546,sodium chloride syringe 10 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,08290306547,sodium chloride 0.9% syringe 10 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,08290306547,sodium chloride syringe 10 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,08541000101,"cultured skin substitute 2 X 3 "" sheet 1 each Bag",4502.88,1576.01,74.15,1544.49,12
NDC,08544508421,sodium hyaluronate 10 mg/mL syringe 0.85 mL Syringe,216.0,75.6,61.86,160.92,5
NDC,08544508541,sodium hyaluronate 14 mg/mL syringe 0.85 mL Syringe,216.0,75.6,61.86,160.92,5
NDC,09978000199,cultured skin substitute disk 1 each Box,5649.84,1977.45,50.16,1937.9,20
NDC,10006070012,pyridoxine 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,10006070022,cyanocobalamin 1000 MCG tablet 130 each Bottle,6.0,2.1,1.72,4.47,5
NDC,10006070028,magnesium oxide 400 mg (241.3 mg magnesium) tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,10006070033,"cholecalciferol 25 mcg (1,000 unit) tablet 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,10006073017,pyridoxine 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,10006073038,magnesium oxide 400 mg (241.3 mg magnesium) tablet 120 each Bottle,6.0,2.1,1.72,4.47,5
NDC,10019005561,esmolol 10 mg/mL parenteral solution 250 mL Flex Cont,382.32,133.82,109.5,284.83,5
NDC,10019005561,"esmolol 2,500 mg/250 mL (10 mg/mL) parenteral solution 250 mL Flex Cont",880.87,308.31,0.35,1027.67,11
NDC,10019012001,esmoloL 100 mg/10 mL (10 mg/mL) solution 10 mL Vial,34.43,12.06,0.35,25.65,11
NDC,10019012039,esmoloL 100 mg/10 mL (10 mg/mL) solution 10 mL Vial,34.43,12.06,0.35,25.65,11
NDC,10019055303,scopolamine 1 mg/patch patch 3 day 10 each Box,60.31,21.11,17.27,44.93,5
NDC,10019055304,scopolamine 1 mg/patch patch 3 day 24 each Box,60.31,21.11,17.27,44.93,5
NDC,10019064134,desflurane 100 % liquid 240 mL Bottle,453.69,158.8,129.94,338.0,5
NDC,10019067210,"esmolol 2,500 mg/250 mL (10 mg/mL) parenteral solution 250 mL Bag",442.5,154.88,0.35,329.66,11
NDC,10019092501,ifosfamide per 1 g,104.05,36.42,35.69,133.09,6
NDC,10019092602,ifosfamide per 1 g,304.56,106.6,44.14,133.09,6
NDC,10019093801,cyclophosphamide per 100 mg,523.92,183.38,0.77,390.32,10
NDC,10019095301,mesna per 200 mg,70.8,24.78,2.26,24.28,6
NDC,10019095362,mesna per 200 mg,70.8,24.78,2.26,24.28,6
NDC,10019095501,cyclophosphamide per 100 mg,1037.22,363.03,0.77,772.73,10
NDC,10019095601,cyclophosphamide per 100 mg,1329.58,465.36,0.77,990.54,10
NDC,10019095701,cyclophosphamide per 100 mg,4148.88,1452.11,0.77,3090.92,10
NDC,10061041807,pyrethrins-piperonyl butoxide 0.33-4 % shampoo 59 mL Bottle,13.92,4.88,3.99,10.37,5
NDC,10119000252,sterile irrigation irrigation solution 118 mL Bottle,9.19,3.22,2.63,6.85,5
NDC,10119002013,eye lubricant 80-20 % ointment 3.5 g Tube,16.89,5.92,4.84,12.58,5
NDC,10119002013,eye lubricant ointment 3.5 g Tube,16.89,5.92,4.84,12.58,5
NDC,10119002239,eye lubricant 80-20 % ointment 3.5 g Tube,16.89,5.92,4.84,12.58,5
NDC,10119002239,eye lubricant ointment 3.5 g Tube,18.2,6.37,5.21,13.56,5
NDC,10119003582,soft contact lens saline solution 118 mL Bottle,10.03,3.52,2.87,7.47,5
NDC,10119003586,contact lens multipurpose solution 296 mL Bottle,6.99,2.45,2.0,5.21,5
NDC,10119005421,hard lens cleaner solution 30 mL Bottle,23.22,8.13,6.65,17.3,5
NDC,10119005609,hard lens cleaner solution 105 mL Bottle,22.55,7.9,6.46,16.8,5
NDC,10122031310,niCARdipine 20 mg/200 mL (0.1 mg/mL) piggyback 200 mL Bag,287.92,100.78,0.18,214.5,11
NDC,10122032501,niCARdipine 40 mg/200 mL (0.2 mg/mL) piggyback 200 mL Bag,575.84,201.55,0.18,429.0,11
NDC,10122032510,niCARdipine 40 mg/200 mL (0.2 mg/mL) piggyback 200 mL Bag,575.84,201.55,0.18,429.0,11
NDC,10122051001,poractant alfa 120 mg/1.5 mL suspension 1.5 mL Vial,1696.25,593.69,485.81,1263.71,5
NDC,10122051003,poractant alfa 240 mg/3 mL suspension 3 mL Vial,3344.83,1170.7,957.96,2491.9,5
NDC,10122062001,cangrelor 50 mg recon soln 1 each Vial,2835.39,992.39,812.06,2112.37,5
NDC,10122062010,cangrelor 50 mg recon soln 1 each Vial,2835.39,992.39,812.06,2112.37,5
NDC,10135063632,"acamprosate 333 mg tablet,delayed release (DR/EC) 180 each Bottle",6.38,2.24,1.83,4.75,5
NDC,10135067191,clotrimazole 1 % solution 30 mL Bottle,94.73,33.16,27.13,70.57,5
NDC,10144060215,TiZANidine 2 MG capsule 150 each Bottle,7.75,2.72,2.22,5.77,5
NDC,10147068801,methylphenidate HCl 27 MG tablet extended release 24hr 100 each Bottle,22.6,7.91,6.47,16.84,5
NDC,10147092103,haloperidol decanoate per 50 mg,73.32,25.67,12.21,43.69,6
NDC,10147095203,paliperidone 3 MG tablet extended release 24hr 30 each Bottle,31.19,10.92,8.93,23.24,5
NDC,10147170007,itraconazole 100 mg capsule 28 each BLIST PACK,21.96,7.69,6.29,16.36,5
NDC,10310031840,benzocaine-menthoL-zinc 20-0.1-0.15 % gel 5.1 g Tube,9.98,3.5,2.86,7.44,5
NDC,10356001496,salicylic acid 40 % plaster 25 each Packet,6.0,2.1,1.72,4.47,5
NDC,10454071110,"rimabotulinumtoxinB 5,000 unit/mL solution 1 mL Vial",1798.56,629.5,13.28,616.91,10
NDC,10481011108,iodine-potassium iodide 5-10 % solution 8 mL Bottle,25.81,9.04,7.39,19.23,5
NDC,10481011208,ferric subsulfate 20 % solution with applicator 8 mL Bottle,34.42,12.05,9.86,25.64,5
NDC,10565000116,hydrogen peroxide 3 % solution 473 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,10570103241,acetic acid 5 % liquid 12 mL Vial,21.74,7.61,6.23,16.2,5
NDC,10571027161,acetic acid 5 % liquid 12 mL Vial,15.72,5.51,4.5,11.71,5
NDC,10572010001,"polyethylene glycol 236-22.74-6.74 -5.86 gram recon soln 4,000 mL Bottle",66.08,23.13,18.93,49.23,5
NDC,10572030201,"polyethylene glycol 420 gram recon soln 4,000 mL Bottle",75.52,26.44,21.63,56.26,5
NDC,10631009160,crotamiton 10 % cream 60 g Tube,1432.71,501.45,410.33,1067.37,5
NDC,10631009260,crotamiton 10 % lotion 60 g Bottle,1432.71,501.45,410.33,1067.37,5
NDC,10702000301,promethazine per 25 mg,6.0,2.1,0.14,2.06,6
NDC,10702001001,hydrOXYzine 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,10702001050,hydrOXYzine 10 MG tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,10702001101,hydrOXYzine 25mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,10702001201,hydrOXYzine 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,10702001801,oxyCODONE 5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,10702001850,oxyCODONE 5 MG tablet 500 each Bottle,9.0,3.15,2.58,6.71,5
NDC,10702003645,sodium polystyrene 15 gram powder 454 g Bottle,412.5,144.38,118.14,307.31,5
NDC,10702005601,oxyCODONE 10 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,10702007501,methylphenidate ER 10 MG tablet extended release 100 each Bottle,17.7,6.2,5.07,13.19,5
NDC,10702007506,methylphenidate ER 10 MG tablet extended release 60 each Bottle,17.7,6.2,5.07,13.19,5
NDC,10702007601,methylphenidate ER 20 MG tablet extended release 100 each Bottle,18.29,6.41,5.24,13.63,5
NDC,10702010601,dexmethylphenidate 2.5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,10702023701,ursodioL 300 mg capsule 100 each Bottle,17.35,6.08,4.97,12.93,5
NDC,10702025301,butalbital-acetaminophen-caffeine 50-325-40 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,10802120200,"ergotamine 2 MG tablet, sublingual 20 each BLIST PACK",35.28,12.35,10.1,26.28,5
NDC,11017025030,miconazole 2 % powder 90 g Jar,11.26,3.95,3.22,8.39,5
NDC,11086003701,anthralin 1 % cream 50 g Tube,991.2,346.92,283.88,738.44,5
NDC,11523072688,polyethylene glycol 17 gram powder in packet 24 each Packet,6.0,2.1,1.72,4.47,5
NDC,11523116706,"oxymetazoline 0.05 % spray,non-aerosol 15 mL SQUEEZ BTL",13.42,4.7,3.84,10.0,5
NDC,11523411201,"oxymetazoline 0.05 % spray,non-aerosol 15 mL SQUEEZ BTL",14.05,4.92,4.02,10.47,5
NDC,11523726808,polyethylene glycol 17 gram powder in packet 24 each Packet,6.0,2.1,1.72,4.47,5
NDC,11673019602,nicotine 7 mg/24 hr patch 24 hour 14 each Box,6.0,2.1,1.72,4.47,5
NDC,11701003816,miconazole 2 % powder 85 g Jar,13.44,4.71,3.85,10.01,5
NDC,11701005032,zinc oxide-petrolatum 20-51 % paste 170 g Tube,276.43,96.76,79.17,205.94,5
NDC,11701006723,miconazole 2 % ointment 57 g Tube,197.88,69.26,56.67,147.42,5
NDC,11704037001,hydroxocobalamin 5 gram recon soln 1 each Vial,2325.97,814.09,666.16,1732.85,5
NDC,11726013801,peg 400-hypromellose-glycerin 1-0.2-0.2 % drops 15 mL DROP BTL,14.97,5.24,4.29,11.15,5
NDC,11980017405,"prednisoLONE acetate 0.12 % drops,suspension 5 mL DROP BTL",454.25,158.99,130.1,338.42,5
NDC,11980017410,"prednisoLONE acetate 0.12 % drops,suspension 10 mL DROP BTL",908.53,317.99,260.2,676.85,5
NDC,11980018001,"prednisoLONE acetate 1 % drops,suspension 1 mL DROP BTL",78.56,27.5,22.5,58.53,5
NDC,11980018005,"prednisoLONE acetate 1 % drops,suspension 5 mL DROP BTL",454.25,158.99,130.1,338.42,5
NDC,11980021105,"fluorometholone 0.1 % drops,suspension 5 mL DROP BTL",476.96,166.94,136.6,355.34,5
NDC,11980077905,ofloxacin 0.3 % drops 5 mL DROP BTL,351.33,122.97,100.62,261.74,5
NDC,12123000031,gelatin absorbable syringe syringe 1 each Syringe,49.81,17.44,14.27,37.11,5
NDC,12496010001,"buprenorphine 100 mg/0.5 mL solution, extended rel syringe 0.5 mL Syringe",5996.31,2098.71,1996.56,9892.32,10
NDC,12496030001,"buprenorphine 300 mg/1.5 mL solution, extended rel syringe 1.5 mL Syringe",14220.0,4977.0,1996.56,9892.32,10
NDC,12496120201,buprenorphine-naloxone 2-0.5 mg film 1 each Packet,14.19,4.97,4.06,10.57,5
NDC,12496120203,buprenorphine-naloxone 2-0.5 mg film 30 each Packet,14.19,4.97,4.06,10.57,5
NDC,12496120801,buprenorphine-naloxone 8-2 mg film 1 each Packet,25.43,8.91,7.28,18.95,5
NDC,12496120803,buprenorphine-naloxone 8-2 mg film 30 each Packet,25.43,8.91,7.28,18.95,5
NDC,12547015040,"witch hazel 50 % pads, medicated 40 each Box",6.0,2.1,1.72,4.47,5
NDC,12870000101,silver nitrate stick 75-25 % stick 10 each Packet,6.0,2.1,1.72,4.47,5
NDC,12870000102,silver nitrate stick 75-25 % stick 100 each Vial,6.0,2.1,1.72,4.47,5
NDC,13107003134,mirtazapine 15 MG tablet 30 each Bottle,6.37,2.23,1.82,4.75,5
NDC,13107003501,dextroamphetamine sulfate 5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,13107007201,dextroamphetamine-amphetamine 15 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,13107007901,traZODone 50mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,13107032001,clorazepate 7.5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,13107032101,clorazepate 15 MG tablet 100 each Bottle,11.03,3.87,3.16,8.22,5
NDC,13517010030,diazoxide 50 mg/mL suspension 30 mL Bottle,876.86,306.91,251.13,653.26,5
NDC,13517010716,PHENobarbitaL 20 mg/5 mL (4 mg/mL) elixir 473 mL Bottle,213.21,74.63,61.06,158.84,5
NDC,13517011101,PHENobarbitaL 32.4 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,13517011201,PHENobarbitaL 64.8 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,13517011301,PHENobarbitaL 97.2 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,13533013101,Td vaccine 0.5 mL 0.5 mL Vial,79.25,27.74,27.18,162.82,6
NDC,13533031801,rabies immune globulin 300 unit/mL solution 1 mL Vial,1927.18,674.52,275.18,1492.9,10
NDC,13533031805,rabies immune globulin 300 unit/mL solution 5 mL Vial,9635.79,3372.53,275.18,3305.08,10
NDC,13533033513,immune glob G (IgG)-glycine 15-18 % range solution 10 mL Vial,1346.31,471.21,48.95,461.78,10
NDC,13533033540,immune glob G (IgG)-glycine 15-18 % range solution 2 mL Vial,294.65,103.13,48.95,125.19,10
NDC,13533063402,tetanus immune globulin (PF) 250 unit/mL syringe 1 mL Syringe,1838.44,643.46,558.12,2837.01,10
NDC,13533063504,immune glob G (IgG)-glycine 15-18 % range solution 2 mL Vial,232.84,81.5,48.95,125.19,10
NDC,13533070001,alpha 1 proteinase inhibitor per 10 mg,1368.8,479.08,5.14,469.5,10
NDC,13533070002,alpha 1 proteinase inhibitor per 10 mg,1368.8,479.08,5.14,469.5,10
NDC,13533070211,alpha 1 proteinase inhibitor per 10 mg,1368.8,479.08,5.14,469.5,10
NDC,13533070501,"alpha-1 proteinase inhibitor 1,000 mg (+/-)/20 mL solution 1 each Vial",1439.6,503.86,5.14,493.78,10
NDC,13632012301,tamoxifen 20 mg/10 mL solution 150 mL Bottle,54.15,18.96,15.51,40.34,5
NDC,13668001001,citalopram 20 MG tablet 100 each Bottle,6.35,2.23,1.82,4.73,5
NDC,13668001101,citalopram 40 MG tablet 100 each Bottle,6.56,2.3,1.88,4.89,5
NDC,13668008090,"montelukast 5 MG tablet,chewable 90 each Bottle",11.87,4.16,3.4,8.84,5
NDC,13668009190,pramipexole 0.125 MG tablet 90 each Bottle,6.96,2.44,1.99,5.19,5
NDC,13668009290,pramipexole 0.25 MG tablet 90 each Bottle,6.94,2.43,1.99,5.17,5
NDC,13668009390,pramipexole 0.5 MG tablet 90 each Bottle,6.96,2.44,1.99,5.19,5
NDC,13668009490,pramipexole 1 MG tablet 90 each Bottle,6.96,2.44,1.99,5.19,5
NDC,13668009590,pramipexole 1.5 MG tablet 90 each Bottle,6.96,2.44,1.99,5.19,5
NDC,13668017990,rosuvastatin 5 MG tablet 90 each Bottle,21.11,7.39,6.05,15.73,5
NDC,13668018230,rosuvastatin 40 MG tablet 30 each Bottle,21.11,7.39,6.05,15.73,5
NDC,13668020130,moxifloxacin 400 mg tablet 30 each Bottle,64.18,22.47,18.38,47.81,5
NDC,13668042990,"pantoprazole 40 MG tablet,delayed release (DR/EC) 90 each Bottle",9.63,3.38,2.76,7.17,5
NDC,13811051510,vitamin B complex with vitamin C/biotin 1-60-300 mg-mg-mcg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,13811065653,sodium polystyrene powder 453.6 g Jar,184.13,64.45,52.73,137.18,5
NDC,13811067730,leflunomide 10 MG tablet 30 each Bottle,14.9,5.22,4.27,11.1,5
NDC,13811068430,ARIPiprazole 30 MG tablet 30 each Bottle,107.04,37.47,30.66,79.74,5
NDC,13811069330,"ARIPiprazole 15 MG tablet,disintegrating 30 each BLIST PACK",89.98,31.5,25.77,67.04,5
NDC,13811070610,methylphenidate HCl 18 MG tablet extended release 24hr 100 each Bottle,22.04,7.72,6.31,16.42,5
NDC,13811070710,methylphenidate HCl 27 MG tablet extended release 24hr 100 each Bottle,22.6,7.91,6.47,16.84,5
NDC,13845120202,cycloSERINE 250 mg capsule 30 each BLIST PACK,197.3,69.06,56.51,146.99,5
NDC,13925016604,prednisoLONE 5 mg base/5 mL (6.7 mg/5 mL) solution 120 mL Bottle,231.66,81.09,0.69,79.46,6
NDC,13925050501,dapsone 100 MG tablet 100 each Bottle,6.37,2.23,1.82,4.75,5
NDC,13925050530,dapsone 100 MG tablet 30 each BLIST PACK,7.13,2.5,2.04,5.31,5
NDC,13925051501,pentamidine 300 mg recon soln 1 each Vial,425.98,149.1,86.16,492.21,6
NDC,13925051510,pentamidine 300 mg recon soln 1 each Vial,425.98,149.1,86.16,492.21,6
NDC,13925052201,pentamidine isethionate per 300 mg,425.98,149.1,86.16,492.21,6
NDC,14537096775,anticoagulant citrate dextrose 2.45-2.2 gram- 800 mg/100 mL solution 750 mL Bag,60.18,21.07,17.24,44.83,5
NDC,14539065301,oxybutynin 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,14789001202,nitroprusside 25 mg/mL solution 2 mL Vial,226.56,79.3,64.89,168.79,5
NDC,14789001505,isoproterenol 0.2 mg/mL solution 5 mL Vial,1699.2,594.72,486.65,1265.9,5
NDC,14789010202,tirofiban 12.5 mg/250 mL solution 250 mL Bag,472.0,165.2,6.9,161.9,6
NDC,14789010205,tirofiban 12.5 mg/250 mL solution 250 mL Bag,472.0,165.2,6.9,161.9,6
NDC,14789010210,tirofiban 12.5 mg/250 mL solution 250 mL Bag,472.0,165.2,6.9,161.9,6
NDC,14789010910,potassium chloride in sterile water 0.1 mEq/mL piggyback 100 mL Flex Cont,113.28,39.65,0.2,38.86,6
NDC,14789010910,potassium chloride in water 10 mEq/100 mL piggyback 100 mL Flex Cont,113.28,39.65,0.2,38.86,6
NDC,14789010916,potassium chloride in water 10 mEq/100 mL piggyback 100 mL Flex Cont,113.28,39.65,0.2,38.86,6
NDC,14789011905,methylene blue 5 mg/mL solution 10 mL Vial,382.32,133.82,109.5,284.83,5
NDC,14789011907,methylene blue 5 mg/mL solution 10 mL Vial,382.32,133.82,109.5,284.83,5
NDC,14789012105,papaverine per 60 mg,106.2,37.17,30.42,79.12,5
NDC,14789012107,papaverine per 60 mg,106.2,37.17,30.42,79.12,5
NDC,14789012705,phenobarbital per 120 mg,49.56,17.35,17.0,206.51,6
NDC,14789012707,phenobarbital per 120 mg,49.56,17.35,17.0,206.51,6
NDC,14789012805,phenobarbital per 120 mg,124.61,43.62,42.74,206.51,6
NDC,14789013607,potassium chloride per 2 mEq of potassium,45.31,15.86,0.2,15.54,6
NDC,14789025007,ePHEDrine 5 mg/mL solution 10 mL Vial,82.13,28.75,23.52,61.19,5
NDC,14789025010,ePHEDrine 5 mg/mL solution 10 mL Vial,82.13,28.75,23.52,61.19,5
NDC,14789060007,arsenic trioxide per 1 mg,1592.27,557.3,8.88,546.15,6
NDC,14789060010,arsenic trioxide per 1 mg,1592.27,557.3,8.88,546.15,6
NDC,14789070002,prochlorperazine edisylate per 10 mg,50.98,17.85,5.66,17.49,6
NDC,14789090002,procainamide per 1 g,1699.2,594.72,214.81,1615.14,10
NDC,14789090010,procainamide per 1 g,355.13,124.3,121.81,1615.14,10
NDC,15054004301,irinotecan liposomaL 4.3 mg/mL dispersion 10 mL Vial,8436.53,2952.79,66.37,2893.73,10
NDC,15054006001,lanreotide 60 mg/0.2 mL syringe 0.2 mL Syringe,7183.84,2514.35,35.72,2464.06,10
NDC,15054009001,lanreotide 90 mg/0.3 mL syringe 0.3 mL Syringe,8323.72,2913.31,35.72,2855.04,10
NDC,15054012001,lanreotide 120 mg/0.5 mL syringe 0.5 mL Syringe,11096.72,3883.86,35.72,3806.17,10
NDC,15054106004,lanreotide 60 mg/0.2 mL syringe 0.2 mL Syringe,17241.22,6034.43,35.72,5913.74,10
NDC,15054109003,lanreotide 90 mg/0.3 mL syringe 0.3 mL Syringe,19132.99,6696.55,35.72,6562.62,10
NDC,15054109004,lanreotide 90 mg/0.3 mL syringe 0.3 mL Syringe,22961.86,8036.66,35.72,7875.92,10
NDC,15054112003,lanreotide 120 mg/0.5 mL syringe 0.5 mL Syringe,22562.54,7896.89,35.72,7738.95,10
NDC,15054112004,lanreotide 120 mg/0.5 mL syringe 0.5 mL Syringe,27079.58,9477.86,35.72,9288.3,10
NDC,15082022253,HYDROmorphone (PF) 6 mg/30 mL (0.2 mg/mL) patient control.analgesia soln 30 mL Vial,54.15,18.96,0.17,40.34,6
NDC,15082022253,HYDROmorphone 1 mg/mL patient control.analgesia soln 30 mL Vial,54.15,18.96,7.57,22.81,5
NDC,15082030167,ketamine in 0.9 % sodium chloride 50 mg/5 mL (10 mg/mL) syringe 5 mL Syringe,11.09,3.89,3.18,8.26,5
NDC,15082081525,norepinephrine in 5% dextrose 8 mg/250 mL solution 250 mL Bag,76.7,26.85,21.97,57.14,5
NDC,15082083825,phenylephrine 40 mg/250 mL (160 mcg/mL) solution 250 mL Bag,96.3,33.71,27.58,71.74,5
NDC,15082085061,phenylephrine 10 mcg/mL syringe 10 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,15584010101,efavirenz-emtricitabine-tenofovir 600-200-300 mg tablet 30 each Bottle,282.7,98.95,80.97,210.61,5
NDC,15718050721,fluorescein-proparacaine 0.25-0.5% 0.25-0.5 % drops 5 mL DROP BTL,86.97,30.44,24.91,64.79,5
NDC,15718089305,eye lubricant 80-20 % ointment 5 g Tube,25.49,8.93,7.3,18.99,5
NDC,15718089305,eye lubricant ointment 5 g Tube,37.64,13.18,10.78,28.04,5
NDC,16252053608,cabergoline 0.5 mg tablet 8 each Bottle,86.52,30.29,24.78,64.46,5
NDC,16477034001,urea 40 % cream 28.35 g Bottle,231.03,80.87,66.17,172.12,5
NDC,16500008004,multivitamin 400-20-300 mcg tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,16571010150,diclofenac 0.1 % drops 5 mL DROP BTL,172.35,60.33,49.36,128.4,5
NDC,16571011501,hydrOXYzine 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,16571060096,cromolyn 100 mg/5 mL concentrate 5 mL AMPUL,17.68,6.19,5.06,13.17,5
NDC,16571066701,PHENobarbitaL 64.8 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,16571067301,PHENobarbitaL 32.4 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,16571067516,PHENobarbitaL 20 mg/5 mL (4 mg/mL) elixir 473 mL Bottle,224.37,78.53,64.26,167.16,5
NDC,16571074024,nitrofurantoin 25 mg/5 mL suspension 230 mL Bottle,7599.2,2659.72,2176.41,5661.4,5
NDC,16571077909,donepeziL 10 MG tablet 90 each Bottle,20.41,7.15,5.85,15.21,5
NDC,16571081320,calcium acetate(phosphat bind) 667 mg capsule 200 each Bottle,6.0,2.1,1.72,4.47,5
NDC,16571086701,gabapentin 100 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,16729001901,mycophenolate mofetil per 250 mg,18.52,6.49,0.31,6.35,6
NDC,16729002110,pioglitazone 30 MG tablet 30 each Bottle,25.27,8.85,7.24,18.83,5
NDC,16729002210,pioglitazone 45 MG tablet 30 each Bottle,27.42,9.6,7.85,20.43,5
NDC,16729002215,pioglitazone 45 MG tablet 90 each Bottle,27.42,9.6,7.85,20.43,5
NDC,16729002310,bicalutamide 50 mg tablet 30 each Bottle,43.32,15.17,12.41,32.27,5
NDC,16729003001,methyldopa 250 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,16729003101,methyldopa 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,16729003410,letrozole 2.5 mg tablet 30 each Bottle,42.6,14.91,12.2,31.74,5
NDC,16729003510,anastrozole 1 mg tablet 30 each Bottle,31.4,10.99,8.99,23.39,5
NDC,16729003515,anastrozole 1 mg tablet 90 each Bottle,31.4,10.99,8.99,23.39,5
NDC,16729004101,tacrolimus per 1 mg,6.0,2.1,0.4,2.06,6
NDC,16729004201,tacrolimus per 1 mg,10.53,3.69,0.4,3.61,6
NDC,16729007329,capecitabine per 500 mg,92.32,32.32,0.03,68.78,10
NDC,16729008110,naltrexone 50 mg tablet 30 each Bottle,10.08,3.53,2.89,7.51,5
NDC,16729009001,finasteride 5 mg tablet 100 each Bottle,7.38,2.59,2.11,5.5,5
NDC,16729009401,mycophenolate mofetil per 250 mg,9.26,3.25,0.31,3.18,6
NDC,16729009416,mycophenolate mofetil per 250 mg,9.26,3.25,0.31,3.18,6
NDC,16729009612,quetiapine XR 300 MG tablet extended release 24 hr 60 each Bottle,54.24,18.99,15.53,40.41,5
NDC,16729010811,mitomycin per 5 mg,1670.46,584.67,28.46,572.97,10
NDC,16729010912,quetiapine XR 150 mg tablet extended release 24 hr 60 each Bottle,37.58,13.16,10.76,28.0,5
NDC,16729011408,etoposide 20 mg/mL solution 25 mL Vial,134.17,46.96,1.63,46.02,6
NDC,16729011431,etoposide 20 mg/mL solution 5 mL Vial,26.83,9.4,1.63,9.2,6
NDC,16729011505,mitomycin per 5 mg,643.01,225.06,28.46,414.4,10
NDC,16729011638,mitoMYcin 40 mg recon soln 1 each Vial,3340.91,1169.32,28.46,1145.93,10
NDC,16729013212,quetiapine XR 50 mg tablet extended release 24 hr 60 each Bottle,20.93,7.33,5.99,15.59,5
NDC,16729013600,clonazepam 0.5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,16729013616,clonazepam 0.5 MG tablet 500 each Bottle,9.0,3.15,2.58,6.71,5
NDC,16729013700,clonazepam 1 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,16729013800,clonazepam 2 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,16729014501,quetiapine 25 MG tablet 100 each Bottle,9.43,3.31,2.7,7.03,5
NDC,16729014601,quetiapine 50 MG tablet 100 each Bottle,15.5,5.43,4.44,11.55,5
NDC,16729014701,quetiapine 100 MG tablet 100 each Bottle,16.18,5.67,4.63,12.05,5
NDC,16729015131,topotecan per 4 mg,845.47,295.92,1.29,290.0,6
NDC,16729016801,escitalopram 5 MG tablet 100 each Bottle,10.64,3.73,3.05,7.93,5
NDC,16729017001,escitalopram 20 MG tablet 100 each Bottle,11.61,4.07,3.33,8.65,5
NDC,16729017101,amitriptyline 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,16729017301,amitriptyline 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,16729017401,amitriptyline 75 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,16729018301,hydroCHLOROthiazide 25mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,16729020001,busPIRone 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,16729020301,busPIRone 15 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,16729020312,busPIRone 15 MG tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,16729021715,sertraline 100 MG tablet 90 each Bottle,6.72,2.36,1.92,5.01,5
NDC,16729022501,spironolactone 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,16729023301,rOPINIRole 0.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,16729023930,dexmedeTOMIDine 100 mcg/mL solution 2 mL Vial,54.06,18.93,15.48,40.27,5
NDC,16729023993,dexmedeTOMIDine 100 mcg/mL solution 2 mL Vial,54.06,18.93,15.48,40.27,5
NDC,16729026129,mycophenolate per 180 mg,10.78,3.78,0.8,3.7,6
NDC,16729026764,DOCEtaxeL 80 mg/4 mL (20 mg/mL) solution 4 mL Vial,3447.02,1206.46,1.65,1182.33,6
NDC,16729027310,prasugreL HCl 10 mg tablet 30 each Bottle,38.95,13.64,11.16,29.02,5
NDC,16729027503,bivalirudin per 1 mg,2683.95,939.39,0.3,920.59,6
NDC,16729027567,bivalirudin per 1 mg,2683.95,939.39,0.3,920.59,6
NDC,16729027605,fluorouracil per 500 mg,67.73,23.71,4.22,23.23,6
NDC,16729027638,fluorouracil per 500 mg,162.37,56.83,4.22,55.69,6
NDC,16729027667,fluorouracil per 500 mg,67.73,23.71,4.22,23.23,6
NDC,16729027703,methotrexate sodium per 50 mg,26.36,9.23,5.0,14.22,6
NDC,16729027730,methotrexate sodium per 50 mg,24.0,8.4,5.0,14.22,6
NDC,16729027735,methotrexate sodium per 50 mg,97.14,34.0,5.0,33.32,6
NDC,16729027801,ARIPiprazole 2 MG tablet 100 each Bottle,75.69,26.5,21.68,56.39,5
NDC,16729027901,ARIPiprazole 5 MG tablet 100 each Bottle,75.69,26.5,21.68,56.39,5
NDC,16729028001,ARIPiprazole 10 MG tablet 100 each Bottle,75.69,26.5,21.68,56.39,5
NDC,16729028101,ARIPiprazole 15 MG tablet 100 each Bottle,75.69,26.5,21.68,56.39,5
NDC,16729028838,cisplatin per 50 mg,102.19,35.77,5.1,35.05,6
NDC,16729029310,eplerenone 25 MG tablet 30 each Bottle,10.24,3.59,2.93,7.63,5
NDC,16729029534,carboplatin per 50 mg,184.04,64.42,5.94,63.13,6
NDC,16729029805,ondansetron per 1 mg,24.0,8.4,0.17,8.23,6
NDC,16729030001,traZODone 100mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,16729030610,azaCITIDine 10 MG/ML recon soln 1 each Vial,1457.58,510.16,0.54,499.95,6
NDC,16729030610,azaCITIDine 100 mg recon soln 1 each Vial,1457.58,510.16,0.54,499.95,6
NDC,16729033101,"acetaZOLAMIDE 500 mg capsule, extended release 100 each Bottle",10.13,3.55,2.9,7.55,5
NDC,16729033203,oxaliplatin per 0.5 mg,500.77,175.27,0.12,171.76,6
NDC,16729034710,lurasidone 40 mg tablet 30 each Bottle,6.0,2.1,1.72,4.47,5
NDC,16729042210,tacrolimus 0.1 % ointment 30 g Tube,683.01,239.06,195.61,508.84,5
NDC,16729043011,argatroban 1 mg/mL solution 50 mL Vial,560.74,196.26,1.82,417.75,15
NDC,16729043505,daptomycin per 1 mg,1261.51,441.53,0.06,432.7,6
NDC,16729044010,cinacalcet 30 MG tablet 30 each Bottle,72.35,25.33,20.72,53.9,5
NDC,16729044015,cinacalcet 30 MG tablet 90 each Bottle,72.35,25.33,20.72,53.9,5
NDC,16729044315,buPROPion XL 150 MG tablet extended release 24 hr 90 each Bottle,12.32,4.32,3.53,9.18,5
NDC,16729044410,buPROPion XL 300 MG tablet extended release 24 hr 30 each Bottle,14.86,5.21,4.26,11.07,5
NDC,16729045315,levothyroxine 125 MCG tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,16729046408,phenylephrine per 1 mL,24.0,8.4,0.02,17.88,11
NDC,16729046463,phenylephrine per 1 mL,24.0,8.4,0.02,17.88,11
NDC,16729047108,glycopyrrolate 0.2 mg/mL solution 1 mL Vial,24.0,8.4,0.92,17.88,11
NDC,16729047163,glycopyrrolate 0.2 mg/mL solution 1 mL Vial,24.0,8.4,6.87,17.88,5
NDC,16729048403,atropine per 0.01 mg,29.5,10.33,0.13,10.12,6
NDC,16729048445,atropine per 0.01 mg,29.5,10.33,0.13,10.12,6
NDC,16729049012,dofetilide 125 MCG capsule 60 each Bottle,19.26,6.75,5.52,14.35,5
NDC,16729049212,dofetilide 500 MCG capsule 60 each Bottle,19.25,6.74,5.51,14.34,5
NDC,16729050008,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,16729050030,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,16729050243,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,16729051243,atropine per 0.01 mg,198.24,69.39,0.13,68.0,6
NDC,16729054235,fluorouraciL 5 % cream 40 g Tube,607.46,212.62,173.98,452.56,5
NDC,16729055010,"buprenorphine-naloxone 8-2 mg tablet, sublingual 30 each Bottle",24.02,8.41,6.88,17.89,5
NDC,16837085525,famotidine 20 MG tablet 25 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,16864067001,benzocaine-benzethonium 20-0.2 % aerosol 78 g CANISTER,16.38,5.74,4.69,12.2,5
NDC,16864068001,benzocaine-menthoL 20-0.5 % aerosol 78 g CANISTER,16.38,5.74,4.69,12.2,5
NDC,16864068002,benzocaine-menthoL 20-0.5 % aerosol 56 g CANISTER,12.03,4.22,3.45,8.96,5
NDC,16864068003,benzocaine-menthoL 20-0.5 % aerosol 85 g CANISTER,15.45,5.41,4.42,11.51,5
NDC,17238042406,indocyanine green 25 mg recon soln 1 each Vial,233.54,81.74,66.89,173.99,5
NDC,17238042425,indocyanine green 25 mg recon soln 1 each Vial,233.54,81.74,66.89,173.99,5
NDC,17238090011,fluorescein 1 mg strip 100 each Box,6.0,2.1,1.72,4.47,5
NDC,17238090030,fluorescein 1 mg strip 300 each Box,6.0,2.1,1.72,4.47,5
NDC,17238090099,fluorescein 1 mg strip 1 each Packet,6.0,2.1,1.72,4.47,5
NDC,17478001402,nitroprusside 25 mg/mL solution 2 mL Vial,849.6,297.36,243.33,632.95,5
NDC,17478004101,naloxone per 1 mg,44.83,15.7,12.84,33.4,5
NDC,17478005001,SUfentanil 50 mcg/mL solution 1 mL AMPUL,30.0,10.5,8.59,22.35,5
NDC,17478005002,SUfentanil 50 mcg/mL solution 2 mL AMPUL,30.0,10.5,8.59,22.35,5
NDC,17478006012,polyvinyl alcohol 1.4 % drops 15 mL DROP BTL,17.49,6.13,5.01,13.03,5
NDC,17478006235,eye lubricant 83-15 % ointment 3.5 g Tube,15.61,5.47,4.47,11.63,5
NDC,17478006235,eye lubricant ointment 3.5 g Tube,18.05,6.32,5.17,13.45,5
NDC,17478006412,hypromellose 2.5 % drops 15 mL DROP BTL,57.1,19.99,16.35,42.54,5
NDC,17478007031,erythromycin 5 mg/gram (0.5 %) ointment 1 g Tube,24.11,8.44,6.91,17.96,5
NDC,17478007035,erythromycin 5 mg/gram (0.5 %) ointment 3.5 g Tube,38.52,13.49,11.03,28.7,5
NDC,17478009615,cyclopentolate 0.5 % drops 15 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,17478009712,cyclopentolate 2 % drops 15 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,17478010002,cyclopentolate 1 % drops 2 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,17478010012,cyclopentolate 1 % drops 15 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,17478010112,tropicamide 0.5 % drops 15 mL DROP BTL,23.61,8.27,6.76,17.59,5
NDC,17478010212,tropicamide 1 % drops 15 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,17478010505,olopatadine 0.1 % drops 5 mL DROP BTL,635.62,222.47,182.04,473.54,5
NDC,17478012150,clindamycin per 300 mg,24.0,8.4,6.87,17.88,5
NDC,17478012250,clindamycin per 300 mg,24.0,8.4,6.87,17.88,5
NDC,17478017101,levalbuterol per 0.5 mg,20.15,7.06,0.42,6.91,6
NDC,17478017130,levalbuterol per 0.5 mg,20.15,7.06,0.42,6.91,6
NDC,17478017424,levalbuterol per 0.5 mg,28.02,9.81,0.08,9.61,6
NDC,17478020102,phenylephrine 2.5 % drops 2 mL DROP BTL,95.89,33.57,27.46,71.44,5
NDC,17478020115,phenylephrine 2.5 % drops 15 mL DROP BTL,265.5,92.93,76.04,197.8,5
NDC,17478020605,phenylephrine 10 % drops 5 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,17478020910,ketorolac 0.5 % drops 5 mL DROP BTL,252.21,88.28,72.23,187.9,5
NDC,17478020919,ketorolac 0.5 % drops 3 mL DROP BTL,115.0,40.25,32.94,85.68,5
NDC,17478021502,atropine 1 % drops 2 mL DROP BTL,112.95,39.54,32.35,84.15,5
NDC,17478021505,atropine 1 % drops 5 mL DROP BTL,137.78,48.23,39.46,102.65,5
NDC,17478021515,atropine 1 % drops 15 mL DROP BTL,389.54,136.34,111.56,290.21,5
NDC,17478022312,pilocarpine 1 % drops 15 mL DROP BTL,223.76,78.32,64.08,166.7,5
NDC,17478022412,pilocarpine 2 % drops 15 mL DROP BTL,228.86,80.11,65.55,170.5,5
NDC,17478022612,pilocarpine 4 % drops 15 mL DROP BTL,239.8,83.93,68.68,178.65,5
NDC,17478023835,"bacitracin-polymyxin B 500-10,000 unit/gram ointment 3.5 g Tube",53.07,18.58,15.2,39.54,5
NDC,17478025310,fluorescein 500 mg/5 mL (10 %) solution 5 mL Vial,203.9,71.37,58.4,151.91,5
NDC,17478026106,norgestimate-ethinyl estradioL 0.18/0.215/0.25 mg-35 mcg (28) tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,17478026128,norgestimate-ethinyl estradioL 0.18/0.215/0.25 mg-35 mcg (28) tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,17478026312,proparacaine 0.5 % drops 15 mL DROP BTL,103.55,36.25,29.66,77.14,5
NDC,17478028435,gentamicin 0.3 % (3 mg/gram) ointment 3.5 g Tube,80.44,28.16,23.04,59.93,5
NDC,17478028810,timolol 0.5 % drops 5 mL DROP BTL,40.12,14.05,11.49,29.89,5
NDC,17478028811,timolol 0.5 % drops 10 mL DROP BTL,76.35,26.73,21.87,56.88,5
NDC,17478029010,tobramycin 0.3 % drops 5 mL DROP BTL,34.36,12.03,9.84,25.6,5
NDC,17478030703,azithromycin 1 % drops 2.5 mL DROP BTL,630.71,220.75,180.64,469.88,5
NDC,17478040303,fluorescein 0.6 mg strip 300 each Box,6.0,2.1,1.72,4.47,5
NDC,17478040401,fluorescein 1 mg strip 100 each Box,6.0,2.1,1.72,4.47,5
NDC,17478041510,ePHEDrine 50 mg/mL solution 1 mL AMPUL,133.93,46.88,38.36,99.78,5
NDC,17478050305,ethanol (ethyl alcohol) 98 % solution 5 mL Vial,1317.93,461.28,377.46,981.86,5
NDC,17478050401,methylene blue 1 % (10 mg/mL) solution 1 mL Vial,39.48,13.82,11.31,29.41,5
NDC,17478050410,methylene blue 1 % (10 mg/mL) solution 10 mL Vial,475.21,166.33,136.1,354.03,5
NDC,17478051002,PHYSostigmine salicylate 1 mg/mL solution 2 mL AMPUL,221.71,77.6,63.5,165.17,5
NDC,17478051500,ePHEDrine 50 mg/mL solution 1 mL AMPUL,124.56,43.6,35.67,92.8,5
NDC,17478052302,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,17478052410,midazolam per 1 mg,34.03,11.92,0.23,11.67,6
NDC,17478052603,dimercaprol per 100 mg,454.37,159.03,98.19,295.87,6
NDC,17478054001,hydromorphone per 4 mg,30.0,10.5,0.17,22.35,6
NDC,17478054050,hydromorphone per 4 mg,300.9,105.32,0.17,224.17,6
NDC,17478054202,adenosine per 6 mg,24.0,8.4,0.72,8.23,6
NDC,17478054225,adenosine per 6 mg,24.0,8.4,0.72,8.23,6
NDC,17478054420,adenosine (diagnostic) per 30 mg,315.39,110.39,0.72,108.18,6
NDC,17478054430,adenosine (diagnostic) per 30 mg,471.24,164.94,0.72,161.64,6
NDC,17478060510,dorzolamide-timoloL 22.3-6.8 mg/mL drops 10 mL DROP BTL,593.61,207.77,170.01,442.24,5
NDC,17478060930,tafluprost 0.0015 % dropperette 30 each BLIST PACK,21.72,7.61,6.22,16.18,5
NDC,17478062235,sodium chloride 5 % ointment 3.5 g Tube,27.03,9.47,7.74,20.14,5
NDC,17478062312,sodium chloride 5 % drops 15 mL DROP BTL,34.8,12.18,9.97,25.93,5
NDC,17478066030,acetylcysteine per 100 mg,1663.73,582.31,1.02,570.66,6
NDC,17478070102,indocyanine green 25 mg recon soln 1 each Vial,1935.93,677.58,554.45,1442.27,5
NDC,17478070311,"polymyxin B-trimethoprim 10,000 unit- 1 mg/mL drops 10 mL DROP BTL",30.37,10.63,8.7,22.63,5
NDC,17478071110,lidocaine 2 % jelly 5 mL Tube,19.82,6.94,5.68,14.77,5
NDC,17478071130,lidocaine 2 % jelly 30 mL Tube,302.88,106.01,86.74,225.65,5
NDC,17478071131,lidocaine 2 % jelly 5 mL Tube,19.82,6.94,5.68,14.77,5
NDC,17478071310,ofloxacin 0.3 % drops 5 mL DROP BTL,49.42,17.3,14.15,36.82,5
NDC,17478071311,ofloxacin 0.3 % drops 10 mL DROP BTL,95.3,33.36,27.29,71.0,5
NDC,17478071610,apraclonidine 0.5 % drops 5 mL DROP BTL,213.67,74.79,61.2,159.18,5
NDC,17478071710,ketotifen 0.025 % (0.035 %) drops 5 mL DROP BTL,28.77,10.07,8.24,21.43,5
NDC,17478074202,vancomycin 250 MG capsule 20 each BLIST PACK,136.33,47.72,39.04,101.57,5
NDC,17478076830,aminocaproic acid 500 mg tablet 30 each Bottle,51.89,18.17,14.86,38.66,5
NDC,17478079201,lidocaine (PF) 3.5 % gel 1 mL Tube,66.15,23.16,18.95,49.28,5
NDC,17478079225,lidocaine (PF) 3.5 % gel 1 mL Tube,66.16,23.16,18.95,49.29,5
NDC,17478089210,diclofenac 0.1 % drops 5 mL DROP BTL,172.35,60.33,49.36,128.4,5
NDC,17478093101,calcitriol per 0.1 mcg,24.0,8.4,1.77,8.23,6
NDC,17478093401,hydralazine per 20 mg,114.0,39.9,7.28,39.1,6
NDC,17478093415,hydralazine per 20 mg,24.0,8.4,7.28,29.95,6
NDC,17478093710,diltiazem 5 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,10
NDC,17478093725,diltiazem 5 mg/mL solution 25 mL Vial,32.21,11.28,9.22,24.0,10
NDC,18657011702,hyaluronidase human 150 unit/mL solution 1 mL Vial,158.03,55.32,0.59,54.2,6
NDC,18657011704,hyaluronidase human 150 unit/mL solution 1 mL Vial,158.03,55.32,0.59,54.2,6
NDC,18860010210,"cloZAPine 25 MG tablet,disintegrating 100 each Bottle",11.33,3.97,3.24,8.44,5
NDC,18860010410,"cloZAPine 100 MG tablet,disintegrating 100 each Bottle",45.31,15.86,12.98,33.76,5
NDC,19515080841,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,112.85,6
NDC,19515080852,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,112.85,6
NDC,19515081041,influenza vaccine (6 months or more) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,28.32,9.92,0.05,39.78,10
NDC,19515081041,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,28.32,9.92,0.05,39.78,10
NDC,19515081052,influenza vaccine (6 months or more) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,28.32,9.92,0.05,39.78,10
NDC,19515081052,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,28.32,9.92,0.05,39.78,10
NDC,19515089701,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 5 mL Vial,18.0,6.3,6.17,107.4,6
NDC,19515089701,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 5 mL Vial,18.0,6.3,6.17,107.4,6
NDC,19515089711,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 5 mL Vial,18.0,6.3,6.17,107.4,6
NDC,19515089711,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 5 mL Vial,18.0,6.3,6.17,107.4,6
NDC,19515090441,influenza vaccine (6 months or more) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,28.32,9.92,0.05,39.78,10
NDC,19515090441,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,28.32,9.92,0.05,39.78,10
NDC,19515090452,influenza vaccine (6 months or more) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,28.32,9.92,0.05,39.78,10
NDC,19515090452,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,28.32,9.92,0.05,39.78,10
NDC,19515090641,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,375.9,6
NDC,19515090641,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,375.9,6
NDC,19515090652,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,375.9,6
NDC,19515090652,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,375.9,6
NDC,19903001022,"simethicone 40 mg/0.6 mL drops,suspension 30 mL DROP BTL",35.4,12.39,10.14,26.37,5
NDC,20555002101,ferrous sulfate 325 (65 FE) MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,20555002500,calcium carbonate-vitamin D3 250 mg-3.125 mcg (125 unit) tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,20555002700,"multivitamin tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,20555003300,"cholecalciferol 25 mcg (1,000 unit) tablet 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,20555003600,melatonin 3 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,20555003601,melatonin 3 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,20555004000,zinc sulfate 50 mg zinc (220 mg) capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,21292000441,dextrose 15 gram/32 mL gel in packet 32 mL Packet,7.17,2.51,2.05,5.34,5
NDC,21922000101,fluocinonide 0.05 % solution 60 mL Bottle,387.42,135.6,110.96,288.63,5
NDC,21922000301,fluocinolone 0.01 % solution 60 mL Bottle,442.5,154.88,126.73,329.66,5
NDC,21922000404,desonide 0.05 % ointment 15 g Tube,189.5,66.33,54.27,141.18,5
NDC,21922000407,desonide 0.05 % ointment 60 g Tube,757.84,265.25,217.05,564.59,5
NDC,21922000909,diclofenac 1 % gel 100 g Tube,131.22,45.93,37.58,97.76,5
NDC,21922001902,testosterone 1 % (50 mg/5 gram) gel in packet 5 g Packet,42.01,14.71,12.03,31.3,5
NDC,21922001952,testosterone 1 % (25 mg/2.5gram) gel in packet 2.5 g Packet,34.41,12.05,9.86,25.64,5
NDC,21922002107,permethrin 5 % cream 60 g Tube,278.53,97.49,79.77,207.5,5
NDC,21922003923,metroNIDAZOLE 0.75 % (37.5mg/5 gram) gel 70 g Tube,360.63,126.23,103.28,268.67,5
NDC,21922006204,triamcinolone 0.1 % cream 15 g Tube,13.77,4.82,3.94,10.26,5
NDC,21922006304,triamcinolone 0.1 % ointment 15 g Tube,13.13,4.6,3.76,9.78,5
NDC,21922006305,triamcinolone 0.1 % ointment 30 g Tube,16.99,5.95,4.87,12.66,5
NDC,21922006315,triamcinolone 0.1 % ointment 80 g Tube,31.15,10.91,8.92,23.21,5
NDC,23155000201,hydrALAZINE 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,23155002601,verapamiL 80 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,23155003801,paromomycin 250 mg capsule 100 each Bottle,13.38,4.69,3.83,9.97,5
NDC,23155004303,leflunomide 10 MG tablet 30 each Bottle,38.76,13.57,11.1,28.88,5
NDC,23155004403,leflunomide 20 MG tablet 30 each Bottle,38.76,13.57,11.1,28.88,5
NDC,23155005801,glyBURIDE 5mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,23155012301,rOPINIRole 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,23155014501,carisoprodoL-aspirin 200-325 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,23155016031,etomidate 2 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,23155016041,etomidate 2 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,23155016631,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",24.0,8.4,6.87,17.88,10
NDC,23155016641,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",17.805,6.235,3.33,17.88,15
NDC,23155018631,zoledronic acid 5 mg/100 ml piggyback 100 mL Bottle,2346.08,821.13,11.64,804.71,6
NDC,23155019101,buPROPion 75 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,23155019201,buPROPion 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,23155019401,NIFEdipine 10 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,23155020131,levofloxacin per 250 mg,45.31,15.86,1.5,15.54,6
NDC,23155021631,cidofovir 75 mg/mL solution 5 mL Vial,2095.68,733.49,560.79,3026.01,10
NDC,23155023301,glyburide-metformin 1.25-250 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,23155023501,glyburide-metformin 5-500 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,23155024031,metoclopramide per 10 mg,24.0,8.4,1.79,8.23,6
NDC,23155024041,metoclopramide per 10 mg,24.0,8.4,1.79,8.23,6
NDC,23155025831,adenosine (diagnostic) per 30 mg,315.39,110.39,0.72,108.18,6
NDC,23155025832,adenosine (diagnostic) per 30 mg,471.24,164.94,0.72,161.64,6
NDC,23155026141,carmustine per 100 mg,7469.09,2614.19,241.8,2561.9,10
NDC,23155028801,acetaZOLAMIDE 250 MG tablet 100 each Bottle,6.8,2.38,1.95,5.07,5
NDC,23155029032,amikcain per 100 mg,40.5,14.18,1.36,13.89,6
NDC,23155029042,amikcain per 100 mg,40.5,14.18,1.36,13.89,6
NDC,23155029431,prochlorperazine edisylate per 10 mg,24.0,8.4,5.66,15.78,6
NDC,23155029441,prochlorperazine edisylate per 10 mg,24.0,8.4,5.66,15.78,6
NDC,23155029442,prochlorperazine edisylate per 10 mg,24.0,8.4,5.66,15.78,6
NDC,23155031751,risperiDONE 1 mg/mL solution 30 mL Bottle,360.02,126.01,103.11,268.21,5
NDC,23155032631,ibutilide fumarate per 1 mg,880.0,308.0,219.22,1564.32,10
NDC,23155034531,propofol (DIPRIVAN) injection 10 mg/mL emulsion 20 mL Vial,24.0,8.4,0.17,8.23,6
NDC,23155034541,propofol (DIPRIVAN) injection 10 mg/mL emulsion 20 mL Vial,24.0,8.4,0.17,8.23,6
NDC,23155047331,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,23155047333,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,23155047341,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,23155047344,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,23155048601,verapamiL 120 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,23155050001,hydrOXYzine 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,23155050105,hydrOXYzine 25mg tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,23155050201,hydrOXYzine 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,23155051230,niMODipine 30 MG capsule 30 each BLIST PACK,45.39,15.89,13.0,33.82,5
NDC,23155053102,calcium acetate(phosphat bind) 667 mg capsule 200 each Bottle,6.0,2.1,1.72,4.47,10
NDC,23155054731,ondansetron per 1 mg,24.0,8.4,0.17,8.23,6
NDC,23155054742,ondansetron per 1 mg,24.0,8.4,0.17,8.23,6
NDC,23155054931,ondansetron per 1 mg,24.78,8.68,0.17,8.5,6
NDC,23155060031,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,23155060041,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,23155060701,glycopyrrolate 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,23155066131,isoproterenol 0.2 mg/mL solution 5 mL Vial,396.48,138.77,113.55,295.38,5
NDC,23155066142,isoproterenol 0.2 mg/mL solution 5 mL Vial,396.48,138.77,113.55,295.38,5
NDC,23155068741,octreotide 50 mcg/mL solution 1 mL Vial,24.0,8.4,1.55,8.23,6
NDC,23155068741,octreotide per 25 mcg,24.0,8.4,1.55,8.23,6
NDC,23155068831,octreotide per 25 mcg,24.0,8.4,1.55,8.23,6
NDC,23155068841,octreotide per 25 mcg,24.0,8.4,1.55,8.23,6
NDC,23155068931,octreotide per 25 mcg,55.22,19.33,1.55,18.94,6
NDC,23155068941,octreotide per 25 mcg,55.22,19.33,1.55,18.94,6
NDC,23155076701,tetracycline 500 MG capsule 100 each Bottle,37.17,13.01,10.65,27.69,5
NDC,23155077131,foscarnet per 1000 mg,1062.0,371.7,96.96,413.23,6
NDC,23155081001,oxybutynin 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,23155082373,cabergoline 0.5 mg tablet 8 each Bottle,86.52,30.29,24.78,64.46,5
NDC,23155085825,vancomycin 125 MG capsule 50 each Bottle,7.31,2.56,2.09,5.45,5
NDC,23155085878,vancomycin 125 MG capsule 20 each BLIST PACK,7.22,2.53,2.07,5.38,5
NDC,23155087401,torsemide 100 MG tablet 100 each Bottle,7.17,2.51,2.05,5.34,5
NDC,23155089331,methohexitaL 500 mg recon soln 1 each Vial,274.66,96.14,78.66,204.62,5
NDC,24201001020,pentobarbital per 50 mg,3427.43,1199.61,36.84,1175.61,10
NDC,24201001050,pentobarbital per 50 mg,6391.82,2237.14,36.84,2192.39,10
NDC,24201010001,acetaminophen 10 mg/mL solution 100 mL Vial,30.68,10.74,0.08,10.52,6
NDC,24201010024,acetaminophen 10 mg/mL solution 100 mL Vial,30.68,10.74,0.08,10.52,6
NDC,24201020101,sodium tetradecyl sulfate 3 % (30 mg/mL) solution 2 mL Vial,54.52,19.09,15.61,40.62,5
NDC,24201020105,sodium tetradecyl sulfate 3 % (30 mg/mL) solution 2 mL Vial,54.52,19.09,15.61,40.62,5
NDC,24201040002,calcitonin per 400 Units,2265.6,792.96,777.1,7165.75,6
NDC,24208000202,hyaluronidase ovine 200 unit/mL solution 1.2 mL Vial,292.81,102.49,0.83,100.43,6
NDC,24208027715,sodium chloride 5 % drops 15 mL DROP BTL,47.54,16.64,13.62,35.42,5
NDC,24208029525,"tobramycin-dexamethasone 0.3-0.1 % drops,suspension 2.5 mL DROP BTL",143.2,50.12,41.01,106.68,5
NDC,24208031425,flurbiprofen 0.03 % drops 2.5 mL DROP BTL,20.6,7.21,5.9,15.35,5
NDC,24208031510,"polymyxin B-trimethoprim 10,000 unit- 1 mg/mL drops 10 mL DROP BTL",31.72,11.11,9.08,23.63,5
NDC,24208034205,"desmopressin 10 mcg/spray (0.1 mL) spray,non-aerosol 5 mL AER W/ADAP",581.17,203.41,166.45,432.97,5
NDC,24208038555,sodium chloride 5 % ointment 3.5 g Tube,41.59,14.56,11.91,30.98,5
NDC,24208038556,sodium chloride 5 % ointment 3.5 g Tube,30.5,10.68,8.74,22.72,5
NDC,24208041105,brimonidine 0.2 % drops 5 mL DROP BTL,42.79,14.98,12.26,31.88,5
NDC,24208041110,brimonidine 0.2 % drops 10 mL DROP BTL,80.38,28.14,23.02,59.88,5
NDC,24208041601,fluocinolone 0.59 mg implant 1 each Packet,43890.69,15361.75,338.79,15054.51,10
NDC,24208043262,"eye vitamin supplement 2,148 mcg-113 mg-45 mg-17.4mg tablet 120 each Bottle",6.0,2.1,1.72,4.47,5
NDC,24208043405,ofloxacin 0.3 % drops 5 mL DROP BTL,57.89,20.27,16.58,43.13,5
NDC,24208043410,ofloxacin 0.3 % drops 10 mL DROP BTL,110.0,38.5,31.5,81.95,5
NDC,24208045705,diclofenac 0.1 % drops 5 mL DROP BTL,41.3,14.46,11.83,30.77,5
NDC,24208046325,latanoprost 0.005 % drops 2.5 mL DROP BTL,57.54,20.14,16.48,42.87,5
NDC,24208048510,dorzolamide 2 % drops 10 mL DROP BTL,108.3,37.91,31.02,80.68,5
NDC,24208048610,dorzolamide-timoloL 22.3-6.8 mg/mL drops 10 mL DROP BTL,159.28,55.75,45.62,118.66,5
NDC,24208053920,acetylcholine 1 % (10 mg/mL) kit 1 each KIT,369.76,129.42,105.9,275.47,5
NDC,24208055555,"bacitracin-polymyxin B 500-10,000 unit/gram ointment 3.5 g Tube",59.17,20.71,16.95,44.08,5
NDC,24208058060,gentamicin 0.3 % drops 5 mL DROP BTL,101.13,35.4,28.96,75.34,5
NDC,24208058559,tropicamide 1 % drops 2 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,24208060110,ketotifen 0.025 % (0.035 %) drops 10 mL DROP BTL,24.45,8.56,7.0,18.22,5
NDC,24208061577,acetic acid-aluminum acetate 2 % drops 60 mL DROP BTL,169.92,59.48,48.67,126.59,5
NDC,24208063110,"neomycin-polymyxin-hydrocortisone 3.5-10,000-1 mg/mL-unit/mL-% solution 10 mL DROP BTL",237.6,83.16,68.05,177.01,5
NDC,24208063562,"neomycin-polymyxin-hydrocortisone 3.5-10,000-1 mg/mL-unit/mL-% drops,suspension 10 mL DROP BTL",237.6,83.16,68.05,177.01,5
NDC,24208072002,dexamethasone 0.1 % drops 5 mL DROP BTL,152.64,53.43,43.72,113.72,5
NDC,24208073006,proparacaine 0.5 % drops 15 mL DROP BTL,99.37,34.78,28.46,74.03,5
NDC,24208073501,cyclopentolate 1 % drops 2 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,24208073506,cyclopentolate 1 % drops 15 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,24208078055,"neomycin-bacitracin-polymyxin 3.5-400-10,000 mg-unit-unit/g ointment 3.5 g Tube",117.61,41.17,33.68,87.62,5
NDC,24208079062,"neomycin-polymyxin-gramicidin 1.75 mg-10,000 unit-0.025mg/mL drops 10 mL DROP BTL",144.57,50.6,41.4,107.7,5
NDC,24208079535,"neomycin-polymyxin B-dexameth 3.5 mg/g-10,000 unit/g-0.1 % ointment 3.5 g Tube",41.01,14.36,11.75,30.55,5
NDC,24208081305,timolol 0.5 % drops 5 mL DROP BTL,599.3,209.76,171.64,446.48,5
NDC,24208082555,atropine 1 % ointment 3.5 g Tube,43.39,15.19,12.43,32.33,5
NDC,24208083060,"neomycin-polymyxin-dexamethasone 3.5mg/mL-10,000 unit/mL-0.1 % drops,suspension 5 mL DROP BTL",46.87,16.41,13.42,34.92,5
NDC,24208091019,erythromycin 5 mg/gram (0.5 %) ointment 1 g Tube,29.3,10.26,8.39,21.83,5
NDC,24208091055,erythromycin 5 mg/gram (0.5 %) ointment 3.5 g Tube,39.24,13.74,11.24,29.23,5
NDC,24338005008,carmustine in polifeprosan 7.7 mg wafer 8 each Box,14952.95,5233.54,4282.52,11139.95,5
NDC,24338010213,erythromycin base 250 MG tablet 100 each Bottle,32.86,11.51,9.41,24.48,5
NDC,24338010620,erythromycin 250 mg tablet 100 each Bottle,30.98,10.85,8.87,23.08,5
NDC,24338012213,"erythromycin 250 mg tablet,delayed release (DR/EC) 100 each Bottle",20.84,7.3,5.97,15.53,5
NDC,24338013213,erythromycin ethylsuccinate 200 mg/5 mL suspension for reconstitution 100 mL Bottle,1065.54,372.94,305.17,793.83,5
NDC,24338013402,erythromycin ethylsuccinate 200 mg/5 mL suspension for reconstitution 100 mL Bottle,1065.54,372.94,305.17,793.83,5
NDC,24338013610,erythromycin ethylsuccinate 200 mg/5 mL suspension for reconstitution 200 mL Bottle,1873.84,655.85,536.67,1396.01,5
NDC,24338026008,niMODipine 60 mg/10 mL solution 237 mL Bottle,153.32,53.67,43.91,114.22,5
NDC,24357070105,lidocaine 4 % cream 5 g Tube,9.91,3.47,2.84,7.38,5
NDC,24357070106,lidocaine 4 % cream 5 g Tube,9.91,3.47,2.84,7.38,5
NDC,24357070107,lidocaine 4 % kit 1 each KIT,56.64,19.83,16.22,42.2,5
NDC,24385000346,gentian violet 1 % solution 59 mL Bottle,12.81,4.49,3.67,9.54,5
NDC,24385000926,ibuprofen 100 mg/5 mL suspension 120 mL Bottle,17.84,6.25,5.11,13.29,5
NDC,24385002465,"bismuth subsalicylate 262 mg tablet,chewable 30 each Bottle",6.0,2.1,1.72,4.47,5
NDC,24385003203,tolnaftate 1 % cream 30 g Tube,14.87,5.21,4.26,11.08,5
NDC,24385003316,glycerin 99.5 % solution 473 mL Bottle,40.19,14.07,11.51,29.94,5
NDC,24385006003,bacitracin 500 unit/gram ointment 28.4 g Tube,12.27,4.3,3.51,9.14,5
NDC,24385006710,"oxymetazoline 0.05 % spray,non-aerosol 30 mL SQUEEZ BTL",13.45,4.71,3.85,10.02,5
NDC,24385007026,vitamin A & D ointment 113 g Tube,12.53,4.39,3.59,9.33,5
NDC,24385011009,clotrimazole 2 % cream 21 g TUBE/KIT,26.76,9.37,7.66,19.94,5
NDC,24385011603,pyrethrins-piperonyl butoxide 0.33-4 % shampoo 118 mL Bottle,26.18,9.17,7.5,19.5,5
NDC,24385011878,"simethicone 80 MG tablet,chewable 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,24385014976,"lactase 3,000 unit tablet 120 each Bottle",6.0,2.1,1.72,4.47,5
NDC,24385027603,hydrocortisone 1 % ointment 28 g Tube,8.71,3.05,2.49,6.49,5
NDC,24385030226,bismuth subsalicylate 262 mg/15 mL suspension 118 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,24385035210,"oxymetazoline 0.05 % spray,non-aerosol 30 mL SQUEEZ BTL",13.45,4.71,3.85,10.02,5
NDC,24385035926,guaifenesin-dextromethorphan 100-10 mg/5mL syrup 118 mL Bottle,15.32,5.37,4.39,11.41,5
NDC,24385036126,ibuprofen 100 mg/5 mL suspension 120 mL Bottle,16.99,5.95,4.87,12.66,5
NDC,24385036468,"aspirin 81 MG tablet,chewable 36 each Bottle",6.0,2.1,1.72,4.47,5
NDC,24385037226,ibuprofen 100 mg/5 mL suspension 120 mL Bottle,17.56,6.15,5.03,13.08,5
NDC,24385037926,diphenhydrAMINE 12.5 mg/5 mL liquid 118 mL Bottle,12.81,4.49,3.67,9.54,5
NDC,24385037926,diphenhydramine per 50 mg,12.81,4.49,3.67,9.54,5
NDC,24385038563,famotidine 20 MG tablet 25 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,24385038571,famotidine 20 MG tablet 50 each Bottle,6.0,2.1,1.72,4.47,5
NDC,24385038689,loperamide 2 mg tablet 18 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,24385039010,phenylephrine 1 % drops 30 mL DROP BTL,8.5,2.98,2.43,6.33,5
NDC,24385041396,calamine-zinc oxide 8-8 % lotion 177 mL Bottle,10.03,3.52,2.87,7.47,5
NDC,24385044164,doxylamine 25 mg tablet 32 each Bottle,6.0,2.1,1.72,4.47,5
NDC,24385046943,docusate 60 mg/15 mL syrup 473 mL Bottle,16.74,5.86,4.79,12.47,5
NDC,24385047847,"calcium carbonate 200 mg calcium (500 mg) tablet,chewable 150 each Bottle",6.0,2.1,1.72,4.47,5
NDC,24385048478,acetaminophen 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,24385048490,acetaminophen 500 MG tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,24385051546,castor oiL 100 % oil 59 mL Bottle,11.56,4.05,3.31,8.61,5
NDC,24385052403,terbinafine 1 % cream 28.4 g Tube,24.53,8.59,7.03,18.27,5
NDC,24385052405,terbinafine 1 % cream 15 g Tube,19.58,6.86,5.61,14.59,5
NDC,24385055453,loperamide 2 mg tablet 12 each Bottle,6.0,2.1,1.72,4.47,5
NDC,24385064778,ibuprofen 200 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,24385067510,magnesium citrate solution 296 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,24385090526,ibuprofen 100 mg/5 mL suspension 120 mL Bottle,17.56,6.15,5.03,13.08,5
NDC,24385090534,ibuprofen 100 mg/5 mL suspension 240 mL Bottle,23.79,8.33,6.81,17.72,5
NDC,24385099875,cetirizine 10 MG tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,24571010205,"bicarb dialysis8 w-out calcium K (2 mEq/L) -Mg (1 mEq/L) solution 5,000 mL Bag",129.8,45.43,37.17,96.7,5
NDC,24571010206,"bicarb dialysis8 w-out calcium K (2 mEq/L) -Mg (1 mEq/L) solution 5,000 mL Bag",129.8,45.43,37.17,96.7,5
NDC,24571010306,"prismaSOL BGK 2/3.5 K (2 mEq/L) -Ca (3.5)-Mg(1) solution 5,000 mL Bag",129.8,45.43,37.17,96.7,5
NDC,24571010505,"bicarbonate dialysis soln no.9 K (4 mEq/L)-Ca (2.5)-Mg (1.5) solution 5,000 mL Bag",129.8,45.43,37.17,96.7,5
NDC,24571010506,"prismaSOL BGK 4/2.5 K (4 mEq/L)-Ca (2.5)-Mg (1.5) solution 5,000 mL Bag",129.8,45.43,37.17,96.7,5
NDC,24571010806,"prismaSOL BGK 0/2.5 Ca (2.5 mEq/L) -Mg (1.5 mEq/L) solution 5,000 mL Bag",129.8,45.43,37.17,96.7,5
NDC,24571011306,"prismaSOL BK 0/0/1.2 Mg 1.2 mEq/L solution 5,000 mL Bag",129.8,45.43,37.17,96.7,5
NDC,24571011405,"bicarb dial soln15 without cal K (4 mEq/L) -Mg (1.2 mEq/L) solution 5,000 mL Bag",129.8,45.43,37.17,96.7,5
NDC,24571011406,"bicarb dial soln15 without cal K (4 mEq/L) -Mg (1.2 mEq/L) solution 5,000 mL Bag",129.8,45.43,37.17,96.7,5
NDC,24571011706,"PHOXILLUM B22K4/0 K (4)-Mg (1.5 mEq/L)-PO4 (1) solution 5,000 mL Bag",111.24,38.94,31.86,82.87,5
NDC,24856000100,ocriplasmin 0.5 mg/0.2 mL solution 0.2 mL Vial,9322.0,3262.7,0.05,6944.89,6
NDC,24979002707,"diltiazem CD 180 MG capsule,extended release 24hr 90 each Bottle",6.0,2.1,1.72,4.47,5
NDC,24979010206,buPROPion XL 300 MG tablet extended release 24 hr 30 each Bottle,13.59,4.76,3.89,10.12,5
NDC,24987011114,nilutamide 150 mg tablet 30 each BLIST PACK,611.36,213.98,175.09,455.46,5
NDC,24987024956,digoxin 250 mcg (0.25 mg) tablet 100 each BLIST PACK,20.39,7.14,5.84,15.19,5
NDC,24987026210,digoxin per 500 mcg,239.45,83.81,15.53,82.13,6
NDC,25010070515,penicillAMINE 250 MG capsule 100 each Bottle,741.66,259.59,212.41,552.54,5
NDC,25010071115,carbidopa 25 mg tablet 100 each Bottle,83.78,29.33,23.99,62.42,5
NDC,25021010610,ceftriaxone per 250 mg,24.0,8.4,0.8,8.23,6
NDC,25021010720,ceftriaxone per 250 mg,24.0,8.4,0.8,8.23,6
NDC,25021010910,cefoxitin per 1 g,24.0,8.4,8.12,26.22,6
NDC,25021011210,azithromycin per 500 mg,24.0,8.4,3.71,14.59,6
NDC,25021011387,fluconazole per 200 mg,39.65,13.88,4.62,14.06,6
NDC,25021011504,clindamycin per 300 mg,24.0,8.4,3.14,8.45,6
NDC,25021011506,clindamycin per 300 mg,24.0,8.4,3.14,8.45,6
NDC,25021012120,cefepime per 500 mg,24.0,8.4,2.08,8.23,6
NDC,25021012250,cefepime per 500 mg,28.32,9.92,2.08,9.71,6
NDC,25021012720,ceftazidime per 500 mg,24.0,8.4,2.79,9.64,6
NDC,25021013182,metroNIDAZOLE 5 mg/mL piggyback 100 mL Bag,24.0,8.4,6.87,17.88,5
NDC,25021013182,metroNIDAZOLE 500 mg/100 mL piggyback 100 mL Bag,24.0,8.4,0.03,17.88,11
NDC,25021013282,levofloxacin per 250 mg,24.0,8.4,1.5,8.23,6
NDC,25021013283,levofloxacin per 250 mg,31.15,10.91,1.5,10.68,6
NDC,25021014010,nafcillin per 2 g,24.0,8.4,6.87,17.88,5
NDC,25021014220,ampicillin-sulbactam per 1.5 g,24.0,8.4,2.92,9.92,6
NDC,25021014330,ampicillin-sulbactam per 1.5 g,25.49,8.93,2.92,9.92,6
NDC,25021014499,ampicillin-sulbactam per 1.5 g,158.59,55.51,2.92,54.4,6
NDC,25021014720,vancomycin per 500 mg,24.0,8.4,6.87,17.88,5
NDC,25021014830,vancomycin per 500 mg,33.98,11.9,9.73,25.32,5
NDC,25021014930,vancomycin per 500 mg,42.48,14.87,12.17,31.65,5
NDC,25021015010,vancomycin per 500 mg,24.0,8.4,6.87,17.88,5
NDC,25021015320,penicillin g potassium per 600000 Units,35.4,12.39,1.27,12.14,6
NDC,25021015630,meropenem per 100 mg,30.59,10.71,0.63,10.49,6
NDC,25021015799,vancomycin 5 gram recon soln 1 each Vial,141.58,49.56,40.55,105.48,5
NDC,25021015899,vancomycin 10 gram recon soln 1 each Vial,280.34,98.12,80.29,208.85,5
NDC,25021016224,oxacillin per 250 mg,25.49,8.93,1.56,8.74,6
NDC,25021016987,linezolid in dextrose 5% 600 mg/300 mL piggyback 300 mL Bag,39.65,13.88,5.45,18.21,6
NDC,25021017304,amikcain per 100 mg,40.5,14.18,1.36,13.89,6
NDC,25021017520,piperacillin sod-tazobactam per 1 g,24.0,8.4,1.95,8.23,6
NDC,25021017620,piperacillin sod-tazobactam per 1 g,24.0,8.4,1.95,8.23,6
NDC,25021017750,piperacillin sod-tazobactam per 1 g,24.0,8.4,1.95,8.23,6
NDC,25021018199,piperacillin sod-tazobactam per 1 g,184.08,64.43,1.95,63.14,6
NDC,25021018467,fluconazole per 200 mg,24.0,8.4,4.62,14.06,6
NDC,25021018482,fluconazole 2 mg/mL 100 mL Flex Cont,25.49,8.93,4.62,18.99,11
NDC,25021018482,fluconazole per 200 mg,25.49,8.93,4.62,14.06,6
NDC,25021018487,fluconazole per 200 mg,39.65,13.88,4.62,14.06,6
NDC,25021018510,ganciclovir per 500 mg,169.92,59.48,58.28,207.08,6
NDC,25021018511,ganciclovir per 500 mg,169.92,59.48,58.28,207.08,6
NDC,25021018899,ampicillin-sulbactam per 1.5 g,158.59,55.51,2.92,54.4,6
NDC,25021019011,micafungin per 1 mg,264.79,92.68,0.53,90.82,6
NDC,25021019110,micafungin 100 mg recon soln 1 each Vial,529.58,185.36,0.53,181.65,6
NDC,25021019111,micafungin 100 mg recon soln 1 each Vial,529.58,185.36,0.53,181.65,6
NDC,25021020110,mesna per 200 mg,56.64,19.83,2.26,19.43,6
NDC,25021020111,mesna per 200 mg,56.64,19.83,2.26,19.43,6
NDC,25021020751,doxorubicin per 10 mg,376.66,131.84,5.41,129.19,6
NDC,25021023005,irinotecan per 20 mg,86.82,30.39,3.22,29.78,6
NDC,25021023550,gemcitabine per 200 mg,140.61,49.22,5.44,48.23,6
NDC,25021023604,topotecan 4 mg/4 mL (1 mg/mL) solution 4 mL Vial,424.8,148.68,1.29,145.71,6
NDC,25021023706,fludarabine per 50 mg,311.52,109.04,106.85,3171.38,6
NDC,25021024750,cyclophosphamide per 100 mg,334.18,116.97,0.77,248.96,10
NDC,25021025150,mitomycin per 5 mg,1789.78,626.43,28.46,613.89,10
NDC,25021030520,chlorothiazide per 500 mg,169.92,59.48,58.28,322.89,6
NDC,25021030884,esmolol 10 mg/mL parenteral solution 250 mL Bag,486.75,170.37,139.41,362.63,5
NDC,25021030884,"esmolol 2,500 mg/250 mL (10 mg/mL) parenteral solution 250 mL Bag",719.8,251.935,0.35,709.87,11
NDC,25021031002,nitroprusside 25 mg/mL solution 2 mL Vial,368.16,128.86,105.44,274.28,5
NDC,25021031102,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,25021031104,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,25021031110,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,25021031202,verapamiL 2.5 mg/mL solution 2 mL Vial,24.0,8.4,6.87,17.88,5
NDC,25021031382,milrinone 20 mg/100 mL (200 mcg/mL) piggyback 100 mL Bag,26.9,9.42,2.54,9.8,6
NDC,25021031410,esmoloL 100 mg/10 mL (10 mg/mL) solution 10 mL Vial,24.0,8.4,0.35,17.88,11
NDC,25021031501,phenylephrine per 1 mL,24.0,8.4,0.02,17.88,11
NDC,25021031720,labetaloL 5 mg/mL solution 20 mL Vial,24.0,8.4,0.31,17.88,11
NDC,25021031905,diltiazem 5 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,10
NDC,25021031910,diltiazem 5 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,10
NDC,25021032104,bumetanide per 0.5 mg,24.0,8.4,1.11,8.23,6
NDC,25021032405,isoproterenol 0.2 mg/mL solution 5 mL Vial,396.48,138.77,113.55,295.38,5
NDC,25021040001,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,25021040010,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,25021040102,"heparin (PF) 1,000 unit/mL solution 2 mL Vial",29.45,10.31,0.39,10.1,6
NDC,25021040201,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,25021040401,heparin (porcine) per 1000 Units,28.32,9.92,0.39,9.71,6
NDC,25021041070,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,25021041071,enoxaparin per 10 mg,24.84,8.7,1.02,8.52,6
NDC,25021041076,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,25021041077,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,25021041078,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,25021041170,enoxaparin per 10 mg,33.98,11.9,1.02,11.66,6
NDC,25021041171,enoxaparin per 10 mg,37.67,13.19,1.02,12.92,6
NDC,25021041450,argatroban 1 mg/mL solution 50 mL Vial,495.6,173.46,1.01,369.22,15
NDC,25021041510,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",17.405,6.095000000000001,3.1,17.88,15
NDC,25021041784,tirofiban 12.5 mg/250 mL solution 250 mL Bag,669.65,234.38,6.9,229.69,6
NDC,25021045201,octreotide per 25 mcg,24.0,8.4,1.55,8.23,6
NDC,25021045301,octreotide per 25 mcg,99.12,34.7,1.55,34.0,6
NDC,25021046110,desmopressin per 1 mcg,909.07,318.18,9.75,311.81,6
NDC,25021046301,octreotide 50 mcg/mL solution 1 mL Vial,24.0,8.4,1.55,8.23,6
NDC,25021046301,octreotide per 25 mcg,24.0,8.4,1.55,8.23,6
NDC,25021046401,octreotide per 25 mcg,24.0,8.4,1.55,8.23,6
NDC,25021046501,octreotide per 25 mcg,99.12,34.7,1.55,34.0,6
NDC,25021046810,levothyroxine 20 mcg/mL recon soln 1 each Vial,260.0,91.0,19.38,193.7,6
NDC,25021047401,vasopressin 20 unit/mL solution 1 mL Vial,65.14,22.8,18.66,48.53,5
NDC,25021050002,thiamine per 100 mg,24.0,8.4,3.23,13.12,6
NDC,25021060103,caffeine citrate per 5 mg,56.64,19.83,16.22,42.2,5
NDC,25021060203,caffeine citrate 20 mg/mL solution 3 mL Vial,56.64,19.83,16.22,42.2,5
NDC,25021060820,propofol (DIPRIVAN) injection 10 mg/mL emulsion 20 mL Vial,24.0,8.4,0.17,8.23,6
NDC,25021060820,propofol (DIPROVAN) infusion 10 mg/mL 20 mL Vial,24.0,8.4,0.17,8.23,6
NDC,25021060850,propofol (DIPRIVAN) injection 10 mg/mL emulsion 50 mL Vial,41.42,14.5,0.17,14.21,6
NDC,25021060850,propofol (DIPROVAN) infusion 10 mg/mL 50 mL Vial,41.42,14.5,0.17,14.21,6
NDC,25021060851,propofol (DIPRIVAN) injection 10 mg/mL emulsion 100 mL Vial,82.84,29.0,0.17,28.41,6
NDC,25021060851,propofol (DIPROVAN) infusion 10 mg/mL 100 mL Vial,82.84,29.0,0.17,28.41,6
NDC,25021061110,neostigmine 1 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,25021061281,magnesium sulfate 2 gram/50 mL (4 %) piggyback 50 mL Flex Cont,36.34,12.72,0.84,12.46,6
NDC,25021065905,atracurium 10 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,25021066110,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,25021067210,atracurium 10 mg/mL solution 10 mL Vial,45.31,15.86,12.98,33.76,5
NDC,25021067376,lidocaine 2 % jelly in applicator 6 mL Syringe,16.85,5.9,4.83,12.55,5
NDC,25021067377,lidocaine 2 % jelly in applicator 11 mL Syringe,17.99,6.3,5.15,13.4,5
NDC,25021067410,etomidate 2 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,25021067620,pentobarbital per 50 mg,3426.72,1199.36,36.84,1175.36,10
NDC,25021067650,pentobarbital per 50 mg,5947.2,2081.52,36.84,2039.89,10
NDC,25021068220,ketamine 10 mg/mL solution 20 mL Vial,68.68,24.04,19.67,51.17,5
NDC,25021068310,ketamine 50 mg/mL solution 10 mL Vial,30.0,10.5,8.59,22.35,5
NDC,25021068701,rocuronium 10 mg/mL solution 10 mL Vial,25.49,8.93,7.3,18.99,5
NDC,25021068705,rocuronium 10 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,25021068710,rocuronium 10 mg/mL solution 10 mL Vial,25.49,8.93,7.3,18.99,5
NDC,25021070001,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,25021070101,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,25021075110,pantoprazole 40 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,25021078005,levetriracetam per 10 mg,24.0,8.4,0.1,8.23,6
NDC,25021079002,prochlorperazine edisylate per 10 mg,24.0,8.4,5.66,15.78,6
NDC,25021079003,prochlorperazine edisylate per 10 mg,24.0,8.4,5.66,15.78,6
NDC,25021079120,lacosamide 10 solution 20 mL Vial,185.31,64.86,53.07,138.06,5
NDC,25021079582,"levETIRAcetam 1,500 mg/100 mL piggyback 100 mL Bag",79.06,27.68,0.1,27.12,6
NDC,25021079601,glycopyrrolate 0.2 mg/mL solution 1 mL Vial,24.0,8.4,0.92,8.23,6
NDC,25021079705,valproate 500 mg/5 mL (100 mg/mL) solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,25021080601,haloperidol lactate per 5 mg,24.0,8.4,1.86,8.23,6
NDC,25021080705,methylprednisolone per 40 mg,24.0,8.4,6.91,22.24,5
NDC,25021081230,acetylcysteine per 100 mg,424.8,148.68,1.02,145.71,6
NDC,25021081266,acetylcysteine per 100 mg,352.8,123.48,1.02,121.01,6
NDC,25021081310,leucovorin calcium per 50 mg,24.92,8.73,7.32,24.64,6
NDC,25021081430,leucovorin calcium per 50 mg,56.64,19.83,7.32,24.64,6
NDC,25021081630,leucovorin calcium per 50 mg,198.24,69.39,7.32,68.0,6
NDC,25021081710,acetazolamide per 500 mg,113.28,39.65,38.86,155.74,6
NDC,25021082667,zoledronic ac-mannitol-0.9NaCl 4 mg/100 mL piggyback 100 mL Bag,169.92,59.48,11.64,58.28,6
NDC,25021082682,zoledronic ac-mannitol-0.9NaCl 4 mg/100 mL piggyback 100 mL Bag,509.76,178.42,11.64,174.85,6
NDC,25021082761,ibandronate per 1 mg,708.0,247.8,42.24,242.84,6
NDC,25021082902,fomepizone per 15 mg,2789.52,976.34,798.92,2078.19,5
NDC,25021083101,haloperidol decanoate per 50 mg,56.64,19.83,12.21,43.69,6
NDC,25021083805,fluphenazine decanoate per 25 mg,29.17,10.21,10.01,57.43,6
NDC,25208000201,tirofiban per 0.25 mg,260.54,91.19,6.9,194.1,11
NDC,25208000202,tirofiban 12.5 mg/250 mL solution 250 mL Bag,705.05,246.77,6.9,241.83,6
NDC,25208090201,tirofiban per 0.25 mg,260.54,91.19,6.9,89.37,6
NDC,25208090202,tirofiban 12.5 mg/250 mL solution 250 mL Bag,705.05,246.77,6.9,241.83,6
NDC,25682000101,eculizumab 300 mg/30 mL solution 30 mL Vial,55419.41,19396.8,44.7,41287.46,9
NDC,25682002201,ravulizumab-cwvz 10 mg/mL solution 30 mL Vial,18136.13,6347.65,223.68,6220.69,10
NDC,25682002201,ravulizumab-cwvz 300 mg/30 mL (10 mg/mL) solution 30 mL Vial,18136.13,6347.65,5194.19,13511.42,5
NDC,25682002501,ravulizumab-cwvz 100 mg/mL solution 3 mL Vial,18498.86,6474.61,223.68,6345.11,10
NDC,25682002801,ravulizumab-cwvz 100 mg/mL solution 11 mL Vial,67829.12,23740.2,223.68,23265.39,10
NDC,26608000118,"Bio-K Plus 50 billion cell capsule,delayed release(DR/EC) 20 each Bottle",6.0,2.1,1.72,4.47,5
NDC,26608000150,"Bio-K Plus 50 billion cell capsule,delayed release(DR/EC) 15 each Bottle",6.0,2.1,1.72,4.47,5
NDC,27241005303,ARIPiprazole 10 MG tablet 30 each Bottle,75.78,26.53,21.7,56.46,5
NDC,27241006303,voriconazole 200 MG tablet 30 each Bottle,187.66,65.69,53.75,139.81,5
NDC,27241009706,"DULoxetine 20 MG capsule,delayed release(DR/EC) 60 each Bottle",16.52,5.79,4.73,12.31,5
NDC,27241011501,"divalproex sprinkle 125 mg capsule, delayed rel sprinkle 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,27241011603,fenofibrate 54 MG tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,27241012502,ranolazine 500 MG tablet extended release 12 hr 60 each Bottle,15.9,5.57,4.55,11.85,5
NDC,27241013421,cholestyramine 4 gram powder in packet 1 each Packet,7.95,2.79,2.28,5.92,5
NDC,27241013909,oseltamivir 6 mg/mL suspension for reconstitution 60 mL Bottle,387.13,135.5,110.87,288.41,5
NDC,27241016001,captopriL 12.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,27241016701,doxepin 10 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,27241017101,doxepin 100 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,27241017456,varenicline tartrate 1 mg tablet 56 each Bottle,21.89,7.67,6.27,16.31,5
NDC,27241021001,clomiPRAMINE 25 MG capsule 100 each Bottle,26.53,9.29,7.6,19.76,5
NDC,27241021030,clomiPRAMINE 25 MG capsule 30 each Bottle,26.53,9.29,7.6,19.76,5
NDC,27241024001,"metFORMIN 500 MG (MOD) tablet,ER gast.retention 24 hr 100 each Bottle",131.21,45.93,37.58,97.75,5
NDC,27241024949,famotidine 40 mg/5 mL (8 mg/mL) suspension for reconstitution 50 mL Bottle,417.6,146.16,119.6,311.11,5
NDC,27437005056,methylergonovine 0.2 mg tablet 28 each Bottle,176.19,61.67,50.46,131.26,5
NDC,27437005057,methylergonovine 0.2 mg tablet 12 each Bottle,176.29,61.71,50.49,131.34,5
NDC,27437020808,cefixime 400 mg capsule 50 each Bottle,65.31,22.86,18.7,48.66,5
NDC,27437020811,cefixime 400 mg capsule 10 each BLIST PACK,65.32,22.87,18.71,48.66,5
NDC,27505000367,dantrolene 20 mg recon soln 1 each Vial,198.24,69.39,56.78,147.69,5
NDC,27808000201,risperiDONE 1 mg/mL solution 30 mL Bottle,395.7,138.5,113.33,294.8,5
NDC,27808003301,theophylline 80 mg/15 mL solution 473 mL Bottle,260.09,91.04,74.49,193.77,5
NDC,27808003701,HYDROcodone-acetaminophen 10-325 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,27808005102,promethazine per 25 mg,111.63,39.08,0.14,38.29,6
NDC,27808005801,methylphenidate 5 mg/5 mL solution 500 mL Bottle,9.0,3.15,2.58,6.71,5
NDC,27808015501,rosuvastatin 5 MG tablet 90 each Bottle,21.11,7.39,6.05,15.73,5
NDC,27808015601,rosuvastatin 10 MG tablet 90 each Bottle,21.11,7.39,6.05,15.73,5
NDC,27808015701,rosuvastatin 20 MG tablet 90 each Bottle,21.11,7.39,6.05,15.73,5
NDC,27808022301,paliperidone 3 MG tablet extended release 24hr 30 each Bottle,72.21,25.28,20.68,53.8,5
NDC,27808022401,paliperidone 6 MG tablet extended release 24hr 30 each Bottle,72.21,25.28,20.68,53.8,5
NDC,29033000101,theophylline 400 mg tablet extended release 24 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,29033001301,piroxicam 20 MG capsule 100 each Bottle,10.59,3.71,3.03,7.89,5
NDC,29033002602,calcium acetate(phosphat bind) 667 mg capsule 200 each Bottle,6.0,2.1,1.72,4.47,10
NDC,29033003730,dapsone 100 MG tablet 30 each Bottle,7.13,2.5,2.04,5.31,5
NDC,29033050034,promethazine per 25 mg,116.09,40.64,0.14,39.82,6
NDC,29300011101,lamotrigine 25 MG tablet 100 each Bottle,9.97,3.49,2.86,7.43,5
NDC,29300011201,lamotrigine 100 MG tablet 100 each Bottle,11.39,3.99,3.26,8.49,5
NDC,29300011416,lamotrigine 200 MG tablet 60 each Bottle,13.61,4.77,3.9,10.14,5
NDC,29300011705,topiramate 100 MG tablet 500 each Bottle,15.34,5.37,4.39,11.43,5
NDC,29300012401,meloxicam 7.5 MG tablet 100 each Bottle,7.48,2.62,2.14,5.57,5
NDC,29300012801,hydroCHLOROthiazide 25mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,29300016815,tiZANidine 2 MG tablet 150 each Bottle,6.0,2.1,1.72,4.47,5
NDC,29300024016,tolterodine 2 MG tablet 60 each Bottle,8.02,2.81,2.3,5.97,5
NDC,29300024401,busPIRone 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,29300030816,quetiapine XR 50 mg tablet extended release 24 hr 60 each Bottle,20.93,7.33,5.99,15.59,5
NDC,29300034901,allopurinoL 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,29300041901,amitriptyline 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,29300042201,amitriptyline 75 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,29300042801,zonisamide 25 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,30768003741,levOCARNitine 500 mg tablet 30 each Bottle,6.0,2.1,1.72,4.47,5
NDC,30768016836,melatonin 1 mg/mL liquid 59 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,31604001338,vitamin B-complex with C tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,31604002749,prenatal vitamin 27 mg iron-800 mcg-260 mg capsule 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,31604002766,prenatal vitamin 27 mg iron-800 mcg-260 mg capsule 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,31722000631,itraconazole 10 mg/mL solution 150 mL Bottle,873.67,305.79,250.22,650.88,5
NDC,31722004930,eplerenone 25 MG tablet 30 each Bottle,10.24,3.59,2.93,7.63,5
NDC,31722004990,eplerenone 25 MG tablet 90 each Bottle,10.24,3.59,2.93,7.63,5
NDC,31722011620,lidocaine 1 % solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,31722011631,lidocaine 1 % solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,31722013747,glycerin 99.5 % solution 473 mL Bottle,59.16,20.71,16.94,44.07,5
NDC,31722015501,dextroamphetamine-amphetamine 5 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,31722015701,dextroamphetamine-amphetamine 10 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,31722017301,methylphenidate HCl 5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,31722017401,methylphenidate HCl 10 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,31722020410,pantoprazole 40 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,31722020431,pantoprazole 40 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,31722030801,OLANZapine 10 mg recon soln 1 each Vial,100.37,35.13,1.57,34.43,6
NDC,31722050430,efavirenz 600 mg tablet 30 each Bottle,87.94,30.78,25.19,65.52,5
NDC,31722050560,nevirapine 200 mg tablet 60 each Bottle,25.59,8.96,7.33,19.06,5
NDC,31722050660,lamivudine-zidovudine 150-300 mg tablet 60 each Bottle,36.64,12.83,10.49,27.3,5
NDC,31722050960,zidovudine per 100 mg,14.2,4.97,4.07,10.58,5
NDC,31722051660,stavudine 20 MG capsule 60 each Bottle,18.1,6.34,5.18,13.48,5
NDC,31722051760,stavudine 30 MG capsule 60 each Bottle,19.23,6.74,5.51,14.33,5
NDC,31722051860,stavudine 40 MG capsule 60 each Bottle,19.58,6.86,5.61,14.59,5
NDC,31722051901,hydrALAZINE 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,31722052001,hydrALAZINE 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,31722052590,finasteride 5 mg tablet 90 each Bottle,7.35,2.58,2.11,5.48,5
NDC,31722052630,finasteride 1 mg tablet 30 each Bottle,6.4,2.24,1.83,4.77,5
NDC,31722053301,methocarbamoL 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,31722053712,levetiracetam 500 MG tablet 120 each Bottle,8.29,2.91,2.37,6.18,5
NDC,31722055612,lopinavir-ritonavir 200-50 mg tablet 120 each Bottle,21.75,7.62,6.23,16.2,5
NDC,31722055760,abacavir 300 mg tablet 60 each Bottle,23.71,8.3,6.79,17.66,5
NDC,31722056424,citalopram 10 mg/5 mL solution 240 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,31722057330,"esomeprazole 40 MG capsule,delayed release(DR/EC) 30 each Bottle",20.11,7.04,5.76,14.98,5
NDC,31722057447,levetiracetam 100 mg/mL solution 473 mL Bottle,715.54,250.44,204.93,533.08,5
NDC,31722059730,ritonavir 100 mg tablet 30 each Bottle,21.85,7.65,6.26,16.28,5
NDC,31722061090,pregabalin 25 MG capsule 90 each Bottle,20.99,7.35,6.01,15.64,5
NDC,31722062260,dabigatran etexilate 150 mg capsule 60 each Bottle,8.9,3.12,2.55,6.63,5
NDC,31722062726,lacosamide 10 mg/mL solution 200 mL Bottle,26.31,9.21,7.54,19.6,5
NDC,31722062921,atovaquone 750 mg/5 mL suspension 210 mL Bottle,3721.46,1302.52,1065.83,2772.49,5
NDC,31722063031,oseltamivir 30 MG capsule 10 each BLIST PACK,33.46,11.72,9.58,24.93,5
NDC,31722063131,oseltamivir 45 MG capsule 10 each BLIST PACK,33.46,11.72,9.58,24.93,5
NDC,31722063231,oseltamivir 75 MG capsule 10 each BLIST PACK,36.48,12.77,10.45,27.18,5
NDC,31722065360,atazanavir 150 MG capsule 60 each Bottle,65.61,22.97,18.79,48.88,5
NDC,31722066860,ranolazine 500 MG tablet extended release 12 hr 60 each Bottle,17.46,6.12,5.0,13.01,5
NDC,31722068147,acyclovir 200 mg/5 mL suspension 473 mL Bottle,1035.91,362.57,296.68,771.75,5
NDC,31722070430,valACYclovir 500 MG tablet 30 each Bottle,17.05,5.97,4.88,12.7,5
NDC,31722070730,famciclovir 250 MG tablet 30 each Bottle,14.92,5.23,4.27,11.12,5
NDC,31722071390,"pantoprazole 40 MG tablet,delayed release (DR/EC) 90 each Bottle",12.43,4.36,3.56,9.26,5
NDC,31722072150,levoFLOXacin 250 MG tablet 50 each Bottle,39.67,13.89,11.36,29.55,5
NDC,31722072250,levoFLOXacin 500 MG tablet 50 each Bottle,45.52,15.94,13.04,33.91,5
NDC,31722073090,irbesartan 150 MG tablet 90 each Bottle,7.33,2.57,2.1,5.46,5
NDC,31722074920,linezolid 600 mg tablet 20 each Bottle,7.77,2.72,2.23,5.79,5
NDC,31722077701,acyclovir 400 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,31722080560,tolterodine 1 MG tablet 60 each Bottle,7.81,2.74,2.24,5.82,5
NDC,31722081360,lacosamide 100 mg tablet 60 each Bottle,42.41,14.85,12.15,31.6,5
NDC,31722082930,ARIPiprazole 20 MG tablet 30 each Bottle,107.16,37.51,30.69,79.83,5
NDC,31722083260,valGANciclovir 450 mg tablet 60 each Bottle,151.98,53.2,43.53,113.23,5
NDC,31722083330,entecavir 0.5 mg tablet 30 each Bottle,104.86,36.71,30.03,78.12,5
NDC,31722085530,eszopiclone 1 MG tablet 30 each Bottle,27.55,9.65,7.89,20.52,5
NDC,31722086525,linezolid 100 mg/5 mL suspension for reconstitution 150 mL Bottle,1737.79,608.23,497.7,1294.65,5
NDC,31722086803,tolvaptan 15 mg tablet 10 each BLIST PACK,1325.73,464.01,379.69,987.67,5
NDC,31722086831,tolvaptan 15 mg tablet 1 each BLIST PACK,1325.73,464.01,379.69,987.67,5
NDC,31722088290,rosuvastatin 5 MG tablet 90 each Bottle,21.11,7.39,6.05,15.73,5
NDC,31722088490,rosuvastatin 20 MG tablet 90 each Bottle,21.11,7.39,6.05,15.73,5
NDC,31722093502,albendazole 200 mg tablet 2 each Bottle,617.84,216.25,176.95,460.29,5
NDC,31722093747,simple syrup syrup 473 mL Bottle,46.88,16.41,13.43,34.93,5
NDC,31722093847,cherry syrup liquid 473 mL Bottle,46.88,16.41,13.43,34.93,5
NDC,31722095201,methylphenidate HCl 18 MG tablet extended release 24hr 100 each Bottle,31.17,10.91,8.93,23.22,5
NDC,31722095301,methylphenidate HCl 27 MG tablet extended release 24hr 100 each Bottle,31.95,11.19,9.15,23.8,5
NDC,31722095901,Ora-Sweet syrup 473 mL Bottle,51.35,17.98,14.71,38.26,5
NDC,31722099801,baclofen 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,33342000109,lamiVUDine 150 MG tablet 60 each Bottle,16.88,5.91,4.83,12.58,5
NDC,33342002208,levoFLOXacin 500 MG tablet 50 each Bottle,45.47,15.92,13.02,33.88,5
NDC,33342004807,irbesartan 150 MG tablet 30 each Bottle,7.25,2.54,2.08,5.4,5
NDC,33342004810,irbesartan 150 MG tablet 90 each Bottle,7.25,2.54,2.08,5.4,5
NDC,33342005507,pioglitazone 30 MG tablet 30 each Bottle,25.27,8.85,7.24,18.83,5
NDC,33342005510,pioglitazone 30 MG tablet 90 each Bottle,25.27,8.85,7.24,18.83,5
NDC,33342005610,pioglitazone 45 MG tablet 90 each Bottle,27.41,9.6,7.85,20.42,5
NDC,33342008909,rivastigmine 1.5 MG capsule 60 each Bottle,9.51,3.33,2.72,7.08,5
NDC,33342009809,tolterodine 2 MG tablet 60 each Bottle,8.02,2.81,2.3,5.97,5
NDC,33342010707,risedronate 5 MG tablet 30 each Bottle,20.9,7.32,5.99,15.57,5
NDC,33342025666,oseltamivir 30 MG capsule 10 each BLIST PACK,33.46,11.72,9.58,24.93,5
NDC,33342029809,memantine 10 MG tablet 60 each Bottle,14.38,5.04,4.12,10.71,5
NDC,33342032715,triamcinolone 0.025 % cream 15 g Tube,10.51,3.68,3.01,7.83,5
NDC,33342033315,triamcinolone 0.1 % ointment 15 g Tube,13.13,4.6,3.76,9.78,5
NDC,33342040530,lidocaine 5 % ointment 30 g Tube,539.43,188.81,154.49,401.88,5
NDC,33342044711,pyrazinamide 500 mg tablet 100 each Bottle,14.53,5.09,4.16,10.82,5
NDC,35046000334,omega 3 DHA-EPA 1000 mg (120 mg-180 mg) capsule 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,35573043302,ketoconazole 200 mg tablet 100 each Bottle,8.94,3.13,2.56,6.66,5
NDC,35573044525,levalbuterol per 0.5 mg,15.18,5.32,0.08,5.21,6
NDC,35573046402,"amphetamine-dextroamphetamine XR 5 MG capsule,extended release 24hr 100 each Bottle",14.47,5.07,4.14,10.78,5
NDC,36000000206,fluconazole per 200 mg,24.0,8.4,4.62,14.06,6
NDC,36000000210,fluconazole 2 mg/mL 100 mL Flex Cont,24.0,8.4,6.87,17.88,5
NDC,36000000210,fluconazole per 200 mg,24.0,8.4,4.62,14.06,6
NDC,36000000306,fluconazole per 200 mg,24.0,8.4,4.62,14.06,6
NDC,36000000310,fluconazole per 200 mg,24.0,8.4,4.62,14.06,6
NDC,36000000924,ciprofloxacin per 200 mg,24.0,8.4,2.1,10.28,6
NDC,36000001225,ondansetron per 1 mg,24.0,8.4,0.17,8.23,6
NDC,36000003310,metoprolol 5 mg/5 mL solution 5 mL Vial,24.0,8.4,6.87,17.88,10
NDC,36000004501,levofloxacin per 250 mg,24.0,8.4,1.5,8.23,6
NDC,36000004624,levofloxacin per 250 mg,24.0,8.4,1.5,8.23,6
NDC,36000004724,levofloxacin per 250 mg,24.0,8.4,1.5,8.23,6
NDC,36000004824,levofloxacin per 250 mg,24.0,8.4,1.5,8.23,6
NDC,36000014810,flumazeniL 0.1 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,36000016201,norepinephrine 1 mg/mL solution 4 mL AMPUL,24.0,8.4,6.87,17.88,5
NDC,36000016210,norepinephrine 1 mg/mL solution 4 mL AMPUL,24.0,8.4,6.87,17.88,5
NDC,36000024401,tobramycin per 80 mg,24.0,8.4,4.08,13.9,6
NDC,36000024425,tobramycin per 80 mg,24.0,8.4,4.08,13.9,6
NDC,36000028225,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,36000028325,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,36000028425,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,36000030810,naloxone per 1 mg,24.0,8.4,6.87,49.56,11
NDC,36000032201,labetaloL 5 mg/mL solution 20 mL Vial,24.0,8.4,0.31,17.88,11
NDC,36000032202,labetaloL 5 mg/mL solution 20 mL Vial,24.0,8.4,0.31,17.88,11
NDC,36000032402,labetaloL 5 mg/mL solution 40 mL Vial,24.0,8.4,0.31,17.88,11
NDC,36000032601,palonosetron per 25 mcg,24.0,8.4,1.07,8.23,6
NDC,36000032602,palonosetron per 25 mcg,24.0,8.4,1.07,8.23,6
NDC,37000002304,psyllium 3.4 g/packet powder in packet 30 each Packet,6.0,2.1,1.72,4.47,5
NDC,37000002310,psyllium 3.4 g/packet powder in packet 1 each Packet,6.0,2.1,1.72,4.47,5
NDC,37000002404,psyllium 3.4 g/packet powder in packet 30 each Packet,6.0,2.1,1.72,4.47,5
NDC,37000002444,psyllium 3.4 g/packet powder in packet 44 each Packet,6.0,2.1,1.72,4.47,5
NDC,37000003201,bismuth subsalicylate 262 mg/15 mL suspension 118 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,37000025445,psyllium 3.4 g/packet powder in packet 44 each Packet,6.0,2.1,1.72,4.47,5
NDC,37000047508,bismuth subsalicylate 262 mg/15 mL suspension 236 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,37864090501,thiamine 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,37864090501,thiamine mononitrate 100 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,38396090963,dextrose 15 gram/59 mL liquid 59 mL Bottle,6.96,2.44,1.99,5.19,5
NDC,38779003708,mineral oil oil 500 mL Bottle,6.4,2.24,1.83,4.77,5
NDC,38779006298,sodium chloride powder 500 g Jar,213.58,74.76,61.17,159.12,5
NDC,38779007101,dexAMETHasone sod phos (bulk) 100 % powder 10 g Jar,2827.85,989.75,809.9,2106.75,5
NDC,38779007103,dexAMETHasone sod phos (bulk) 100 % powder 5 g Jar,1413.92,494.88,404.95,1053.37,5
NDC,38779007104,dexAMETHasone sod phos (bulk) 100 % powder 25 g Jar,7069.62,2474.37,2024.74,5266.87,5
NDC,38779007105,dexAMETHasone sod phos (bulk) 100 % powder 100 g Jar,26931.85,9426.15,7713.28,20064.23,5
NDC,38779007106,dexAMETHasone sod phos (bulk) 100 % powder 1 g Jar,282.78,98.98,80.99,210.67,5
NDC,38779008208,lidocaine HCl (bulk) 100 % powder 500 g Jar,5044.5,1765.58,1444.74,3758.15,5
NDC,38779008408,methylcellulose 30 % powder 500 g Jar,1121.0,392.35,321.05,835.15,5
NDC,38779008505,methylcellulose 27.5 % to 31.5 % (USP) powder 100 g Jar,404.5,141.58,115.85,301.35,5
NDC,38779010208,zinc sulfate powder 500 g Jar,280.84,98.3,80.43,209.23,5
NDC,38779010505,lanolin (bulk) wax 100 g Jar,141.13,49.4,40.42,105.14,5
NDC,38779010508,lanolin (bulk) wax 500 g Jar,741.04,259.37,212.23,552.07,5
NDC,38779024208,nystatin 2 billion unit powder 1 each Jar,517.17,181.01,148.12,385.29,5
NDC,38779031602,lactose bulk powder 50 g Jar,73.99,25.9,21.19,55.12,5
NDC,38779034801,neomycin sulfate (bulk) powder 10 g Jar,126.9,44.42,36.34,94.54,5
NDC,38779034802,neomycin sulfate (bulk) powder 50 g Jar,634.49,222.08,181.72,472.7,5
NDC,38779040506,"dexamethasone,micronized(bulk) 100 % powder 1 g Jar",359.88,125.96,103.07,268.11,5
NDC,38779050205,arginine (L-arginine) (bulk) 100 % powder 100 g Jar,304.44,106.56,87.19,226.81,5
NDC,38779050208,arginine (L-arginine) (bulk) 100 % powder 500 g Jar,1597.72,559.21,457.59,1190.3,5
NDC,38779056608,tetracaine HCl powder 500 g Jar,698.56,244.5,200.07,520.43,5
NDC,38779059808,potassium iodide-iodine 5 % solution 500 mL Bottle,456.66,159.84,130.79,340.21,5
NDC,38779061405,dimethyl sulfoxide 99 % liquid 100 mL Bottle,292.64,102.43,83.81,218.02,5
NDC,38779062905,sodium chloride powder 100 g Jar,42.72,14.96,12.24,31.83,5
NDC,38779062908,sodium chloride powder 500 g Jar,224.2,78.47,64.21,167.03,5
NDC,38779078004,succimer (bulk) 98 % powder 25 g Jar,2164.71,757.65,619.97,1612.71,5
NDC,38779136808,karaya gum powder 500 g Jar,336.3,117.71,96.32,250.54,5
NDC,38779177908,simple syrup syrup 500 mL Bottle,672.6,235.41,192.63,501.09,5
NDC,38779228904,lansoprazole (bulk) 100 % powder 25 g Jar,2273.15,795.61,651.03,1693.5,5
NDC,38779243005,dimethyl sulfoxide 99.99 % liquid 100 mL Bottle,292.64,102.43,83.81,218.02,5
NDC,38779268701,"edetate disodium (bulk) 100 % powder 2,500 g Jar",9192.2,3217.27,2632.65,6848.19,5
NDC,39328000810,"potassium phosphate 500 mg tablet,soluble 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,39328001030,vitamin E 22.5 mg (50 unit)/mL drops 30 mL DROP BTL,22.03,7.72,6.31,16.41,5
NDC,39328006250,sodium hypochlorite 0.5 % solution 473 mL Bottle,40.19,14.07,11.51,29.94,5
NDC,39328006325,sodium hypochlorite 0.25 % solution 473 mL Bottle,43.53,15.24,12.47,32.43,5
NDC,39328006412,sodium hypochlorite 0.125 % solution 473 mL Bottle,43.53,15.24,12.47,32.43,5
NDC,39328012005,senna 8.8 mg/5 mL syrup 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,39328012050,senna 8.8 mg/5 mL syrup 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,39328015705,ferrous sulfate 300 mg (60 mg iron)/5 mL liquid 5 mL Cup,8.71,3.05,2.49,6.49,5
NDC,39328022015,senna 8.8 mg/5 mL syrup 15 mL Cup,9.59,3.36,2.75,7.14,5
NDC,39328022050,senna 8.8 mg/5 mL syrup 15 mL Cup,9.59,3.36,2.75,7.14,5
NDC,39328035760,"ergocalciferol 200 mcg/mL (8,000 unit/mL) drops 60 mL DROP BTL",6.0,2.1,1.72,4.47,5
NDC,39822012504,piperacillin sod-tazobactam per 1 g,28.32,9.92,1.95,9.71,6
NDC,39822017001,"polymyxin B 500,000 unit recon soln 1 each Vial",31.86,11.16,9.12,23.74,5
NDC,39822019001,acetazolamide per 500 mg,92.94,32.53,31.88,155.74,6
NDC,39822026001,cyclophosphamide per 100 mg,1032.5,361.38,0.77,769.21,10
NDC,39822027805,"bacitracin 50,000 unit recon soln 1 each Vial",24.0,8.4,6.87,17.88,5
NDC,39822031005,neomycin 500 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,39822031007,neomycin 500 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,39822041201,tobramycin per 80 mg,236.0,82.6,4.08,80.95,6
NDC,39822041206,tobramycin per 80 mg,221.25,77.44,4.08,75.89,6
NDC,39822050001,hydralazine per 20 mg,26.55,9.3,7.28,29.95,6
NDC,39822050004,hydralazine per 20 mg,26.55,9.3,7.28,29.95,6
NDC,39822061502,colistimethate per 150 mg,79.3,27.76,22.11,64.39,6
NDC,39822070602,streptomycin per 1 g,221.25,77.44,53.66,165.57,6
NDC,39822100001,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",24.0,8.4,6.87,17.88,10
NDC,39822100106,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",58.62,20.52,16.79,43.67,5
NDC,39822100107,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",58.62,20.52,16.79,43.67,5
NDC,39822105505,amphotericin per 50 mg,141.6,49.56,15.74,218.51,6
NDC,39822107701,voriconazole per 10 mg,118.0,41.3,1.41,40.47,6
NDC,39822110001,folic acid 5 mg/mL solution 10 mL Vial,103.25,36.14,29.57,76.92,10
NDC,39822120102,"neomycin-polymyxin B GU 40 mg-200,000 unit/mL solution 1 mL AMPUL",32.23,11.29,9.23,24.01,5
NDC,39822180001,OLANZapine 10 mg recon soln 1 each Vial,41.3,14.46,1.57,14.17,6
NDC,39822200001,clonidine per 1 mg,73.75,25.82,25.3,110.33,6
NDC,39822301501,"nystatin 100,000 unit/gram powder 15 g Bottle",44.25,15.49,12.67,32.97,5
NDC,39822400001,levetriracetam per 10 mg,24.0,8.4,0.1,8.23,6
NDC,39822402501,magnesium sulfate per 500 mg of magnesium,24.0,8.4,0.84,8.23,6
NDC,39822402502,magnesium sulfate per 500 mg of magnesium,24.0,8.4,0.84,8.23,6
NDC,39822420001,rocuronium 10 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,39822420002,rocuronium 10 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,39822420005,rocuronium 10 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,39822420006,rocuronium 10 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,39822552502,promethazine per 50 mg,24.0,8.4,5.92,16.51,6
NDC,39822552503,promethazine per 50 mg,24.0,8.4,5.92,16.51,6
NDC,39822625001,desmopressin per 1 mcg,472.0,165.2,9.75,161.9,6
NDC,39822990001,ammonia 15 % (w/v) solution 1 each AMPUL,6.0,2.1,1.72,4.47,5
NDC,39822990002,ammonia 15 % (w/v) solution 1 each AMPUL,6.0,2.1,1.72,4.47,5
NDC,39892070003,hydrogen peroxide 3 % solution 473 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,40076062405,penciclovir 1 % cream 5 g Tube,2299.56,804.85,658.59,1713.17,5
NDC,40085084296,acyclovir 200 mg/5 mL suspension 473 mL Bottle,1105.12,386.8,316.51,823.31,5
NDC,40985021245,vitamin E 400 UNIT capsule 110 each Bottle,6.0,2.1,1.72,4.47,5
NDC,41100081122,vitamin A & D ointment 42.5 g Tube,6.92,2.43,1.98,5.16,5
NDC,41100081123,"oxymetazoline 0.05 % spray,non-aerosol 15 mL SQUEEZ BTL",12.43,4.36,3.56,9.26,5
NDC,41100081124,vitamin A & D ointment 113 g Tube,10.4,3.64,2.98,7.75,5
NDC,41167000609,doxylamine 25 mg tablet 32 each Bottle,6.0,2.1,1.72,4.47,5
NDC,41167005840,"lidocaine 4 % adhesive patch,medicated 5 each Box",6.15,2.16,1.76,4.58,5
NDC,41167005848,"lidocaine 4 % adhesive patch,medicated 1 each Packet",6.15,2.16,1.76,4.58,5
NDC,41167432005,fexofenadine-pseudoephedrine 180-240 mg tablet extended release 24 hr 10 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,41616021990,ketorolac 0.5 % drops 3 mL DROP BTL,41.49,14.53,11.88,30.91,5
NDC,41679036513,medium chain triglycerides 7.7 kcal/mL oil 946 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,42002020005,naphazoline-pheniramine 0.025-0.3 % drops 15 mL DROP BTL,13.74,4.81,3.94,10.24,5
NDC,42023010301,EPINEPHrine 1 mg/mL solution 30 mL Bottle,709.63,248.38,203.24,528.67,5
NDC,42023010401,tuberculin 5 tub. unit /0.1 mL solution 1 mL Vial,32.78,11.48,9.39,24.42,5
NDC,42023010405,tuberculin 5 tub. unit /0.1 mL solution 5 mL Vial,25.54,8.94,7.31,19.03,5
NDC,42023010501,methohexitaL 500 mg recon soln 1 each Vial,315.86,110.56,90.46,235.32,5
NDC,42023011001,estradiol 10 mg/mL oil 5 mL Vial,375.9,131.57,13.52,128.93,6
NDC,42023011310,ketamine 10 mg/mL solution 20 mL Vial,56.03,19.62,16.05,41.74,5
NDC,42023011410,ketamine 50 mg/mL solution 10 mL Vial,30.0,10.5,8.59,22.35,5
NDC,42023011510,ketamine 100 mg/mL solution 5 mL Vial,37.77,13.22,10.82,28.14,5
NDC,42023011601,oxytocin per 10 Units,24.0,8.4,6.87,17.88,5
NDC,42023011602,oxytocin per 10 Units,24.0,8.4,6.87,17.88,5
NDC,42023011625,oxytocin per 10 Units,24.0,8.4,6.87,17.88,5
NDC,42023012306,dantrolene 20 mg recon soln 1 each Vial,251.03,87.87,71.89,187.02,5
NDC,42023012901,fluphenazine decanoate per 25 mg,44.18,15.47,15.1,57.43,6
NDC,42023013101,colistimethate per 150 mg,79.27,27.75,22.11,64.39,6
NDC,42023014625,dexmedeTOMIDine 100 mcg/mL solution 2 mL Vial,24.0,8.4,6.87,17.88,5
NDC,42023015701,ethacrynic acid 50 mg recon soln 1 each Vial,10761.6,3766.56,18.27,8017.39,14
NDC,42023015925,epinephrine per 0.1 mg,84.735,29.66,12.13,94.69,10
NDC,42023016401,vasopressin 20 unit/mL solution 1 mL Vial,56.64,19.83,16.22,42.2,5
NDC,42023016425,vasopressin 20 unit/mL solution 1 mL Vial,56.64,19.83,16.22,42.2,5
NDC,42023016801,EPINEPHrine 1 mg/mL solution 30 mL Vial,709.63,248.38,203.24,528.67,5
NDC,42023017204,mycophenolate 500 mg recon soln 1 each Vial,205.32,71.87,0.93,152.96,11
NDC,42023017325,ganciclovir per 500 mg,203.9,71.37,65.54,207.08,6
NDC,42023018201,argatroban per 5 mg,1444.32,505.52,1.01,495.4,10
NDC,42023018901,neostigmine 1 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,42023018910,neostigmine 1 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,42023019001,vasopressin 20 unit/mL solution 10 mL Vial,56.64,19.83,16.22,42.2,5
NDC,42023020101,levothyroxine 20 mcg/mL recon soln 1 each Vial,299.01,104.66,19.38,222.76,6
NDC,42023020501,calcitonin per 400 Units,2265.6,792.96,777.1,7165.75,6
NDC,42023021301,phenylephrine per 1 mL,24.0,8.4,0.02,17.88,11
NDC,42023021325,phenylephrine per 1 mL,24.0,8.4,0.02,17.88,11
NDC,42023021625,ePHEDrine 50 mg/mL solution 1 mL Vial,82.24,28.79,23.55,61.27,5
NDC,42023021901,vasopressin 40 unit/100 mL (0.4 unit/mL) solution 100 mL Vial,743.0450000000001,260.07,2.91,896.15,11
NDC,42023021910,vasopressin 40 unit/100 mL (0.4 unit/mL) solution 100 mL Vial,743.0450000000001,260.07,2.91,896.15,11
NDC,42023022101,ertapenem per 500 mg,331.54,116.04,18.75,113.72,6
NDC,42023022110,ertapenem per 500 mg,331.54,116.04,18.75,113.72,6
NDC,42023023001,micafungin 100 mg recon soln 1 each Vial,423.67,148.29,0.56,145.32,6
NDC,42023023010,micafungin 100 mg recon soln 1 each Vial,423.67,148.29,0.56,145.32,6
NDC,42023024301,ePHEDrine 5 mg/mL solution 10 mL Vial,82.13,28.75,23.52,61.19,5
NDC,42043012020,cefpodoxime 100 MG tablet 20 each Bottle,15.9,5.57,4.55,11.85,5
NDC,42043032003,eszopiclone 1 MG tablet 30 each Bottle,27.55,9.65,7.89,20.52,5
NDC,42192032901,thyroid 30 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,42192033001,thyroid 60 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,42192033801,"hyoscyamine sulfate 0.125 mg tablet,disintegrating 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,42192036510,salsalate 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,42192060806,gabapentin 300 mg/6 mL (6 mL) solution 6 mL Cup,17.02,5.96,4.87,12.68,5
NDC,42192060816,gabapentin 250 mg/5 mL solution 470 mL Bottle,904.0,316.4,258.91,673.48,5
NDC,42192060840,gabapentin 300 mg/6 mL (6 mL) solution 6 mL Cup,17.02,5.96,4.87,12.68,5
NDC,42192061405,phenytoin per 50 mg,24.0,8.4,0.8,8.23,6
NDC,42192061430,phenytoin per 50 mg,24.0,8.4,0.8,8.23,6
NDC,42211010243,indomethacin 50 mg suppository 30 each Box,977.04,341.97,279.82,727.89,5
NDC,42291056190,midodrine 5 MG tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,42291066410,oseltamivir 75 MG capsule 10 each BLIST PACK,36.48,12.77,10.45,27.18,5
NDC,42291085401,verapamiL 80 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,42292000301,digoxin 125 mcg (0.125 mg) tablet 1 each BLIST PACK,6.04,2.12,1.73,4.5,5
NDC,42292000320,digoxin 125 mcg (0.125 mg) tablet 100 each BLIST PACK,6.04,2.12,1.73,4.5,5
NDC,42292001101,hydroxychloroquine 200 mg tablet 1 each BLIST PACK,10.36,3.63,2.97,7.72,5
NDC,42292001106,hydroxychloroquine 200 mg tablet 50 each BLIST PACK,10.36,3.63,2.97,7.72,5
NDC,42292003001,rosuvastatin 10 MG tablet 1 each BLIST PACK,18.98,6.65,5.44,14.14,5
NDC,42292003101,rosuvastatin 20 MG tablet 1 each BLIST PACK,18.98,6.65,5.44,14.14,5
NDC,42292003801,levothyroxine 88 MCG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,42292003820,levothyroxine 88 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,42292003901,levothyroxine 112 MCG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,42292003920,levothyroxine 112 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,42292004020,levothyroxine 175 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,42367020307,argatroban 50 mg/50 mL (1 mg/mL) solution 50 mL Vial,642.86,225.01,1.01,478.93,15
NDC,42367020384,argatroban 50 mg/50 mL (1 mg/mL) solution 50 mL Vial,642.86,225.01,1.01,478.93,15
NDC,42367052125,bendamustine 25 mg/mL solution 4 mL Vial,7363.2,2577.12,13.94,2525.58,10
NDC,42367057022,vasopressin 20 unit/mL solution 1 mL Vial,447.59,156.66,128.19,333.45,5
NDC,42367057087,vasopressin 20 unit/mL solution 1 mL Vial,447.59,156.66,128.19,333.45,5
NDC,42385095330,emtricitabine-tenofovir (TDF) 200-300 mg tablet 30 each Bottle,165.22,57.83,0.49,108.16,10
NDC,42385096230,abacavir-lamivudine 600-300 mg tablet 30 each Bottle,109.74,38.41,31.43,81.76,5
NDC,42388001114,cabozantinib 140 mg/day(80 mg x1-20 mg x3) capsule 112 each BLIST PACK,229.99,80.5,65.87,171.34,5
NDC,42388001214,cabozantinib 100 mg/day(80 mg x1-20 mg x1) capsule 56 each BLIST PACK,459.99,161.0,131.74,342.69,5
NDC,42388001314,cabozantinib 60 mg/day (20 mg x 3/day) capsule 84 each BLIST PACK,306.66,107.34,87.83,228.46,5
NDC,42388002326,cabozantinib 60 mg tablet 30 each Bottle,2482.83,869.0,711.08,1849.71,5
NDC,42388002426,cabozantinib 20 mg tablet 30 each Bottle,2482.83,869.0,711.08,1849.71,5
NDC,42388002526,cabozantinib 40 mg tablet 30 each Bottle,2482.83,869.0,711.08,1849.71,5
NDC,42494030112,hydrocortisone 25 mg suppository 12 each Box,53.49,18.73,15.32,39.85,5
NDC,42494030124,hydrocortisone 25 mg suppository 24 each Box,50.84,17.8,14.56,37.88,5
NDC,42494033901,flucytosine 250 MG capsule 100 each Bottle,193.68,67.79,55.47,144.29,5
NDC,42494034001,flucytosine 500 mg capsule 100 each Bottle,374.78,131.18,107.34,279.21,5
NDC,42494041525,phenobarbital per 120 mg,61.79,21.63,21.19,206.51,6
NDC,42494041601,phenobarbital per 120 mg,160.39,56.14,51.86,206.51,6
NDC,42494041625,phenobarbital per 120 mg,160.38,56.14,51.86,206.51,6
NDC,42494044225,phenobarbital per 120 mg,160.38,56.14,51.86,206.51,6
NDC,42494045020,vancomycin 125 MG capsule 20 each BLIST PACK,73.88,25.86,21.16,55.04,5
NDC,42543005261,"nystatin 100,000 unit/gram powder 15 g Bottle",64.82,22.69,18.56,48.29,5
NDC,42543005262,"nystatin 100,000 unit/gram powder 30 g Bottle",127.02,44.46,36.38,94.63,5
NDC,42543014201,hydrocortisone 20 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,42543035215,"nystatin 100,000 unit/gram powder 15 g SQUEEZ BTL",64.82,22.69,18.56,48.29,5
NDC,42571013221,cromolyn 100 mg/5 mL concentrate 5 mL AMPUL,15.29,5.36,4.38,11.39,5
NDC,42571013252,cromolyn 100 mg/5 mL concentrate 5 mL AMPUL,15.29,5.36,4.38,11.39,5
NDC,42571013725,ketorolac 0.5 % drops 5 mL DROP BTL,250.16,87.56,71.65,186.37,5
NDC,42571014126,dorzolamide 2 % drops 10 mL DROP BTL,157.65,55.18,45.15,117.45,5
NDC,42571014726,dorzolamide-timoloL 22.3-6.8 mg/mL drops 10 mL DROP BTL,287.92,100.78,82.46,214.5,5
NDC,42571016101,amoxicillin-clavulanate 500-125 mg tablet 100 each Bottle,8.93,3.13,2.56,6.65,5
NDC,42571016201,amoxicillin-clavulanate 875-125 mg tablet 100 each Bottle,11.92,4.18,3.41,8.88,5
NDC,42571016242,amoxicillin-clavulanate 875-125 mg tablet 20 each Bottle,11.92,4.18,3.41,8.88,5
NDC,42571017701,piroxicam 20 MG capsule 100 each Bottle,10.59,3.71,3.03,7.89,5
NDC,42571024301,"acetaZOLAMIDE 500 mg capsule, extended release 100 each Bottle",10.13,3.55,2.9,7.55,5
NDC,42571024469,caffeine citrate per 5 mg,48.14,16.85,13.79,35.86,5
NDC,42571025101,clindamycin 150 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,42571026575,nitroprusside 25 mg/mL solution 2 mL Vial,254.88,89.21,73.0,189.89,5
NDC,42571031501,cloBAZam 10 mg tablet 100 each Bottle,44.84,15.7,12.84,33.41,5
NDC,42658002101,daunorubicin per 10 mg,379.89,132.97,44.62,239.24,6
NDC,42658002102,daunorubicin per 10 mg,379.89,132.97,44.62,239.24,6
NDC,42702010215,phenylephrine 2.5 % drops 15 mL DROP BTL,254.88,89.21,73.0,189.89,5
NDC,42702010305,phenylephrine 10 % drops 5 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,42794001008,flucytosine 500 mg capsule 30 each Bottle,167.17,58.51,47.88,124.54,5
NDC,42794001610,"asenapine maleate 5 mg tablet, sublingual 60 each Bottle",10.62,3.72,3.04,7.91,5
NDC,42794001812,liothyronine 5 MCG tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,42794001902,liothyronine 25 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,42794001912,liothyronine 25 MCG tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,42794004410,dofetilide 125 MCG capsule 60 each Bottle,20.21,7.08,5.79,15.06,5
NDC,42794004610,dofetilide 500 MCG capsule 60 each Bottle,20.21,7.08,5.79,15.06,5
NDC,42799011002,albendazole 200 mg tablet 2 each Bottle,540.22,189.08,154.72,402.46,5
NDC,42799011501,colestipoL 1 gram tablet 120 each Bottle,6.0,2.1,1.72,4.47,5
NDC,42799012001,bumetanide 1 MG tablet 100 each Bottle,6.3,2.21,1.8,4.69,5
NDC,42799012101,bumetanide 2 MG tablet 100 each Bottle,6.93,2.43,1.98,5.16,5
NDC,42799012301,carbidopa 25 mg tablet 100 each Bottle,24.78,8.68,7.1,18.46,5
NDC,42799013101,diltiazem 90 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,42799021701,opium 10 mg/mL (morphine) tincture 118 mL Bottle,9.0,3.15,2.58,6.71,5
NDC,42799040501,ethacrynic acid 25 mg tablet 100 each Bottle,56.52,19.79,16.19,42.11,5
NDC,42799080601,ivermectin 3 mg tablet 20 each BLIST PACK,11.73,4.11,3.36,8.74,5
NDC,42799081501,prednisolone per 5 mg,172.27,60.3,0.69,59.09,6
NDC,42806001101,sulindac 200 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,42806008701,estradioL 0.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,42806008801,estradioL 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,42806008901,estradioL 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,42806010201,ethambutoL 400 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,42806014932,azithromycin 200 mg/5 mL suspension for reconstitution 15 mL Bottle,82.31,28.81,23.57,61.32,5
NDC,42806015134,azithromycin 200 mg/5 mL suspension for reconstitution 30 mL Bottle,82.34,28.82,23.58,61.34,5
NDC,42806016001,hydrOXYzine 25mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,42806016101,hydrOXYzine 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,42806016105,hydrOXYzine 50 MG tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,42806026695,cholestyramine 4 gram powder in packet 60 each Packet,7.91,2.77,2.27,5.89,5
NDC,42806026698,cholestyramine 4 gram powder in packet 1 each Packet,7.91,2.77,2.27,5.89,5
NDC,42806027095,cholestyramine 4 gram powder in packet 60 each Packet,7.91,2.77,2.27,5.89,5
NDC,42806027095,cholestyramine-aspartame 4 gram powder in packet 60 each Packet,7.91,2.77,2.27,5.89,5
NDC,42806027098,cholestyramine 4 gram powder in packet 1 each Packet,7.91,2.77,2.27,5.89,5
NDC,42806031250,doxycycline hyclate 100 MG tablet 50 each Bottle,14.51,5.08,4.16,10.81,5
NDC,42806041501,buPROPion SR 150 MG tablet sustained-release 12 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,42806055212,omega-3 acid ethyl esters 1 gram capsule 120 each Bottle,6.0,2.1,1.72,4.47,5
NDC,42806065830,entecavir 0.5 mg tablet 30 each Bottle,104.87,36.71,30.03,78.13,5
NDC,42806065930,entecavir 1 mg tablet 30 each Bottle,104.87,36.71,30.03,78.13,5
NDC,42806075760,sulfaDIAZINE 500 mg tablet 60 each Bottle,47.29,16.56,13.54,35.23,5
NDC,42852021410,"fentaNYL 2,500 mcg in sodium chloride 0.9% 100 mL 25 mcg/mL solution 100 mL Bag",51.0,17.85,14.61,38.0,5
NDC,42852022153,HYDROmorphone (PF)-0.9 % NaCL 0.2 mg/mL patient control.analgesia soln 30 mL Vial,42.6,14.91,7.57,22.81,5
NDC,42852030167,ketamine in 0.9 % sodium chloride 50 mg/5 mL (10 mg/mL) syringe 5 mL Syringe,11.09,3.89,3.18,8.26,5
NDC,42852081525,norepinephrine in 5% dextrose 8 mg/250 mL solution 250 mL Bag,51.0,17.85,14.61,38.0,5
NDC,42852083061,phenylephrine 100 mcg/mL syringe 10 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,42852085467,ePHEDrine 50 mg/5 mL syringe 5 mL Syringe,129.0,45.15,36.95,96.11,5
NDC,42852090705,magnesium sulfate 2 gram/50 mL piggyback 50 mL Bag,24.0,8.4,6.87,17.88,5
NDC,4285221189,fentaNYL-bupivacaine 2 mcg/mL- 0.1 % solution 100 mL Cartridge,30.0,10.5,8.59,22.35,5
NDC,4285221410,"fentaNYL 2,500 mcg in sodium chloride 0.9% 100 mL 25 mcg/mL solution 100 mL Bag",51.0,17.85,14.61,38.0,5
NDC,42858000101,oxyCODONE 5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,42858000110,oxyCODONE 5 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,42858000201,oxyCODONE 10 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,42858000210,oxyCODONE 10 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,42858005501,"amphetamine-dextroamphetamine XR 5 MG capsule,extended release 24hr 100 each Bottle",9.0,3.15,2.58,6.71,5
NDC,42858010401,oxyCODONE-acetaminophen 10-325 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,42858030101,HYDROmorphone 2 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,42858030125,HYDROmorphone 2 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,42858045445,fenofibrate 54 MG tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,42858049340,buprenorphine 10 mcg/hour patch weekly 4 each Box,228.08,79.83,65.32,169.92,5
NDC,42858050103,"buprenorphine 2 mg tablet, sublingual 30 each Bottle",9.0,3.15,2.58,6.71,5
NDC,42858050203,"buprenorphine 8 mg tablet, sublingual 30 each Bottle",9.0,3.15,2.58,6.71,5
NDC,42858075040,buprenorphine 5 mcg/hour patch weekly 4 each Box,152.05,53.22,43.55,113.28,5
NDC,42858080101,morphine 15 MG tablet extended release 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,42858080201,morphine 30 MG tablet extended release 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,42858083940,buprenorphine 20 mcg/hour patch weekly 4 each Box,403.77,141.32,115.64,300.81,5
NDC,42858093001,"amphetamine-dextroamphetamine XR 30 MG capsule,extended release 24hr 100 each Bottle",9.0,3.15,2.58,6.71,5
NDC,42998067901,secobarbital 100 mg capsule 100 each Bottle,36.37,12.73,10.42,27.1,5
NDC,43063039590,meloxicam 7.5 MG tablet 90 each Bottle,6.54,2.29,1.87,4.87,5
NDC,43066000710,rocuronium 10 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,43066000801,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",24.0,8.4,6.87,17.88,10
NDC,43066000810,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",18.23,6.385,3.57,17.88,15
NDC,43066001001,DOCEtaxeL 160 mg/16 mL (10 mg/mL) solution 16 mL Vial,824.68,288.64,1.65,282.87,6
NDC,43066001310,rocuronium 10 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,43066001501,ropivacaine per 1 mg,24.0,8.4,0.11,8.23,6
NDC,43066001510,ropivacaine per 1 mg,24.0,8.4,0.11,8.23,6
NDC,43066001610,niCARdipine 40 mg/200 mL (0.2 mg/mL) piggyback 200 mL Bag,401.20000000000005,140.425,0.18,429.0,11
NDC,43066001801,oxaliplatin per 0.5 mg,93.46,32.72,0.12,32.06,6
NDC,43066001910,ropivacaine per 1 mg,24.0,8.4,0.11,8.23,6
NDC,43066003101,verapamiL 2.5 mg/mL solution 2 mL Vial,24.0,8.4,6.87,17.88,5
NDC,43066003125,verapamiL 2.5 mg/mL solution 2 mL Vial,24.0,8.4,6.87,17.88,5
NDC,43066055712,dexMEDEtomidine 400 mcg/100 mL (4 mcg/mL) solution 100 mL Bag,226.56,79.3,64.89,168.79,5
NDC,43066099324,clindamycin per 300 mg,30.21,10.58,3.14,22.51,11
NDC,43066099701,norepinephrine 1 mg/mL solution 4 mL Vial,24.0,8.4,6.87,17.88,5
NDC,43066099710,norepinephrine 1 mg/mL solution 4 mL Vial,24.0,8.4,6.87,17.88,5
NDC,43199001201,"hyoscyamine sulfate 0.125 mg tablet,disintegrating 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,43199001401,hyoscyamine 0.375 mg tablet extended release 12 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,43199001560,"ergocalciferol 200 mcg/mL (8,000 unit/mL) drops 60 mL DROP BTL",6.0,2.1,1.72,4.47,5
NDC,43292055606,calcium citrate 250 mg calcium tablet 180 each Bottle,6.0,2.1,1.72,4.47,5
NDC,43292056000,riboflavin (vitamin B2) 100 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,43386006960,fluocinolone 0.01 % solution 60 mL Bottle,442.5,154.88,126.73,329.66,5
NDC,43386009019,"polyethylene glycol 236-22.74-6.74 -5.86 gram recon soln 4,000 mL Bottle",75.52,26.44,21.63,56.26,5
NDC,43386016006,miSOPROStoL 100 MCG tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,43386016101,miSOPROStoL 200 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,43386033001,trimethoprim 100 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,43386045011,nitrofurantoin 25 mg/5 mL suspension 230 mL Bottle,1651.74,578.11,473.06,1230.55,5
NDC,43478090088,"propranoloL 60 MG capsule,extended release 24 hr 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,43478090288,"propranolol LA 120 MG capsule,extended release 24 hr 100 each Bottle",7.04,2.47,2.02,5.24,5
NDC,43478090388,"propranolol LA 160 mg capsule,extended release 24 hr 100 each Bottle",9.17,3.21,2.63,6.83,5
NDC,43485010401,"levETIRAcetam 1,000 mg tablet for suspension 1 each BLIST PACK",30.49,10.68,8.73,22.72,5
NDC,43547027603,donepeziL 10 MG tablet 30 each Bottle,20.43,7.16,5.85,15.22,5
NDC,43547027609,donepeziL 10 MG tablet 90 each Bottle,20.43,7.16,5.85,15.22,5
NDC,43547028010,escitalopram 5 MG tablet 100 each Bottle,9.79,3.43,2.8,7.29,5
NDC,43547028810,buPROPion SR 100 MG tablet sustained-release 12 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,43547033003,irbesartan-hydrochlorothiazide 150-12.5 mg tablet 30 each Bottle,8.81,3.09,2.52,6.56,5
NDC,43547033103,irbesartan-hydrochlorothiazide 300-12.5 mg tablet 30 each Bottle,9.6,3.36,2.75,7.15,5
NDC,43547033109,irbesartan-hydrochlorothiazide 300-12.5 mg tablet 90 each Bottle,9.6,3.36,2.75,7.15,5
NDC,43547034206,risperiDONE 2 MG tablet 60 each Bottle,17.94,6.28,5.14,13.37,5
NDC,43547034306,risperiDONE 3 MG tablet 60 each Bottle,21.08,7.38,6.04,15.7,5
NDC,43547034406,risperiDONE 4 MG tablet 60 each Bottle,28.32,9.92,8.11,21.1,5
NDC,43547036410,captopriL 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,43547040010,cyclobenzaprine 10mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,43547040011,"cyclobenzaprine 10mg tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,43547040210,furosemide 40 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,43547040510,methocarbamoL 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,43547040610,clonazepam 0.5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,43547054301,glycopyrrolate 0.2 mg/mL solution 1 mL Vial,24.0,8.4,0.92,17.88,11
NDC,43547054325,glycopyrrolate 0.2 mg/mL solution 1 mL Vial,24.0,8.4,0.92,17.88,11
NDC,43598005011,thiamine per 100 mg,24.0,8.4,3.23,13.12,6
NDC,43598005025,thiamine per 100 mg,24.0,8.4,3.23,13.12,6
NDC,43598005111,calcitonin per 400 Units,7536.94,2637.93,1764.68,7165.75,6
NDC,43598005311,desmopressin per 1 mcg,1486.8,520.38,9.75,509.97,6
NDC,43598007811,enalaprilat 1.25 mg/mL solution 1 mL Vial,24.0,8.4,6.87,17.88,5
NDC,43598007858,enalaprilat 1.25 mg/mL solution 1 mL Vial,24.0,8.4,6.87,17.88,5
NDC,43598008658,doxycycline 100 mg recon soln 1 each Vial,41.56,14.55,11.9,30.96,5
NDC,43598010610,diazePAM 5 mg/mL syringe 2 mL Syringe,69.7,24.4,9.03,27.53,6
NDC,43598012725,methylprednisolone per 40 mg,24.0,8.4,0.54,17.88,6
NDC,43598012745,methylprednisolone per 40 mg,24.0,8.4,0.54,17.88,6
NDC,43598012925,methylprednisolone per 125 mg,30.0,10.5,0.54,22.35,6
NDC,43598013074,methylprednisolone per 125 mg,92.04,32.22,0.54,68.57,6
NDC,43598016430,OLANZapine 5 MG tablet 30 each Bottle,31.19,10.92,8.93,23.24,5
NDC,43598016505,OLANZapine 7.5 MG tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,43598016530,OLANZapine 7.5 MG tablet 30 each Bottle,37.96,13.29,10.87,28.28,5
NDC,43598016958,enalaprilat 1.25 mg/mL solution 2 mL Vial,26.85,9.4,7.69,20.0,5
NDC,43598020451,amoxicillin-clavulanate 250-62.5 mg/5 mL suspension for reconstitution 75 mL Bottle,256.65,89.83,73.5,191.2,5
NDC,43598020452,amoxicillin-clavulanate 250-62.5 mg/5 mL suspension for reconstitution 100 mL Bottle,342.67,119.94,98.14,255.29,5
NDC,43598021025,silver sulfADIAZINE 1 % cream 25 g Tube,21.24,7.44,6.08,15.82,5
NDC,43598026520,propofol (DIPRIVAN) injection 10 mg/mL emulsion 20 mL Vial,24.0,8.4,0.17,8.23,6
NDC,43598026525,propofol (DIPRIVAN) injection 10 mg/mL emulsion 20 mL Vial,24.0,8.4,0.17,8.23,6
NDC,43598026525,propofol (DIPROVAN) infusion 10 mg/mL 20 mL Vial,24.0,8.4,0.17,8.23,6
NDC,43598029190,pregabalin 25 MG capsule 90 each Bottle,19.89,6.97,5.7,14.82,5
NDC,43598029390,pregabalin 75 MG capsule 90 each Bottle,19.89,6.97,5.7,14.82,5
NDC,43598030562,azaCITIDine 10 MG/ML recon soln 1 each Vial,566.4,198.24,0.54,194.28,6
NDC,43598030562,azaCITIDine 100 mg recon soln 1 each Vial,566.4,198.24,0.54,194.28,6
NDC,43598033011,zoledronic acid per 1 mg,127.44,44.61,11.64,47.68,6
NDC,43598034901,progesterone 100 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,43598037201,colchicine 0.6 mg tablet 100 each Bottle,15.89,5.57,4.55,11.84,5
NDC,43598039467,tetrabenazine 12.5 MG tablet 112 each Bottle,178.39,62.44,51.09,132.9,5
NDC,43598039567,tetrabenazine 25 MG tablet 112 each Bottle,356.78,124.88,102.18,265.8,5
NDC,43598040511,phytonadione 10 mg/mL solution 1 mL AMPUL,121.12,42.4,4.52,41.54,6
NDC,43598040516,phytonadione 10 mg/mL solution 1 mL AMPUL,121.12,42.4,4.52,41.54,6
NDC,43598041311,daptomycin per 1 mg,283.2,99.12,0.06,97.14,6
NDC,43598042660,bortezomib 3.5 mg recon soln 1 each Vial,708.0,247.8,3.23,242.84,6
NDC,43598042660,bortezomib per 0.1 mg,708.0,247.8,3.23,242.84,6
NDC,43598043611,"nitroglycerin 0.4 MG tablet, sublingual 25 each Bottle",6.0,2.1,1.72,4.47,5
NDC,43598044674,nicotine 7 mg/24 hr patch 24 hour 14 each Box,6.0,2.1,1.72,4.47,5
NDC,43598044774,nicotine 14 mg/24 hr patch 24 hour 14 each Box,6.0,2.1,1.72,4.47,5
NDC,43598044828,nicotine 21 mg/24 hr patch 24 hour 28 each Box,6.0,2.1,1.72,4.47,5
NDC,43598044871,nicotine 21 mg/24 hr patch 24 hour 1 each Packet,6.0,2.1,1.72,4.47,5
NDC,43598045202,albendazole 200 mg tablet 2 each Bottle,1785.45,624.91,511.35,1330.16,5
NDC,43598048624,nicotine polacrilex 2 MG lozenge 24 each Bottle,6.0,2.1,1.72,4.47,5
NDC,43598048672,nicotine polacrilex 2 MG lozenge 72 each Bottle,6.0,2.1,1.72,4.47,5
NDC,43598048724,nicotine polacrilex 4 MG lozenge 24 each Bottle,6.0,2.1,1.72,4.47,5
NDC,43598048772,nicotine polacrilex 4 MG lozenge 72 each Bottle,6.0,2.1,1.72,4.47,5
NDC,43598050930,"esomeprazole 20 MG capsule,delayed release(DR/EC) 30 each Bottle",21.3,7.46,6.1,15.87,5
NDC,43598052911,neostigmine 1 mg/mL solution 10 mL Vial,50.98,17.85,14.6,37.98,5
NDC,43598052936,neostigmine 1 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,43598054125,doxorubicin liposomal per 10 mg,3540.0,1239.0,71.86,1214.22,10
NDC,43598054821,propofol (DIPRIVAN) injection 10 mg/mL emulsion 50 mL Vial,39.65,13.88,0.17,13.6,6
NDC,43598054821,propofol (DIPROVAN) infusion 10 mg/mL 50 mL Vial,39.65,13.88,0.17,13.6,6
NDC,43598054850,propofol (DIPRIVAN) injection 10 mg/mL emulsion 50 mL Vial,39.65,13.88,0.17,13.6,6
NDC,43598054850,propofol (DIPROVAN) infusion 10 mg/mL 50 mL Vial,39.65,13.88,0.17,13.6,6
NDC,43598054910,propofol (DIPRIVAN) injection 10 mg/mL emulsion 100 mL Vial,79.3,27.76,0.17,27.2,6
NDC,43598054910,propofol (DIPROVAN) infusion 10 mg/mL 100 mL Vial,79.3,27.76,0.17,27.2,6
NDC,43598054952,propofol (DIPRIVAN) injection 10 mg/mL emulsion 100 mL Vial,79.3,27.76,0.17,27.2,6
NDC,43598055830,ARIPiprazole 20 MG tablet 30 each Bottle,107.04,37.47,30.66,79.74,5
NDC,43598057930,buprenorphine-naloxone 2-0.5 mg film 30 each Packet,11.59,4.06,3.32,8.63,5
NDC,43598058723,nitroprusside 25 mg/mL solution 2 mL Vial,56.64,19.83,16.22,42.2,5
NDC,43598063710,"levETIRAcetam 1,500 mg/100 mL piggyback 100 mL Bag",113.28,39.65,0.1,38.86,6
NDC,43598063752,"levETIRAcetam 1,500 mg/100 mL piggyback 100 mL Bag",113.28,39.65,0.1,38.86,6
NDC,43598068325,doxorubicin liposomal per 10 mg,3540.0,1239.0,71.86,1214.22,10
NDC,43598069811,carboprost 250 mcg/mL solution 1 mL Vial,903.38,316.19,15.56,673.02,14
NDC,43598069858,carboprost 250 mcg/mL solution 1 mL Vial,903.38,316.19,15.56,673.02,14
NDC,43598075010,nalOXone 1 mg/mL syringe 2 mL Syringe,88.78,31.08,25.43,66.14,5
NDC,43598075010,naloxone 1 mg/mL syringe 2 mL Syringe,88.78,31.08,25.43,66.14,5
NDC,43598075058,nalOXone 1 mg/mL syringe 2 mL Syringe,88.78,31.08,25.43,66.14,10
NDC,43598075058,naloxone 1 mg/mL syringe 2 mL Syringe,88.78,31.08,25.43,66.14,10
NDC,43598075910,"levETIRAcetam 1,500 mg/100 mL piggyback 100 mL Bag",113.28,39.65,0.1,38.86,6
NDC,43598075952,"levETIRAcetam 1,500 mg/100 mL piggyback 100 mL Bag",113.28,39.65,0.1,38.86,6
NDC,43598084858,ziprasidone mesylate per 10 mg,133.1,46.59,13.38,50.33,6
NDC,43598085911,fosaprepitant per 1 mg,608.88,213.11,0.23,208.85,6
NDC,43598086560,bortezomib 1 mg/ml recon soln 1 each Vial,4539.65,1588.88,3.23,1557.1,6
NDC,43598091406,vasopressin 20 unit/mL solution 1 mL Vial,65.14,22.8,18.66,48.53,5
NDC,43598091411,vasopressin 20 unit/mL solution 1 mL Vial,65.14,22.8,18.66,48.53,5
NDC,43598091425,vasopressin 20 unit/mL solution 1 mL Vial,65.14,22.8,18.66,48.53,5
NDC,43598091711,carboprost 250 mcg/mL solution 1 mL Vial,903.38,316.19,15.56,673.02,14
NDC,43598091758,carboprost 250 mcg/mL solution 1 mL Vial,903.38,316.19,15.56,673.02,14
NDC,43598093109,desmopressin per 1 mcg,107.62,37.67,9.75,38.13,6
NDC,43598093111,desmopressin per 1 mcg,107.62,37.67,9.75,38.13,6
NDC,43825000741,"thrombin (recombinant) 20,000 unit recon soln 1 each Vial",974.21,340.98,279.01,725.79,5
NDC,43825010201,acetaminophen 10 mg/mL solution 100 mL Vial,134.05,46.92,0.08,99.87,11
NDC,43825060641,"thrombin (recombinant) 5,000 unit recon soln 1 each KIT",243.55,85.25,69.75,181.44,5
NDC,43825070741,"thrombin (recombinant) 20,000 unit recon soln 1 each KIT",974.21,340.98,279.01,725.79,5
NDC,43900097647,guar gum packet 1 each Packet,6.0,2.1,1.72,4.47,5
NDC,43975033110,"amphetamine-dextroamphetamine XR 5 MG capsule,extended release 24hr 100 each Bottle",9.0,3.15,2.58,6.71,5
NDC,43975033410,"amphetamine-dextroamphetamine XR 20 MG capsule,extended release 24hr 100 each Bottle",9.0,3.15,2.58,6.71,5
NDC,43975033610,"amphetamine-dextroamphetamine XR 30 MG capsule,extended release 24hr 100 each Bottle",9.0,3.15,2.58,6.71,5
NDC,44087004403,interferon beta-1a (albumin) 44 mcg/0.5 mL syringe 0.5 mL Syringe,2593.24,907.64,742.7,1931.96,5
NDC,44087353501,avelumab 20 mg/mL solution 10 mL Vial,5930.26,2075.6,105.55,2034.08,10
NDC,44183088031,desvenlafaxine 50 mg tablet extended release 24hr 30 each Bottle,27.94,9.78,8.0,20.82,5
NDC,44206025110,albumin human 25% per 50 mL,509.76,178.42,146.0,379.77,5
NDC,44206030001,rho(D) immune globulin 300 mcg/2 mL syringe 2 mL Syringe,481.86,168.66,7.97,165.28,6
NDC,44206030010,rho(D) immune globulin 300 mcg/2 mL syringe 2 mL Syringe,438.05,153.32,7.97,150.25,6
NDC,44206031025,albumin human 5% per 50 mL,265.5,92.93,76.04,197.8,5
NDC,44206041706,immune globulin 6% recon soln 1 each Vial,1631.23,570.94,80.4,559.51,10
NDC,44206041812,immun globG(IgG)-sucr-IgA ov50 12 gram recon soln 1 each Vial,3262.46,1141.87,80.4,1119.02,10
NDC,44206043605,immune globulin 10 % solution 50 mL Vial,2716.71,950.85,49.53,931.83,10
NDC,44206043710,immune globulin 10 % solution 100 mL Vial,5433.43,1901.71,49.53,1863.67,10
NDC,44206043820,immune globulin 10 % solution 200 mL Vial,10866.86,3803.41,49.53,3727.33,10
NDC,44206043940,immune globulin 10 % solution 400 mL Vial,21733.71,7606.8,49.53,7454.66,10
NDC,44206053211,cytomegalovirus immune globulin per vial,4195.37,1468.38,1439.01,9513.85,10
NDC,44523061701,urea 40 % cream 28.35 g Bottle,231.03,80.87,66.17,172.12,5
NDC,44523061703,urea 40 % cream 85 g Bottle,358.87,125.61,102.78,267.36,5
NDC,44567010010,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,44567010110,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,44567010210,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,44567010310,ampicillin per 500 mg,31.15,10.91,1.41,10.68,6
NDC,44567014501,meropenem per 100 mg,41.21,14.43,0.63,14.14,6
NDC,44567021010,ampicillin-sulbactam per 1.5 g,24.0,8.4,2.92,9.92,6
NDC,44567021110,ampicillin-sulbactam per 1.5 g,45.17,15.81,2.92,15.49,6
NDC,44567021201,ampicillin-sulbactam per 1.5 g,212.4,74.34,2.92,72.85,6
NDC,44567022110,nafcillin per 2 g,31.15,10.91,8.92,23.21,5
NDC,44567022210,nafcillin per 2 g,62.3,21.81,17.84,46.41,5
NDC,44567022301,nafcillin per 2 g,410.64,143.73,117.61,305.93,5
NDC,44567023525,ceftazidime per 500 mg,24.0,8.4,2.79,9.64,6
NDC,44567024010,cefepime per 500 mg,24.0,8.4,2.08,8.23,6
NDC,44567024110,cefepime per 500 mg,27.75,9.72,2.08,9.52,6
NDC,44567024525,cefoxitin per 1 g,28.18,9.87,8.12,26.22,6
NDC,44567024625,cefoxitin per 1 g,56.5,19.78,8.12,26.22,6
NDC,44567024685,cefoxitin per 1 g,24.0,8.4,8.12,26.22,6
NDC,44567031110,penicillin g potassium per 600000 Units,24.0,8.4,1.27,8.23,6
NDC,44567031201,penicillin g potassium per 600000 Units,141.58,49.56,1.27,48.56,6
NDC,44567040101,meropenem per 100 mg,84.96,29.74,0.63,29.14,6
NDC,44567040110,meropenem per 100 mg,84.96,29.74,0.63,29.14,6
NDC,44567040201,meropenem per 100 mg,93.17,32.61,2.91,69.41,6
NDC,44567040206,meropenem per 100 mg,93.17,32.61,2.91,69.41,6
NDC,44567042000,magnesium sulfate 2 gram/50 mL (4 %) piggyback 50 mL Bag,24.0,8.4,0.84,8.23,6
NDC,44567042024,magnesium sulfate 2 gram/50 mL (4 %) piggyback 50 mL Bag,24.0,8.4,0.84,8.23,6
NDC,44567042124,magnesium sulfate per 500 mg magnesium,24.0,8.4,0.84,8.23,6
NDC,44567043524,levofloxacin per 250 mg,24.0,8.4,1.5,8.23,6
NDC,44567043624,levofloxacin per 250 mg,24.0,8.4,1.5,8.23,6
NDC,44567043724,levofloxacin per 250 mg,24.0,8.4,1.5,8.23,6
NDC,44567045001,"esmolol 2,500 mg/250 mL (10 mg/mL) parenteral solution 250 mL Bag",274.35,96.03,0.35,94.1,6
NDC,44567045010,esmolol 10 mg/mL parenteral solution 250 mL Bag,274.35,96.03,78.57,204.39,5
NDC,44567045010,"esmolol 2,500 mg/250 mL (10 mg/mL) parenteral solution 250 mL Bag",274.35,96.03,0.35,94.1,6
NDC,44567050301,"levETIRAcetam 1,500 mg/100 mL piggyback 100 mL Bag",42.95,15.04,0.1,14.73,6
NDC,44567050310,"levETIRAcetam 1,500 mg/100 mL piggyback 100 mL Bag",42.95,15.04,0.1,14.73,6
NDC,44567060004,dexmedeTOMIDine 100 mcg/mL solution 4 mL Vial,223.59,78.26,64.04,166.57,5
NDC,44567060104,dexmedeTOMIDine 100 mcg/mL solution 10 mL Vial,377.32,132.07,108.06,281.1,5
NDC,44567060224,dexMEDEtomidine 4 mcg/mL solution 50 mL Bag,53.81,18.84,15.41,40.09,5
NDC,44567060224,dexmedetomidine 4 mcg/mL solution 50 mL Bag,102.07,35.73,29.23,76.04,5
NDC,44567062001,calcium gluconate 1 gram/50 mL solution 50 mL Bag,55.93,19.58,0.15,19.18,6
NDC,44567062024,calcium gluconate 1 gram/50 mL solution 50 mL Bag,55.93,19.58,0.15,19.18,6
NDC,44567062101,calcium gluconate 2 gram/100 mL solution 100 mL Bag,111.86,39.16,0.15,38.37,6
NDC,44567062124,calcium gluconate 2 gram/100 mL solution 100 mL Bag,111.86,39.16,0.15,38.37,6
NDC,44567070125,ceftriaxone per 250 mg,24.0,8.4,0.8,8.23,6
NDC,44567070225,ceftriaxone per 250 mg,24.0,8.4,0.8,8.23,6
NDC,44567070501,imipenem-cilastatin per 250 mg,77.46,27.12,12.53,37.49,6
NDC,44567070510,imipenem-cilastatin per 250 mg,77.46,27.12,12.53,37.49,6
NDC,44567070725,cefazolin per 500 mg,24.0,8.4,1.25,8.23,6
NDC,44567070810,cefazolin per 500 mg,31.15,10.91,1.25,10.68,6
NDC,44567075001,metroNIDAZOLE 500 mg/100 mL piggyback 100 mL Flex Cont,24.0,8.4,0.03,8.23,6
NDC,44567080110,piperacillin sod-tazobactam per 1 g,24.0,8.4,1.95,8.23,6
NDC,44567080210,piperacillin sod-tazobactam per 1 g,24.0,8.4,1.95,8.23,6
NDC,44567080310,piperacillin sod-tazobactam per 1 g,24.0,8.4,1.95,8.23,6
NDC,44567082001,ertapenem per 500 mg,393.08,137.58,18.75,134.83,6
NDC,44567082010,ertapenem per 500 mg,393.08,137.58,18.75,134.83,6
NDC,45802000125,nicotine polacrilex 4 MG gum 110 each Box,6.0,2.1,1.72,4.47,5
NDC,45802000403,hydrocortisone 2.5 % cream 28 g Tube,23.79,8.33,6.81,17.72,5
NDC,45802004064,selenium sulfide 2.5 % lotion 120 mL Bottle,46.73,16.36,13.38,34.81,5
NDC,45802004635,gentamicin 0.1 % ointment 15 g Tube,116.54,40.79,33.38,86.82,5
NDC,45802004835,"nystatin 100,000 unit/gram ointment 15 g Tube",41.31,14.46,11.83,30.78,5
NDC,45802005435,triamcinolone 0.025 % ointment 15 g Tube,14.44,5.06,4.14,10.76,5
NDC,45802005436,triamcinolone 0.025 % ointment 80 g Tube,23.79,8.33,6.81,17.72,5
NDC,45802005535,triamcinolone 0.1 % ointment 15 g Tube,13.13,4.6,3.76,9.78,5
NDC,45802005536,triamcinolone 0.1 % ointment 80 g Tube,30.02,10.51,8.6,22.36,5
NDC,45802005935,"nystatin 100,000 unit/gram cream 15 g Tube",41.31,14.46,11.83,30.78,5
NDC,45802006000,bacitracin 500 unit/gram packet 1 each Packet,6.0,2.1,1.72,4.47,5
NDC,45802006070,bacitracin 500 unit/gram packet 144 each Packet,6.0,2.1,1.72,4.47,5
NDC,45802006335,triamcinolone 0.025 % cream 15 g Tube,10.51,3.68,3.01,7.83,5
NDC,45802006435,triamcinolone 0.1 % cream 15 g Tube,9.17,3.21,2.63,6.83,5
NDC,45802006436,triamcinolone 0.1 % cream 80 g Tube,22.47,7.87,6.44,16.74,5
NDC,45802008801,albuterol 90 mcg/actuation HFA aerosol inhaler 8.5 g CANISTER,174.68,61.14,50.03,130.14,5
NDC,45802008901,nicotine polacrilex 2 MG lozenge 27 each Bottle,6.0,2.1,1.72,4.47,5
NDC,45802008902,nicotine (polacrilex) 2 mg mini lozenge 81 each Bottle,6.0,2.1,1.72,4.47,5
NDC,45802008902,nicotine polacrilex 2 MG lozenge 81 each Bottle,6.0,2.1,1.72,4.47,5
NDC,45802009846,mesalamine 4 gram/60 mL enema 60 mL SQUEEZ BTL,54.52,19.09,15.61,40.62,5
NDC,45802009851,mesalamine 4 gram/60 mL enema 60 mL SQUEEZ BTL,57.35,20.08,16.43,42.73,5
NDC,45802011222,mupirocin 2 % ointment 22 g Tube,26.53,9.29,7.6,19.76,5
NDC,45802011639,testosterone 1 % (50 mg/5 gram) gel in packet 5 g Packet,24.38,8.54,6.98,18.16,5
NDC,45802012801,clindamycin 1 % lotion 60 mL Bottle,272.3,95.31,77.99,202.86,5
NDC,45802013970,metroNIDAZOLE 0.75 % (37.5mg/5 gram) gel 70 g Tube,360.63,126.23,103.28,268.67,5
NDC,45802014301,"neomycin-bacitracnZn-polymyxnB 3.5mg-400 unit- 5,000 unit/gram ointment 14 g Tube",9.35,3.28,2.68,6.97,5
NDC,45802014370,"neomycin-bacitracnZn-polymyxnB 3.5-400-5,000 mg-unit-unit ointment in packet 144 each Packet",6.0,2.1,1.72,4.47,5
NDC,45802016000,diclofenac 1 % gel 100 g Tube,40.36,14.13,11.56,30.07,5
NDC,45802020326,acetaminophen 160 mg/5 mL suspension 118 mL Bottle,6.96,2.44,1.99,5.19,5
NDC,45802021601,benzoyl peroxide 5 % gel 90 g Tube,56.5,19.78,16.18,42.09,5
NDC,45802021696,benzoyl peroxide 5 % gel 60 g Tube,47.86,16.76,13.71,35.66,5
NDC,45802026937,permethrin 5 % cream 60 g Tube,280.37,98.13,80.3,208.88,5
NDC,45802027603,hydrocortisone 1 % ointment 28 g Tube,8.79,3.08,2.52,6.55,5
NDC,45802030896,benzoyl peroxide 10 % gel 60 g Tube,48.99,17.15,14.03,36.5,5
NDC,45802036862,imiquimod 5 % cream in packet 24 each Packet,6.0,2.1,1.72,4.47,5
NDC,45802037635,betamethasone (augmented) 0.05 % cream 15 g Tube,10.94,3.83,3.13,8.15,5
NDC,45802039504,vitamin A & D ointment 113 g Jar,8.8,3.08,2.52,6.56,5
NDC,45802041059,"oxymetazoline 0.05 % spray,non-aerosol 30 mL SQUEEZ BTL",9.42,3.3,2.7,7.02,5
NDC,45802041954,ammonium lactate 12 % lotion 225 g Bottle,78.06,27.33,22.36,58.15,5
NDC,45802042237,desonide 0.05 % cream 60 g Tube,203.9,71.37,58.4,151.91,5
NDC,45802042335,desonide 0.05 % ointment 15 g Tube,54.76,19.17,15.68,40.8,5
NDC,45802042337,desonide 0.05 % ointment 60 g Tube,219.2,76.72,62.78,163.3,5
NDC,45802042578,fexofenadine 60 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,45802043262,pseudoephedrine 30 MG tablet 24 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,45802043401,clotrimazole 1 % cream 15 g Tube,14.12,4.95,4.04,10.52,5
NDC,45802043803,hydrocortisone 1 % cream 28 g Tube,8.79,3.08,2.52,6.55,5
NDC,45802046564,ketoconazole 2 % shampoo 120 mL Bottle,71.37,24.98,20.44,53.17,5
NDC,45802058001,scopolamine 1 mg/patch patch 3 day 1 each Box,54.28,19.0,15.55,40.44,5
NDC,45802058046,scopolamine 1 mg/patch patch 3 day 10 each Box,54.28,19.0,15.55,40.44,5
NDC,45802058062,scopolamine 1 mg/patch patch 3 day 24 each Box,54.28,19.0,15.55,40.44,5
NDC,45802058084,scopolamine 1 mg/patch patch 3 day 4 each Box,45.45,15.91,13.02,33.86,5
NDC,45802062626,cetirizine 1 mg/mL solution 120 mL Bottle,86.09,30.14,24.66,64.14,5
NDC,45802071708,terconazole 80 mg suppository 3 each Box,77.0,26.95,22.05,57.37,5
NDC,45802073030,acetaminophen 650 MG suppository 12 each Box,6.0,2.1,1.72,4.47,5
NDC,45802073032,acetaminophen 650 MG suppository 50 each Box,6.0,2.1,1.72,4.47,5
NDC,45802073033,acetaminophen 650 MG suppository 100 each Box,6.0,2.1,1.72,4.47,5
NDC,45802073200,acetaminophen 120 MG suppository 1 each Box,6.0,2.1,1.72,4.47,5
NDC,45802073230,acetaminophen 120 MG suppository 12 each Box,6.0,2.1,1.72,4.47,5
NDC,45802073233,acetaminophen 120 MG suppository 100 each Box,6.0,2.1,1.72,4.47,5
NDC,45802086800,polyethylene glycol 17 gram powder in packet 1 each Packet,6.0,2.1,1.72,4.47,5
NDC,45802089726,ibuprofen 100 mg/5 mL suspension 118 mL Bottle,20.89,7.32,5.98,15.56,5
NDC,45802095226,ibuprofen 100 mg/5 mL suspension 120 mL Bottle,21.24,7.44,6.08,15.82,5
NDC,45802095301,diclofenac 1 % gel 100 g Tube,33.04,11.57,9.46,24.61,5
NDC,45963034102,desipramine 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,45963034202,desipramine 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,45963043864,lactulose 10 gram/15 mL solution 473 mL Bottle,84.84,29.7,24.3,63.21,5
NDC,45963043963,lactulose 10 gram/15 mL solution 237 mL Bottle,47.54,16.64,13.62,35.42,5
NDC,45963055611,gabapentin 300mg capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,45963055650,gabapentin 300mg capsule 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,45963055711,gabapentin 400 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,45963073360,doxorubicin per 10 mg,396.48,138.77,5.41,135.99,6
NDC,46017001112,multivitamin with iron 2.5 mg-50 mg-18 iron/15 mL liquid 354 mL Bottle,21.72,7.61,6.22,16.18,5
NDC,46017001816,caffeine 200 mg tablet 16 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,46017001840,caffeine 200 mg tablet 40 each Bottle,6.0,2.1,1.72,4.47,5
NDC,46122001452,polyethylene glycol 17 gram powder in packet 10 each Packet,6.0,2.1,1.72,4.47,5
NDC,46122003927,miconazole 2 % powder 71 g Bottle,14.08,4.93,4.03,10.49,5
NDC,46122005103,"simethicone 40 mg/0.6 mL drops,suspension 30 mL DROP BTL",21.24,7.44,6.08,15.82,5
NDC,46122008172,calcium citrate-vitamin D3 315 mg-6.25 mcg (250 unit) tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,46122010846,permethrin 1 % liquid 59 mL Bottle,26.18,9.17,7.5,19.5,5
NDC,46122011846,zinc oxide 20 % ointment 57 g Tube,15.33,5.37,4.39,11.42,5
NDC,46122013734,chlorhexidine 4 % liquid 237 mL Bottle,22.37,7.83,6.41,16.67,5
NDC,46122014866,"lactase 9,000 unit tablet,chewable 32 each Packet",6.0,2.1,1.72,4.47,5
NDC,46122014903,"phenylephrine 1 % spray,non-aerosol 30 mL SQUEEZ BTL",16.28,5.7,4.66,12.13,5
NDC,46122015978,cholecalciferol 10 mcg (400 unit) tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,46122016510,"oxymetazoline 0.05 % spray,non-aerosol 30 mL SQUEEZ BTL",16.0,5.6,4.58,11.92,5
NDC,46122016878,famotidine 20 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,46122017125,nicotine polacrilex 2 mg gum 110 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,46122017225,nicotine polacrilex 4 MG gum 110 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,46122017320,nicotine polacrilex 2 mg gum 170 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,46122017608,nicotine polacrilex 2 MG lozenge 72 each Bottle,6.0,2.1,1.72,4.47,5
NDC,46122017708,nicotine polacrilex 4 MG lozenge 72 each Bottle,6.0,2.1,1.72,4.47,5
NDC,46122020326,cetirizine 1 mg/mL solution 120 mL Bottle,26.9,9.42,7.7,20.04,5
NDC,46122021126,acetaminophen 160 mg/5 mL suspension 118 mL Bottle,16.71,5.85,4.79,12.45,5
NDC,46122022163,glycerin (adult) suppository 25 each Bottle,6.0,2.1,1.72,4.47,5
NDC,46122022171,glycerin (adult) suppository 50 each Bottle,6.0,2.1,1.72,4.47,5
NDC,46122022263,glycerin (child) suppository 25 each Bottle,6.0,2.1,1.72,4.47,5
NDC,46122024905,carbamide peroxide 6.5 % drops 15 mL DROP BTL,17.2,6.02,4.93,12.81,5
NDC,46122025415,nicotine (polacrilex) 2 mg mini lozenge 81 each Bottle,6.0,2.1,1.72,4.47,5
NDC,46122025515,nicotine (polacrilex) 4 mg mini lozenge 81 each Bottle,6.0,2.1,1.72,4.47,5
NDC,46122025560,nicotine (polacrilex) 4 mg mini lozenge 20 each Bottle,6.0,2.1,1.72,4.47,5
NDC,46122026530,"phenoL 1.4 % aerosol,spray 177 mL Bottle",12.95,4.54,3.71,9.65,5
NDC,46122027830,"phenoL 1.4 % aerosol,spray 177 mL Bottle",12.53,4.39,3.59,9.33,5
NDC,46122032226,acetaminophen 160 mg/5 mL suspension 118 mL Bottle,16.71,5.85,4.79,12.45,5
NDC,46122033043,isopropyl alcohoL 70 % solution 473 mL Bottle,49.12,17.2,14.07,36.59,5
NDC,46122033443,hydrogen peroxide 3 % solution 473 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,46122035274,nicotine 14 mg/24 hr patch 24 hour 14 each Box,6.0,2.1,1.72,4.47,5
NDC,46122035374,nicotine 21 mg/24 hr patch 24 hour 14 each Box,6.0,2.1,1.72,4.47,5
NDC,46122035474,nicotine 7 mg/24 hr patch 24 hour 14 each Box,6.0,2.1,1.72,4.47,5
NDC,46122036229,salicylic acid-lactic acid 17 % liquid 9 mL Bottle,23.34,8.17,6.68,17.39,5
NDC,46122036328,mineral oil enema 133 mL SQUEEZ BTL,6.0,2.1,1.72,4.47,5
NDC,46122036428,sodium phosphates 19-7 gram/118 mL enema 133 mL SQUEEZ BTL,6.0,2.1,1.72,4.47,5
NDC,46122038451,bisacodyL 10 mg suppository 8 each Box,6.0,2.1,1.72,4.47,5
NDC,46122039078,acetaminophen 325 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,46122039465,famotidine 10 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,46122039516,mineral oil oil 473 mL Bottle,21.21,7.43,6.07,15.8,5
NDC,46122042326,loratadine 5 mg/5 mL solution 120 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,46122042462,"acetaminophen 160 MG tablet,chewable 24 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,46122042862,pseudoephedrine 30 MG tablet 24 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,46122043078,acetaminophen 325 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,46122043340,aluminum-magnesium hydroxide-simethicone 200-200-20 mg/5 mL suspension 355 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,46122043440,aluminum-magnesium hydroxide-simethicone 200-200-20 mg/5 mL suspension 355 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,46122044078,diphenhydramine per 50 mg,6.0,2.1,0.03,2.1,6
NDC,46122044427,miconazole 2 % powder 71 g Bottle,19.77,6.92,5.66,14.73,5
NDC,46122045021,"lidocaine 4 % adhesive patch,medicated 5 each Box",6.0,2.1,1.72,4.47,5
NDC,46122045178,docusate 100mg capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,46122045773,caffeine 200 mg tablet 16 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,46122054426,loperamide 1 mg/7.5 mL liquid 120 mL Bottle,14.73,5.16,4.22,10.97,5
NDC,46122054703,"simethicone 40 mg/0.6 mL drops,suspension 30 mL DROP BTL",27.61,9.67,7.91,20.57,5
NDC,46122055705,carbamide peroxide 6.5 % drops 15 mL DROP BTL,17.91,6.27,5.13,13.34,5
NDC,46122056803,nicotine 21 mg/24 hr patch 24 hour 28 each Box,6.0,2.1,1.72,4.47,5
NDC,46122057578,sennosides 8.6 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,46122059848,"aspirin EC 81 MG tablet,delayed release (DR/EC) 180 each Bottle",6.0,2.1,1.72,4.47,5
NDC,46122063262,"ibuprofen 100 mg tablet,chewable 24 each Bottle",6.0,2.1,1.72,4.47,5
NDC,46122064654,diclofenac 1 % gel 100 g Tube,34.46,12.07,9.87,25.67,5
NDC,46122067264,olopatadine 0.1 % drops 5 mL DROP BTL,31.13,10.9,8.92,23.19,5
NDC,46122068526,diphenhydrAMINE 12.5 mg/5 mL liquid 118 mL Bottle,16.99,5.95,4.87,12.66,5
NDC,46122069178,aspirin 325 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,46122069285,docusate 100mg capsule 250 each Bottle,6.0,2.1,1.72,4.47,5
NDC,46122070165,"bismuth subsalicylate 262 mg tablet,chewable 30 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,46122070326,bismuth subsalicylate 262 mg/15 mL suspension 118 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,46122071427,white petrolatum gel 368 g Jar,13.9,4.87,3.98,10.36,5
NDC,46122071615,nicotine (polacrilex) 4 mg mini lozenge 81 each Bottle,6.0,2.1,1.72,4.47,5
NDC,46122071616,nicotine (polacrilex) 4 mg mini lozenge 1 each,6.0,2.1,1.72,4.47,5
NDC,46122072025,nicotine polacrilex 4 MG gum 110 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,46122072425,nicotine polacrilex 2 mg gum 110 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,46122073408,nicotine polacrilex 2 MG lozenge 72 each Bottle,6.0,2.1,1.72,4.47,5
NDC,46122073462,nicotine polacrilex 2 MG lozenge 24 each Bottle,6.0,2.1,1.72,4.47,5
NDC,46122074038,magnesium citrate solution 296 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,46122074138,magnesium citrate solution 296 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,46122074876,"phenoL 1.4 % aerosol,spray 177 mL Bottle",12.95,4.54,3.71,9.65,5
NDC,46122075237,diclofenac 1 % gel 50 g Tube,22.66,7.94,6.49,16.88,5
NDC,46122075252,diclofenac 1 % gel 100 g Tube,33.75,11.82,9.67,25.14,5
NDC,46122075929,pyrethrins-piperonyl butoxide 0.33-4 % shampoo 118 mL Bottle,23.11,8.09,6.62,17.22,5
NDC,46122077134,isopropyl alcohoL 70 % solution 473 mL Bottle,35.72,12.51,10.23,26.61,5
NDC,46122078815,doxylamine 25 mg tablet 32 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,46287000660,sodium polystyrene 15-20 gram/60 mL suspension 60 mL Bottle,73.21,25.63,20.97,54.54,5
NDC,46287000901,isoniazid 50 mg/5 mL solution 473 mL Bottle,1092.84,382.5,312.99,814.17,5
NDC,46287050001,sorbitoL 70 % solution 473 mL Bottle,14.51,5.08,4.16,10.81,5
NDC,46287050030,sorbitoL 70 % solution 30 mL BLIST PACK,9.56,3.35,2.74,7.12,5
NDC,46287050704,white petrolatum-mineral oiL ointment 114 g Jar,31.48,11.02,9.02,23.45,5
NDC,46783022152,polidocanoL 1 % (20 mg/2 mL) solution 2 mL AMPUL,62.78,21.98,17.98,46.77,5
NDC,47335006186,dofetilide 125 MCG capsule 60 each Bottle,20.21,7.08,5.79,15.06,5
NDC,47335023583,methotrexate per 2.5 mg,8.41,2.95,0.34,2.88,6
NDC,47335032688,naltrexone 50 mg tablet 100 each Bottle,10.09,3.54,2.89,7.52,5
NDC,47335033040,chlorothiazide per 500 mg,294.41,103.05,71.82,322.89,6
NDC,47335036141,decitabine per 1 mg,4356.09,1524.64,1.29,1494.14,6
NDC,47335048583,bicalutamide 50 mg tablet 30 each Bottle,43.74,15.31,12.53,32.59,5
NDC,47335057983,lurasidone 120 mg tablet 30 each Bottle,179.72,62.91,51.47,133.89,5
NDC,47335061540,norepinephrine 1 mg/mL solution 4 mL Vial,24.75,8.67,7.09,18.44,5
NDC,47335061544,norepinephrine 1 mg/mL solution 4 mL Vial,24.75,8.67,7.09,18.44,5
NDC,47335063149,budesonide per 0.25 mg,8.02,2.81,1.67,4.63,6
NDC,47335063983,lurasidone 60 mg tablet 30 each Bottle,120.4,42.14,34.48,89.7,5
NDC,47335068483,lurasidone 40 mg tablet 30 each Bottle,120.4,42.14,34.48,89.7,5
NDC,47335068583,lurasidone 80 mg tablet 30 each Bottle,120.4,42.14,34.48,89.7,5
NDC,47335070648,ipratropium per 1 mg,6.0,2.1,0.53,2.06,6
NDC,47335070652,ipratropium per 1 mg,6.0,2.1,0.53,2.06,6
NDC,47335075648,ipratropium-albuterol sulfate 0.5-3 mg/3 mL solution for nebulization 3 mL Vial,6.0,2.1,0.28,2.06,6
NDC,47335076583,paliperidone 3 MG tablet extended release 24hr 30 each Bottle,72.13,25.25,20.66,53.74,5
NDC,47335090388,quetiapine 50 MG tablet 100 each Bottle,15.5,5.43,4.44,11.55,5
NDC,47335091886,lacosamide 50 mg tablet 60 each Bottle,27.13,9.5,7.77,20.21,5
NDC,47335093140,vecuronium 10 mg recon soln 1 each Vial,24.07,8.43,6.89,17.93,5
NDC,47335093144,vecuronium 10 mg recon soln 1 each Vial,24.07,8.43,6.89,17.93,5
NDC,47335093244,vecuronium 20 mg recon soln 1 each Vial,48.14,16.85,13.79,35.86,5
NDC,47335099301,metroNIDAZOLE 5 mg/mL piggyback 100 mL Bag,24.0,8.4,6.87,17.88,5
NDC,47335099301,metroNIDAZOLE 500 mg/100 mL piggyback 100 mL Bag,24.0,8.4,0.03,17.88,11
NDC,47469000457,melatonin 1 mg/4 mL drops 60 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,47469000928,"omega-3 fatty acids 1,000 mg capsule 90 each Bottle",6.0,2.1,1.72,4.47,5
NDC,47469004040,omega 3 DHA-EPA 1000 mg (120 mg-180 mg) capsule 150 each Bottle,6.0,2.1,1.72,4.47,5
NDC,47469007402,melatonin 1 mg/4 mL drops 60 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,47682022335,"neomycin-bacitracnZn-polymyxnB 3.5-400-5,000 mg-unit-unit ointment in packet 144 each Packet",6.0,2.1,1.72,4.47,5
NDC,47781020050,melphalan 2 mg tablet 50 each Bottle,28.82,10.09,9.89,48.04,6
NDC,47781020611,estradiol weekly 0.05 mg/24 hr patch weekly 1 each Box,52.16,18.26,14.94,38.86,5
NDC,47781020904,estradiol weekly 0.1 mg/24 hr patch weekly 4 each Box,52.16,18.26,14.94,38.86,5
NDC,47781029603,nitroglycerin 0.1 mg/hr patch 24 hour 30 each Packet,6.03,2.12,1.73,4.49,5
NDC,47781029703,nitroglycerin 0.2 mg/hr patch 24 hour 30 each Packet,6.0,2.1,1.72,4.47,5
NDC,47781029903,nitroglycerin 0.6 mg/hr patch 24 hour 30 each Packet,6.0,2.1,1.72,4.47,5
NDC,47781038426,oseltamivir 6 mg/mL suspension for reconstitution 60 mL Bottle,386.71,135.35,110.75,288.1,5
NDC,47781042311,fentaNYL 12 mcg/hr patch 72 hour 1 each Packet,47.91,16.77,13.72,35.69,5
NDC,47781042347,fentaNYL 12 mcg/hr patch 72 hour 5 each Box,47.91,16.77,13.72,35.69,5
NDC,47781042447,fentaNYL 25 mcg/hr patch 72 hour 5 each Box,50.19,17.57,14.37,37.39,5
NDC,47781046671,voriconazole per 10 mg,360.09,126.04,1.41,123.51,6
NDC,47781046813,oseltamivir 30 MG capsule 10 each BLIST PACK,33.46,11.72,9.58,24.93,5
NDC,47781047013,oseltamivir 75 MG capsule 10 each BLIST PACK,36.48,12.77,10.45,27.18,5
NDC,47781058368,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,47781058468,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,47781058493,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,47781058629,labetaloL 5 mg/mL solution 20 mL Vial,32.47,11.37,0.31,24.19,11
NDC,47781058717,metoprolol 5 mg/5 mL solution 5 mL Vial,24.0,8.4,6.87,17.88,10
NDC,47781058720,metoprolol 5 mg/5 mL solution 5 mL Vial,24.0,8.4,6.87,17.88,10
NDC,47781058922,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,47781058991,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,47781059507,paclitaxel per 30 mg,155.76,54.52,0.18,53.43,6
NDC,47781059707,vancomycin per 500 mg,24.0,8.4,3.81,12.64,6
NDC,47781059791,vancomycin per 500 mg,24.0,8.4,3.81,12.64,6
NDC,47781059807,vancomycin per 500 mg,24.0,8.4,3.81,12.64,6
NDC,47781059891,vancomycin per 500 mg,24.0,8.4,3.81,12.64,6
NDC,47781060122,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",54.94,19.23,15.73,40.93,10
NDC,47781060191,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",54.94,19.23,15.73,40.93,10
NDC,47781060730,disulfiram 250 mg tablet 30 each Bottle,9.53,3.34,2.73,7.1,5
NDC,47781061617,rocuronium 10 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,47781062222,mesna per 200 mg,31.15,10.91,2.26,10.68,6
NDC,47781062291,mesna per 200 mg,31.15,10.91,2.26,10.68,6
NDC,47781062307,deferoxamine mesylate per 500 mg,35.4,12.39,12.14,45.04,6
NDC,47781091401,dexamethasone per 0.25 mg,6.0,2.1,0.08,2.06,6
NDC,48102005711,erythromycin 5 mg/gram (0.5 %) ointment 1 g Tube,27.75,9.72,7.95,20.67,5
NDC,48433010401,"cholecalciferol 25 mcg (1,000 unit) tablet 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,48433010801,thiamine mononitrate 100 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,48433020230,mineral oil oil 30 mL Cup,6.0,2.1,1.72,4.47,5
NDC,48433021905,senna 8.8 mg/5 mL syrup 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,48433021940,senna 8.8 mg/5 mL syrup 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,48433023015,potassium iodide-iodine 5 % solution 14 mL Bottle,91.16,31.91,26.11,67.91,5
NDC,48783011208,ferric subsulfate 20 % solution with applicator 8 mL Bottle,35.49,12.43,10.16,26.44,5
NDC,49281012065,influenza vaccine 240 mcg/0.7 mL syringe 0.7 mL Syringe,151.49,53.03,51.96,366.77,10
NDC,49281012088,influenza vaccine 240 mcg/0.7 mL syringe 0.7 mL Syringe,50.01,17.51,17.15,366.77,10
NDC,49281012165,influenza vaccine 240 mcg/0.7 mL syringe 0.7 mL Syringe,53.0,18.55,18.18,366.77,10
NDC,49281012188,influenza vaccine 240 mcg/0.7 mL syringe 0.7 mL Syringe,53.0,18.55,18.18,366.77,10
NDC,49281012265,influenza vaccine 240 mcg/0.7 mL syringe 0.7 mL Syringe,53.0,18.55,18.18,366.77,10
NDC,49281012288,influenza vaccine 240 mcg/0.7 mL syringe 0.7 mL Syringe,53.0,18.55,18.18,366.77,10
NDC,49281012365,infuenza vaccine 240 mcg/0.7 mL syringe 0.7 mL Syringe,51.38,17.99,17.62,366.77,10
NDC,49281012388,infuenza vaccine 240 mcg/0.7 mL syringe 0.7 mL Syringe,51.38,17.99,17.62,366.77,10
NDC,49281012465,influenza vaccine 180 mcg/0.5 mL syringe 0.5 mL Syringe,78.32,27.42,26.86,366.77,10
NDC,49281012488,influenza vaccine 180 mcg/0.5 mL syringe 0.5 mL Syringe,78.32,27.42,26.86,366.77,10
NDC,49281021510,Td vaccine 0.5 mL 0.5 mL Vial,118.93,41.63,40.79,162.82,6
NDC,49281021515,Td vaccine 0.5 mL 0.5 mL Syringe,118.93,41.63,40.79,162.82,6
NDC,49281021558,Td vaccine 0.5 mL 0.5 mL Vial,118.93,41.63,40.79,162.82,6
NDC,49281021588,Td vaccine 0.5 mL 0.5 mL Syringe,118.93,41.63,40.79,162.82,6
NDC,49281022510,Td vaccine 5-25 Lf unit/0.5 mL suspension 0.5 mL Vial,186.46,65.27,28.1,346.59,6
NDC,49281024658,rabies vaccine 2.5 unit recon soln 1 each Vial,1059.64,370.88,315.22,1730.51,10
NDC,49281025051,rabies vaccine 2.5 unit recon soln 1 each Vial,1009.18,353.22,315.22,1730.51,10
NDC,49281025251,rabies vaccine 2.5 unit recon soln 1 each Vial,1277.68,447.19,315.22,1730.51,10
NDC,49281040089,TDAP (BOOSTRIX) VACCINE,138.27,48.4,47.43,203.21,6
NDC,49281040365,influenza vaccine 180 mcg/0.5 mL syringe 0.5 mL Syringe,18.0,6.3,6.17,366.77,10
NDC,49281040388,influenza vaccine 180 mcg/0.5 mL syringe 0.5 mL Syringe,18.0,6.3,6.17,366.77,10
NDC,49281040565,infuenza vaccine 180 mcg/0.5 mL syringe 0.5 mL Syringe,139.13,48.7,47.72,366.77,10
NDC,49281040588,infuenza vaccine 180 mcg/0.5 mL syringe 0.5 mL Syringe,139.13,48.7,47.72,366.77,10
NDC,49281041850,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,112.85,6
NDC,49281041888,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,112.85,6
NDC,49281041950,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,375.9,6
NDC,49281041950,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,375.9,6
NDC,49281041988,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,375.9,6
NDC,49281041988,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,375.9,6
NDC,49281042110,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Vial,18.0,6.3,6.17,112.85,6
NDC,49281042110,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Vial,18.0,6.3,6.17,112.85,6
NDC,49281042158,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Vial,18.0,6.3,6.17,112.85,6
NDC,49281042158,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Vial,18.0,6.3,6.17,112.85,6
NDC,49281042350,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,23.32,8.17,8.0,112.85,6
NDC,49281042350,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,23.32,8.17,8.0,112.85,6
NDC,49281042388,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,23.32,8.17,8.0,112.85,6
NDC,49281042388,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,23.32,8.17,8.0,112.85,6
NDC,49281042450,influenza vaccine (6 months or more) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,28.32,9.92,0.05,39.78,10
NDC,49281042450,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,28.32,9.92,0.05,39.78,10
NDC,49281042488,influenza vaccine (6 months or more) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,28.32,9.92,0.05,39.78,10
NDC,49281042488,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,28.32,9.92,0.05,39.78,10
NDC,49281048901,meningococcal vaccine 50 mcg recon soln 1 each Vial,346.68,121.34,0.05,248.31,6
NDC,49281051005,DTaP-IPV-HIB pediatric vaccine 15 Lf unit-20 mcg-5 Lf/0.5 mL kit 1 each KIT,298.92,104.63,102.53,583.68,6
NDC,49281051800,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.25 mL Syringe,18.0,6.3,6.17,100.21,6
NDC,49281051825,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.25 mL Syringe,18.0,6.3,6.17,100.21,6
NDC,49281054503,HIB pediatric vaccine 10 mcg/0.5 mL recon soln 1 each Vial,48.19,16.87,16.53,65.29,6
NDC,49281054503,HIB vaccine 0.5 mL solution 1 each Vial,37.61,13.17,12.9,65.29,6
NDC,49281054758,HIB pediatric vaccine 10 mcg/0.5 mL recon soln 1 each Vial,43.33,15.17,14.86,65.29,6
NDC,49281054758,HIB vaccine 0.5 mL solution 1 each Vial,37.61,13.17,12.9,65.29,6
NDC,49281056210,DTaP-IPV pediatric vaccine 15 Lf-48 mcg- 5 Lf unit/0.5mL suspension 0.5 mL Vial,174.75,61.17,50.05,130.19,5
NDC,49281056258,DTaP-IPV pediatric vaccine 15 Lf-48 mcg- 5 Lf unit/0.5mL suspension 0.5 mL Vial,141.98,49.7,40.66,105.78,5
NDC,49281057415,nirsevimab 100 mg/mL syringe 1 mL Syringe,1574.96,551.24,451.07,1047.81,6
NDC,49281057488,nirsevimab 100 mg/mL syringe 1 mL Syringe,1574.96,551.24,451.07,1047.81,6
NDC,49281057500,nirsevimab 50 mg/0.5 mL syringe 0.5 mL Syringe,1574.96,551.24,451.07,1960.2,6
NDC,49281057515,nirsevimab 50 mg/0.5 mL syringe 0.5 mL Syringe,1574.96,551.24,451.07,1960.2,6
NDC,49281058905,meningococcal vaccine 4 mcg/0.5 mL solution 0.5 mL Vial,420.9,147.32,144.37,778.69,6
NDC,49281058958,meningococcal vaccine 4 mcg/0.5 mL solution 0.5 mL Vial,420.9,147.32,144.37,778.69,6
NDC,49281059005,meningococcal vaccine 10 mcg/0.5 mL solution 0.5 mL Vial,486.67,170.34,166.93,818.65,6
NDC,49281059005,meningococcal vaccine 4 mcg/0.5 mL solution 0.5 mL Vial,486.67,170.34,166.93,778.69,6
NDC,49281059010,meningococcal vaccine 10 mcg/0.5 mL solution 0.5 mL Vial,486.67,170.34,166.93,818.65,6
NDC,49281059010,meningococcal vaccine 4 mcg/0.5 mL solution 0.5 mL Vial,486.67,170.34,166.93,778.69,6
NDC,49281059058,meningococcal vaccine 10 mcg/0.5 mL solution 0.5 mL Vial,486.67,170.34,166.93,818.65,6
NDC,49281062915,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 5 mL Vial,18.0,6.3,6.17,107.4,6
NDC,49281062915,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 5 mL Vial,18.0,6.3,6.17,107.4,6
NDC,49281062978,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 5 mL Vial,18.0,6.3,6.17,107.4,6
NDC,49281062978,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 5 mL Vial,18.0,6.3,6.17,107.4,6
NDC,49281063115,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 5 mL Vial,18.0,6.3,6.17,107.4,6
NDC,49281063115,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 5 mL Vial,18.0,6.3,6.17,107.4,6
NDC,49281063178,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 5 mL Vial,18.0,6.3,6.17,107.4,6
NDC,49281063178,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 5 mL Vial,18.0,6.3,6.17,107.4,6
NDC,49281063315,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 5 mL Vial,18.0,6.3,6.17,107.4,6
NDC,49281063315,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 5 mL Vial,18.0,6.3,6.17,107.4,6
NDC,49281063378,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 5 mL Vial,18.0,6.3,6.17,107.4,6
NDC,49281063378,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 5 mL Vial,18.0,6.3,6.17,107.4,6
NDC,49281063515,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 5 mL Vial,18.0,6.3,6.17,107.4,6
NDC,49281063515,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 5 mL Vial,18.0,6.3,6.17,107.4,6
NDC,49281063578,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 5 mL Vial,18.0,6.3,6.17,107.4,6
NDC,49281063578,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 5 mL Vial,18.0,6.3,6.17,107.4,6
NDC,49281063715,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 5 mL Vial,18.0,6.3,6.17,107.4,6
NDC,49281063715,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 5 mL Vial,18.0,6.3,6.17,107.4,6
NDC,49281063778,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 5 mL Vial,18.0,6.3,6.17,107.4,6
NDC,49281063778,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 5 mL Vial,18.0,6.3,6.17,107.4,6
NDC,49281071810,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,366.77,6
NDC,49281071888,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,366.77,6
NDC,49281072010,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,366.77,6
NDC,49281072088,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,366.77,6
NDC,49281072110,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,366.77,6
NDC,49281072188,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,366.77,6
NDC,49281072210,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,366.77,6
NDC,49281072288,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,366.77,6
NDC,49281072310,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,23.32,8.17,8.0,366.77,6
NDC,49281072388,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,23.32,8.17,8.0,366.77,6
NDC,49281072410,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,78.32,27.42,0.05,159.82,10
NDC,49281072488,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,78.32,27.42,0.05,159.82,10
NDC,49281075221,tuberculin 5 tub. unit /0.1 mL solution 1 mL Vial,32.78,11.48,9.39,24.42,5
NDC,49281075222,tuberculin 5 tub. unit /0.1 mL solution 5 mL Vial,25.54,8.94,7.31,19.03,5
NDC,49281079020,typhoid vi polysaccharide vacc per 0.5 mL,315.62,110.47,108.26,442.13,6
NDC,49281079038,typhoid vi polysaccharide vacc per 0.5 mL,315.62,110.47,108.26,442.13,6
NDC,49281086010,poliovirus vaccine 40-8-32 unit/0.5 mL suspension 5 mL Vial,126.33,44.22,43.33,213.13,6
NDC,49281086078,poliovirus vaccine 40-8-32 unit/0.5 mL suspension 5 mL Vial,126.33,44.22,43.33,213.13,6
NDC,49281091358,yellow fever vaccine per 0.5 mL,140.0,49.0,48.02,737.63,6
NDC,49281091501,yellow fever vaccine per 0.5 mL,266.1,93.14,91.27,737.63,6
NDC,49281091505,yellow fever vaccine per 0.5 mL,930.01,325.51,248.2,737.63,6
NDC,49281091558,yellow fever vaccine per 0.5 mL,266.1,93.14,91.27,737.63,6
NDC,49348095004,phenylephrine 0.25 % suppository 24 each Box,6.0,2.1,1.72,4.47,5
NDC,49401010101,belimumab 80 mg/ml recon soln 1 each Vial,1833.58,641.76,57.19,628.92,10
NDC,49401010201,belimumab 80 mg/ml recon soln 1 each Vial,6111.48,2139.02,57.19,2096.24,10
NDC,49411005030,aminocaproic acid 500 mg tablet 30 each Bottle,57.66,20.19,16.51,42.96,5
NDC,49471000101,benzylpenicilloyl polylysine 0.25 mL solution 0.25 mL AMPUL,502.96,176.04,144.05,374.71,5
NDC,49471000105,benzylpenicilloyl polylysine 0.25 mL solution 0.25 mL AMPUL,502.96,176.04,144.05,374.71,5
NDC,49502010102,EPINEPHrine 0.15 mg/0.3 mL auto-injector 2 each Syringe,442.5,154.88,126.73,329.66,5
NDC,49502010202,EPINEPHrine 0.3 mg/0.3 mL auto-injector 2 each Syringe,442.5,154.88,126.73,329.66,5
NDC,49502050002,EPINEPHrine 0.3 mg/0.3 mL auto-injector 2 each Syringe,861.79,301.63,246.82,642.03,5
NDC,49502050102,EPINEPHrine 0.15 mg/0.3 mL auto-injector 2 each Syringe,861.79,301.63,246.82,642.03,5
NDC,49502090030,selegiline 6 mg/24 hr patch 24 hour 30 each Box,212.61,74.42,60.89,158.39,5
NDC,49502090130,selegiline 9 mg/24 hr patch 24 hour 30 each Box,212.61,74.42,60.89,158.39,5
NDC,49648008013,aspirin 325 MG tablet 130 each Bottle,6.0,2.1,1.72,4.47,5
NDC,49702020218,lamivudine-zidovudine 150-300 mg tablet 60 each Bottle,42.55,14.9,12.19,31.7,5
NDC,49702020613,abacavir-lamivudine 600-300 mg tablet 30 each Bottle,121.94,42.68,34.92,90.85,5
NDC,49702020718,fosamprenavir 700 mg tablet 60 each Bottle,54.68,19.14,15.66,40.74,5
NDC,49702020924,"delavirdine 100 MG tablet, dispersible 360 each Bottle",14.0,4.9,4.01,10.43,5
NDC,49702021301,zidovudine per 10 mg,82.65,28.93,1.51,28.35,10
NDC,49702021326,zidovudine per 10 mg,82.65,28.93,1.51,28.35,10
NDC,49702021718,abacavir-lamivudine-zidovudine 300-150-300 mg tablet 60 each Bottle,75.98,26.6,21.76,56.61,5
NDC,49702022248,abacavir 20 mg/mL solution 240 mL Bottle,415.74,145.51,119.07,309.73,5
NDC,49702022318,maraviroc 150 mg tablet 60 each Bottle,81.66,28.59,23.39,60.84,5
NDC,49702022418,maraviroc 300 mg tablet 60 each Bottle,81.66,28.59,23.39,60.84,5
NDC,49702022517,delavirdine 200 mg tablet 180 each Bottle,12.97,4.54,3.71,9.66,5
NDC,49702022813,dolutegravir 50 mg tablet 30 each Bottle,219.49,76.83,62.86,163.52,5
NDC,49702024015,"cabotegravir-rilpivirine 600 mg/3 mL- 900 mg/3 mL suspension,extended release 6 mL Vial",17673.69,6185.8,24.18,6062.08,10
NDC,49702025315,"cabotegravir-rilpivirine 400 mg/2 mL- 600 mg/2 mL suspension,extended release 4 mL Vial",11782.49,4123.88,24.18,4041.39,10
NDC,49708064490,theophylline 80 mg/15 mL elixir 473 mL Bottle,916.47,320.77,262.48,682.77,5
NDC,49730011330,nitroglycerin 0.6 mg/hr patch 24 hour 30 each Packet,6.0,2.1,1.72,4.47,5
NDC,49884002101,isosorbide dinitrate 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,49884003201,tranylcypromine 10 mg tablet 100 each Bottle,8.52,2.99,2.44,6.35,5
NDC,49884006601,glycopyrrolate 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,49884012301,labetaloL 200 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,49884012401,labetaloL 300 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,49884015576,varenicline tartrate 0.5 MG tablet 56 each Bottle,20.74,7.26,5.94,15.45,5
NDC,49884015676,varenicline tartrate 1 mg tablet 56 each Bottle,20.74,7.26,5.94,15.45,5
NDC,49884016111,"calcitonin 200 unit/actuation spray,non-aerosol 3.7 mL SQUEEZ BTL",279.76,97.92,80.12,208.42,5
NDC,49884021801,doxepin 25 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,49884023183,praziquanteL 600 mg tablet 6 each Bottle,211.64,74.08,60.61,157.67,5
NDC,49884025601,minoxidiL 2.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,49884025701,minoxidiL 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,49884027601,ethacrynic acid 25 mg tablet 100 each Bottle,56.52,19.79,16.19,42.11,5
NDC,49884030302,zafirlukast 10 MG tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,49884030602,"clonazePAM 0.125 MG tablet,disintegrating 60 each BLIST PACK",9.0,3.15,2.58,6.71,5
NDC,49884030702,"clonazepam 0.25 MG tablet,disintegrating 60 each BLIST PACK",9.0,3.15,2.58,6.71,5
NDC,49884030902,"clonazepam 1 MG tablet,disintegrating 60 each BLIST PACK",9.0,3.15,2.58,6.71,5
NDC,49884031152,"risperiDONE 0.5 MG tablet,disintegrating 1 each BLIST PACK",11.6,4.06,3.32,8.64,5
NDC,49884031155,"risperiDONE 0.5 MG tablet,disintegrating 30 each BLIST PACK",11.6,4.06,3.32,8.64,5
NDC,49884031191,"risperiDONE 0.5 MG tablet,disintegrating 28 each BLIST PACK",11.6,4.06,3.32,8.64,5
NDC,49884031552,"risperiDONE 1 MG tablet,disintegrating 1 each BLIST PACK",13.56,4.75,3.88,10.1,5
NDC,49884031555,"risperiDONE 1 MG tablet,disintegrating 30 each BLIST PACK",13.56,4.75,3.88,10.1,5
NDC,49884031591,"risperiDONE 1 MG tablet,disintegrating 28 each BLIST PACK",13.56,4.75,3.88,10.1,5
NDC,49884032052,"OLANZapine zydis 5 MG tablet,disintegrating 1 each BLIST PACK",33.68,11.79,9.65,25.09,5
NDC,49884032055,"OLANZapine zydis 5 MG tablet,disintegrating 30 each BLIST PACK",33.68,11.79,9.65,25.09,5
NDC,49884032155,"OLANZapine zydis 10 MG tablet,disintegrating 30 each BLIST PACK",49.49,17.33,14.17,36.87,5
NDC,49884032355,"OLANZapine zydis 20 MG tablet,disintegrating 30 each BLIST PACK",96.49,33.78,27.63,71.89,5
NDC,49884034801,pimozide 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,49884036201,dantrolene 25 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,49884040152,"risperiDONE 2 MG tablet,disintegrating 1 each BLIST PACK",22.04,7.72,6.31,16.42,5
NDC,49884040191,"risperiDONE 2 MG tablet,disintegrating 28 each BLIST PACK",22.04,7.72,6.31,16.42,5
NDC,49884040291,"risperiDONE 3 MG tablet,disintegrating 28 each BLIST PACK",27.8,9.73,7.96,20.71,5
NDC,49884040391,"risperiDONE 4 MG tablet,disintegrating 28 each BLIST PACK",37.35,13.08,10.7,27.83,5
NDC,49884046564,cholestyramine 4 gram powder in packet 1 each Packet,7.95,2.79,2.28,5.92,5
NDC,49884046565,cholestyramine 4 gram powder in packet 60 each Packet,7.95,2.79,2.28,5.92,5
NDC,49884064001,methIMAzole 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,49884068905,metoclopramide 10 MG tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,49884070155,clomiPHENE 50 mg tablet 30 each BLIST PACK,16.33,5.72,4.68,12.17,5
NDC,49884072401,hydroxyurea 500 mg capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,49884075313,flutamide 125 MG capsule 180 each Bottle,6.0,2.1,1.72,4.47,5
NDC,49884076854,tolvaptan 15 mg tablet 10 each BLIST PACK,1325.8,464.03,379.71,987.72,5
NDC,49884080802,quetiapine XR 300 MG tablet extended release 24 hr 60 each Bottle,54.24,18.99,15.53,40.41,5
NDC,49884082801,metoprolol succinate 200 MG tablet extended release 24 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,49884084901,midodrine 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,49884093547,diclofenac 1 % gel 100 g Tube,116.58,40.81,33.39,86.85,5
NDC,49938010130,dapsone 100 MG tablet 30 each BLIST PACK,7.93,2.78,2.27,5.91,5
NDC,49938010704,aminosalicylic acid 4 gram granules DR for susp in packet 30 each Packet,18.88,6.61,5.41,14.07,5
NDC,50102091101,ulipristaL 30 mg tablet 1 each BLIST PACK,101.24,35.44,29.0,75.42,5
NDC,50111033301,metroNIDAZOLE 250 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50111033401,metroNIDAZOLE 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50111043301,traZODone 50mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50111043401,traZODone 100mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50111056001,traZODone 50mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50111064701,FLUoxetine 10 MG capsule 100 each Bottle,6.13,2.15,1.76,4.57,5
NDC,50111064801,FLUoxetine 20mg capsule 100 each Bottle,6.3,2.21,1.8,4.69,5
NDC,50111078710,azithromycin 250 MG tablet 30 each Bottle,18.37,6.43,5.26,13.69,5
NDC,50111078751,azithromycin 250 MG tablet 6 each BLIST PACK,18.37,6.43,5.26,13.69,5
NDC,50111090101,ethosuximide 250 mg capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50111091701,torsemide 20 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50190014263,sodium chloride 3 % solution for nebulization 4 mL Vial,6.0,2.1,1.72,4.47,5
NDC,50220000101,estrogens-methyltestosterone 0.625-1.25 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,50228010501,metFORMIN 500mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50228010901,carisoprodoL 350 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,50228011690,rosuvastatin 5 MG tablet 90 each Bottle,21.11,7.39,6.05,15.73,5
NDC,50228011790,rosuvastatin 10 MG tablet 90 each Bottle,21.11,7.39,6.05,15.73,5
NDC,50228011890,rosuvastatin 20 MG tablet 90 each Bottle,21.11,7.39,6.05,15.73,5
NDC,50228011990,rosuvastatin 40 MG tablet 90 each Bottle,21.11,7.39,6.05,15.73,5
NDC,50228017401,buPROPion SR 100 MG tablet sustained-release 12 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50228017901,gabapentin 100 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50228018001,gabapentin 300mg capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50228018005,gabapentin 300mg capsule 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50228018101,gabapentin 400 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50228038360,quetiapine XR 300 MG tablet extended release 24 hr 60 each Bottle,54.24,18.99,15.53,40.41,5
NDC,50228045701,carbidopa-levodopa 10-100 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50228045901,carbidopa-levodopa 25-250 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50228048301,diltiazem 90 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50242004062,omalizumab per 5 mg,4170.85,1459.8,41.82,1430.6,10
NDC,50242004110,alteplase 2 mg recon soln 1 each Vial,524.37,183.53,95.09,467.5,10
NDC,50242004163,alteplase 2 mg recon soln 1 each Vial,433.46,151.72,95.09,467.5,10
NDC,50242004164,alteplase 2 mg recon soln 1 each Vial,524.39,183.54,95.09,467.5,10
NDC,50242004413,alteplase per 1 mg,12461.32,4361.47,95.09,4274.23,10
NDC,50242005121,rituximab per 100 mg,2660.71,931.25,74.16,912.62,10
NDC,50242005306,rituximab per 100 mg,13303.56,4656.25,74.16,4563.12,10
NDC,50242006001,bevacizumab 25 mg/mL solution 4 mL Vial,56.42,19.75,19.35,385.87,10
NDC,50242006101,bevacizumab 25 mg/mL solution 16 mL Vial,60.18,21.07,20.64,385.87,10
NDC,50242006201,erlotinib 25 mg tablet 30 each Bottle,256.81,89.89,73.55,191.32,5
NDC,50242006301,erlotinib 100 mg tablet 30 each Bottle,705.36,246.88,202.02,525.49,5
NDC,50242006401,erlotinib 150 mg tablet 30 each Bottle,797.81,279.24,228.49,594.37,5
NDC,50242007701,"trastuzumab-hyaluronidase-oysk 600 mg-10,000 unit/5 mL solution 5 mL Vial",13240.28,4634.1,59.91,4541.42,10
NDC,50242008001,ranibizumab per 0.1 mg,4602.0,1610.7,67.85,1578.49,10
NDC,50242008201,ranibizumab per 0.1 mg,165.67,57.99,56.82,424.56,10
NDC,50242008525,alteplase per 1 mg,24922.61,8722.92,95.09,8548.46,10
NDC,50242008527,alteplase per 1 mg,24922.61,8722.92,95.09,8548.46,10
NDC,50242008701,ado-trastuzumab 20 mg/ml recon soln 1 each Vial,18077.79,6327.23,42.2,6200.68,10
NDC,50242008801,ado-trastuzumab 20 mg/ml recon soln 1 each Vial,11298.64,3954.53,42.2,3875.43,10
NDC,50242010039,dornase alfa per 1 mg,378.85,132.6,85.93,273.91,6
NDC,50242010040,dornase alfa per 1 mg,378.85,132.6,85.93,273.91,6
NDC,50242010301,polatuzumab vedotin-piiq 30 mg recon soln 1 each Vial,11294.49,3953.08,137.23,3874.01,10
NDC,50242010501,polatuzumab vedotin-piiq 140 mg recon soln 1 each Vial,52707.51,18447.63,137.23,18078.68,10
NDC,50242010801,"riTUXimab-hyaluronidase,human 1400 mg/11.7 mL (120 mg/mL) solution 11.7 mL Vial",18624.87,6518.71,36.28,6388.33,10
NDC,50242010901,"riTUXimab-hyaluronidase,human 1600 mg/13.4 mL (120 mg/mL) solution 13.4 mL Vial",21285.58,7449.96,36.28,7300.95,10
NDC,50242012001,tenecteplase per 50 mg,16600.81,5810.29,197.44,5694.08,10
NDC,50242012047,tenecteplase per 50 mg,23497.84,8224.25,197.44,8059.76,10
NDC,50242013201,trastuzumab 21 mg/ml recon soln 1 each Vial,4413.44,1544.71,73.43,1513.81,10
NDC,50242013468,trastuzumab per 10 mg,11502.36,4025.83,73.43,3945.31,10
NDC,50242013501,tocilizumab 80 mg/4 mL (20 mg/mL) solution 4 mL Vial,1504.25,526.49,5.53,515.96,10
NDC,50242013601,tocilizumab 200 mg/10 mL (20 mg/mL) solution 10 mL Vial,3760.64,1316.23,5.53,1289.9,10
NDC,50242013701,tocilizumab 400 mg/20 mL (20 mg/mL) solution 20 mL Vial,7521.27,2632.45,5.53,2579.8,10
NDC,50242014501,pertuzumab 420 mg/14 mL (30 mg/mL) solution 14 mL Vial,18027.91,6309.77,17.02,6183.57,10
NDC,50242015001,ocrelizumab 30 mg/mL solution 10 mL Vial,58455.19,20459.32,59.6,20050.13,10
NDC,50242017601,tenecteplase per 50 mg,23497.84,8224.25,197.44,8059.76,10
NDC,50242021401,omalizumab 75 mg/0.5 mL syringe 0.5 mL Syringe,2884.405,1009.545,41.82,1430.61,15
NDC,50242021501,omalizumab 150 mg/mL syringe 1 mL Syringe,4170.85,1459.8,41.82,1430.6,10
NDC,50242024501,"pertuzumab-trastuzumab-hy-zzxf 1,200 mg-600mg- 30000 unit/15mL solution 15 mL Vial",39411.63,13794.08,60.23,13518.19,10
NDC,50242026001,pertuzumab-trastuzumab-hy-zzxf 600 mg-600 mg- 20000 unit/10mL solution 10 mL Vial,26273.36,9195.68,60.23,9011.76,10
NDC,50242090118,sterile water solution 50 mL Vial,6.0,2.1,1.72,4.47,5
NDC,50242091701,"atezolizumab 1,200 mg/20 mL (60 mg/mL) solution 20 mL Vial",32821.09,11487.39,94.0,11257.63,10
NDC,50242091801,atezolizumab 840 mg/14 mL (60 mg/mL) solution 14 mL Vial,21443.13,7505.1,94.0,7354.99,10
NDC,50268003711,amitriptyline 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268003715,amitriptyline 10 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268005415,acetaZOLAMIDE 250 MG tablet 50 each BLIST PACK,9.88,3.46,2.83,7.36,5
NDC,50268005811,atomoxetine 40 MG capsule 1 each BLIST PACK,17.91,6.27,5.13,13.34,5
NDC,50268005813,atomoxetine 40 MG capsule 30 each BLIST PACK,17.91,6.27,5.13,13.34,5
NDC,50268006115,acyclovir 400 MG tablet 50 each BLIST PACK,8.84,3.1,2.53,6.59,5
NDC,50268006911,amantadine 100 mg capsule 1 each BLIST PACK,8.22,2.88,2.35,6.12,5
NDC,50268006915,amantadine 100 mg capsule 50 each BLIST PACK,8.22,2.88,2.35,6.12,5
NDC,50268007111,AMILoride 5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268007115,AMILoride 5 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268008311,amLODIPine 2.5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268008315,amLODIPine 2.5 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268008411,amLODIPine 5mg tablet 1 each BLIST PACK,8.21,2.88,2.35,6.12,5
NDC,50268008415,amLODIPine 5mg tablet 50 each BLIST PACK,8.21,2.88,2.35,6.12,5
NDC,50268008511,amLODIPine 10mg tablet 1 each BLIST PACK,10.64,3.73,3.05,7.93,5
NDC,50268008515,amLODIPine 10mg tablet 50 each BLIST PACK,10.64,3.73,3.05,7.93,5
NDC,50268008611,atovaquone 750 mg/5 mL suspension 5 mL Packet,97.47,34.12,27.92,72.62,5
NDC,50268008612,atovaquone 750 mg/5 mL suspension 5 mL Packet,97.47,34.12,27.92,72.62,5
NDC,50268008711,ARIPiprazole 2 MG tablet 1 each BLIST PACK,72.19,25.27,20.68,53.78,5
NDC,50268008712,ARIPiprazole 2 MG tablet 20 each BLIST PACK,72.19,25.27,20.68,53.78,5
NDC,50268008815,ARIPiprazole 5 MG tablet 50 each BLIST PACK,70.63,24.73,20.23,52.62,5
NDC,50268008911,ARIPiprazole 10 MG tablet 1 each BLIST PACK,70.63,24.73,20.23,52.62,5
NDC,50268008915,ARIPiprazole 10 MG tablet 50 each BLIST PACK,70.63,24.73,20.23,52.62,5
NDC,50268009311,atorvastatin 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268009315,atorvastatin 10 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268009511,atorvastatin 40 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268009515,atorvastatin 40 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268009811,azithromycin 250 MG tablet 1 each BLIST PACK,17.44,6.11,4.99,12.99,5
NDC,50268009815,azithromycin 250 MG tablet 50 each BLIST PACK,17.44,6.11,4.99,12.99,5
NDC,50268009913,azithromycin 500 MG tablet 30 each BLIST PACK,107.5,37.63,30.79,80.09,5
NDC,50268010211,balsalazide 750 mg capsule 1 each BLIST PACK,6.22,2.18,1.78,4.63,5
NDC,50268010213,balsalazide 750 mg capsule 30 each BLIST PACK,6.22,2.18,1.78,4.63,5
NDC,50268010711,baclofen 20 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268010715,baclofen 20 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268011415,bethanechol 25 MG tablet 50 each BLIST PACK,7.42,2.6,2.13,5.53,5
NDC,50268013111,bumetanide 1 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268013115,bumetanide 1 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268013215,bumetanide 2 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268013511,busPIRone 15 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268013515,busPIRone 15 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268014011,buPROPion XL 150 MG tablet extended release 24 hr 1 each BLIST PACK,18.32,6.42,5.25,13.65,5
NDC,50268014013,buPROPion XL 150 MG tablet extended release 24 hr 30 each BLIST PACK,18.32,6.42,5.25,13.65,5
NDC,50268014211,buPROPion 75 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268014215,buPROPion 75 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268015111,cephalexin 250 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268015115,cephalexin 250 MG capsule 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268015211,cephalexin 500 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268015215,cephalexin 500 MG capsule 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268016211,chlorpromazine per 10 mg,12.14,4.25,3.48,9.04,5
NDC,50268016215,chlorpromazine per 10 mg,12.14,4.25,3.48,9.04,5
NDC,50268016311,chlorpromazine per 25 mg,17.66,6.19,5.06,13.16,5
NDC,50268016315,chlorpromazine per 25 mg,17.66,6.19,5.06,13.16,5
NDC,50268016711,chlorthalidone 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268016715,chlorthalidone 25 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268016911,celecoxib 200 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268016915,celecoxib 200 MG capsule 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268017611,cilostazoL 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268017615,cilostazoL 50 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268017711,cilostazoL 100 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268017715,cilostazoL 100 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268017911,clarithromycin 500 MG tablet 1 each BLIST PACK,16.51,5.78,4.73,12.3,5
NDC,50268017913,clarithromycin 500 MG tablet 30 each BLIST PACK,16.51,5.78,4.73,12.3,5
NDC,50268018411,clopidogreL 300 mg tablet 1 each BLIST PACK,45.47,15.92,13.02,33.88,5
NDC,50268018412,clopidogreL 300 mg tablet 20 each BLIST PACK,45.47,15.92,13.02,33.88,5
NDC,50268018911,cyproheptadine 4 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268018915,cyproheptadine 4 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268019011,cyclobenzaprine 5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268019111,cyclobenzaprine 10mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268019115,cyclobenzaprine 10mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268019560,capsaicin 0.025 % cream 60 g Tube,23.51,8.23,6.73,17.51,5
NDC,50268021711,dantrolene 25 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268021715,dantrolene 25 MG capsule 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268022511,doxazosin 8 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268022515,doxazosin 8 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268025911,divalproex ER 250 MG tablet extended release 24 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268025915,divalproex ER 250 MG tablet extended release 24 hr 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268026011,divalproex ER 500 MG tablet extended release 24 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268026013,divalproex ER 500 MG tablet extended release 24 hr 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268027911,doxycycline hyclate 100 MG tablet 1 each BLIST PACK,12.62,4.42,3.61,9.4,5
NDC,50268027915,doxycycline hyclate 100 MG tablet 50 each BLIST PACK,12.62,4.42,3.61,9.4,5
NDC,50268028611,"DULoxetine 20 MG capsule,delayed release(DR/EC) 1 each BLIST PACK",19.27,6.75,5.52,14.36,5
NDC,50268028615,"DULoxetine 20 MG capsule,delayed release(DR/EC) 50 each BLIST PACK",19.27,6.75,5.52,14.36,5
NDC,50268028711,"DULoxetine 30 MG capsule,delayed release(DR/EC) 1 each BLIST PACK",13.98,4.9,4.0,10.42,5
NDC,50268028713,"DULoxetine 30 MG capsule,delayed release(DR/EC) 30 each BLIST PACK",13.98,4.9,4.0,10.42,5
NDC,50268029715,"ergocalciferol 1,250 mcg (50,000 unit) capsule 50 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,50268029812,ezetimibe 10 mg tablet 20 each BLIST PACK,29.24,10.24,8.37,21.78,5
NDC,50268029911,famotidine 20 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268029915,famotidine 20 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268030311,famotidine 20 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268030315,famotidine 20 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268030713,famciclovir 500 MG tablet 30 each BLIST PACK,30.49,10.68,8.73,22.72,5
NDC,50268031211,fenofibrate 54 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268031215,fenofibrate 54 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268031411,finasteride 5 mg tablet 1 each BLIST PACK,7.38,2.59,2.11,5.5,5
NDC,50268031415,finasteride 5 mg tablet 50 each BLIST PACK,7.38,2.59,2.11,5.5,5
NDC,50268032111,flecainide 100 MG tablet 1 each BLIST PACK,14.1,4.94,4.04,10.5,5
NDC,50268032115,flecainide 100 MG tablet 50 each BLIST PACK,14.1,4.94,4.04,10.5,5
NDC,50268032315,finasteride 5 mg tablet 50 each BLIST PACK,7.44,2.61,2.13,5.54,5
NDC,50268033011,fludrocortisone 0.1 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268033015,fludrocortisone 0.1 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268033411,FLUoxetine 20mg capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268033415,FLUoxetine 20mg capsule 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268033611,ferrous sulfate 300 mg (60 mg iron)/5 mL liquid 5 mL Cup,10.51,3.68,3.01,7.83,5
NDC,50268033624,ferrous sulfate 300 mg (60 mg iron)/5 mL liquid 5 mL Cup,10.51,3.68,3.01,7.83,5
NDC,50268033711,fluconazole 100 MG tablet 1 each BLIST PACK,22.49,7.88,6.44,16.76,5
NDC,50268033715,fluconazole 100 MG tablet 50 each BLIST PACK,22.49,7.88,6.44,16.76,5
NDC,50268033911,fluconazole 200 MG tablet 1 each BLIST PACK,38.5,13.48,11.03,28.68,5
NDC,50268033915,fluconazole 200 MG tablet 50 each BLIST PACK,38.5,13.48,11.03,28.68,5
NDC,50268035011,gemfibroziL 600 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268035015,gemfibroziL 600 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268036115,glipiZIDE 5mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268036715,fluPHENAZine 2.5 MG tablet 50 each BLIST PACK,22.06,7.73,6.32,16.43,5
NDC,50268036811,fluPHENAZine 5 MG tablet 1 each BLIST PACK,30.34,10.62,8.69,22.6,5
NDC,50268036815,fluPHENAZine 5 MG tablet 50 each BLIST PACK,30.34,10.62,8.69,22.6,5
NDC,50268040015,HYDROcodone-acetaminophen 7.5-325 mg tablet 50 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,50268040211,HYDROcodone-acetaminophen 10-325 mg tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,50268040215,HYDROcodone-acetaminophen 10-325 mg tablet 50 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,50268040715,hydrocortisone 20 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268041111,hydrocortisone 25 mg suppository 1 each Box,34.03,11.92,9.75,25.35,5
NDC,50268041124,hydrocortisone 25 mg suppository 24 each Box,50.74,17.76,14.53,37.8,5
NDC,50268043011,indomethacin 25 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268043015,indomethacin 25 MG capsule 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268044015,irbesartan 75 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268044715,isosorbide dinitrate 5 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268044811,isosorbide dinitrate 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268044815,isosorbide dinitrate 10 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268045011,itraconazole 100 mg capsule 1 each BLIST PACK,13.35,4.68,3.82,9.95,5
NDC,50268045012,itraconazole 100 mg capsule 20 each BLIST PACK,13.35,4.68,3.82,9.95,5
NDC,50268045111,isosorbide mononitrate 30 MG tablet extended release 24 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268045115,isosorbide mononitrate 30 MG tablet extended release 24 hr 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268047011,levETIRAcetam 100 mg/mL solution 5 mL Cup,16.23,5.69,4.65,12.09,5
NDC,50268047013,levETIRAcetam 100 mg/mL solution 5 mL Cup,16.23,5.69,4.65,12.09,5
NDC,50268047811,leflunomide 20 MG tablet 1 each BLIST PACK,14.16,4.96,4.06,10.55,5
NDC,50268047815,leflunomide 20 MG tablet 50 each BLIST PACK,14.16,4.96,4.06,10.55,5
NDC,50268048115,lisinopriL-hydrochlorothiazide 20-25 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268050511,losartan 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268050515,losartan 50 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268052011,methocarbamoL 500 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268052015,methocarbamoL 500 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268052215,meclizine 12.5 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268052411,melatonin 3 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268052415,melatonin 3 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268052511,meloxicam 7.5 MG tablet 1 each BLIST PACK,7.31,2.56,2.09,5.45,5
NDC,50268052515,meloxicam 7.5 MG tablet 50 each BLIST PACK,7.31,2.56,2.09,5.45,5
NDC,50268053111,metFORMIN XR 500mg tablet extended release 24 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268053115,metFORMIN XR 500mg tablet extended release 24 hr 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268053511,metroNIDAZOLE 500 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268053515,metroNIDAZOLE 500 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268054015,metoprolol succinate 25 MG tablet extended release 24 hr 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268054115,metoprolol succinate 50 MG tablet extended release 24 hr 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268054211,metoprolol succinate 100 MG tablet extended release 24 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268054215,metoprolol succinate 100 MG tablet extended release 24 hr 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268055011,metFORMIN XR 500mg tablet extended release 24 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268055015,metFORMIN XR 500mg tablet extended release 24 hr 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268055615,montelukast 10 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268056111,midodrine 2.5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268056115,midodrine 2.5 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268056215,midodrine 5 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268056411,midodrine 2.5 MG tablet 1 each BLIST PACK,12.53,4.39,3.59,9.33,5
NDC,50268056415,midodrine 2.5 MG tablet 50 each BLIST PACK,12.53,4.39,3.59,9.33,5
NDC,50268056515,midodrine 5 MG tablet 50 each BLIST PACK,9.31,3.26,2.67,6.94,5
NDC,50268057315,"montelukast 4 MG tablet,chewable 50 each BLIST PACK",8.64,3.03,2.47,6.44,5
NDC,50268057415,"montelukast 5 MG tablet,chewable 50 each BLIST PACK",9.69,3.4,2.78,7.22,5
NDC,50268059511,naproxen 375 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268059515,naproxen 375 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268059711,NIFEdipine XL 30 MG tablet extended release 24hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268059715,NIFEdipine XL 30 MG tablet extended release 24hr 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268059815,NIFEdipine XL 60 MG tablet extended release 24hr 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268060411,nortriptyline 25 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268060415,nortriptyline 25 MG capsule 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268061115,OLANZapine 7.5 MG tablet 50 each BLIST PACK,37.91,13.27,10.86,28.24,5
NDC,50268061911,"omeprazole 20mg capsule,delayed release(DR/EC) 1 each BLIST PACK",17.03,5.97,4.88,12.69,5
NDC,50268061915,"omeprazole 20mg capsule,delayed release(DR/EC) 50 each BLIST PACK",17.03,5.97,4.88,12.69,5
NDC,50268062111,ondansetron per 8 mg,6.0,2.1,0.02,2.06,6
NDC,50268062115,ondansetron per 8 mg,6.0,2.1,0.02,2.06,6
NDC,50268062411,nitrofurantoin 100 MG capsule 1 each BLIST PACK,8.13,2.85,2.33,6.06,5
NDC,50268062715,oxybutynin XL 5 MG tablet extended release 24hr 50 each BLIST PACK,7.25,2.54,2.08,5.4,5
NDC,50268063015,quetiapine 25 MG tablet 50 each BLIST PACK,8.77,3.07,2.51,6.53,5
NDC,50268063111,quetiapine 50 MG tablet 1 each BLIST PACK,14.61,5.12,4.18,10.88,5
NDC,50268063115,quetiapine 50 MG tablet 50 each BLIST PACK,14.61,5.12,4.18,10.88,5
NDC,50268063211,quetiapine 100 MG tablet 1 each BLIST PACK,15.24,5.34,4.36,11.35,5
NDC,50268063215,quetiapine 100 MG tablet 50 each BLIST PACK,15.24,5.34,4.36,11.35,5
NDC,50268063311,quetiapine 200 MG tablet 1 each BLIST PACK,28.73,10.06,8.23,21.4,5
NDC,50268063315,quetiapine 200 MG tablet 50 each BLIST PACK,28.73,10.06,8.23,21.4,5
NDC,50268063911,"pantoprazole 40 MG tablet,delayed release (DR/EC) 1 each BLIST PACK",9.5,3.33,2.72,7.08,5
NDC,50268064011,PARoxetine 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268064015,PARoxetine 10 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268064115,PARoxetine 20 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268067611,omega-3 acid ethyl esters 1 gram capsule 1 each BLIST PACK,10.35,3.63,2.96,7.71,5
NDC,50268067815,polyvinyl alcohol 1.4 % drops 15 mL DROP BTL,23.33,8.17,6.68,17.38,5
NDC,50268068115,OXcarbazepine 600 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268068415,prochlorperazine maleate per 5 mg,6.0,2.1,0.59,2.06,6
NDC,50268070115,propranoloL 20 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268070211,propranoloL 40 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268070215,propranoloL 40 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268071011,rosuvastatin 20 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268071015,rosuvastatin 20 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268071111,rosuvastatin 40 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268071115,rosuvastatin 40 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268071711,sildenafiL (pulm.hypertension) 20 mg tablet 1 each BLIST PACK,38.89,13.62,11.14,28.97,5
NDC,50268071715,sildenafiL (pulm.hypertension) 20 mg tablet 50 each BLIST PACK,38.89,13.62,11.14,28.97,5
NDC,50268072011,sevelamer 800 mg tablet 1 each BLIST PACK,21.0,7.35,6.01,15.65,10
NDC,50268072015,sevelamer 800 mg tablet 50 each BLIST PACK,21.0,7.35,6.01,15.65,10
NDC,50268072815,sulfamethoxazole-trimethoprim 400-80 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268073015,sulfaSALAzine 500 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268073111,senna 8.8 mg/5 mL syrup 5 mL Cup,7.02,2.46,2.01,5.23,5
NDC,50268073124,senna 8.8 mg/5 mL syrup 5 mL Cup,7.02,2.46,2.01,5.23,5
NDC,50268073211,sucralfate 100 mg/mL suspension 10 mL Cup,28.74,10.06,8.23,21.41,5
NDC,50268073212,sucralfate 100 mg/mL suspension 10 mL Cup,28.74,10.06,8.23,21.41,5
NDC,50268074011,tamsulosin 0.4 mg capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268074015,tamsulosin 0.4 mg capsule 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268074211,rOPINIRole 0.5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268074215,rOPINIRole 0.5 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268074411,rOPINIRole 2 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268074415,rOPINIRole 2 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268074511,sucralfate 100 mg/mL suspension 10 mL Cup,20.3,7.11,5.81,15.12,5
NDC,50268074514,sucralfate 100 mg/mL suspension 10 mL Cup,20.3,7.11,5.81,15.12,5
NDC,50268075915,tiZANidine 2 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268076011,tiZANidine 4 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268076015,tiZANidine 4 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268076511,terazosin 2 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268076515,terazosin 2 MG capsule 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268077011,sertraline 100 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268077015,sertraline 100 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268077213,tranexamic acid 650 mg tablet 30 each BLIST PACK,12.42,4.35,3.56,9.25,5
NDC,50268077515,trimethoprim 100 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268078712,valGANciclovir 450 mg tablet 20 each BLIST PACK,352.65,123.43,101.0,262.72,5
NDC,50268079711,ursodioL 300 mg capsule 1 each BLIST PACK,18.04,6.32,5.17,13.44,5
NDC,50268079715,ursodioL 300 mg capsule 50 each BLIST PACK,18.04,6.32,5.17,13.44,5
NDC,50268081111,ziprasidone 20 MG capsule 1 each BLIST PACK,8.67,3.04,2.48,6.46,5
NDC,50268081112,ziprasidone 20 MG capsule 20 each BLIST PACK,8.67,3.04,2.48,6.46,5
NDC,50268081611,zonisamide 100 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268081615,zonisamide 100 MG capsule 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268085111,thiamine mononitrate 100 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268085115,thiamine mononitrate 100 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268085411,cyanocobalamin 500 MCG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268085415,cyanocobalamin 500 MCG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268085815,pyridoxine 50 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268085911,pyridoxine 100 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268085915,pyridoxine 100 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268086311,cholecalciferol 10 mcg (400 unit) tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268086315,cholecalciferol 10 mcg (400 unit) tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50268087228,urea 40 % cream 28.35 g Tube,231.03,80.87,66.17,172.12,5
NDC,50323000602,"phenylephrine 0.25 % spray,non-aerosol 15 mL SQUEEZ BTL",10.58,3.71,3.03,7.88,5
NDC,50323000603,"phenylephrine 0.5 % spray,non-aerosol 15 mL SQUEEZ BTL",8.96,3.14,2.57,6.68,5
NDC,50383004004,prednisoLONE 5 mg base/5 mL (6.7 mg/5 mL) solution 120 mL Bottle,231.37,80.98,0.69,79.36,6
NDC,50383004224,prednisolone per 5 mg,273.0,95.55,0.69,93.64,6
NDC,50383008707,codeine-guaifenesin 10-100 mg/5 mL liquid 5 mL Cup,9.0,3.15,2.58,6.71,5
NDC,50383008710,codeine-guaifenesin 10-100 mg/5 mL liquid 10 mL Cup,9.0,3.15,2.58,6.71,5
NDC,50383008712,codeine-guaifenesin 10-100 mg/5 mL liquid 10 mL Cup,9.0,3.15,2.58,6.71,5
NDC,50383017290,levOCARNitine 330 mg tablet 90 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50383023210,dorzolamide 2 % drops 10 mL DROP BTL,157.65,55.18,45.15,117.45,5
NDC,50383023310,dorzolamide-timoloL 22.3-6.8 mg/mL drops 10 mL DROP BTL,289.34,101.27,82.87,215.56,5
NDC,50383024105,levETIRAcetam 100 mg/mL solution 5 mL Cup,16.23,5.69,4.65,12.09,5
NDC,50383024106,levETIRAcetam 100 mg/mL solution 5 mL Cup,16.23,5.69,4.65,12.09,5
NDC,50383026860,clobetasoL 0.05 % ointment 60 g Tube,1225.97,429.09,351.12,913.35,5
NDC,50383028604,levoFLOXacin 25 mg/mL solution 100 mL Bottle,329.46,115.32,94.36,245.45,5
NDC,50383028608,levoFLOXacin 25 mg/mL solution 200 mL Bottle,658.91,230.62,188.71,490.89,5
NDC,50383028793,"buprenorphine-naloxone 8-2 mg tablet, sublingual 30 each Bottle",19.96,6.99,5.72,14.87,5
NDC,50383031106,gabapentin 300 mg/6 mL (6 mL) solution 6 mL Cup,6.0,2.1,1.72,4.47,5
NDC,50383031109,gabapentin 300 mg/6 mL (6 mL) solution 6 mL Cup,6.0,2.1,1.72,4.47,5
NDC,50383031147,gabapentin 250 mg/5 mL solution 470 mL Bottle,343.85,120.35,98.48,256.17,5
NDC,50383035731,lactulose 20 gram/30 mL solution 30 mL Cup,7.01,2.46,2.01,5.22,5
NDC,50383036315,lidocaine 2 % solution 15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,50383036317,lidocaine 2 % solution 15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,50383061804,loperamide 1 mg/5 mL liquid 118 mL Bottle,13.09,4.59,3.75,9.75,5
NDC,50383061810,loperamide 1 mg/5 mL liquid 10 mL Cup,6.0,2.1,1.72,4.47,5
NDC,50383061811,loperamide 1 mg/5 mL liquid 10 mL Cup,6.0,2.1,1.72,4.47,5
NDC,50383062750,ferrous sulfate 15 mg/mL (elemental iron) drops 50 mL DROP BTL,21.12,7.4,6.05,15.73,5
NDC,50383074120,albuterol per 1 mg,136.79,47.88,0.25,46.92,6
NDC,50383077116,docusate 100 mg/10 mL liquid 473 mL Bottle,15.63,5.48,4.48,11.64,5
NDC,50383077504,lidocaine 2 % solution 100 mL Bottle,31.15,10.91,8.92,23.21,5
NDC,50383077515,lidocaine 2 % solution 15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,50383077517,lidocaine 2 % solution 15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,50383077816,ferrous sulfate 220 mg (44 mg iron)/5 mL elixir 473 mL Bottle,20.09,7.04,5.75,14.97,5
NDC,50383077930,lactulose 20 gram/30 mL solution 30 mL Cup,7.01,2.46,2.01,5.22,5
NDC,50383077931,lactulose 20 gram/30 mL solution 30 mL Cup,7.01,2.46,2.01,5.22,5
NDC,50383077932,lactulose 10 gram/15 mL solution 946 mL Bottle,156.33,54.72,44.77,116.47,5
NDC,50383077933,lactulose 20 gram/30 mL solution 30 mL Cup,7.01,2.46,2.01,5.22,5
NDC,50383080716,amantadine 50 mg/5 mL solution 473 mL Bottle,169.67,59.39,48.59,126.4,5
NDC,50383088915,acetic acid 2 % solution 15 mL DROP BTL,94.41,33.05,27.04,70.34,5
NDC,50383093093,"buprenorphine 8 mg tablet, sublingual 30 each Bottle",20.02,7.01,5.73,14.91,5
NDC,50383093335,lidocaine 5 % ointment 35.44 g Tube,708.0,247.8,202.77,527.46,5
NDC,50419040201,drospirenone-ethinyl estradioL 3-0.03 mg tablet 28 each BLIST PACK,364.76,127.67,104.47,271.75,5
NDC,50419042201,levonorgestreL 14 mcg/24 hr (3 yrs) 13.5 mg intrauterine device 1 each KIT,2864.24,1002.49,982.43,4810.67,6
NDC,50419042301,levonorgestreL 21 mcg/24hr (up to 8 yrs) 52 mg intrauterine device 1 each Box,3439.84,1203.95,1179.87,5777.42,6
NDC,50419048858,SORAfenib 200 mg tablet 120 each Bottle,301.06,105.38,86.22,224.29,5
NDC,50419074701,praziquanteL 600 mg tablet 6 each Bottle,235.17,82.31,67.35,175.2,5
NDC,50419077301,"ciprofloxacin 500 mg/5 mL suspension,microcapsule recon 100 mL Bottle",431.41,151.0,123.56,321.4,5
NDC,50419086151,acarbose 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50419086251,acarbose 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50419086351,acarbose 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50458009801,pentosan polysulfate 100 mg capsule 100 each Bottle,33.92,11.88,9.71,25.27,5
NDC,50458014030,canagliflozin 100 mg tablet 30 each Bottle,56.5,19.78,16.18,42.09,5
NDC,50458014090,canagliflozin 100 mg tablet 90 each Bottle,56.5,19.78,16.18,42.09,5
NDC,50458014130,canagliflozin 300 mg tablet 30 each Bottle,56.5,19.78,16.18,42.09,5
NDC,50458017115,norethindrone-ethin estradiol 0.5-35 mg-mcg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50458017815,norethindrone-ethinyl estradiol triphasic 0.5/0.75/1 mg- 35 mcg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50458019115,norgestimate-ethinyl estradioL 0.18/0.215/0.25 mg-35 mcg (28) tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50458019416,norethindrone 0.35 mg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50458019715,norgestimate-ethinyl estradioL 0.25-35 mg-mcg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50458025100,norgestimate-ethinyl estradioL 0.18/0.215/0.25 mg-25 mcg tablet 28 each BLIST PACK,15.1,5.29,4.32,11.25,5
NDC,50458025115,norgestimate-ethinyl estradioL 0.18/0.215/0.25 mg-25 mcg tablet 28 each BLIST PACK,15.1,5.29,4.32,11.25,5
NDC,50458025303,haloperidol decanoate per 50 mg,246.59,86.31,12.21,84.58,6
NDC,50458029515,itraconazole 10 mg/mL solution 150 mL Bottle,990.14,346.55,283.58,737.65,5
NDC,50458030601,risperidone microspheres per 0.5 mg,1372.81,480.49,10.8,470.87,10
NDC,50458030611,risperidone microspheres per 0.5 mg,1827.47,639.62,10.8,626.82,10
NDC,50458030711,risperidone microspheres per 0.5 mg,2741.28,959.45,10.8,940.26,10
NDC,50458030811,risperidone microspheres per 0.5 mg,3655.17,1279.31,10.8,1253.72,10
NDC,50458030911,risperidone microspheres per 0.5 mg,913.84,319.85,10.8,313.45,10
NDC,50458055110,paliperidone 6 MG tablet extended release 24hr 100 each BLIST PACK,111.26,38.95,31.86,82.89,5
NDC,50458055401,paliperidone 1.5 mg tablet extended release 24hr 30 each Bottle,34.73,12.16,9.95,25.87,5
NDC,50458056001,paliperidone palmitate 39 mg/0.25 mL syringe 0.25 mL Syringe,1684.5,589.58,15.08,577.78,10
NDC,50458056101,paliperidone palmitate 78 mg/0.5 mL syringe 0.5 mL Syringe,3369.18,1179.22,15.08,1155.63,10
NDC,50458056201,paliperidone palmitate 117 mg/0.75 mL syringe 0.75 mL Syringe,5053.85,1768.85,15.08,1733.47,10
NDC,50458056301,paliperidone palmitate 156 mg/mL syringe 1 mL Syringe,6738.72,2358.56,15.08,2311.38,10
NDC,50458056401,paliperidone palmitate 234 mg/1.5 mL syringe 1.5 mL Syringe,10107.83,3537.75,15.08,3466.99,10
NDC,50458057701,rivaroxaban 2.5 mg tablet 1 each BLIST PACK,28.23,9.89,8.09,21.03,5
NDC,50458057710,rivaroxaban 2.5 mg tablet 100 each BLIST PACK,28.23,9.89,8.09,21.03,5
NDC,50458057760,rivaroxaban 2.5 mg tablet 60 each Bottle,28.23,9.89,8.09,21.03,5
NDC,50458057810,rivaroxaban 15 mg tablet 100 each BLIST PACK,56.46,19.77,16.17,42.06,5
NDC,50458057890,rivaroxaban 15 mg tablet 90 each Bottle,56.46,19.77,16.17,42.06,5
NDC,50458057910,rivaroxaban 20 mg tablet 100 each BLIST PACK,56.46,19.77,16.17,42.06,5
NDC,50458057914,rivaroxaban 20 mg tablet 14 each Bottle,42.29,14.81,12.11,31.51,5
NDC,50458057930,rivaroxaban 20 mg tablet 30 each Bottle,56.46,19.77,16.17,42.06,5
NDC,50458057990,rivaroxaban 20 mg tablet 90 each Bottle,56.46,19.77,16.17,42.06,5
NDC,50458058010,rivaroxaban 10 mg tablet 100 each BLIST PACK,56.46,19.77,16.17,42.06,5
NDC,50458058030,rivaroxaban 10 mg tablet 30 each Bottle,56.46,19.77,16.17,42.06,5
NDC,50458058501,methylphenidate HCl 18 MG tablet extended release 24hr 100 each Bottle,36.53,12.79,10.46,27.21,5
NDC,50458058601,methylphenidate HCl 36 MG tablet extended release 24hr 100 each Bottle,38.63,13.53,11.06,28.78,5
NDC,50458058701,methylphenidate HCl 54 MG tablet extended release 24hr 100 each Bottle,42.03,14.72,12.04,31.31,5
NDC,50458059601,risperiDONE 1 mg/mL solution 30 mL Bottle,344.87,120.71,98.77,256.93,5
NDC,50458060528,"risperiDONE 4 MG tablet,disintegrating 28 each BLIST PACK",35.78,12.53,10.25,26.66,5
NDC,50458060601,paliperidone palmitate (3 month) 273 mg/0.88 mL syringe 0.88 mL Syringe,10107.53,3537.64,12.95,3466.88,10
NDC,50458060701,paliperidone palmitate (3 month) 410 mg/1.32 mL syringe 1.32 mL Syringe,15161.54,5306.54,12.95,5200.41,10
NDC,50458060801,paliperidone palmitate (3 month) 546 mg/1.75 mL syringe 1.75 mL Syringe,20216.14,7075.65,12.95,6934.14,10
NDC,50458060901,paliperidone palmitate (3 month) 819 mg/2.63 mL syringe 2.63 mL Syringe,30323.5,10613.23,12.95,10400.96,10
NDC,50458061101,"paliperidone palmitate (6 month) 1,092 mg/3.5 mL syringe 3.5 mL Syringe",40432.3,14151.31,12.95,13868.28,10
NDC,50458061201,"paliperidone palmitate (6 month) 1,560 mg/5 mL syringe 5 mL Syringe",60647.0,21226.45,12.95,20801.92,10
NDC,50458064765,"topiramate 15 MG capsule, sprinkle 60 each Bottle",17.91,6.27,5.13,13.34,5
NDC,50474000148,levetiracetam 100 mg/mL solution 473 mL Bottle,2576.37,901.73,737.87,1919.4,5
NDC,50474057066,brivaracetam 50 mg tablet 60 each Bottle,69.52,24.34,19.91,51.79,5
NDC,50474077066,brivaracetam 100 mg tablet 60 each Bottle,69.52,24.34,19.91,51.79,5
NDC,50474080203,rotigotine 2 mg/24 hour patch 24 hour 30 each Box,81.56,28.55,23.36,60.76,5
NDC,50474080403,rotigotine 4 mg/24 hour patch 24 hour 30 each Box,81.56,28.55,23.36,60.76,5
NDC,50474087015,brivaracetam 10 mg/mL solution 300 mL Bottle,4171.54,1460.04,1194.73,3107.8,5
NDC,50484001030,collagenase 250 unit/gram ointment 30 g Tube,899.09,314.69,257.5,669.82,5
NDC,50580013408,loperamide 1 mg/7.5 mL liquid 240 mL Bottle,21.52,7.54,6.16,16.03,5
NDC,50580017001,acetaminophen 160 mg/5 mL suspension 120 mL Bottle,17.28,6.05,4.95,12.87,5
NDC,50580018450,ibuprofen 100 mg/5 mL suspension 120 mL Bottle,19.26,6.75,5.52,14.35,5
NDC,50580019101,acetaminophen 160 mg/5 mL suspension 30 mL Bottle,14.66,5.14,4.2,10.92,5
NDC,50580029610,acetaminophen 160 mg/5 mL suspension 10 mL Cup,6.0,2.1,1.72,4.47,5
NDC,50580041202,acetaminophen 500 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50580041203,acetaminophen 500 MG tablet 700 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50580045711,acetaminophen 500 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50580045770,acetaminophen 500 MG tablet 700 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50580045811,acetaminophen 325 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50580049660,acetaminophen 325 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50580049698,acetaminophen 325 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50580053404,diphenhydrAMINE 12.5 mg/5 mL liquid 118 mL Bottle,16.15,5.66,4.63,12.03,5
NDC,50580053408,diphenhydrAMINE 12.5 mg/5 mL liquid 236 mL Bottle,24.51,8.58,7.02,18.26,5
NDC,50580053408,diphenhydramine per 50 mg,24.51,8.58,7.02,18.26,5
NDC,50580060002,acetaminophen 325 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,50580061401,acetaminophen 160 mg/5 mL suspension 120 mL Bottle,19.26,6.75,5.52,14.35,5
NDC,50632001001,rabies vaccine per 1 mL,1230.81,430.79,315.22,1730.51,10
NDC,50632001502,cholera vaccine 4x10exp8 to 2x 10exp9 CF unit suspension for reconstitution 100 mL Packet,825.53,288.94,283.16,1442.13,6
NDC,50633011012,crotalidae polyvalent immune fab recon soln 1 each Vial,9056.74,3169.86,1841.02,10783.7,10
NDC,50633012011,digoxin immune fab 40 mg recon soln 1 each Vial,14086.37,4930.23,4831.62,24089.15,10
NDC,50633031011,hydroxocobalamin 5 gram recon soln 1 each Vial,2967.94,1038.78,850.02,2211.12,5
NDC,50742011401,desipramine 50 MG tablet 100 each Bottle,8.91,3.12,2.55,6.64,5
NDC,50742011808,cabergoline 0.5 mg tablet 8 each Bottle,86.52,30.29,24.78,64.46,5
NDC,50742017501,isosorbide mononitrate 30 MG tablet extended release 24 hr 100 each Bottle,7.91,2.77,2.27,5.89,5
NDC,50742018130,leucovorin per 50 mg,6.0,2.1,1.72,4.47,5
NDC,50742019001,cyproheptadine 4 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50742023301,"acetaZOLAMIDE 500 mg capsule, extended release 100 each Bottle",10.13,3.55,2.9,7.55,5
NDC,50742024890,"diltiazem CD 120 MG capsule,extended release 24hr 90 each Bottle",6.0,2.1,1.72,4.47,5
NDC,50742025090,"diltiazem CD 240 MG capsule,extended release 24hr 90 each Bottle",6.0,2.1,1.72,4.47,5
NDC,50742026001,NIFEdipine XL 30 MG tablet extended release 24hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50742026101,NIFEdipine XL 60 MG tablet extended release 24hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50742026301,probenecid-colchicine 500-0.5 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50742050501,scopolamine 1 mg/patch patch 3 day 1 each Box,47.67,16.69,13.65,35.51,5
NDC,50742050510,scopolamine 1 mg/patch patch 3 day 10 each Box,54.22,18.98,15.53,40.39,5
NDC,50742052110,cyclophosphamide per 100 mg,4148.88,1452.11,0.5,3090.92,10
NDC,50742055605,fentaNYL 100 mcg/hr patch 72 hour 5 each Packet,185.76,65.02,53.2,138.39,5
NDC,50742061501,metoprolol succinate 25 MG tablet extended release 24 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50742061601,metoprolol succinate 50 MG tablet extended release 24 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,50742063860,quetiapine XR 300 MG tablet extended release 24 hr 60 each Bottle,54.23,18.99,15.53,40.4,5
NDC,50881000560,ruxolitinib 5 mg tablet 60 each Bottle,787.58,275.66,225.56,586.75,5
NDC,50881000603,retifanlimab-dlwr 500 mg/20 mL solution 20 mL Vial,41752.18,14613.27,30.4,14321.0,10
NDC,51079000701,"omeprazole 20mg capsule,delayed release(DR/EC) 1 each BLIST PACK",9.2,3.22,2.63,6.85,5
NDC,51079000720,"omeprazole 20mg capsule,delayed release(DR/EC) 100 each BLIST PACK",9.2,3.22,2.63,6.85,5
NDC,51079002301,metOLazone 2.5 MG tablet 1 each BLIST PACK,7.75,2.72,2.22,5.77,5
NDC,51079002320,metOLazone 2.5 MG tablet 100 each BLIST PACK,7.75,2.72,2.22,5.77,5
NDC,51079002401,metOLazone 5 MG tablet 1 each BLIST PACK,8.81,3.09,2.52,6.56,5
NDC,51079002420,metOLazone 5 MG tablet 100 each BLIST PACK,8.81,3.09,2.52,6.56,5
NDC,51079004701,buPROPion XL 150 MG tablet extended release 24 hr 1 each BLIST PACK,12.32,4.32,3.53,9.18,5
NDC,51079004720,buPROPion XL 150 MG tablet extended release 24 hr 100 each BLIST PACK,12.32,4.32,3.53,9.18,5
NDC,51079005101,"pantoprazole 40 MG tablet,delayed release (DR/EC) 1 each BLIST PACK",12.43,4.36,3.56,9.26,5
NDC,51079005120,"pantoprazole 40 MG tablet,delayed release (DR/EC) 100 each BLIST PACK",12.43,4.36,3.56,9.26,5
NDC,51079005801,chlorthalidone 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079005820,chlorthalidone 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079007201,furosemide 20mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079007220,furosemide 20mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079007301,furosemide 40 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079007320,furosemide 40 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079007401,hydrALAZINE 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079007420,hydrALAZINE 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079008301,isoniazid 300 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079008320,isoniazid 300 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079008601,mirtazapine 15 MG tablet 1 each BLIST PACK,6.41,2.25,1.84,4.78,5
NDC,51079008620,mirtazapine 15 MG tablet 100 each BLIST PACK,6.41,2.25,1.84,4.78,5
NDC,51079008720,mirtazapine 30 MG tablet 100 each BLIST PACK,6.6,2.31,1.89,4.92,5
NDC,51079009301,valACYclovir 500 MG tablet 1 each BLIST PACK,17.05,5.97,4.88,12.7,5
NDC,51079009303,valACYclovir 500 MG tablet 30 each BLIST PACK,17.05,5.97,4.88,12.7,5
NDC,51079010301,spironolactone 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079010320,spironolactone 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079010501,folic acid 1 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079010520,folic acid 1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079010701,amitriptyline 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079010720,amitriptyline 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079011901,dicyclomine per 20 mg,6.0,2.1,1.72,4.47,5
NDC,51079011920,dicyclomine per 20 mg,6.0,2.1,1.72,4.47,5
NDC,51079012901,"phenytoin 50 mg tablet,chewable 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,51079013001,chlorpromazine per 25 mg,32.65,11.43,9.35,24.32,5
NDC,51079013020,chlorpromazine per 25 mg,32.65,11.43,9.35,24.32,5
NDC,51079013101,amitriptyline 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079013120,amitriptyline 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079013301,amitriptyline 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079013320,amitriptyline 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079014201,lithium 450 MG tablet extended release 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079014220,lithium 450 MG tablet extended release 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079014701,amitriptyline 75 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079014720,amitriptyline 75 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079017201,metFORMIN 500mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079017220,metFORMIN 500mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079018001,lithium 300 MG tablet extended release 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079018020,lithium 300 MG tablet extended release 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079019001,indomethacin 25 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079019020,indomethacin 25 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079020501,allopurinoL 100 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079020520,allopurinoL 100 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079020801,atorvastatin 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079020820,atorvastatin 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079020901,atorvastatin 20 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079020920,atorvastatin 20 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079021001,atorvastatin 40 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079021020,atorvastatin 40 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079021601,metroNIDAZOLE 250 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079021620,metroNIDAZOLE 250 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079024620,loratadine 10 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079024701,amantadine 100 mg capsule 1 each BLIST PACK,7.78,2.73,2.23,5.8,5
NDC,51079024720,amantadine 100 mg capsule 100 each BLIST PACK,7.78,2.73,2.23,5.8,5
NDC,51079025501,metoprolol tartrate 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079025520,metoprolol tartrate 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079028401,diazePAM 2 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,51079028420,diazePAM 2 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,51079028501,diazePAM 5 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,51079028520,diazePAM 5 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,51079029901,cloNIDine 0.1 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079029920,cloNIDine 0.1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079030001,cloNIDine 0.2 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079030101,cloNIDine 0.3 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079034801,nitrofurantoin (macrocrystal-monohydrate) 100 MG capsule 1 each BLIST PACK,12.04,4.22,3.45,8.97,5
NDC,51079034820,nitrofurantoin (macrocrystal-monohydrate) 100 MG capsule 100 each BLIST PACK,12.04,4.22,3.45,8.97,5
NDC,51079037901,mycophenolate mofetil per 250 mg,18.71,6.55,0.31,6.42,6
NDC,51079037920,mycophenolate mofetil per 250 mg,18.71,6.55,0.31,6.42,6
NDC,51079038501,carbamazepine 200 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079038520,carbamazepine 200 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079039201,buPROPion SR 150 MG tablet sustained-release 12 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079039220,buPROPion SR 150 MG tablet sustained-release 12 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079041801,temazepam 15 mg capsule 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,51079041820,temazepam 15 mg capsule 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,51079043601,doxepin 10 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079043620,doxepin 10 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079043701,doxepin 25 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079043720,doxepin 25 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079043801,doxepin 50 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079043820,doxepin 50 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079044001,levothyroxine 50 MCG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079044020,levothyroxine 50 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079044101,levothyroxine 75 MCG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079044120,levothyroxine 75 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079044201,levothyroxine 100 MCG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079044220,levothyroxine 100 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079044301,levothyroxine 125 MCG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079044320,levothyroxine 125 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079044401,levothyroxine 25 MCG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079044420,levothyroxine 25 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079044501,levothyroxine 150 MCG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079044520,levothyroxine 150 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079045001,amLODIPine 2.5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079045201,amLODIPine 10mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079045220,amLODIPine 10mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079045320,midodrine 5 MG tablet 100 each BLIST PACK,6.4,2.24,1.83,4.77,5
NDC,51079045401,simvastatin 10 MG tablet 1 each BLIST PACK,6.58,2.31,1.88,4.9,5
NDC,51079045420,simvastatin 10 MG tablet 100 each BLIST PACK,6.58,2.31,1.88,4.9,5
NDC,51079045501,simvastatin 20mg tablet 1 each BLIST PACK,11.61,4.07,3.33,8.65,5
NDC,51079045520,simvastatin 20mg tablet 100 each BLIST PACK,11.61,4.07,3.33,8.65,5
NDC,51079048501,fluPHENAZine 1 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079048520,fluPHENAZine 1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079048601,fluPHENAZine 2.5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079048620,fluPHENAZine 2.5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079048701,fluPHENAZine 5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079048720,fluPHENAZine 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079048801,fluPHENAZine 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079048820,fluPHENAZine 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079049901,lamotrigine 100 MG tablet 1 each BLIST PACK,11.21,3.93,3.21,8.35,5
NDC,51079049920,lamotrigine 100 MG tablet 100 each BLIST PACK,11.21,3.93,3.21,8.35,5
NDC,51079050820,mycophenolate per 180 mg,11.95,4.19,0.8,4.1,6
NDC,51079051301,pioglitazone 15 MG tablet 1 each BLIST PACK,13.41,4.7,3.84,9.99,5
NDC,51079051401,pioglitazone 30 MG tablet 1 each BLIST PACK,20.49,7.18,5.87,15.27,5
NDC,51079051420,pioglitazone 30 MG tablet 100 each BLIST PACK,20.49,7.18,5.87,15.27,5
NDC,51079051620,chlorpromazine per 25 mg,52.48,18.37,15.03,39.1,5
NDC,51079051820,chlorpromazine per 10 mg,15.64,5.48,4.48,11.65,5
NDC,51079051901,chlorpromazine per 25 mg,22.56,7.9,6.46,16.81,5
NDC,51079051920,chlorpromazine per 25 mg,22.56,7.9,6.46,16.81,5
NDC,51079052401,ondansetron per 8 mg,58.48,20.47,0.02,20.06,6
NDC,51079052420,ondansetron per 8 mg,58.48,20.47,0.02,20.06,6
NDC,51079052501,ondansetron per 8 mg,97.37,34.08,0.02,33.4,6
NDC,51079052701,furosemide 80 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079052720,furosemide 80 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079054101,prochlorperazine maleate per 5 mg,6.0,2.1,0.59,2.06,6
NDC,51079054120,prochlorperazine maleate per 5 mg,6.0,2.1,0.59,2.06,6
NDC,51079054220,prochlorperazine maleate per 10 mg,6.0,2.1,0.59,2.06,6
NDC,51079054401,escitalopram 20 MG tablet 1 each BLIST PACK,10.86,3.81,3.11,8.09,5
NDC,51079054420,escitalopram 20 MG tablet 100 each BLIST PACK,10.86,3.81,3.11,8.09,5
NDC,51079054701,fexofenadine 60 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079054720,fexofenadine 60 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079055701,clopidogreL 75 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079055720,clopidogreL 75 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079056620,thioridazine 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079057201,trifluoperazine 1 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079057220,trifluoperazine 1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079057320,trifluoperazine 2 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079058101,leucovorin per 50 mg,7.67,2.69,2.2,5.71,5
NDC,51079058106,leucovorin per 50 mg,7.67,2.69,2.2,5.71,5
NDC,51079058401,nitrofurantoin 50 MG capsule 1 each BLIST PACK,6.52,2.29,1.87,4.86,5
NDC,51079058420,nitrofurantoin 50 MG capsule 100 each BLIST PACK,6.52,2.29,1.87,4.86,5
NDC,51079058820,thiothixene 5 MG capsule 100 each BLIST PACK,8.55,3.0,2.45,6.37,5
NDC,51079059701,cetirizine 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079059720,cetirizine 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079062001,azathioprine per 50 mg,6.0,2.1,2.06,71.84,6
NDC,51079062006,azathioprine per 50 mg,6.0,2.1,2.06,71.84,6
NDC,51079062382,mafenide 85 mg/g cream 113.4 g Tube,311.25,108.94,89.14,231.88,5
NDC,51079062485,mafenide 50 gram packet 5 each Packet,550.04,192.52,157.53,409.78,5
NDC,51079063001,prazosin 1 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079063020,prazosin 1 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079063101,prazosin 2 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079063120,prazosin 2 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079063201,prazosin 5 MG capsule 1 each BLIST PACK,10.17,3.56,2.91,7.58,5
NDC,51079063220,prazosin 5 MG capsule 100 each BLIST PACK,10.17,3.56,2.91,7.58,5
NDC,51079064401,cyclobenzaprine 10mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079064420,cyclobenzaprine 10mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079065120,doxepin 100 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079067001,methotrexate per 2.5 mg,14.72,5.16,0.34,5.05,6
NDC,51079067005,methotrexate per 2.5 mg,14.72,5.16,0.34,5.05,6
NDC,51079068401,atenoloL 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079068420,atenoloL 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079068501,atenoloL 100 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079068520,atenoloL 100 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079069020,loperamide 2 mg capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079072101,mycophenolate mofetil per 250 mg,9.35,3.28,0.31,3.21,6
NDC,51079072120,mycophenolate mofetil per 250 mg,9.35,3.28,0.31,3.21,6
NDC,51079073301,haloperidoL 0.5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079073320,haloperidoL 0.5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079073401,haloperidoL 1 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079073420,haloperidoL 1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079073501,haloperidoL 2 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079073520,haloperidoL 2 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079073601,haloperidoL 5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079073620,haloperidoL 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079074601,diltiazem 60 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079074620,diltiazem 60 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079074701,diltiazem 90 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079074720,diltiazem 90 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079074901,cloZAPine 200 MG tablet 1 each BLIST PACK,14.92,5.23,4.27,11.12,5
NDC,51079074920,cloZAPine 200 MG tablet 100 each BLIST PACK,14.92,5.23,4.27,11.12,5
NDC,51079075301,sucralfate 1 gram tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079075320,sucralfate 1 gram tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079075920,atenoloL 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079076801,zonisamide 100 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079076820,zonisamide 100 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079077720,HYDROcodone-acetaminophen 5-325 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,51079077901,HYDROcodone-acetaminophen 10-325 mg tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,51079077920,HYDROcodone-acetaminophen 10-325 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,51079078220,pravastatin 40 MG tablet 100 each BLIST PACK,11.26,3.95,3.22,8.39,5
NDC,51079078801,ALPRAZolam 0.25 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,51079079001,ALPRAZolam 1 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,51079079020,ALPRAZolam 1 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,51079079601,hydrOXYzine 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079079620,hydrOXYzine 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079080101,metoprolol tartrate 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079080120,metoprolol tartrate 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079081001,glipiZIDE 5mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079081020,glipiZIDE 5mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079081101,glipiZIDE 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079081720,tacrolimus per 1 mg,6.0,2.1,0.4,2.06,6
NDC,51079081801,tacrolimus per 1 mg,10.53,3.69,0.4,3.61,6
NDC,51079081820,tacrolimus per 1 mg,10.53,3.69,0.4,3.61,6
NDC,51079082101,levetiracetam 500 MG tablet 1 each BLIST PACK,8.29,2.91,2.37,6.18,5
NDC,51079082120,levetiracetam 500 MG tablet 100 each BLIST PACK,8.29,2.91,2.37,6.18,5
NDC,51079086301,captopriL 12.5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079086320,captopriL 12.5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079086401,captopriL 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079086420,captopriL 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079086501,lamotrigine 150 MG tablet 1 each BLIST PACK,14.11,4.94,4.04,10.51,5
NDC,51079086520,lamotrigine 150 MG tablet 100 each BLIST PACK,14.11,4.94,4.04,10.51,5
NDC,51079087001,"carbamazepine 100 mg tablet,chewable 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,51079087020,"carbamazepine 100 mg tablet,chewable 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,51079087201,glyBURIDE 2.5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079087220,glyBURIDE 2.5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079087301,glyBURIDE 5mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079087320,glyBURIDE 5mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079087901,ranitidine 150mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079087920,ranitidine 150mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079088201,clonazepam 1 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,51079088220,clonazepam 1 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,51079088401,carbidopa-levodopa 25-100 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079088420,carbidopa-levodopa 25-100 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079088801,metoclopramide 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079088820,metoclopramide 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079089001,rifAMPin 300 MG capsule 1 each BLIST PACK,7.17,2.51,2.05,5.34,5
NDC,51079089020,rifAMPin 300 MG capsule 100 each BLIST PACK,7.17,2.51,2.05,5.34,5
NDC,51079092101,cloZAPine 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079092120,cloZAPine 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079092220,cloZAPine 100 MG tablet 100 each BLIST PACK,8.09,2.84,2.32,6.03,5
NDC,51079092301,carbidopa-levodopa 50-200 mg tablet extended release 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079092320,carbidopa-levodopa 50-200 mg tablet extended release 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079092901,labetaloL 200 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079092920,labetaloL 200 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079093001,carvediloL 6.25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079093701,terazosin 2 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079093720,terazosin 2 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079094101,alendronate 10 MG tablet 1 each BLIST PACK,6.9,2.42,1.98,5.14,5
NDC,51079094105,alendronate 10 MG tablet 20 each BLIST PACK,6.9,2.42,1.98,5.14,5
NDC,51079094301,buPROPion 75 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079094320,buPROPion 75 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079094401,buPROPion 100 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079094420,buPROPion 100 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079095320,enalapril 20 MG tablet 100 each BLIST PACK,6.53,2.29,1.87,4.86,5
NDC,51079095701,doxazosin 1 MG tablet 1 each BLIST PACK,8.89,3.12,2.55,6.62,5
NDC,51079095720,doxazosin 1 MG tablet 100 each BLIST PACK,8.89,3.12,2.55,6.62,5
NDC,51079095801,doxazosin 2 MG tablet 1 each BLIST PACK,8.87,3.11,2.54,6.61,5
NDC,51079095820,doxazosin 2 MG tablet 100 each BLIST PACK,8.87,3.11,2.54,6.61,5
NDC,51079095901,doxazosin 4 MG tablet 1 each BLIST PACK,9.31,3.26,2.67,6.94,5
NDC,51079095920,doxazosin 4 MG tablet 100 each BLIST PACK,9.31,3.26,2.67,6.94,5
NDC,51079096001,busPIRone 15 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079096020,busPIRone 15 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079096601,famotidine 20 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079096620,famotidine 20 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079097820,carbidopa-levodopa 25-100 mg tablet extended release 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079097920,spironolactone 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079098001,spironolactone 100 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079098020,spironolactone 100 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079098101,lisinopriL 5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079098201,lisinopriL 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079098301,lisinopriL 20mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079098320,lisinopriL 20mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079098501,busPIRone 5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079098520,busPIRone 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079098601,busPIRone 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079098620,busPIRone 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51079099101,traMADoL 50 mg tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,51079099120,traMADoL 50 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,51079099201,fluvoxaMINE 50 MG tablet 1 each BLIST PACK,6.07,2.13,1.74,4.52,5
NDC,51079099220,fluvoxaMINE 50 MG tablet 100 each BLIST PACK,6.07,2.13,1.74,4.52,5
NDC,51079099301,fluvoxaMINE 100 MG tablet 1 each BLIST PACK,6.23,2.19,1.78,4.64,5
NDC,51079099320,fluvoxaMINE 100 MG tablet 100 each BLIST PACK,6.23,2.19,1.78,4.64,5
NDC,51144000301,tisotumab vedotin-tftv 10 mg/ml recon soln 1 each Vial,20959.07,7335.68,196.12,7188.96,10
NDC,51144002001,enfortumab vedotin-ejfv 20 mg recon soln 1 each Vial,7955.09,2784.29,36.71,2728.6,10
NDC,51144003001,enfortumab vedotin-ejfv 30 mg recon soln 1 each Vial,11932.63,4176.43,36.71,4092.89,10
NDC,51144005001,brentuximab vedotin 5 mg/ml recon soln 1 each Vial,35897.87,12564.26,268.73,12312.97,10
NDC,51224000750,metFORMIN XR 500mg tablet extended release 24 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,51224002230,azithromycin 250 MG tablet 30 each Bottle,18.35,6.43,5.26,13.67,5
NDC,51224022230,azithromycin 600 MG tablet 30 each Bottle,44.09,15.44,12.63,32.85,5
NDC,51224030110,alendronate 70 mg/75 mL solution 75 mL Bottle,135.05,47.27,38.68,100.61,5
NDC,51248015101,solifenacin 10 MG tablet 30 each Bottle,36.39,12.74,10.42,27.11,5
NDC,51285014619,levonorgestreL 1.5 MG tablet 1 each BLIST PACK,92.04,32.22,26.36,68.57,5
NDC,51285020401,copper 380 square mm intrauterine device 1 each Packet,700.02,245.01,240.11,5375.2,6
NDC,51285020402,copper 380 square mm intrauterine device 5 each Packet,700.02,245.01,240.11,5375.2,6
NDC,51285040602,estrogens conjugated (synthetic B) 0.3 MG tablet 100 each Bottle,7.05,2.47,2.02,5.25,5
NDC,51293062601,PHENobarbitaL 32.4 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,51293062701,PHENobarbitaL 64.8 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,51293080301,salsalate 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,51293081001,phenazopyridine 100 MG tablet 100 each Bottle,6.37,2.23,1.82,4.75,5
NDC,51293083885,olopatadine 0.1 % drops 5 mL DROP BTL,605.34,211.87,173.37,450.98,5
NDC,51407044530,prasugreL HCl 10 mg tablet 30 each Bottle,6.0,2.1,1.72,4.47,5
NDC,51409000722,benzocaine-menthoL 20-0.5 % aerosol 78 g CANISTER,13.25,4.64,3.79,9.87,5
NDC,51409000724,benzocaine-benzethonium 20-0.2 % aerosol 78 g CANISTER,13.25,4.64,3.79,9.87,5
NDC,51525043001,felbamate 400 MG tablet 100 each Bottle,12.2,4.27,3.49,9.09,5
NDC,51525044208,felbamate 600 mg/5 mL suspension 237 mL Bottle,20.82,7.29,5.96,15.51,5
NDC,51552005506,acetic acid 5 % liquid 500 mL Bottle,165.2,57.82,47.31,123.07,5
NDC,51552006909,sodium metabisulfite (bulk) 100 % granules 0.075 g Jar,70.21,24.58,20.11,52.31,5
NDC,51552007606,citric acid monohydrate 100 % granules 500 g Jar,220.66,77.24,63.2,164.39,5
NDC,51552011803,phenoL (bulk) 89 % liquid 100 mL Bottle,170.86,59.81,48.93,127.29,5
NDC,51552031202,trichloroacetic acid 35 % recon soln 8.71 g Bottle,208.74,73.06,59.78,155.51,5
NDC,51552031602,trichloroacetic acid 50 % recon soln 12.51 g Bottle,244.01,85.41,69.88,181.79,5
NDC,51552035703,ferric subsulfate (bulk) 20 to 22 gram/100 mL solution 100 mL Bottle,135.23,47.34,38.73,100.75,5
NDC,51552036402,trichloroacetic acid 80 % recon soln 20.04 g Bottle,264.8,92.68,75.84,197.28,5
NDC,51552046902,trichloroacetic acid 25 % recon soln 6.26 g Bottle,183.41,64.2,52.53,136.64,5
NDC,51552047802,trichloroacetic acid 90 % recon soln 22.5 g Bottle,272.93,95.53,78.17,203.33,5
NDC,51552086506,salicylate-resorcinol-lactate 14-14-14 % solution 500 mL Bottle,339.84,118.95,97.33,253.18,5
NDC,51552134501,"LET 4 %-1:1,000 -0.5 % solution 100 mL KIT",314.59,110.11,90.1,234.37,5
NDC,51645085101,sennosides 8.6 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,51645090599,thiamine mononitrate 100 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,51660014190,valsartan 80 MG tablet 90 each Bottle,10.97,3.84,3.14,8.17,5
NDC,51660014290,valsartan 160 MG tablet 90 each Bottle,11.8,4.13,3.38,8.79,5
NDC,51672125901,clobetasoL 0.05 % ointment 15 g Tube,366.85,128.4,105.07,273.3,5
NDC,51672126003,clotrimazole 1 % solution 30 mL Bottle,176.36,61.73,50.51,131.39,5
NDC,51672126401,fluocinonide 0.05 % ointment 15 g Tube,166.98,58.45,47.82,124.4,5
NDC,51672126403,fluocinonide 0.05 % ointment 60 g Tube,667.93,233.78,191.3,497.61,5
NDC,51672126705,triamcinolone 0.1 % paste 5 g Tube,190.19,66.57,54.47,141.69,5
NDC,51672127304,fluocinonide 0.05 % solution 60 mL Bottle,273.57,95.75,78.35,203.81,5
NDC,51672127406,betamethasone dipropionate 0.05 % cream 45 g Tube,207.73,72.71,59.49,154.76,5
NDC,51672127501,clotrimazole 1 % cream 15 g Tube,47.05,16.47,13.48,35.05,5
NDC,51672127902,fluocinonide 0.05 % gel 30 g Jar,281.08,98.38,80.5,209.4,5
NDC,51672128001,desonide 0.05 % cream 15 g Tube,189.5,66.33,54.27,141.18,5
NDC,51672128401,triamcinolone 0.1 % ointment 15 g Tube,13.66,4.79,3.91,10.18,5
NDC,51672128402,triamcinolone 0.1 % ointment 30 g Tube,16.99,5.95,4.87,12.66,5
NDC,51672128901,"nystatin 100,000 unit/gram cream 15 g Tube",41.42,14.5,11.86,30.86,5
NDC,51672129801,ketoconazole 2 % cream 15 g Tube,309.93,108.48,88.76,230.9,5
NDC,51672130005,ammonium lactate 12 % lotion 225 g Bottle,100.89,35.32,28.89,75.16,5
NDC,51672130200,terconazole 0.8 % cream 20 g TUBE/KIT,96.62,33.82,27.67,71.98,5
NDC,51672131001,betamethasone (augmented) 0.05 % cream 15 g Tube,89.56,31.35,25.65,66.72,5
NDC,51672131003,betamethasone (augmented) 0.05 % cream 50 g Tube,200.25,70.09,57.35,149.19,5
NDC,51672131200,mupirocin 2 % ointment 22 g Tube,58.98,20.65,16.89,43.94,5
NDC,51672136504,fluocinolone 0.01 % solution 60 mL Bottle,442.5,154.88,126.73,329.66,5
NDC,51672138508,ibuprofen 100 mg/5 mL suspension 118 mL Bottle,20.89,7.32,5.98,15.56,5
NDC,51672138509,ibuprofen 100 mg/5 mL suspension 473 mL Bottle,70.33,24.62,20.14,52.4,5
NDC,51672138601,fluocinonide 0.05 % cream 15 g Tube,107.51,37.63,30.79,80.09,5
NDC,51672138603,fluocinonide 0.05 % cream 60 g Tube,430.04,150.52,123.16,320.38,5
NDC,51672200101,miconazole 2 % cream 14 g Tube,12.39,4.34,3.55,9.23,5
NDC,51672201302,hydrocortisone-aloe vera 1 % cream 28.4 g Tube,12.27,4.3,3.51,9.14,5
NDC,51672201802,hydrocortisone 1 % ointment 28 g Tube,14.54,5.09,4.16,10.83,5
NDC,51672202002,tolnaftate 1 % cream 30 g Tube,20.53,7.19,5.88,15.29,5
NDC,51672203701,clotrimazole 1 % solution 10 mL Bottle,106.51,37.28,30.5,79.35,5
NDC,51672206200,clotrimazole 2 % cream 21 g TUBE/KIT,26.27,9.2,7.52,19.57,5
NDC,51672207308,loratadine 5 mg/5 mL solution 120 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,51672207501,bacitracin 500 unit/gram ointment 14.2 g Tube,10.96,3.84,3.14,8.17,5
NDC,51672207502,bacitracin 500 unit/gram ointment 28.4 g Tube,16.02,5.61,4.59,11.93,5
NDC,51672208001,terbinafine 1 % cream 15 g Tube,18.97,6.64,5.43,14.13,5
NDC,51672208002,terbinafine 1 % cream 30 g Tube,28.39,9.94,8.13,21.15,5
NDC,51672211500,acetaminophen 120 MG suppository 1 each Box,6.0,2.1,1.72,4.47,5
NDC,51672211502,acetaminophen 120 MG suppository 6 each Box,6.0,2.1,1.72,4.47,5
NDC,51672300302,hydrocortisone 2.5 % cream 28 g Tube,21.54,7.54,6.17,16.05,5
NDC,51672302009,lidocaine 5 % ointment 35.44 g Tube,747.31,261.56,214.03,556.75,5
NDC,51672400101,nortriptyline 10 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,51672400205,nortriptyline 25 MG capsule 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,51672400501,carbamazepine 200 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,51672401106,clomiPRAMINE 25 MG capsule 30 each Bottle,6.0,2.1,1.72,4.47,5
NDC,51672401206,clomiPRAMINE 50 MG capsule 30 each Bottle,6.0,2.1,1.72,4.47,5
NDC,51672401306,clomiPRAMINE 75 MG capsule 30 each Bottle,6.0,2.1,1.72,4.47,5
NDC,51672402201,acetaZOLAMIDE 125 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,51672402601,ketoconazole 200 mg tablet 100 each Bottle,7.46,2.62,2.14,5.56,5
NDC,51672403701,enalapril 2.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,51672404003,"enalapril 20 MG tablet 1,000 each Bottle",6.53,2.29,1.87,4.86,5
NDC,51672404301,clorazepate 7.5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,51672404401,clorazepate 15 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,51672404709,carbamazepine 100 mg/5 mL suspension 450 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,51672406901,phenytoin 125 mg/5 mL suspension 237 mL Bottle,86.14,30.15,24.67,64.17,5
NDC,51672407008,cetirizine 1 mg/mL solution 120 mL Bottle,86.09,30.14,24.66,64.14,5
NDC,51672409103,ondansetron per 8 mg,56.59,19.81,0.02,19.41,6
NDC,51672411101,phenytoin 100 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,51672411806,fluorouraciL 5 % cream 40 g Tube,908.51,317.98,260.2,676.84,5
NDC,51672414506,imiquimod 5 % cream in packet 24 each Packet,8.85,3.1,2.53,6.59,5
NDC,51672414601,"phenytoin 50 mg tablet,chewable 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,51672415403,calcipotriene 0.005 % ointment 60 g Tube,854.13,298.95,244.62,636.33,5
NDC,51672529404,malathion 0.5 % lotion 59 mL Bottle,617.53,216.14,176.86,460.06,5
NDC,51672529701,promethazine 25 MG suppository 12 each Box,41.78,14.63,11.97,31.13,5
NDC,51754020301,verapamiL 2.5 mg/mL solution 2 mL Vial,28.32,9.92,8.11,21.1,5
NDC,51754020302,verapamiL 2.5 mg/mL solution 2 mL Vial,28.32,9.92,8.11,21.1,5
NDC,51754020304,verapamiL 2.5 mg/mL solution 2 mL Vial,28.32,9.92,8.11,21.1,5
NDC,51754050001,caffeine citrate per 5 mg,33.98,11.9,9.73,25.32,5
NDC,51754050103,caffeine citrate 20 mg/mL solution 3 mL Vial,33.98,11.9,9.73,25.32,5
NDC,51754050303,caffeine citrate 20 mg/mL solution 3 mL Vial,67.97,23.79,19.47,50.64,5
NDC,51754100001,magnesium sulfate per 500 mg of magnesium,24.0,8.4,0.84,8.23,6
NDC,51754100004,magnesium sulfate per 500 mg of magnesium,24.0,8.4,0.84,8.23,6
NDC,51754122003,neostigmine 1 mg/mL solution 10 mL Vial,51.99,18.2,14.89,38.73,5
NDC,51754124003,neostigmine 1 mg/mL solution 10 mL Vial,51.99,18.2,14.89,38.73,5
NDC,51754200104,potassium acetate 2 mEq/mL solution 20 mL Vial,24.0,8.4,6.87,17.88,5
NDC,51754500101,sodium bicarbonate 1 mEq/mL (8.4 %) solution 50 mL Vial,24.78,8.68,7.1,18.46,5
NDC,51754500104,sodium bicarbonate 1 mEq/mL (8.4 %) solution 50 mL Vial,24.78,8.68,7.1,18.46,5
NDC,51754500105,sodium bicarbonate 1 mEq/mL (8.4 %) solution 50 mL Vial,24.78,8.68,7.1,18.46,5
NDC,51754501201,sodium bicarbonate 4.2 % solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,51754501204,sodium bicarbonate 4.2 % solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,51754506001,betamethasone acet & sod phos per 4 mg,113.28,39.65,11.25,38.86,6
NDC,51759052010,"risperiDONE 100 mg/0.28 mL suspension,extended rel syring 0.28 mL Syringe",7438.81,2603.59,25.16,2551.51,10
NDC,51759063010,"risperiDONE 125 mg/0.35 mL suspension,extended rel syring 0.35 mL Syringe",9298.31,3254.41,25.16,3189.32,10
NDC,51759085010,"risperiDONE 200 mg/0.56 mL suspension,extended rel syring 0.56 mL Syringe",14877.06,5206.98,25.16,5102.83,10
NDC,51759096010,"risperiDONE 250 mg/0.7 mL suspension,extended rel syring 0.7 mL Syringe",18596.61,6508.82,25.16,6378.64,10
NDC,51862006201,diazePAM 2 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,51862006301,diazePAM 5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,51862032001,liothyronine 5 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,51862033201,estradioL 0.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,51862033301,estradioL 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,51862033401,estradioL 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,51862045304,cloNIDine 0.1 mg/24 hr patch weekly 4 each Box,78.25,27.39,22.41,58.3,5
NDC,51862045401,cloNIDine 0.2 mg/24 hr patch weekly 1 each Packet,131.75,46.12,37.73,98.15,5
NDC,51862045404,cloNIDine 0.2 mg/24 hr patch weekly 4 each Box,131.75,46.12,37.73,98.15,5
NDC,51862045504,cloNIDine 0.3 mg/24 hr patch weekly 4 each Box,182.78,63.98,52.35,136.17,5
NDC,51862048601,trimethoprim 100 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,51862049415,fluocinonide 0.05 % cream 15 g Tube,107.51,37.63,30.79,80.09,5
NDC,51862054506,levonorgestrel-ethinyl estradiol 0.1-20 mg-mcg tablet 28 each BLIST PACK,83.0,29.05,23.77,61.84,5
NDC,51862094101,diazePAM 2 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,51862094501,nortriptyline 10 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,51991014417,methylergonovine maleate per 0.2 mg,55.96,19.59,19.19,109.55,6
NDC,51991029401,OXcarbazepine 600 MG tablet 100 each Bottle,11.39,3.99,3.26,8.49,5
NDC,51991033106,nevirapine 200 mg tablet 60 each Bottle,25.58,8.96,7.33,19.06,5
NDC,51991037960,everolimus (immunosuppressive) 0.25 mg tablet 60 each BLIST PACK,23.63,8.28,4.54,16.79,5
NDC,51991060401,"ergocalciferol 1,250 mcg (50,000 unit) capsule 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,51991062033,anastrozole 1 mg tablet 30 each Bottle,31.5,11.03,9.02,23.47,5
NDC,51991073520,granisetron per 1 mg,139.37,48.78,4.98,85.14,6
NDC,51991074890,"DULoxetine 60 MG capsule,delayed release(DR/EC) 90 each Bottle",17.8,6.23,5.1,13.26,5
NDC,51991079306,rivastigmine 1.5 MG capsule 60 each Bottle,11.0,3.85,3.15,8.2,5
NDC,51991082001,"propranolol LA 160 mg capsule,extended release 24 hr 100 each Bottle",9.22,3.23,2.64,6.87,5
NDC,51991083704,cetirizine 1 mg/mL solution 120 mL Bottle,86.09,30.14,24.66,64.14,5
NDC,51991087733,eplerenone 25 MG tablet 30 each Bottle,9.83,3.45,2.82,7.32,5
NDC,51991087790,eplerenone 25 MG tablet 90 each Bottle,9.83,3.45,2.82,7.32,5
NDC,51991090001,cloBAZam 10 mg tablet 100 each Bottle,43.2,15.12,12.37,32.18,5
NDC,51991090701,tetracycline 500 MG capsule 100 each Bottle,37.17,13.01,10.65,27.69,5
NDC,52015008001,fidaxomicin 200 mg tablet 20 each Bottle,737.03,257.97,211.09,549.09,5
NDC,52054033010,pyrimethamine 25 mg tablet 100 each Bottle,2124.0,743.4,608.31,1582.38,5
NDC,52054055022,albendazole 200 mg tablet 2 each Bottle,687.24,240.54,196.83,511.99,5
NDC,52244010010,"theophylline 100 MG capsule,extended release 24hr 100 each Bottle",10.96,3.84,3.14,8.17,5
NDC,52268010001,"polyethylene glycol 236-22.74-6.74 -5.86 gram recon soln 4,000 mL Bottle",75.52,26.44,21.63,56.26,5
NDC,52380190504,povidone-iodine 10 % solution 118 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,52536009605,vancomycin 50 mg/mL recon soln 150 mL Bottle,7.01,2.46,2.01,5.22,5
NDC,52536010303,erythromycin base 250 MG tablet 30 each Bottle,29.41,10.3,8.42,21.91,5
NDC,52536010313,erythromycin base 250 MG tablet 100 each Bottle,29.41,10.3,8.42,21.91,5
NDC,52536010605,vancomycin 50 mg/mL recon soln 150 mL Bottle,7.01,2.46,2.01,5.22,5
NDC,52536013213,erythromycin ethylsuccinate 200 mg/5 mL suspension for reconstitution 100 mL Bottle,949.66,332.39,271.98,707.5,5
NDC,52536013413,erythromycin ethylsuccinate 200 mg/5 mL suspension for reconstitution 100 mL Bottle,921.58,322.56,263.94,686.58,5
NDC,52536013613,erythromycin ethylsuccinate 200 mg/5 mL suspension for reconstitution 200 mL Bottle,1686.46,590.27,483.0,1256.41,5
NDC,52536050001,dextroamphetamine sulfate 5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,52544007660,testosterone 2 mg/24 hour patch 24 hour 60 each Box,26.55,9.3,7.6,19.78,5
NDC,52544007730,testosterone 4 mg/24 hr patch 24 hour 30 each Box,53.1,18.59,15.21,39.56,5
NDC,52544024531,norethindrone-mestranoL 1-50 mg-mcg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,52544024728,norgestimate-ethinyl estradioL 0.25-35 mg-mcg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,52544025928,norethindrone-ethin estradioL 1-35 mg-mcg tablet 28 each BLIST PACK,6.29,2.21,1.8,4.69,5
NDC,52544027621,norethindrone-ethinyl estradiol 1-20 mg-mcg tablet 21 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,52544038428,ethynodiol diac-eth estradioL 1-50 mg-mcg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,52544047108,estradiol semi-weekly 0.05 mg/24 hr patch semiweekly 8 each Box,40.0,14.0,11.46,29.8,5
NDC,52544047154,estradiol semi-weekly 0.05 mg/24 hr patch semiweekly 1 each Box,40.0,14.0,11.46,29.8,5
NDC,52544055028,norethindrone-ethin estradiol 0.5-35 mg-mcg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,52544055228,norethindrone-ethin estradiol 1-35 mg-mcg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,52544062928,norethindrone 0.35 mg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,52544084728,norgestrel-ethinyl estradiol 0.3-30 mg-mcg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,52544084828,norgestrel-ethinyl estradioL 0.5-50 mg-mcg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,52544089228,norethindrone 0.35 mg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,52544093102,iron dextran 50 mg/mL solution 2 mL Vial,82.73,28.96,18.11,90.09,10
NDC,52544094028,desogestrel-ethinyl estradiol 0.15-0.02 mg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,52544098128,drospirenone-ethinyl estradiol 3-0.03 mg tablet 28 each BLIST PACK,6.46,2.27,1.85,4.81,5
NDC,52544098131,drospirenone-ethinyl estradiol 3-0.03 mg tablet 28 each BLIST PACK,6.46,2.27,1.85,4.81,5
NDC,52544098231,drospirenone-ethinyl estradioL 3-0.02 mg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,52565000814,lidocaine 5 % ointment 35.44 g Tube,747.31,261.56,214.03,556.75,5
NDC,52565000950,lidocaine 4 % (40 mg/mL) solution 50 mL Bottle,152.57,53.4,43.7,113.66,5
NDC,52565001259,fluocinolone 0.01 % solution 60 mL Bottle,442.5,154.88,126.73,329.66,5
NDC,52565001415,triamcinolone 0.1 % ointment 15 g Tube,13.17,4.61,3.77,9.81,5
NDC,52565002285,econazole nitrate 1 % cream 85 g Tube,968.9,339.12,277.49,721.83,5
NDC,52565004015,fluocinonide 0.05 % ointment 15 g Tube,166.98,58.45,47.82,124.4,5
NDC,52565005301,cefotetan per 500 mg,225.14,78.8,64.48,167.73,10
NDC,52565005310,cefotetan per 500 mg,225.14,78.8,64.48,167.73,10
NDC,52565009015,gentamicin 0.1 % ointment 15 g Tube,116.54,40.79,33.38,86.82,5
NDC,52609450501,deferoxamine mesylate per 500 mg,36.67,12.84,12.21,45.04,6
NDC,52609450506,deferoxamine mesylate per 500 mg,36.67,12.84,12.21,45.04,6
NDC,52652800101,zonisamide 100 mg/5 mL suspension 150 mL Bottle,1188.02,415.81,340.25,885.07,5
NDC,52817016060,quetiapine XR 50 mg tablet extended release 24 hr 60 each Bottle,20.93,7.33,5.99,15.59,5
NDC,52817021010,cyproheptadine 4 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,52817026010,oxybutynin 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,52817036210,metoprolol tartrate 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,52817081615,acetic acid 2 % solution 15 mL DROP BTL,113.28,39.65,32.44,84.39,5
NDC,52817082415,betamethasone dipropionate 0.05 % ointment 15 g Tube,145.1,50.79,41.56,108.1,5
NDC,52817082445,betamethasone dipropionate 0.05 % ointment 45 g Tube,290.24,101.59,83.12,216.23,5
NDC,53270005201,hepatitis b immune globulin per 0.5 mL,452.55,158.4,70.23,347.48,10
NDC,53270012502,varicella-zoster immune glob 125 unit recon soln 1 each Vial,1932.84,676.5,553.57,1439.97,5
NDC,53270027106,"coagulation factor 9 1,000 unit recon soln 1 each Vial",4200.8,1470.28,1.84,1440.87,10
NDC,53329008987,bacitracin 500 unit/gram packet 1 each Packet,6.0,2.1,1.72,4.47,5
NDC,53329016204,miconazole 2 % cream 118 mL Tube,23.11,8.09,6.62,17.22,5
NDC,53329016710,miconazole 2 % ointment 71 g Tube,134.55,47.1,38.54,100.24,5
NDC,53329017110,miconazole 2 % ointment 71 g Tube,134.55,47.1,38.54,100.24,5
NDC,53329041009,"salicylic acid 40 % adhesive patch,medicated 1 each Packet",6.0,2.1,1.72,4.47,5
NDC,53329093904,povidone-iodine 10 % solution 118 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,53436008401,patiromer calcium sorbitex 8.4 gram powder in packet 1 each Packet,100.55,35.2,28.8,74.91,5
NDC,53436008404,patiromer calcium sorbitex 8.4 gram powder in packet 4 each Packet,134.35,47.03,38.48,100.09,5
NDC,53462000315,chlorhexidine 0.12 % mouthwash 15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,53489012002,doxycycline hyclate 100 MG tablet 50 each Bottle,14.51,5.08,4.16,10.81,5
NDC,53489012005,doxycycline hyclate 100 MG tablet 500 each Bottle,14.51,5.08,4.16,10.81,5
NDC,53489014401,spironolacton-hydrochlorothiaz 25-25 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,53489032801,spironolactone 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,53489032901,spironolactone 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,53489037001,felodipine 10 MG tablet extended release 24 hr 100 each Bottle,6.41,2.25,1.84,4.78,5
NDC,53489038601,minoxidiL 2.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,53746051401,spironolactone 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,53746051501,spironolactone 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,53746051505,spironolactone 100 MG tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,53807015112,alum-mag hydroxide-simeth 225-200-25 mg/5 mL suspension 360 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,54092018981,"mesalamine 250 mg capsule, extended release 240 each Bottle",8.6,3.01,2.46,6.41,5
NDC,54092039101,"amphetamine-dextroamphetamine XR 30 MG capsule,extended release 24hr 100 each Bottle",20.17,7.06,5.78,15.03,5
NDC,54092047612,"mesalamine 1.2 gram tablet,delayed release (DR/EC) 120 each Bottle",26.51,9.28,7.59,19.75,5
NDC,54092051902,guanFACINE 4 mg tablet extended release 24 hr 100 each Bottle,27.51,9.63,7.88,20.49,5
NDC,54092054701,prucalopride 2 mg tablet 30 each Bottle,52.6,18.41,15.06,39.19,5
NDC,54162000002,vitamin A & D ointment 56 g Tube,6.0,2.1,1.72,4.47,5
NDC,54162000708,senna 8.8 mg/5 mL syrup 236 mL Bottle,29.52,10.34,8.45,21.99,5
NDC,54162001101,dibucaine 1 % ointment 28 g Tube,17.45,6.11,5.0,13.0,5
NDC,54162001709,bacitracin 500 unit/gram ointment in packet 144 each Packet,6.0,2.1,1.72,4.47,5
NDC,54162001715,bacitracin 500 unit/gram ointment 15 g Tube,6.0,2.1,1.72,4.47,5
NDC,54162010002,benzoin compound 10 % 10-2-8-4 % tincture 58 mL Bottle,12.18,4.27,3.49,9.07,5
NDC,54162010010,benzoin 100 % swab 50 each Packet,6.0,2.1,1.72,4.47,5
NDC,54162018501,mineral oil oil 25 mL Bottle,12.86,4.51,3.68,9.58,5
NDC,54162019016,mineral oil oil 472 mL Bottle,15.59,5.46,4.46,11.61,5
NDC,54288010001,zoledronic acid per 1 mg,106.2,37.17,11.64,47.68,6
NDC,54288010301,EPINEPHrine (PF) 1 mg/mL solution 1 mL AMPUL,41.3,14.46,11.83,30.77,5
NDC,54288010310,EPINEPHrine (PF) 1 mg/mL solution 1 mL AMPUL,41.3,14.46,11.83,30.77,5
NDC,54288010502,ethyl alcohoL 99% 99 % solution 5 mL AMPUL,471.76,165.12,135.11,351.46,5
NDC,54288010515,ethyl alcohoL 99% 99 % solution 5 mL AMPUL,471.76,165.12,135.11,351.46,5
NDC,54288011101,hyoscyamine sulfate per 0.25 mg,305.86,107.06,58.51,174.27,6
NDC,54288011105,hyoscyamine sulfate per 0.25 mg,305.86,107.06,58.51,174.27,6
NDC,54288012001,EPINEPHrine 1 mg/mL solution 10 mL Vial,254.88,89.21,73.0,189.89,5
NDC,54288013501,tacrolimus per 1 mg,16.4,5.74,0.4,5.63,6
NDC,54288013710,phenobarbital per 120 mg,155.76,54.52,51.86,206.51,6
NDC,54288014201,papaverine per 60 mg,92.04,32.22,26.36,68.57,5
NDC,54288014210,papaverine per 60 mg,92.04,32.22,26.36,68.57,5
NDC,54288016401,carboplatin per 50 mg,36.58,12.81,5.94,12.64,6
NDC,54288016501,carboplatin per 50 mg,77.07,26.98,5.94,26.44,6
NDC,54288016601,carboplatin per 50 mg,197.21,69.03,5.94,67.64,6
NDC,54288016701,carboplatin per 50 mg,284.47,99.57,5.94,97.57,6
NDC,54295030815,urea 40 % cream 28.35 g Bottle,231.03,80.87,66.17,172.12,5
NDC,54482005301,procarbazine 50 mg capsule 100 each Bottle,277.31,97.06,79.42,206.6,5
NDC,54482014407,levOCARNitine 330 mg tablet 90 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,54482014508,levOCARNitine (with sugar) 100 mg/mL solution 118 mL Bottle,114.46,40.07,32.78,85.27,5
NDC,54482014701,levocarnitine per 1 g,110.09,38.54,37.76,185.74,6
NDC,54505005522,albendazole 200 mg tablet 2 each Bottle,594.06,207.93,170.14,442.57,5
NDC,54569627000,emtricitab-rilpivirine-tenofovir 200-25-300 mg tablet 30 each Bottle,269.3,94.26,77.13,200.63,5
NDC,54629005710,"thiamine 100 MG tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,54629409760,acetylcysteine 600 mg capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,54633001402,gentian violet 2 % solution 59.14 mL Bottle,36.85,12.9,10.55,27.45,5
NDC,54643564601,multivitamins (pediatric < 11 years old) with vit K 80 mg-400 unit- 200 mcg/5 mL solution 5 mL Vial,1362.02,476.71,390.08,1014.7,5
NDC,54643564901,"multivitamins (adult) with vit K 3,300 unit- 150 mcg/10 mL solution 10 mL Vial",24.0,8.4,6.87,17.88,5
NDC,54643565002,"multivitamins (adult) with vit K 3,300 unit- 150 mcg/10 mL solution 100 mL Vial",201.31,70.46,57.66,149.98,5
NDC,54643900701,"multivitamins (adult) with vit K 3,300 unit- 150 mcg/10 mL solution 10 mL Vial",24.0,8.4,6.87,17.88,5
NDC,54799043105,homatropine 5 % drops 5 mL DROP BTL,104.67,36.64,29.98,77.98,5
NDC,54799050501,"tetracaine 0.5 % dropperette,viscous 1 each BLIST PACK",23.51,8.23,6.73,17.51,5
NDC,54799050721,fluorescein-proparacaine 0.25-0.5% 0.25-0.5 % drops 5 mL DROP BTL,104.31,36.51,29.87,77.71,5
NDC,54838000530,vitamin E 22.5 mg (50 unit)/mL drops 30 mL DROP BTL,25.49,8.93,7.3,18.99,5
NDC,54838000530,vitamin E 50 unit/mL drops 30 mL DROP BTL,25.49,8.93,7.3,18.99,5
NDC,54838000650,cholecalciferol 10 mcg/mL (400 unit/mL) drops 50 mL DROP BTL,59.0,20.65,16.9,43.96,5
NDC,54838001150,ferrous sulfate 15 mg/mL (elemental iron) drops 50 mL DROP BTL,13.57,4.75,3.89,10.11,5
NDC,54838011680,docusate 100 mg/10 mL liquid 473 mL Bottle,42.42,14.85,12.15,31.6,5
NDC,54838020940,guaifenesin-dextromethorphan 100-10 mg/5mL syrup 118 mL Bottle,12.25,4.29,3.51,9.13,5
NDC,54838050280,hydrOXYzine 10 mg/5 mL solution 473 mL Bottle,612.84,214.5,175.52,456.57,5
NDC,54838050780,metaproterenoL 10 mg/5 mL syrup 473 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,54838051080,oxybutynin 5 mg/5 mL syrup 473 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,54838052340,FLUoxetine 20 mg/5 mL (4 mg/mL) solution 120 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,54838054070,citalopram 10 mg/5 mL solution 240 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,54838055550,ondansetron per 8 mg,56.4,19.74,0.02,19.35,6
NDC,54838055840,loratadine 5 mg/5 mL solution 120 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,54838056670,lamiVUDine 10 mg/mL solution 240 mL Bottle,282.63,98.93,80.95,210.56,5
NDC,54838057059,ARIPiprazole 1 mg/mL solution 150 mL Bottle,2501.36,875.48,716.39,1863.51,5
NDC,54879000716,sulfamethoxazole-trimethoprim 200-40 mg/5 mL suspension 473 mL Bottle,262.33,91.82,75.13,195.44,5
NDC,54879002201,cycloPHOSphamide 50 mg capsule 100 each Bottle,11.33,3.97,1.02,4.99,6
NDC,54879003710,succinylcholine per 20 mg,24.0,8.4,6.87,17.88,5
NDC,54879003725,succinylcholine per 20 mg,24.0,8.4,6.87,17.88,5
NDC,55111011230,moxifloxacin 400 mg tablet 30 each Bottle,64.18,22.47,18.38,47.81,5
NDC,55111014512,fluconazole 150 MG tablet 12 each BLIST PACK,32.88,11.51,9.42,24.5,5
NDC,55111014571,fluconazole 150 MG tablet 1 each BLIST PACK,32.88,11.51,9.42,24.5,5
NDC,55111016330,OLANZapine 2.5 MG tablet 30 each Bottle,26.43,9.26,7.57,19.69,5
NDC,55111016705,OLANZapine 15 MG tablet 500 each Bottle,70.5,24.68,20.19,52.52,5
NDC,55111017915,tiZANidine 2 MG tablet 150 each Bottle,6.0,2.1,1.72,4.47,5
NDC,55111018015,tiZANidine 4 MG tablet 150 each Bottle,6.0,2.1,1.72,4.47,5
NDC,55111025760,ziprasidone 40 MG capsule 60 each Bottle,20.92,7.33,5.99,15.59,5
NDC,55111026279,"OLANZapine zydis 5 MG tablet,disintegrating 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,55111026281,"OLANZapine zydis 5 MG tablet,disintegrating 30 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,55111026379,"OLANZapine zydis 10 MG tablet,disintegrating 1 each BLIST PACK",7.2,2.52,2.06,5.36,5
NDC,55111026381,"OLANZapine zydis 10 MG tablet,disintegrating 30 each BLIST PACK",7.2,2.52,2.06,5.36,5
NDC,55111026579,"OLANZapine zydis 20 MG tablet,disintegrating 1 each BLIST PACK",14.03,4.92,4.02,10.45,5
NDC,55111026581,"OLANZapine zydis 20 MG tablet,disintegrating 30 each BLIST PACK",14.03,4.92,4.02,10.45,5
NDC,55111029109,SUMAtriptan 25 MG tablet 1 each BLIST PACK,63.84,22.35,18.28,47.56,5
NDC,55111029209,SUMAtriptan 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,55111035260,rivastigmine 1.5 MG capsule 60 each Bottle,10.02,3.51,2.87,7.46,5
NDC,55111039990,"lansoprazole 30 MG capsule,delayed release(DR/EC) 90 each Bottle",13.9,4.87,3.98,10.36,5
NDC,55111042830,lamoTRIgine 300 mg tablet extended release 24hr 30 each Bottle,52.95,18.54,15.16,39.45,5
NDC,55111051930,atomoxetine 10 MG capsule 30 each Bottle,33.59,11.76,9.62,25.02,5
NDC,55111052130,atomoxetine 40 MG capsule 30 each Bottle,36.5,12.78,10.45,27.19,5
NDC,55111052230,atomoxetine 60 MG capsule 30 each Bottle,36.5,12.78,10.45,27.19,5
NDC,55111052501,tacrolimus per 1 mg,6.0,2.1,0.4,2.06,6
NDC,55111053401,divalproex ER 500 MG tablet extended release 24 hr 100 each Bottle,9.62,3.37,2.76,7.17,5
NDC,55111062560,zafirlukast 10 MG tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,55111062930,eszopiclone 1 MG tablet 30 each Bottle,27.55,9.65,7.89,20.52,5
NDC,55111065207,bivalirudin per 1 mg,283.2,99.12,0.3,97.14,6
NDC,55111065237,bivalirudin per 1 mg,283.2,99.12,0.3,97.14,6
NDC,55111065301,sirolimus per 1 mg,40.23,14.09,2.4,16.3,6
NDC,55111067802,fondaparinux per 0.5 mg,136.17,47.66,1.65,46.71,6
NDC,55111067810,fondaparinux per 0.5 mg,128.98,45.15,1.65,44.24,6
NDC,55111067811,fondaparinux per 0.5 mg,136.17,47.66,1.65,46.71,6
NDC,55111067902,fondaparinux per 0.5 mg,320.49,112.18,1.65,109.93,6
NDC,55111067911,fondaparinux per 0.5 mg,320.49,112.18,1.65,109.93,6
NDC,55111068002,fondaparinux per 0.5 mg,320.49,112.18,1.65,109.93,6
NDC,55111068011,fondaparinux per 0.5 mg,320.49,112.18,1.65,109.93,6
NDC,55111068102,fondaparinux per 0.5 mg,320.49,112.18,1.65,109.93,6
NDC,55111068110,fondaparinux per 0.5 mg,303.52,106.24,1.65,104.11,6
NDC,55111068111,fondaparinux per 0.5 mg,320.49,112.18,1.65,109.93,6
NDC,55111068507,zoledronic acid per 1 mg,212.4,74.34,11.64,72.85,6
NDC,55111068852,zoledronic acid 5 mg/100 ml piggyback 100 mL Bottle,849.6,297.36,11.64,291.41,6
NDC,55111069407,palonosetron per 25 mcg,50.98,17.85,1.07,17.49,6
NDC,55111071930,lamoTRIgine 100 mg tablet extended release 24hr 30 each Bottle,33.1,11.59,9.48,24.66,5
NDC,55111076260,valGANciclovir 450 mg tablet 60 each Bottle,151.98,53.2,43.53,113.23,5
NDC,55111076303,montelukast 4 mg granules in packet 30 each Packet,13.35,4.68,3.82,9.95,5
NDC,55135013201,sacituzumab govitecan-hziy 180 mg recon soln 1 each Vial,7259.83,2540.95,36.8,2490.12,10
NDC,55150011110,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,55150011210,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,55150011310,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,55150011420,ampicillin per 500 mg,37.56,13.15,1.41,12.88,6
NDC,55150011620,ampicillin-sulbactam per 1.5 g,24.0,8.4,2.92,9.92,6
NDC,55150011720,ampicillin-sulbactam per 1.5 g,34.46,12.07,2.92,11.82,6
NDC,55150011899,ampicillin-sulbactam per 1.5 g,168.15,58.86,2.92,57.68,6
NDC,55150011930,piperacillin sod-tazobactam per 1 g,24.0,8.4,1.95,8.23,6
NDC,55150012030,piperacillin sod-tazobactam per 1 g,24.0,8.4,1.95,8.23,6
NDC,55150012150,piperacillin sod-tazobactam per 1 g,24.0,8.4,1.95,8.23,6
NDC,55150012215,nafcillin per 2 g,34.22,11.98,9.8,25.49,5
NDC,55150012315,nafcillin per 2 g,35.4,12.39,10.14,26.37,5
NDC,55150012316,nafcillin per 2 g,35.4,12.39,10.14,26.37,5
NDC,55150012409,nafcillin per 2 g,325.68,113.99,93.27,242.63,5
NDC,55150012499,nafcillin per 2 g,325.68,113.99,93.27,242.63,5
NDC,55150012502,ondansetron per 1 mg,24.0,8.4,0.17,8.23,6
NDC,55150012824,oxacillin per 250 mg,66.73,23.36,1.56,22.89,6
NDC,55150012825,oxacillin per 250 mg,66.74,23.36,1.56,22.89,6
NDC,55150015410,acyclovir per 5 mg,37.76,13.22,0.06,12.95,6
NDC,55150015411,acyclovir per 5 mg,37.76,13.22,0.06,12.95,6
NDC,55150015520,acyclovir per 5 mg,70.8,24.78,0.06,24.28,6
NDC,55150015521,acyclovir per 5 mg,70.8,24.78,0.06,24.28,6
NDC,55150015620,levofloxacin per 250 mg,103.84,36.35,1.5,35.62,6
NDC,55150015872,lidocaine 1 % solution 2 mL AMPUL,24.0,8.4,0.02,17.88,6
NDC,55150015872,lidocaine PF 10 mg/mL (1 %) solution 2 mL AMPUL,24.0,8.4,0.02,17.88,6
NDC,55150015974,lidocaine 1 % solution 5 mL AMPUL,24.0,8.4,0.02,17.88,6
NDC,55150015974,lidocaine PF 10 mg/mL (1 %) solution 5 mL AMPUL,24.0,8.4,0.02,17.88,6
NDC,55150016102,lidocaine 1 % solution 2 mL Vial,24.0,8.4,0.02,17.88,6
NDC,55150016102,lidocaine PF 10 mg/mL (1 %) solution 2 mL Vial,24.0,8.4,0.02,17.88,6
NDC,55150016205,lidocaine 1 % solution 5 mL Vial,24.0,8.4,0.02,17.88,6
NDC,55150016205,lidocaine PF 10 mg/mL (1 %) solution 5 mL Vial,24.0,8.4,0.02,17.88,6
NDC,55150016330,lidocaine 1 % solution 30 mL Vial,24.0,8.4,0.02,17.88,6
NDC,55150016330,lidocaine PF 10 mg/mL (1 %) solution 30 mL Vial,24.0,8.4,0.02,17.88,6
NDC,55150016402,lidocaine 20 mg/mL (2%) solution 2 mL Vial,24.0,8.4,0.02,17.88,6
NDC,55150016402,lidocaine PF 20 mg/mL (2 %) solution 2 mL Vial,24.0,8.4,0.02,17.88,6
NDC,55150016505,lidocaine 20 mg/mL (2%) solution 5 mL Vial,24.0,8.4,0.02,17.88,6
NDC,55150016505,lidocaine PF 20 mg/mL (2 %) solution 5 mL Vial,24.0,8.4,0.02,17.88,6
NDC,55150016710,bupivacaine 0.25 % (2.5 mg/mL) solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,55150016710,bupivacaine PF 0.25 % (2.5 mg/mL) solution 10 mL Vial,24.0,8.4,0.02,8.23,6
NDC,55150016830,bupivacaine 0.25 % (2.5 mg/mL) solution 30 mL Vial,24.0,8.4,6.87,17.88,5
NDC,55150016830,bupivacaine PF 0.25 % (2.5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,8.23,6
NDC,55150016910,BUPivacaine (PF) 0.5 % (5 mg/mL) solution 10 mL Vial,24.0,8.4,0.02,17.88,11
NDC,55150017030,BUPivacaine (PF) 0.5 % (5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,17.88,11
NDC,55150017110,bupivacaine PF 0.75 % (7.5 mg/mL) solution 10 mL Vial,24.0,8.4,0.02,17.88,11
NDC,55150017230,bupivacaine PF 0.75 % (7.5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,17.88,11
NDC,55150017301,SUMAtriptan 6 mg/0.5 mL solution 0.5 mL Vial,31.15,10.91,8.92,23.21,5
NDC,55150017410,azithromycin per 500 mg,25.96,9.09,3.71,14.59,6
NDC,55150017705,levetriracetam per 10 mg,24.0,8.4,0.1,8.23,6
NDC,55150018003,amiodarone per 30 mg,24.0,8.4,0.92,17.88,11
NDC,55150018218,amiodarone per 30 mg,48.13,16.85,0.92,35.86,11
NDC,55150018301,niCARdipine 25 mg/10 mL solution 10 mL Vial,60.13,21.05,0.18,44.8,11
NDC,55150018302,niCARdipine 25 mg/10 mL solution 10 mL Vial,54.11,18.94,0.18,40.31,11
NDC,55150018310,niCARdipine 25 mg/10 mL solution 10 mL Vial,60.13,21.05,0.18,44.8,11
NDC,55150018311,niCARdipine 25 mg/10 mL solution 10 mL Vial,54.11,18.94,0.18,40.31,11
NDC,55150018505,esomeprazole 40 mg recon soln 1 each Vial,141.6,49.56,40.55,105.49,10
NDC,55150018703,caffeine citrate per 5 mg,94.4,33.04,27.04,70.33,5
NDC,55150018810,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",20.494999999999997,7.175000000000001,4.87,17.88,15
NDC,55150019201,adenosine (diagnostic) per 30 mg,339.84,118.95,0.72,116.57,6
NDC,55150019220,adenosine (diagnostic) per 30 mg,339.84,118.95,0.72,116.57,6
NDC,55150019301,adenosine (diagnostic) per 30 mg,506.22,177.18,0.72,173.63,6
NDC,55150019410,esmoloL 100 mg/10 mL (10 mg/mL) solution 10 mL Vial,24.0,8.4,0.35,17.88,11
NDC,55150020200,pantoprazole 40 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,55150020210,pantoprazole 40 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,55150020830,meropenem per 100 mg,31.15,10.91,0.63,10.68,6
NDC,55150020902,dexmedeTOMIDine 100 mcg/mL solution 2 mL Vial,24.0,8.4,6.87,17.88,5
NDC,55150021010,bivalirudin per 1 mg,283.2,99.12,0.3,97.14,6
NDC,55150021605,atracurium 10 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,55150021710,atracurium 10 mg/mL solution 10 mL Vial,44.84,15.7,12.84,33.41,5
NDC,55150021910,eptifibatide per 5 mg,1062.0,371.7,304.16,791.19,5
NDC,55150022099,eptifibatide per 5 mg,4602.0,1610.7,1318.01,3428.49,5
NDC,55150022110,etomidate 2 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,55150022220,etomidate 2 mg/mL solution 20 mL Vial,26.2,9.17,7.5,19.52,5
NDC,55150022505,rocuronium 10 mg/mL solution 5 mL Vial,24.78,8.68,7.1,18.46,5
NDC,55150022610,rocuronium 10 mg/mL solution 10 mL Vial,47.44,16.61,13.59,35.34,5
NDC,55150023000,fondaparinux per 0.5 mg,84.96,29.74,1.65,29.14,6
NDC,55150023010,fondaparinux per 0.5 mg,84.96,29.74,1.65,29.14,6
NDC,55150023100,fondaparinux per 0.5 mg,205.67,71.99,1.65,70.54,6
NDC,55150023110,fondaparinux per 0.5 mg,205.67,71.99,1.65,70.54,6
NDC,55150023200,fondaparinux per 0.5 mg,205.32,71.87,1.65,70.42,6
NDC,55150023210,fondaparinux per 0.5 mg,205.32,71.87,1.65,70.42,6
NDC,55150023300,fondaparinux per 0.5 mg,205.67,71.99,1.65,70.54,6
NDC,55150023310,fondaparinux per 0.5 mg,205.67,71.99,1.65,70.54,6
NDC,55150023410,"polymyxin B 500,000 unit recon soln 1 each Vial",41.3,14.46,11.83,30.77,5
NDC,55150023701,dexamethasone per 1 mg,24.0,8.4,0.2,8.23,6
NDC,55150024101,argatroban 1 mg/mL solution 50 mL Vial,552.24,193.29,6.81,411.42,11
NDC,55150024110,argatroban 1 mg/mL solution 50 mL Vial,690.3,241.61,6.81,514.27,11
NDC,55150024251,linezolid in dextrose 5% 600 mg/300 mL piggyback 300 mL Bag,39.65,13.88,5.45,18.21,6
NDC,55150024346,levofloxacin per 250 mg,24.0,8.4,1.5,8.23,6
NDC,55150025110,lidocaine 1 % solution 10 mL Vial,24.0,8.4,0.02,17.88,6
NDC,55150025220,lidocaine 1 % solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,55150025350,lidocaine 1 % solution 50 mL Vial,24.0,8.4,0.02,17.88,6
NDC,55150025410,lidocaine 20 mg/mL (2 %) solution 10 mL Vial,24.0,8.4,0.02,17.88,6
NDC,55150025410,lidocaine 20 mg/mL (2%) solution 10 mL Vial,24.0,8.4,0.02,17.88,6
NDC,55150025520,lidocaine 20 mg/mL (2 %) solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,55150025520,lidocaine 20 mg/mL (2%) solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,55150025930,acetylcysteine per 100 mg,452.41,158.35,1.02,155.18,6
NDC,55150026705,fluphenazine decanoate per 25 mg,42.48,14.87,14.57,57.43,6
NDC,55150027301,thiamine per 100 mg,24.0,8.4,3.23,13.12,6
NDC,55150027325,thiamine per 100 mg,24.0,8.4,3.23,13.12,6
NDC,55150028220,ertapenem per 500 mg,169.92,59.48,18.75,69.85,6
NDC,55150029201,glycopyrrolate 0.2 mg/mL solution 1 mL Vial,24.43,8.56,0.92,18.2,11
NDC,55150029701,dexMEDEtomidine 400 mcg/100 mL (4 mcg/mL) solution 100 mL Flex Cont,148.68,52.04,42.58,110.77,5
NDC,55150029710,dexMEDEtomidine 400 mcg/100 mL (4 mcg/mL) solution 100 mL Flex Cont,148.68,52.04,42.58,110.77,5
NDC,55150030025,phenylephrine per 1 mL,24.0,8.4,0.02,17.88,11
NDC,55150030401,dexAMETHasone sodium phos (PF) 10 mg/mL solution 1 mL Vial,24.0,8.4,0.2,8.23,6
NDC,55150030425,dexAMETHasone sodium phos (PF) 10 mg/mL solution 1 mL Vial,24.0,8.4,0.2,8.23,6
NDC,55150030701,acetaminophen 10 mg/mL solution 100 mL Vial,41.3,14.46,0.08,14.17,6
NDC,55150030724,acetaminophen 10 mg/mL solution 100 mL Vial,41.3,14.46,0.08,14.17,6
NDC,55150030801,OLANZapine 10 mg recon soln 1 each Vial,100.37,35.13,1.57,74.78,11
NDC,55150030901,hydroxyprogesterone 250 mg/mL (1 mL) oil 1 mL Vial,2416.17,845.66,691.99,1800.05,5
NDC,55150030901,hydroxyprogesterone 250 mg/mL oil 1 mL Vial,2416.17,845.66,691.99,1800.05,5
NDC,55150031901,chlorpromazine per 50 mg,93.74,32.81,32.15,188.54,6
NDC,55150031925,chlorpromazine per 50 mg,93.74,32.81,32.15,188.54,6
NDC,55150032201,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,55150032225,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,55150033001,medroxyPROGESTERone 150 mg/mL suspension 1 mL Syringe,198.24,69.39,0.05,68.0,6
NDC,55150033001,medroxyPROGESTERone 150 mg/mL syringe 1 mL Syringe,198.24,69.39,0.05,68.0,6
NDC,55150033501,carboplatin per 50 mg,121.07,42.38,5.94,41.53,6
NDC,55150034501,naloxone 1 mg/mL syringe 2 mL Syringe,89.21,31.23,25.55,66.46,10
NDC,55150034510,nalOXone 1 mg/mL syringe 2 mL Syringe,89.21,31.23,25.55,66.46,10
NDC,55150034510,naloxone 1 mg/mL syringe 2 mL Syringe,89.21,31.23,25.55,66.46,5
NDC,55150036001,prochlorperazine edisylate per 10 mg,25.49,8.93,5.66,15.78,6
NDC,55150036025,prochlorperazine edisylate per 10 mg,25.49,8.93,5.66,15.78,6
NDC,55150036501,amphotericin b liposome per 10 mg,721.45,252.51,22.81,247.46,10
NDC,55150037001,vasopressin 20 unit/mL solution 1 mL Vial,79.3,27.76,22.71,59.08,5
NDC,55150037025,vasopressin 20 unit/mL solution 1 mL Vial,79.3,27.76,22.71,59.08,5
NDC,55150038001,DOCEtaxeL 160 mg/16 mL (10 mg/mL) solution 16 mL Vial,966.66,338.34,1.65,331.56,6
NDC,55150040001,hydralazine per 20 mg,24.0,8.4,7.28,29.95,6
NDC,55150040025,hydralazine per 20 mg,24.0,8.4,7.28,29.95,6
NDC,55150040125,gentamicin per 80 mg,24.0,8.4,4.44,15.69,6
NDC,55150040201,gentamicin per 80 mg,24.0,8.4,4.44,15.69,6
NDC,55150040225,gentamicin per 80 mg,24.0,8.4,4.44,15.69,6
NDC,55150042001,"esmolol 2,500 mg/250 mL (10 mg/mL) parenteral solution 250 mL Bag",412.41,144.35,0.35,307.25,11
NDC,55150042010,esmolol 10 mg/mL parenteral solution 250 mL Bag,412.41,144.35,118.11,307.25,5
NDC,55150042010,"esmolol 2,500 mg/250 mL (10 mg/mL) parenteral solution 250 mL Bag",412.41,144.35,0.35,307.25,11
NDC,55150042901,tirofiban per 0.25 mg,247.56,86.65,6.9,84.91,6
NDC,55150043001,tirofiban 12.5 mg/250 mL solution 250 mL Bag,669.65,234.38,6.9,229.69,6
NDC,55150043810,ketamine 10 mg/mL solution 20 mL Vial,56.92,19.93,16.3,42.41,5
NDC,55150043910,ketamine 50 mg/mL solution 10 mL Vial,30.0,10.5,8.59,22.35,5
NDC,55150047101,vancomycin per 500 mg,56.92,19.93,16.3,42.41,5
NDC,55150047110,vancomycin per 500 mg,56.92,19.93,16.3,42.41,5
NDC,55253060130,tiaGABine 4 MG tablet 30 each Bottle,15.8,5.53,4.53,11.77,5
NDC,55253080130,modafiniL 100 MG tablet 30 each Bottle,52.08,18.23,14.92,38.8,5
NDC,55292020111,succimer 100 mg capsule 100 each Bottle,62.4,21.84,17.87,46.49,5
NDC,55292070154,hemin 313 mg recon soln 1 each Vial,19504.53,6826.59,35.31,6690.05,10
NDC,55292070155,hemin 313 mg recon soln 1 each Vial,19504.53,6826.59,35.31,6690.05,10
NDC,55292081155,dactinomycin per 0.5 mg,7670.59,2684.71,337.67,3117.88,10
NDC,55310000301,amniotic membrane 2 X 3 cm sheet 1 each Packet,3752.4,1313.34,131.27,1287.07,10
NDC,55310000308,amniotic membrane 14 mm sheet 1 each Packet,1062.0,371.7,131.27,364.27,10
NDC,55390003501,doxapram 20 mg/mL solution 20 mL Vial,129.8,45.43,37.17,96.7,5
NDC,55513002101,darbepoetin alfa 100 mcg/mL syringe 0.4 mL Syringe,876.79,306.88,3.07,300.74,10
NDC,55513002101,darbepoetin alfa 40 mcg/0.4 mL syringe 0.4 mL Syringe,876.79,306.88,3.07,300.74,10
NDC,55513002104,darbepoetin alfa 100 mcg/mL syringe 0.4 mL Syringe,876.79,306.88,3.07,300.74,10
NDC,55513002104,darbepoetin alfa 40 mcg/0.4 mL syringe 0.4 mL Syringe,876.79,306.88,3.07,300.74,10
NDC,55513002301,darbepoetin alfa 60 mcg/0.3 mL syringe 0.3 mL Syringe,1315.18,460.32,3.07,451.11,10
NDC,55513002304,darbepoetin alfa 60 mcg/0.3 mL syringe 0.3 mL Syringe,1315.18,460.32,3.07,451.11,10
NDC,55513002501,darbepoetin alfa 100 mcg/0.5 mL syringe 0.5 mL Syringe,2191.97,767.19,3.07,751.85,10
NDC,55513002504,darbepoetin alfa 100 mcg/0.5 mL syringe 0.5 mL Syringe,2191.97,767.19,3.07,751.85,10
NDC,55513002704,darbepoetin alfa 150 mcg/0.3 mL syringe 0.3 mL Syringe,3287.95,1150.79,3.07,1127.77,10
NDC,55513002801,darbepoetin alfa 200 mcg/0.4 mL syringe 0.4 mL Syringe,4383.94,1534.38,3.07,1503.69,10
NDC,55513003201,darbepoetin alfa-albumin per 1 mcg,10959.84,3835.95,3.07,3759.23,10
NDC,55513005701,darbepoetin alfa 25 mcg/0.42 mL syringe 0.42 mL Syringe,547.99,191.8,3.07,187.96,10
NDC,55513005704,darbepoetin alfa 25 mcg/0.42 mL syringe 0.42 mL Syringe,547.99,191.8,3.07,187.96,10
NDC,55513007330,cinacalcet 30 MG tablet 30 each Bottle,76.15,26.66,21.81,56.73,5
NDC,55513007430,cinacalcet 60 MG tablet 30 each Bottle,152.3,53.31,43.62,113.46,5
NDC,55513007801,talimogene laherparepvec 10exp6 (1 million) PFU/mL suspension 1 mL Vial,197.86,69.26,67.87,346.36,10
NDC,55513007901,talimogene laherparepvec 10exp8 (100 million) PFU/mL suspension 1 mL Vial,19783.76,6924.32,73.94,6785.83,10
NDC,55513011101,darbepoetin alfa 300 mcg/0.6 mL syringe 0.6 mL Syringe,6575.9,2301.57,3.07,2255.53,10
NDC,55513012610,epoetin alfa per 1000 Units,93.91,32.87,7.31,32.21,10
NDC,55513014101,trastuzumab-anns 21 mg/ml recon soln 1 each Vial,3851.71,1348.1,22.19,1321.14,10
NDC,55513019001,pegfilgrastim per 6 mg,18175.75,6361.52,50.62,6234.28,10
NDC,55513019201,"pegfilgrastim 6 mg/0.6 mL syringe, w/ wearable injector 0.6 mL Syringe",18175.75,6361.52,50.62,6234.28,10
NDC,55513020601,bevacizumab-awwb 25 mg/mL solution 4 mL Vial,1975.98,691.6,23.74,677.76,10
NDC,55513020701,bevacizumab-awwb 25 mg/mL solution 16 mL Vial,8430.71,2950.75,23.74,2891.73,10
NDC,55513022101,romiplostim per 10 mcg,7796.54,2728.79,11.11,5808.42,9
NDC,55513022201,romiplostim per 10 mcg,15593.04,5457.57,11.11,11616.81,9
NDC,55513022301,romiplostim per 10 mcg,3898.34,1364.42,11.11,2904.26,9
NDC,55513053001,filgrastim per 300 mcg,891.61,312.07,1.02,305.82,10
NDC,55513053010,filgrastim per 300 mcg,891.61,312.07,1.02,305.82,10
NDC,55513054610,filgrastim per 480 mcg,1419.76,496.92,1.02,486.98,10
NDC,55513067001,inFLIXimab-axxq 100 mg recon soln 1 each Vial,1416.0,495.6,28.04,485.69,10
NDC,55513071001,denosumab 60 mg/mL syringe 1 mL Syringe,5311.23,1858.94,29.51,1821.75,10
NDC,55513073001,denosumab 120 mg/1.7 mL (70 mg/mL) solution 1.7 mL Vial,9769.67,3419.39,29.51,3351.0,10
NDC,55513088002,romosozumab-aqqg 210mg/2.34mL ( 105mg/1.17mLx2) syringe 1.17 mL Syringe,6322.42,2212.85,12.19,2168.59,10
NDC,55513095401,panitumumab per 10 mg,5130.59,1795.71,174.39,1759.79,10
NDC,55513095601,panitumumab 400 mg/20 mL (20 mg/mL) solution 20 mL Vial,20522.37,7182.83,174.39,7039.17,10
NDC,55566150101,"chorionic gonadotropin 10,000 unit recon soln 1 each Vial",42.5,14.88,14.58,121.03,6
NDC,55566220000,desmopressin per 1 mcg,229.79,80.43,9.75,78.82,6
NDC,55566230000,desmopressin per 1 mcg,2326.51,814.28,9.75,797.99,6
NDC,55566410000,hyaluronate 10 mg/mL syringe 2 mL Syringe,1021.3,357.46,105.58,689.18,10
NDC,55566410001,hyaluronate 10 mg/mL syringe 2 mL Syringe,1021.3,357.46,105.58,689.18,10
NDC,55566830301,degarelix 80 mg recon soln 1 each KIT,1383.29,484.16,4.46,474.47,10
NDC,56151161211,"glucose 4 GM tablet,chewable 10 each Tube",6.0,2.1,1.72,4.47,5
NDC,56151162501,dextrose 15 gram/32 mL gel in packet 32 mL Packet,6.0,2.1,1.72,4.47,5
NDC,56184012011,"sodium chloride 0.65 % aerosol,spray 30 mL SQUEEZ BTL",9.84,3.45,2.82,7.33,5
NDC,56184012105,phenylephrine 0.125 % drops 15 mL DROP BTL,13.2,4.62,3.78,9.83,5
NDC,57237000511,fluconazole 150 MG tablet 12 each BLIST PACK,32.88,11.51,9.42,24.5,5
NDC,57237001106,"mirtazapine 15 MG tablet,disintegrating 30 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,57237002801,amoxicillin 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,57237003001,amoxicillin 250 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,57237003105,amoxicillin 500 MG capsule 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,57237004001,penicillin v potassium 250 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,57237004101,penicillin v potassium 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,57237004290,valACYclovir 500 MG tablet 90 each Bottle,17.05,5.97,4.88,12.7,5
NDC,57237004560,clarithromycin 500 MG tablet 60 each Bottle,10.67,3.74,3.06,7.95,5
NDC,57237007530,ondansetron per 8 mg,58.48,20.47,0.02,20.06,6
NDC,57237007710,ondansetron per 8 mg,52.59,18.41,0.02,18.04,6
NDC,57237008763,rizatriptan 5 MG tablet 18 each BLIST PACK,74.64,26.13,21.38,55.61,5
NDC,57237009960,cefdinir 300 MG capsule 60 each Bottle,12.07,4.23,3.46,8.99,5
NDC,57237010001,metoprolol tartrate 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,57237014001,torsemide 20 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,57237015035,fluconazole 40 mg/mL suspension for reconstitution 35 mL Bottle,307.77,107.72,88.15,229.29,5
NDC,57237016890,rosuvastatin 5 MG tablet 90 each Bottle,21.11,7.39,6.05,15.73,5
NDC,57237016990,rosuvastatin 10 MG tablet 90 each Bottle,21.11,7.39,6.05,15.73,5
NDC,57237017190,rosuvastatin 40 MG tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,57237017501,venlafaxine 75 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,57237021230,"montelukast 4 MG tablet,chewable 30 each Bottle",11.87,4.16,3.4,8.84,5
NDC,57237021390,"montelukast 5 MG tablet,chewable 90 each Bottle",11.87,4.16,3.4,8.84,5
NDC,57237022090,pioglitazone 30 MG tablet 90 each Bottle,25.29,8.86,7.24,18.84,5
NDC,57237027424,lamiVUDine 10 mg/mL solution 240 mL Bottle,282.63,98.93,80.95,210.56,5
NDC,57237031005,senna 8.8 mg/5 mL syrup 5 mL Cup,7.3,2.56,2.09,5.44,5
NDC,57237031054,senna 8.8 mg/5 mL syrup 5 mL Cup,7.3,2.56,2.09,5.44,5
NDC,57237031603,aluminum-magnesium hydroxide-simethicone 200-200-20 mg/5 mL suspension 30 mL Cup,8.99,3.15,2.57,6.7,5
NDC,57237031631,aluminum-magnesium hydroxide-simethicone 200-200-20 mg/5 mL suspension 30 mL Cup,8.99,3.15,2.57,6.7,5
NDC,57237031931,sodium citrate-citric acid 500-334 mg/5 mL solution 30 mL Cup,12.39,4.34,3.55,9.23,5
NDC,57664022888,methylphenidate HCl 5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,57664037708,traMADoL 50 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,57664039588,venlafaxine 75 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,57664044188,digoxin 250 mcg (0.25 mg) tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,57664050083,mirtazapine 30 MG tablet 30 each Bottle,6.6,2.31,1.89,4.92,5
NDC,57664059650,dexmedeTOMIDine 100 mcg/mL solution 2 mL Vial,181.83,63.65,52.08,135.46,5
NDC,57664062488,"dexmethylphenidate XR 20 MG capsule,ER biphasic 50-50 100 each Bottle",38.03,13.32,10.89,28.33,5
NDC,57664064888,chlorthalidone 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,57664068331,linezolid in dextrose 5% 600 mg/300 mL piggyback 300 mL Bag,184.08,64.43,5.45,63.14,6
NDC,57664068357,linezolid in dextrose 5% 600 mg/300 mL piggyback 300 mL Bag,138.06,48.325,5.45,63.14,12
NDC,57664076188,hydroxychloroquine 200 mg tablet 100 each Bottle,9.65,3.38,2.76,7.19,5
NDC,57664080888,phenytoin 100 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,57665010141,amphotericin b lipid per 10 mg,297.36,104.08,18.36,101.99,6
NDC,57782039726,"cromolyn 5.2 mg/spray (4 %) spray,non-aerosol 26 mL SQUEEZ BTL",30.43,10.66,8.72,22.67,5
NDC,57844010501,dextroamphetamine-amphetamine 5 mg tablet 100 each Bottle,33.22,11.63,9.51,24.75,5
NDC,57844011001,dextroamphetamine-amphetamine 10 mg tablet 100 each Bottle,33.22,11.63,9.51,24.75,5
NDC,57844011501,dextroamphetamine-amphetamine 15 mg tablet 100 each Bottle,33.22,11.63,9.51,24.75,5
NDC,57844018701,pimozide 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,57894003001,infliximab per 10 mg,3307.26,1157.55,31.04,1134.39,10
NDC,57894005427,ustekinumab 130 mg/26 mL solution 26 mL Vial,6002.85,2101.0,11.62,2058.98,10
NDC,57894015012,abiraterone 250 mg tablet 120 each Bottle,282.46,98.87,80.9,210.43,5
NDC,57894020001,abciximab per 10 mg,3818.06,1336.33,0.05,3093.28,6
NDC,57894035001,golimumab 12.5 mg/mL solution 4 mL Vial,5661.72,1981.61,11.29,1941.97,10
NDC,57894042001,siltuximab 20 mg/ml recon soln 1 each Vial,3178.5299999999997,1112.49,174.08,2260.62,15
NDC,57894042101,siltuximab 20 mg/ml recon soln 1 each Vial,12714.119999999999,4449.945,174.08,9042.49,15
NDC,57894050100,amivantamab-vmjw 50 mg/mL solution 7 mL Vial,10780.52,3773.19,22.63,3697.72,10
NDC,57894050101,amivantamab-vmjw 50 mg/mL solution 7 mL Vial,10780.52,3773.19,22.63,3697.72,10
NDC,57894050205,daratumumab 20 mg/mL solution 5 mL Vial,2196.59,768.81,70.77,753.43,10
NDC,57894050220,daratumumab 20 mg/mL solution 20 mL Vial,8329.76,2915.42,70.77,2857.11,10
NDC,57894050301,"daratumumab-hyaluronidase-fihj 1,800 mg-30,000 unit/15 mL solution 15 mL Vial",29939.51,10478.83,55.03,10269.25,10
NDC,57896010201,acetaminophen 325 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,57896010410,"acetaminophen 325 MG tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,57896018105,peg 400-hypromellose-glycerin 1-0.2-0.2 % drops 15 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,57896020401,acetaminophen 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,57896031901,famotidine 20 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,57896040110,"docusate 100mg capsule 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,57896045101,sennosides 8.6 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,57896045401,sennosides 8.6 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,57896046208,senna 8.8 mg/5 mL syrup 237 mL Bottle,27.41,9.6,7.85,20.42,5
NDC,57896047208,senna 8.8 mg/5 mL syrup 237 mL Bottle,28.53,9.99,8.17,21.25,5
NDC,57896063412,magnesium oxide 400 mg (241.3 mg magnesium) tablet 120 each Bottle,6.0,2.1,1.72,4.47,5
NDC,57896063912,aluminum-magnesium hydroxide-simethicone 200-200-20 mg/5 mL suspension 355 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,57896064916,magnesium hydroxide 400 mg/5 mL suspension 473 mL Bottle,6.7,2.35,1.92,4.99,5
NDC,57896079108,"simethicone 80 MG tablet,chewable 8 each Bottle",6.0,2.1,1.72,4.47,5
NDC,57896084401,"potassium-sodium-phosphate 7.1 mEq K+,8 mmol Phos/packet powder in packet 100 each Packet",6.0,2.1,1.72,4.47,5
NDC,57896087401,cholecalciferol 10 mcg (400 unit) tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,57896090101,aspirin 325 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,57896091136,"aspirin 81 MG tablet,chewable 36 each Bottle",6.0,2.1,1.72,4.47,5
NDC,57896092101,"aspirin 325 MG tablet,delayed release (DR/EC) 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,57962014009,ibrutinib 140 mg capsule 90 each Bottle,570.87,199.81,163.5,425.3,5
NDC,57962014012,ibrutinib 140 mg capsule 120 each Bottle,570.87,199.81,163.5,425.3,5
NDC,57970010001,dalbavancin 500 mg solution 1 each Vial,5038.51,1763.48,15.0,1728.21,10
NDC,58160074002,rotavirus vaccine 1.5 mL suspension 1.5 mL Syringe,416.01,145.61,142.69,706.49,6
NDC,58160074021,rotavirus vaccine 1.5 mL suspension 1.5 mL Syringe,416.01,145.61,142.69,706.49,6
NDC,58160081001,DTaP pediatric vaccine 25-58-10 Lf-mcg-Lf/0.5mL suspension 0.5 mL Vial,70.83,24.8,24.29,146.95,6
NDC,58160081011,DTaP pediatric vaccine 25-58-10 Lf-mcg-Lf/0.5mL suspension 0.5 mL Vial,70.83,24.8,24.29,146.95,6
NDC,58160081043,diphth-acell pertussis-tetanus per 0.5 mL,82.74,28.96,28.38,146.95,6
NDC,58160081052,diphth-acell pertussis-tetanus per 0.5 mL,82.74,28.96,28.38,146.95,6
NDC,58160081143,DTaP-HepB-IPV pediatric vaccine 10 mcg-25Lf-25 mcg-10Lf/0.5 mL syringe 0.5 mL Syringe,291.68,102.09,100.05,472.22,6
NDC,58160081152,DTaP-HepB-IPV pediatric vaccine 10 mcg-25Lf-25 mcg-10Lf/0.5 mL syringe 0.5 mL Syringe,291.68,102.09,100.05,472.22,6
NDC,58160081201,DTaP-IPV 25 Lf-58 mcg-10 Lf/0.5 mL syringe 0.5 mL Vial,150.42,52.65,51.59,311.44,6
NDC,58160081211,DTaP-IPV 25 Lf-58 mcg-10 Lf/0.5 mL syringe 0.5 mL Vial,150.42,52.65,51.59,311.44,6
NDC,58160081243,DTaP-IPV 25 Lf-58 mcg-10 Lf/0.5 mL syringe 0.5 mL Syringe,176.49,61.78,60.54,311.44,6
NDC,58160081252,DTaP-IPV 25 Lf-58 mcg-10 Lf/0.5 mL syringe 0.5 mL Syringe,176.49,61.78,60.54,311.44,6
NDC,58160081543,hepatitis A and B vaccine 720 ELISA unit- 20 mcg/mL syringe 1 mL Syringe,374.34,131.02,128.4,636.64,6
NDC,58160081552,hepatitis A and B vaccine 720 ELISA unit- 20 mcg/mL syringe 1 mL Syringe,374.34,131.02,128.4,636.64,6
NDC,58160081601,HIB pediatric vaccine 10 mcg/0.5 mL recon soln 1 each Vial,24.0,8.4,8.23,65.29,6
NDC,58160081601,HIB vaccine 0.5 mL solution 1 each Vial,359.05,125.67,23.04,123.15,6
NDC,58160081605,HIB vaccine 0.5 mL solution 1 each Vial,359.05,125.67,23.04,123.15,6
NDC,58160081811,HIB vaccine 0.5 mL solution 1 each Vial,359.05,125.67,23.04,123.15,6
NDC,58160081912,varicella-zoster vaccine 50 mcg/0.5 mL suspension for reconstitution 1 each KIT,408.37,142.93,140.07,961.82,6
NDC,58160082043,hepatitis B vaccine (pediatric) 0.5 mL syringe 0.5 mL Syringe,82.49,28.88,28.29,156.8,10
NDC,58160082052,hepatitis B vaccine (pediatric) 0.5 mL syringe 0.5 mL Syringe,82.49,28.88,28.29,156.8,10
NDC,58160082101,hepatitis B vaccine (adult) 20 mcg/mL 1 mL Vial,204.23,71.49,70.05,369.08,10
NDC,58160082111,hepatitis B vaccine (adult) 20 mcg/mL 1 mL Vial,204.23,71.49,70.05,369.08,10
NDC,58160082143,hepatitis B vaccine (adult) 20 mcg/mL 1 mL Syringe,204.23,71.49,70.05,369.08,10
NDC,58160082152,hepatitis B vaccine (adult) 20 mcg/mL 1 mL Syringe,204.23,71.49,70.05,369.08,10
NDC,58160082311,varicella-zoster vaccine 50 mcg/0.5 mL suspension for reconstitution 1 each KIT,610.32,213.62,209.34,961.82,6
NDC,58160082415,"measles, mumps & rubella vac per 0.5 mL",253.44,88.71,86.93,471.28,6
NDC,58160082501,hepatitis A vaccine (PEDIATRIC) suspension 0.5 mL Vial,92.79,32.48,31.83,182.76,6
NDC,58160082511,hepatitis A vaccine (PEDIATRIC) suspension 0.5 mL Vial,92.79,32.48,31.83,182.76,6
NDC,58160082543,hepatitis A vaccine (PEDIATRIC) suspension 0.5 mL Syringe,110.45,38.66,37.88,182.76,6
NDC,58160082552,hepatitis A vaccine (PEDIATRIC) suspension 0.5 mL Syringe,110.45,38.66,37.88,182.76,6
NDC,58160082611,hepatitis A vaccine (ADULT) 1 mL Vial,196.64,68.83,67.45,376.8,6
NDC,58160082643,hepatitis A vaccine (ADULT) 1 mL Syringe,243.63,85.28,83.57,376.8,6
NDC,58160082652,hepatitis A vaccine (ADULT) 1 mL Syringe,243.63,85.28,83.57,376.8,6
NDC,58160082703,meningococcal vaccine 10-5 mcg/0.5 mL kit 0.5 mL Vial,446.015,156.11,135.14,778.69,12
NDC,58160082703,meningococcal vaccine 10-5 mcg/0.5 mL solution 0.5 mL Vial,446.015,156.11,120.33,778.69,11
NDC,58160082730,meningococcal vaccine 10-5 mcg/0.5 mL kit 0.5 mL Vial,446.015,156.11,135.14,778.69,12
NDC,58160082730,meningococcal vaccine 10-5 mcg/0.5 mL solution 0.5 mL Vial,446.015,156.11,120.33,778.69,11
NDC,58160082730,meningococcal vaccine 4 mcg/0.5 mL solution 0.5 mL Vial,471.87,165.16,161.85,778.69,6
NDC,58160082801,"varicella-zoster gE vac,2 of 2 50 mcg suspension for reconstitution 1 each Vial",408.37,142.93,116.96,304.24,5
NDC,58160082801,varicella-zoster vaccine 50 mcg/0.5 mL suspension for reconstitution 1 each Vial,408.37,142.93,140.07,961.82,6
NDC,58160082803,"varicella-zoster gE vac,2 of 2 50 mcg suspension for reconstitution 1 each Vial",408.37,142.93,116.96,304.24,5
NDC,58160082803,varicella-zoster vaccine 50 mcg/0.5 mL suspension for reconstitution 1 each Vial,610.32,213.62,209.34,961.82,6
NDC,58160084201,TDAP (BOOSTRIX) VACCINE,136.99,47.95,46.99,203.21,6
NDC,58160084211,TDAP (BOOSTRIX) VACCINE,136.99,47.95,46.99,203.21,6
NDC,58160084234,TDAP (BOOSTRIX) VACCINE,125.81,44.04,43.15,203.21,6
NDC,58160084243,TDAP (BOOSTRIX) VACCINE,136.99,47.95,46.99,203.21,6
NDC,58160084252,TDAP (BOOSTRIX) VACCINE,136.99,47.95,46.99,203.21,6
NDC,58160085101,rotavirus vaccine 1 mL suspension for reconstitution 1 mL Vial,416.01,145.61,142.69,706.49,6
NDC,58160085110,rotavirus vaccine 1 mL suspension for reconstitution 1 mL Vial,416.01,145.61,142.69,706.49,6
NDC,58160085452,rotavirus vaccine 1 mL suspension for reconstitution 1 mL Vial,416.01,145.61,142.69,706.49,6
NDC,58160088541,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,112.85,6
NDC,58160088541,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,112.85,6
NDC,58160088552,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,112.85,6
NDC,58160088552,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,112.85,6
NDC,58160088741,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,112.85,6
NDC,58160088741,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,112.85,6
NDC,58160088752,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,112.85,6
NDC,58160088752,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,112.85,6
NDC,58160089041,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,112.85,6
NDC,58160089041,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,112.85,6
NDC,58160089052,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,112.85,6
NDC,58160089052,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,18.0,6.3,6.17,112.85,6
NDC,58160090941,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,23.32,8.17,8.0,112.85,6
NDC,58160090941,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,23.32,8.17,8.0,112.85,6
NDC,58160090952,influenza vaccine (6 through 35 months) 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,23.32,8.17,8.0,112.85,6
NDC,58160090952,influenza vaccine 60 mcg (15 mcg x 4)/0.5 mL suspension 0.5 mL Syringe,23.32,8.17,8.0,112.85,6
NDC,58160095509,meningococcal vaccine 10-5 mcg/0.5 mL kit 1 each KIT,407.97,142.79,116.84,778.69,18
NDC,58160095509,meningococcal vaccine 4 mcg/0.5 mL solution 1 each KIT,407.97,142.79,139.93,778.69,6
NDC,58160095801,"mening A conj vacc,2 of 2 (PF) 10 mcg /0.5 mL (final) recon soln 1 each Vial",407.97,142.79,116.84,1108.18,11
NDC,58160095801,meningococcal vaccine 10-5 mcg/0.5 mL kit 1 each Vial,407.97,142.79,139.93,778.69,6
NDC,58160096412,rabies vaccine per 1 mL,1073.45,375.71,315.22,1730.51,10
NDC,58160097606,meningococcal B vaccine 50-50-50-25 mcg/0.5 mL syringe 0.5 mL Syringe,507.28,177.55,174.0,1108.18,6
NDC,58160097620,meningococcal B vaccine 50-50-50-25 mcg/0.5 mL syringe 0.5 mL Syringe,671.19,234.92,230.22,1108.18,6
NDC,58181304005,lomustine 10 MG capsule 5 each Bottle,344.06,120.43,98.54,256.32,5
NDC,58181304105,lomustine 40 MG capsule 5 each Bottle,1376.2,481.67,394.14,1025.27,5
NDC,58181304205,lomustine 100 MG capsule 5 each Bottle,3799.01,1329.66,1088.04,2830.26,5
NDC,58281056001,baclofen per 50 mcg,608.88,213.11,178.05,956.99,10
NDC,58394001401,"coagulation factor 8 1,000 (+/-) unit solution 1 each KIT",5404.4,1891.54,1.49,1853.71,10
NDC,58394002503,"coagulation factor 8 2,000 (+/-) unit syringe 1 each KIT",9403.66,3291.29,1.49,3225.46,10
NDC,58394063503,"coagulation factor IX 1,000 unit recon soln 1 each KIT",4848.55,1697.0,1.84,1663.05,10
NDC,58394063703,"coagulation factor IX 3,000 unit recon soln 1 each KIT",16868.81,5904.09,1.84,5786.0,10
NDC,58406002101,etanercept 50 mg/mL (1 mL) syringe 1 mL Syringe,5775.58,2021.46,1304.79,4620.95,6
NDC,58406043501,etanercept 50 mg/mL (1 mL) syringe 0.98 mL Syringe,4538.14,1588.35,1304.79,4620.95,6
NDC,58406043504,etanercept 50 mg/mL (1 mL) syringe 0.98 mL Syringe,4538.14,1588.35,1304.79,4620.95,6
NDC,58438000571,melatonin 1 mg/mL liquid 30 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,58468002001,sevelamer 400 MG tablet 360 each Bottle,9.99,3.5,2.86,7.44,5
NDC,58468002101,sevelamer 800 MG tablet 180 each Bottle,21.06,7.38,6.03,15.69,10
NDC,58468003001,thyrotropin alfa 0.9 mg recon soln 1 each Vial,5257.08,1839.9850000000001,1371.14,10496.01,15
NDC,58468003001,thyrotropin alfa 1.1 mg (0.9 mg/ mL final conc.) recon soln 1 each Vial,4787.5,1675.63,1642.11,10496.01,10
NDC,58468003002,thyrotropin alfa 0.9 mg recon soln 1 each Vial,5257.08,1839.9850000000001,1371.14,10496.01,15
NDC,58468003002,thyrotropin alfa 1.1 mg (0.9 mg/ mL final conc.) recon soln 1 each Vial,4787.5,1675.63,1642.11,10496.01,10
NDC,58468008001,anti-thymocyte glob (rabbit) per 25 mg,3170.33,1109.62,1023.12,4827.34,10
NDC,58468009003,hylan polymers A & B 48 mg/6 mL syringe 6 mL Syringe,3878.75,1357.57,6.96,1330.41,10
NDC,58468013001,sevelamer 800 mg tablet 270 each Bottle,16.85,5.9,4.83,12.55,10
NDC,58468013101,sevelamer carbonate 2.4 gram powder in packet 90 each Packet,50.54,17.69,14.47,37.65,10
NDC,58468013102,sevelamer carbonate 2.4 gram powder in packet 90 each Box,50.54,17.69,14.47,37.65,10
NDC,58526000551,"sodium chloride 1,000 mg tablet,soluble 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,58526000557,ferrous sulfate 300 mg (60 mg iron)/5 mL liquid 5 mL Cup,9.71,3.4,2.78,7.23,5
NDC,58526000559,ferrous sulfate 300 mg (60 mg iron)/5 mL liquid 5 mL Cup,9.71,3.4,2.78,7.23,5
NDC,58657031016,sodium citrate-citric acid 500-334 mg/5 mL solution 473 mL Bottle,100.47,35.17,28.77,74.85,5
NDC,58657031116,potassium-citrate-sodium citrate-citric acid 550-500-334 mg/5 mL solution 473 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,58790000228,"carboxymethylcellulose sodium 1 % dropperette,gel 28 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,58790000330,"carboxymethylcellulose sodium 1 % dropperette,gel 30 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,58914017014,sucralfate 100 mg/mL suspension 420 mL Bottle,756.29,264.71,216.6,563.44,5
NDC,58914017110,sucralfate 1 gram tablet 100 each Bottle,14.04,4.92,4.02,10.46,5
NDC,58914021460,pediatric multivitamin with vitamin K 400 mcg/mL drops 60 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,58980040912,glycerin (child) suppository 12 each Jar,6.0,2.1,1.72,4.47,5
NDC,58980041501,bisacodyL 10 mg suppository 1 each Box,6.0,2.1,1.72,4.47,5
NDC,58980041512,bisacodyL 10 mg suppository 12 each Box,6.0,2.1,1.72,4.47,5
NDC,59011041010,"oxycoDONE 10 mg tablet,oral only,ext.rel.12 hr 100 each Bottle",16.05,5.62,4.6,11.96,5
NDC,59011041020,"oxycoDONE 10 mg tablet,oral only,ext.rel.12 hr 20 each BLIST PACK",16.47,5.77,4.72,12.27,5
NDC,59011042010,"oxyCODONE 20 mg tablet,oral only,ext.rel.12 hr 100 each Bottle",29.92,10.48,8.57,22.29,5
NDC,59011042020,"oxyCODONE 20 mg tablet,oral only,ext.rel.12 hr 20 each BLIST PACK",30.69,10.75,8.79,22.86,5
NDC,59011044010,"oxyCODONE 40 mg tablet,oral only,ext.rel.12 hr 100 each Bottle",51.25,17.94,14.68,38.18,5
NDC,59011044020,"oxyCODONE 40 mg tablet,oral only,ext.rel.12 hr 20 each BLIST PACK",52.54,18.39,15.05,39.14,5
NDC,59148000613,ARIPiprazole 2 MG tablet 30 each Bottle,55.11,19.29,15.78,41.06,5
NDC,59148001035,ARIPiprazole 20 MG tablet 100 each BLIST PACK,119.07,41.68,34.1,88.71,5
NDC,59148001135,ARIPiprazole 30 MG tablet 100 each BLIST PACK,119.07,41.68,34.1,88.71,5
NDC,59148001970,"ARIPiprazole 400 mg suspension,extended rel recon 1 each Vial",8225.38,2878.89,7.27,2821.31,10
NDC,59148001971,"ARIPiprazole 400 mg suspension,extended rel recon 1 each Vial",8225.38,2878.89,7.27,2821.31,10
NDC,59148002050,tolvaptan 15 mg tablet 10 each BLIST PACK,1473.2,515.62,421.92,1097.53,5
NDC,59148002150,tolvaptan 30 mg tablet 10 each BLIST PACK,1528.27,534.9,437.7,1138.56,5
NDC,59148003713,brexpiprazole 1 mg tablet 30 each Bottle,143.08,50.08,40.98,106.59,5
NDC,59148004580,"ARIPiprazole 300 mg suspension,extended rel syring 1 each Syringe",6169.04,2159.17,7.27,2115.98,10
NDC,59148007280,"ARIPiprazole 400 mg suspension,extended rel syring 1 each Syringe",8225.38,2878.89,7.27,2821.31,10
NDC,59212056210,hydroxychloroquine 200 mg tablet 100 each Bottle,39.47,13.82,11.3,29.41,5
NDC,59212056211,hydroxychloroquine 200 mg tablet 100 each Bottle,31.41,11.0,9.0,23.4,5
NDC,59267010551,COVID-19 vaccine 10 mcg/0.2 mL suspension for reconstitution 2 mL Vial,24.0,8.4,6.87,17.88,5
NDC,59267100001,COVID-19 vaccine 30 mcg/0.3 mL suspension for reconstitution 1.8 mL Vial,24.0,8.4,6.87,17.88,5
NDC,59267100002,COVID-19 vaccine 30 mcg/0.3 mL suspension for reconstitution 1.8 mL Vial,24.0,8.4,6.87,17.88,5
NDC,59267100554,COVID-19 vaccine 10 mcg/0.2 mL suspension for reconstitution 2 mL Vial,24.0,8.4,6.87,17.88,5
NDC,59267105501,COVID-19 vaccine 10 mcg/0.2 mL suspension for reconstitution 2 mL Vial,24.0,8.4,6.87,17.88,5
NDC,59267105504,COVID-19 vaccine 10 mcg/0.2 mL suspension for reconstitution 2 mL Vial,24.0,8.4,6.87,17.88,5
NDC,59310030240,beclomethasone 40 mcg/actuation HFA aerosol breath activated 10.6 g AER BR.ACT,620.2,217.07,177.63,462.05,5
NDC,59310030480,beclomethasone 80 mcg/actuation HFA aerosol breath activated 10.6 g AER BR.ACT,830.63,290.73,237.89,618.82,5
NDC,59310057922,albuterol 90 mcg/actuation HFA aerosol inhaler 8.5 g CANISTER,207.58,72.66,59.45,154.65,5
NDC,59310061031,reslizumab 10 mg/mL solution 10 mL Vial,3154.85,1104.2,11.53,1082.11,10
NDC,59365512801,copper 380 square mm intrauterine device 1 each Packet,3225.65,1128.98,1106.4,5375.2,6
NDC,59365512901,copper 380 square mm intrauterine device 1 each Packet,3225.65,1128.98,1106.4,5375.2,6
NDC,59417010210,lisdexamfetamine 20 MG capsule 100 each Bottle,36.61,12.82,10.49,27.27,5
NDC,59417010310,lisdexamfetamine 30 MG capsule 100 each Bottle,36.61,12.82,10.49,27.27,5
NDC,59417010410,lisdexamfetamine 40 MG capsule 100 each Bottle,36.61,12.82,10.49,27.27,5
NDC,59572010201,azaCITIDine 10 MG/ML recon soln 1 each Vial,1657.4,580.09,0.54,568.49,6
NDC,59572010201,azaCITIDine 100 mg recon soln 1 each Vial,1657.4,580.09,0.54,568.49,6
NDC,59572021015,thalidomide 100 MG capsule 28 each BLIST PACK,785.62,274.97,225.0,585.29,5
NDC,59572040200,lenalidomide 2.5 mg capsule 100 each Bottle,2524.87,883.71,723.12,1881.03,5
NDC,59572040228,lenalidomide 2.5 mg capsule 28 each Bottle,2524.87,883.71,723.12,1881.03,5
NDC,59572040500,lenalidomide 5 mg capsule 100 each Bottle,2524.87,883.71,723.12,1881.03,5
NDC,59572040528,lenalidomide 5 mg capsule 28 each Bottle,2524.87,883.71,723.12,1881.03,5
NDC,59572041000,lenalidomide 10 mg capsule 100 each Bottle,2524.87,883.71,723.12,1881.03,5
NDC,59572041028,lenalidomide 10 mg capsule 28 each Bottle,2524.87,883.71,723.12,1881.03,5
NDC,59572041500,lenalidomide 15 mg capsule 100 each Bottle,2524.87,883.71,723.12,1881.03,5
NDC,59572041521,lenalidomide 15 mg capsule 21 each Bottle,2524.87,883.71,723.12,1881.03,5
NDC,59572042000,lenalidomide 20 mg capsule 100 each Bottle,2524.87,883.71,723.12,1881.03,5
NDC,59572042021,lenalidomide 20 mg capsule 21 each Bottle,2524.87,883.71,723.12,1881.03,5
NDC,59572042500,lenalidomide 25 mg capsule 100 each Bottle,2524.87,883.71,723.12,1881.03,5
NDC,59572042521,lenalidomide 25 mg capsule 21 each Bottle,2524.87,883.71,723.12,1881.03,5
NDC,59572050100,pomalidomide 1 mg capsule 100 each Bottle,3232.66,1131.44,925.83,2408.33,5
NDC,59572050121,pomalidomide 1 mg capsule 21 each Bottle,3232.66,1131.44,925.83,2408.33,5
NDC,59572050200,pomalidomide 2 mg capsule 100 each Bottle,3232.66,1131.44,925.83,2408.33,5
NDC,59572050221,pomalidomide 2 mg capsule 21 each Bottle,3232.66,1131.44,925.83,2408.33,5
NDC,59572050300,pomalidomide 3 mg capsule 100 each Bottle,3232.66,1131.44,925.83,2408.33,5
NDC,59572050321,pomalidomide 3 mg capsule 21 each Bottle,3232.66,1131.44,925.83,2408.33,5
NDC,59572050400,pomalidomide 4 mg capsule 100 each Bottle,3232.66,1131.44,925.83,2408.33,5
NDC,59572050421,pomalidomide 4 mg capsule 21 each Bottle,3232.66,1131.44,925.83,2408.33,5
NDC,59572071101,luspatercept-aamt 25 mg recon soln 1 each Vial,10696.925,3743.93,42.75,7260.35,15
NDC,59572072012,fedratinib 100 mg capsule 120 each Bottle,651.35,227.98,186.55,485.26,5
NDC,59572077501,luspatercept-aamt 75 mg recon soln 1 each Vial,34945.09,12230.79,42.75,11986.17,10
NDC,59572098301,romiDEPsin 10 mg/2 mL recon soln 1 each Vial,8289.85,2901.45,2374.21,6175.94,5
NDC,59584013801,candida albicans skin test FDA STANDARD allergen 1 mL Vial,91.19,31.92,26.12,67.94,5
NDC,59630026601,cefiderocoL 1 gram recon soln 1 each Vial,659.4,230.79,2.42,226.17,10
NDC,59630026610,cefiderocoL 1 gram recon soln 1 each Vial,659.4,230.79,2.42,226.17,10
NDC,59630032010,doripenem per 10 mg,118.21,41.38,0.05,40.55,6
NDC,59651002675,amoxicillin-clavulanate 250-62.5 mg/5 mL suspension for reconstitution 75 mL Bottle,152.75,53.47,43.75,113.8,5
NDC,59651005230,ezetimibe 10 mg tablet 30 each Bottle,24.26,8.5,6.95,18.07,5
NDC,59651005290,ezetimibe 10 mg tablet 90 each Bottle,24.26,8.5,6.95,18.07,5
NDC,59651008560,darunavir 600 MG tablet 60 each Bottle,89.01,31.16,25.49,66.31,5
NDC,59651014601,carbidopa 25 mg tablet 100 each Bottle,51.57,18.05,14.77,38.42,5
NDC,59651015201,progesterone 100 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59651015301,progesterone 200 MG capsule 100 each Bottle,9.44,3.31,2.7,7.03,5
NDC,59651029960,tamoxifen 10 MG tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59651033201,flucytosine 500 mg capsule 100 each Bottle,374.78,131.18,107.34,279.21,5
NDC,59651036101,ibuprofen 600mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59651036105,ibuprofen 600mg tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59651040112,cloBAZam 2.5 mg/mL suspension 120 mL Bottle,20.43,7.16,5.85,15.22,5
NDC,59651042101,ursodioL 300 mg capsule 100 each Bottle,17.35,6.08,4.97,12.93,5
NDC,59651048901,prednisone per 5 mg,6.0,2.1,0.02,2.06,6
NDC,59651056360,rufinamide 40 mg/mL suspension 460 mL Bottle,4473.76,1565.82,1281.28,3332.95,5
NDC,59651056501,dicloxacillin 250 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59651069101,loperamide 2 mg capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59651072201,clonazepam 0.5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,59651079001,haloperidoL 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59651079201,haloperidoL 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59651086701,ciprofloxacin 500 MG tablet 100 each Bottle,13.18,4.62,3.77,9.82,5
NDC,59676027801,rilpivirine HCl 25 mg tablet 30 each Bottle,140.03,49.02,40.1,104.32,5
NDC,59676030201,epoetin alfa per 1000 Units,151.4,52.99,7.31,51.93,10
NDC,59676031204,"epoetin alfa 20,000 unit/2 mL solution 2 mL Vial",1513.7,529.8,7.31,519.2,10
NDC,59676034001,epoetin alfa per 1000 Units,3027.41,1059.6,7.31,1038.4,10
NDC,59676056101,darunavir ethanolate 400 MG tablet 60 each Bottle,68.8,24.08,19.7,51.26,5
NDC,59676056201,darunavir 600 MG tablet 60 each Bottle,101.86,35.66,29.17,75.89,5
NDC,59676056630,darunavir 800 mg tablet 30 each Bottle,203.73,71.31,58.35,151.78,5
NDC,59676057001,etravirine 100 mg tablet 120 each Bottle,35.35,12.38,10.12,26.34,5
NDC,59676057530,darunavir-cobicistat 800-150 mg-mg tablet 30 each Bottle,232.86,81.51,66.69,173.48,5
NDC,59676061001,trabectedin 0.05 mg/ml recon soln 1 each Vial,10448.22,3656.88,391.07,3583.74,10
NDC,59676096001,doxorubicin liposomal per 10 mg,3537.05,1237.97,71.86,1213.21,10
NDC,59730420201,hepatitis B immune globulin greatr than 312 unit/mL solution 1 mL Vial,458.83,160.6,140.21,717.07,10
NDC,59730420301,hepatitis b immune globulin per 0.5 mL,2009.35,703.28,140.21,717.07,10
NDC,59746000106,methylprednisolone per 4 mg,6.0,2.1,0.38,2.06,6
NDC,59746000204,methylprednisolone per 4 mg,6.0,2.1,0.38,2.06,6
NDC,59746001032,"risperiDONE 0.5 MG tablet,disintegrating 30 each BLIST PACK",11.6,4.06,3.32,8.64,5
NDC,59746002022,"risperiDONE 1 MG tablet,disintegrating 28 each BLIST PACK",12.99,4.55,3.72,9.68,5
NDC,59746003022,"risperiDONE 2 MG tablet,disintegrating 28 each BLIST PACK",21.11,7.39,6.05,15.73,5
NDC,59746005022,"risperiDONE 4 MG tablet,disintegrating 28 each BLIST PACK",35.78,12.53,10.25,26.66,5
NDC,59746011306,prochlorperazine maleate per 5 mg,6.0,2.1,0.59,2.06,6
NDC,59746011506,prochlorperazine maleate per 10 mg,6.0,2.1,0.59,2.06,6
NDC,59746017106,prednisone per 5 mg,6.0,2.1,0.02,2.06,6
NDC,59746017506,prednisone per 5 mg,6.0,2.1,0.02,2.06,6
NDC,59746021601,spironolactone 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59746021605,spironolactone 25 MG tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59746021701,spironolactone 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59746021801,spironolactone 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59746027901,escitalopram 5 MG tablet 100 each Bottle,10.64,3.73,3.05,7.93,5
NDC,59746030612,"OLANZapine zydis 5 MG tablet,disintegrating 1 each BLIST PACK",33.69,11.8,9.65,25.1,5
NDC,59746030632,"OLANZapine zydis 5 MG tablet,disintegrating 30 each BLIST PACK",33.69,11.8,9.65,25.1,5
NDC,59746030712,"OLANZapine zydis 10 MG tablet,disintegrating 1 each BLIST PACK",49.5,17.33,14.18,36.88,5
NDC,59746030732,"OLANZapine zydis 10 MG tablet,disintegrating 30 each BLIST PACK",49.5,17.33,14.18,36.88,5
NDC,59746030912,"OLANZapine zydis 20 MG tablet,disintegrating 1 each BLIST PACK",96.5,33.78,27.64,71.89,5
NDC,59746030932,"OLANZapine zydis 20 MG tablet,disintegrating 30 each BLIST PACK",96.5,33.78,27.64,71.89,5
NDC,59746038406,terazosin 2 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59746041419,rizatriptan 5 MG tablet 18 each BLIST PACK,74.64,26.13,21.38,55.61,5
NDC,59746074360,clarithromycin 500 MG tablet 60 each Bottle,10.67,3.74,3.06,7.95,5
NDC,59762001601,clindamycin 75 mg/5 mL recon soln 100 mL Bottle,146.32,51.22,41.91,109.01,5
NDC,59762003702,dofetilide 125 MCG capsule 60 each Bottle,20.21,7.08,5.79,15.06,5
NDC,59762003902,dofetilide 500 MCG capsule 60 each Bottle,20.21,7.08,5.79,15.06,5
NDC,59762005501,medroxyPROGESTERone 2.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59762005601,medroxyPROGESTERone 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59762006701,sertraline 20 mg/mL concentrate 60 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,59762007401,hydrocortisone 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59762007501,hydrocortisone 20 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59762011803,mesalamine 1000 MG suppository 30 each BLIST PACK,90.14,31.55,25.82,67.15,5
NDC,59762013105,silver sulfADIAZINE 1 % cream 50 g Tube,35.64,12.48,10.21,26.55,5
NDC,59762013106,silver sulfADIAZINE 1 % cream 50 g Jar,35.64,12.48,10.21,26.55,5
NDC,59762026001,colestipoL 5 gram packet 30 each Packet,9.27,3.25,2.65,6.91,5
NDC,59762033302,latanoprost 0.005 % drops 2.5 mL DROP BTL,224.84,78.7,64.39,167.51,5
NDC,59762040101,sucralfate 1 gram tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59762040105,sucralfate 1 gram tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59762040906,atazanavir 200 MG capsule 60 each Bottle,124.32,43.52,35.61,92.62,5
NDC,59762041003,atazanavir 300 MG capsule 30 each Bottle,123.14,43.1,35.27,91.74,5
NDC,59762045001,colestipoL 1 gram tablet 120 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59762080002,tolterodine 2 MG tablet 60 each Bottle,8.02,2.81,2.3,5.97,5
NDC,59762093002,voriconazole 200 MG tablet 30 each Bottle,109.59,38.36,31.39,81.64,5
NDC,59762093601,voriconazole 200 MG tablet 30 each Bottle,109.59,38.36,31.39,81.64,5
NDC,59762100401,NIFEdipine 10 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59762100501,cabergoline 0.5 mg tablet 8 each Bottle,86.52,30.29,24.78,64.46,5
NDC,59762106101,diphenoxylate-atropine 2.5-0.025 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,59762130801,linezolid 100 mg/5 mL suspension for reconstitution 150 mL Bottle,1935.32,677.37,554.28,1441.81,5
NDC,59762134601,pregabalin 75 MG capsule 90 each Bottle,19.89,6.97,5.7,14.82,5
NDC,59762135001,rifabutin 150 mg capsule 100 each Bottle,41.29,14.46,11.83,30.76,5
NDC,59762219803,azithromycin 250 MG tablet 6 each BLIST PACK,18.37,6.43,5.26,13.69,5
NDC,59762219807,azithromycin 250 MG tablet 30 each Bottle,18.37,6.43,5.26,13.69,5
NDC,59762232101,eletriptan 20 MG tablet 6 each BLIST PACK,145.05,50.77,41.54,108.06,5
NDC,59762238006,doxazosin 8 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59762285801,exemestane 25 mg tablet 30 each Bottle,47.75,16.72,13.68,35.57,5
NDC,59762305102,azithromycin 1 gram packet 3 each Packet,68.74,24.06,19.69,51.21,5
NDC,59762305105,azithromycin 1 gram packet 1 each Packet,68.75,24.07,19.69,51.22,5
NDC,59762312001,azithromycin 200 mg/5 mL suspension for reconstitution 15 mL Bottle,82.31,28.81,23.57,61.32,5
NDC,59762313001,azithromycin 200 mg/5 mL suspension for reconstitution 22.5 mL Bottle,82.31,28.81,23.57,61.32,5
NDC,59762314001,azithromycin 200 mg/5 mL suspension for reconstitution 30 mL Bottle,82.34,28.82,23.58,61.34,5
NDC,59762330403,"nitroglycerin 0.4 MG tablet, sublingual 25 each Bottle",6.0,2.1,1.72,4.47,5
NDC,59762371901,ALPRAZolam 0.25 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,59762372101,ALPRAZolam 1 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,59762374001,medroxyPROGESTERone 2.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59762374202,medroxyPROGESTERone 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59762374401,clindamycin 1 % lotion 60 mL Bottle,283.62,99.27,81.23,211.3,5
NDC,59762453702,medroxyPROGESTERone 150 mg/mL suspension 1 mL Vial,230.685,80.745,0.05,171.86,11
NDC,59762453802,medroxyPROGESTERone 150 mg/mL suspension 1 mL Syringe,271.87,95.16,0.05,202.54,11
NDC,59762453802,medroxyPROGESTERone 150 mg/mL syringe 1 mL Syringe,271.87,95.16,0.05,202.54,11
NDC,59762494001,sertraline 20 mg/mL concentrate 60 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,59762500002,sulfaSALAzine 500 mg tablet 300 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59762500005,sulfaSALAzine 500 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59762500701,miSOPROStoL 100 MCG tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59762500801,miSOPROStoL 200 MCG tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59762500802,miSOPROStoL 200 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59762501701,fluconazole 150 MG tablet 12 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,59762503001,fluconazole 40 mg/mL suspension for reconstitution 35 mL Bottle,296.29,103.71,84.86,220.74,5
NDC,59762505001,gabapentin 250 mg/5 mL solution 470 mL Bottle,343.85,120.35,98.48,256.17,5
NDC,59762505007,gabapentin 250 mg/5 mL solution 470 mL Bottle,343.85,120.35,98.48,256.17,5
NDC,59762531001,prazosin 1 MG capsule 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,59762669203,NIFEdipine XL 90 MG tablet extended release 24hr 100 each Bottle,6.05,2.12,1.73,4.51,5
NDC,59923060310,pamidronate disodium per 30 mg,159.63,55.88,45.72,118.92,5
NDC,60219167801,fluPHENAZine 1 MG tablet 100 each Bottle,10.37,3.63,2.97,7.73,5
NDC,60219168001,fluPHENAZine 5 MG tablet 100 each Bottle,21.71,7.6,6.22,16.17,5
NDC,60219168101,fluPHENAZine 10 MG tablet 100 each Bottle,27.38,9.59,7.84,20.4,5
NDC,60219170501,prednisone per 5 mg,6.0,2.1,0.02,2.06,6
NDC,60219170801,prednisone per 5 mg,6.0,2.1,0.02,2.06,6
NDC,60219174903,atropine 1 % drops 5 mL DROP BTL,137.78,48.23,39.46,102.65,5
NDC,60219203301,carbidopa-levodopa 25-100 mg tablet extended release 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,60219204501,theophylline 300 MG tablet extended release 12 hr 100 each Bottle,10.14,3.55,2.9,7.55,5
NDC,60258000116,sodium citrate-citric acid 500-334 mg/5 mL solution 473 mL Bottle,100.47,35.17,28.77,74.85,5
NDC,60258000601,"potassium-sodium-phosphate 7.1 mEq K+,8 mmol Phos/packet powder in packet 100 each Packet",6.0,2.1,1.72,4.47,5
NDC,60258016001,multivitamin 0.8 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,60258016101,vitamin B complex with vitamin C/biotin 1-60-300 mg-mg-mcg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,60258019001,prenatal vitamin 29-1 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,60267070550,sodium thiosulfate 12.5 gram/50 mL (250 mg/mL) solution 50 mL Vial,273.76,95.82,78.4,203.95,5
NDC,60432003708,lactulose 10 gram/15 mL solution 237 mL Bottle,32.44,11.36,9.29,24.17,5
NDC,60432006500,amoxicillin-clavulanate 250-62.5 mg/5 mL suspension for reconstitution 100 mL Bottle,203.9,71.37,58.4,151.91,5
NDC,60432006575,amoxicillin-clavulanate 250-62.5 mg/5 mL suspension for reconstitution 75 mL Bottle,152.75,53.47,43.75,113.8,5
NDC,60432009216,oxybutynin 5 mg/5 mL syrup 473 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,60432009316,amantadine 50 mg/5 mL solution 473 mL Bottle,164.09,57.44,47.0,122.25,5
NDC,60432012916,carbamazepine 100 mg/5 mL suspension 450 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,60432013108,phenytoin 125 mg/5 mL suspension 237 mL Bottle,79.42,27.8,22.75,59.17,5
NDC,60432013325,clobetasoL 0.05 % solution 25 mL Bottle,243.43,85.21,69.72,181.36,5
NDC,60432015004,hydrOXYzine 10 mg/5 mL solution 118 mL Bottle,46.23,16.19,13.24,34.44,5
NDC,60432015016,hydrOXYzine 10 mg/5 mL solution 473 mL Bottle,170.79,59.78,48.91,127.24,5
NDC,60432021208,prednisolone per 5 mg,173.39,60.69,0.69,59.47,6
NDC,60432026415,"fluticasone propionate 50 mcg/actuation spray,suspension 16 g AER W/ADAP",201.22,70.43,57.63,149.91,5
NDC,60432046400,lidocaine 2 % solution 100 mL Bottle,31.15,10.91,8.92,23.21,5
NDC,60432046550,lidocaine 4 % (40 mg/mL) solution 50 mL Bottle,113.28,39.65,32.44,84.39,5
NDC,60432046551,lidocaine 4 % (40 mg/mL) solution 50 mL Bottle,113.28,39.65,32.44,84.39,5
NDC,60432053716,"nystatin 100,000 unit/mL suspension 473 mL Bottle",270.14,94.55,77.37,201.25,5
NDC,60432053760,"nystatin 100,000 unit/mL suspension 60 mL DROP BTL",39.93,13.98,11.44,29.75,5
NDC,60432060816,promethazine per 25 mg,108.75,38.07,0.14,37.3,6
NDC,60432061360,furosemide 10 mg/mL solution 60 mL Bottle,24.5,8.58,7.02,18.25,5
NDC,60432062116,valproic acid 250 mg/5 mL solution 473 mL Bottle,169.67,59.39,48.59,126.4,5
NDC,60432074115,acetic acid 2 % solution 15 mL Bottle,94.41,33.05,27.04,70.34,5
NDC,60505005501,selegiline 5 mg capsule 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,60505009300,doxazosin 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,60505009500,doxazosin 4 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,60505009600,doxazosin 8 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,60505013300,cyclosporine per 25 mg,10.44,3.66,1.39,3.94,6
NDC,60505013400,cyclosporine per 100 mg,41.67,14.59,3.73,14.29,6
NDC,60505014100,glipiZIDE 5mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,60505014200,glipiZIDE 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,60505016501,fluvoxaMINE 50 MG tablet 100 each Bottle,6.07,2.13,1.74,4.52,5
NDC,60505016601,fluvoxaMINE 100 MG tablet 100 each Bottle,6.23,2.19,1.78,4.64,5
NDC,60505016809,pravastatin 10 MG tablet 90 each Bottle,7.59,2.66,2.17,5.65,5
NDC,60505017009,pravastatin 40 MG tablet 90 each Bottle,11.31,3.96,3.24,8.43,5
NDC,60505018300,carbamazepine 200 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,60505025103,tiZANidine 2 MG tablet 150 each Bottle,6.0,2.1,1.72,4.47,5
NDC,60505025203,tiZANidine 4 MG tablet 150 each Bottle,6.0,2.1,1.72,4.47,5
NDC,60505025701,desmopressin 0.1 MG tablet 100 each Bottle,7.13,2.5,2.04,5.31,5
NDC,60505025801,desmopressin 0.2 MG tablet 100 each Bottle,10.27,3.6,2.94,7.65,5
NDC,60505036301,ofloxacin 0.3 % drops 5 mL DROP BTL,364.1,127.44,104.28,271.25,5
NDC,60505040405,ARIPiprazole 1 mg/mL solution 150 mL Bottle,2501.72,875.61,716.49,1863.78,5
NDC,60505056401,brimonidine 0.15 % drops 5 mL DROP BTL,452.36,158.33,129.56,337.01,5
NDC,60505057501,olopatadine 0.1 % drops 5 mL DROP BTL,605.34,211.87,173.37,450.98,5
NDC,60505058204,moxifloxacin 0.5 % drops 3 mL DROP BTL,394.94,138.23,113.11,294.23,5
NDC,60505075304,ceftriaxone per 250 mg,215.49,75.43,0.8,73.91,6
NDC,60505079204,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,60505079504,enoxaparin per 10 mg,42.48,14.87,1.02,14.57,6
NDC,60505082306,"calcitonin 200 unit/actuation spray,non-aerosol 3.7 mL SQUEEZ BTL",279.76,97.92,80.12,208.42,5
NDC,60505082901,"fluticasone propionate 50 mcg/actuation spray,suspension 16 g AER W/ADAP",201.22,70.43,57.63,149.91,5
NDC,60505083305,"azelastine 137 mcg (0.1 %) spray,non-aerosol 30 mL SQUEEZ BTL",248.37,86.93,71.13,185.04,5
NDC,60505100301,ketorolac 0.5 % drops 5 mL DROP BTL,252.21,88.28,72.23,187.9,5
NDC,60505100302,ketorolac 0.5 % drops 10 mL DROP BTL,504.4,176.54,144.46,375.78,5
NDC,60505132309,pravastatin 80 MG tablet 90 each Bottle,11.31,3.96,3.24,8.43,5
NDC,60505132501,midodrine 10 MG tablet 100 each Bottle,11.47,4.02,3.29,8.55,5
NDC,60505250301,leflunomide 20 MG tablet 30 each Bottle,38.72,13.56,11.09,28.85,5
NDC,60505252603,modafiniL 100 MG tablet 30 each Bottle,62.25,21.79,17.83,46.38,5
NDC,60505257507,balsalazide 750 mg capsule 280 each Bottle,6.0,2.1,1.72,4.47,5
NDC,60505257809,atorvastatin 10 MG tablet 90 each Bottle,9.55,3.35,2.74,7.11,5
NDC,60505296507,mycophenolate per 180 mg,10.78,3.78,0.8,3.7,6
NDC,60505311000,OLANZapine 2.5 MG tablet 100 each BLIST PACK,26.42,9.25,7.57,19.68,5
NDC,60505311100,OLANZapine 5 MG tablet 100 each BLIST PACK,31.19,10.92,8.93,23.24,5
NDC,60505311200,OLANZapine 7.5 MG tablet 100 each BLIST PACK,37.96,13.29,10.87,28.28,5
NDC,60505311300,OLANZapine 10 MG tablet 100 each BLIST PACK,47.0,16.45,13.46,35.02,5
NDC,60505314000,OLANZapine 20 MG tablet 100 each BLIST PACK,94.0,32.9,26.92,70.03,5
NDC,60505327500,"OLANZapine zydis 5 MG tablet,disintegrating 100 each BLIST PACK",33.69,11.8,9.65,25.1,5
NDC,60505327503,"OLANZapine zydis 5 MG tablet,disintegrating 30 each Bottle",33.69,11.8,9.65,25.1,5
NDC,60505327603,"OLANZapine zydis 10 MG tablet,disintegrating 30 each Bottle",49.5,17.33,14.18,36.88,5
NDC,60505352706,tolterodine 1 MG tablet 60 each Bottle,8.51,2.98,2.44,6.34,5
NDC,60505358306,abacavir 300 mg tablet 60 each Bottle,23.73,8.31,6.8,17.68,5
NDC,60505392701,guanFACINE 1 mg tablet extended release 24 hr 100 each Bottle,24.76,8.67,7.09,18.45,5
NDC,60505431700,tolvaptan 15 mg tablet 10 each BLIST PACK,1332.89,466.52,381.74,993.0,5
NDC,60505463003,cyclosporine modified per 25 mg,6.0,2.1,1.39,3.94,6
NDC,60505464303,prasugreL HCl 10 mg tablet 30 each Bottle,38.95,13.64,11.16,29.02,5
NDC,60505470400,tolvaptan 15 mg tablet 10 each BLIST PACK,1332.89,466.52,381.74,993.0,5
NDC,60505476606,varenicline tartrate 1 mg tablet 56 each Bottle,21.89,7.67,6.27,16.31,5
NDC,60505611900,micafungin per 1 mg,264.79,92.68,0.53,90.82,6
NDC,60505611905,micafungin per 1 mg,264.79,92.68,0.53,90.82,6
NDC,60505612801,irinotecan per 20 mg,85.13,29.8,3.22,29.2,6
NDC,60505613000,ondansetron per 1 mg,24.0,8.4,0.17,8.23,6
NDC,60505613005,ondansetron per 1 mg,24.0,8.4,0.17,8.23,6
NDC,60505613207,oxaliplatin per 0.5 mg,283.2,99.12,0.12,97.14,6
NDC,60505614200,cefazolin per 500 mg,24.0,8.4,1.25,8.23,6
NDC,60505614205,cefazolin per 500 mg,24.0,8.4,1.25,8.23,6
NDC,60505614404,cefepime per 500 mg,47.99,16.8,2.08,16.46,6
NDC,60505614504,cefepime per 500 mg,95.24,33.34,2.08,32.67,6
NDC,60505614600,cefepime per 500 mg,47.98,16.8,2.08,16.46,6
NDC,60505614604,cefepime per 500 mg,47.99,16.8,2.08,16.46,6
NDC,60505614700,cefepime per 500 mg,95.25,33.34,2.08,32.67,6
NDC,60505614704,cefepime per 500 mg,95.24,33.34,2.08,32.67,6
NDC,60505614900,ceftriaxone per 250 mg,215.48,75.42,0.8,73.91,6
NDC,60505614904,ceftriaxone per 250 mg,215.48,75.42,0.8,73.91,6
NDC,60505615201,ceftriaxone per 250 mg,63.38,22.19,0.8,21.74,6
NDC,60505615204,ceftriaxone per 250 mg,66.06,23.13,0.8,22.66,6
NDC,60505615600,piperacillin sod-tazobactam per 1 g,27.02,9.46,1.95,9.27,6
NDC,60505615604,piperacillin sod-tazobactam per 1 g,27.02,9.46,1.95,9.27,6
NDC,60505615704,piperacillin sod-tazobactam per 1 g,40.53,14.19,1.95,13.9,6
NDC,60505615900,piperacillin sod-tazobactam per 1 g,51.33,17.97,1.95,17.61,6
NDC,60505615904,piperacillin sod-tazobactam per 1 g,51.33,17.97,1.95,17.61,6
NDC,60505618406,potassium chloride 20 mEq/15 mL liquid 473 mL Bottle,893.02,312.56,255.76,665.3,5
NDC,60505619600,ertapenem per 500 mg,331.54,116.04,18.75,113.72,6
NDC,60505619604,ertapenem per 500 mg,331.54,116.04,18.75,113.72,6
NDC,60505620201,cycloSPORINE 0.05 % dropperette 30 each Vial,28.95,10.14,8.29,21.57,5
NDC,60505622600,atropine 1 % drops 2 mL DROP BTL,107.31,37.56,30.73,79.95,5
NDC,60505622601,atropine 1 % drops 5 mL DROP BTL,130.89,45.82,37.49,97.51,5
NDC,60505622602,atropine 1 % drops 15 mL DROP BTL,370.07,129.53,105.99,275.7,5
NDC,60505622800,bendamustine 25 mg/mL solution 4 mL Vial,9225.76,3229.02,2642.26,6873.19,5
NDC,60505622904,daptomycin per 1 mg,1261.51,441.53,0.06,432.7,6
NDC,60505624901,dexamethasone per 0.25 mg,6.0,2.1,0.08,4.47,11
NDC,60505627700,cisplatin per 50 mg,84.96,29.74,5.1,29.14,6
NDC,60505700802,fentaNYL 75 mcg/hr patch 72 hour 5 each Box,139.96,48.99,40.08,104.27,5
NDC,60505700900,fentaNYL 100 mcg/hr patch 72 hour 1 each Box,185.76,65.02,53.2,138.39,5
NDC,60569006304,guaiFENesin 100 mg/5 mL liquid 118 mL Bottle,15.32,5.37,4.39,11.41,5
NDC,60574411301,palivizumab 100 mg/mL solution 1 mL Vial,9074.58,3176.11,436.75,9547.72,15
NDC,60574411401,palivizumab 50 mg/0.5 mL solution 0.5 mL Vial,4805.725,1682.0100000000002,436.75,9547.72,15
NDC,60687010001,ursodioL 300 mg capsule 100 each BLIST PACK,18.04,6.32,5.17,13.44,5
NDC,60687010011,ursodioL 300 mg capsule 1 each BLIST PACK,18.04,6.32,5.17,13.44,5
NDC,60687010395,famciclovir 500 MG tablet 1 each BLIST PACK,6.5,2.28,1.86,4.84,5
NDC,60687010921,desmopressin 0.1 MG tablet 30 each BLIST PACK,7.13,2.5,2.04,5.31,5
NDC,60687011211,anastrozole 1 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687011221,anastrozole 1 mg tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687011301,cloNIDine 0.1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687011311,cloNIDine 0.1 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687012125,"acamprosate 333 mg tablet,delayed release (DR/EC) 30 each BLIST PACK",6.4,2.24,1.83,4.77,5
NDC,60687012195,"acamprosate 333 mg tablet,delayed release (DR/EC) 1 each BLIST PACK",6.4,2.24,1.83,4.77,5
NDC,60687012201,prednisone per 5 mg,6.0,2.1,0.02,2.06,6
NDC,60687012211,prednisone per 5 mg,6.0,2.1,0.02,2.06,6
NDC,60687012401,cloNIDine 0.2 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687012411,cloNIDine 0.2 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687012501,labetaloL 200 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687012511,labetaloL 200 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687012711,omega-3 acid ethyl esters 1 gram capsule 1 each BLIST PACK,8.61,3.02,2.47,6.41,5
NDC,60687012765,omega-3 acid ethyl esters 1 gram capsule 50 each BLIST PACK,8.61,3.02,2.47,6.41,5
NDC,60687012901,docusate 100mg capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687012911,docusate 100mg capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687013401,prednisone per 5 mg,6.0,2.1,0.02,2.06,6
NDC,60687013411,prednisone per 5 mg,6.0,2.1,0.02,2.06,6
NDC,60687013601,labetalol 300 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687013611,labetalol 300 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687013801,pyrazinamide 500 mg tablet 100 each BLIST PACK,24.07,8.43,6.89,17.93,5
NDC,60687013811,pyrazinamide 500 mg tablet 1 each BLIST PACK,24.07,8.43,6.89,17.93,5
NDC,60687014301,metFORMIN 850 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687014311,metFORMIN 850 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687014501,prednisone per 5 mg,6.0,2.1,0.02,2.06,6
NDC,60687014511,prednisone per 5 mg,6.0,2.1,0.02,2.06,6
NDC,60687015201,cephalexin 250 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687015211,cephalexin 250 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687015501,metFORMIN 500mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687015511,metFORMIN 500mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687015625,"phenytoin 50 mg tablet,chewable 30 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,60687015695,"phenytoin 50 mg tablet,chewable 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,60687015711,ARIPiprazole 2 MG tablet 1 each BLIST PACK,72.94,25.53,20.89,54.34,5
NDC,60687015801,isoniazid 300 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687016101,haloperidoL 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687016111,haloperidoL 5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687016301,cephalexin 500 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687016501,cetirizine 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687016511,cetirizine 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687016801,ARIPiprazole 5 MG tablet 100 each BLIST PACK,70.89,24.82,20.3,52.81,5
NDC,60687016811,ARIPiprazole 5 MG tablet 1 each BLIST PACK,70.89,24.82,20.3,52.81,5
NDC,60687016901,pravastatin 10 MG tablet 100 each BLIST PACK,7.55,2.65,2.16,5.62,5
NDC,60687016911,pravastatin 10 MG tablet 1 each BLIST PACK,7.55,2.65,2.16,5.62,5
NDC,60687017901,ARIPiprazole 10 MG tablet 100 each BLIST PACK,70.89,24.82,20.3,52.81,5
NDC,60687017911,ARIPiprazole 10 MG tablet 1 each BLIST PACK,70.89,24.82,20.3,52.81,5
NDC,60687018411,memantine 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687018457,memantine 10 MG tablet 60 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687018811,entacapone 200 mg tablet 1 each BLIST PACK,11.66,4.09,3.34,8.69,5
NDC,60687018821,entacapone 200 mg tablet 30 each BLIST PACK,11.66,4.09,3.34,8.69,5
NDC,60687019001,pravastatin 40 MG tablet 100 each BLIST PACK,11.26,3.95,3.22,8.39,5
NDC,60687019011,pravastatin 40 MG tablet 1 each BLIST PACK,11.26,3.95,3.22,8.39,5
NDC,60687019111,ARIPiprazole 15 MG tablet 1 each BLIST PACK,72.94,25.53,20.89,54.34,5
NDC,60687019121,ARIPiprazole 15 MG tablet 30 each BLIST PACK,72.94,25.53,20.89,54.34,5
NDC,60687019501,"diltiazem CD 120 MG capsule,extended release 24hr 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,60687019511,"diltiazem CD 120 MG capsule,extended release 24hr 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,60687019825,rifabutin 150 mg capsule 30 each BLIST PACK,54.28,19.0,15.55,40.44,5
NDC,60687019895,rifabutin 150 mg capsule 1 each BLIST PACK,54.28,19.0,15.55,40.44,5
NDC,60687020601,"diltiazem CD 180 MG capsule,extended release 24hr 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,60687020611,"diltiazem CD 180 MG capsule,extended release 24hr 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,60687021001,simvastatin 40mg tablet 100 each BLIST PACK,11.61,4.07,3.33,8.65,5
NDC,60687021011,simvastatin 40mg tablet 1 each BLIST PACK,11.61,4.07,3.33,8.65,5
NDC,60687021401,methadone 5 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,60687021411,methadone 5 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,60687021501,"propranoloL 60 MG capsule,extended release 24 hr 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,60687021511,"propranoloL 60 MG capsule,extended release 24 hr 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,60687021701,"diltiazem CD 240 MG capsule,extended release 24hr 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,60687021711,"diltiazem CD 240 MG capsule,extended release 24hr 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,60687022132,"amphetamine-dextroamphetamine XR 30 MG capsule,extended release 24hr 20 each BLIST PACK",19.04,6.67,5.45,14.18,5
NDC,60687022133,"amphetamine-dextroamphetamine XR 30 MG capsule,extended release 24hr 1 each BLIST PACK",19.04,6.67,5.45,14.18,5
NDC,60687022401,gemfibroziL 600 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687022411,gemfibroziL 600 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687022595,flecainide 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687022611,"propranoloL 80 MG capsule,extended release 24 hr 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,60687022901,loperamide 2 mg capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687022911,loperamide 2 mg capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687023001,zonisamide 100 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687023011,zonisamide 100 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687023101,sertraline 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687023111,sertraline 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687023401,rosuvastatin 5 MG tablet 100 each BLIST PACK,16.86,5.91,4.83,12.56,5
NDC,60687023411,rosuvastatin 5 MG tablet 1 each BLIST PACK,16.86,5.91,4.83,12.56,5
NDC,60687023795,"propranolol LA 120 MG capsule,extended release 24 hr 1 each BLIST PACK",9.23,3.24,2.64,6.88,5
NDC,60687024201,sertraline 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687024211,sertraline 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687024440,FLUoxetine 20 mg/5 mL (4 mg/mL) solution 5 mL Cup,15.74,5.51,4.51,11.73,5
NDC,60687024477,FLUoxetine 20 mg/5 mL (4 mg/mL) solution 5 mL Cup,16.63,5.83,4.76,12.39,5
NDC,60687024501,rosuvastatin 10 MG tablet 100 each BLIST PACK,16.86,5.91,4.83,12.56,5
NDC,60687024565,rosuvastatin 10 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687024940,levETIRAcetam 100 mg/mL solution 5 mL Cup,16.43,5.76,4.71,12.24,5
NDC,60687024967,levETIRAcetam 100 mg/mL solution 5 mL Cup,16.43,5.76,4.71,12.24,5
NDC,60687024977,levETIRAcetam 100 mg/mL solution 5 mL Cup,16.77,5.87,4.8,12.49,5
NDC,60687024986,levETIRAcetam 100 mg/mL solution 5 mL Cup,12.01,4.21,3.44,8.95,5
NDC,60687025301,sertraline 100 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687025311,sertraline 100 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687025601,rosuvastatin 20 MG tablet 100 each BLIST PACK,16.86,5.91,4.83,12.56,5
NDC,60687025611,rosuvastatin 20 MG tablet 1 each BLIST PACK,16.86,5.91,4.83,12.56,5
NDC,60687026023,ranitidine 15 mg/mL syrup 10 mL Cup,14.94,5.23,4.28,11.13,5
NDC,60687026042,ranitidine 15 mg/mL syrup 10 mL Cup,14.94,5.23,4.28,11.13,5
NDC,60687026069,ranitidine 15 mg/mL syrup 10 mL Cup,14.16,4.96,4.06,10.55,5
NDC,60687026311,amLODIPine 5mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687026708,diphenhydrAMINE 12.5 mg/5 mL liquid 10 mL Cup,6.0,2.1,1.72,4.47,5
NDC,60687026708,diphenhydramine per 50 mg,6.0,2.1,1.72,4.47,5
NDC,60687026742,diphenhydrAMINE 12.5 mg/5 mL liquid 10 mL Cup,6.0,2.1,1.72,4.47,5
NDC,60687026756,diphenhydrAMINE 12.5 mg/5 mL liquid 10 mL Cup,6.37,2.23,1.82,4.75,5
NDC,60687026756,diphenhydramine per 50 mg,6.37,2.23,1.82,4.75,5
NDC,60687026801,naproxen 500mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687027111,azithromycin 500 MG tablet 1 each BLIST PACK,16.22,5.68,4.65,12.08,5
NDC,60687027121,azithromycin 500 MG tablet 30 each BLIST PACK,16.22,5.68,4.65,12.08,5
NDC,60687027321,voriconazole 200 MG tablet 30 each BLIST PACK,110.7,38.75,31.7,82.47,5
NDC,60687027401,amLODIPine 10mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687027562,phenytoin 100 mg/4 mL suspension 4 mL Cup,18.97,6.64,5.43,14.13,5
NDC,60687027566,phenytoin 100 mg/4 mL suspension 4 mL Cup,18.97,6.64,5.43,14.13,5
NDC,60687028101,nortriptyline 10 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687028111,nortriptyline 10 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687028201,azithromycin 250 MG tablet 100 each BLIST PACK,9.95,3.49,2.85,7.41,5
NDC,60687028265,azithromycin 250 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687028411,ezetimibe 10 mg tablet 1 each BLIST PACK,29.25,10.24,8.38,21.79,5
NDC,60687028421,ezetimibe 10 mg tablet 30 each BLIST PACK,29.25,10.24,8.38,21.79,5
NDC,60687028501,amLODIPine 2.5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687028511,amLODIPine 2.5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687028611,bromocriptine 2.5 mg tablet 1 each BLIST PACK,19.53,6.84,5.59,14.55,5
NDC,60687028621,bromocriptine 2.5 mg tablet 30 each BLIST PACK,19.53,6.84,5.59,14.55,5
NDC,60687029201,donepeziL 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687029211,donepeziL 5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687029301,nortriptyline 25 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687029501,propranoloL 40 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687029511,propranoloL 40 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687029925,itraconazole 100 mg capsule 30 each BLIST PACK,9.44,3.31,2.7,7.03,5
NDC,60687029995,itraconazole 100 mg capsule 1 each BLIST PACK,9.44,3.31,2.7,7.03,5
NDC,60687030301,donepeziL 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687030411,captopriL 12.5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687030421,captopriL 12.5 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687030601,propranoloL 20 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687030611,propranoloL 20 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687030811,busPIRone 15 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687030911,linezolid 600 mg tablet 1 each BLIST PACK,298.15,104.36,85.39,222.12,5
NDC,60687030921,linezolid 600 mg tablet 30 each BLIST PACK,298.15,104.36,85.39,222.12,5
NDC,60687031201,buPROPion XL 150 MG tablet extended release 24 hr 100 each BLIST PACK,10.99,3.85,3.15,8.19,5
NDC,60687031211,buPROPion XL 150 MG tablet extended release 24 hr 1 each BLIST PACK,10.99,3.85,3.15,8.19,5
NDC,60687031425,azithromycin 600 MG tablet 30 each BLIST PACK,15.04,5.27,4.31,11.2,5
NDC,60687031495,azithromycin 600 MG tablet 1 each BLIST PACK,15.04,5.27,4.31,11.2,5
NDC,60687031511,captopriL 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687031521,captopriL 25 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687031701,chlorthalidone 25 MG tablet 100 each BLIST PACK,6.37,2.23,1.82,4.75,5
NDC,60687031711,chlorthalidone 25 MG tablet 1 each BLIST PACK,6.37,2.23,1.82,4.75,5
NDC,60687032201,ranitidine 150mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687032211,ranitidine 150mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687032501,lisinopriL 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687032511,lisinopriL 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687032625,atomoxetine 40 MG capsule 30 each BLIST PACK,17.91,6.27,5.13,13.34,5
NDC,60687032701,quetiapine 25 MG tablet 100 each BLIST PACK,8.91,3.12,2.55,6.64,5
NDC,60687032711,quetiapine 25 MG tablet 1 each BLIST PACK,8.91,3.12,2.55,6.64,5
NDC,60687033301,lisinopriL 20mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687033801,quetiapine 50 MG tablet 100 each BLIST PACK,14.64,5.13,4.19,10.91,5
NDC,60687033811,quetiapine 50 MG tablet 1 each BLIST PACK,14.64,5.13,4.19,10.91,5
NDC,60687034001,buPROPion 75 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687034107,potassium chloride 20 mEq/15 mL liquid 15 mL Cup,49.31,17.26,14.12,36.74,5
NDC,60687034144,potassium chloride 20 mEq/15 mL liquid 15 mL Cup,49.31,17.26,14.12,36.74,5
NDC,60687034164,potassium chloride 20 mEq/15 mL liquid 15 mL Cup,49.31,17.26,14.12,36.74,5
NDC,60687034501,calcitrioL 0.25 MCG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687034511,calcitrioL 0.25 MCG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687034601,benzonatate 100 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687034795,"mesalamine 800 mg tablet,delayed release (DR/EC) 1 each BLIST PACK",25.32,8.87,7.25,18.86,5
NDC,60687034901,quetiapine 100 MG tablet 100 each BLIST PACK,15.29,5.36,4.38,11.39,5
NDC,60687034911,quetiapine 100 MG tablet 1 each BLIST PACK,15.29,5.36,4.38,11.39,5
NDC,60687035101,buPROPion 100 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687035111,buPROPion 100 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687035295,flucytosine 250 MG capsule 1 each BLIST PACK,231.83,81.15,66.4,172.71,5
NDC,60687035501,LORazepam 1 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,60687035511,LORazepam 1 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,60687035701,methIMAzole 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687036001,quetiapine 200 MG tablet 100 each BLIST PACK,28.83,10.1,8.26,21.48,5
NDC,60687036011,quetiapine 200 MG tablet 1 each BLIST PACK,28.83,10.1,8.26,21.48,5
NDC,60687036801,benztropine 1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687037101,quetiapine 300 MG tablet 100 each BLIST PACK,37.81,13.24,10.83,28.17,5
NDC,60687037311,ezetimibe 10 mg tablet 1 each BLIST PACK,29.25,10.24,8.38,21.79,5
NDC,60687037321,ezetimibe 10 mg tablet 30 each BLIST PACK,29.25,10.24,8.38,21.79,5
NDC,60687037501,dronabinol per 2.5 mg,12.52,4.39,1.34,4.35,6
NDC,60687037521,dronabinol per 2.5 mg,20.04,7.02,1.34,6.87,6
NDC,60687037701,ALPRAZolam 0.25 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,60687038001,dicyclomine per 20 mg,6.0,2.1,1.72,4.47,5
NDC,60687038201,quetiapine 400 MG tablet 100 each BLIST PACK,44.43,15.56,12.72,33.1,5
NDC,60687038211,quetiapine 400 MG tablet 1 each BLIST PACK,44.43,15.56,12.72,33.1,5
NDC,60687038401,bumetanide 1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687038425,bumetanide 1 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687038465,bumetanide 1 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687038525,colesevelam 625 mg tablet 30 each BLIST PACK,9.43,3.31,2.7,7.03,5
NDC,60687038595,colesevelam 625 mg tablet 1 each BLIST PACK,9.43,3.31,2.7,7.03,5
NDC,60687038621,dronabinol per 5 mg,28.94,10.13,1.34,9.93,6
NDC,60687038694,dronabinol per 5 mg,40.55,14.2,1.34,13.91,6
NDC,60687038701,midodrine 2.5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687038711,midodrine 2.5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687038911,colchicine 0.6 mg tablet 1 each BLIST PACK,26.31,9.21,7.54,19.6,5
NDC,60687038921,colchicine 0.6 mg tablet 30 each BLIST PACK,26.31,9.21,7.54,19.6,5
NDC,60687039001,metoprolol succinate 25 MG tablet extended release 24 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687039011,metoprolol succinate 25 MG tablet extended release 24 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687039065,metoprolol succinate 25 MG tablet extended release 24 hr 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687039301,quetiapine 300 MG tablet 100 each BLIST PACK,37.81,13.24,10.83,28.17,5
NDC,60687039579,albuterol per 1 mg,6.0,2.1,0.07,2.06,6
NDC,60687039583,albuterol per 1 mg,6.0,2.1,0.07,2.06,6
NDC,60687039601,HYDROcodone-acetaminophen 5-325 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,60687039801,midodrine 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687039925,atazanavir 300 MG capsule 30 each BLIST PACK,51.92,18.18,14.87,38.68,5
NDC,60687039995,atazanavir 300 MG capsule 1 each BLIST PACK,51.92,18.18,14.87,38.68,5
NDC,60687040201,metoprolol succinate 50 MG tablet extended release 24 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687040211,metoprolol succinate 50 MG tablet extended release 24 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687040265,metoprolol succinate 50 MG tablet extended release 24 hr 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687040401,cloZAPine 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687040411,cloZAPine 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687040579,ipratropium-albuterol sulfate 0.5-3 mg/3 mL solution for nebulization 3 mL Vial,6.0,2.1,0.28,2.06,6
NDC,60687040583,ipratropium-albuterol sulfate 0.5-3 mg/3 mL solution for nebulization 3 mL Vial,6.0,2.1,0.28,2.06,6
NDC,60687040701,HYDROcodone-acetaminophen 7.5-325 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,60687040825,"mesalamine 800 mg tablet,delayed release (DR/EC) 30 each BLIST PACK",38.7,13.55,11.08,28.83,5
NDC,60687040925,midodrine 10 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687041011,methylergonovine 0.2 mg tablet 1 each BLIST PACK,155.76,54.52,44.61,116.04,5
NDC,60687041094,methylergonovine 0.2 mg tablet 20 each BLIST PACK,155.76,54.52,44.61,116.04,5
NDC,60687041301,metoprolol succinate 100 MG tablet extended release 24 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687041311,metoprolol succinate 100 MG tablet extended release 24 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687041365,metoprolol succinate 100 MG tablet extended release 24 hr 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687041501,cloZAPine 100 MG tablet 100 each BLIST PACK,8.16,2.86,2.34,6.08,5
NDC,60687041511,cloZAPine 100 MG tablet 1 each BLIST PACK,8.16,2.86,2.34,6.08,5
NDC,60687041611,sildenafiL (pulm.hypertension) 20 mg tablet 1 each BLIST PACK,47.74,16.71,13.67,35.57,5
NDC,60687041621,sildenafiL (pulm.hypertension) 20 mg tablet 30 each BLIST PACK,47.74,16.71,13.67,35.57,5
NDC,60687041744,HYDROcodone-acetaminophen 7.5-325 mg/15 mL solution 15 mL Cup,11.61,4.07,3.33,8.65,5
NDC,60687041771,HYDROcodone-acetaminophen 7.5-325 mg/15 mL solution 15 mL Cup,11.61,4.07,3.33,8.65,5
NDC,60687041801,HYDROcodone-acetaminophen 10-325 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,60687041901,chlorpromazine per 10 mg,12.14,4.25,3.48,9.04,5
NDC,60687041911,chlorpromazine per 10 mg,12.14,4.25,3.48,9.04,5
NDC,60687042025,ritonavir 100 mg tablet 30 each BLIST PACK,26.55,9.3,7.6,19.78,5
NDC,60687042095,ritonavir 100 mg tablet 1 each BLIST PACK,26.55,9.3,7.6,19.78,5
NDC,60687042201,amantadine 100 mg capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687042311,cloBAZam 10 mg tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,60687042321,cloBAZam 10 mg tablet 30 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,60687042401,metroNIDAZOLE 500 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687042411,metroNIDAZOLE 500 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687042501,NIFEdipine 10 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687042601,cloZAPine 200 MG tablet 100 each BLIST PACK,15.43,5.41,4.42,11.5,5
NDC,60687042611,cloZAPine 200 MG tablet 1 each BLIST PACK,15.43,5.41,4.42,11.5,5
NDC,60687042801,finasteride 5 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687042811,finasteride 5 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687042865,finasteride 5 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687042976,magnesium hydroxide 400 mg/5 mL suspension 30 mL Cup,6.0,2.1,1.72,4.47,5
NDC,60687043001,chlorpromazine per 25 mg,16.79,5.88,4.81,12.51,5
NDC,60687043192,polyethylene glycol 17 gram powder in packet 100 each Packet,6.0,2.1,1.72,4.47,5
NDC,60687043199,polyethylene glycol 17 gram powder in packet 1 each Packet,6.0,2.1,1.72,4.47,5
NDC,60687043301,amitriptyline 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687043311,amitriptyline 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687043701,amiodarone 200 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687043711,amiodarone 200 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687043801,mycophenolate mofetil per 250 mg,6.0,2.1,0.31,2.06,6
NDC,60687044101,chlorpromazine per 25 mg,24.12,8.45,6.91,17.97,5
NDC,60687044301,traZODone 50mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687044311,traZODone 50mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687044401,amitriptyline 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687044701,celecoxib 200 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687044840,PHENobarbitaL 20 mg/5 mL (4 mg/mL) elixir 5 mL Cup,12.64,4.43,3.62,9.42,5
NDC,60687044867,PHENobarbitaL 20 mg/5 mL (4 mg/mL) elixir 5 mL Cup,12.64,4.43,3.62,9.42,5
NDC,60687045001,labetaloL 200 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687045011,labetaloL 200 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687045121,eplerenone 25 MG tablet 30 each BLIST PACK,11.8,4.13,3.38,8.79,5
NDC,60687045201,chlorpromazine per 25 mg,36.79,12.88,10.54,27.41,5
NDC,60687045211,chlorpromazine per 25 mg,36.79,12.88,10.54,27.41,5
NDC,60687045301,levothyroxine 25 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687045311,levothyroxine 25 MCG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687045401,traZODone 100mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687045411,traZODone 100mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687045701,ibuprofen 600mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687045711,ibuprofen 600mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687046101,labetaloL 300 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687046111,labetaloL 300 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687046401,levothyroxine 50 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687046411,levothyroxine 50 MCG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687046501,spironolactone 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687046511,spironolactone 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687046601,potassium chloride 10 meq tablet extended release 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687047301,pregabalin 25 MG capsule 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,60687047311,pregabalin 25 MG capsule 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,60687047501,levothyroxine 75 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687047511,levothyroxine 75 MCG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687047601,spironolactone 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687047611,spironolactone 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687047901,"carbamazepine 100 mg tablet,chewable 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,60687047911,"carbamazepine 100 mg tablet,chewable 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,60687048121,"buprenorphine 2 mg tablet, sublingual 30 each BLIST PACK",9.0,3.15,2.58,6.71,5
NDC,60687048601,levothyroxine 88 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687048701,spironolactone 100 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687048711,spironolactone 100 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687048801,amLODIPine 5mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687049101,naproxen 500mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687049111,naproxen 500mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687049221,"buprenorphine 8 mg tablet, sublingual 30 each BLIST PACK",9.91,3.47,2.84,7.38,5
NDC,60687049401,mycophenolate mofetil per 250 mg,6.0,2.1,0.31,2.06,6
NDC,60687049411,mycophenolate mofetil per 250 mg,6.0,2.1,0.31,2.06,6
NDC,60687049501,pregabalin 75 MG capsule 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,60687049601,amLODIPine 10mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687049611,amLODIPine 10mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687049701,levothyroxine 100 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687050001,"ergocalciferol 1,250 mcg (50,000 unit) capsule 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,60687050011,"ergocalciferol 1,250 mcg (50,000 unit) capsule 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,60687050201,pyridostigmine 60 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687050211,pyridostigmine 60 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687050301,baclofen 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687050311,baclofen 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687050801,levothyroxine 112 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687051401,baclofen 20 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687051611,cinacalcet 30 MG tablet 1 each BLIST PACK,62.54,21.89,17.91,46.59,5
NDC,60687051621,cinacalcet 30 MG tablet 30 each BLIST PACK,62.54,21.89,17.91,46.59,5
NDC,60687051901,levothyroxine 125 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687052479,budesonide per 0.25 mg,26.43,9.26,1.67,9.07,6
NDC,60687052483,budesonide per 0.25 mg,26.43,9.26,1.67,9.07,6
NDC,60687052511,cinacalcet 30 MG tablet 1 each BLIST PACK,73.16,25.61,20.95,54.5,5
NDC,60687052521,cinacalcet 30 MG tablet 30 each BLIST PACK,73.16,25.61,20.95,54.5,5
NDC,60687052601,metroNIDAZOLE 250 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687053001,levothyroxine 150 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687053011,levothyroxine 150 MCG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687053101,sulfamethoxazole-trimethoprim 800-160 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687053111,sulfamethoxazole-trimethoprim 800-160 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687053221,methylphenidate HCl 18 MG tablet extended release 24hr 30 each BLIST PACK,11.57,4.05,3.31,8.62,5
NDC,60687053436,atovaquone 750 mg/5 mL suspension 5 mL Cup,80.92,28.33,23.18,60.29,5
NDC,60687053440,atovaquone 750 mg/5 mL suspension 5 mL Cup,80.92,28.33,23.18,60.29,5
NDC,60687053478,atovaquone 750 mg/5 mL suspension 5 mL Cup,83.95,29.39,24.04,62.54,5
NDC,60687053501,bumetanide 2 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687053601,metOLazone 2.5 MG tablet 100 each BLIST PACK,7.79,2.73,2.23,5.8,5
NDC,60687053611,metOLazone 2.5 MG tablet 1 each BLIST PACK,7.79,2.73,2.23,5.8,5
NDC,60687053821,febuxostat 40 mg tablet 30 each BLIST PACK,7.08,2.48,2.03,5.27,5
NDC,60687054001,digoxin 125 mcg (0.125 mg) tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687054101,levothyroxine 175 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687054401,clonazepam 0.5 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,60687054911,ranolazine 500 MG tablet extended release 12 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687054921,ranolazine 500 MG tablet extended release 12 hr 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687055001,metroNIDAZOLE 500 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687055101,digoxin 250 mcg (0.25 mg) tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687055301,isoniazid 300 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687055311,isoniazid 300 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687055501,clonazepam 1 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,60687055801,cyclobenzaprine 10mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687055901,methocarbamoL 500 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687055911,methocarbamoL 500 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687056721,atomoxetine 25 MG capsule 30 each BLIST PACK,10.38,3.64,2.97,7.73,5
NDC,60687057001,pramipexole 0.25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687057011,pramipexole 0.25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687057156,acetaminophen 325 mg/10.15 mL solution 10.15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,60687057232,prazosin 5 MG capsule 20 each BLIST PACK,9.71,3.4,2.78,7.23,5
NDC,60687057301,diltiazem 60 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687057311,diltiazem 60 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687057521,rifAMPin 150 MG capsule 30 each BLIST PACK,9.02,3.16,2.58,6.72,5
NDC,60687057821,"acetaZOLAMIDE 500 mg capsule, extended release 30 each BLIST PACK",13.47,4.72,3.86,10.04,5
NDC,60687057901,HYDROmorphone 2 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,60687057911,HYDROmorphone 2 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,60687058001,gabapentin 100 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687058201,hydrocortisone 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687058211,hydrocortisone 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687058501,"pantoprazole 20 MG tablet,delayed release (DR/EC) 100 each BLIST PACK",8.97,3.14,2.57,6.68,5
NDC,60687058601,rifAMPin 300 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687058611,rifAMPin 300 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687058701,propranoloL 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687059101,gabapentin 300mg capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687059111,gabapentin 300mg capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687059221,pramipexole 1 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687059301,hydroCHLOROthiazide 25mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687059311,hydroCHLOROthiazide 25mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687059501,famotidine 20 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687059511,famotidine 20 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687059801,propranoloL 20 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687059811,propranoloL 20 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687059921,flucytosine 250 MG capsule 30 each BLIST PACK,231.83,81.15,66.4,172.71,5
NDC,60687060201,gabapentin 400 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687060311,sulfamethoxazole-trimethoprim 400-80 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687060365,sulfamethoxazole-trimethoprim 400-80 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687060501,atenoloL 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687060511,atenoloL 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687060601,"diclofenac 50 MG tablet,delayed release (DR/EC) 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,60687060611,"diclofenac 50 MG tablet,delayed release (DR/EC) 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,60687060901,propranoloL 40 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687061401,sulfamethoxazole-trimethoprim 800-160 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687061616,chlorhexidine 0.12 % mouthwash 15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,60687061644,chlorhexidine 0.12 % mouthwash 15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,60687061901,acetaZOLAMIDE 250 MG tablet 100 each BLIST PACK,9.88,3.46,2.83,7.36,5
NDC,60687061911,acetaZOLAMIDE 250 MG tablet 1 each BLIST PACK,9.88,3.46,2.83,7.36,5
NDC,60687062701,LORazepam 0.5 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,60687062911,fenofibrate 145 MG tablet 1 each BLIST PACK,9.34,3.27,2.67,6.96,5
NDC,60687062921,fenofibrate 145 MG tablet 30 each BLIST PACK,6.61,2.32,1.89,4.92,5
NDC,60687063101,metoclopramide 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687063111,metoclopramide 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687063301,nitrofurantoin (macrocrystal-monohydrate) 100 MG capsule 100 each BLIST PACK,8.33,2.92,2.39,6.21,5
NDC,60687063311,nitrofurantoin (macrocrystal-monohydrate) 100 MG capsule 1 each BLIST PACK,8.33,2.92,2.39,6.21,5
NDC,60687063365,nitrofurantoin (macrocrystal-monohydrate) 100 MG capsule 50 each BLIST PACK,10.11,3.54,2.9,7.53,5
NDC,60687063601,ondansetron per 8 mg,56.51,19.78,0.02,19.38,6
NDC,60687063611,ondansetron per 8 mg,56.51,19.78,0.02,19.38,6
NDC,60687064001,metFORMIN XR 500mg tablet extended release 24 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687064201,oxyCODONE-acetaminophen 5-325 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,60687065701,levetiracetam 500 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687065711,levetiracetam 500 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687065801,"diclofenac 75mg tablet,delayed release (DR/EC) 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,60687065811,"diclofenac 75mg tablet,delayed release (DR/EC) 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,60687066101,carbidopa-levodopa 25-100 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687066401,hydrOXYzine 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687066411,hydrOXYzine 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687066701,lisinopriL 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687066711,lisinopriL 5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687066901,methIMAzole 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687066911,methIMAzole 5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687067001,oxybutynin 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687067011,oxybutynin 5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687067265,butalbital-acetaminophen-caffeine 50-325-40 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687067501,hydrOXYzine 25mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687067611,lacosamide 50 mg tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,60687067657,lacosamide 50 mg tablet 60 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,60687067701,allopurinoL 100 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687067711,allopurinoL 100 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687068101,folic acid 1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687068111,folic acid 1 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687068601,hydrOXYzine 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687068611,hydrOXYzine 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687068757,lacosamide 100 mg tablet 60 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,60687068801,allopurinoL 300 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687068811,allopurinoL 300 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687069001,glipiZIDE 5mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687069011,glipiZIDE 5mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687069501,sucralfate 1 gram tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687069511,sucralfate 1 gram tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687070001,bethanechol 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687070011,bethanechol 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687070401,lamotrigine 200 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687070411,lamotrigine 200 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687070809,potassium chloride 10 meq tablet extended release 80 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687070811,potassium chloride 10 meq tablet extended release 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687070901,propafenone 150 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687070911,propafenone 150 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687071101,OXcarbazepine 150 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687071111,OXcarbazepine 150 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687071416,chlorhexidine 0.12 % mouthwash 15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,60687071444,chlorhexidine 0.12 % mouthwash 15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,60687071801,dexamethasone per 0.25 mg,6.0,2.1,0.08,2.06,6
NDC,60687071811,dexamethasone per 0.25 mg,6.0,2.1,0.08,2.06,6
NDC,60687071925,emtricitabine-tenofovir (TDF) 200-300 mg tablet 30 each BLIST PACK,6.0,2.1,0.49,108.16,10
NDC,60687071995,emtricitabine-tenofovir (TDF) 200-300 mg tablet 1 each BLIST PACK,6.0,2.1,0.49,108.16,10
NDC,60687072111,desmopressin 0.1 MG tablet 1 each BLIST PACK,6.2,2.17,1.78,4.62,5
NDC,60687072121,desmopressin 0.1 MG tablet 30 each BLIST PACK,6.2,2.17,1.78,4.62,5
NDC,60687072201,OXcarbazepine 300 MG tablet 100 each BLIST PACK,6.5,2.28,1.86,4.84,5
NDC,60687072211,OXcarbazepine 300 MG tablet 1 each BLIST PACK,6.5,2.28,1.86,4.84,5
NDC,60687072321,"DULoxetine 20 MG capsule,delayed release(DR/EC) 30 each BLIST PACK",19.27,6.75,5.52,14.36,5
NDC,60687072501,"pantoprazole 20 MG tablet,delayed release (DR/EC) 100 each BLIST PACK",8.97,3.14,2.57,6.68,5
NDC,60687072511,"pantoprazole 20 MG tablet,delayed release (DR/EC) 1 each BLIST PACK",8.97,3.14,2.57,6.68,5
NDC,60687072801,diltiazem 60 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687072811,diltiazem 60 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687073401,"DULoxetine 30 MG capsule,delayed release(DR/EC) 100 each BLIST PACK",18.17,6.36,5.2,13.54,5
NDC,60687073501,miSOPROStoL 100 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687073511,miSOPROStoL 100 MCG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687073601,"pantoprazole 40 MG tablet,delayed release (DR/EC) 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,60687073609,"pantoprazole 40 MG tablet,delayed release (DR/EC) 80 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,60687073665,"pantoprazole 40 MG tablet,delayed release (DR/EC) 50 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,60687073823,sucralfate 100 mg/mL suspension 10 mL Cup,29.03,10.17,8.31,21.63,5
NDC,60687073842,sucralfate 100 mg/mL suspension 10 mL Cup,25.89,9.07,7.41,19.29,5
NDC,60687074201,azithromycin 250 MG tablet 100 each BLIST PACK,9.95,3.49,2.85,7.41,5
NDC,60687074211,azithromycin 250 MG tablet 1 each BLIST PACK,9.95,3.49,2.85,7.41,5
NDC,60687074265,azithromycin 250 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687074501,"DULoxetine 60 MG capsule,delayed release(DR/EC) 100 each BLIST PACK",18.17,6.36,5.2,13.54,5
NDC,60687074511,"DULoxetine 60 MG capsule,delayed release(DR/EC) 1 each BLIST PACK",18.17,6.36,5.2,13.54,5
NDC,60687074601,miSOPROStoL 200 MCG tablet 100 each BLIST PACK,6.43,2.26,1.84,4.79,5
NDC,60687074611,miSOPROStoL 200 MCG tablet 1 each BLIST PACK,6.43,2.26,1.84,4.79,5
NDC,60687074711,lurasidone 20 mg tablet 1 each BLIST PACK,12.06,4.23,3.45,8.98,5
NDC,60687074721,lurasidone 20 mg tablet 30 each BLIST PACK,12.06,4.23,3.45,8.98,5
NDC,60687075011,tranexamic acid 650 mg tablet 1 each BLIST PACK,12.16,4.26,3.48,9.06,5
NDC,60687075021,tranexamic acid 650 mg tablet 30 each BLIST PACK,12.16,4.26,3.48,9.06,5
NDC,60687075405,linezolid 100 mg/5 mL suspension for reconstitution 150 mL Bottle,953.68,333.79,273.13,710.49,5
NDC,60687075609,"potassium chloride 20 MEQ tablet,ER particles/crystals 80 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,60687075609,potassium chloride 20 mEq tablet extended release 80 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687075611,"potassium chloride 20 MEQ tablet,ER particles/crystals 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,60687075611,potassium chloride 20 mEq tablet extended release 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687075811,lurasidone 40 mg tablet 1 each BLIST PACK,12.11,4.24,3.47,9.02,5
NDC,60687075821,lurasidone 40 mg tablet 30 each BLIST PACK,12.11,4.24,3.47,9.02,5
NDC,60687076101,fluPHENAZine 10 MG tablet 100 each BLIST PACK,14.37,5.03,4.12,10.71,5
NDC,60687076111,fluPHENAZine 10 MG tablet 1 each BLIST PACK,14.37,5.03,4.12,10.71,5
NDC,60687076217,acetaminophen 160 mg/5 mL (5 mL) suspension 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,60687076240,acetaminophen 160 mg/5 mL (5 mL) suspension 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,60687076513,valGANciclovir 50 mg/mL recon soln 88 mL Bottle,1721.25,602.44,492.97,1282.33,5
NDC,60687076727,pantoprazole 40 mg granules DR for susp in packet 30 each Packet,40.1,14.04,11.48,29.87,5
NDC,60687076799,pantoprazole 40 mg granules DR for susp in packet 1 each Packet,40.1,14.04,11.48,29.87,5
NDC,60687077501,meclizine 12.5 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687077511,meclizine 12.5 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687077565,meclizine 12.5 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687078011,lurasidone 80 mg tablet 1 each BLIST PACK,12.46,4.37,3.57,9.28,5
NDC,60687078021,lurasidone 80 mg tablet 30 each BLIST PACK,12.46,4.37,3.57,9.28,5
NDC,60687078301,isosorbide mononitrate 30 MG tablet extended release 24 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687078711,amoxicillin 500 MG capsule 1 each BLIST PACK,6.4,2.24,1.83,4.77,5
NDC,60687078811,sildenafiL (pulm.hypertension) 20 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687078821,sildenafiL (pulm.hypertension) 20 mg tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687078911,pyrazinamide 500 mg tablet 1 each BLIST PACK,16.44,5.76,4.71,12.25,5
NDC,60687079311,buPROPion XL 300 MG tablet extended release 24 hr 1 each BLIST PACK,7.17,2.51,2.05,5.34,5
NDC,60687079321,buPROPion XL 300 MG tablet extended release 24 hr 30 each BLIST PACK,7.17,2.51,2.05,5.34,5
NDC,60687079501,traMADoL 50 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,60687079511,traMADoL 50 mg tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,60687079756,amantadine 50 mg/5 mL solution 10 mL Cup,11.75,4.12,3.37,8.75,5
NDC,60687079895,amoxicillin 500 MG tablet 1 each BLIST PACK,6.19,2.17,1.77,4.61,5
NDC,60687080601,lithium 300 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687081009,potassium chloride 10 meq tablet extended release 80 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687081011,potassium chloride 10 meq tablet extended release 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687081101,hydrALAZINE 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687081111,hydrALAZINE 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687081201,busPIRone 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687081211,busPIRone 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687081411,prochlorperazine maleate per 5 mg,6.0,2.1,0.59,2.06,6
NDC,60687081465,prochlorperazine maleate per 5 mg,6.0,2.1,0.59,2.06,6
NDC,60687081501,baclofen 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687081511,baclofen 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687082201,hydrALAZINE 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687082211,hydrALAZINE 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687082301,busPIRone 15 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687082601,baclofen 20 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687082611,baclofen 20 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687082842,guaifenesin-dextromethorphan 100-10 mg/5mL syrup 10 mL Cup,6.56,2.3,1.88,4.89,5
NDC,60687082856,guaifenesin-dextromethorphan 100-10 mg/5mL syrup 10 mL Cup,6.56,2.3,1.88,4.89,5
NDC,60687082986,diphenhydrAMINE 12.5 mg/5 mL liquid 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,60687082986,diphenhydramine per 50 mg,6.0,2.1,1.72,4.47,5
NDC,60687083056,diphenhydrAMINE 12.5 mg/5 mL liquid 10 mL Cup,6.37,2.23,1.82,4.75,5
NDC,60687083056,diphenhydramine per 50 mg,6.37,2.23,1.82,4.75,5
NDC,60687083301,hydrALAZINE 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687083311,hydrALAZINE 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687083601,carbidopa-levodopa 25-250 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687083611,carbidopa-levodopa 25-250 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687084101,phenytoin 100 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687084111,phenytoin 100 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687084540,FLUoxetine 20 mg/5 mL (4 mg/mL) solution 5 mL Cup,13.44,4.71,3.85,10.01,5
NDC,60687084577,FLUoxetine 20 mg/5 mL (4 mg/mL) solution 5 mL Cup,13.44,4.71,3.85,10.01,5
NDC,60687085401,prednisone per 5 mg,6.0,2.1,0.02,2.06,6
NDC,60687085411,prednisone per 5 mg,6.0,2.1,0.02,2.06,6
NDC,60687085801,digoxin 125 mcg (0.125 mg) tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687085811,digoxin 125 mcg (0.125 mg) tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687086001,ciprofloxacin 500 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687086011,ciprofloxacin 500 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687086101,clonazepam 0.5 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,60687086342,guaiFENesin 100 mg/5 mL liquid 10 mL Cup,6.0,2.1,1.72,4.47,5
NDC,60687086356,guaiFENesin 100 mg/5 mL liquid 10 mL Cup,6.0,2.1,1.72,4.47,5
NDC,60687086501,escitalopram 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687086511,escitalopram 5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687086801,"divalproex DR 250 MG tablet,delayed release (DR/EC) 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,60687087501,hydrOXYzine 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687087511,hydrOXYzine 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687087842,docusate 100 mg/10 mL liquid 10 mL Cup,6.0,2.1,1.72,4.47,5
NDC,60687087856,docusate 100 mg/10 mL liquid 10 mL Cup,6.0,2.1,1.72,4.47,5
NDC,60687088416,potassium chloride 20 mEq/15 mL liquid 15 mL Cup,8.04,2.82,2.3,5.99,5
NDC,60687088511,mycophenolate mofetil per 250 mg,6.0,2.1,0.31,2.06,6
NDC,60687088601,pravastatin 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60687088611,pravastatin 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,60758011905,"prednisoLONE acetate 1 % drops,suspension 5 mL DROP BTL",124.61,43.62,35.69,92.83,5
NDC,60758011910,"prednisoLONE acetate 1 % drops,suspension 10 mL DROP BTL",249.22,87.23,71.38,185.67,5
NDC,60758080105,timolol 0.5 % drops 5 mL DROP BTL,15.48,5.42,4.43,11.53,5
NDC,60758080205,timolol 0.25 % drops 5 mL DROP BTL,8.45,2.96,2.42,6.3,5
NDC,60758088005,"fluorometholone 0.1 % drops,suspension 5 mL DROP BTL",219.31,76.76,62.81,163.39,5
NDC,60758090810,"polymyxin B-trimethoprim 10,000 unit- 1 mg/mL drops 10 mL DROP BTL",30.85,10.8,8.84,22.98,5
NDC,60793013001,"penicillin G procaine 600,000 unit/mL syringe 1 mL Syringe",130.13,45.55,44.63,227.49,6
NDC,60793013010,"penicillin G procaine 600,000 unit/mL syringe 1 mL Syringe",130.13,45.55,44.63,227.49,6
NDC,60793013110,penicillin G procaine 1.2 million unit/2 mL syringe 2 mL Syringe,218.77,76.57,67.55,227.49,6
NDC,60793013601,metaxalone 800 MG tablet 100 each Bottle,30.09,10.54,8.62,22.42,5
NDC,60793021720,"thrombin (bovine) 20,000 unit recon soln 1 each Vial",846.37,296.23,242.4,630.55,5
NDC,60793021721,"thrombin (bovine) 20,000 unit spray,non-aerosol 1 each KIT",968.69,339.05,277.43,721.67,5
NDC,60793021722,"thrombin (bovine) 20,000 unit spray syringe 1 each KIT",968.69,339.05,277.43,721.67,5
NDC,60793060002,penicillin g benzathine and penicillin g procaine per 1200000 Units,688.51,240.98,19.52,236.16,10
NDC,60793060010,penicillin g benzathine and penicillin g procaine per 1200000 Units,688.51,240.98,19.52,236.16,10
NDC,60793060210,"penicillin G benzathine-procaine 1,200,000 unit/ 2 mL(900k/300k) syringe 2 mL Syringe",688.51,240.98,19.52,236.16,10
NDC,60793070001,penicillin g benzathine per 600000 Units,603.43,211.21,31.47,206.98,10
NDC,60793070010,penicillin g benzathine per 600000 Units,603.43,211.21,31.47,206.98,10
NDC,60793070102,penicillin g benzathine per 1200000 Units,1045.11,365.79,31.47,358.47,10
NDC,60793070110,penicillin g benzathine per 1200000 Units,1045.11,365.79,31.47,358.47,10
NDC,60793070204,penicillin g benzathine per 2400000 Units,2141.61,749.57,31.47,734.57,10
NDC,60793070210,penicillin g benzathine per 2400000 Units,2141.61,749.57,31.47,734.57,10
NDC,60977014101,pralidoxime per 1 g,1473.21,515.63,159.18,505.31,6
NDC,60977014127,pralidoxime per 1 g,1473.21,515.63,159.18,505.31,6
NDC,61269034556,hydrocortisone 1 % ointment 28 g Tube,6.0,2.1,1.72,4.47,5
NDC,61269073514,miconazole 2 % cream 14 g Tube,6.0,2.1,1.72,4.47,5
NDC,61314001405,diclofenac 0.1 % drops 5 mL DROP BTL,172.35,60.33,49.36,128.4,5
NDC,61314001425,diclofenac 0.1 % drops 2.5 mL DROP BTL,105.66,36.99,30.26,78.72,5
NDC,61314001601,proparacaine 0.5 % drops 15 mL DROP BTL,103.55,36.25,29.66,77.14,5
NDC,61314001910,dorzolamide 2 % drops 10 mL DROP BTL,157.53,55.14,45.12,117.36,5
NDC,61314003002,dorzolamide-timoloL 22.3-6.8 mg/mL drops 10 mL DROP BTL,289.34,101.27,82.87,215.56,5
NDC,61314004475,trifluridine 1 % drops 7.5 mL DROP BTL,578.22,202.38,165.6,430.77,5
NDC,61314012605,ketorolac 0.5 % drops 5 mL DROP BTL,248.98,87.15,71.31,185.49,5
NDC,61314014405,brimonidine 0.15 % drops 5 mL DROP BTL,452.36,158.33,129.56,337.01,5
NDC,61314014410,brimonidine 0.15 % drops 10 mL DROP BTL,904.52,316.59,259.05,673.87,5
NDC,61314020315,pilocarpine 1 % drops 15 mL DROP BTL,232.61,81.42,66.62,173.29,5
NDC,61314020415,pilocarpine 2 % drops 15 mL DROP BTL,237.92,83.28,68.14,177.25,5
NDC,61314020615,pilocarpine 4 % drops 15 mL DROP BTL,249.43,87.31,71.44,185.83,5
NDC,61314022405,timolol 0.25 % gel forming solution 5 mL DROP BTL,467.87,163.76,134.0,348.56,5
NDC,61314022605,timolol 0.25 % drops 5 mL DROP BTL,35.4,12.39,10.14,26.37,5
NDC,61314022705,timolol 0.5 % drops 5 mL DROP BTL,40.12,14.05,11.49,29.89,5
NDC,61314022710,timolol 0.5 % drops 10 mL DROP BTL,76.35,26.73,21.87,56.88,5
NDC,61314030410,filgrastim-sndz 300 mcg/0.5 mL syringe 0.5 mL Syringe,780.66,273.24,0.35,267.77,10
NDC,61314031210,filgrastim-sndz 480 mcg/0.8 mL syringe 0.8 mL Syringe,1243.2,435.12,0.35,426.42,10
NDC,61314031801,filgrastim-sndz 300 mcg/0.5 mL syringe 0.5 mL Syringe,776.98,271.95,0.35,266.5,10
NDC,61314031810,filgrastim-sndz 300 mcg/0.5 mL syringe 0.5 mL Syringe,777.0,271.95,0.35,266.51,10
NDC,61314032610,filgrastim-sndz 480 mcg/0.8 mL syringe 0.8 mL Syringe,1243.19,435.12,0.35,426.41,10
NDC,61314035501,tropicamide 1 % drops 3 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,61314035502,tropicamide 1 % drops 15 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,61314039601,cyclopentolate 1 % drops 2 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,61314039603,cyclopentolate 1 % drops 15 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,61314054701,latanoprost 0.005 % drops 2.5 mL DROP BTL,224.2,78.47,64.21,167.03,5
NDC,61314054703,latanoprost 0.005 % drops 2.5 mL DROP BTL,224.2,78.47,64.21,167.03,5
NDC,61314062810,"polymyxin B-trimethoprim 10,000 unit- 1 mg/mL drops 10 mL DROP BTL",41.11,14.39,11.77,30.63,5
NDC,61314063006,"neomycin-polymyxin-dexamethasone 3.5mg/mL-10,000 unit/mL-0.1 % drops,suspension 5 mL DROP BTL",103.84,36.35,29.74,77.36,5
NDC,61314063136,"neomycin-polymyxin B-dexameth 3.5 mg/g-10,000 unit/g-0.1 % ointment 3.5 g Tube",90.86,31.81,26.02,67.69,5
NDC,61314063305,gentamicin 0.3 % drops 5 mL DROP BTL,51.21,17.93,14.67,38.15,5
NDC,61314063705,"prednisoLONE acetate 1 % drops,suspension 5 mL DROP BTL",130.56,45.7,37.39,97.27,5
NDC,61314063710,"prednisoLONE acetate 1 % drops,suspension 10 mL DROP BTL",260.87,91.31,74.71,194.35,5
NDC,61314064305,tobramycin 0.3 % drops 5 mL DROP BTL,80.24,28.09,22.98,59.78,5
NDC,61314064511,"neomycin-polymyxin-hydrocortisone 3.5-10,000-1 mg/mL-unit/mL-% drops,suspension 10 mL DROP BTL",247.52,86.64,70.89,184.4,5
NDC,61314064610,"neomycin-polymyxin-hydrocortisone 3.5-10,000-1 mg/mL-unit/mL-% solution 10 mL DROP BTL",247.52,86.64,70.89,184.4,5
NDC,61314064725,"tobramycin-dexamethasone 0.3-0.1 % drops,suspension 2.5 mL DROP BTL",171.24,59.94,49.04,127.57,5
NDC,61314065605,ciprofloxacin 0.3 % drops 5 mL DROP BTL,111.65,39.08,31.98,83.18,5
NDC,61314066505,apraclonidine 0.5 % drops 5 mL DROP BTL,204.78,71.68,58.65,152.56,5
NDC,61314070101,sulfacetamide 10 % drops 15 mL DROP BTL,131.33,45.97,37.61,97.84,5
NDC,61364018103,peramivir 200 mg/20 mL (10 mg/mL) solution 20 mL Vial,896.8,313.88,1.68,307.6,10
NDC,61442012101,famotidine 20 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,61553011033,lidocaine (cardiac) 100 mg/5 mL (2 %) syringe 5 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,61553011648,"fentaNYL 2,000 mcg in sodium chloride 0.9% 100 mL 20 mcg/mL solution 100 mL Bag",96.93,33.93,27.76,72.21,5
NDC,61553013102,fentaNYL-bupivacaine 2 mcg/mL- 0.1 % solution 250 mL Bag,81.27,28.45,23.28,60.55,5
NDC,61553015361,norepinephrine in 5% dextrose 8 mg/250 mL solution 250 mL Bag,108.99,38.15,31.21,81.2,5
NDC,61553016644,HYDROmorphone 30 mg/30 mL (1 mg/mL) pt controlled analgesia syring 30 mL Syringe,61.83,21.65,17.71,46.06,5
NDC,61553016950,phenylephrine 40 mg/250 mL (160 mcg/mL) solution 250 mL Bag,100.71,35.25,28.84,75.03,5
NDC,61553020702,vancomycin 1 gram/250 mL solution 250 mL Bag,40.98,14.35,11.74,30.53,5
NDC,61553023648,"fentaNYL 2,500 mcg in sodium chloride 0.9% 100 mL 25 mcg/mL solution 100 mL Bag",90.69,31.75,25.97,67.56,5
NDC,61553032033,ketamine in 0.9 % sodium chloride 50 mg/5 mL (10 mg/mL) syringe 5 mL Syringe,18.06,6.33,5.17,13.45,5
NDC,61553032070,ketamine in 0.9 % sodium chloride 50 mg/5 mL (10 mg/mL) syringe 5 mL Syringe,18.06,6.33,5.17,13.45,5
NDC,61553043241,magnesium sulfate 2 gram/50 mL piggyback 50 mL Bag,24.0,8.4,6.87,17.88,5
NDC,61553050269,HYDROmorphone 0.2 mg/mL patient control.analgesia soln 30 mL Vial,79.71,27.9,7.57,27.34,5
NDC,61553051069,HYDROmorphone 1 mg/mL patient control.analgesia soln 30 mL Vial,90.3,31.61,7.57,30.97,5
NDC,61553052169,fentaNYL (PF) in sodium chloride 0.9% 10 mcg/mL patient control.analgesia soln 30 mL Vial,82.44,28.86,1.6,28.28,6
NDC,61553055134,neostigmine 1 mg/mL syringe 3 mL Syringe,93.36,32.68,26.74,69.55,5
NDC,61553055180,neostigmine 1 mg/mL syringe 3 mL Syringe,93.36,32.68,26.74,69.55,5
NDC,61553074204,"oxytocin 40 unit/1000 mL solution 1,000 mL Bag",39.36,13.78,11.27,29.32,5
NDC,61553074204,"oxytocin in 0.9% NaCl 40 unit/1000 mL solution 1,000 mL Bag",39.36,13.78,11.27,29.32,5
NDC,61553080248,fentaNYL-bupivacaine 2 mcg/mL- 0.125 % prefilled pump reservoir 100 mL Box,71.49,25.03,20.47,53.26,5
NDC,61570013120,silver sulfADIAZINE 1 % cream 20 g Tube,25.77,9.02,7.38,19.2,5
NDC,61570013125,silver sulfADIAZINE 1 % cream 25 g Tube,22.07,7.73,6.32,16.44,5
NDC,61570013140,silver sulfADIAZINE 1 % cream 400 g Jar,139.71,48.9,40.01,104.08,5
NDC,61570013155,silver sulfADIAZINE 1 % cream 50 g Tube,36.58,12.81,10.48,27.25,5
NDC,61570026010,quinupristin-dalfopristin per 500 mg,1319.74,461.91,0.05,1069.21,6
NDC,61703026205,carboplatin per 50 mg,133.49,46.73,5.94,45.79,6
NDC,61703030346,cytarabine (PF) 20 mg/mL solution 50 mL Vial,80.24,28.09,1.5,27.52,6
NDC,61703030436,cytarabine per 100 mg,45.43,15.91,1.5,15.58,6
NDC,61703030538,cytarabine (PF) 100 mg/5 mL (20 mg/mL) solution 5 mL Vial,24.0,8.4,1.5,8.23,6
NDC,61703030906,vincristine per 1 mg,50.27,17.6,12.75,39.27,6
NDC,61703030916,vinCRIStine 2 mg/2 mL solution 2 mL Vial,43.61,15.27,12.75,39.27,6
NDC,61703030925,vinCRIStine 2 mg/2 mL solution 2 mL Vial,48.14,16.85,12.75,39.27,6
NDC,61703031922,cytarabine per 100 mg,57.54,20.14,1.5,19.74,6
NDC,61703032418,pamidronate disodium per 30 mg,40.9,14.32,14.03,54.11,6
NDC,61703032618,pamidronate disodium per 30 mg,106.15,37.16,14.64,54.11,6
NDC,61703033950,carboplatin per 50 mg,133.49,46.73,5.94,45.79,6
NDC,61703033956,carboplatin per 50 mg,167.51,58.63,5.94,57.46,6
NDC,61703034109,vinorelbine tartrate per 10 mg,124.16,43.46,12.24,43.37,6
NDC,61703034209,paclitaxel per 30 mg,24.0,8.4,0.18,8.23,6
NDC,61703034250,paclitaxel per 30 mg,201.9,70.67,0.18,69.25,6
NDC,61703035038,methotrexate sodium per 5 mg,24.0,8.4,5.0,14.22,6
NDC,61703036318,oxaliplatin per 0.5 mg,135.94,47.58,0.12,46.63,6
NDC,61703036322,oxaliplatin per 0.5 mg,271.87,95.16,0.12,93.25,6
NDC,61703040825,methotrexate sodium per 50 mg,102.99,36.05,5.0,35.33,6
NDC,61703040841,methotrexate sodium per 50 mg,104.03,36.42,5.0,35.68,6
NDC,61748001201,pyrazinamide 500 mg tablet 100 each Bottle,14.53,5.09,4.16,10.82,5
NDC,61748001206,pyrazinamide 500 mg tablet 60 each Bottle,14.9,5.22,4.27,11.1,5
NDC,61748001209,pyrazinamide 500 mg tablet 90 each Bottle,14.81,5.19,4.24,11.03,5
NDC,61748001211,pyrazinamide 500 mg tablet 100 each BLIST PACK,15.33,5.37,4.39,11.42,5
NDC,61748001530,rifAMPin 150 MG capsule 30 each Bottle,7.44,2.61,2.13,5.54,5
NDC,61748001801,rifAMPin 300 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,61748001860,rifAMPin 300 MG capsule 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,61748002501,ethosuximide 250 mg capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,61755000501,aflibercept 2 mg/0.05 mL syringe 0.05 mL Syringe,5304.6900000000005,1856.645,731.89,4592.09,20
NDC,61755000502,aflibercept 2 mg/0.05 mL solution 0.05 mL Vial,5550.01,1942.51,731.89,4592.09,10
NDC,61755000801,cemiplimab-rwlc 50 mg/mL solution 7 mL Vial,30939.48,10828.82,29.76,10612.24,10
NDC,61874010060,eluxadoline 100 mg tablet 60 each Bottle,79.36,27.78,22.73,59.12,5
NDC,61958040101,tenofovir 300 mg tablet 30 each Bottle,118.33,41.42,33.89,88.16,5
NDC,61958050101,adefovir 10 MG tablet 30 each Bottle,153.9,53.87,44.08,114.66,5
NDC,61958060101,emtricitabine 200 mg capsule 30 each Bottle,50.65,17.73,14.51,37.73,5
NDC,61958060201,emtricitabine 10 mg/mL solution 170 mL Bottle,47.86,16.76,13.71,35.66,5
NDC,61958070101,emtricitabine-tenofovir (TDF) 200-300 mg tablet 30 each Bottle,173.91,60.87,0.49,108.16,10
NDC,61958080202,ambrisentan 10 MG tablet 30 each BLIST PACK,271.14,94.9,77.65,202.0,5
NDC,61958100301,ranolazine 500 MG tablet extended release 12 hr 60 each Bottle,19.41,6.8,5.56,14.46,5
NDC,61958100401,"ranolazine 1,000 mg tablet extended release 12 hr 60 each Bottle",31.86,11.16,9.12,23.74,5
NDC,61958110101,emtricitab-rilpivirine-tenofovir 200-25-300 mg tablet 30 each Bottle,362.21,126.78,103.74,269.85,5
NDC,61958120101,elvitegravir-cobicistat-emtricitabine-tenofovir 150-150-200-300 mg tablet 30 each Bottle,417.5,146.13,119.57,311.04,5
NDC,61958170201,idelalisib 150 mg tablet 60 each Bottle,690.2,241.57,197.67,514.2,5
NDC,61958190101,elvitegravir-cobicistat-emtricitabine-tenofovir 150-150-200-10 mg tablet 30 each Bottle,398.0,139.3,113.99,296.51,5
NDC,61958200201,emtricitabine-tenofovir alafen 200-25 mg tablet 30 each Bottle,207.9,72.77,59.54,154.89,5
NDC,61958200202,emtricitabine-tenofovir alafen 200-25 mg tablet 30 each BLIST PACK,207.9,72.77,59.54,154.89,5
NDC,61958250101,bictegrav-emtricit-tenofov ala 50-200-25 mg tablet 30 each Bottle,398.0,139.3,113.99,296.51,5
NDC,61958250103,bictegrav-emtricit-tenofov ala 50-200-25 mg tablet 30 each BLIST PACK,398.0,139.3,113.99,296.51,5
NDC,61958290101,remdesivir 100 mg recon soln 1 each Vial,1472.64,515.43,6.9,1097.12,15
NDC,61958290102,remdesivir 100 mg recon soln 1 each Vial,1657.7350000000001,580.2149999999999,6.9,1097.12,15
NDC,61958290201,remdesivir 5 mg/ml solution 20 mL Vial,24.0,8.4,6.87,31.79,15
NDC,61971011501,sulfamethoxazole-trimethoprim 400-80 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,61990012002,piperacillin sod-tazobactam per 1 g,24.0,8.4,1.95,8.23,6
NDC,61990013001,piperacillin sod-tazobactam per 1 g,24.0,8.4,1.95,8.23,6
NDC,61990013002,piperacillin sod-tazobactam per 1 g,24.0,8.4,1.95,8.23,6
NDC,61990015001,piperacillin sod-tazobactam per 1 g,215.07,75.28,1.95,73.77,6
NDC,61990021100,phenylephrine per 1 mL,24.0,8.4,6.87,17.88,5
NDC,61990021103,phenylephrine per 1 mL,24.0,8.4,0.02,17.88,11
NDC,61990041102,dihydroergotamine mesylate per 1 mg,423.38,148.19,69.86,265.3,6
NDC,61990061100,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",58.88,20.61,16.86,43.87,10
NDC,61990061102,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",58.88,20.61,16.86,43.87,10
NDC,62103032302,zinc oxide 40 % ointment 57 g Tube,9.42,3.3,2.7,7.02,5
NDC,62103032304,zinc oxide 40 % ointment 113 g Tube,23.47,8.22,6.72,17.49,5
NDC,62103033302,zinc oxide 16 % ointment 57 g Tube,12.78,4.48,3.66,9.52,5
NDC,62103033304,zinc oxide 16 % ointment 113 g Tube,20.53,7.19,5.88,15.29,5
NDC,62135000237,lactulose 10 gram/15 mL solution 237 mL Bottle,209.75,73.42,60.07,156.26,5
NDC,62135000337,lactulose 10 gram/15 mL solution 237 mL Bottle,47.54,16.64,13.62,35.42,5
NDC,62135005024,hydrOXYzine 10 mg/5 mL solution 25 mL Cup,287.27,100.55,82.27,214.02,5
NDC,62135019122,calcium acetate(phosphat bind) 667 mg capsule 200 each Bottle,6.0,2.1,1.72,4.47,10
NDC,62135026660,tetracycline 500 MG capsule 60 each Bottle,37.17,13.01,10.65,27.69,5
NDC,62135041746,doxycycline 25 mg/5 mL suspension for reconstitution 60 mL Bottle,8.97,3.14,2.57,6.68,5
NDC,62135043130,disulfiram 250 mg tablet 30 each Bottle,27.38,9.59,7.84,20.4,5
NDC,62135048142,cephalexin 250 mg/5 mL suspension for reconstitution 100 mL Bottle,849.6,297.36,243.33,632.95,5
NDC,62135049260,loxapine 5 MG capsule 60 each Bottle,8.5,2.98,2.43,6.33,5
NDC,62135050247,hydrOXYzine 10 mg/5 mL solution 473 mL Bottle,1395.35,488.38,399.63,1039.54,5
NDC,62135054943,LORazepam 2 mg/mL concentrate 30 mL Bottle,708.0,247.8,202.77,527.46,5
NDC,62135071242,lidocaine 2 % solution 100 mL Bottle,277.54,97.14,79.49,206.77,5
NDC,62135075047,hydrOXYzine 10 mg/5 mL solution 473 mL Bottle,1395.35,488.38,399.63,1039.54,5
NDC,62135077447,promethazine per 25 mg,1395.35,488.38,0.14,478.61,6
NDC,62135082384,budesonide per 0.25 mg,28.79,10.08,1.67,9.87,6
NDC,62135082884,albuterol per 1 mg,8.5,2.98,0.07,2.92,6
NDC,62135092943,risperiDONE 1 mg/mL solution 30 mL Bottle,395.7,138.5,113.33,294.8,5
NDC,62175011837,"omeprazole 20mg capsule,delayed release(DR/EC) 100 each Bottle",7.96,2.79,2.28,5.93,5
NDC,62175012837,isosorbide mononitrate 30 MG tablet extended release 24 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,62175026037,NIFEdipine XL 30 MG tablet extended release 24hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,62175026137,NIFEdipine XL 60 MG tablet extended release 24hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,62175026237,NIFEdipine XL 90 MG tablet extended release 24hr 100 each Bottle,6.3,2.21,1.8,4.69,5
NDC,62175027037,oxybutynin XL 5 MG tablet extended release 24hr 100 each Bottle,7.25,2.54,2.08,5.4,5
NDC,62175031037,methylphenidate HCl 18 MG tablet extended release 24hr 100 each Bottle,14.68,5.14,4.2,10.94,5
NDC,62175031137,methylphenidate HCl 27 MG tablet extended release 24hr 100 each Bottle,15.05,5.27,4.31,11.21,5
NDC,62175045232,"buprenorphine-naloxone 2-0.5 mg tablet, sublingual 30 each Bottle",13.75,4.82,3.94,10.24,5
NDC,62175045832,"buprenorphine-naloxone 8-2 mg tablet, sublingual 30 each Bottle",24.59,8.61,7.04,18.32,5
NDC,62327044444,sterile talc 4 gram suspension for reconstitution 1 each Vial,330.4,115.64,94.63,246.15,5
NDC,62332000191,"famotidine 20 MG tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,62332002531,theophylline 300 MG tablet extended release 12 hr 100 each Bottle,10.14,3.55,2.9,7.55,5
NDC,62332003131,rOPINIRole 0.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,62332003331,rOPINIRole 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,62332003960,lamotrigine 150 MG tablet 60 each Bottle,12.25,4.29,3.51,9.13,5
NDC,62332004060,lamotrigine 200 MG tablet 60 each Bottle,13.34,4.67,3.82,9.94,5
NDC,62332004130,irbesartan 75 MG tablet 30 each Bottle,6.88,2.41,1.97,5.13,5
NDC,62332005431,cloNIDine 0.1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,62332006130,leflunomide 10 MG tablet 30 each Bottle,38.72,13.56,11.09,28.85,5
NDC,62332006230,leflunomide 20 MG tablet 30 each Bottle,38.72,13.56,11.09,28.85,5
NDC,62332009730,ARIPiprazole 2 MG tablet 30 each Bottle,75.52,26.44,21.63,56.26,5
NDC,62332009731,ARIPiprazole 2 MG tablet 100 each Bottle,75.7,26.5,21.68,56.4,5
NDC,62332009830,ARIPiprazole 5 MG tablet 30 each Bottle,75.52,26.44,21.63,56.26,5
NDC,62332009831,ARIPiprazole 5 MG tablet 100 each Bottle,75.7,26.5,21.68,56.4,5
NDC,62332009930,ARIPiprazole 10 MG tablet 30 each Bottle,75.52,26.44,21.63,56.26,5
NDC,62332009931,ARIPiprazole 10 MG tablet 100 each Bottle,75.7,26.5,21.68,56.4,5
NDC,62332010030,ARIPiprazole 15 MG tablet 30 each Bottle,75.52,26.44,21.63,56.26,5
NDC,62332010031,ARIPiprazole 15 MG tablet 100 each Bottle,75.7,26.5,21.68,56.4,5
NDC,62332010130,ARIPiprazole 20 MG tablet 30 each Bottle,106.2,37.17,30.42,79.12,5
NDC,62332010131,ARIPiprazole 20 MG tablet 100 each Bottle,107.04,37.47,30.66,79.74,5
NDC,62332010230,ARIPiprazole 30 MG tablet 30 each Bottle,106.2,37.17,30.42,79.12,5
NDC,62332010231,ARIPiprazole 30 MG tablet 100 each Bottle,107.04,37.47,30.66,79.74,5
NDC,62332011431,metoprolol tartrate 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,62332025050,doxycycline 100 MG capsule 50 each Bottle,6.0,2.1,1.72,4.47,5
NDC,62332025130,azithromycin 250 MG tablet 30 each Bottle,18.37,6.43,5.26,13.69,5
NDC,62332041510,oseltamivir 75 MG capsule 10 each BLIST PACK,36.48,12.77,10.45,27.18,5
NDC,62332049530,lurasidone 40 mg tablet 30 each Bottle,89.28,31.25,25.57,66.51,5
NDC,62332049830,lurasidone 120 mg tablet 30 each Bottle,133.27,46.65,38.17,99.29,5
NDC,62332050503,moxifloxacin 0.5 % drops 3 mL DROP BTL,394.87,138.21,113.09,294.18,5
NDC,62332055660,sacubitriL-valsartan 24-26 mg tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,62332055860,sacubitriL-valsartan 97-103 mg tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,62332059901,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,62332059925,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,62332073531,chlorpromazine per 10 mg,10.15,3.56,2.91,7.56,5
NDC,62332073731,chlorpromazine per 25 mg,24.49,8.58,7.01,18.25,5
NDC,62332073831,chlorpromazine per 25 mg,35.13,12.3,10.06,26.17,5
NDC,62332079031,fluPHENAZine 5 MG tablet 100 each Bottle,21.71,7.6,6.22,16.17,5
NDC,62332081120,diazePAM 5 mg/mL syringe 2 mL Syringe,69.71,24.4,9.03,27.53,6
NDC,62372063015,"simethicone 40 mg/0.6 mL drops,suspension 15 mL DROP BTL",12.5,4.38,3.58,9.31,5
NDC,62530000011,urea 15 gram powder in packet 8 each Packet,10.27,3.6,2.94,7.65,5
NDC,62559013807,hydrocortisone 100 mg/60 mL enema 60 mL SQUEEZ BTL,60.75,21.27,17.4,45.26,5
NDC,62559015304,opium 10 mg/mL (morphine) tincture 118 mL Bottle,9.0,3.15,2.58,6.71,5
NDC,62559015801,fluvoxaMINE 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,62559015901,fluvoxaMINE 50 MG tablet 100 each Bottle,6.07,2.13,1.74,4.52,5
NDC,62559016001,fluvoxaMINE 100 MG tablet 100 each Bottle,6.21,2.18,1.78,4.63,5
NDC,62559023001,propafenone 150 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,62559023101,propafenone 225 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,62559024101,methazolAMIDE 50 MG tablet 100 each Bottle,24.11,8.44,6.91,17.96,5
NDC,62559026530,tranexamic acid 650 mg tablet 30 each Bottle,12.32,4.32,3.53,9.18,5
NDC,62559026616,valproic acid 250 mg/5 mL solution 473 mL Bottle,168.56,59.0,48.28,125.58,5
NDC,62559035601,sodium polystyrene 15-20 gram/60 mL suspension 60 mL Bottle,73.21,25.63,20.97,54.54,5
NDC,62559038001,flecainide 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,62559038101,flecainide 100 MG tablet 100 each Bottle,6.45,2.26,1.85,4.81,5
NDC,62559039020,vancomycin 125 MG capsule 20 each BLIST PACK,73.88,25.86,21.16,55.04,5
NDC,62559042007,mesalamine 4 gram/60 mL enema 60 mL SQUEEZ BTL,57.63,20.18,16.51,42.93,5
NDC,62559042011,mesalamine 4 gram/60 mL enema 60 mL SQUEEZ BTL,57.63,20.18,16.51,42.93,5
NDC,62559043130,hydrocortisone 2.5 % cream with perineal applicator 30 g Tube,196.26,68.7,56.21,146.21,5
NDC,62559044001,erythromycin ethylsuccinate 200 mg/5 mL suspension for reconstitution 100 mL Bottle,956.74,334.86,274.01,712.77,5
NDC,62559044002,erythromycin ethylsuccinate 200 mg/5 mL suspension for reconstitution 200 mL Bottle,1752.54,613.39,501.93,1305.64,5
NDC,62559049001,diphenoxylate-atropine 2.5-0.025 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,62559053001,"propranoloL 60 MG capsule,extended release 24 hr 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,62559053101,"propranoloL 80 MG capsule,extended release 24 hr 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,62559053201,"propranolol LA 120 MG capsule,extended release 24 hr 100 each Bottle",7.04,2.47,2.02,5.24,5
NDC,62559063001,erythromycin ethylsuccinate 200 mg/5 mL suspension for reconstitution 100 mL Bottle,956.74,334.86,274.01,712.77,5
NDC,62559073001,felbamate 400 MG tablet 100 each Bottle,12.32,4.32,3.53,9.18,5
NDC,62559083003,vancomycin 50 mg/mL recon soln 300 mL Bottle,16.0,5.6,4.58,11.92,5
NDC,62584015901,demeclocycline 150 MG tablet 100 each BLIST PACK,25.09,8.79,7.19,18.69,5
NDC,62584015911,demeclocycline 150 MG tablet 1 each BLIST PACK,25.09,8.79,7.19,18.69,5
NDC,62584026501,metoprolol tartrate 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,62584026511,metoprolol tartrate 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,62584026601,metoprolol tartrate 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,62584026611,metoprolol tartrate 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,62584026701,metoprolol tartrate 100 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,62584026711,metoprolol tartrate 100 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,62584046701,atenoloL 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,62584046711,atenoloL 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,62584069311,doxycycline hyclate 100 MG tablet 1 each BLIST PACK,13.19,4.62,3.78,9.83,5
NDC,62584069321,doxycycline hyclate 100 MG tablet 30 each BLIST PACK,13.19,4.62,3.78,9.83,5
NDC,62584071301,allopurinoL 300 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,62584071311,allopurinoL 300 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,62584073301,hydrALAZINE 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,62584073311,hydrALAZINE 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,62584073401,hydrALAZINE 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,62584073411,hydrALAZINE 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,62584089701,folic acid 1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,62584089711,folic acid 1 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,62584098801,allopurinoL 100 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,62584098811,allopurinoL 100 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,62584099401,warfarin 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,62584099411,warfarin 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,62756006040,epoprostenol 1.5 mg recon soln 1 each Vial,132.66,46.44,26.33,45.5,6
NDC,62756012944,pantoprazole 40 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,62756014201,metFORMIN XR 500mg tablet extended release 24 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,62756018488,OXcarbazepine 300 MG tablet 100 each Bottle,6.23,2.19,1.78,4.64,5
NDC,62756020083,tiaGABine 2 MG tablet 30 each Bottle,18.73,6.56,5.36,13.95,5
NDC,62756022483,tiaGABine 4 MG tablet 30 each Bottle,18.73,6.56,5.36,13.95,5
NDC,62756023301,amphotericin b liposome per 10 mg,721.43,252.51,22.81,247.45,10
NDC,62756024064,ondansetron per 8 mg,52.51,18.38,0.02,18.01,6
NDC,62756026002,zonisamide 100 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,62756034944,octreotide per 25 mcg,35.07,12.28,1.55,12.03,6
NDC,62756045983,"buprenorphine 2 mg tablet, sublingual 30 each Bottle",10.62,3.72,3.04,7.91,5
NDC,62756046083,"buprenorphine 8 mg tablet, sublingual 30 each Bottle",19.97,6.99,5.72,14.88,5
NDC,62756046188,carbidopa-levodopa 25-100 mg tablet extended release 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,62756051244,azithromycin per 500 mg,24.0,8.4,3.71,14.59,6
NDC,62756051788,carbidopa-levodopa 10-100 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,62756051888,carbidopa-levodopa 25-100 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,62756052069,SUMAtriptan 25 MG tablet 9 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,62756052169,SUMAtriptan 50 MG tablet 9 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,62756052940,desmopressin per 1 mcg,1683.25,589.14,9.75,577.35,6
NDC,62756053886,riluzole 50 mg tablet 60 each Bottle,88.09,30.84,25.23,65.63,5
NDC,62756058988,liothyronine 5 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,62756071860,levonorgestreL 1.5 MG tablet 1 each BLIST PACK,56.64,19.83,16.22,42.2,5
NDC,62756079788,"divalproex DR 250 MG tablet,delayed release (DR/EC) 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,62756079888,"divalproex DR 500 MG tablet,delayed release (DR/EC) 100 each Bottle",7.59,2.66,2.17,5.65,5
NDC,62756095601,mexiletine 200 MG capsule 100 each Bottle,7.14,2.5,2.04,5.32,5
NDC,62756096788,calcitrioL 0.25 MCG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,62756096888,calcitrioL 0.5 MCG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,62756096983,"buprenorphine-naloxone 2-0.5 mg tablet, sublingual 30 each Bottle",13.75,4.82,3.94,10.24,5
NDC,62756097083,"buprenorphine-naloxone 8-2 mg tablet, sublingual 30 each Bottle",24.59,8.61,7.04,18.32,5
NDC,62856000110,altretamine 50 mg capsule 100 each Bottle,45.03,15.77,12.9,33.55,5
NDC,62856024330,"RABEprazole 20 mg tablet,delayed release (DR/EC) 30 each Bottle",56.24,19.69,16.11,41.9,5
NDC,62856027230,perampaneL 2 mg tablet 30 each Bottle,58.62,20.52,16.79,43.67,5
NDC,62856027830,perampaneL 8 mg tablet 30 each Bottle,115.83,40.55,33.17,86.29,5
NDC,62856058252,rufinamide 200 MG tablet 120 each Bottle,37.38,13.09,10.71,27.85,5
NDC,62856058352,rufinamide 400 MG tablet 120 each Bottle,74.76,26.17,21.41,55.7,5
NDC,62856058446,rufinamide 40 mg/mL suspension 460 mL Bottle,4981.82,1743.64,1426.79,3711.46,5
NDC,62856060001,decitabine per 1 mg,4845.55,1695.95,2.79,1662.02,6
NDC,62856072405,lenvatinib 24 mg/day(10 mg x 2-4 mg x 1) capsule 15 each BLIST PACK,786.13,275.15,225.15,585.67,5
NDC,62856072430,lenvatinib 24 mg/day(10 mg x 2-4 mg x 1) capsule 90 each BLIST PACK,786.13,275.15,225.15,585.67,5
NDC,62856079701,palonosetron per 25 mcg,566.4,198.24,1.07,194.28,6
NDC,62935030330,leuprolide acetate,5116.74,1790.86,176.2,1755.04,10
NDC,62935045345,leuprolide (6 month) per 7.5 mg,7675.1,2686.29,176.2,2632.56,10
NDC,62935075375,leuprolide 7.5 mg (1 month) syringe 1 each Syringe,1279.19,447.72,176.2,438.76,10
NDC,62935075474,leuprolide 7.5 mg (1 month) syringe 1 each Syringe,1279.19,447.72,176.2,438.76,10
NDC,62935075680,leuprolide 7.5 mg (1 month) syringe 1 each Syringe,1279.19,447.72,176.2,438.76,10
NDC,62991104102,dexAMETHasone sod phos (bulk) 100 % powder 5 g Jar,1062.0,371.7,304.16,791.19,5
NDC,62991148004,glycerol formal (bulk) 100 % liquid 500 mL Bottle,743.4,260.19,212.91,553.83,5
NDC,62991206702,tetracaine HCl powder 100 g Jar,2360.0,826.0,675.9,1758.2,5
NDC,62991253701,ethyl alcohol 95% liquid 500 mL Bottle,354.0,123.9,101.39,263.73,5
NDC,62991286301,EPINEPHrine bitartrate (bulk) powder 5 g Jar,1150.5,402.68,329.5,857.12,5
NDC,63004871001,corticotropin per 40 Units,84623.7,29618.3,20031.32,63044.66,5
NDC,63010001030,nelfinavir 250 MG tablet 300 each Bottle,11.46,4.02,3.28,8.54,5
NDC,63010002770,nelfinavir 625 MG tablet 120 each Bottle,28.65,10.03,8.21,21.34,5
NDC,63020004901,bortezomib 3.5 mg recon soln 1 each Vial,4539.7,1588.9,3.23,1557.12,6
NDC,63020004901,bortezomib per 0.1 mg,4539.7,1588.9,3.23,1557.12,6
NDC,63029850401,benzocaine-menthol 20-0.5 % aerosol 56 g CANISTER,12.03,4.22,3.45,8.96,5
NDC,63304008690,droxidopa 100 mg capsule 90 each Bottle,86.71,30.35,24.83,64.6,5
NDC,63304017513,"mesalamine 1.2 gram tablet,delayed release (DR/EC) 120 each Bottle",23.86,8.36,6.83,17.78,5
NDC,63304019130,desvenlafaxine 50 mg tablet extended release 24 hr 30 each Bottle,13.7,4.8,3.92,10.21,5
NDC,63304061650,doxycycline 100 MG capsule 50 each Bottle,6.0,2.1,1.72,4.47,5
NDC,63304071890,"diltiazem CD 120 MG capsule,extended release 24hr 90 each Bottle",6.0,2.1,1.72,4.47,5
NDC,63304072090,"diltiazem CD 240 MG capsule,extended release 24hr 90 each Bottle",6.0,2.1,1.72,4.47,5
NDC,63304072390,buPROPion XL 150 MG tablet extended release 24 hr 90 each Bottle,11.26,3.95,3.22,8.39,5
NDC,63304096201,bromocriptine 2.5 mg tablet 100 each Bottle,8.86,3.11,2.54,6.6,5
NDC,63304096230,bromocriptine 2.5 mg tablet 30 each Bottle,9.76,3.42,2.8,7.27,5
NDC,63323001001,gentamicin per 80 mg,24.0,8.4,4.44,15.69,6
NDC,63323001002,gentamicin per 80 mg,24.0,8.4,4.44,15.69,6
NDC,63323001003,gentamicin per 80 mg,65.75,23.02,4.44,22.55,6
NDC,63323001020,gentamicin per 80 mg,94.35,33.03,4.44,32.36,6
NDC,63323001201,oxytocin per 10 Units,24.0,8.4,6.87,17.88,5
NDC,63323001203,oxytocin per 10 Units,24.0,8.4,6.87,17.88,5
NDC,63323001206,oxytocin per 10 Units,24.0,8.4,6.87,17.88,5
NDC,63323001207,oxytocin per 10 Units,24.0,8.4,6.87,17.88,5
NDC,63323001210,oxytocin per 10 Units,24.0,8.4,6.87,17.88,5
NDC,63323001211,oxytocin per 10 Units,24.0,8.4,6.87,17.88,5
NDC,63323001217,oxytocin per 10 Units,24.0,8.4,6.87,17.88,5
NDC,63323001230,oxytocin per 10 Units,24.0,8.4,6.87,17.88,5
NDC,63323001302,thiamine per 100 mg,24.0,8.4,3.23,13.12,6
NDC,63323001309,thiamine per 100 mg,24.0,8.4,3.23,13.12,6
NDC,63323001910,sodium iodide 100 mcg/mL solution 10 mL Vial,28.3,9.91,8.11,21.08,5
NDC,63323002425,mannitol per 50 mL,24.0,8.4,6.87,17.88,5
NDC,63323003261,sodium acetate 4 mEq/mL solution 100 mL Vial,25.02,8.76,7.17,18.64,5
NDC,63323004401,cyanocobalamin per 1000 mcg,24.0,8.4,2.07,8.23,6
NDC,63323006401,magnesium sulfate per 500 mg of magnesium,24.0,8.4,0.84,8.23,6
NDC,63323006402,magnesium sulfate per 500 mg of magnesium,24.0,8.4,0.84,8.23,6
NDC,63323006403,magnesium sulfate per 500 mg of magnesium,24.0,8.4,0.84,8.23,6
NDC,63323006409,magnesium sulfate per 500 mg of magnesium,24.0,8.4,0.84,8.23,6
NDC,63323006410,magnesium sulfate per 500 mg of magnesium,24.0,8.4,0.84,8.23,6
NDC,63323006411,magnesium sulfate per 500 mg of magnesium,24.0,8.4,0.84,8.23,6
NDC,63323006423,magnesium sulfate per 500 mg of magnesium,24.0,8.4,0.84,8.23,6
NDC,63323008305,sodium bicarbonate 4.2 % solution 5 mL Vial,66.63,23.33,19.08,49.64,5
NDC,63323008605,potassium phosphate 3 mmol/mL solution 5 mL Vial,41.94,14.68,12.01,31.25,5
NDC,63323008615,potassium phosphate 3 mmol/mL solution 15 mL Vial,85.74,30.01,24.56,63.88,5
NDC,63323008650,potassium phosphate 3 mmol/mL solution 50 mL Vial,190.45,66.66,54.54,141.89,5
NDC,63323008950,sodium bicarbonate 1 mEq/mL (8.4 %) solution 50 mL Vial,70.33,24.62,20.14,52.4,5
NDC,63323009301,sodium chloride 4 mEq/mL solution 30 mL Vial,24.0,8.4,6.87,17.88,5
NDC,63323009330,sodium chloride 4 mEq/mL solution 30 mL Vial,24.0,8.4,6.87,17.88,5
NDC,63323009561,sodium chloride 4 mEq/mL solution 100 mL Vial,49.8,17.43,14.26,37.1,5
NDC,63323010351,cisplatin per 50 mg,58.29,20.41,5.1,19.99,6
NDC,63323010365,cisplatin per 50 mg,116.58,40.81,5.1,39.99,6
NDC,63323010405,etoposide 20 mg/mL solution 5 mL Vial,35.23,12.34,1.63,12.08,6
NDC,63323010425,etoposide 20 mg/mL solution 25 mL Vial,176.12,61.65,1.63,60.41,6
NDC,63323010601,magnesium sulfate per 500 mg magnesium,25.72,9.01,0.84,8.82,6
NDC,63323010602,magnesium sulfate 2 gram/50 mL (4 %) piggyback 50 mL Flex Cont,36.34,12.72,0.84,12.46,6
NDC,63323010605,magnesium sulfate 2 gram/50 mL (4 %) piggyback 50 mL Flex Cont,36.34,12.72,0.84,12.46,6
NDC,63323010610,"magnesium sulfate in water 40 gram/1,000 mL (4 %) parenteral solution 1,000 mL Flex Cont",25.96,9.09,0.84,8.9,6
NDC,63323010615,magnesium sulfate in water 20 gram/500 mL (4 %) parenteral solution 500 mL Flex Cont,24.0,8.4,0.84,8.23,6
NDC,63323010705,magnesium sulfate per 500 mg of magnesium,24.0,8.4,0.84,8.23,6
NDC,63323011310,pentamidine 300 mg recon soln 1 each Vial,472.63,165.43,86.16,492.21,6
NDC,63323011700,fluorouracil per 500 mg,24.0,8.4,4.22,9.6,6
NDC,63323011701,fluorouracil per 500 mg,24.0,8.4,4.22,9.6,6
NDC,63323011710,fluorouracil per 500 mg,24.0,8.4,4.22,9.6,6
NDC,63323011720,fluorouracil per 500 mg,24.0,8.4,4.22,9.6,6
NDC,63323011751,fluorouracil per 500 mg,41.54,14.54,4.22,14.25,6
NDC,63323011761,fluorouracil per 500 mg,83.07,29.08,4.22,28.49,6
NDC,63323012020,cytarabine per 100 mg,59.19,20.72,1.5,20.3,6
NDC,63323012250,methotrexate sodium per 50 mg,180.12,63.05,5.0,61.78,6
NDC,63323012820,dacarbazine per 200 mg,33.98,11.9,6.15,21.23,6
NDC,63323013011,doxycycline 100 mg recon soln 1 each Vial,74.57,26.1,21.36,55.55,10
NDC,63323013013,doxycycline 100 mg recon soln 1 each Vial,54.265,19.0,14.05,44.31,10
NDC,63323013212,mitoxantrone per 5 mg,1595.12,558.3,38.61,547.13,10
NDC,63323013610,bleomycin per 15 Units,97.7,34.2,33.51,128.63,6
NDC,63323014210,ifosfamide per 1 g,164.4,57.54,44.14,133.09,6
NDC,63323016101,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,63323016112,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,63323016121,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,63323016200,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,63323016201,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,63323016212,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,63323016425,lactated ringers per 1000 mL,24.0,8.4,4.27,12.53,6
NDC,63323016475,lactated ringer's 500 mL Bag,24.0,8.4,4.27,12.53,6
NDC,63323016475,lactated ringers per 1000 mL,24.0,8.4,4.27,12.53,6
NDC,63323016501,dexamethasone per 1 mg,24.0,8.4,0.2,8.23,6
NDC,63323016505,dexamethasone per 1 mg,24.0,8.4,0.2,8.23,6
NDC,63323016530,dexamethasone per 1 mg,131.4,45.99,0.2,45.07,6
NDC,63323017005,sodium phosphate 3 mmol/mL solution 5 mL Vial,45.71,16.0,13.09,34.05,5
NDC,63323017015,sodium phosphate 3 mmol/mL solution 15 mL Vial,93.49,32.73,26.78,69.65,5
NDC,63323017215,carboplatin per 50 mg,76.46,26.77,5.94,26.23,6
NDC,63323017260,carboplatin per 50 mg,174.45,61.06,5.94,59.84,6
NDC,63323017301,gentamicin per 80 mg,24.0,8.4,4.44,15.69,6
NDC,63323017302,gentamicin per 80 mg,24.0,8.4,4.44,15.69,6
NDC,63323018000,pyridoxine per 100 mg,61.54,21.54,21.11,83.38,6
NDC,63323018001,pyridoxine per 100 mg,30.77,10.77,10.55,83.38,6
NDC,63323018410,folic acid 5 mg/mL solution 10 mL Vial,160.14999999999998,56.06,39.89,134.85,10
NDC,63323018505,sterile water solution 5 mL Vial,9.51,3.33,2.72,7.08,5
NDC,63323018508,sterile water solution 20 mL Vial,6.0,2.1,1.72,4.47,5
NDC,63323018509,sterile water solution 50 mL Vial,23.95,8.39,6.86,17.84,5
NDC,63323018510,sterile water solution 10 mL Vial,14.16,4.96,4.06,10.55,5
NDC,63323018520,sterile water solution 20 mL Vial,18.5,6.48,5.3,13.78,5
NDC,63323018550,sterile water solution 50 mL Vial,23.95,8.39,6.86,17.84,5
NDC,63323018602,sodium chloride 0.9 % (PF) solution 2 mL Vial,24.0,8.4,6.87,17.88,5
NDC,63323018610,sodium chloride 0.9 % (PF) solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,63323018620,sodium chloride 0.9 % (PF) solution 20 mL Vial,24.0,8.4,6.87,17.88,5
NDC,63323018730,sodium chloride 4 mEq/mL solution 30 mL Vial,24.0,8.4,6.87,17.88,5
NDC,63323019202,fludarabine per 50 mg,769.97,269.49,264.1,3171.38,6
NDC,63323020101,lidocaine 1 % solution 2 mL Vial,24.0,8.4,0.02,17.88,11
NDC,63323020102,lidocaine 1 % solution 2 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323020103,lidocaine 1 % solution 10 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323020110,lidocaine 1 % solution 10 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323020202,lidocaine 20 mg/mL (2 %) solution 2 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323020202,lidocaine 20 mg/mL (2%) solution 2 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323020301,vancomycin per 500 mg,26.9,9.42,7.7,20.04,5
NDC,63323020320,vancomycin per 500 mg,26.9,9.42,7.7,20.04,5
NDC,63323020805,lidocaine 20 mg/mL (2 %) solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,63323022138,vancomycin per 500 mg,24.0,8.4,6.87,17.88,5
NDC,63323022901,protamine sulfate per 10 mg,43.84,15.35,1.95,15.04,6
NDC,63323022905,protamine sulfate per 10 mg,43.84,15.35,1.95,15.04,6
NDC,63323022915,protamine sulfate per 10 mg,31.58,11.06,1.95,10.83,6
NDC,63323022930,protamine sulfate per 10 mg,149.86,52.46,1.95,51.4,6
NDC,63323024120,sodium glycerophosphate 1 mmol/mL solution 20 mL Vial,36.82,12.89,10.55,27.43,5
NDC,63323025410,mineral oil oil 10 mL Vial,51.964999999999996,18.195,11.29,48.07,10
NDC,63323025503,methylprednisolone per 40 mg,24.0,8.4,0.54,17.88,6
NDC,63323025803,methylprednisolone per 125 mg,32.99,11.55,0.54,24.58,6
NDC,63323026037,mepivacaine PF 10 mg/mL (1 %) solution 30 mL Vial,31.58,11.06,5.43,16.14,6
NDC,63323026201,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,63323026203,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,63323026206,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,63323026530,methylprednisolone per 125 mg,96.9,33.92,0.54,72.19,6
NDC,63323026910,propofol (DIPRIVAN) injection 10 mg/mL emulsion 10 mL Vial,24.0,8.4,0.17,8.23,6
NDC,63323026910,propofol (DIPROVAN) infusion 10 mg/mL 10 mL Vial,24.0,8.4,0.17,8.23,6
NDC,63323026929,propofol (DIPRIVAN) injection 10 mg/mL emulsion 20 mL Vial,24.0,8.4,0.17,8.23,6
NDC,63323026929,propofol (DIPROVAN) infusion 10 mg/mL 20 mL Vial,24.0,8.4,0.17,8.23,6
NDC,63323026937,propofol (DIPRIVAN) injection 10 mg/mL emulsion 20 mL Vial,24.0,8.4,0.17,8.23,6
NDC,63323026937,propofol (DIPROVAN) infusion 10 mg/mL 20 mL Vial,24.0,8.4,0.17,8.23,6
NDC,63323026965,propofol (DIPRIVAN) injection 10 mg/mL emulsion 100 mL Vial,84.96,29.74,0.17,29.14,6
NDC,63323026965,propofol (DIPROVAN) infusion 10 mg/mL 100 mL Vial,84.96,29.74,0.17,29.14,6
NDC,63323026967,propofol (DIPRIVAN) injection 10 mg/mL emulsion 100 mL Vial,33.98,11.9,0.17,11.66,6
NDC,63323026967,propofol (DIPROVAN) infusion 10 mg/mL 100 mL Vial,33.98,11.9,0.17,11.66,6
NDC,63323027205,fluphenazine decanoate per 25 mg,43.89,15.37,15.05,57.43,6
NDC,63323027301,SUMAtriptan 6 mg/0.5 mL solution 0.5 mL Vial,144.55,50.6,41.4,107.69,5
NDC,63323027602,"heparin (PF) 1,000 unit/mL solution 2 mL Vial",38.91,13.62,0.39,13.35,6
NDC,63323027810,vinblastine per 1 mg,152.24,53.29,6.96,52.22,6
NDC,63323028001,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,63323028110,fluPHENAZine 2.5 mg/mL solution 10 mL Vial,27.2,9.52,7.79,20.26,11
NDC,63323028204,clindamycin per 300 mg,24.0,8.4,3.14,8.45,6
NDC,63323028301,mepivacaine per 10 mL,44.25,15.49,5.43,16.14,6
NDC,63323028401,vancomycin per 500 mg,45.03,15.77,12.9,33.55,5
NDC,63323028420,vancomycin per 500 mg,45.03,15.77,12.9,33.55,5
NDC,63323028523,ropivacaine per 1 mg,31.25,10.94,0.11,10.72,6
NDC,63323028693,ropivacaine per 1 mg,358.25,125.39,0.11,122.88,6
NDC,63323028695,ropivacaine per 1 mg,358.25,125.39,0.11,122.88,6
NDC,63323029337,mepivacaine per 10 mL,42.76,14.97,5.43,16.14,6
NDC,63323029401,mepivacaine PF 20 mg/mL (2 %) solution 20 mL Vial,30.0,10.5,5.43,16.14,6
NDC,63323029427,mepivacaine PF 20 mg/mL (2 %) solution 20 mL Vial,35.02,12.26,5.43,16.14,6
NDC,63323029561,vancomycin 5 gram recon soln 1 each Vial,225.14,78.8,64.48,167.73,5
NDC,63323030351,tobramycin per 80 mg,236.47,82.77,4.08,81.11,6
NDC,63323030355,tobramycin per 80 mg,167.0,58.45,4.08,57.28,6
NDC,63323030601,tobramycin per 80 mg,24.0,8.4,4.08,13.9,6
NDC,63323030602,tobramycin per 80 mg,24.0,8.4,4.08,13.9,6
NDC,63323031119,calcium gluconate per 10 mL,24.0,8.4,6.87,17.88,5
NDC,63323031159,calcium gluconate per 10 mL,31.39,10.99,8.99,23.39,5
NDC,63323031461,vancomycin 10 gram recon soln 1 each Vial,601.8,210.63,172.36,448.34,5
NDC,63323031468,vancomycin 10 gram recon soln 1 each Bottle,601.8,210.63,172.36,448.34,5
NDC,63323031501,ganciclovir per 500 mg,275.47,96.42,65.54,207.08,6
NDC,63323031510,ganciclovir per 500 mg,275.47,96.42,65.54,207.08,6
NDC,63323032220,imipenem-cilastatin per 250 mg,55.51,19.43,12.53,37.49,6
NDC,63323032225,imipenem-cilastatin per 250 mg,84.9,29.72,12.53,37.49,6
NDC,63323032293,imipenem-cilastatin per 250 mg,31.76,11.12,10.89,37.49,6
NDC,63323032503,acyclovir per 5 mg,42.48,14.87,0.06,14.57,6
NDC,63323032510,acyclovir per 5 mg,42.48,14.87,0.06,14.57,6
NDC,63323032520,acyclovir per 5 mg,99.12,34.7,0.06,34.0,6
NDC,63323032541,acyclovir per 5 mg,53.24,18.64,0.06,18.26,6
NDC,63323032820,nafcillin per 2 g,81.82,28.64,23.43,60.96,5
NDC,63323032821,nafcillin per 2 g,81.82,28.64,23.43,60.96,5
NDC,63323032931,"bacitracin 50,000 unit recon soln 1 each Vial",25.49,8.93,7.3,18.99,5
NDC,63323034020,cefepime per 500 mg,30.7,10.75,2.08,10.53,6
NDC,63323034225,cefoxitin per 1 g,39.53,13.84,8.12,26.22,6
NDC,63323034901,imipenem-cilastatin per 250 mg,48.4,16.94,12.53,37.49,6
NDC,63323034925,imipenem-cilastatin per 250 mg,48.4,16.94,12.53,37.49,6
NDC,63323035120,rifAMPin 600 mg recon soln 1 each Vial,433.3,151.66,124.1,322.81,10
NDC,63323036003,calcium gluconate per 10 mL,76.46,26.77,0.08,26.23,6
NDC,63323036019,calcium gluconate per 10 mL,28.37,9.93,0.08,9.73,6
NDC,63323036059,calcium gluconate per 10 mL,76.46,26.77,0.08,26.23,6
NDC,63323036061,calcium gluconate per 10 mL,152.93,53.53,0.08,52.45,6
NDC,63323037110,daptomycin per 1 mg,1261.61,441.57,0.06,432.73,6
NDC,63323037420,ondansetron per 1 mg,57.35,20.08,0.17,19.67,6
NDC,63323037601,octreotide per 25 mcg,28.15,9.86,1.55,9.66,6
NDC,63323037701,octreotide per 25 mcg,140.72,49.26,1.55,48.27,6
NDC,63323037905,octreotide per 25 mcg,1407.17,492.51,1.55,482.66,6
NDC,63323038510,cefotetan per 500 mg,68.59,24.01,19.64,51.1,10
NDC,63323038620,cefotetan per 500 mg,137.18,48.02,39.29,102.2,10
NDC,63323038810,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,63323039306,colistimethate per 150 mg,79.27,27.75,22.11,64.39,6
NDC,63323039810,azithromycin per 500 mg,24.0,8.4,3.71,14.59,6
NDC,63323039812,azithromycin per 500 mg,70.68,24.74,3.71,24.24,6
NDC,63323040101,aztreonam per 500 mg,102.18,35.77,3.54,35.05,6
NDC,63323040120,aztreonam per 500 mg,102.18,35.77,3.54,76.12,11
NDC,63323040201,aztreonam per 500 mg,184.8,64.685,3.54,154.67,11
NDC,63323040220,aztreonam per 500 mg,106.94500000000001,37.435,3.54,55.56,11
NDC,63323040603,caffeine citrate 20 mg/mL solution 3 mL Vial,125.12,43.8,35.83,93.21,5
NDC,63323040703,caffeine citrate per 5 mg,88.17,30.86,25.25,65.69,5
NDC,63323041112,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,63323041225,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,63323041501,neostigmine 1 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,63323041510,neostigmine 1 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,63323041820,cisatracurium 10 mg/mL conc. (ICU USE ONLY) solution 20 mL Vial,471.81,165.14,135.13,351.5,5
NDC,63323042405,flumazeniL 0.1 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,63323042410,flumazeniL 0.1 mg/mL solution 10 mL Vial,220.61,77.22,63.18,164.35,5
NDC,63323042601,rocuronium 10 mg/mL solution 10 mL Vial,38.35,13.43,10.98,28.57,5
NDC,63323042605,rocuronium 10 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,63323042610,rocuronium 10 mg/mL solution 10 mL Vial,38.35,13.43,10.98,28.57,5
NDC,63323043441,acetaminophen 10 mg/mL solution 100 mL Bag,27.14,9.5,0.08,9.31,6
NDC,63323045100,morphine 10 mg/mL solution 1 mL Vial,86.38,30.24,9.12,36.34,6
NDC,63323045101,morphine 10 mg/mL solution 1 mL Vial,30.0,10.5,9.12,36.34,6
NDC,63323045400,morphine 4 mg/mL solution 1 mL Vial,30.0,10.5,9.12,36.34,6
NDC,63323045401,morphine 4 mg/mL solution 1 mL Vial,30.0,10.5,9.12,36.34,6
NDC,63323046101,BUPivacaine-EPINEPHrine 0.25 %-1:200000 solution 50 mL Vial,54.99,19.25,15.75,40.97,5
NDC,63323046157,BUPivacaine-EPINEPHrine 0.25 %-1:200000 solution 50 mL Vial,54.99,19.25,15.75,40.97,5
NDC,63323046201,"BUPivacaine-EPINEPHrine (PF) 0.5 %-1:200,000 solution 30 mL Vial",36.89,12.92,10.57,27.48,5
NDC,63323046204,"BUPivacaine-EPINEPHrine (PF) 0.5 %-1:200,000 solution 10 mL Vial",24.0,8.4,6.87,17.88,5
NDC,63323046217,"BUPivacaine-EPINEPHrine (PF) 0.5 %-1:200,000 solution 10 mL Vial",24.0,8.4,6.87,17.88,5
NDC,63323046237,"BUPivacaine-EPINEPHrine (PF) 0.5 %-1:200,000 solution 30 mL Vial",36.89,12.92,10.57,27.48,5
NDC,63323046301,"BUPivacaine-EPINEPHrine 0.5 %-1:200,000 solution 50 mL Vial",58.76,20.57,16.83,43.78,5
NDC,63323046357,"BUPivacaine-EPINEPHrine 0.5 %-1:200,000 solution 50 mL Vial",58.76,20.57,16.83,43.78,5
NDC,63323046417,bupivacaine 0.25 % (2.5 mg/mL) solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,63323046417,bupivacaine PF 0.25 % (2.5 mg/mL) solution 10 mL Vial,24.0,8.4,0.02,8.23,6
NDC,63323046437,bupivacaine 0.25 % (2.5 mg/mL) solution 30 mL Vial,24.0,8.4,6.87,17.88,5
NDC,63323046437,bupivacaine PF 0.25 % (2.5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,8.23,6
NDC,63323046601,BUPivacaine (PF) 0.5 % (5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,17.88,11
NDC,63323046603,BUPivacaine (PF) 0.5 % (5 mg/mL) solution 10 mL Vial,24.0,8.4,0.02,17.88,11
NDC,63323046617,BUPivacaine (PF) 0.5 % (5 mg/mL) solution 10 mL Vial,24.0,8.4,0.02,17.88,11
NDC,63323046637,BUPivacaine (PF) 0.5 % (5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,17.88,11
NDC,63323046817,"bupivacaine-EPINEPHrine (PF) 0.25 %-1:200,000 solution 10 mL Vial",24.0,8.4,6.87,17.88,5
NDC,63323046837,"bupivacaine-EPINEPHrine (PF) 0.25 %-1:200,000 solution 30 mL Vial",34.27,12.0,9.81,25.53,5
NDC,63323046901,haloperidol decanoate per 50 mg,79.53,27.84,12.21,43.69,6
NDC,63323047101,haloperidol decanoate per 50 mg,145.8,51.03,12.21,50.01,6
NDC,63323047237,bupivacaine PF 0.75 % (7.5 mg/mL) solution 30 mL Vial,24.0,8.4,0.02,17.88,11
NDC,63323047401,haloperidol lactate per 5 mg,24.0,8.4,1.86,8.23,6
NDC,63323047701,chloroprocaine per 30 mL,68.77,24.07,0.06,23.59,6
NDC,63323047727,chloroprocaine per 30 mL,68.77,24.07,0.06,23.59,6
NDC,63323047827,chloroprocaine per 30 mL,63.39,22.19,0.06,21.74,6
NDC,63323048101,lidocaine-epinephrine 0.5 %-1:200000 solution 50 mL Vial,25.84,9.05,0.02,19.25,6
NDC,63323048157,lidocaine-epinephrine 0.5 %-1:200000 solution 50 mL Vial,25.84,9.05,0.02,19.25,6
NDC,63323048205,lidocaine-epinephrine 1 %-1:100000 solution 50 mL Vial,36.82,12.89,0.02,27.43,6
NDC,63323048217,lidocaine-epinephrine 1 %-1:100000 solution 10 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323048227,lidocaine-epinephrine 1 %-1:100000 solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323048257,lidocaine-epinephrine 1 %-1:100000 solution 50 mL Vial,36.82,12.89,0.02,27.43,6
NDC,63323048301,lidocaine-epinephrine 2 %-1:100000 solution 50 mL Vial,24.0,8.4,6.87,17.88,5
NDC,63323048303,lidocaine-epinephrine 2 %-1:100000 solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323048327,lidocaine-epinephrine 2 %-1:100000 solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323048357,lidocaine-epinephrine 2 %-1:100000 solution 50 mL Vial,29.97,10.49,0.02,22.33,6
NDC,63323048501,lidocaine 1 % solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323048527,lidocaine 1 % solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323048557,lidocaine 1 % solution 50 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323048602,lidocaine 20 mg/mL (2 %) solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323048602,lidocaine 20 mg/mL (2%) solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323048617,lidocaine 20 mg/mL (2 %) solution 10 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323048617,lidocaine 20 mg/mL (2%) solution 10 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323048627,lidocaine 20 mg/mL (2 %) solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323048627,lidocaine 20 mg/mL (2%) solution 20 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323048657,lidocaine 20 mg/mL (2 %) solution 50 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323048657,lidocaine 20 mg/mL (2%) solution 50 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323048707,lidocaine-epinephrine (PF) 1 %-1:200000 solution 30 mL Vial,43.54,15.24,0.02,32.44,6
NDC,63323048737,lidocaine-epinephrine (PF) 1 %-1:200000 solution 30 mL Vial,43.54,15.24,0.02,32.44,6
NDC,63323048831,lidocaine-epinephrine (PF) 1.5 %-1:200000 solution 30 mL Vial,32.5,11.38,0.02,24.21,6
NDC,63323048837,lidocaine-epinephrine (PF) 1.5 %-1:200000 solution 30 mL Vial,50.48,17.67,0.02,37.61,6
NDC,63323048901,lidocaine-epinephrine (PF) 2 %-1:200000 solution 10 mL Vial,33.16,11.61,0.02,24.7,6
NDC,63323048902,lidocaine-epinephrine (PF) 2 %-1:200000 solution 20 mL Vial,44.51,15.58,12.75,33.16,5
NDC,63323048917,lidocaine-epinephrine (PF) 2 %-1:200000 solution 10 mL Vial,33.16,11.61,0.02,24.7,6
NDC,63323048927,lidocaine-epinephrine (PF) 2 %-1:200000 solution 20 mL Vial,66.55,23.3,0.02,49.58,6
NDC,63323049101,lidocaine PF 5 mg/mL (0.5 %) solution 50 mL Vial,41.06,14.38,0.02,30.59,6
NDC,63323049157,lidocaine PF 5 mg/mL (0.5 %) solution 50 mL Vial,41.06,14.38,0.02,30.59,6
NDC,63323049209,lidocaine PF 10 mg/mL (1 %) solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,63323049227,lidocaine 1 % solution 2 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323049227,lidocaine PF 10 mg/mL (1 %) solution 2 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323049237,lidocaine 1 % solution 30 mL Vial,33.42,11.7,0.02,24.9,6
NDC,63323049237,lidocaine PF 10 mg/mL (1 %) solution 30 mL Vial,33.42,11.7,0.02,24.9,6
NDC,63323049257,lidocaine 1 % solution 5 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323049257,lidocaine PF 10 mg/mL (1 %) solution 5 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323049297,lidocaine 1 % solution 10 mL AMPUL,24.0,8.4,0.02,17.88,6
NDC,63323049297,lidocaine PF 10 mg/mL (1 %) solution 10 mL AMPUL,24.0,8.4,0.02,17.88,6
NDC,63323049401,valproate 500 mg/5 mL (100 mg/mL) solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,63323049405,valproate 500 mg/5 mL (100 mg/mL) solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,63323049507,lidocaine 20 mg/mL (2%) solution 5 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323049507,lidocaine PF 20 mg/mL (2 %) solution 5 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323049509,lidocaine 20 mg/mL (2%) solution 2 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323049509,lidocaine PF 20 mg/mL (2 %) solution 2 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323049527,lidocaine 20 mg/mL (2%) solution 2 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323049527,lidocaine PF 20 mg/mL (2 %) solution 2 mL Vial,24.0,8.4,0.02,17.88,6
NDC,63323049697,lidocaine 20 mg/mL (2%) solution 10 mL AMPUL,24.0,8.4,0.02,17.88,6
NDC,63323049697,lidocaine PF 20 mg/mL (2 %) solution 10 mL AMPUL,24.0,8.4,0.02,17.88,6
NDC,63323050601,dexAMETHasone sodium phos (PF) 10 mg/mL solution 1 mL Vial,24.0,8.4,0.2,8.23,6
NDC,63323050801,meropenem per 100 mg,24.0,8.4,0.63,8.23,6
NDC,63323050830,meropenem per 100 mg,24.0,8.4,0.63,8.23,6
NDC,63323051610,dexamethasone per 1 mg,43.87,15.36,0.2,15.05,6
NDC,63323051801,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,63323051877,heparin (porcine) per 1000 Units,24.0,8.4,0.39,17.88,11
NDC,63323052277,heparin (porcine) per 1000 Units,30.09,10.535,0.39,11.74,12
NDC,63323052603,argatroban per 5 mg,914.74,320.16,1.01,681.48,15
NDC,63323053190,enoxaparin per 10 mg,45.03,15.77,1.02,15.45,6
NDC,63323053301,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,63323053383,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,63323053501,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,63323053587,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,63323053701,enoxaparin per 10 mg,84.42,29.55,1.02,28.96,6
NDC,63323053784,enoxaparin per 10 mg,84.42,29.55,1.02,28.96,6
NDC,63323054001,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,63323054003,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,63323054007,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,63323054011,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,63323054013,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,63323054015,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,63323054067,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,63323054201,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,63323054302,"heparin (PF) 5,000 unit/0.5 mL solution 0.5 mL Vial",24.0,8.4,0.39,8.23,6
NDC,63323054302,heparin 5000 units/0.5 mL,24.0,8.4,0.39,8.23,6
NDC,63323054313,"heparin (PF) 5,000 unit/0.5 mL solution 0.5 mL Vial",24.0,8.4,0.39,8.23,6
NDC,63323054313,heparin 5000 units/0.5 mL,24.0,8.4,0.39,8.23,6
NDC,63323054501,heparin lock flush 100 unit/mL solution 1 mL Vial,24.0,8.4,6.87,17.88,5
NDC,63323054505,heparin lock flush 100 unit/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,63323054901,heparin (PF) 100 unit/mL (1 mL) solution 1 mL Vial,24.0,8.4,6.87,17.88,5
NDC,63323055921,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,63323055993,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,63323056210,bivalirudin per 1 mg,410.64,143.73,0.3,140.85,6
NDC,63323056421,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,63323056463,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,63323056497,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,63323056586,enoxaparin per 10 mg,199.42,69.8,1.02,68.4,6
NDC,63323056621,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,63323056698,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,63323056883,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,63323056884,enoxaparin per 10 mg,56.3,19.71,1.02,19.31,6
NDC,63323056887,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,63323056888,enoxaparin per 10 mg,33.79,11.83,1.02,11.59,6
NDC,63323056890,enoxaparin per 10 mg,45.03,15.77,1.02,15.45,6
NDC,63323056899,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,63323056984,enoxaparin per 10 mg,84.42,29.55,1.02,28.96,6
NDC,63323056990,enoxaparin per 10 mg,67.54,23.64,1.02,23.17,6
NDC,63323058020,atropine per 0.01 mg,216.08,75.63,0.13,74.12,6
NDC,63323058921,enoxaparin per 10 mg,39.53,13.84,1.02,13.56,6
NDC,63323058994,enoxaparin per 10 mg,39.53,13.84,1.02,13.56,6
NDC,63323059303,glucagon 1 mg/mL recon soln 1 each Vial,715.6,250.46,135.0,531.81,10
NDC,63323059403,glucagon 1 mg/mL recon soln 1 each Vial,424.8,148.68,135.0,531.81,10
NDC,63323059616,glucagon 1 mg/mL recon soln 1 each Vial,424.8,148.68,135.0,531.81,10
NDC,63323059710,deferoxamine mesylate per 500 mg,41.8,14.63,12.21,45.04,6
NDC,63323060401,propranolol per 1 mg,32.51,11.38,11.15,41.95,6
NDC,63323060584,enoxaparin per 10 mg,56.3,19.71,1.02,19.31,6
NDC,63323060701,enoxaparin per 10 mg,33.79,11.83,1.02,11.59,6
NDC,63323060788,enoxaparin per 10 mg,33.79,11.83,1.02,11.59,6
NDC,63323060990,enoxaparin per 10 mg,67.54,23.64,1.02,23.17,6
NDC,63323061400,hydralazine per 20 mg,48.26,16.9,7.28,29.95,6
NDC,63323061401,hydralazine per 20 mg,48.26,16.9,7.28,29.95,6
NDC,63323061421,hydralazine per 20 mg,24.0,8.4,7.28,29.95,6
NDC,63323061455,hydralazine per 20 mg,24.0,8.4,7.28,29.95,6
NDC,63323061601,amiodarone per 30 mg,24.0,8.4,0.92,17.88,11
NDC,63323061602,amiodarone per 30 mg,24.0,8.4,0.92,8.23,6
NDC,63323061603,amiodarone per 30 mg,24.0,8.4,0.92,17.88,11
NDC,63323061609,amiodarone per 30 mg,24.0,8.4,0.92,17.88,11
NDC,63323061710,milrinone 1 mg/mL solution 10 mL Vial,24.0,8.4,2.54,9.8,6
NDC,63323062405,dextrose 5% per 500 mL,24.0,8.4,6.87,17.88,5
NDC,63323062655,sodium chloride 0.45 % 0.45 % 500 mL Flex Cont,24.0,8.4,6.87,17.88,5
NDC,63323062655,sodium chloride 0.45 % parenteral solution 500 mL Flex Cont,24.0,8.4,6.87,17.88,5
NDC,63323064220,magnesium sulfate per 500 mg of magnesium,24.0,8.4,0.84,8.23,6
NDC,63323064250,magnesium sulfate per 500 mg of magnesium,65.96,23.09,0.84,22.62,6
NDC,63323064710,levothyroxine 40 mcg/mL recon soln 1 each Vial,681.71,238.6,19.38,507.87,6
NDC,63323064907,levothyroxine 20 mcg/mL recon soln 1 each Vial,340.85,119.3,19.38,253.93,6
NDC,63323064916,levothyroxine 20 mcg/mL recon soln 1 each Vial,250.02,87.51,19.38,186.26,6
NDC,63323065100,adenosine per 6 mg,31.01,10.86,0.72,10.64,6
NDC,63323065102,adenosine per 6 mg,31.01,10.86,0.72,10.64,6
NDC,63323065104,adenosine per 6 mg,70.72,24.76,0.72,24.26,6
NDC,63323065120,adenosine (diagnostic) per 30 mg,364.48,127.57,0.72,125.02,6
NDC,63323065130,adenosine (diagnostic) per 30 mg,549.55,192.35,0.72,188.5,6
NDC,63323065189,adenosine per 6 mg,45.03,15.77,0.72,15.45,6
NDC,63323065190,adenosine per 6 mg,73.35,25.68,0.72,25.16,6
NDC,63323065210,esmoloL 100 mg/10 mL (10 mg/mL) solution 10 mL Vial,47.730000000000004,16.71,0.35,33.23,11
NDC,63323065521,enoxaparin per 10 mg,31.41,11.0,1.02,10.77,6
NDC,63323065599,enoxaparin per 10 mg,31.41,11.0,1.02,10.77,6
NDC,63323065820,chlorothiazide per 500 mg,843.09,295.09,71.82,322.89,6
NDC,63323065903,indomethacin 1 mg recon soln 1 each Vial,1497.96,524.29,429.02,1115.98,5
NDC,63323065909,indomethacin 1 mg recon soln 1 each Vial,1121.47,392.52,321.19,835.5,5
NDC,63323066400,diphenhydramine per 50 mg,24.0,8.4,1.32,8.23,6
NDC,63323066401,diphenhydramine per 50 mg,24.0,8.4,1.32,8.23,6
NDC,63323066501,terbutaline per 1 mg,55.79,19.53,4.08,19.14,6
NDC,63323067105,dexMEDEtomidine 4 mcg/mL solution 50 mL Bottle,121.78,42.63,34.88,90.73,5
NDC,63323067120,dexmedetomidine 4 mcg/mL 20 mL Vial,80.62,28.22,23.09,60.06,5
NDC,63323067120,dexmedetomidine in 0.9% sodium chloride 4 mcg/mL 20 mL Vial,80.62,28.22,23.09,60.06,5
NDC,63323068610,"sodium chloride 0.9 % with KCl 20 mEq/L 20 mEq/L parenteral solution 1,000 mL Box",24.0,8.4,0.2,8.23,6
NDC,63323068810,"sodium chloride 0.9% with KCl 40 mEq/L 40 mEq/L parenteral solution 1,000 mL Box",24.0,8.4,0.2,8.23,6
NDC,63323069030,acetylcysteine 200 mg/mL (20 %) solution 30 mL Vial,83.97,29.39,11.27,35.86,6
NDC,63323069210,acetylcysteine 200 mg/mL (20 %) solution 10 mL Vial,48.95,17.14,11.27,35.86,6
NDC,63323069310,acetylcysteine 100 mg/mL (10 %) solution 10 mL Vial,48.95,17.14,11.27,35.86,6
NDC,63323069404,acetylcysteine 200 mg/mL (20 %) solution 4 mL Vial,45.23,15.84,11.27,35.86,6
NDC,63323069504,acetylcysteine 100 mg/mL (10 %) solution 4 mL Vial,82.47,28.87,11.27,35.86,6
NDC,63323069602,epinephrine per 0.1 mg,35.34,12.37,10.12,26.33,5
NDC,63323069625,epinephrine per 0.1 mg,70.685,24.744999999999997,10.12,78.99,10
NDC,63323070720,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,63323071050,leucovorin 10 mg/ml recon soln 1 each Vial,65.3,22.86,7.32,24.64,6
NDC,63323071313,linezolid in dextrose 5% 600 mg/300 mL piggyback 300 mL Bag,96.64500000000001,33.835,5.45,44.2,12
NDC,63323072110,bortezomib 1 mg/ml recon soln 1 each Vial,4539.65,1588.88,3.23,1557.1,6
NDC,63323072303,remifentaniL 1 mg recon soln 1 each Vial,207.61,72.67,59.46,154.67,5
NDC,63323072405,remifentaniL 2 mg recon soln 1 each Vial,364.25,127.49,104.32,271.37,5
NDC,63323072801,micafungin per 1 mg,67.97,23.79,0.53,23.31,6
NDC,63323072810,micafungin per 1 mg,67.97,23.79,0.53,23.31,6
NDC,63323073809,famotidine per 20 mg,24.0,8.4,6.87,17.88,10
NDC,63323073912,famotidine 20 mg/2 mL solution 2 mL Vial,24.0,8.4,6.87,17.88,10
NDC,63323075101,phenylephrine per 1 mL,24.0,8.4,0.02,17.88,11
NDC,63323078110,vecuronium 10 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,63323078121,vecuronium 10 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,63323078220,vecuronium 20 mg recon soln 1 each Vial,34.13,11.95,9.77,25.43,5
NDC,63323080601,fentanyl per 0.1 mg,30.0,10.5,1.6,10.29,6
NDC,63323080602,fentanyl per 0.1 mg,30.0,10.5,1.6,10.29,6
NDC,63323080605,fentanyl per 0.1 mg,30.0,10.5,1.6,10.29,6
NDC,63323080614,fentanyl per 0.1 mg,30.0,10.5,1.6,10.29,6
NDC,63323080620,fentanyl per 0.1 mg,30.0,10.5,1.6,10.29,6
NDC,63323080650,fentanyl per 0.1 mg,70.8,24.78,1.6,24.28,6
NDC,63323080811,fentanyl per 0.1 mg,30.0,10.5,1.6,10.29,6
NDC,63323082000,fat emulsion (Smoflipid) 20 % emulsion 100 mL Bag,68.44,23.96,19.6,50.99,5
NDC,63323082001,fat emulsion (Smoflipid) 20 % emulsion 100 mL Bag,68.44,23.96,19.6,50.99,5
NDC,63323082003,fat emulsion (Smoflipid) 20 % emulsion 500 mL Flex Cont,106.2,37.17,30.42,79.12,5
NDC,63323082004,fat emulsion (Smoflipid) 20 % emulsion 250 mL Bag,84.37,29.53,24.16,62.86,5
NDC,63323082050,fat emulsion (Smoflipid) 20 % emulsion 500 mL Bag,106.2,37.17,30.42,79.12,5
NDC,63323082074,fat emulsion (Smoflipid) 20 % emulsion 250 mL Bag,84.37,29.53,24.16,62.86,5
NDC,63323082424,dextrose 10 % parenteral solution 250 mL Bag,24.0,8.4,6.87,17.88,5
NDC,63323082425,dextrose 10 % parenteral solution 500 mL Bag,24.0,8.4,6.87,17.88,5
NDC,63323085110,hydromorphone per 4 mg,30.0,10.5,0.17,22.35,6
NDC,63323085150,hydromorphone per 4 mg,481.56,168.55,0.17,358.76,6
NDC,63323085303,HYDROmorphone (PF) 2 mg/mL solution 1 mL Vial,30.0,10.5,0.17,22.35,6
NDC,63323085325,HYDROmorphone (PF) 2 mg/mL solution 1 mL Vial,30.0,10.5,0.17,22.35,6
NDC,63323086502,calcitonin per 400 Units,2265.6,792.96,777.1,7165.75,6
NDC,63323087074,"dextrose 5% and sodium chloride 0.9% parenteral solution 1,000 mL Flex Cont",24.0,8.4,2.06,8.23,6
NDC,63323087115,daptomycin per 1 mg,1261.61,441.57,0.06,432.73,6
NDC,63323087550,foscarnet per 1000 mg,1394.76,488.17,96.96,478.4,6
NDC,63323087715,pentamidine isethionate per 300 mg,472.64,165.43,86.16,492.21,6
NDC,63323088101,sodium phosphate 3 mmol/mL solution 15 mL Vial,116.71,40.85,33.43,86.95,5
NDC,63323088116,sodium phosphate 3 mmol/mL solution 15 mL Vial,116.71,40.85,33.43,86.95,5
NDC,63323088401,sodium phosphate 3 mmol/mL solution 5 mL Vial,54.96,19.24,15.74,40.95,5
NDC,63323088406,sodium phosphate 3 mmol/mL solution 5 mL Vial,54.96,19.24,15.74,40.95,5
NDC,63323088510,levothyroxine 20 mcg/mL solution 5 mL Vial,251.17,87.91,6.96,187.12,10
NDC,63323088601,sodium phosphate 3 mmol/mL solution 50 mL Vial,389.05,136.17,111.42,289.84,5
NDC,63323091501,heparin (porcine) per 1000 Units,49.44,17.31,0.39,16.96,6
NDC,63323091503,heparin (porcine) per 1000 Units,47.46,16.62,0.39,16.28,6
NDC,63323091513,heparin (porcine) per 1000 Units,47.46,16.62,0.39,16.28,6
NDC,63323092401,sodium chloride bacteriostatic 0.9 % solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,63323092403,sodium chloride bacteriostatic 0.9 % solution 30 mL Vial,24.0,8.4,6.87,17.88,5
NDC,63323092410,sodium chloride bacteriostatic 0.9 % solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,63323092430,sodium chloride bacteriostatic 0.9 % solution 30 mL Vial,24.0,8.4,6.87,17.88,5
NDC,63323093000,vasopressin 20 unit/mL solution 1 mL Vial,51.0,17.85,14.61,38.0,5
NDC,63323093001,vasopressin 20 unit/mL solution 1 mL Vial,51.0,17.85,14.61,38.0,5
NDC,63323094310,succinylcholine per 20 mg,24.0,8.4,6.87,17.88,5
NDC,63323096321,acetylcysteine per 100 mg,934.56,327.1,1.02,320.55,6
NDC,63323096330,acetylcysteine per 100 mg,934.56,327.1,1.02,320.55,6
NDC,63323096502,potassium chloride per 2 mEq of potassium,24.0,8.4,0.2,8.23,6
NDC,63323096503,potassium chloride per 2 mEq of potassium,24.0,8.4,0.2,8.23,6
NDC,63323096510,potassium chloride per 2 mEq of potassium,24.0,8.4,0.2,8.23,6
NDC,63323096520,potassium chloride per 2 mEq of potassium,24.0,8.4,0.2,8.23,6
NDC,63323096730,potassium chloride per 2 mEq of potassium,24.0,8.4,0.2,8.23,6
NDC,63323098121,piperacillin sod-tazobactam per 1 g,26.2,9.17,1.95,8.99,6
NDC,63323098123,piperacillin sod-tazobactam per 1 g,26.2,9.17,1.95,8.99,6
NDC,63323098321,piperacillin sod-tazobactam per 1 g,39.28,13.75,1.95,13.47,6
NDC,63402030401,lurasidone 40 mg tablet 1 each BLIST PACK,127.1,44.49,36.4,94.69,5
NDC,63402030430,lurasidone 40 mg tablet 30 each Bottle,133.93,46.88,38.36,99.78,5
NDC,63402030630,lurasidone 60 mg tablet 30 each Bottle,38.5,13.48,11.03,28.68,5
NDC,63402030801,lurasidone 80 mg tablet 1 each BLIST PACK,127.1,44.49,36.4,94.69,5
NDC,63402030810,lurasidone 80 mg tablet 100 each BLIST PACK,127.1,44.49,36.4,94.69,5
NDC,63402030830,lurasidone 80 mg tablet 30 each Bottle,133.93,46.88,38.36,99.78,5
NDC,63402031230,lurasidone 120 mg tablet 30 each Bottle,199.91,69.97,57.25,148.93,5
NDC,63402051001,levalbuterol 45 mcg/actuation HFA aerosol inhaler 15 g AER W/ADAP,202.91,71.02,58.11,151.17,5
NDC,63402070101,"ciclesonide 50 mcg spray,non-aerosol 12.5 g SQUEEZ BTL",794.26,278.0,227.48,591.72,5
NDC,63402071201,ciclesonide 160 mcg/actuation HFA aerosol inhaler 6.1 g CANISTER,712.44,249.36,204.04,530.77,5
NDC,63459010310,riTUXimab-abbs 10 mg/mL solution 10 mL Vial,2394.6,838.11,31.28,821.35,10
NDC,63459010450,riTUXimab-abbs 10 mg/mL solution 50 mL Vial,11972.99,4190.55,31.28,4106.74,10
NDC,63459030343,trastuzumab-pkrb 21 mg/ml recon soln 1 each Vial,3089.0,1081.15,53.6,1059.53,10
NDC,63459030547,trastuzumab-pkrb 21 mg/ml recon soln 1 each Vial,8649.21,3027.23,53.6,2966.68,10
NDC,63459034804,bendamustine 25 mg/mL solution 4 mL Vial,7005.8,2452.03,12.9,2402.99,10
NDC,63459039502,bendamustine 45 mg/0.5 mL solution 0.5 mL Vial,2999.11,1049.69,2.16,1028.69,10
NDC,63459039602,bendamustine 180 mg/2 mL solution 2 mL Vial,11866.02,4153.11,2.16,4070.04,10
NDC,63459040430,tiaGABine 4 MG tablet 30 each Bottle,33.73,11.81,9.66,25.13,5
NDC,63459060010,arsenic trioxide per 1 mg,1756.97,614.94,8.88,602.64,6
NDC,63459060106,arsenic trioxide 2 mg/mL solution 6 mL Vial,3614.42,1265.05,8.88,1239.75,6
NDC,63459060111,arsenic trioxide 2 mg/mL solution 6 mL Vial,3614.42,1265.05,8.88,1239.75,6
NDC,63481042105,"neomycin-colist-hydrocortisone-thonzonium 3.3-3-10-0.5 mg/mL drops,suspension 10 mL DROP BTL",656.03,229.62,187.89,488.74,5
NDC,63481068447,diclofenac 1 % gel 100 g Tube,145.61,50.97,41.7,108.48,5
NDC,63481068701,"lidocaine 5 % adhesive patch,medicated 1 each Box",75.07,26.28,21.5,55.93,5
NDC,63481068706,"lidocaine 5 % adhesive patch,medicated 30 each Box",75.07,26.28,21.5,55.93,5
NDC,63646001004,ketoconazole 2 % shampoo 120 mL Bottle,55.79,19.53,15.98,41.56,5
NDC,63713001973,gelatin adsorbable 50 sponge 4 each Packet,39.3,13.76,11.26,29.28,5
NDC,63736002403,permethrin 1 % liquid 59 mL Bottle,36.2,12.67,10.37,26.97,5
NDC,63736003001,permethrin 1 % liquid 59 mL Bottle,36.2,12.67,10.37,26.97,5
NDC,63736014308,eye lubricant 57.7-31.9 % ointment 3.5 g Tube,12.97,4.54,3.71,9.66,5
NDC,63736014308,eye lubricant ointment 3.5 g Tube,22.63,7.93,6.48,16.86,5
NDC,63736037882,benzocaine 20 % aerosol 57 g CANISTER,10.49,3.68,3.0,7.82,5
NDC,63739005110,amiodarone 200 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739007710,valACYclovir 500 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739007910,diltiazem 30 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739008010,diltiazem 60 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739009810,mirtazapine 15 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739009910,mirtazapine 30 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739012810,hydroCHLOROthiazide 25mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739016510,megestroL 40 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739016610,methocarbamoL 500 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739020110,PHENobarbitaL 32.4 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,63739022510,"simethicone 80 MG tablet,chewable 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,63739026310,clonazepam 0.5 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,63739026910,tamoxifen 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739035010,lisinopriL 20mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739035410,magnesium oxide 400 mg (241.3 mg magnesium) tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739041110,levetiracetam 500 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739043401,"aspirin 81 MG tablet,chewable 750 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,63739044001,acetaminophen 325 MG tablet 750 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739047810,docusate 100mg capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739047910,baclofen 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739048310,hydrOXYzine 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739048610,hydrOXYzine 25mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739049910,LORazepam 0.5 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,63739050010,LORazepam 1 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,63739052210,"aspirin EC 81 MG tablet,delayed release (DR/EC) 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,63739052301,"aspirin 325 MG tablet,delayed release (DR/EC) 750 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,63739053110,cyclobenzaprine 10mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739053710,folic acid 1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739054410,spironolactone 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739054510,spironolactone 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739064510,famotidine 20 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739067310,losartan 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739068401,ibuprofen 600mg tablet 750 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739068410,ibuprofen 600mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739070110,meloxicam 7.5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739090210,gabapentin 100 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739092011,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,63739092025,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,63739093114,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,63739093128,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,63739095311,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,63739095325,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,63739097310,"potassium chloride 20 MEQ tablet,ER particles/crystals 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,63739097310,potassium chloride 20 mEq tablet extended release 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63739098611,heparin (porcine) per 1000 Units,37.89,13.27,0.39,13.0,6
NDC,63739098625,heparin (porcine) per 1000 Units,37.89,13.27,0.39,13.0,6
NDC,63807010001,sodium chloride 0.9% syringe 10 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,63807010001,sodium chloride syringe 10 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,63807050055,heparin (PF) 10 unit/mL syringe 5 mL Syringe,24.0,8.4,0.03,8.23,6
NDC,63824005634,guaifenesin-DM 30-600 mg tablet extended release 12 hr 40 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63824071016,benzocaine-menthoL 15-3.6 mg lozenge 16 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63824071316,benzocaine-menthoL 15-3.6 mg lozenge 16 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63824071516,benzocaine-menthoL 15-3.6 mg lozenge 16 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,63833038602,prothrombin 4-factor unactivated 500 unit (400-620 unit) recon soln 1 Units Vial,24.0,8.4,2.05,17.88,15
NDC,63833038702,"prothrombin 4-factor unactivated 1,000 unit (800-1240 unit) recon soln 1 Units Vial",24.0,8.4,2.05,17.88,15
NDC,63833039601,prothrombin 4-factor unactivated 500 unit (400-620 unit) recon soln 1 Units Vial,24.0,8.4,2.05,17.88,15
NDC,63833061602,antihemophilic factor per 1 Int'l Unit,4322.34,1512.82,1.49,1482.56,10
NDC,63833061702,"coagulation factor 8-VWF 1,000-2,400 unit recon soln 1 each Vial",9163.36,3207.18,1.49,3143.03,10
NDC,63833076120,sterile water solution 20 mL Vial,6.0,2.1,1.72,4.47,5
NDC,63833082502,c1 esterase inhibitor 500 unit (10 mL) kit 1 each KIT,12097.19,4234.02,76.05,4149.34,10
NDC,64011024702,hydroxyprogesterone 250 mg/mL oil 1 mL Vial,2274.1,795.94,651.3,1694.2,5
NDC,64011030103,hydroxyprogesterone 275 mg/1.1 mL auto-injector 1.1 mL Syringe,2274.1,795.94,651.3,1694.2,5
NDC,64193032401,"prothrombin complex concentrate 651-1,200 unit recon soln 1 each Vial",4980.0,1743.0,2.42,1708.14,10
NDC,64193032501,"anti-inhibitor coagulant cmplx 1,750-3,250 unit recon soln 1 each Vial",18351.36,6422.98,2.42,6294.52,10
NDC,64193032601,prothrombin complex concentrate 350-650 unit recon soln 1 each Vial,3374.705,1181.15,2.42,2276.87,15
NDC,64193032601,prothrombin complex concentrate 400-650 unit recon soln 1 each Vial,3056.2,1069.67,2.42,1048.28,10
NDC,64193042402,"prothrombin complex concentrate 700-1,300 unit recon soln 1 each Vial",7478.18,2617.37,2.42,2565.02,10
NDC,64193042502,"anti-inhibitor coagulant cmplx 1,750-3,250 unit recon soln 1 each Vial",18351.36,6422.98,2.42,6294.52,10
NDC,64193042602,prothrombin complex concentrate 350-650 unit recon soln 1 each Vial,3374.705,1181.15,2.42,2276.87,15
NDC,64193042602,prothrombin complex concentrate 400-650 unit recon soln 1 each Vial,3056.2,1069.67,2.42,1048.28,10
NDC,64253011130,sodium chloride 0.9% syringe 10 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,64253011130,sodium chloride syringe 10 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,64253022233,heparin (PF) 10 unit/mL syringe 3 mL Syringe,24.0,8.4,0.03,8.23,6
NDC,64253022235,heparin (PF) 10 unit/mL syringe 5 mL Syringe,24.0,8.4,0.03,8.23,6
NDC,64253033333,heparin 100 unit/mL syringe 3 mL Syringe,24.0,8.4,0.03,8.23,6
NDC,64253033335,heparin 100 unit/mL syringe 5 mL Syringe,24.0,8.4,0.03,8.23,6
NDC,64253040030,atropine per 0.01 mg,28.32,9.92,0.13,9.71,6
NDC,64253040091,atropine per 0.01 mg,28.32,9.92,0.13,9.71,6
NDC,64253044422,heparin (PF) 1 unit/mL syringe 2 mL Syringe,24.0,8.4,0.03,8.23,6
NDC,64253044425,heparin (PF) 1 unit/mL syringe 5 mL Syringe,24.0,8.4,0.03,8.23,6
NDC,64253090030,calcium chloride 100 mg/mL (10 %) syringe 10 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,64253090036,calcium chloride 100 mg/mL (10 %) syringe 10 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,64253090091,calcium chloride 100 mg/mL (10 %) syringe 10 mL Syringe,28.32,9.92,8.11,21.1,5
NDC,64281010000,methacholine chloride per 1 mg,257.71,90.2,1.42,88.39,6
NDC,64281010006,methacholine chloride per 1 mg,257.71,90.2,1.42,88.39,6
NDC,64281011005,methacholine 0 to 48 mg/3 mL solution for nebulization 18 mL Vial,63.72,22.31,1.42,21.86,6
NDC,64370053201,vinorelbine tartrate per 10 mg,84.96,29.74,12.24,43.37,6
NDC,64376064016,HYDROcodone-acetaminophen 7.5-325 mg/15 mL solution 473 mL Bottle,324.84,113.7,93.03,242.01,5
NDC,64380015901,megestroL 40 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,64380016601,PHENobarbitaL 20 mg/5 mL (4 mg/mL) elixir 473 mL Bottle,213.21,74.63,61.06,158.84,5
NDC,64380017202,"OLANZapine zydis 5 MG tablet,disintegrating 30 each BLIST PACK",33.68,11.79,9.65,25.09,5
NDC,64380017301,"OLANZapine zydis 10 MG tablet,disintegrating 1 each BLIST PACK",49.49,17.33,14.17,36.87,5
NDC,64380017302,"OLANZapine zydis 10 MG tablet,disintegrating 30 each BLIST PACK",49.49,17.33,14.17,36.87,5
NDC,64380017501,"OLANZapine zydis 20 MG tablet,disintegrating 1 each BLIST PACK",96.49,33.78,27.63,71.89,5
NDC,64380017502,"OLANZapine zydis 20 MG tablet,disintegrating 30 each BLIST PACK",96.49,33.78,27.63,71.89,5
NDC,64380071003,lamiVUDine 150 MG tablet 60 each Bottle,16.88,5.91,4.83,12.58,5
NDC,64380072306,calcitrioL 0.25 MCG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,64380072406,calcitrioL 0.5 MCG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,64380072506,mycophenolate mofetil per 250 mg,18.71,6.55,0.31,6.42,6
NDC,64380074206,busPIRone 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,64380076111,omega-3 acid ethyl esters 1 gram capsule 120 each Bottle,6.0,2.1,1.72,4.47,5
NDC,64380076621,"polyethylene glycol 236-22.74-6.74 -5.86 gram recon soln 4,000 mL Bottle",169.92,59.48,48.67,126.59,5
NDC,64380078932,lidocaine 5 % ointment 35.44 g Tube,15.31,5.36,4.38,11.41,5
NDC,64380079701,oseltamivir 30 MG capsule 10 each BLIST PACK,33.46,11.72,9.58,24.93,5
NDC,64380079901,oseltamivir 75 MG capsule 10 each BLIST PACK,36.48,12.77,10.45,27.18,5
NDC,64380080306,ranitidine 150mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,64380080806,ibuprofen 600mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,64380080807,ibuprofen 600mg tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,64380088304,cinacalcet 30 MG tablet 30 each Bottle,72.35,25.33,20.72,53.9,5
NDC,64380097025,hydrocortisone 5 MG tablet 50 each Bottle,6.0,2.1,1.72,4.47,5
NDC,64380097106,hydrocortisone 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,64406000801,natalizumab per 1 mg,25145.93,8801.08,24.32,8625.05,10
NDC,64597030160,dextromethorphan-quinidine 20-10 mg capsule 60 each Bottle,74.28,26.0,21.27,55.34,5
NDC,64679003401,piperacillin sod-tazobactam per 1 g,34.22,11.98,1.95,11.74,6
NDC,64679003402,piperacillin sod-tazobactam per 1 g,34.22,11.98,1.95,11.74,6
NDC,64679005601,piperacillin sod-tazobactam per 1 g,51.34,17.97,1.95,17.61,6
NDC,64679005602,piperacillin sod-tazobactam per 1 g,51.34,17.97,1.95,17.61,6
NDC,64679010202,buPROPion XL 150 MG tablet extended release 24 hr 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,64679063102,niCARdipine 25 mg/10 mL solution 10 mL Vial,55.79,19.53,0.18,19.14,6
NDC,64679067901,piperacillin sod-tazobactam per 1 g,486.54,170.29,1.95,166.88,6
NDC,64679067902,piperacillin sod-tazobactam per 1 g,486.54,170.29,1.95,166.88,6
NDC,64679075902,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,64679075903,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,64679075911,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,64679075912,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,64679092302,enalapril 2.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,64679092602,enalapril 20 MG tablet 100 each Bottle,6.53,2.29,1.87,4.86,5
NDC,64679092603,"enalapril 20 MG tablet 1,000 each Bottle",6.53,2.29,1.87,4.86,5
NDC,64679096101,azithromycin 250 MG tablet 30 each Bottle,18.34,6.42,5.25,13.66,5
NDC,64720013510,dextroamphetamine-amphetamine 20 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,64720032110,metaxalone 800 MG tablet 100 each Bottle,11.54,4.04,3.31,8.6,5
NDC,64764008060,lubiprostone 8 MCG capsule 60 each Bottle,17.52,6.14,5.02,13.05,5
NDC,64764011907,colchicine 0.6 mg tablet 30 each Bottle,20.36,7.13,5.83,15.17,5
NDC,64764017530,"dexlansoprazole 60 mg capsule,biphase delayed releas 30 each Bottle",29.11,10.19,8.34,21.69,5
NDC,64764024060,lubiprostone 24 MCG capsule 60 each Bottle,17.52,6.14,5.02,13.05,5
NDC,64764054311,"lansoprazole 15 MG tablet,disintegrat, delay rel 100 each BLIST PACK",39.19,13.72,11.22,29.2,5
NDC,64764054411,"lansoprazole 30 MG tablet,disintegrat, delay rel 100 each BLIST PACK",39.19,13.72,11.22,29.2,5
NDC,64764072030,vortioxetine 5 mg tablet 30 each Bottle,48.54,16.99,13.9,36.16,5
NDC,64764073030,vortioxetine 10 mg tablet 30 each Bottle,48.54,16.99,13.9,36.16,5
NDC,64764075030,vortioxetine 20 mg tablet 30 each Bottle,48.54,16.99,13.9,36.16,5
NDC,64764080530,ramelteon 8 mg tablet 30 each Bottle,36.72,12.86,10.52,27.36,5
NDC,64764091830,febuxostat 40 mg tablet 30 each Bottle,31.15,10.91,8.92,23.21,5
NDC,64850089301,loxapine 50 MG capsule 100 each Bottle,6.05,2.12,1.73,4.51,5
NDC,64875000101,miFEPRIStone 200 mg tablet 1 each BLIST PACK,101.48,35.52,29.06,75.6,5
NDC,64950021610,isoniazid 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,64950021703,isoniazid 300 MG tablet 30 each Bottle,9.91,3.47,2.84,7.38,5
NDC,64950036204,cocaine 4 % solution 4 mL Bottle,693.84,242.85,3.01,516.91,11
NDC,64980010401,sodium and potassium phosphate 250 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,64980012950,Lactobacillus acidophilus-Lactobacilus bulgaricus 1 million cell tablet 50 each Bottle,6.0,2.1,1.72,4.47,5
NDC,64980013301,dipyridamole 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,64980014612,lactobacillus acidoph-lactobacillus bulgar 100 million cell granules in packet 12 each Packet,6.0,2.1,1.72,4.47,5
NDC,64980014698,lactobacillus acidoph-lactobacillus bulgar 100 million cell granules in packet 1 each Packet,6.0,2.1,1.72,4.47,5
NDC,64980014901,probenecid-colchicine 500-0.5 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,64980017103,disulfiram 250 mg tablet 30 each Bottle,9.52,3.34,2.73,7.09,5
NDC,64980017802,chloroquine 500 mg tablet 25 each Bottle,56.29,19.71,16.12,41.94,5
NDC,64980018003,flucytosine 500 mg capsule 30 each Bottle,374.78,131.18,107.34,279.21,5
NDC,64980018603,griseofulvin 500 mg tablet 30 each Bottle,20.08,7.03,5.75,14.96,5
NDC,64980026001,methIMAzole 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,64980027801,lithium 450 MG tablet extended release 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,64980029101,perphenazine per 4 mg,6.0,2.1,1.72,4.47,5
NDC,64980029201,perphenazine per 8 mg,6.84,2.4,1.96,5.1,5
NDC,64980030760,sodium fluoride 1.1 % gel 56 g Tube,18.11,6.34,5.19,13.49,5
NDC,64980032005,triamcinolone 0.1 % paste 5 g Tube,190.19,66.57,54.47,141.69,5
NDC,64980033901,magnesium oxide 400 mg (241.3 mg magnesium) tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,64980033990,magnesium oxide 400 mg (241.3 mg magnesium) tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,64980034001,alendronate 10 MG tablet 100 each Bottle,6.9,2.42,1.98,5.14,5
NDC,64980034003,alendronate 10 MG tablet 30 each Bottle,6.91,2.42,1.98,5.15,5
NDC,64980034214,alendronate 70 MG tablet 4 each BLIST PACK,48.34,16.92,13.84,36.01,5
NDC,64980035406,stavudine 15 MG capsule 60 each Bottle,14.36,5.03,4.11,10.7,5
NDC,64980037303,atomoxetine 10 MG capsule 30 each Bottle,33.59,11.76,9.62,25.02,5
NDC,64980037603,atomoxetine 40 MG capsule 30 each Bottle,36.5,12.78,10.45,27.19,5
NDC,64980037803,atomoxetine 80 MG capsule 30 each Bottle,39.38,13.79,11.28,29.34,5
NDC,64980040709,efavirenz 200 MG capsule 90 each Bottle,27.77,9.72,7.95,20.69,5
NDC,64980040906,sertraline 20 mg/mL concentrate 60 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,64980042712,tinidazole 500 MG tablet 12 each Bottle,19.96,6.99,5.72,14.87,5
NDC,64980043101,oxybutynin 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,64980044715,calcitRIOL 1 mcg/mL solution 15 mL Bottle,18.72,6.56,5.36,13.95,5
NDC,64980044801,"neomycin-polymyxin-hydrocortisone 3.5-10,000-1 mg/mL-unit/mL-% drops,suspension 10 mL DROP BTL",279.0,97.65,79.91,207.86,5
NDC,64980045206,fluocinonide 0.05 % solution 60 mL Bottle,251.48,88.02,72.02,187.35,5
NDC,64980050312,levOCARNitine (with sugar) 100 mg/mL solution 118 mL Bottle,107.49,37.63,30.79,80.08,5
NDC,64980050448,cyproheptadine 2 mg/5 mL syrup 473 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,64980051110,clindamycin 75 mg/5 mL recon soln 100 mL Bottle,146.32,51.22,41.91,109.01,5
NDC,64980051301,timolol 0.25 % drops 10 mL DROP BTL,65.49,22.93,18.76,48.79,5
NDC,64980051305,timolol 0.25 % drops 5 mL DROP BTL,35.4,12.39,10.14,26.37,5
NDC,64980051401,timolol 0.5 % drops 10 mL DROP BTL,76.35,26.73,21.87,56.88,5
NDC,64980051405,timolol 0.5 % drops 5 mL DROP BTL,40.12,14.05,11.49,29.89,5
NDC,64980051505,ofloxacin 0.3 % drops 5 mL DROP BTL,166.03,58.12,47.55,123.69,5
NDC,64980052603,nitazoxanide 500 MG tablet 30 each Bottle,362.22,126.78,103.74,269.85,5
NDC,64980052621,nitazoxanide 500 MG tablet 12 each Bottle,389.88,136.46,111.66,290.46,5
NDC,65145011801,SUMAtriptan 6 mg/0.5 mL solution 0.5 mL Vial,25.49,8.93,7.3,18.99,5
NDC,65145011805,SUMAtriptan 6 mg/0.5 mL solution 0.5 mL Vial,25.49,8.93,7.3,18.99,5
NDC,65145012925,thiamine per 100 mg,24.0,8.4,3.23,13.12,6
NDC,65145014601,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,65145014625,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,65162005410,citalopram 40 MG tablet 100 each Bottle,6.31,2.21,1.81,4.7,5
NDC,65162005827,sevelamer 800 mg tablet 270 each Bottle,14.38,5.04,4.12,10.71,10
NDC,65162010110,gabapentin 100 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,65162010210,gabapentin 300mg capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,65162010250,gabapentin 300mg capsule 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,65162010310,gabapentin 400 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,65162021210,phenytoin 100 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,65162028103,paliperidone 3 MG tablet extended release 24hr 30 each Bottle,72.21,25.28,20.68,53.8,5
NDC,65162036110,folic acid 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,65162041503,"buprenorphine-naloxone 8-2 mg tablet, sublingual 30 each Bottle",24.59,8.61,7.04,18.32,5
NDC,65162041603,"buprenorphine-naloxone 2-0.5 mg tablet, sublingual 30 each Bottle",13.75,4.82,3.94,10.24,5
NDC,65162046550,ibuprofen 600mg tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,65162055410,demeclocycline 150 MG tablet 100 each Bottle,22.19,7.77,6.36,16.53,5
NDC,65162055610,temazepam 15 mg capsule 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,65162059020,calcium acetate(phosphat bind) 667 mg capsule 200 each Bottle,6.0,2.1,1.72,4.47,5
NDC,65162062710,traMADoL 50 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,65162064310,flecainide 150 MG tablet 100 each Bottle,13.04,4.57,3.73,9.71,5
NDC,65162064978,OXcarbazepine 300 mg/5 mL (60 mg/mL) suspension 250 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,65162067384,risperiDONE 1 mg/mL solution 30 mL Bottle,359.59,125.86,102.99,267.89,5
NDC,65162067684,"azelastine 137 mcg (0.1 %) spray,non-aerosol 30 mL SQUEEZ BTL",343.52,120.24,98.38,255.92,5
NDC,65162068110,phenazopyridine 100 MG tablet 100 each Bottle,6.37,2.23,1.82,4.75,5
NDC,65162068784,LORazepam 2 mg/mL concentrate 30 mL Bottle,113.35,39.68,32.46,84.45,5
NDC,65162069179,ondansetron per 8 mg,56.6,19.81,0.02,19.41,6
NDC,65162069388,atovaquone 750 mg/5 mL suspension 210 mL Bottle,3252.62,1138.42,931.55,2423.2,5
NDC,65162069890,gabapentin 250 mg/5 mL solution 473 mL Bottle,346.05,121.12,99.11,257.81,5
NDC,65162071110,guanFACINE 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,65162071310,guanFACINE 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,65162075310,benazepriL 20 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,65162075710,divalproex ER 500 MG tablet extended release 24 hr 100 each Bottle,9.62,3.37,2.76,7.17,5
NDC,65162076610,warfarin 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,65162080710,progesterone 100 MG capsule 100 each Bottle,12.2,4.27,3.49,9.09,5
NDC,65162082634,rivastigmine 9.5 mg/24 hour patch 24 hour 30 each Box,39.88,13.96,11.42,29.71,5
NDC,65162083366,diclofenac 1 % gel 100 g Tube,123.19,43.12,35.28,91.78,5
NDC,65162084206,lubiprostone 24 MCG capsule 60 each Bottle,15.76,5.52,4.51,11.74,5
NDC,65162091446,tobramycin per 300 mg,333.61,116.77,28.71,155.33,6
NDC,65162091838,lidocaine 5 % ointment 35.44 g Tube,708.0,247.8,202.77,527.46,5
NDC,65197040101,vitamin A & D ointment 113 g Tube,11.2,3.92,3.21,8.34,5
NDC,65219001201,potassium chloride in sterile water 0.1 mEq/mL piggyback 100 mL Bag,24.0,8.4,0.2,8.23,6
NDC,65219001201,potassium chloride in water 10 mEq/100 mL piggyback 100 mL Bag,24.0,8.4,0.2,8.23,6
NDC,65219001410,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,65219005209,potassium phosphate 3 mmol/mL solution 5 mL Vial,67.91,23.77,19.45,50.59,5
NDC,65219005229,potassium phosphate 3 mmol/mL solution 5 mL Vial,67.91,23.77,19.45,50.59,5
NDC,65219005429,potassium phosphate 3 mmol/mL solution 15 mL Vial,135.83,47.55,38.9,101.19,5
NDC,65219005629,potassium phosphate 3 mmol/mL solution 50 mL Vial,336.18,117.67,96.28,250.45,5
NDC,65219013520,cyclophosphamide per 100 mg,509.76,178.42,0.77,379.77,10
NDC,65219016201,calcium gluconate 1 gram/50 mL solution 50 mL Bag,55.93,19.58,0.08,19.18,6
NDC,65219016210,calcium gluconate 1 gram/50 mL solution 50 mL Bag,55.93,19.58,0.08,19.18,6
NDC,65219018420,ketamine 10 mg/mL solution 20 mL Vial,56.03,19.62,16.05,41.74,5
NDC,65219018710,sterile water solution 100 mL Vial,28.08,9.83,8.04,20.92,5
NDC,65219019030,voriconazole per 10 mg,169.92,59.48,1.41,58.28,6
NDC,65219020420,lacosamide 10 solution 20 mL Vial,113.28,39.65,32.44,84.39,5
NDC,65219025600,piperacillin sod-tazobactam per 1 g,415.64,145.48,1.95,142.56,6
NDC,65219025624,piperacillin sod-tazobactam per 1 g,131.69,46.1,1.95,45.17,6
NDC,65219025905,piperacillin sod-tazobactam per 1 g,29.96,10.49,1.95,10.28,6
NDC,65219025945,piperacillin sod-tazobactam per 1 g,29.96,10.49,1.95,10.28,6
NDC,65219036801,lorazepam per 2 mg,30.0,10.5,1.85,10.29,6
NDC,65219036802,lorazepam per 2 mg,30.0,10.5,1.85,10.29,6
NDC,65219038402,verapamiL 2.5 mg/mL solution 2 mL Vial,24.0,8.4,6.87,17.88,5
NDC,65219042950,argatroban 1 mg/mL solution 50 mL Vial,326.33,114.22,1.01,232.08,15
NDC,65219043301,pantoprazole 40 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,65219043315,pantoprazole 40 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,65219044501,etomidate 2 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,65219044510,etomidate 2 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,65219044702,etomidate 2 mg/mL solution 20 mL Vial,24.0,8.4,6.87,17.88,5
NDC,65219044720,etomidate 2 mg/mL solution 20 mL Vial,24.0,8.4,6.87,17.88,5
NDC,65219053101,fat emulsion 20 % emulsion 100 mL Flex Cont,89.68,31.39,25.68,66.81,5
NDC,65219053110,fat emulsion 20 % emulsion 100 mL Flex Cont,89.68,31.39,25.68,66.81,5
NDC,65219056420,mitomycin per 5 mg,688.93,241.13,28.46,414.4,10
NDC,65219056800,mitoMYcin 40 mg recon soln 1 each Vial,3579.53,1252.84,28.46,1227.78,10
NDC,65219057001,bumetanide per 0.5 mg,24.0,8.4,1.11,17.88,11
NDC,65219057004,bumetanide per 0.5 mg,24.0,8.4,1.11,17.88,11
NDC,65219057201,bendamustine 25 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,65219057210,bendamustine 25 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,65219057210,bumetanide per 0.5 mg,24.0,8.4,1.11,17.88,11
NDC,65219065010,midazolam (PF) in sodium chloride 0.9% 1 mg/mL solution 100 mL Bag,72.22,25.28,0.33,24.77,6
NDC,65219081101,neostigmine 1 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,65219081110,neostigmine 1 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,65250013310,bupivacaine liposome 1.3% (13.3 mg/mL) suspension 10 mL Vial,1366.68,478.34,1.45,1018.18,9
NDC,65250026609,bupivacaine liposome 1.3% (13.3 mg/mL) suspension 20 mL Vial,1129.07,395.18,1.45,841.16,9
NDC,65250026620,bupivacaine liposome 1.3% (13.3 mg/mL) suspension 20 mL Vial,1129.07,395.18,1.45,841.16,9
NDC,65483009306,auranofin 3 MG capsule 60 each Bottle,52.91,18.52,15.15,39.42,5
NDC,65483011607,aldesleukin per vial,13263.96,4642.39,3798.8,9881.65,5
NDC,65597040601,fam-trastuzumab deruxtecn-nxki 20 mg/ml recon soln 1 each Vial,7959.735000000001,2785.91,31.26,2998.12,20
NDC,65597080101,datopotamab deruxtecan-dlnk 20 mg/ml recon soln 1 each Vial,13851.5,4848.03,51.52,10319.37,9
NDC,65628005004,magic mouthwash 200-25-400-40 mg/30 mL mouthwash 119 mL KIT,85.66,29.99,24.53,63.82,5
NDC,65628006201,progesterone 100 mg suppository 30 each Jar,6.55,2.3,1.88,4.88,5
NDC,65628007005,omeprazole 2 mg/mL suspension for reconstitution 150 mL KIT,162.13,56.75,46.43,120.79,5
NDC,65628007010,omeprazole 2 mg/mL suspension for reconstitution 300 mL KIT,163.55,57.25,46.84,121.84,5
NDC,65628008005,lansoprazole 3 mg/mL suspension for reconstitution 150 mL KIT,6.0,2.1,1.72,4.47,5
NDC,65628008010,lansoprazole 3 mg/mL suspension for reconstitution 300 mL KIT,6.0,2.1,1.72,4.47,5
NDC,65628010004,baclofen 1 mg/mL 120 mL KIT,6.0,2.1,1.72,4.47,5
NDC,65628010102,baclofen 5 mg/mL 60 mL KIT,6.0,2.1,1.72,4.47,5
NDC,65628020105,vancomycin 50 mg/mL 150 mL KIT,6.0,2.1,1.72,4.47,5
NDC,65628020105,vancomycin 50 mg/mL solution 150 mL KIT,6.0,2.1,1.72,4.47,5
NDC,65628020110,vancomycin 50 mg/mL 300 mL KIT,6.0,2.1,1.72,4.47,5
NDC,65628020110,vancomycin 50 mg/mL solution 300 mL KIT,6.0,2.1,1.72,4.47,5
NDC,65628020205,metroNIDAZOLE 50mg/ml suspension for reconstitution 150 mL KIT,133.46,46.72,38.22,99.43,5
NDC,65628020305,metroNIDAZOLE 100mg/ml suspension for reconstitution 150 mL KIT,271.16,94.91,77.66,202.01,5
NDC,65628020305,metroNIDAZOLE 50mg/ml suspension for reconstitution 150 mL,271.16,94.91,77.66,202.01,5
NDC,65628020810,vancomycin 50 mg/mL recon soln 300 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,65628027210,omeprazole 2 mg/mL suspension for reconstitution 300 mL Bottle,1080.41,378.15,309.43,804.91,5
NDC,65649010302,"mesalamine 0.375 gram capsule,extended release 24hr 120 each Bottle",12.04,4.22,3.45,8.97,5
NDC,65649030103,rifAXIMin 200 mg tablet 30 each Bottle,31.79,11.13,9.1,23.68,5
NDC,65649030302,rifAXIMin 550 mg tablet 60 each Bottle,163.47,57.22,46.82,121.79,5
NDC,65649030303,rifAXIMin 550 mg tablet 60 each BLIST PACK,163.47,57.22,46.82,121.79,5
NDC,65649031112,chlorothiazide 250 mg/5 mL suspension 237 mL Bottle,192.97,67.54,55.27,143.76,5
NDC,65649055102,methylnaltrexone 12 mg/0.6 mL solution 0.6 mL Vial,481.25,168.44,137.83,358.53,5
NDC,65649055107,methylnaltrexone 12 mg/0.6 mL syringe 0.6 mL Syringe,481.25,168.44,137.83,358.53,5
NDC,65649055204,methylnaltrexone 8 mg/0.4 mL syringe 0.4 mL Syringe,481.24,168.44,137.83,358.52,5
NDC,65757030001,"naltrexone microspheres 380 mg suspension,extended rel recon 1 each KIT",4008.11,1402.84,4.25,1374.78,10
NDC,65757040103,"ARIPiprazole 441 mg/1.6 mL suspension,extended rel syring 1.6 mL Syringe",4505.71,1577.0,3.32,1545.46,10
NDC,65757040203,"ARIPiprazole 662 mg/2.4 mL suspension,extended rel syring 2.4 mL Syringe",6763.69,2367.3,3.32,2319.95,10
NDC,65757040303,"ARIPiprazole 882 mg/3.2 mL suspension,extended rel syring 3.2 mL Syringe",9011.4,3153.99,3.32,3090.91,10
NDC,65757040403,"ARIPiprazole 1,064 mg/3.9 mL suspension,extended rel syring 3.9 mL Syringe",10870.94,3804.83,3.32,3728.73,10
NDC,65757050003,"ARIPiprazole 675 mg/2.4 mL suspension,extended rel syring 2.4 mL Syringe",6896.51,2413.78,3.25,2365.5,10
NDC,65862001201,sertraline 50 MG tablet 100 each Bottle,6.72,2.36,1.92,5.01,5
NDC,65862001205,sertraline 50 MG tablet 500 each Bottle,6.72,2.36,1.92,5.01,5
NDC,65862001230,sertraline 50 MG tablet 30 each Bottle,6.72,2.36,1.92,5.01,5
NDC,65862001305,sertraline 100 MG tablet 500 each Bottle,6.72,2.36,1.92,5.01,5
NDC,65862001330,sertraline 100 MG tablet 30 each Bottle,6.72,2.36,1.92,5.01,5
NDC,65862001601,amoxicillin 250 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,65862001701,amoxicillin 500 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,65862002106,"mirtazapine 15 MG tablet,disintegrating 30 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,65862002206,"mirtazapine 30 MG tablet,disintegrating 30 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,65862002460,zidovudine per 100 mg,14.2,4.97,4.07,10.58,5
NDC,65862002560,lamiVUDine 150 MG tablet 60 each Bottle,16.88,5.91,4.83,12.58,5
NDC,65862004824,zidovudine per 100 mg,133.1,46.59,38.12,99.16,5
NDC,65862004930,efavirenz 600 mg tablet 30 each Bottle,87.94,30.78,25.19,65.52,5
NDC,65862005724,nevirapine 50 mg/5 mL suspension 240 mL Bottle,37.24,13.04,10.67,27.74,5
NDC,65862007101,amoxicillin 400 mg/5 mL suspension for reconstitution 100 mL Bottle,23.13,8.1,6.62,17.23,5
NDC,65862007150,amoxicillin 400 mg/5 mL suspension for reconstitution 50 mL Bottle,11.45,4.01,3.28,8.53,5
NDC,65862007175,amoxicillin 400 mg/5 mL suspension for reconstitution 75 mL Bottle,17.17,6.01,4.92,12.79,5
NDC,65862007360,abacavir 300 mg tablet 60 each Bottle,23.71,8.3,6.79,17.66,5
NDC,65862007701,ciprofloxacin 500 MG tablet 100 each Bottle,13.18,4.62,3.77,9.82,5
NDC,65862007850,ciprofloxacin 750 MG tablet 50 each Bottle,13.28,4.65,3.8,9.89,5
NDC,65862007930,terbinafine 250 mg tablet 30 each Bottle,30.17,10.56,8.64,22.48,5
NDC,65862008101,glyburide-metformin 2.5-500 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,65862009520,cefpodoxime 100 MG tablet 20 each Bottle,15.9,5.57,4.55,11.85,5
NDC,65862009620,cefpodoxime 200 MG tablet 20 each Bottle,19.96,6.99,5.72,14.87,5
NDC,65862010701,zidovudine per 100 mg,6.0,2.1,1.72,4.47,5
NDC,65862011160,stavudine 15 MG capsule 60 each Bottle,14.36,5.03,4.11,10.7,5
NDC,65862014501,carvediloL 25mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,65862014636,SUMAtriptan 25 MG tablet 9 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,65862014736,SUMAtriptan 50 MG tablet 9 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,65862017601,penicillin v potassium 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,65862017760,cefdinir 300 MG capsule 60 each Bottle,12.05,4.22,3.45,8.98,5
NDC,65862019301,FLUoxetine 20mg capsule 100 each Bottle,6.3,2.21,1.8,4.69,5
NDC,65862020190,losartan 25 MG tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,65862020290,losartan 50 MG tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,65862021150,minocycline 100 MG capsule 50 each Bottle,8.02,2.81,2.3,5.97,5
NDC,65862021860,cefdinir 125 mg/5 mL suspension for reconstitution 60 mL Bottle,120.22,42.08,34.43,89.56,5
NDC,65862031230,"didanosine EC 250 MG capsule,delayed release(DR/EC) 30 each Bottle",18.57,6.5,5.32,13.83,5
NDC,65862031330,"didanosine EC 400 MG capsule,delayed release(DR/EC) 30 each Bottle",29.01,10.16,8.31,21.61,5
NDC,65862032904,alendronate 70 MG tablet 4 each BLIST PACK,48.35,16.93,13.85,36.02,5
NDC,65862033530,abacavir-lamivudine 600-300 mg tablet 30 each Bottle,109.74,38.41,31.43,81.76,5
NDC,65862035790,clopidogreL 75 mg tablet 90 each Bottle,16.41,5.75,4.7,12.23,5
NDC,65862037401,escitalopram 10 MG tablet 100 each Bottle,11.13,3.9,3.19,8.29,5
NDC,65862039010,ondansetron per 8 mg,52.61,18.42,0.02,18.05,6
NDC,65862041901,sulfamethoxazole-trimethoprim 400-80 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,65862042001,sulfamethoxazole-trimethoprim 800-160 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,65862042005,sulfamethoxazole-trimethoprim 800-160 mg tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,65862042130,tenofovir 300 mg tablet 30 each Bottle,90.61,31.72,25.95,67.5,5
NDC,65862046890,losartan-hydrochlorothiazide 50-12.5 mg tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,65862050220,amoxicillin-clavulanate 500-125 mg tablet 20 each Bottle,8.93,3.13,2.56,6.65,5
NDC,65862050320,amoxicillin-clavulanate 875-125 mg tablet 20 each Bottle,11.97,4.19,3.43,8.92,5
NDC,65862051330,pioglitazone 30 MG tablet 30 each Bottle,25.27,8.85,7.24,18.83,5
NDC,65862052730,"venlafaxine XR 37.5 MG capsule,extended release 24hr 30 each Bottle",9.82,3.44,2.81,7.32,5
NDC,65862052790,"venlafaxine XR 37.5 MG capsule,extended release 24hr 90 each Bottle",9.83,3.45,2.82,7.32,5
NDC,65862052890,"venlafaxine XR 75 MG capsule,extended release 24hr 90 each Bottle",11.01,3.86,3.15,8.2,5
NDC,65862053401,amoxicillin-clavulanate 400-57 mg/5 mL suspension for reconstitution 100 mL Bottle,162.6,56.91,46.57,121.14,5
NDC,65862053450,amoxicillin-clavulanate 400-57 mg/5 mL suspension for reconstitution 50 mL Bottle,82.95,29.04,23.76,61.8,5
NDC,65862053750,levoFLOXacin 500 MG tablet 50 each Bottle,45.47,15.92,13.02,33.88,5
NDC,65862053820,levoFLOXacin 750 MG tablet 20 each Bottle,85.14,29.8,24.38,63.43,5
NDC,65862059501,divalproex ER 500 MG tablet extended release 24 hr 100 each Bottle,9.62,3.37,2.76,7.17,5
NDC,65862059601,clindamycin 75 mg/5 mL recon soln 100 mL Bottle,146.32,51.22,41.91,109.01,5
NDC,65862059602,clindamycin 75 mg/5 mL recon soln 100 mL Bottle,146.32,51.22,41.91,109.01,5
NDC,65862060003,rizatriptan 10 MG tablet 1 each BLIST PACK,110.64,38.73,31.69,82.43,5
NDC,65862060012,rizatriptan 10 MG tablet 12 each BLIST PACK,110.64,38.73,31.69,82.43,5
NDC,65862060130,modafiniL 100 MG tablet 30 each Bottle,62.31,21.81,17.85,46.42,5
NDC,65862060330,moxifloxacin 400 mg tablet 30 each Bottle,64.25,22.49,18.4,47.87,5
NDC,65862062101,flecainide 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,65862062201,flecainide 100 MG tablet 100 each Bottle,8.45,2.96,2.42,6.3,5
NDC,65862062301,flecainide 150 MG tablet 100 each Bottle,10.25,3.59,2.94,7.64,5
NDC,65862065401,entacapone 200 mg tablet 100 each Bottle,10.71,3.75,3.07,7.98,5
NDC,65862066130,ARIPiprazole 2 MG tablet 30 each Bottle,75.78,26.53,21.7,56.46,5
NDC,65862066430,ARIPiprazole 15 MG tablet 30 each Bottle,75.78,26.53,21.7,56.46,5
NDC,65862069790,"venlafaxine XR 150 MG capsule,extended release 24hr 90 each Bottle",11.99,4.2,3.43,8.93,5
NDC,65862070260,ziprasidone 20 MG capsule 60 each Bottle,21.15,7.41,6.06,15.76,5
NDC,65862070360,ziprasidone 40 MG capsule 60 each Bottle,21.15,7.41,6.06,15.76,5
NDC,65862070780,amoxicillin 250 mg/5 mL suspension for reconstitution 80 mL Bottle,12.65,4.43,3.62,9.42,5
NDC,65862071260,atazanavir 200 MG capsule 60 each Bottle,65.61,22.97,18.79,48.88,5
NDC,65862071330,atazanavir 300 MG capsule 30 each Bottle,129.98,45.5,37.23,96.84,5
NDC,65862073260,amiodarone 200 MG tablet 60 each Bottle,7.98,2.8,2.29,5.95,5
NDC,65862075150,cefixime 100 mg/5 mL suspension for reconstitution 50 mL Bottle,525.57,183.95,150.52,391.55,5
NDC,65862075360,valGANciclovir 450 mg tablet 60 each Bottle,162.32,56.82,46.49,120.93,5
NDC,65862076190,pregabalin 100 MG capsule 90 each Bottle,19.89,6.97,5.7,14.82,5
NDC,65862083030,prasugreL HCl 10 mg tablet 30 each Bottle,38.95,13.64,11.16,29.02,5
NDC,65862084401,cloZAPine 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,65862084601,cloZAPine 100 MG tablet 100 each Bottle,8.09,2.84,2.32,6.03,5
NDC,65862084701,cloZAPine 200 MG tablet 100 each Bottle,14.92,5.23,4.27,11.12,5
NDC,65862085901,famotidine 20 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,65862086001,famotidine 40 MG tablet 100 each Bottle,11.05,3.87,3.16,8.23,5
NDC,65862089230,voriconazole 200 MG tablet 30 each Bottle,118.58,41.51,33.96,88.34,5
NDC,65862090801,celecoxib 100 MG capsule 100 each Bottle,10.91,3.82,3.12,8.13,5
NDC,65862090901,celecoxib 200 MG capsule 100 each Bottle,17.89,6.27,5.12,13.33,5
NDC,65862092127,sevelamer 800 mg tablet 270 each Bottle,14.38,5.04,4.12,10.71,10
NDC,65862093190,sevelamer carbonate 2.4 gram powder in packet 90 each Packet,43.545,15.245000000000001,12.36,32.74,10
NDC,65862094601,dorzolamide-timoloL 22.3-6.8 mg/mL drops 10 mL DROP BTL,287.92,100.78,82.46,214.5,5
NDC,66019011200,influenza nasal spray syringe 1 each Syringe,28.32,9.92,0.02,51.3,10
NDC,66019011210,influenza nasal spray syringe 1 each Syringe,28.32,9.92,0.02,51.3,10
NDC,66215010206,bosentan 125 MG tablet 60 each Bottle,290.87,101.81,83.31,216.7,5
NDC,66215030330,iloprost 20 mcg/mL solution for nebulization 1 mL AMPUL,217.12,76.0,74.47,757.39,6
NDC,66215040201,epoprostenol 1.5 mg recon soln 1 each Vial,106.48,37.27,26.33,41.63,6
NDC,66215040301,epoprostenol 0.5 mg recon soln 1 each Vial,53.24,18.64,18.26,41.63,6
NDC,66220020730,acetylcysteine per 100 mg,220.26,77.1,1.02,75.55,6
NDC,66312017616,"lidocaine-epinephrine 2 %-1:100,000 cartridge 1.7 mL Cartridge",6.0,2.1,0.02,4.47,6
NDC,66490065020,diazePAM 2.5 mg kit 1 each KIT,837.38,293.09,239.83,623.85,5
NDC,66553000101,aspirin 325 MG tablet 500 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,66553000201,"aspirin 81 MG tablet,chewable 500 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,66553000401,"calcium carbonate 200 mg calcium (500 mg) tablet,chewable 500 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,66553000801,sodium bicarbonate 650 MG tablet 500 each DOSE-PACK,6.0,2.1,1.72,4.47,5
NDC,66647221280,HYDROmorphone (PF) 6 mg/30 mL (0.2 mg/mL) patient control.analgesia soln 30 mL Vial,45.55,15.95,0.17,33.93,6
NDC,66647221280,HYDROmorphone 1 mg/mL patient control.analgesia soln 30 mL Vial,45.55,15.95,7.57,22.81,5
NDC,66647227180,fentaNYL (PF) 300 mcg/30 mL (10 mcg/mL) patient control.analgesia soln 30 mL Vial,30.0,10.5,1.6,10.29,6
NDC,66647227180,fentaNYL (PF) in sodium chloride 0.9% 10 mcg/mL patient control.analgesia soln 30 mL Vial,30.0,10.5,1.6,10.29,6
NDC,66647600942,phenylephrine 100 mcg/mL syringe 10 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,66647614800,magnesium sulfate 2 gram/50 mL piggyback 50 mL Bag,24.0,8.4,6.87,17.88,5
NDC,66647616433,vancomycin 1 gram/250 mL solution 250 mL Bag,24.0,8.4,6.87,17.88,5
NDC,66647718033,magnesium sulfate in 0.9% NaCl 10 gram/250 mL (4 %) solution 250 mL Bag,31.8,11.13,9.11,23.69,5
NDC,66647816958,"oxytocin 40 unit/1000 mL solution 1,000 mL Bag",33.04,11.57,9.46,24.61,5
NDC,66647816958,"oxytocin in 0.9% NaCl 40 unit/1000 mL solution 1,000 mL Bag",33.04,11.57,9.46,24.61,5
NDC,66658023001,palivizumab 50 mg/0.5 mL solution 0.5 mL Vial,5156.1,1804.64,436.75,9547.72,10
NDC,66658023101,palivizumab 100 mg/mL solution 1 mL Vial,9736.18,3407.67,436.75,9547.72,10
NDC,66685100101,amoxicillin-clavulanate 875-125 mg tablet 100 each Bottle,11.56,4.05,3.31,8.61,5
NDC,66685100202,amoxicillin-clavulanate 500-125 mg tablet 100 each Bottle,8.66,3.04,2.48,6.45,5
NDC,66685101200,amoxicillin-clavulanate 400-57 mg/5 mL suspension for reconstitution 50 mL Bottle,82.95,29.04,23.76,61.8,5
NDC,66689000816,"nystatin 100,000 unit/mL suspension 480 mL Bottle",108.75,38.07,31.15,81.02,5
NDC,66689002301,HYDROcodone-acetaminophen 7.5-325 mg/15 mL solution 15 mL Cup,12.57,4.4,3.6,9.36,5
NDC,66689002350,HYDROcodone-acetaminophen 7.5-325 mg/15 mL solution 15 mL Cup,12.57,4.4,3.6,9.36,5
NDC,66689002801,levETIRAcetam 100 mg/mL solution 5 mL Cup,18.67,6.54,5.35,13.91,5
NDC,66689002850,levETIRAcetam 100 mg/mL solution 5 mL Cup,18.67,6.54,5.35,13.91,5
NDC,66689003601,phenytoin 100 mg/4 mL suspension 4 mL Cup,20.39,7.14,5.84,15.19,5
NDC,66689003650,phenytoin 100 mg/4 mL suspension 4 mL Cup,20.39,7.14,5.84,15.19,5
NDC,66689003750,"nystatin 100,000 unit/mL suspension 5 mL Cup",6.0,2.1,1.72,4.47,5
NDC,66689003799,"nystatin 100,000 unit/mL suspension 5 mL Cup",6.0,2.1,1.72,4.47,5
NDC,66689003850,lactulose 20 gram/30 mL solution 30 mL Cup,6.0,2.1,1.72,4.47,5
NDC,66689004701,potassium chloride 20 mEq/15 mL liquid 15 mL Cup,53.84,18.85,15.42,40.11,5
NDC,66689004730,potassium chloride 20 mEq/15 mL liquid 15 mL Cup,53.84,18.85,15.42,40.11,5
NDC,66689004750,potassium chloride 20 mEq/15 mL liquid 15 mL Cup,43.9,15.37,12.57,32.71,5
NDC,66689005301,magnesium hydroxide 400 mg/5 mL suspension 30 mL Cup,6.23,2.19,1.78,4.64,5
NDC,66689005399,magnesium hydroxide 400 mg/5 mL suspension 30 mL Cup,6.23,2.19,1.78,4.64,5
NDC,66689005501,acetaminophen 325 mg/10.15 mL solution 10.15 mL Cup,6.01,2.11,1.72,4.48,5
NDC,66689005599,acetaminophen 325 mg/10.15 mL solution 10.15 mL Cup,6.01,2.11,1.72,4.48,5
NDC,66689005804,cloBAZam 2.5 mg/mL suspension 120 mL Bottle,9.0,3.15,2.58,6.71,5
NDC,66689006001,aluminum-magnesium hydroxide-simethicone 200-200-20 mg/5 mL suspension 30 mL Cup,9.35,3.28,2.68,6.97,5
NDC,66689006099,aluminum-magnesium hydroxide-simethicone 200-200-20 mg/5 mL suspension 30 mL Cup,9.35,3.28,2.68,6.97,5
NDC,66689010601,chlorhexidine 0.12 % mouthwash 15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,66689010699,chlorhexidine 0.12 % mouthwash 15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,66689020108,activated charcoaL 50 gram/240 mL suspension 240 mL Bottle,95.72,33.51,27.41,71.31,5
NDC,66689020308,activated charcoal-sorbitoL 50 gram/240 mL suspension 240 mL Bottle,95.72,33.51,27.41,71.31,5
NDC,66689030708,mycophenolate mofetil per 250 mg,26.72,9.36,0.31,9.16,6
NDC,66689032702,digoxin 50 mcg/mL (0.05 mg/mL) solution 60 mL Bottle,351.03,122.87,100.53,261.52,5
NDC,66689033316,cyproheptadine 2 mg/5 mL syrup 473 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,66689040101,oxyCODONE 5 mg/5 mL solution 5 mL Cup,20.36,7.13,5.83,15.17,5
NDC,66689040150,oxyCODONE 5 mg/5 mL solution 5 mL Cup,20.36,7.13,5.83,15.17,5
NDC,66689069479,"TAKE HOME methadone 10 mg/mL concentrate 1,000 mL Bottle",304.44,106.56,87.19,226.81,5
NDC,66689069479,"methadone 10 mg/mL concentrate 1,000 mL Bottle",9.0,3.15,2.58,6.71,5
NDC,66689073505,ARIPiprazole 1 mg/mL solution 150 mL Bottle,737.38,258.09,211.19,549.35,5
NDC,66689079001,sucralfate 100 mg/mL suspension 10 mL Cup,32.97,11.54,9.44,24.56,5
NDC,66689079050,sucralfate 100 mg/mL suspension 10 mL Cup,33.06,11.58,9.47,24.63,5
NDC,66733094823,cetuximab per 10 mg,2368.97,829.14,80.46,812.56,10
NDC,66733095823,cetuximab per 10 mg,4737.94,1658.28,80.46,1625.11,10
NDC,66758005002,DOCEtaxeL 80 mg/8 mL (10 mg/mL) solution 8 mL Vial,3582.88,1254.01,1.65,1228.93,6
NDC,66758016006,potassium chloride 10 meq tablet extended release 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,66758016013,potassium chloride 10 meq tablet extended release 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,66758019006,potassium chloride 20 mEq tablet extended release 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,66758019013,potassium chloride 20 mEq tablet extended release 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,66758020854,scopolamine 1 mg/patch patch 3 day 4 each Box,53.03,18.57,15.19,39.51,5
NDC,66758020858,scopolamine 1.5 mg/patch patch 3 day 1 each Box,53.03,18.57,15.19,39.51,5
NDC,66794001525,sevoflurane 99.97 % liquid 250 mL Bottle,321.55,112.55,92.09,239.55,5
NDC,66794001710,isoflurane 99.9 % liquid 100 mL Bottle,56.64,19.83,16.22,42.2,5
NDC,66794001910,isoflurane 99.9 % liquid 100 mL Bottle,56.64,19.83,16.22,42.2,5
NDC,66794015701,"baclofen 40,000 mcg/20mL (2,000 mcg/mL) syringe 20 mL Syringe",3138.04,1098.32,178.05,1076.35,10
NDC,66794020202,glycopyrrolate 0.2 mg/mL solution 1 mL Vial,24.0,8.4,0.92,8.23,6
NDC,66794020242,glycopyrrolate 0.2 mg/mL solution 1 mL Vial,24.0,8.4,0.92,8.23,6
NDC,66794020602,ampicillin-sulbactam per 1.5 g,24.0,8.4,2.92,9.92,6
NDC,66794020641,ampicillin-sulbactam per 1.5 g,24.0,8.4,2.92,9.92,6
NDC,66794020702,ampicillin-sulbactam per 1.5 g,24.0,8.4,2.92,9.92,6
NDC,66794020741,ampicillin-sulbactam per 1.5 g,24.0,8.4,2.92,9.92,6
NDC,66794020815,ampicillin-sulbactam per 1.5 g,99.12,34.7,2.92,34.0,6
NDC,66794021002,cefepime per 500 mg,24.0,8.4,2.08,8.23,6
NDC,66794021041,cefepime per 500 mg,24.0,8.4,2.08,8.23,6
NDC,66794021943,linezolid in dextrose 5% 600 mg/300 mL piggyback 300 mL Bag,53.81,18.84,5.45,18.46,6
NDC,66794021963,linezolid in dextrose 5% 600 mg/300 mL piggyback 300 mL Bag,53.81,18.84,5.45,18.46,6
NDC,66794022902,rocuronium 10 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,66794022941,rocuronium 10 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,66794023302,dexmedeTOMIDine 100 mcg/mL solution 2 mL Vial,24.0,8.4,6.87,17.88,5
NDC,66794023342,dexmedeTOMIDine 100 mcg/mL solution 2 mL Vial,24.0,8.4,6.87,17.88,5
NDC,66794023643,linezolid in dextrose 5% 600 mg/300 mL piggyback 300 mL Bag,33.98,11.9,5.45,18.21,6
NDC,66794023663,linezolid in dextrose 5% 600 mg/300 mL piggyback 300 mL Bag,33.98,11.9,5.45,18.21,6
NDC,66794023741,doxycycline 100 mg recon soln 1 each Vial,71.08,24.88,20.36,52.95,10
NDC,66825000201,Saccharomyces boulardii 250 mg capsule 50 each Bottle,6.0,2.1,1.72,4.47,5
NDC,66869010490,pitavastatin calcium 1 mg tablet 90 each Bottle,30.18,10.57,8.64,22.48,5
NDC,66887000301,collagenase 0.9 mg recon soln 1 each Vial,18377.495000000003,6432.13,78.35,6904.56,20
NDC,66993001968,albuterol 90 mcg/actuation HFA aerosol inhaler 18 g CANISTER,147.36,51.58,42.2,109.78,5
NDC,66993002227,levalbuterol per 0.5 mg,15.81,5.54,0.08,5.42,6
NDC,66993002327,levalbuterol per 0.5 mg,15.81,5.54,0.08,5.42,6
NDC,66993002335,levalbuterol per 0.5 mg,15.81,5.54,0.08,5.42,6
NDC,66993003883,hydroxyprogesterone 250 mg/mL (1 mL) oil 1 mL Vial,2044.42,715.55,585.52,1523.09,5
NDC,66993003883,hydroxyprogesterone 250 mg/mL oil 1 mL Vial,2044.42,715.55,585.52,1523.09,5
NDC,66993004030,atomoxetine 10 MG capsule 30 each Bottle,33.56,11.75,9.61,25.0,5
NDC,66993007896,fluticasone propionate 44 mcg/actuation HFA aerosol inhaler 10.6 g AER W/ADAP,550.3,192.61,157.61,409.97,5
NDC,66993007996,fluticasone propionate 110 mcg/actuation HFA aerosol inhaler 12 g AER W/ADAP,736.72,257.86,211.0,548.86,5
NDC,66993008096,fluticasone propionate 220 mcg/actuation HFA aerosol inhaler 12 g AER W/ADAP,1144.33,400.52,327.74,852.53,5
NDC,66993016502,colchicine 0.6 mg tablet 100 each Bottle,15.9,5.57,4.55,11.85,5
NDC,66993021019,vancomycin 125 MG capsule 20 each BLIST PACK,73.88,25.86,21.16,55.04,5
NDC,66993037025,medroxyPROGESTERone 150 mg/mL suspension 1 mL Vial,230.68,80.74,0.05,79.12,6
NDC,66993037083,medroxyPROGESTERone 150 mg/mL suspension 1 mL Vial,230.93,80.83,0.05,79.21,6
NDC,66993037179,medroxyPROGESTERone 150 mg/mL suspension 1 mL Syringe,271.87,95.16,0.05,93.25,6
NDC,66993037179,medroxyPROGESTERone 150 mg/mL syringe 1 mL Syringe,271.87,95.16,0.05,93.25,6
NDC,66993042475,"lanthanum 1000 MG tablet,chewable 10 each Bottle",30.57,10.7,8.76,22.77,10
NDC,66993042485,"lanthanum 1000 MG tablet,chewable 90 each Bottle",30.57,10.7,8.76,22.77,10
NDC,66993059702,"amphetamine-dextroamphetamine XR 20 MG capsule,extended release 24hr 100 each Bottle",14.47,5.07,4.14,10.78,5
NDC,66993068638,"OLANZapine zydis 5 MG tablet,disintegrating 30 each BLIST PACK",33.65,11.78,9.64,25.07,5
NDC,66993073051,dexamethasone per 0.25 mg,6.0,2.1,0.08,2.06,6
NDC,66993073080,dexamethasone per 0.25 mg,6.0,2.1,0.08,2.06,6
NDC,66993096245,metroNIDAZOLE 0.75 % gel 45 g Tube,754.23,263.99,216.01,561.9,5
NDC,67066000501,secretin 16 mcg recon soln 1 each Vial,1871.95,655.19,40.23,642.08,10
NDC,67172011131,"phenoL 1.4 % aerosol,spray 177 mL Bottle",18.38,6.44,5.26,13.69,5
NDC,67253065110,propylthiouraciL 50 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,67253070006,selegiline 5 mg capsule 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,67253090010,ALPRAZolam 0.25 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,67386013051,eptinezumab-jjmr 100 mg/mL solution 1 mL Vial,5494.27,1923.0,20.55,1884.53,10
NDC,67386031321,cloBAZam 2.5 mg/mL suspension 120 mL Bottle,36.97,12.94,10.59,27.54,5
NDC,67386031401,cloBAZam 10 mg tablet 100 each Bottle,88.66,31.04,25.39,66.05,5
NDC,67386042201,tetrabenazine 25 MG tablet 112 each Bottle,265.04,92.77,75.91,197.45,5
NDC,67457000110,ketamine 50 mg/mL solution 10 mL Vial,30.0,10.5,8.59,22.35,5
NDC,67457010810,ketamine 100 mg/mL solution 10 mL Vial,39.34,13.77,11.27,29.31,5
NDC,67457011850,ascorbic acid 500 mg/mL solution 50 mL Vial,256.3,89.71,73.4,190.94,5
NDC,67457012410,diphenhydramine per 50 mg,33.91,11.87,1.32,11.63,6
NDC,67457013450,magnesium chloride 200 mg/mL (20 %) solution 50 mL Vial,45.08,15.78,12.91,33.58,5
NDC,67457015300,amiodarone per 30 mg,24.0,8.4,0.92,17.88,11
NDC,67457015303,amiodarone per 30 mg,24.0,8.4,0.92,17.88,11
NDC,67457015309,amiodarone per 30 mg,24.595,8.61,0.92,17.88,11
NDC,67457015318,amiodarone per 30 mg,44.41,15.545,0.92,29.9,11
NDC,67457016200,sodium tetradecyl sulfate 1 % (10 mg/mL) solution 2 mL Vial,221.25,77.44,63.37,164.83,5
NDC,67457016202,sodium tetradecyl sulfate 1 % (10 mg/mL) solution 2 mL Vial,221.25,77.44,63.37,164.83,5
NDC,67457016300,sodium tetradecyl sulfate 3 % (30 mg/mL) solution 2 mL Vial,221.25,77.44,63.37,164.83,5
NDC,67457016302,sodium tetradecyl sulfate 3 % (30 mg/mL) solution 2 mL Vial,221.25,77.44,63.37,164.83,5
NDC,67457018100,ketamine 10 mg/mL solution 20 mL Vial,56.92,19.93,16.3,42.41,5
NDC,67457018120,ketamine 10 mg/mL solution 20 mL Vial,56.92,19.93,16.3,42.41,5
NDC,67457018200,esmoloL 100 mg/10 mL (10 mg/mL) solution 10 mL Vial,24.0,8.4,0.35,17.88,11
NDC,67457018210,esmoloL 100 mg/10 mL (10 mg/mL) solution 10 mL Vial,24.0,8.4,0.35,17.88,11
NDC,67457018750,allopurinol 500 mg recon soln 1 each Vial,11291.35,3951.98,3.81,8412.06,15
NDC,67457019602,thiamine per 100 mg,24.0,8.4,3.23,13.12,6
NDC,67457019700,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",204.82,71.69,58.66,152.59,10
NDC,67457019710,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",204.82,71.69,58.66,152.59,10
NDC,67457019803,remifentaniL 1 mg recon soln 1 each Vial,173.58,60.76,49.71,129.32,5
NDC,67457021102,fomepizone per 15 mg,2907.9,1017.77,832.82,2166.39,5
NDC,67457021202,argatroban per 5 mg,1444.32,505.52,1.01,495.4,10
NDC,67457021810,clonidine per 1 mg,124.61,43.62,31.8,110.33,6
NDC,67457022000,isosulfan blue 1 % solution 5 mL Vial,3438.58,1203.51,984.81,2561.74,5
NDC,67457022005,isosulfan blue 1 % solution 5 mL Vial,3438.58,1203.51,984.81,2561.74,5
NDC,67457022700,cosyntropin per 0.25 mg,249.71,87.4,44.73,146.22,6
NDC,67457022702,cosyntropin per 0.25 mg,249.71,87.4,44.73,146.22,6
NDC,67457022805,rocuronium 10 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,67457022810,rocuronium 10 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,67457022899,rocuronium 10 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,67457023900,octreotide 50 mcg/mL (1 mL) syringe 1 mL Syringe,24.0,8.4,1.55,8.23,6
NDC,67457023900,octreotide 50 mcg/mL solution 1 mL Syringe,24.0,8.4,1.55,8.23,6
NDC,67457023901,octreotide 50 mcg/mL (1 mL) syringe 1 mL Syringe,24.0,8.4,1.55,8.23,6
NDC,67457023901,octreotide 50 mcg/mL solution 1 mL Syringe,24.0,8.4,1.55,8.23,6
NDC,67457024500,octreotide 100 mcg/mL (1 mL) syringe 1 mL Syringe,24.0,8.4,1.55,8.23,6
NDC,67457024501,octreotide 100 mcg/mL (1 mL) syringe 1 mL Syringe,24.0,8.4,1.55,8.23,6
NDC,67457024600,octreotide 500 mcg/mL (1 mL) syringe 1 mL Syringe,112.43,39.36,1.55,38.56,6
NDC,67457024601,octreotide 500 mcg/mL (1 mL) syringe 1 mL Syringe,112.43,39.36,1.55,38.56,6
NDC,67457026330,chlorothiazide per 500 mg,843.09,295.09,71.82,322.89,6
NDC,67457026600,"levETIRAcetam 1,500 mg/100 mL piggyback 100 mL Bag",80.71,28.25,0.1,27.68,6
NDC,67457026610,"levETIRAcetam 1,500 mg/100 mL piggyback 100 mL Bag",80.71,28.25,0.1,27.68,6
NDC,67457029100,hydralazine per 20 mg,301.44,105.51,7.28,103.39,6
NDC,67457029101,hydralazine per 20 mg,301.44,105.51,7.28,103.39,6
NDC,67457029200,naloxone per 1 mg,55.99,19.6,12.03,49.56,11
NDC,67457029202,naloxone per 1 mg,55.99,19.6,12.03,49.56,11
NDC,67457029750,ethacrynic acid 50 mg recon soln 1 each Vial,10761.6,3766.56,18.27,8017.39,14
NDC,67457031105,fulvestrant per 25 mg,2574.11,900.94,12.64,882.92,6
NDC,67457032325,moxifloxacin per 100 mg,135.7,47.5,15.56,51.66,6
NDC,67457033950,vancomycin per 500 mg,24.0,8.4,6.87,17.88,5
NDC,67457034000,vancomycin per 500 mg,45.43,15.91,13.01,33.85,5
NDC,67457034001,vancomycin per 500 mg,45.43,15.91,13.01,33.85,5
NDC,67457034105,vancomycin 5 gram recon soln 1 each Vial,251.86,88.16,72.13,187.64,5
NDC,67457034210,vancomycin 10 gram recon soln 1 each Vial,606.07,212.13,173.58,451.52,5
NDC,67457034810,ampicillin-sulbactam per 1.5 g,24.0,8.4,2.92,9.92,6
NDC,67457034903,ampicillin-sulbactam per 1.5 g,36.27,12.7,2.92,12.44,6
NDC,67457034910,ampicillin-sulbactam per 1.5 g,36.27,12.7,2.92,12.44,6
NDC,67457035110,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,67457035210,ampicillin per 500 mg,37.57,13.15,1.41,12.89,6
NDC,67457035959,fluphenazine decanoate per 25 mg,43.89,15.37,15.05,57.43,6
NDC,67457036610,ibutilide fumarate per 1 mg,880.0,308.0,219.22,1564.32,10
NDC,67457037212,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,67457037299,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,67457038510,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,67457038599,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,67457039054,zoledronic acid per 1 mg,124.61,43.62,11.64,47.68,6
NDC,67457039720,ranitidine per 25 mg,36.51,12.78,0.05,14.77,5
NDC,67457039799,ranitidine per 25 mg,36.51,12.78,0.05,14.77,5
NDC,67457040900,haloperidol decanoate per 50 mg,124.61,43.62,12.21,43.69,6
NDC,67457040913,haloperidol decanoate per 50 mg,124.61,43.62,12.21,43.69,6
NDC,67457042010,dexamethasone per 1 mg,24.0,8.4,0.2,8.23,6
NDC,67457042254,dexamethasone per 1 mg,24.0,8.4,0.2,8.23,6
NDC,67457042300,dexamethasone per 1 mg,24.0,8.4,0.2,8.23,6
NDC,67457042312,dexamethasone per 1 mg,24.0,8.4,0.2,8.23,6
NDC,67457042600,haloperidol lactate per 5 mg,24.0,8.4,1.86,8.23,6
NDC,67457042612,haloperidol lactate per 5 mg,24.0,8.4,1.86,8.23,6
NDC,67457042800,tobramycin per 80 mg,61.67,21.59,4.08,21.15,6
NDC,67457043010,pamidronate disodium per 30 mg,76.46,26.77,14.64,54.11,6
NDC,67457043300,famotidine 20 mg/2 mL solution 2 mL Vial,24.0,8.4,6.87,17.88,10
NDC,67457043322,famotidine 20 mg/2 mL solution 2 mL Vial,31.51,11.03,9.02,23.47,10
NDC,67457043700,doxycycline 100 mg recon soln 1 each Vial,42.96,15.04,12.3,32.01,10
NDC,67457043710,doxycycline 100 mg recon soln 1 each Vial,42.96,15.04,12.3,32.01,10
NDC,67457043800,vecuronium 10 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,67457043810,vecuronium 10 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,67457044000,ondansetron per 1 mg,24.0,8.4,0.17,8.23,6
NDC,67457044022,ondansetron per 1 mg,24.0,8.4,0.17,8.23,6
NDC,67457044220,oxaliplatin per 0.5 mg,566.4,198.24,0.12,194.28,6
NDC,67457044610,pamidronate disodium per 30 mg,264.96,92.74,14.64,90.88,6
NDC,67457045220,cytarabine per 100 mg,56.64,19.83,1.5,19.43,6
NDC,67457046910,oxaliplatin per 0.5 mg,283.2,99.12,0.12,97.14,6
NDC,67457047322,tobramycin per 80 mg,24.0,8.4,4.08,13.9,6
NDC,67457052040,mitoMYcin 40 mg recon soln 1 each Vial,3340.91,1169.32,28.46,1145.93,10
NDC,67457052237,piperacillin sod-tazobactam per 1 g,39.28,13.75,1.95,13.47,6
NDC,67457052810,leucovorin calcium per 50 mg,56.64,19.83,7.32,24.64,6
NDC,67457053035,leucovorin calcium per 50 mg,73.63,25.78,7.32,25.26,6
NDC,67457053102,DOCEtaxeL 20 mg/2 mL (10 mg/mL) solution 2 mL Vial,194.7,68.15,1.65,66.78,6
NDC,67457053208,DOCEtaxeL 80 mg/8 mL (10 mg/mL) solution 8 mL Vial,778.8,272.58,1.65,267.13,6
NDC,67457053316,DOCEtaxeL 160 mg/16 mL (10 mg/mL) solution 16 mL Vial,1661.44,581.51,1.65,569.87,6
NDC,67457055300,magnesium sulfate 2 gram/50 mL (4 %) piggyback 50 mL Bag,37.17,13.01,0.84,12.75,6
NDC,67457058210,fondaparinux per 0.5 mg,128.98,45.15,1.65,44.24,6
NDC,67457058300,fondaparinux per 0.5 mg,303.52,106.24,1.65,104.11,6
NDC,67457058304,fondaparinux per 0.5 mg,303.52,106.24,1.65,104.11,6
NDC,67457058406,fondaparinux per 0.5 mg,303.52,106.24,1.65,104.11,6
NDC,67457058500,fondaparinux per 0.5 mg,303.52,106.24,1.65,104.11,6
NDC,67457060299,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,67457061730,gemcitabine 1 gram/26.3 mL (38 mg/mL) solution 26.3 mL Vial,99.62,34.87,5.44,34.17,6
NDC,67457061730,gemcitabine solution 1 g/26.3 mL solution 26.3 mL Vial,99.62,34.87,5.44,34.17,6
NDC,67457062910,eptifibatide per 5 mg,169.92,59.48,48.67,126.59,5
NDC,67457063810,iron sucrose per 1 mg,166.26,58.2,0.36,57.03,6
NDC,67457063900,iron sucrose 200 mg iron/10 mL solution 10 mL Vial,166.31,58.21,0.36,57.04,6
NDC,67457063910,iron sucrose 200 mg iron/10 mL solution 10 mL Vial,166.31,58.21,0.36,57.04,6
NDC,67457064000,prochlorperazine edisylate per 10 mg,52.39,18.34,5.66,17.97,6
NDC,67457064002,prochlorperazine edisylate per 10 mg,52.39,18.34,5.66,17.97,6
NDC,67457065725,esmolol 10 mg/mL parenteral solution 250 mL Bag,1240.18,434.07,355.19,923.93,5
NDC,67457065725,"esmolol 2,500 mg/250 mL (10 mg/mL) parenteral solution 250 mL Bag",1240.18,434.07,0.35,923.93,11
NDC,67457067502,calcitonin per 400 Units,2832.0,991.2,971.38,7165.75,6
NDC,67457079000,levetriracetam per 10 mg,29.74,10.41,0.1,10.2,6
NDC,67457079005,levetriracetam per 10 mg,29.74,10.41,0.1,10.2,6
NDC,67457081350,daptomycin per 1 mg,354.02,123.91,0.06,121.43,6
NDC,67457081500,clindamycin per 300 mg,24.0,8.4,3.14,8.45,6
NDC,67457081504,clindamycin per 300 mg,24.0,8.4,3.14,8.45,6
NDC,67457082299,vancomycin 250 mg recon soln 1 each Vial,24.0,8.4,8.23,33.04,6
NDC,67457082312,vancomycin per 500 mg,56.92,19.93,16.3,42.41,5
NDC,67457082399,vancomycin per 500 mg,56.92,19.93,16.3,42.41,5
NDC,67457082415,vancomycin per 500 mg,68.31,23.91,19.56,50.89,5
NDC,67457082499,vancomycin per 500 mg,68.31,23.91,19.56,50.89,5
NDC,67457083306,pegfilgrastim-jmdb 6 mg/0.6 mL syringe 0.6 mL Syringe,5911.8,2069.13,79.5,2027.75,10
NDC,67457083902,nitroprusside 25 mg/mL solution 2 mL Vial,763.79,267.33,218.75,569.02,5
NDC,67457084300,linezolid in dextrose 5% 600 mg/300 mL piggyback 300 mL Bag,203.9,71.37,5.45,69.94,6
NDC,67457084330,linezolid in dextrose 5% 600 mg/300 mL piggyback 300 mL Bag,203.9,71.37,5.45,69.94,6
NDC,67457085204,norepinephrine 1 mg/mL solution 4 mL Vial,51.5,18.03,14.75,38.37,5
NDC,67457085350,acetazolamide per 500 mg,113.28,39.65,38.86,155.74,6
NDC,67457085400,adenosine per 6 mg,28.32,9.92,0.72,9.71,6
NDC,67457085404,adenosine per 6 mg,28.32,9.92,0.72,9.71,6
NDC,67457085500,adenosine per 6 mg,24.0,8.4,0.72,8.23,6
NDC,67457085502,adenosine per 6 mg,24.0,8.4,0.72,8.23,6
NDC,67457085620,adenosine (diagnostic) per 30 mg,368.16,128.86,0.72,126.28,6
NDC,67457085730,adenosine (diagnostic) per 30 mg,555.07,194.28,0.72,190.39,6
NDC,67457085820,adenosine (diagnostic) per 30 mg,368.16,128.86,0.72,126.28,6
NDC,67457086050,azithromycin per 500 mg,24.0,8.4,3.71,14.59,6
NDC,67457088605,hydroxyprogesterone 250 mg/mL oil 5 mL Vial,1090.65,381.73,312.36,812.53,5
NDC,67457088700,medroxyPROGESTERone 150 mg/mL suspension 1 mL Vial,164.05,57.425,0.05,171.86,11
NDC,67457088701,medroxyPROGESTERone 150 mg/mL suspension 1 mL Vial,164.05,57.425,0.05,171.86,11
NDC,67457088799,medroxyPROGESTERone 150 mg/mL suspension 1 mL Vial,164.16500000000002,57.46,0.05,172.04,11
NDC,67457088910,fosaprepitant per 1 mg,851.96,298.19,0.23,292.22,6
NDC,67457090320,etomidate 2 mg/mL solution 20 mL Vial,30.87,10.81,8.84,23.0,5
NDC,67457096701,hydroxyprogesterone 250 mg/mL (1 mL) oil 1 mL Vial,807.12,282.5,231.16,601.3,5
NDC,67457096701,hydroxyprogesterone 250 mg/mL oil 1 mL Vial,807.12,282.5,231.16,601.3,5
NDC,67467062302,albumin human 5% per 50 mL,204.73,71.66,58.63,152.52,5
NDC,67546011112,nitazoxanide 500 MG tablet 30 each Bottle,381.28,133.45,109.2,284.05,5
NDC,67618015004,povidone-iodine 10 % solution 118 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,67618015005,povidone-iodine 10 % solution 14.8 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,67618015008,povidone-iodine 10 % solution 237 mL Bottle,27.97,9.79,8.01,20.84,5
NDC,67618015017,povidone-iodine 10 % solution 473 mL Bottle,13.4,4.69,3.84,9.98,5
NDC,67618015104,povidone-iodine 7.5 % solution 118 mL Bottle,11.97,4.19,3.43,8.92,5
NDC,67618015116,povidone-iodine 7.5 % solution 473 mL Box,12.28,4.3,3.52,9.15,5
NDC,67618015301,povidone-iodine 10 % swab 1 each PF APPLI,6.0,2.1,1.72,4.47,5
NDC,67618020008,chlorhexidine 4 % liquid 237 mL Bottle,23.49,8.23,6.73,17.5,5
NDC,67618030050,sennosides 8.6 mg tablet 50 each Bottle,6.0,2.1,1.72,4.47,5
NDC,67850002200,ampicillin per 500 mg,37.29,13.06,1.41,12.79,6
NDC,67850002210,ampicillin per 500 mg,37.29,13.06,1.41,12.79,6
NDC,67850003100,nafcillin per 2 g,32.33,11.32,9.26,24.09,5
NDC,67850003110,nafcillin per 2 g,32.33,11.32,9.26,24.09,5
NDC,67850003200,nafcillin per 2 g,61.12,21.4,17.5,45.53,5
NDC,67850003210,nafcillin per 2 g,61.12,21.4,17.5,45.53,5
NDC,67850004100,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",82.6,28.91,23.66,61.54,10
NDC,67850004110,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",82.6,28.91,23.66,61.54,10
NDC,67850004210,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL AMPUL",82.6,28.91,23.66,61.54,10
NDC,67850015000,pantoprazole 40 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,67850015010,pantoprazole 40 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,67850015025,pantoprazole 40 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,67871479006,ethanolamine oleate per 100 mg,1427.04,499.47,489.47,2522.73,10
NDC,67877012405,silver sulfADIAZINE 1 % cream 50 g Tube,48.97,17.14,14.03,36.48,5
NDC,67877012420,silver sulfADIAZINE 1 % cream 20 g Tube,68.35,23.93,19.58,50.92,5
NDC,67877012425,silver sulfADIAZINE 1 % cream 25 g Tube,31.98,11.2,9.16,23.83,5
NDC,67877012450,silver sulfADIAZINE 1 % cream 50 g Jar,48.97,17.14,14.03,36.48,5
NDC,67877014601,temazepam 15 mg capsule 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,67877019790,amLODIPine 2.5 MG tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,67877019890,amLODIPine 5mg tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,67877019910,"amLODIPine 10mg tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,67877019990,amLODIPine 10mg tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,67877022205,gabapentin 100 MG capsule 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,67877022305,gabapentin 300mg capsule 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,67877023022,mycophenolate mofetil per 250 mg,26.72,9.36,0.31,9.16,6
NDC,67877024201,quetiapine 25 MG tablet 100 each Bottle,9.44,3.31,2.7,7.03,5
NDC,67877024801,quetiapine 400 MG tablet 100 each Bottle,46.6,16.31,13.35,34.72,5
NDC,67877025001,quetiapine 100 MG tablet 100 each Bottle,16.19,5.67,4.64,12.06,5
NDC,67877026490,"DULoxetine 30 MG capsule,delayed release(DR/EC) 90 each Bottle",18.38,6.44,5.26,13.69,5
NDC,67877026590,"DULoxetine 60 MG capsule,delayed release(DR/EC) 90 each Bottle",18.38,6.44,5.26,13.69,5
NDC,67877028660,riluzole 50 mg tablet 60 each Bottle,87.18,30.52,24.97,64.95,5
NDC,67877029860,cholestyramine 4 gram powder in packet 60 each Packet,7.95,2.79,2.28,5.92,5
NDC,67877032001,ibuprofen 600mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,67877032005,ibuprofen 600mg tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,67877041933,linezolid 600 mg tablet 1 each BLIST PACK,43.34,15.17,12.41,32.29,5
NDC,67877041984,linezolid 600 mg tablet 30 each BLIST PACK,433.44,151.71,124.14,322.91,5
NDC,67877043003,ARIPiprazole 2 MG tablet 30 each Bottle,75.53,26.44,21.63,56.27,5
NDC,67877043103,ARIPiprazole 5 MG tablet 30 each Bottle,75.53,26.44,21.63,56.27,5
NDC,67877043203,ARIPiprazole 10 MG tablet 30 each Bottle,75.53,26.44,21.63,56.27,5
NDC,67877043303,ARIPiprazole 15 MG tablet 30 each Bottle,75.53,26.44,21.63,56.27,5
NDC,67877045430,itraconazole 100 mg capsule 30 each Bottle,56.98,19.95,16.32,42.45,5
NDC,67877047379,lidocaine 5 % ointment 35.44 g Tube,711.34,248.97,203.73,529.95,5
NDC,67877049030,ezetimibe 10 mg tablet 30 each Bottle,24.27,8.5,6.95,18.08,5
NDC,67877052730,solifenacin 5 MG tablet 30 each Bottle,30.93,10.83,8.86,23.04,5
NDC,67877052790,solifenacin 5 MG tablet 90 each Bottle,30.93,10.83,8.86,23.04,5
NDC,67877054588,cephalexin 250 mg/5 mL suspension for reconstitution 100 mL Bottle,54.04,18.92,15.48,40.26,5
NDC,67877054788,cefdinir 125 mg/5 mL suspension for reconstitution 100 mL Bottle,190.69,66.75,54.61,142.06,5
NDC,67877054798,cefdinir 125 mg/5 mL suspension for reconstitution 60 mL Bottle,120.08,42.03,34.39,89.46,5
NDC,67877054898,cefdinir 250 mg/5 mL suspension for reconstitution 60 mL Bottle,234.35,82.03,67.12,174.59,5
NDC,67877058450,cefixime 400 mg capsule 50 each Bottle,55.52,19.44,15.9,41.36,5
NDC,67877058901,colchicine 0.6 mg tablet 100 each Bottle,15.89,5.57,4.55,11.84,5
NDC,67877060530,prasugreL HCl 10 mg tablet 30 each Bottle,38.93,13.63,11.15,29.0,5
NDC,67877063830,lurasidone 20 mg tablet 30 each Bottle,120.44,42.16,34.49,89.73,5
NDC,67877064030,lurasidone 60 mg tablet 30 each Bottle,120.44,42.16,34.49,89.73,5
NDC,67877065861,cloBAZam 2.5 mg/mL suspension 120 mL Bottle,20.38,7.14,5.84,15.18,5
NDC,67877067362,rufinamide 40 mg/mL suspension 460 mL Bottle,4473.76,1565.82,1281.28,3332.95,5
NDC,67877069601,chlorthalidone 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,67877069701,chlorthalidone 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,67877071831,everolimus (immunosuppressive) 0.25 mg tablet 60 each BLIST PACK,23.68,8.29,4.54,16.79,5
NDC,67877073295,lacosamide 10 mg/mL solution 200 mL Bottle,26.03,9.12,7.45,19.39,5
NDC,67877073360,lacosamide 50 mg tablet 60 each Bottle,26.82,9.39,7.68,19.98,5
NDC,67877073460,lacosamide 100 mg tablet 60 each Bottle,41.94,14.68,12.01,31.25,5
NDC,67877074957,fosfomycin 3 gram packet 1 each Packet,232.46,81.37,66.58,173.18,5
NDC,67877075360,dronabinol per 2.5 mg,15.37,5.38,1.34,5.27,6
NDC,67877075460,dronabinol per 5 mg,31.97,11.19,1.34,10.97,6
NDC,67877075801,NIFEdipine XL 60 MG tablet extended release 24hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,67919001101,daptomycin per 1 mg,1261.63,441.58,0.06,432.74,6
NDC,67919003001,ceftolozane-tazobactam 1.5 gram recon soln 1 each Vial,408.235,142.885,8.84,240.4,15
NDC,67979000201,histrelin 50 mg (65 mcg/day) kit 1 each KIT,135030.905,47260.82,41173.43,102038.0,20
NDC,68001000100,nitrofurantoin (macrocrystal-monohydrate) 100 MG capsule 100 each Bottle,8.89,3.12,2.55,6.62,5
NDC,68001000200,nitrofurantoin 50 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001011104,"lansoprazole 15 MG capsule,delayed release(DR/EC) 30 each Bottle",13.9,4.87,3.98,10.36,5
NDC,68001011900,metoprolol succinate 100 MG tablet extended release 24 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001013606,ziprasidone 20 MG capsule 60 each Bottle,21.15,7.41,6.06,15.76,5
NDC,68001013806,ziprasidone 60 MG capsule 60 each Bottle,25.67,8.99,7.35,19.12,5
NDC,68001015006,cefdinir 300 MG capsule 60 each Bottle,12.07,4.23,3.46,8.99,5
NDC,68001015100,carvediloL 12.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001015200,carvediloL 25mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001015300,carvediloL 3.125 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001015400,carvediloL 6.25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001015504,anastrozole 1 mg tablet 30 each Bottle,31.81,11.14,9.11,23.7,5
NDC,68001015700,venlafaxine 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001016000,venlafaxine 75 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001017700,glimepiride 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001017900,glimepiride 4 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001018200,quetiapine 200 MG tablet 100 each Bottle,30.53,10.69,8.74,22.74,5
NDC,68001018300,quetiapine 300 MG tablet 100 each Bottle,40.03,14.02,11.46,29.82,5
NDC,68001019500,escitalopram 5 MG tablet 100 each Bottle,9.77,3.42,2.8,7.28,5
NDC,68001022200,isosorbide dinitrate 20 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001023700,cloNIDine 0.1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001023800,cloNIDine 0.2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001023803,cloNIDine 0.2 MG tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001023900,cloNIDine 0.3 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001024000,famotidine 20 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001024008,"famotidine 20 MG tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,68001024200,zonisamide 25 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001024515,atovaquone-proguaniL 250-100 mg tablet 24 each BLIST PACK,16.87,5.91,4.83,12.57,5
NDC,68001024604,ondansetron per 8 mg,52.61,18.42,0.02,18.05,6
NDC,68001024616,ondansetron per 8 mg,54.55,19.1,0.02,18.71,6
NDC,68001024617,ondansetron per 8 mg,54.55,19.1,0.02,18.71,6
NDC,68001024716,ondansetron per 8 mg,90.86,31.81,0.02,31.16,6
NDC,68001024717,ondansetron per 8 mg,90.86,31.81,0.02,31.16,6
NDC,68001025317,fluconazole 150 MG tablet 12 each BLIST PACK,33.06,11.58,9.47,24.63,5
NDC,68001025320,fluconazole 150 MG tablet 12 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68001025344,fluconazole 150 MG tablet 1 each BLIST PACK,33.06,11.58,9.47,24.63,5
NDC,68001025404,fluconazole 200 MG tablet 30 each Bottle,34.0,11.9,9.74,25.33,5
NDC,68001025605,"DULoxetine 30 MG capsule,delayed release(DR/EC) 90 each Bottle",18.51,6.48,5.3,13.79,5
NDC,68001026525,etoposide 20 mg/mL solution 5 mL Vial,26.83,9.4,1.63,9.2,6
NDC,68001026632,fluorouracil per 500 mg,162.37,56.83,4.22,55.69,6
NDC,68001027900,"diclofenac 25 MG tablet,delayed release (DR/EC) 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,68001028000,"diclofenac 50 MG tablet,delayed release (DR/EC) 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,68001028006,"diclofenac 50 MG tablet,delayed release (DR/EC) 60 each Bottle",6.0,2.1,1.72,4.47,5
NDC,68001028100,"diclofenac 75mg tablet,delayed release (DR/EC) 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,68001030800,buPROPion 75 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001030900,buPROPion 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001032104,buPROPion XL 300 MG tablet extended release 24 hr 30 each Bottle,14.86,5.21,4.26,11.07,5
NDC,68001032205,buPROPion XL 150 MG tablet extended release 24 hr 90 each Bottle,11.26,3.95,3.22,8.39,5
NDC,68001032500,desmopressin 0.1 MG tablet 100 each Bottle,12.47,4.37,3.57,9.29,5
NDC,68001032600,desmopressin 0.2 MG tablet 100 each Bottle,17.97,6.29,5.15,13.39,5
NDC,68001033300,lisinopriL 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001033400,lisinopriL 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001033500,lisinopriL 20mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001034526,doxorubicin liposomal per 10 mg,5487.0,1920.45,71.86,1882.04,10
NDC,68001035600,metoprolol succinate 25 MG tablet extended release 24 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001036105,montelukast 10 mg tablet 90 each Bottle,13.35,4.68,3.82,9.95,5
NDC,68001036206,cefdinir 300 MG capsule 60 each Bottle,12.07,4.23,3.46,8.99,5
NDC,68001036400,metroNIDAZOLE 250 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001036500,metroNIDAZOLE 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001037300,isosorbide dinitrate 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001037500,isosorbide dinitrate 20 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001038300,labetaloL 300 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001039700,famotidine 20 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001039708,"famotidine 20 MG tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,68001039900,FLUoxetine 10 MG capsule 100 each Bottle,6.13,2.15,1.76,4.57,5
NDC,68001040000,FLUoxetine 20mg capsule 100 each Bottle,6.3,2.21,1.8,4.69,5
NDC,68001040303,levetiracetam 500 MG tablet 500 each Bottle,8.29,2.91,2.37,6.18,5
NDC,68001040307,levetiracetam 500 MG tablet 120 each Bottle,8.29,2.91,2.37,6.18,5
NDC,68001041306,"DULoxetine 20 MG capsule,delayed release(DR/EC) 60 each Bottle",16.5,5.78,4.73,12.29,5
NDC,68001041404,"DULoxetine 30 MG capsule,delayed release(DR/EC) 30 each Bottle",18.51,6.48,5.3,13.79,5
NDC,68001041405,"DULoxetine 30 MG capsule,delayed release(DR/EC) 90 each Bottle",18.51,6.48,5.3,13.79,5
NDC,68001042300,nitrofurantoin (macrocrystal-monohydrate) 100 MG capsule 100 each Bottle,8.89,3.12,2.55,6.62,5
NDC,68001043288,nicotine 7 mg/24 hr patch 24 hour 7 each Box,6.0,2.1,1.72,4.47,5
NDC,68001043290,nicotine 7 mg/24 hr patch 24 hour 14 each Box,6.0,2.1,1.72,4.47,5
NDC,68001043390,nicotine 14 mg/24 hr patch 24 hour 14 each Box,6.0,2.1,1.72,4.47,5
NDC,68001043490,nicotine 21 mg/24 hr patch 24 hour 14 each Box,6.0,2.1,1.72,4.47,5
NDC,68001043816,loratadine 10 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68001043896,loratadine 10 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68001044226,cyclophosphamide per 100 mg,1037.22,363.03,0.77,772.73,10
NDC,68001044432,cyclophosphamide per 100 mg,4148.88,1452.11,0.77,3090.92,10
NDC,68001044500,"potassium chloride 20 MEQ tablet,ER particles/crystals 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,68001044500,potassium chloride 20 mEq tablet extended release 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001045106,ziprasidone 40 MG capsule 60 each Bottle,21.15,7.41,6.06,15.76,5
NDC,68001045400,escitalopram 5 MG tablet 100 each Bottle,9.77,3.42,2.8,7.28,5
NDC,68001045742,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,68001045842,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,68001045843,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,68001045942,enoxaparin per 10 mg,26.55,9.3,1.02,9.11,6
NDC,68001045943,enoxaparin per 10 mg,26.55,9.3,1.02,9.11,6
NDC,68001046242,enoxaparin per 10 mg,53.1,18.59,1.02,18.21,6
NDC,68001046243,enoxaparin per 10 mg,53.1,18.59,1.02,18.21,6
NDC,68001047646,hydrocortisone 1 % cream 30 g Tube,9.42,3.3,2.7,7.02,5
NDC,68001047745,bacitracin 500 unit/gram packet 1 each Packet,6.0,2.1,1.72,4.47,5
NDC,68001047748,bacitracin 500 unit/gram packet 144 each Packet,6.0,2.1,1.72,4.47,5
NDC,68001048145,miconazole 2 % cream 28.4 g Tube,6.37,2.23,1.82,4.75,5
NDC,68001048148,miconazole 2 % cream 14.2 g Tube,6.0,2.1,1.72,4.47,5
NDC,68001048345,"neomycin-bacitracnZn-polymyxnB 3.5mg-400 unit- 5,000 unit/gram ointment 28.4 g Tube",17.02,5.96,4.87,12.68,5
NDC,68001048346,"neomycin-bacitracnZn-polymyxnB 3.5mg-400 unit- 5,000 unit/gram ointment 14.2 g Tube",12.03,4.22,3.45,8.96,5
NDC,68001051106,quetiapine XR 50 mg tablet extended release 24 hr 60 each Bottle,20.93,7.33,5.99,15.59,5
NDC,68001051627,paclitaxel per 30 mg,283.2,99.12,0.18,97.14,6
NDC,68001051905,buPROPion XL 150 MG tablet extended release 24 hr 90 each Bottle,12.32,4.32,3.53,9.18,5
NDC,68001052527,fluorouracil per 500 mg,81.18,28.42,4.22,27.84,6
NDC,68001053146,bacitracin 500 unit/gram ointment 28.4 g Tube,16.02,5.61,4.59,11.93,5
NDC,68001055700,methylprednisolone per 4 mg,6.0,2.1,0.38,2.06,6
NDC,68001056600,"potassium chloride 10 MEQ tablet,ER particles/crystals 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,68001056700,"potassium chloride 20 MEQ tablet,ER particles/crystals 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,68001056700,potassium chloride 20 mEq tablet extended release 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68001057400,desmopressin 0.1 MG tablet 100 each Bottle,7.13,2.5,2.04,5.31,5
NDC,68001059100,escitalopram 5 MG tablet 100 each Bottle,9.77,3.42,2.8,7.28,5
NDC,68001059505,"DULoxetine 30 MG capsule,delayed release(DR/EC) 90 each Bottle",18.51,6.48,5.3,13.79,5
NDC,68001060600,nitrofurantoin (macrocrystal-monohydrate) 100 MG capsule 100 each Bottle,8.89,3.12,2.55,6.62,5
NDC,68002010002,carbidopa-levodopa 10-100 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084002111,abacavir 300 mg tablet 1 each BLIST PACK,23.69,8.3,6.78,17.65,5
NDC,68084002121,abacavir 300 mg tablet 30 each BLIST PACK,23.69,8.3,6.78,17.65,5
NDC,68084002211,NIFEdipine 10 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084002701,warfarin 2.5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084002711,warfarin 2.5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084004001,miSOPROStoL 100 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084004011,miSOPROStoL 100 MCG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084004101,miSOPROStoL 200 MCG tablet 100 each BLIST PACK,6.43,2.26,1.84,4.79,5
NDC,68084004111,miSOPROStoL 200 MCG tablet 1 each BLIST PACK,6.43,2.26,1.84,4.79,5
NDC,68084004401,PARoxetine 10 MG tablet 100 each BLIST PACK,6.31,2.21,1.81,4.7,5
NDC,68084004411,PARoxetine 10 MG tablet 100 each BLIST PACK,6.31,2.21,1.81,4.7,5
NDC,68084004501,PARoxetine 20 MG tablet 100 each BLIST PACK,6.58,2.31,1.88,4.9,5
NDC,68084004511,PARoxetine 20 MG tablet 100 each BLIST PACK,6.58,2.31,1.88,4.9,5
NDC,68084005511,"diltiazem CD 300 MG capsule,extended release 24hr 1 each BLIST PACK",6.32,2.22,1.81,4.71,5
NDC,68084005601,methocarbamoL 500 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084005611,methocarbamoL 500 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084007001,ciprofloxacin 500 MG tablet 100 each BLIST PACK,7.5,2.63,2.15,5.59,5
NDC,68084007011,ciprofloxacin 500 MG tablet 1 each BLIST PACK,7.5,2.63,2.15,5.59,5
NDC,68084007101,ciprofloxacin 750 MG tablet 100 each BLIST PACK,18.08,6.33,5.18,13.47,5
NDC,68084007111,ciprofloxacin 750 MG tablet 1 each BLIST PACK,18.08,6.33,5.18,13.47,5
NDC,68084007201,metFORMIN XR 500mg tablet extended release 24 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084007211,metFORMIN XR 500mg tablet extended release 24 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084007511,tretinoin 10 mg capsule 1 each BLIST PACK,71.56,25.05,20.49,53.31,5
NDC,68084007521,tretinoin 10 mg capsule 30 each BLIST PACK,71.56,25.05,20.49,53.31,5
NDC,68084007711,nitrofurantoin 50 MG capsule 1 each BLIST PACK,10.43,3.66,2.99,7.77,5
NDC,68084008201,isosorbide dinitrate 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084008211,isosorbide dinitrate 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084008301,isosorbide dinitrate 20 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084008311,isosorbide dinitrate 20 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084009301,carbidopa-levodopa 25-100 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084009311,carbidopa-levodopa 25-100 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084009401,carbidopa-levodopa 25-250 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084009411,carbidopa-levodopa 25-250 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084009701,atorvastatin 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084009711,atorvastatin 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084009801,atorvastatin 20 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084009811,atorvastatin 20 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084009901,atorvastatin 40 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084009911,atorvastatin 40 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084010309,ziprasidone 20 MG capsule 80 each BLIST PACK,19.98,7.0,5.72,14.89,5
NDC,68084010311,ziprasidone 20 MG capsule 1 each BLIST PACK,19.98,7.0,5.72,14.89,5
NDC,68084010409,ziprasidone 40 MG capsule 80 each BLIST PACK,19.98,7.0,5.72,14.89,5
NDC,68084010411,ziprasidone 40 MG capsule 1 each BLIST PACK,19.98,7.0,5.72,14.89,5
NDC,68084010509,ziprasidone 60 MG capsule 80 each BLIST PACK,24.24,8.49,6.94,18.06,5
NDC,68084010609,ziprasidone 80 MG capsule 80 each BLIST PACK,24.24,8.49,6.94,18.06,5
NDC,68084010611,ziprasidone 80 MG capsule 1 each BLIST PACK,24.24,8.49,6.94,18.06,5
NDC,68084010701,acyclovir 200 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084010711,acyclovir 200 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084010801,acyclovir 400 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084010811,acyclovir 400 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084010901,acyclovir 800 MG tablet 100 each BLIST PACK,10.74,3.76,3.08,8.0,5
NDC,68084010911,acyclovir 800 MG tablet 1 each BLIST PACK,10.74,3.76,3.08,8.0,5
NDC,68084011901,mirtazapine 15 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084011911,mirtazapine 15 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084012001,mirtazapine 30 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084012011,mirtazapine 30 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084012801,"omeprazole 20mg capsule,delayed release(DR/EC) 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,68084012811,"omeprazole 20mg capsule,delayed release(DR/EC) 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,68084013521,metaxalone 800 MG tablet 30 each BLIST PACK,13.9,4.87,3.98,10.36,5
NDC,68084015501,promethazine per 25 mg,6.0,2.1,0.14,2.06,6
NDC,68084015511,promethazine per 25 mg,6.0,2.1,0.14,2.06,6
NDC,68084015701,morphine 15 MG tablet extended release 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084015801,morphine 30 MG tablet extended release 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084017401,dronabinol per 2.5 mg,12.52,4.39,1.34,4.35,6
NDC,68084017411,dronabinol per 2.5 mg,12.52,4.39,1.34,4.35,6
NDC,68084017511,dronabinol per 5 mg,28.94,10.13,1.34,9.93,6
NDC,68084017911,ribavirin 200 MG capsule 50 each BLIST PACK,23.41,8.2,6.7,17.44,5
NDC,68084017965,ribavirin 200 MG capsule 50 each BLIST PACK,23.41,8.2,6.7,17.44,5
NDC,68084018901,zolpidem 5 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084019511,rOPINIRole 0.25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084019601,lisinopriL 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084019611,lisinopriL 5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084020201,primidone 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084020211,primidone 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084020301,primidone 250 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084020311,primidone 250 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084020401,minoxidiL 2.5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084020411,minoxidiL 2.5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084020501,minoxidiL 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084020601,spironolactone 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084020611,spironolactone 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084020801,spironolactone 100 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084020811,spironolactone 100 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084021501,valACYclovir 500 MG tablet 100 each BLIST PACK,9.38,3.29,2.69,6.99,5
NDC,68084021511,valACYclovir 500 MG tablet 1 each BLIST PACK,9.38,3.29,2.69,6.99,5
NDC,68084021521,valACYclovir 500 MG tablet 30 each BLIST PACK,8.75,3.07,2.51,6.52,5
NDC,68084021601,metroNIDAZOLE 250 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084021611,metroNIDAZOLE 250 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084022001,ondansetron per 8 mg,6.0,2.1,0.02,2.06,6
NDC,68084022011,ondansetron per 8 mg,6.0,2.1,0.02,2.06,6
NDC,68084022101,ondansetron per 8 mg,6.0,2.1,0.02,2.06,6
NDC,68084022901,azathioprine per 50 mg,6.0,2.1,2.06,71.84,6
NDC,68084022911,azathioprine per 50 mg,6.0,2.1,2.06,71.84,6
NDC,68084023001,sulfamethoxazole-trimethoprim 800-160 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084023011,sulfamethoxazole-trimethoprim 800-160 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084024001,midodrine 2.5 MG tablet 100 each BLIST PACK,6.75,2.37,1.93,5.03,5
NDC,68084024011,midodrine 2.5 MG tablet 100 each BLIST PACK,6.75,2.37,1.93,5.03,5
NDC,68084024101,midodrine 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084024111,midodrine 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084024301,clindamycin 150 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084024311,clindamycin 150 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084024801,loratadine 10 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084024811,loratadine 10 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084024901,haloperidoL 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084024911,haloperidoL 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084025211,buPROPion XL 300 MG tablet extended release 24 hr 30 each BLIST PACK,11.25,3.94,3.22,8.38,5
NDC,68084025221,buPROPion XL 300 MG tablet extended release 24 hr 30 each BLIST PACK,11.25,3.94,3.22,8.38,5
NDC,68084025301,hydrOXYzine 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084025311,hydrOXYzine 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084025401,hydrOXYzine 25mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084025411,hydrOXYzine 25mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084025501,hydrOXYzine 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084025511,hydrOXYzine 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084026901,hydroxychloroquine 200 mg tablet 100 each BLIST PACK,10.36,3.63,2.97,7.72,5
NDC,68084026911,hydroxychloroquine 200 mg tablet 100 each BLIST PACK,10.36,3.63,2.97,7.72,5
NDC,68084027101,risperiDONE 0.5 MG tablet 100 each BLIST PACK,10.08,3.53,2.89,7.51,5
NDC,68084027111,risperiDONE 0.5 MG tablet 1 each BLIST PACK,10.08,3.53,2.89,7.51,5
NDC,68084027201,risperiDONE 1 MG tablet 100 each BLIST PACK,10.72,3.76,3.07,7.99,5
NDC,68084027211,risperiDONE 1 MG tablet 1 each BLIST PACK,10.72,3.76,3.07,7.99,5
NDC,68084027301,risperiDONE 2 MG tablet 100 each BLIST PACK,17.91,6.27,5.13,13.34,5
NDC,68084027311,risperiDONE 2 MG tablet 1 each BLIST PACK,17.91,6.27,5.13,13.34,5
NDC,68084027401,risperiDONE 3 MG tablet 100 each BLIST PACK,21.04,7.37,6.03,15.67,5
NDC,68084027411,risperiDONE 3 MG tablet 1 each BLIST PACK,21.04,7.37,6.03,15.67,5
NDC,68084027501,methIMAzole 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084027511,methIMAzole 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084027701,risperiDONE 4 MG tablet 100 each BLIST PACK,28.26,9.9,8.09,21.05,5
NDC,68084027711,risperiDONE 4 MG tablet 1 each BLIST PACK,28.26,9.9,8.09,21.05,5
NDC,68084028001,ethambutoL 400 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084028011,ethambutoL 400 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084028101,carbidopa-levodopa 25-100 mg tablet extended release 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084028111,carbidopa-levodopa 25-100 mg tablet extended release 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084028201,carbidopa-levodopa 50-200 mg tablet extended release 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084028211,carbidopa-levodopa 50-200 mg tablet extended release 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084028401,hydroxyurea 500 mg capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084028411,hydroxyurea 500 mg capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084028801,fludrocortisone 0.1 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084028811,fludrocortisone 0.1 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084028865,fludrocortisone 0.1 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084029111,naltrexone 50 mg tablet 1 each BLIST PACK,10.18,3.57,2.92,7.58,5
NDC,68084029121,naltrexone 50 mg tablet 30 each BLIST PACK,10.18,3.57,2.92,7.58,5
NDC,68084029901,tamsulosin 0.4 mg capsule 100 each BLIST PACK,9.95,3.49,2.85,7.41,5
NDC,68084029911,tamsulosin 0.4 mg capsule 1 each BLIST PACK,9.95,3.49,2.85,7.41,5
NDC,68084030011,dantrolene 25 MG capsule 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084030021,dantrolene 25 MG capsule 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084031001,divalproex ER 250 MG tablet extended release 24 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084031011,divalproex ER 250 MG tablet extended release 24 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084031111,rOPINIRole 1 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084031301,"divalproex sprinkle 125 mg capsule, delayed rel sprinkle 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,68084031311,"divalproex sprinkle 125 mg capsule, delayed rel sprinkle 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,68084031801,lamotrigine 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084031811,lamotrigine 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084031901,lamotrigine 100 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084031911,lamotrigine 100 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084032701,glimepiride 4 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084032821,fenofibrate 160 MG tablet 30 each BLIST PACK,16.82,5.89,4.82,12.53,5
NDC,68084034201,topiramate per 25 mg,6.0,2.1,1.72,4.47,5
NDC,68084034211,topiramate per 25 mg,6.0,2.1,1.72,4.47,5
NDC,68084034401,topiramate 100 MG tablet 100 each BLIST PACK,14.63,5.13,4.19,10.9,5
NDC,68084034411,topiramate 100 MG tablet 100 each BLIST PACK,14.63,5.13,4.19,10.9,5
NDC,68084034511,topiramate 200 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084034521,topiramate 200 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084034601,losartan 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084034611,losartan 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084034701,losartan 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084034711,losartan 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084035401,oxyCODONE 5 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084035411,oxyCODONE 5 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084035501,oxyCODONE-acetaminophen 5-325 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084035511,oxyCODONE-acetaminophen 5-325 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084035711,rifAMPin 150 MG capsule 30 each BLIST PACK,9.38,3.29,2.69,6.99,5
NDC,68084035721,rifAMPin 150 MG capsule 30 each BLIST PACK,9.38,3.29,2.69,6.99,5
NDC,68084035801,rifAMPin 300 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084035811,rifAMPin 300 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084036009,"potassium chloride 20 MEQ tablet,ER particles/crystals 80 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,68084036009,potassium chloride 20 mEq tablet extended release 80 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084036011,potassium chloride 20 mEq tablet extended release 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084036111,propafenone 150 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084036601,digoxin 125 mcg (0.125 mg) tablet 100 each BLIST PACK,6.04,2.12,1.73,4.5,5
NDC,68084036611,digoxin 125 mcg (0.125 mg) tablet 1 each BLIST PACK,6.04,2.12,1.73,4.5,5
NDC,68084037101,amiodarone 200 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084037111,amiodarone 200 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084037201,acetaminophen-codeine 300-30 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084037211,acetaminophen-codeine 300-30 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084037301,acetaminophen-codeine 300-60 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084037601,phenytoin 100 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084037611,phenytoin 100 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084038001,carisoprodoL 350 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084038011,carisoprodoL 350 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084038801,benztropine 1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084038811,benztropine 1 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084039201,enalapril 20 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084039665,butalbital-acetaminophen-caffeine 50-325-40 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084039901,finasteride 5 mg tablet 100 each BLIST PACK,7.86,2.76,2.25,5.86,5
NDC,68084039911,finasteride 5 mg tablet 100 each BLIST PACK,7.86,2.76,2.25,5.86,5
NDC,68084040001,oxybutynin 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084040011,oxybutynin 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084040111,"acetaZOLAMIDE 500 mg capsule, extended release 30 each BLIST PACK",11.55,4.05,3.31,8.6,5
NDC,68084040121,"acetaZOLAMIDE 500 mg capsule, extended release 30 each BLIST PACK",11.55,4.05,3.31,8.6,5
NDC,68084040311,morphine 15 MG tablet extended release 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084041501,divalproex ER 500 MG tablet extended release 24 hr 100 each BLIST PACK,9.04,3.17,2.59,6.73,5
NDC,68084041502,divalproex ER 500 MG tablet extended release 24 hr 80 each BLIST PACK,7.14,2.5,2.04,5.32,5
NDC,68084041511,divalproex ER 500 MG tablet extended release 24 hr 1 each BLIST PACK,9.04,3.17,2.59,6.73,5
NDC,68084041593,divalproex ER 500 MG tablet extended release 24 hr 1 each BLIST PACK,7.14,2.5,2.04,5.32,5
NDC,68084042301,HYDROmorphone 2 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084042311,HYDROmorphone 2 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084043098,polyethylene glycol 17 gram powder in packet 14 each Packet,6.0,2.1,1.72,4.47,5
NDC,68084043099,polyethylene glycol 17 gram powder in packet 1 each Packet,6.0,2.1,1.72,4.47,5
NDC,68084044001,pramipexole 0.25 MG tablet 100 each BLIST PACK,6.88,2.41,1.97,5.13,5
NDC,68084044011,pramipexole 0.25 MG tablet 100 each BLIST PACK,6.88,2.41,1.97,5.13,5
NDC,68084044401,carbamazepine 200 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084044411,carbamazepine 200 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084044601,nitrofurantoin (macrocrystal-monohydrate) 100 MG capsule 100 each BLIST PACK,8.33,2.92,2.39,6.21,5
NDC,68084044611,nitrofurantoin (macrocrystal-monohydrate) 100 MG capsule 100 each BLIST PACK,8.33,2.92,2.39,6.21,5
NDC,68084044701,hydrALAZINE 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084044901,tacrolimus per 1 mg,6.0,2.1,0.4,2.06,6
NDC,68084044911,tacrolimus per 1 mg,6.0,2.1,0.4,2.06,6
NDC,68084045001,tacrolimus per 1 mg,10.53,3.69,0.4,3.61,6
NDC,68084045011,tacrolimus per 1 mg,10.53,3.69,0.4,3.61,6
NDC,68084046111,zidovudine per 100 mg,6.0,2.1,1.72,4.47,5
NDC,68084046121,zidovudine per 100 mg,6.0,2.1,1.72,4.47,5
NDC,68084046301,"ergocalciferol 1,250 mcg (50,000 unit) capsule 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,68084046311,"ergocalciferol 1,250 mcg (50,000 unit) capsule 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,68084046801,"lansoprazole 30 MG capsule,delayed release(DR/EC) 100 each BLIST PACK",13.37,4.68,3.83,9.96,5
NDC,68084046901,hydrocortisone 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084046911,hydrocortisone 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084047901,calcium acetate(phosphat bind) 667 mg capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
NDC,68084047911,calcium acetate(phosphat bind) 667 mg capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
NDC,68084048101,levoFLOXacin 250 MG tablet 100 each BLIST PACK,38.92,13.63,11.15,29.0,5
NDC,68084048111,levoFLOXacin 250 MG tablet 100 each BLIST PACK,38.92,13.63,11.15,29.0,5
NDC,68084048201,levoFLOXacin 500 MG tablet 100 each BLIST PACK,44.61,15.62,12.78,33.23,5
NDC,68084048211,levoFLOXacin 500 MG tablet 100 each BLIST PACK,44.61,15.62,12.78,33.23,5
NDC,68084048301,levoFLOXacin 750 MG tablet 100 each BLIST PACK,83.53,29.24,23.92,62.23,5
NDC,68084048311,levoFLOXacin 750 MG tablet 100 each BLIST PACK,83.53,29.24,23.92,62.23,5
NDC,68084049001,meclizine 12.5 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084049011,meclizine 12.5 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084049111,meclizine 25 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084049401,pyridostigmine 60 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084049411,pyridostigmine 60 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084051101,simvastatin 10 MG tablet 100 each BLIST PACK,6.58,2.31,1.88,4.9,5
NDC,68084051111,simvastatin 10 MG tablet 1 each BLIST PACK,6.58,2.31,1.88,4.9,5
NDC,68084051201,simvastatin 20mg tablet 100 each BLIST PACK,11.61,4.07,3.33,8.65,5
NDC,68084051211,simvastatin 20mg tablet 1 each BLIST PACK,11.61,4.07,3.33,8.65,5
NDC,68084052411,potassium chloride 10 meq tablet extended release 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084052501,OLANZapine 2.5 MG tablet 100 each BLIST PACK,26.37,9.23,7.55,19.65,5
NDC,68084052511,OLANZapine 2.5 MG tablet 1 each BLIST PACK,26.37,9.23,7.55,19.65,5
NDC,68084053001,quetiapine 25 MG tablet 100 each BLIST PACK,8.91,3.12,2.55,6.64,5
NDC,68084053011,quetiapine 25 MG tablet 100 each BLIST PACK,8.91,3.12,2.55,6.64,5
NDC,68084053101,quetiapine 50 MG tablet 100 each BLIST PACK,14.64,5.13,4.19,10.91,5
NDC,68084053111,quetiapine 50 MG tablet 100 each BLIST PACK,14.64,5.13,4.19,10.91,5
NDC,68084053201,quetiapine 100 MG tablet 100 each BLIST PACK,15.29,5.36,4.38,11.39,5
NDC,68084053211,quetiapine 100 MG tablet 100 each BLIST PACK,15.29,5.36,4.38,11.39,5
NDC,68084053301,quetiapine 200 MG tablet 100 each BLIST PACK,28.83,10.1,8.26,21.48,5
NDC,68084053311,quetiapine 200 MG tablet 100 each BLIST PACK,28.83,10.1,8.26,21.48,5
NDC,68084053401,quetiapine 300 MG tablet 100 each BLIST PACK,37.81,13.24,10.83,28.17,5
NDC,68084053411,quetiapine 300 MG tablet 100 each BLIST PACK,37.81,13.24,10.83,28.17,5
NDC,68084053501,quetiapine 400 MG tablet 100 each BLIST PACK,44.43,15.56,12.72,33.1,5
NDC,68084053511,quetiapine 400 MG tablet 100 each BLIST PACK,44.43,15.56,12.72,33.1,5
NDC,68084053601,clopidogreL 75 mg tablet 100 each BLIST PACK,16.08,5.63,4.61,11.98,5
NDC,68084053611,clopidogreL 75 mg tablet 1 each BLIST PACK,16.08,5.63,4.61,11.98,5
NDC,68084053895,voriconazole 200 MG tablet 30 each BLIST PACK,110.7,38.75,31.7,82.47,5
NDC,68084053901,torsemide 20 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084053911,torsemide 20 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084054101,acetaZOLAMIDE 250 MG tablet 100 each BLIST PACK,9.88,3.46,2.83,7.36,5
NDC,68084054111,acetaZOLAMIDE 250 MG tablet 1 each BLIST PACK,9.88,3.46,2.83,7.36,5
NDC,68084056121,carbamazepine XR 200 MG tablet extended release 12 hr 30 each BLIST PACK,9.52,3.34,2.73,7.09,5
NDC,68084057811,lamiVUDine 150 MG tablet 30 each BLIST PACK,19.27,6.75,5.52,14.36,5
NDC,68084057821,lamiVUDine 150 MG tablet 30 each BLIST PACK,19.27,6.75,5.52,14.36,5
NDC,68084059101,isosorbide mononitrate 30 MG tablet extended release 24 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084059111,isosorbide mononitrate 30 MG tablet extended release 24 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084059701,NIFEdipine XL 30 MG tablet extended release 24hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084059711,NIFEdipine XL 30 MG tablet extended release 24hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084059765,NIFEdipine XL 30 MG tablet extended release 24hr 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084059865,NIFEdipine XL 60 MG tablet extended release 24hr 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084060201,perphenazine per 4 mg,6.0,2.1,1.72,4.47,5
NDC,68084060211,perphenazine per 4 mg,6.0,2.1,1.72,4.47,5
NDC,68084060501,FLUoxetine 20mg capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084060511,FLUoxetine 20mg capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084060611,desmopressin 0.1 MG tablet 1 each BLIST PACK,7.13,2.5,2.04,5.31,5
NDC,68084060621,desmopressin 0.1 MG tablet 30 each BLIST PACK,7.13,2.5,2.04,5.31,5
NDC,68084060701,perphenazine per 8 mg,6.0,2.1,1.72,4.47,5
NDC,68084060711,perphenazine per 8 mg,6.0,2.1,1.72,4.47,5
NDC,68084061101,amantadine 100 mg capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084061111,amantadine 100 mg capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084061701,escitalopram 10 MG tablet 100 each BLIST PACK,10.2,3.57,2.92,7.6,5
NDC,68084061711,escitalopram 10 MG tablet 1 each BLIST PACK,10.2,3.57,2.92,7.6,5
NDC,68084061801,escitalopram 20 MG tablet 100 each BLIST PACK,10.85,3.8,3.11,8.08,5
NDC,68084061811,escitalopram 20 MG tablet 1 each BLIST PACK,10.85,3.8,3.11,8.08,5
NDC,68084062121,modafiniL 100 MG tablet 30 each BLIST PACK,62.25,21.79,17.83,46.38,5
NDC,68084063201,"potassium chloride 10 MEQ tablet,ER particles/crystals 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,68084063625,fenofibrate 145 MG tablet 30 each BLIST PACK,12.15,4.26,3.48,9.05,5
NDC,68084063695,fenofibrate 145 MG tablet 1 each BLIST PACK,12.15,4.26,3.48,9.05,5
NDC,68084064001,lithium 300 MG tablet extended release 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084064011,lithium 300 MG tablet extended release 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084064311,"pantoprazole 20 MG tablet,delayed release (DR/EC) 1 each BLIST PACK",8.97,3.14,2.57,6.68,5
NDC,68084064501,tiZANidine 4 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084064511,tiZANidine 4 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084064701,ALPRAZolam 0.25 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084064711,ALPRAZolam 0.25 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084065125,clarithromycin 500 MG tablet 30 each BLIST PACK,14.48,5.07,4.15,10.79,5
NDC,68084065195,clarithromycin 500 MG tablet 1 each BLIST PACK,14.48,5.07,4.15,10.79,5
NDC,68084065401,sotaloL 80 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084065411,sotaloL 80 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084065501,lithium 450 MG tablet extended release 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084065511,lithium 450 MG tablet extended release 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084065901,metoprolol succinate 25 MG tablet extended release 24 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084065911,metoprolol succinate 25 MG tablet extended release 24 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084066601,metoprolol succinate 50 MG tablet extended release 24 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084066611,metoprolol succinate 50 MG tablet extended release 24 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084067301,metoprolol succinate 100 MG tablet extended release 24 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084067311,metoprolol succinate 100 MG tablet extended release 24 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084067511,"DULoxetine 20 MG capsule,delayed release(DR/EC) 1 each BLIST PACK",19.27,6.75,5.52,14.36,5
NDC,68084067521,"DULoxetine 20 MG capsule,delayed release(DR/EC) 30 each BLIST PACK",19.27,6.75,5.52,14.36,5
NDC,68084067601,metoclopramide 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084067611,metoclopramide 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084068001,digoxin 250 mcg (0.25 mg) tablet 100 each BLIST PACK,6.04,2.12,1.73,4.5,5
NDC,68084068301,"DULoxetine 30 MG capsule,delayed release(DR/EC) 100 each BLIST PACK",18.17,6.36,5.2,13.54,5
NDC,68084068311,"DULoxetine 30 MG capsule,delayed release(DR/EC) 1 each BLIST PACK",18.17,6.36,5.2,13.54,5
NDC,68084069201,"DULoxetine 60 MG capsule,delayed release(DR/EC) 100 each BLIST PACK",18.17,6.36,5.2,13.54,5
NDC,68084069211,"DULoxetine 60 MG capsule,delayed release(DR/EC) 1 each BLIST PACK",18.17,6.36,5.2,13.54,5
NDC,68084069701,buPROPion SR 100 MG tablet sustained-release 12 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084069711,buPROPion SR 100 MG tablet sustained-release 12 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084069801,"venlafaxine XR 37.5 MG capsule,extended release 24hr 100 each BLIST PACK",8.83,3.1,2.53,6.58,5
NDC,68084069811,"venlafaxine XR 37.5 MG capsule,extended release 24hr 1 each BLIST PACK",8.83,3.1,2.53,6.58,5
NDC,68084070301,ibuprofen 600mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084070311,ibuprofen 600mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084070401,bethanechol 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084070825,buPROPion SR 150 MG tablet sustained-release 12 hr 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084070895,buPROPion SR 150 MG tablet sustained-release 12 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084070901,"venlafaxine XR 75 MG capsule,extended release 24hr 100 each BLIST PACK",9.9,3.47,2.84,7.38,5
NDC,68084070911,"venlafaxine XR 75 MG capsule,extended release 24hr 1 each BLIST PACK",9.9,3.47,2.84,7.38,5
NDC,68084071301,"venlafaxine XR 150 MG capsule,extended release 24hr 100 each BLIST PACK",10.79,3.78,3.09,8.04,5
NDC,68084071311,"venlafaxine XR 150 MG capsule,extended release 24hr 1 each BLIST PACK",10.79,3.78,3.09,8.04,5
NDC,68084071701,ranitidine 150mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084071711,ranitidine 150mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084072301,OLANZapine 5 MG tablet 100 each BLIST PACK,25.7,9.0,7.36,19.15,5
NDC,68084072311,OLANZapine 5 MG tablet 1 each BLIST PACK,25.7,9.0,7.36,19.15,5
NDC,68084072801,fluconazole 100 MG tablet 100 each BLIST PACK,56.64,19.83,16.22,42.2,5
NDC,68084072811,fluconazole 100 MG tablet 1 each BLIST PACK,56.64,19.83,16.22,42.2,5
NDC,68084073501,fluconazole 200 MG tablet 100 each BLIST PACK,103.84,36.35,29.74,77.36,5
NDC,68084073511,fluconazole 200 MG tablet 1 each BLIST PACK,103.84,36.35,29.74,77.36,5
NDC,68084073611,LORazepam 0.5 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084073801,methadone 10 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084073811,methadone 10 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084074001,OLANZapine 10 MG tablet 100 each BLIST PACK,47.95,16.79,13.73,35.72,5
NDC,68084074011,OLANZapine 10 MG tablet 1 each BLIST PACK,47.95,16.79,13.73,35.72,5
NDC,68084074201,LORazepam 1 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084074211,LORazepam 1 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084074332,doxycycline 100 MG capsule 20 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084074401,citalopram 20 MG tablet 100 each BLIST PACK,6.02,2.11,1.72,4.48,5
NDC,68084074411,citalopram 20 MG tablet 1 each BLIST PACK,6.02,2.11,1.72,4.48,5
NDC,68084074825,guanFACINE 1 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084074895,guanFACINE 1 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084075219,clopidogreL 300 mg tablet 20 each BLIST PACK,27.19,9.52,7.79,20.26,5
NDC,68084075225,clopidogreL 300 mg tablet 30 each BLIST PACK,62.86,22.01,18.0,46.83,5
NDC,68084075295,clopidogreL 300 mg tablet 1 each BLIST PACK,62.86,22.01,18.0,46.83,5
NDC,68084076201,gabapentin 300mg capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084076211,gabapentin 300mg capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084077401,gabapentin 400 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084077411,gabapentin 400 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084077525,tiZANidine 2 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084077595,tiZANidine 2 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084077601,"divalproex DR 250 MG tablet,delayed release (DR/EC) 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,68084077611,"divalproex DR 250 MG tablet,delayed release (DR/EC) 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,68084078211,"divalproex DR 500 MG tablet,delayed release (DR/EC) 1 each BLIST PACK",7.62,2.67,2.18,5.68,5
NDC,68084078261,"divalproex DR 500 MG tablet,delayed release (DR/EC) 90 each BLIST PACK",7.62,2.67,2.18,5.68,5
NDC,68084078301,gabapentin 100 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084078311,gabapentin 100 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084079501,mycophenolate mofetil per 250 mg,6.0,2.1,0.31,2.06,6
NDC,68084079511,mycophenolate mofetil per 250 mg,6.0,2.1,0.31,2.06,6
NDC,68084080801,traMADoL 50 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084080811,traMADoL 50 mg tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084081309,"pantoprazole 40 MG tablet,delayed release (DR/EC) 80 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,68084081311,"pantoprazole 40 MG tablet,delayed release (DR/EC) 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,68084082321,methylphenidate HCl 10 MG tablet 30 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084082725,fenofibrate 54 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084082795,fenofibrate 54 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084083601,doxazosin 1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084083611,doxazosin 1 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084083625,doxazosin 1 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084083695,doxazosin 1 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084084301,carvediloL 3.125 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084084311,carvediloL 3.125 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084084401,venlafaxine 37.5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084084411,venlafaxine 37.5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084084501,OXcarbazepine 150 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084084511,OXcarbazepine 150 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084084601,fluPHENAZine 5 MG tablet 100 each BLIST PACK,30.34,10.62,8.69,22.6,5
NDC,68084084611,fluPHENAZine 5 MG tablet 1 each BLIST PACK,30.34,10.62,8.69,22.6,5
NDC,68084084625,fluPHENAZine 5 MG tablet 30 each BLIST PACK,25.18,8.82,7.21,18.76,5
NDC,68084084695,fluPHENAZine 5 MG tablet 1 each BLIST PACK,25.18,8.82,7.21,18.76,5
NDC,68084084895,"aspirin 325 MG tablet,delayed release (DR/EC) 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,68084085101,doxazosin 2 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084085111,doxazosin 2 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084085125,doxazosin 2 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084085195,doxazosin 2 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084085301,OXcarbazepine 300 MG tablet 100 each BLIST PACK,6.5,2.28,1.86,4.84,5
NDC,68084085311,OXcarbazepine 300 MG tablet 1 each BLIST PACK,6.5,2.28,1.86,4.84,5
NDC,68084085401,carvediloL 6.25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084085411,carvediloL 6.25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084085501,baclofen 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084085511,baclofen 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084085601,venlafaxine 75 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084085611,venlafaxine 75 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084085901,levetiracetam 250 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084086201,doxazosin 4 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084086225,doxazosin 4 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084086501,carvediloL 12.5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084086511,carvediloL 12.5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084086701,OXcarbazepine 600 MG tablet 100 each BLIST PACK,11.95,4.19,3.42,8.9,5
NDC,68084086711,OXcarbazepine 600 MG tablet 1 each BLIST PACK,11.95,4.19,3.42,8.9,5
NDC,68084086801,baclofen 20 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084086811,baclofen 20 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084086911,sildenafiL (pulm.hypertension) 20 mg tablet 1 each BLIST PACK,47.74,16.71,13.67,35.57,5
NDC,68084086921,sildenafiL (pulm.hypertension) 20 mg tablet 30 each BLIST PACK,47.74,16.71,13.67,35.57,5
NDC,68084087001,levetiracetam 500 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084087011,levetiracetam 500 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084087501,montelukast 10 mg tablet 100 each BLIST PACK,12.99,4.55,3.72,9.68,5
NDC,68084087511,montelukast 10 mg tablet 1 each BLIST PACK,12.99,4.55,3.72,9.68,5
NDC,68084087601,carvediloL 25mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084087611,carvediloL 25mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084087811,pioglitazone 15 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084087925,cyclosporine per 25 mg,13.57,4.75,1.39,4.65,6
NDC,68084087995,cyclosporine per 25 mg,13.57,4.75,1.39,4.65,6
NDC,68084088625,midodrine 10 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084088695,midodrine 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084089425,isosorbide dinitrate 5 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084089495,isosorbide dinitrate 5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084089501,HYDROcodone-acetaminophen 5-325 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084089511,HYDROcodone-acetaminophen 5-325 mg tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084089625,venlafaxine 25 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084090721,mycophenolate per 180 mg,11.8,4.13,0.8,4.05,6
NDC,68084091232,niMODipine 30 MG capsule 20 each BLIST PACK,44.14,15.45,12.64,32.88,5
NDC,68084091233,niMODipine 30 MG capsule 1 each BLIST PACK,44.13,15.45,12.64,32.88,5
NDC,68084091825,"mycophenolate 360 MG tablet,delayed release (DR/EC) 30 each BLIST PACK",23.6,8.26,0.8,8.09,6
NDC,68084091895,"mycophenolate 360 MG tablet,delayed release (DR/EC) 1 each BLIST PACK",23.6,8.26,0.8,8.09,6
NDC,68084092125,cyclosporine per 100 mg,46.86,16.41,3.73,16.07,6
NDC,68084092195,cyclosporine per 100 mg,46.86,16.41,3.73,16.07,6
NDC,68084092825,pilocarpine 5 MG tablet 30 each BLIST PACK,7.08,2.48,2.03,5.27,5
NDC,68084092895,pilocarpine 5 MG tablet 1 each BLIST PACK,7.08,2.48,2.03,5.27,5
NDC,68084093233,"propranolol LA 160 mg capsule,extended release 24 hr 1 each BLIST PACK",10.91,3.82,3.12,8.13,5
NDC,68084094595,probenecid 500 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084095001,fluPHENAZine 10 MG tablet 100 each BLIST PACK,38.03,13.32,10.89,28.33,5
NDC,68084095011,fluPHENAZine 10 MG tablet 1 each BLIST PACK,38.03,13.32,10.89,28.33,5
NDC,68084095095,fluPHENAZine 10 MG tablet 1 each BLIST PACK,30.88,10.81,8.84,23.01,5
NDC,68084096425,propylthiouraciL 50 mg tablet 30 each BLIST PACK,7.93,2.78,2.27,5.91,5
NDC,68084096495,propylthiouraciL 50 mg tablet 1 each BLIST PACK,7.93,2.78,2.27,5.91,5
NDC,68084096525,valGANciclovir 450 mg tablet 30 each BLIST PACK,45.14,15.8,12.93,33.63,5
NDC,68084096601,metroNIDAZOLE 500 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084096611,metroNIDAZOLE 500 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084096801,oxyCODONE 10 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084096811,oxyCODONE 10 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084097511,oxyCODONE 15 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,68084097601,celecoxib 200 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084097611,celecoxib 200 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084098832,"calcium carbonate 200 mg calcium (500 mg) tablet,chewable 20 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,68084099601,prazosin 1 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084099611,prazosin 1 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084099701,prazosin 2 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68084099711,prazosin 2 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68094000159,morphine 2 mg/mL solution 5 mL Cup,9.0,3.15,2.58,6.71,5
NDC,68094000162,morphine 2 mg/mL solution 5 mL Cup,9.0,3.15,2.58,6.71,5
NDC,68094000459,cetirizine 1 mg/mL solution 5 mL Cup,8.17,2.86,2.34,6.09,5
NDC,68094000462,cetirizine 1 mg/mL solution 5 mL Cup,6.77,2.37,1.94,5.04,5
NDC,68094001559,acetaminophen 160 mg/5 mL (5 mL) suspension 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,68094001561,acetaminophen 160 mg/5 mL (5 mL) suspension 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,68094001562,acetaminophen 160 mg/5 mL (5 mL) suspension 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,68094002459,diphenhydrAMINE 12.5 mg/5 mL liquid 10 mL Cup,6.0,2.1,1.72,4.47,5
NDC,68094002459,diphenhydramine per 50 mg,6.0,2.1,1.72,4.47,5
NDC,68094002462,diphenhydrAMINE 12.5 mg/5 mL liquid 10 mL Cup,6.0,2.1,1.72,4.47,5
NDC,68094002462,diphenhydramine per 50 mg,6.0,2.1,1.72,4.47,5
NDC,68094002861,chlorhexidine 0.12 % mouthwash 15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,68094002862,chlorhexidine 0.12 % mouthwash 15 mL Cup,6.27,2.2,1.8,4.67,5
NDC,68094004359,sucralfate 100 mg/mL suspension 10 mL Cup,25.54,8.94,7.31,19.03,5
NDC,68094004361,sucralfate 100 mg/mL suspension 10 mL Cup,25.54,8.94,7.31,19.03,5
NDC,68094006359,megestroL 400 mg/10 mL (10 mL) suspension 10 mL Cup,13.22,4.63,3.79,9.85,5
NDC,68094006361,megestroL 400 mg/10 mL (10 mL) suspension 10 mL Cup,13.22,4.63,3.79,9.85,5
NDC,68094006362,megestroL 400 mg/10 mL (10 mL) suspension 10 mL Cup,13.5,4.73,3.87,10.06,5
NDC,68094006559,guanFACINE 1 MG tablet 1 each BLIST PACK,7.74,2.71,2.22,5.77,5
NDC,68094006562,guanFACINE 1 MG tablet 30 each BLIST PACK,7.74,2.71,2.22,5.77,5
NDC,68094010120,phentolamine mesylate per 5 mg,1188.87,416.11,257.45,2402.74,10
NDC,68094010961,"omega 3 DHA-EPA 300-1,000 mg capsule,delayed release(DR/EC) 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,68094011061,melatonin 3 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68094011459,cholecalciferol 10 mcg (400 unit) tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68094011461,cholecalciferol 10 mcg (400 unit) tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68094017159,sucralfate 100 mg/mL suspension 10 mL Cup,18.53,6.49,5.31,13.8,5
NDC,68094017161,sucralfate 100 mg/mL suspension 10 mL Cup,26.57,9.3,7.61,19.79,5
NDC,68094017162,sucralfate 100 mg/mL suspension 10 mL Cup,26.67,9.34,7.64,19.87,5
NDC,68094019361,valproic acid 250 mg/5 mL (5 mL) solution 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,68094020461,ranitidine 15 mg/mL syrup 10 mL Cup,19.14,6.7,5.48,14.26,5
NDC,68094023159,acetaminophen 160 mg/5 mL (5 mL) suspension 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,68094023162,acetaminophen 160 mg/5 mL (5 mL) suspension 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,68094025059,megestroL 400 mg/10 mL (10 mL) suspension 10 mL Cup,9.98,3.5,2.86,7.44,5
NDC,68094025062,megestroL 400 mg/10 mL (10 mL) suspension 10 mL Cup,9.98,3.5,2.86,7.44,5
NDC,68094033059,acetaminophen 325 mg/10.15 mL suspension 10.15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,68094033061,acetaminophen 325 mg/10.15 mL suspension 10.15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,68094033062,acetaminophen 325 mg/10.15 mL suspension 10.15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,68094049459,ibuprofen 100 mg/5 mL suspension 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,68094049461,ibuprofen 100 mg/5 mL suspension 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,68094049462,ibuprofen 100 mg/5 mL suspension 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,68094050359,ibuprofen 100 mg/5 mL suspension 10 mL Cup,6.0,2.1,1.72,4.47,5
NDC,68094050361,ibuprofen 100 mg/5 mL suspension 10 mL Cup,6.0,2.1,1.72,4.47,5
NDC,68094050362,ibuprofen 100 mg/5 mL suspension 10 mL Cup,6.0,2.1,1.72,4.47,5
NDC,68094058759,acetaminophen 160 mg/5 mL (5 mL) suspension 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,68094059962,"nystatin 100,000 unit/mL suspension 5 mL Cup",6.0,2.1,1.72,4.47,5
NDC,68094060059,ibuprofen 100 mg/5 mL suspension 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,68094060061,ibuprofen 100 mg/5 mL suspension 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,68134020116,naproxen 125 mg/5 mL suspension 500 mL Bottle,1661.44,581.51,475.84,1237.77,5
NDC,68176000010,pediatric multivitamin with vitamin K 500 mcg/mL liquid 60 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,68180009901,levetiracetam 100 mg/mL solution 473 mL Bottle,704.37,246.53,201.73,524.76,5
NDC,68180011302,levetiracetam 500 MG tablet 500 each Bottle,8.29,2.91,2.37,6.18,5
NDC,68180011316,levetiracetam 500 MG tablet 120 each Bottle,8.29,2.91,2.37,6.18,5
NDC,68180011507,levetiracetam 1000 MG tablet 60 each Bottle,16.6,5.81,4.75,12.37,5
NDC,68180011707,levetiracetam XR 500 mg tablet extended release 24 hr 60 each Bottle,10.49,3.68,3.0,7.82,5
NDC,68180012201,cephalexin 500 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68180015001,famotidine 40 mg/5 mL (8 mg/mL) suspension for reconstitution 50 mL Bottle,417.6,146.16,119.6,311.11,5
NDC,68180016611,vancomycin 125 MG capsule 1 each BLIST PACK,73.88,25.86,21.16,55.04,5
NDC,68180016613,vancomycin 125 MG capsule 20 each BLIST PACK,73.88,25.86,21.16,55.04,5
NDC,68180023301,amLODIPine 2.5 MG tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68180028001,ethambutoL 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68180028706,emtricitabine-tenofovir (TDF) 200-300 mg tablet 30 each Bottle,165.22,57.83,0.49,108.16,10
NDC,68180031909,buPROPion XL 150 MG tablet extended release 24 hr 90 each Bottle,11.26,3.95,3.22,8.39,5
NDC,68180032009,buPROPion XL 300 MG tablet extended release 24 hr 90 each Bottle,11.25,3.94,3.22,8.38,5
NDC,68180033801,"metFORMIN 500 MG (MOD) tablet,ER gast.retention 24 hr 100 each Bottle",131.2,45.92,37.58,97.74,5
NDC,68180034606,darunavir 800 mg tablet 30 each Bottle,178.01,62.31,50.98,132.62,5
NDC,68180035306,sertraline 100 MG tablet 30 each Bottle,6.73,2.36,1.93,5.01,5
NDC,68180036309,fenofibrate 160 MG tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68180039301,"ciprofloxacin 500 mg/5 mL suspension,microcapsule recon 100 mL Bottle",336.77,117.87,96.45,250.89,5
NDC,68180041109,irbesartan 150 MG tablet 90 each Bottle,7.25,2.54,2.08,5.4,5
NDC,68180041406,irbesartan-hydrochlorothiazide 300-12.5 mg tablet 30 each Bottle,9.55,3.35,2.74,7.11,5
NDC,68180041611,cefixime 400 mg capsule 10 each BLIST PACK,58.78,20.58,16.83,43.79,5
NDC,68180042201,moxifloxacin 0.5 % drops 3 mL DROP BTL,394.94,138.23,113.11,294.23,5
NDC,68180042308,cefixime 400 mg capsule 50 each Bottle,55.52,19.44,15.9,41.36,5
NDC,68180042311,cefixime 400 mg capsule 10 each BLIST PACK,58.78,20.58,16.83,43.79,5
NDC,68180042901,bimatoprost 0.03 % drops 2.5 mL DROP BTL,317.73,111.21,91.0,236.71,5
NDC,68180044101,cephalexin 250 mg/5 mL suspension for reconstitution 100 mL Bottle,67.97,23.79,19.47,50.64,5
NDC,68180044501,quetiapine 25 MG tablet 100 each Bottle,9.43,3.31,2.7,7.03,5
NDC,68180045001,quetiapine 400 MG tablet 100 each Bottle,47.05,16.47,13.48,35.05,5
NDC,68180047902,simvastatin 20mg tablet 90 each Bottle,11.61,4.07,3.33,8.65,5
NDC,68180048509,pravastatin 10 MG tablet 90 each Bottle,7.59,2.66,2.17,5.65,5
NDC,68180051801,lisinopriL-hydrochlorothiazide 10-12.5 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68180051802,lisinopriL-hydrochlorothiazide 10-12.5 mg tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68180051901,lisinopriL-hydrochlorothiazide 20-12.5 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68180052001,lisinopriL-hydrochlorothiazide 20-25 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68180052002,lisinopriL-hydrochlorothiazide 20-25 mg tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68180060207,lamiVUDine 150 MG tablet 60 each Bottle,16.9,5.92,4.84,12.59,5
NDC,68180064410,ceftriaxone per 250 mg,215.73,75.51,0.8,74.0,6
NDC,68180065701,doxycycline 25 mg/5 mL suspension for reconstitution 60 mL Bottle,8.97,3.14,2.57,6.68,5
NDC,68180065806,rifAMPin 150 MG capsule 30 each Bottle,7.65,2.68,2.19,5.7,5
NDC,68180065907,rifAMPin 300 MG capsule 60 each Bottle,10.84,3.8,3.1,8.08,5
NDC,68180067511,oseltamivir 30 MG capsule 10 each BLIST PACK,33.46,11.72,9.58,24.93,5
NDC,68180067611,oseltamivir 45 MG capsule 10 each BLIST PACK,33.46,11.72,9.58,24.93,5
NDC,68180067711,oseltamivir 75 MG capsule 10 each BLIST PACK,36.48,12.77,10.45,27.18,5
NDC,68180067801,oseltamivir 6 mg/mL suspension for reconstitution 60 mL Bottle,386.43,135.26,110.67,287.89,5
NDC,68180071160,cefdinir 300 MG capsule 60 each Bottle,12.07,4.23,3.46,8.99,5
NDC,68180071909,amLODIPine 2.5 MG tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68180072204,cefdinir 125 mg/5 mL suspension for reconstitution 60 mL Bottle,120.36,42.13,34.47,89.67,5
NDC,68180072220,cefdinir 125 mg/5 mL suspension for reconstitution 60 mL Bottle,120.36,42.13,34.47,89.67,5
NDC,68180072320,cefdinir 250 mg/5 mL suspension for reconstitution 60 mL Bottle,234.77,82.17,67.24,174.9,5
NDC,68180078001,"zolpidem CR 12.5 MG tablet,ext release multiphase 100 each Bottle",14.43,5.06,4.13,10.75,5
NDC,68180082110,"lanthanum 1000 MG tablet,chewable 10 each Bottle",30.6,10.71,8.76,22.8,5
NDC,68180082147,"lanthanum 1000 MG tablet,chewable 90 each Bottle",30.6,10.71,8.76,22.8,5
NDC,68180084413,levonorgestrel-ethinyl estradiol 0.15-0.03 mg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68180084473,levonorgestrel-ethinyl estradiol 0.15-0.03 mg tablet 28 each BLIST PACK,73.02,25.56,20.91,54.4,5
NDC,68180085211,levonorgestreL 1.5 MG tablet 1 each BLIST PACK,86.28,30.2,24.71,64.28,5
NDC,68180096301,albuterol 90 mcg/actuation HFA aerosol inhaler 8.5 g CANISTER,174.68,61.14,50.03,130.14,5
NDC,68180097001,levothyroxine 112 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68180098001,lisinopriL 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68180098101,lisinopriL 20mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68180098430,budesonide per 0.25 mg,26.15,9.16,1.67,8.97,6
NDC,68308015215,"nystatin 100,000 unit/gram powder 15 g SQUEEZ BTL",51.79,18.13,14.83,38.58,5
NDC,68308015230,"nystatin 100,000 unit/gram powder 30 g SQUEEZ BTL",96.0,33.6,27.49,71.52,5
NDC,68382000301,azathioprine per 50 mg,6.0,2.1,2.06,71.84,6
NDC,68382000414,"topiramate 15 MG capsule, sprinkle 60 each Bottle",6.0,2.1,1.72,4.47,5
NDC,68382000514,"topiramate 25 MG capsule, sprinkle 60 each Bottle",6.89,2.42,1.97,5.13,5
NDC,68382002401,atenoloL 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68382003606,"venlafaxine XR 150 MG capsule,extended release 24hr 30 each Bottle",11.99,4.2,3.43,8.93,5
NDC,68382005001,meloxicam 7.5 MG tablet 100 each Bottle,7.48,2.62,2.14,5.57,5
NDC,68382007901,haloperidoL 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68382008001,haloperidoL 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68382008101,haloperidoL 20 MG tablet 100 each Bottle,6.51,2.28,1.86,4.85,5
NDC,68382009601,hydroxychloroquine 200 mg tablet 100 each Bottle,10.29,3.61,2.95,7.67,5
NDC,68382009716,PARoxetine 10 MG tablet 90 each Bottle,6.16,2.16,1.76,4.59,5
NDC,68382009816,PARoxetine 20 MG tablet 90 each Bottle,6.45,2.26,1.85,4.81,5
NDC,68382010101,venlafaxine 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68382010601,"divalproex sprinkle 125 mg capsule, delayed rel sprinkle 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,68382011414,risperiDONE 1 MG tablet 60 each Bottle,10.74,3.76,3.08,8.0,5
NDC,68382011514,risperiDONE 2 MG tablet 60 each Bottle,17.95,6.29,5.14,13.37,5
NDC,68382011614,risperiDONE 3 MG tablet 60 each Bottle,21.08,7.38,6.04,15.7,5
NDC,68382011714,risperiDONE 4 MG tablet 60 each Bottle,28.32,9.92,8.11,21.1,5
NDC,68382012216,amLODIPine 5mg tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68382012316,amLODIPine 10mg tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68382013201,tamsulosin 0.4 mg capsule 100 each Bottle,9.95,3.49,2.85,7.41,5
NDC,68382013814,topiramate per 25 mg,6.03,2.12,1.73,4.49,5
NDC,68382014014,topiramate 100 MG tablet 60 each Bottle,16.43,5.76,4.71,12.24,5
NDC,68382014114,topiramate 200 MG tablet 60 each Bottle,19.24,6.74,5.51,14.33,5
NDC,68382018101,busPIRone 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68382018201,busPIRone 15 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68382022714,amiodarone 200 MG tablet 60 each Bottle,7.84,2.75,2.25,5.84,5
NDC,68382030930,nitroglycerin 0.2 mg/hr patch 24 hour 30 each Packet,6.0,2.1,1.72,4.47,5
NDC,68382031001,nitroglycerin 0.4 mg/hr patch 24 hour 1 each Packet,6.0,2.1,1.72,4.47,5
NDC,68382031030,nitroglycerin 0.4 mg/hr patch 24 hour 30 each Packet,6.0,2.1,1.72,4.47,5
NDC,68382031130,nitroglycerin 0.6 mg/hr patch 24 hour 30 each Packet,6.0,2.1,1.72,4.47,5
NDC,68382037001,"nystatin 100,000 unit/gram powder 15 g Bottle",66.09,23.14,18.93,49.24,5
NDC,68382042202,ranitidine per 25 mg,36.51,12.78,0.05,14.77,5
NDC,68382044405,famotidine 40 mg/5 mL (8 mg/mL) suspension for reconstitution 50 mL Bottle,417.13,146.0,119.47,310.76,5
NDC,68382047001,indomethacin 1 mg recon soln 1 each Vial,1302.72,455.96,373.1,970.53,5
NDC,68382051201,amantadine 100 mg capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68382052001,sirolimus 0.5 MG tablet 100 each Bottle,20.42,7.15,2.4,16.3,6
NDC,68382052860,cholestyramine 4 gram powder in packet 60 each Packet,7.95,2.79,2.28,5.92,5
NDC,68382054507,etomidate 2 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,68382056401,metoprolol succinate 25 MG tablet extended release 24 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68382056601,metoprolol succinate 100 MG tablet extended release 24 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68382056928,"acamprosate 333 mg tablet,delayed release (DR/EC) 180 each Bottle",6.0,2.1,1.72,4.47,5
NDC,68382064928,"mesalamine 800 mg tablet,delayed release (DR/EC) 180 each Bottle",18.32,6.42,5.25,13.65,5
NDC,68382065906,pyridostigmine 60 mg tablet 30 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68382070718,doxycycline 100 MG capsule 50 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68382071119,"mesalamine 1.2 gram tablet,delayed release (DR/EC) 120 each Bottle",23.86,8.36,6.83,17.78,5
NDC,68382072001,"budesonide 3 mg capsule,delayed,extend.release 100 each Bottle",58.66,20.54,16.8,43.7,5
NDC,68382073801,midodrine 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68382075801,metFORMIN 500mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68382076114,clarithromycin 250 MG tablet 60 each Bottle,10.67,3.74,3.06,7.95,5
NDC,68382079901,labetaloL 200 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68382080001,labetaloL 300 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68382080501,traZODone 50mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68382080505,traZODone 50mg tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68382080601,traZODone 100mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68382080610,"traZODone 100mg tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,68382084893,esomeprazole 20 mg granules DR for susp in packet 1 each Packet,23.02,8.06,6.59,17.15,5
NDC,68382084894,esomeprazole 20 mg granules DR for susp in packet 30 each Packet,23.02,8.06,6.59,17.15,5
NDC,68382084993,esomeprazole 40 mg granules DR for susp in packet 1 each Packet,23.02,8.06,6.59,17.15,5
NDC,68382084994,esomeprazole 40 mg granules DR for susp in packet 30 each Packet,23.02,8.06,6.59,17.15,5
NDC,68382086010,benztropine mesylate per 1 mg,138.65,48.53,27.13,85.0,6
NDC,68382091001,doxycycline 100 mg recon soln 1 each Vial,71.27,24.95,20.41,53.1,10
NDC,68382091010,doxycycline 100 mg recon soln 1 each Vial,71.27,24.95,20.41,53.1,10
NDC,68382091601,methylprednisolone per 4 mg,6.0,2.1,0.38,2.06,6
NDC,68382092286,eletriptan 20 MG tablet 6 each BLIST PACK,144.24,50.49,41.31,107.46,5
NDC,68382099701,arsenic trioxide per 1 mg,1073.47,375.72,8.88,368.2,6
NDC,68382099710,arsenic trioxide per 1 mg,1073.47,375.72,8.88,368.2,6
NDC,68403110006,botulism immune globulin 100 mg recon soln 1 each Vial,34550.84,12092.8,9895.36,25740.38,5
NDC,68462010340,fluconazole 150 MG tablet 1 each BLIST PACK,33.07,11.58,9.47,24.64,5
NDC,68462010530,ondansetron per 8 mg,57.82,20.24,0.02,19.83,6
NDC,68462011060,topiramate 200 MG tablet 60 each Bottle,16.69,5.85,4.78,12.43,5
NDC,68462012801,zonisamide 25 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68462013005,zonisamide 100 MG capsule 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68462013281,norethindrone-ethinyl estradiol 1-20 mg-mcg tablet 21 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68462013701,OXcarbazepine 150 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68462013801,OXcarbazepine 300 MG tablet 100 each Bottle,6.16,2.16,1.76,4.59,5
NDC,68462013901,OXcarbazepine 600 MG tablet 100 each Bottle,11.32,3.97,3.24,8.43,5
NDC,68462015713,ondansetron per 8 mg,54.55,19.1,0.02,18.71,6
NDC,68462015740,ondansetron per 8 mg,54.55,19.1,0.02,18.71,6
NDC,68462015811,ondansetron per 8 mg,90.85,31.8,0.02,31.16,6
NDC,68462018022,mupirocin 2 % ointment 22 g Tube,100.88,35.31,28.89,75.16,5
NDC,68462018117,clotrimazole 1 % cream 15 g Tube,46.98,16.45,13.46,35.0,5
NDC,68462018449,metroNIDAZOLE 0.75 % (37.5mg/5 gram) gel 70 g Tube,360.63,126.23,103.28,268.67,5
NDC,68462018901,naproxen 375 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68462019001,naproxen 500mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68462019590,pravastatin 10 MG tablet 90 each Bottle,7.59,2.66,2.17,5.65,5
NDC,68462019790,pravastatin 40 MG tablet 90 each Bottle,11.31,3.96,3.24,8.43,5
NDC,68462021860,"topiramate 15 MG capsule, sprinkle 60 each Bottle",6.0,2.1,1.72,4.47,5
NDC,68462021960,"topiramate 25 MG capsule, sprinkle 60 each Bottle",6.89,2.42,1.97,5.13,5
NDC,68462022101,lithium 300 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68462022301,lithium 300 MG tablet extended release 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68462026001,verapamil SR 240 MG tablet extended release 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68462027501,desmopressin 0.1 MG tablet 100 each Bottle,17.37,6.08,4.97,12.94,5
NDC,68462030450,norethindrone 5 mg tablet 50 each Bottle,6.25,2.19,1.79,4.66,5
NDC,68462031732,fulvestrant per 25 mg,2574.11,900.94,12.64,882.92,6
NDC,68462033190,pramipexole 0.25 MG tablet 90 each Bottle,7.89,2.77,2.26,5.88,5
NDC,68462038829,levonorgestrel-ethinyl estradiol 0.15-0.03 mg tablet 28 each BLIST PACK,72.95,25.54,20.89,54.35,5
NDC,68462039601,"omeprazole 20mg capsule,delayed release(DR/EC) 100 each Bottle",10.15,3.56,2.91,7.56,5
NDC,68462040601,indomethacin 25 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68462041820,lidocaine 5 % ointment 35.44 g Tube,747.31,261.56,214.03,556.75,5
NDC,68462043518,"acamprosate 333 mg tablet,delayed release (DR/EC) 180 each Bottle",6.0,2.1,1.72,4.47,5
NDC,68462044626,sevelamer 400 MG tablet 360 each Bottle,9.49,3.33,2.72,7.07,10
NDC,68462044718,sevelamer 800 MG tablet 180 each Bottle,18.98,6.65,5.44,14.14,10
NDC,68462046160,trospium 20 mg tablet 60 each Bottle,6.7,2.35,1.92,4.99,5
NDC,68462046940,bumetanide per 0.5 mg,24.0,8.4,1.11,8.23,6
NDC,68462046954,bumetanide per 0.5 mg,24.0,8.4,1.11,8.23,6
NDC,68462047040,bumetanide per 0.5 mg,24.0,8.4,1.11,8.23,6
NDC,68462047054,bumetanide per 0.5 mg,24.0,8.4,1.11,8.23,6
NDC,68462047720,vancomycin per 500 mg,27.44,9.61,7.86,20.44,5
NDC,68462047774,vancomycin per 500 mg,27.44,9.61,7.86,20.44,5
NDC,68462047884,vancomycin per 500 mg,56.92,19.93,16.3,42.41,5
NDC,68462050166,calcipotriene 0.005 % cream 120 g Tube,2749.02,962.16,787.32,2048.02,5
NDC,68462052817,desonide 0.05 % ointment 15 g Tube,141.85,49.65,40.63,105.68,5
NDC,68462053435,tacrolimus 0.1 % ointment 30 g Tube,614.69,215.15,176.05,457.94,5
NDC,68462053670,imiquimod 5 % cream in packet 24 each Packet,85.71,30.0,24.55,63.85,5
NDC,68462056529,norgestimate-ethinyl estradioL 0.18/0.215/0.25 mg-0.035mg (28) tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68462057230,voriconazole 50 MG tablet 30 each Bottle,46.91,16.42,13.44,34.95,5
NDC,68462057330,voriconazole 200 MG tablet 30 each Bottle,187.66,65.69,53.75,139.81,5
NDC,68462058440,aprepitant per 5 mg,480.87,168.31,5.88,164.94,6
NDC,68462058476,aprepitant per 5 mg,480.87,168.31,5.88,164.94,6
NDC,68462058540,aprepitant per 5 mg,751.39,262.99,5.88,257.73,6
NDC,68462058576,aprepitant per 5 mg,751.39,262.99,5.88,257.73,6
NDC,68462063901,"nitroglycerin 0.4 MG tablet, sublingual 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,68462063925,"nitroglycerin 0.4 MG tablet, sublingual 25 each Bottle",6.0,2.1,1.72,4.47,5
NDC,68462063945,"nitroglycerin 0.4 MG tablet, sublingual 25 each Bottle",6.0,2.1,1.72,4.47,5
NDC,68462068201,sirolimus 0.5 MG tablet 100 each Bottle,20.0,7.0,2.4,16.3,6
NDC,68462071308,rufinamide 200 MG tablet 120 each Bottle,33.64,11.78,9.63,25.06,5
NDC,68462072101,theophylline 300 MG tablet extended release 12 hr 100 each Bottle,10.14,3.55,2.9,7.55,5
NDC,68462075501,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,68462075525,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,68462075801,phytonadione 10 mg/mL solution 1 mL AMPUL,121.12,42.4,4.52,41.54,6
NDC,68462075805,phytonadione 10 mg/mL solution 1 mL AMPUL,121.12,42.4,4.52,41.54,6
NDC,68462075825,phytonadione 10 mg/mL solution 1 mL AMPUL,121.12,42.4,4.52,41.54,6
NDC,68462079201,tretinoin 10 mg capsule 100 each Bottle,88.15,30.86,25.25,65.67,5
NDC,68462086101,chlorpromazine per 10 mg,10.15,3.56,2.91,7.56,5
NDC,68462086201,chlorpromazine per 25 mg,18.03,6.32,5.16,13.43,5
NDC,68462086301,chlorpromazine per 25 mg,24.49,8.58,7.01,18.25,5
NDC,68462086401,chlorpromazine per 25 mg,35.13,12.3,10.06,26.17,5
NDC,68462089601,octreotide per 25 mcg,24.0,8.4,1.55,8.23,6
NDC,68462089610,octreotide per 25 mcg,24.0,8.4,1.55,8.23,6
NDC,68462089701,octreotide per 25 mcg,103.25,36.14,1.55,35.41,6
NDC,68462089710,octreotide per 25 mcg,103.25,36.14,1.55,35.41,6
NDC,68462094086,lacosamide 10 mg/mL solution 200 mL Bottle,26.31,9.21,7.54,19.6,5
NDC,68516320101,factor IX per 1 Int'l Unit,24.0,8.4,1.7,8.23,10
NDC,68516320401,factor IX per 1 Int'l Unit,1975.79,691.53,1.7,677.7,10
NDC,68516360102,coagulation factor 9 500 (+/-) unit recon soln 1 each Vial,3799.6,1329.86,1.37,1303.26,10
NDC,68516360402,coagulation factor 9 500 (+/-) unit recon soln 1 each Vial,2416.88,845.91,1.37,828.99,10
NDC,68516360502,"coagulation factor 9 1,000 (+/-) unit recon soln 1 each Vial",4735.1,1657.29,1.37,1624.14,10
NDC,68516460302,"coagulation factor 8-VWF 1,000 (400 vWF) unit/10 mL recon soln 1 each Vial",2397.0,838.95,1.25,822.17,10
NDC,68516460402,"coagulation factor 8-VWFf 1,500 (600 vWF) unit/10 mL recon soln 1 each Vial",5129.7,1795.4,1.25,1759.49,10
NDC,68516461402,"coagulation factor 8-VWFf 1,500 (600 vWF) unit/10 mL recon soln 1 each Vial",7485.02,2619.76,1.25,2567.36,10
NDC,68516461902,"coagulation factor 8-VWFf 1,500 (600 vWF) unit/10 mL recon soln 1 each Vial",5954.75,2084.17,1.25,2042.48,10
NDC,68516521401,albumin human 5% per 50 mL,137.47,48.12,39.37,102.42,5
NDC,68516521402,albumin human 5% per 50 mL,260.78,91.28,74.69,194.28,5
NDC,68516521404,albumin human 5% per 50 mL,260.78,91.28,74.69,194.28,5
NDC,68516521405,albumin human 5% per 50 mL,92.28,32.3,26.43,68.75,5
NDC,68516521600,albumin human 25% per 50 mL,263.61,92.27,75.5,196.39,5
NDC,68516521601,albumin human 25% per 50 mL,131.81,46.14,37.75,98.2,5
NDC,68516521602,albumin human 25% per 50 mL,263.61,92.27,75.5,196.39,5
NDC,68516521604,albumin human 25% per 50 mL,263.61,92.27,75.5,196.39,5
NDC,68516521607,albumin human 25% per 50 mL,131.81,46.14,37.75,98.2,5
NDC,68516521608,albumin human 25% per 50 mL,263.61,92.27,75.5,196.39,5
NDC,68516521609,albumin human 25% per 50 mL,131.81,46.14,37.75,98.2,5
NDC,68546022956,rasagiline 1 MG tablet 30 each Bottle,118.1,41.34,33.82,87.98,5
NDC,68546031730,glatiramer 20 mg/mL syringe 1 mL Syringe,671.56,235.05,192.33,500.31,5
NDC,68546032512,glatiramer 40 mg/mL syringe 1 mL Syringe,1445.17,505.81,413.9,1076.65,5
NDC,68585000641,magnesium oxide 400 mg (241.3 mg magnesium) tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68585000698,magnesium oxide 400 mg (241.3 mg magnesium) tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68611019002,fluocinolone 0.19 mg implant 1 each PF APPLI,25683.88,8989.36,509.81,8809.57,10
NDC,68682000710,diltiazem 60 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68682000810,diltiazem 90 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68682010110,pentoxifylline 400 mg tablet extended release 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,68682042112,tetrabenazine 12.5 MG tablet 112 each Bottle,37.04,12.97,10.61,27.59,5
NDC,68682045570,metroNIDAZOLE 0.75 % (37.5mg/5 gram) gel 70 g Tube,377.32,132.07,108.06,281.1,5
NDC,68682065220,diazePAM 5-7.5-10 mg kit 1 each KIT,429.59,150.36,123.03,320.04,5
NDC,68682073205,fluorescein-benoxinate 0.3-0.4 % drops 5 mL DROP BTL,90.62,31.72,25.95,67.51,5
NDC,68682092005,tetracaine 0.5 % drops 5 mL DROP BTL,84.96,29.74,24.33,63.3,5
NDC,68682092064,tetracaine 0.5 % drops 15 mL DROP BTL,254.88,89.21,73.0,189.89,5
NDC,68727071201,lurbinectedin 0.5 mg/ml recon soln 1 each Vial,23364.0,8177.4,212.1,8013.85,10
NDC,68782000102,pegaptanib 0.3 mg/0.09 mL syringe 0.09 mL Syringe,2348.2,821.87,0.01,1700.25,6
NDC,68803061210,trypan blue 0.06 % syringe 0.5 mL Syringe,119.3,41.76,34.17,88.88,5
NDC,68803072205,brilliant blue G 0.025 % syringe 0.5 mL Syringe,420.0,147.0,120.29,312.9,5
NDC,68803072225,brilliant blue G 0.025 % syringe 0.5 mL Syringe,420.0,147.0,120.29,312.9,5
NDC,68817013450,paclitaxel protein-bound part per 1 mg,4474.73,1566.16,6.02,1534.83,10
NDC,68850001202,ethambutoL 400 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,68982034701,"fibrinogen human 1 gram (700 mg- 1,300 mg) recon soln 1 each Vial",24.0,8.4,1.24,8.23,10
NDC,68982062302,albumin human 5% per 50 mL,204.73,71.66,58.63,152.52,5
NDC,68982064301,albumin human 25% per 50 mL,162.6,56.91,46.57,121.14,5
NDC,68982064302,albumin human 25% per 50 mL,325.21,113.83,93.14,242.28,5
NDC,69097014260,albuterol 90 mcg/actuation HFA aerosol inhaler 6.7 g CANISTER,174.69,61.15,50.03,130.14,5
NDC,69097016848,arformoteroL 15 mcg/2 mL solution for nebulization 2 mL Vial,47.81,16.74,1.23,17.24,6
NDC,69097016864,arformoteroL 15 mcg/2 mL solution for nebulization 2 mL Vial,47.81,16.74,1.23,17.24,6
NDC,69097022416,alendronate 70 MG tablet 4 each BLIST PACK,48.35,16.93,13.85,36.02,5
NDC,69097030102,efavirenz 600 mg tablet 30 each Bottle,84.42,29.55,24.18,62.89,5
NDC,69097031602,exemestane 25 mg tablet 30 each Bottle,30.75,10.77,8.81,22.91,5
NDC,69097031886,budesonide per 0.25 mg,22.2,7.77,1.67,7.61,6
NDC,69097031887,budesonide per 0.25 mg,22.2,7.77,1.67,7.61,6
NDC,69097031987,budesonide per 0.25 mg,26.15,9.16,1.67,8.97,6
NDC,69097036202,abacavir-lamivudine 600-300 mg tablet 30 each Bottle,109.74,38.41,31.43,81.76,5
NDC,69097041002,cinacalcet 30 MG tablet 30 each Bottle,72.35,25.33,20.72,53.9,5
NDC,69097051403,abacavir 300 mg tablet 60 each Bottle,22.76,7.97,6.52,16.96,5
NDC,69097051707,cycloPHOSphamide 50 mg capsule 100 each Bottle,41.89,14.67,1.02,14.37,6
NDC,69097052235,isoproterenol 0.2 mg/mL solution 5 mL AMPUL,1387.68,485.69,397.43,1033.82,5
NDC,69097052444,diclofenac 1 % gel 100 g Tube,118.24,41.39,33.86,88.09,5
NDC,69097052834,esomeprazole 20 mg granules DR for susp in packet 30 each Packet,23.02,8.06,6.59,17.15,5
NDC,69097053302,tenofovir 300 mg tablet 30 each Bottle,13.15,4.61,3.77,9.8,5
NDC,69097057967,fosfomycin 3 gram packet 1 each Packet,236.94,82.93,67.86,176.52,5
NDC,69097067905,pregabalin 75 MG capsule 90 each Bottle,17.15,6.01,4.91,12.78,5
NDC,69097070930,phytonadione 1 mg/0.5 mL solution 0.5 mL Vial,24.0,8.4,4.52,15.05,6
NDC,69097070996,phytonadione 1 mg/0.5 mL solution 0.5 mL Vial,24.0,8.4,4.52,15.05,6
NDC,69097082103,gemfibroziL 600 MG tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69097083312,sertraline 25 MG tablet 500 each Bottle,6.41,2.25,1.84,4.78,5
NDC,69097084607,cyclobenzaprine 10mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69097085902,terbinafine 250 mg tablet 30 each Bottle,30.73,10.76,8.8,22.89,5
NDC,69097086283,calcium acetate(phosphat bind) 667 mg capsule 200 each Bottle,6.0,2.1,1.72,4.47,10
NDC,69097086807,nadoloL 40 MG tablet 100 each Bottle,9.36,3.28,2.68,6.97,5
NDC,69097093665,"lanthanum 1000 MG tablet,chewable 10 each Bottle",6.0,2.1,1.72,4.47,10
NDC,69097093698,"lanthanum 1000 MG tablet,chewable 90 each Box",6.0,2.1,1.72,4.47,10
NDC,69097095405,pregabalin 25 MG capsule 90 each Bottle,16.95,5.94,4.85,12.63,5
NDC,69097095605,pregabalin 75 MG capsule 90 each Bottle,17.15,6.01,4.91,12.78,5
NDC,69097096793,sevelamer 800 mg tablet 270 each Bottle,6.0,2.1,1.72,4.47,10
NDC,69102010501,levetiracetam 500 MG tablet 120 each Bottle,8.28,2.9,2.37,6.17,5
NDC,69238105401,chlorpromazine per 10 mg,10.15,3.56,2.91,7.56,5
NDC,69238105701,desipramine 50 MG tablet 100 each Bottle,8.91,3.12,2.55,6.64,5
NDC,69238105801,chlorpromazine per 25 mg,24.49,8.58,7.01,18.25,5
NDC,69238106901,"potassium chloride 20 MEQ tablet,ER particles/crystals 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,69238106901,potassium chloride 20 mEq tablet extended release 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69238112601,ethacrynic acid 25 mg tablet 100 each Bottle,57.09,19.99,16.35,42.53,5
NDC,69238120302,buprenorphine 10 mcg/hour patch weekly 4 each Box,294.69,103.15,84.4,219.54,5
NDC,69238126401,oseltamivir 30 MG capsule 10 each BLIST PACK,33.47,11.72,9.59,24.94,5
NDC,69238126501,oseltamivir 45 MG capsule 10 each BLIST PACK,33.47,11.72,9.59,24.94,5
NDC,69238126601,oseltamivir 75 MG capsule 10 each BLIST PACK,36.48,12.77,10.45,27.18,5
NDC,69238127306,oseltamivir 6 mg/mL suspension for reconstitution 60 mL Bottle,387.13,135.5,110.87,288.41,5
NDC,69238137302,"tobramycin-dexamethasone 0.3-0.1 % drops,suspension 2.5 mL DROP BTL",190.62,66.72,54.59,142.01,5
NDC,69238150301,erythromycin ethylsuccinate 200 mg/5 mL suspension for reconstitution 100 mL Bottle,956.74,334.86,274.01,712.77,5
NDC,69238153106,levonorgestrel-ethinyl estradiol 0.1-20 mg-mcg tablet 28 each BLIST PACK,83.0,29.05,23.77,61.84,5
NDC,69238153502,cloBAZam 2.5 mg/mL suspension 120 mL Bottle,21.56,7.55,6.17,16.06,5
NDC,69238157401,sildenafiL 10 mg/mL suspension for reconstitution 112 mL Bottle,174.94,61.23,50.1,130.33,5
NDC,69238160502,methylergonovine 0.2 mg tablet 12 each Bottle,158.66,55.54,45.44,118.2,5
NDC,69238167801,fluPHENAZine 1 MG tablet 100 each Bottle,10.37,3.63,2.97,7.73,5
NDC,69238167901,fluPHENAZine 2.5 MG tablet 100 each Bottle,16.05,5.62,4.6,11.96,5
NDC,69238168001,fluPHENAZine 5 MG tablet 100 each Bottle,21.71,7.6,6.22,16.17,5
NDC,69238168101,fluPHENAZine 10 MG tablet 100 each Bottle,27.38,9.59,7.84,20.4,5
NDC,69238183001,levothyroxine 25 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69238183101,levothyroxine 50 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69238183501,levothyroxine 112 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69238183901,levothyroxine 175 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69238184001,levothyroxine 200 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69238202708,spironolactone 25 mg/5 mL suspension 118 mL Bottle,1143.44,400.21,327.48,851.86,5
NDC,69238207701,propranoloL 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69238207801,propranoloL 20 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69238207901,propranoloL 40 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69238229401,"oxycoDONE 10 mg tablet,oral only,ext.rel.12 hr 100 each Bottle",11.86,4.16,3.4,8.84,5
NDC,69238229601,"oxyCODONE 20 mg tablet,oral only,ext.rel.12 hr 100 each Bottle",22.12,7.75,6.34,16.48,5
NDC,69238229801,"oxyCODONE 40 mg tablet,oral only,ext.rel.12 hr 100 each Bottle",37.89,13.27,10.85,28.23,5
NDC,69292031715,tetracaine 0.5 % drops 15 mL DROP BTL,101.95,35.69,29.2,75.95,5
NDC,69292052201,captopriL 12.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69292052401,captopriL 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69292053201,propranoloL 20 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69292072225,flurbiprofen 0.03 % drops 2.5 mL DROP BTL,101.95,35.69,29.2,75.95,5
NDC,69315011601,furosemide 20mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69315011701,furosemide 40 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69315011801,furosemide 80 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69315012701,folic acid 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69315013301,imipramine 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69315013401,imipramine 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69315013501,imipramine 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69315013810,"benztropine 2 MG tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,69315014001,glycopyrrolate 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69315021101,NIFEdipine 10 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69315030615,"nystatin 100,000 unit/gram powder 15 g SQUEEZ BTL",54.94,19.23,15.73,40.93,5
NDC,69315030630,"nystatin 100,000 unit/gram powder 30 g SQUEEZ BTL",109.88,38.46,31.47,81.86,5
NDC,69315030805,ciprofloxacin 0.3 % drops 5 mL DROP BTL,39.65,13.88,11.36,29.54,5
NDC,69315031228,hydrocortisone 2.5 % cream with perineal applicator 28 g Tube,185.02,64.76,52.99,137.84,5
NDC,69315031820,lacosamide 10 mg/mL solution 200 mL Bottle,9.0,3.15,2.58,6.71,5
NDC,69315050460,"nystatin 100,000 unit/mL suspension 60 mL Bottle",33.98,11.9,9.73,25.32,5
NDC,69315090401,LORazepam 0.5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,69315090501,LORazepam 1 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,69315090505,LORazepam 1 MG tablet 500 each Bottle,9.0,3.15,2.58,6.71,5
NDC,69315091001,diphenoxylate-atropine 2.5-0.025 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,69339013603,diazePAM 5 mg/mL syringe 2 mL Syringe,69.71,24.4,9.03,27.53,6
NDC,69339013815,chlorhexidine 0.12 % mouthwash 15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,69339013817,chlorhexidine 0.12 % mouthwash 15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,69339013819,chlorhexidine 0.12 % mouthwash 15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,69339014905,guaifenesin-dextromethorphan 100-10 mg/5mL syrup 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,69339014919,guaifenesin-dextromethorphan 100-10 mg/5mL syrup 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,69339015105,diphenhydrAMINE 12.5 mg/5 mL liquid 5 mL Cup,6.02,2.11,1.72,4.48,5
NDC,69339015117,diphenhydrAMINE 12.5 mg/5 mL liquid 5 mL Cup,6.02,2.11,1.72,4.48,5
NDC,69339015117,diphenhydramine per 50 mg,6.02,2.11,1.72,4.48,5
NDC,69339015201,diphenhydrAMINE 12.5 mg/5 mL liquid 10 mL Cup,6.89,2.42,1.97,5.13,5
NDC,69339015217,diphenhydrAMINE 12.5 mg/5 mL liquid 10 mL Cup,6.89,2.42,1.97,5.13,5
NDC,69339015217,diphenhydramine per 50 mg,6.89,2.42,1.97,5.13,5
NDC,69339015219,diphenhydrAMINE 12.5 mg/5 mL liquid 10 mL Cup,6.32,2.22,1.81,4.71,5
NDC,69339015219,diphenhydramine per 50 mg,6.32,2.22,1.81,4.71,5
NDC,69339016001,megestroL 400 mg/10 mL (10 mL) suspension 10 mL Cup,16.97,5.94,4.86,12.64,5
NDC,69339016016,megestroL 400 mg/10 mL (10 mL) suspension 10 mL Cup,16.97,5.94,4.86,12.64,5
NDC,69344010233,indomethacin 50 mg suppository 30 each BLIST PACK,1024.91,358.72,293.53,763.56,5
NDC,69367016204,phenazopyridine 100 MG tablet 100 each Bottle,6.37,2.23,1.82,4.75,5
NDC,69367022001,sodium chloride 1 gram tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69367022001,"sodium chloride 1 gram tablet,soluble 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,69367023305,olopatadine 0.1 % drops 5 mL DROP BTL,605.34,211.87,173.37,450.98,5
NDC,69367024312,hydrocortisone 25 mg suppository 12 each Box,34.04,11.92,9.75,25.36,5
NDC,69367026701,prenatal vitamins with iron/calcium 27 mg iron- 1 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69367028302,"ergocalciferol 200 mcg/mL (8,000 unit/mL) drops 60 mL Bottle",6.0,2.1,1.72,4.47,5
NDC,69367038750,ciprofloxacin 750 MG tablet 50 each Bottle,12.85,4.5,3.68,9.57,5
NDC,69367038901,amitriptyline 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69374031625,norepinephrine in 0.9% NaCl 8 mg/250 mL solution 250 mL Bottle,55.46,19.42,15.88,41.32,5
NDC,69374052325,fentaNYL (PF) 2.5 mg/250 mL 2.5 mg/250 mL pt controlled analgesia syring 250 mL Bag,107.97,37.79,30.92,80.44,5
NDC,69374052325,fentaNYL (PF) 2.5 mg/250 mL 2.5 mg/250 mL solution 250 mL Bag,107.97,37.79,30.92,80.44,5
NDC,69374054206,methacholine 0 to 48 mg/3 mL solution for nebulization 18 mL Vial,389.97,136.49,1.42,133.76,6
NDC,69374091450,sodium bicarbonate 8.4 % (1 mEq/mL) syringe 50 mL Syringe,29.97,10.49,8.58,22.33,5
NDC,69374091910,succinylcholine,59.26,20.75,16.97,44.15,5
NDC,69374092405,rocuronium 50 mg/5 mL (10 mg/mL) syringe 5 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,69374093203,neostigmine 1 mg/3 mL syringe 3 mL Syringe,58.5,20.48,16.75,43.58,5
NDC,69374093203,neostigmine 1 mg/mL syringe 3 mL Syringe,58.5,20.48,16.75,43.58,5
NDC,69374095710,phenylephrine 100 mcg/mL syringe 10 mL Syringe,24.0,8.4,0.02,17.88,11
NDC,69374098410,"cardioplegic solution 29 mmol/L (potassium) solution 1,000 mL Bag",153.4,53.69,43.93,114.28,5
NDC,69413033010,pyrimethamine 25 mg tablet 100 each Bottle,2124.0,743.4,608.31,1582.38,5
NDC,69452011645,cloBAZam 2.5 mg/mL suspension 120 mL Bottle,20.4,7.14,5.84,15.2,5
NDC,69452011721,tetrabenazine 12.5 MG tablet 112 each Bottle,185.79,65.03,53.21,138.41,5
NDC,69452011821,tetrabenazine 25 MG tablet 112 each Bottle,371.59,130.06,106.42,276.83,5
NDC,69452012550,OXcarbazepine 300 mg/5 mL (60 mg/mL) suspension 250 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,69452014320,benzonatate 100 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69452015120,"ergocalciferol 1,250 mcg (50,000 unit) capsule 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,69452017313,azithromycin 600 MG tablet 30 each Bottle,44.09,15.44,12.63,32.85,5
NDC,69452020720,calcitrioL 0.25 MCG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69452020820,calcitrioL 0.5 MCG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69452020920,niMODipine 30 MG capsule 100 each BLIST PACK,43.45,15.21,12.44,32.37,5
NDC,69452022384,rufinamide 40 mg/mL suspension 460 mL Bottle,4300.06,1505.03,1231.54,3203.54,5
NDC,69452024120,trihexyphenidyL 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69452029120,acyclovir 800 MG tablet 100 each Bottle,7.38,2.59,2.11,5.5,5
NDC,69452032820,methIMAzole 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69452034213,modafiniL 100 MG tablet 30 each Bottle,52.09,18.24,14.92,38.81,5
NDC,69452035113,terbinafine 250 mg tablet 30 each Bottle,30.17,10.56,8.64,22.48,5
NDC,69452038998,magnesium citrate solution 296 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,69536002515,"phenylephrine 0.25 % spray,non-aerosol 15 mL SQUEEZ BTL",8.96,3.14,2.57,6.68,5
NDC,69536005015,"phenylephrine 0.5 % spray,non-aerosol 15 mL SQUEEZ BTL",8.96,3.14,2.57,6.68,5
NDC,69536005021,"phenylephrine 0.5 % spray,non-aerosol 21 mL SQUEEZ BTL",12.54,4.39,3.59,9.34,5
NDC,69536010015,"phenylephrine 1 % spray,non-aerosol 15 mL SQUEEZ BTL",10.09,3.54,2.89,7.52,5
NDC,69536014619,levonorgestreL 1.5 MG tablet 1 each BLIST PACK,97.5,34.13,27.92,72.64,5
NDC,69536016288,levonorgestreL 1.5 MG tablet 1 each BLIST PACK,92.04,32.22,26.36,68.57,5
NDC,69543013104,alendronate 70 MG tablet 4 each BLIST PACK,48.36,16.93,13.85,36.03,5
NDC,69543013410,methocarbamoL 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69543023460,"ergocalciferol 200 mcg/mL (8,000 unit/mL) drops 60 mL DROP BTL",6.0,2.1,1.72,4.47,5
NDC,69543025810,prenatal vitamins with iron/calcium 27 mg iron- 1 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69543025910,prenatal vitamin 29-1 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69543037622,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL AMPUL",41.3,14.46,11.83,30.77,5
NDC,69543038290,OLANZapine 7.5 MG tablet 90 each Bottle,34.22,11.98,9.8,25.49,5
NDC,69543038625,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,69543038630,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,69547035302,"naloxone 4 mg/actuation spray,non-aerosol 2 each BLIST PACK",354.0,123.9,101.39,263.73,5
NDC,69547062702,"naloxone 4 mg/actuation spray,non-aerosol 2 each BLIST PACK",127.42,44.6,36.49,94.93,5
NDC,69584009110,busPIRone 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69584009210,busPIRone 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69584009310,busPIRone 15 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69584011110,carisoprodoL 350 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,69584042610,imipramine 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69584085210,spironolactone 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69584085310,spironolactone 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69616027630,perampaneL 6 mg tablet 30 each Bottle,115.83,40.55,33.17,86.29,5
NDC,69618000858,multivitamin 9 mg iron/15 mL liquid 236 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,69618001959,cholecalciferol 10 mcg/mL (400 unit/mL) drops 50 mL DROP BTL,8.61,3.02,2.47,6.41,5
NDC,69618003206,"simethicone 125 MG tablet,chewable 60 each Bottle",6.0,2.1,1.72,4.47,5
NDC,69618004401,docusate 100mg capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,69618005951,"simethicone 40 mg/0.6 mL drops,suspension 30 mL Bottle",8.99,3.15,2.57,6.7,5
NDC,69618006958,senna 8.8 mg/5 mL syrup 237 mL Bottle,20.96,7.34,6.0,15.62,5
NDC,69618007059,ferrous sulfate 15 mg/mL (elemental iron) drops 50 mL DROP BTL,7.55,2.65,2.16,5.62,5
NDC,69618059501,"simethicone 40 mg/0.6 mL drops,suspension 30 mL",7.01,2.46,2.01,5.22,5
NDC,69618070509,ferrous sulfate 15 mg/mL (elemental iron) drops 50 mL Bottle,7.55,2.65,2.16,5.62,5
NDC,69654050105,trimethoprim 50 mg/5 mL solution 473 mL Bottle,2344.19,820.47,671.38,1746.42,5
NDC,69680011530,aminocaproic acid 500 mg tablet 30 each Bottle,16.9,5.92,4.84,12.59,5
NDC,69680012035,lidocaine 5 % ointment 35.44 g Tube,61.47,21.52,17.61,45.8,5
NDC,69784000206,fluconazole 2 mg/mL 100 mL Flex Cont,24.0,8.4,4.62,17.88,11
NDC,69784000206,fluconazole per 200 mg,24.0,8.4,4.62,14.06,6
NDC,69784000306,fluconazole per 200 mg,24.0,8.4,4.62,14.06,6
NDC,69784023010,sodium acetate 2 mEq/mL solution 50 mL Vial,51.45,18.01,14.74,38.33,5
NDC,69784023020,sodium acetate 2 mEq/mL solution 50 mL Vial,51.45,18.01,14.74,38.33,5
NDC,69784023110,sodium acetate 2 mEq/mL solution 100 mL Vial,70.56,24.7,20.21,52.57,5
NDC,69794010201,burosumab-twza 10 mg/mL solution 1 mL Vial,10199.92,3569.98,498.72,3498.57,10
NDC,69794020301,burosumab-twza 20 mg/mL solution 1 mL Vial,20399.84,7139.95,498.72,6997.15,10
NDC,69794030401,burosumab-twza 30 mg/mL solution 1 mL Vial,29356.04,10274.62,498.72,10069.12,10
NDC,69800420201,hepatitis B immune globulin greatr than 312 unit/mL solution 1 mL Vial,486.8,170.38,140.21,717.07,10
NDC,69800420301,hepatitis b immune globulin per 0.5 mL,2238.32,783.42,140.21,767.74,10
NDC,69800420302,hepatitis b immune globulin per 0.5 mL,2238.32,783.42,140.21,767.74,10
NDC,69918030130,tranexamic acid 650 mg tablet 30 each Bottle,12.31,4.31,3.53,9.17,5
NDC,69918072001,arsenic trioxide per 1 mg,1682.21,588.78,8.88,577.0,6
NDC,69918072002,arsenic trioxide per 1 mg,594.72,208.16,8.88,203.99,6
NDC,69918073510,isoproterenol 0.2 mg/mL solution 5 mL Vial,396.48,138.77,113.55,295.38,5
NDC,69918089902,desmopressin per 1 mcg,89.91,31.47,9.75,38.13,6
NDC,69918089910,desmopressin per 1 mcg,107.62,37.67,9.75,38.13,6
NDC,69918089911,desmopressin per 1 mcg,89.91,31.47,9.75,38.13,6
NDC,69918090110,desmopressin per 1 mcg,1118.64,391.53,9.75,383.69,6
NDC,69968000631,naphazoline-pheniramine 0.025-0.3 % drops 15 mL DROP BTL,13.74,4.81,3.94,10.24,5
NDC,69968006102,zinc oxide 40 % paste 28 g Tube,6.0,2.1,1.72,4.47,5
NDC,70004008544,oxytocin in 0.9% NaCl 30 unit/500 mL solution 500 mL Bag,60.81,21.29,17.42,45.3,5
NDC,70004011059,morphine in sodium chloride 0.9% 1 mg/mL 100 mL Bag,53.34,18.67,7.71,24.11,6
NDC,70004020032,fentaNYL 50 mcg/mL solution 100 mL Bag,260.61,91.22,74.64,194.15,5
NDC,70004020532,"fentaNYL 2,500 mcg in sodium chloride 0.9% 100 mL 25 mcg/mL solution 100 mL Bag",51.0,17.85,14.61,38.0,5
NDC,70004025340,fentaNYL-bupivacaine 2 mcg/mL- 0.1 % solution 250 mL Bag,50.31,17.61,14.41,37.48,5
NDC,70004030018,HYDROmorphone (PF) 6 mg/30 mL (0.2 mg/mL) pt controlled analgesia syring 30 mL Syringe,39.33,13.77,11.26,29.3,5
NDC,70004030316,HYDROmorphone (PF) 30 mg/30 mL (1 mg/mL) pt controlled analgesia syring 30 mL Syringe,70.23,24.59,20.11,52.32,5
NDC,70004030321,HYDROmorphone (PF) 30 mg/30 mL (1 mg/mL) pt controlled analgesia syring 30 mL Syringe,67.19,23.52,19.24,50.06,5
NDC,70004030330,HYDROmorphone 50 mg in sodium chloride 0.9% 50 mL 1 mg/mL solution 50 mL Bag,159.63,55.88,45.72,118.92,5
NDC,70004060740,EPINEPHrine in 0.9% NaCl 8 mg/250 mL (32 mcg/mL) solution 250 mL Bag,178.18,62.37,51.03,132.74,10
NDC,70004062740,EPINEPHrine in 0.9% NaCl 8 mg/250 mL (32 mcg/mL) solution 250 mL Bag,178.18,62.37,51.03,132.74,10
NDC,70004092644,vancomycin 1.75 gram/500 mL solution 500 mL Bag,172.26,60.3,49.34,128.33,5
NDC,70010004201,methylphenidate ER 10 MG tablet extended release 100 each Bottle,18.88,6.61,5.41,14.07,5
NDC,70010004301,methylphenidate ER 20 MG tablet extended release 100 each Bottle,19.47,6.82,5.58,14.51,5
NDC,70010005140,valGANciclovir 50 mg/mL recon soln 88 mL Bottle,2308.36,807.93,661.11,1719.73,5
NDC,70010008601,prazosin 5 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,70010013801,naproxen 375 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,70010049101,metFORMIN XR 500mg tablet extended release 24 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,70010075401,methocarbamoL 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,70010078612,methylergonovine 0.2 mg tablet 12 each Bottle,167.48,58.62,47.97,124.77,5
NDC,70010092601,gabapentin 100 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,70069000501,cyanocobalamin per 1000 mcg,24.0,8.4,2.07,8.23,6
NDC,70069000510,cyanocobalamin per 1000 mcg,24.0,8.4,2.07,8.23,6
NDC,70069000701,olopatadine 0.1 % drops 5 mL DROP BTL,73.75,25.82,21.12,54.94,5
NDC,70069001101,glycopyrrolate 0.2 mg/mL solution 1 mL Vial,24.0,8.4,0.92,17.88,11
NDC,70069001125,glycopyrrolate 0.2 mg/mL solution 1 mL Vial,24.0,8.4,0.92,17.88,11
NDC,70069001701,olopatadine 0.1 % drops 5 mL DROP BTL,22.28,7.8,6.38,16.6,5
NDC,70069002101,dexAMETHasone sodium phos (PF) 10 mg/mL solution 1 mL Vial,24.0,8.4,0.2,8.23,6
NDC,70069002125,dexAMETHasone sodium phos (PF) 10 mg/mL solution 1 mL Vial,24.0,8.4,0.2,8.23,6
NDC,70069005101,dorzolamide-timoloL 22.3-6.8 mg/mL drops 10 mL DROP BTL,59.0,20.65,16.9,43.96,5
NDC,70069006401,ropivacaine per 1 mg,25.06,8.78,0.11,8.6,6
NDC,70069007110,naloxone per 1 mg,29.5,10.33,8.45,49.56,11
NDC,70069010101,methocarbamol per 10 mL,48.69,17.05,9.34,34.88,6
NDC,70069010105,methocarbamol per 10 mL,48.69,17.05,9.34,34.88,6
NDC,70069010125,methocarbamol per 10 mL,30.0,10.5,9.34,34.88,6
NDC,70069012101,tropicamide 1 % drops 15 mL DROP BTL,84.08,29.43,24.08,62.64,5
NDC,70069018101,pilocarpine 1 % drops 15 mL DROP BTL,218.84,76.6,62.68,163.04,5
NDC,70069019101,pilocarpine 2 % drops 15 mL DROP BTL,223.83,78.35,64.1,166.75,5
NDC,70069020101,pilocarpine 4 % drops 15 mL DROP BTL,234.67,82.14,67.21,174.83,5
NDC,70069026101,nitroprusside 25 mg/mL solution 2 mL Vial,59.0,20.65,16.9,43.96,5
NDC,70069027105,verapamiL 2.5 mg/mL solution 2 mL Vial,29.5,10.33,8.45,21.98,5
NDC,70069027125,verapamiL 2.5 mg/mL solution 2 mL Vial,29.5,10.33,8.45,21.98,5
NDC,70069030101,succinylcholine per 20 mg,25.09,8.79,7.19,18.69,5
NDC,70069030110,succinylcholine per 20 mg,25.09,8.79,7.19,18.69,5
NDC,70069030125,succinylcholine per 20 mg,24.0,8.4,6.87,17.88,5
NDC,70069036101,sulfamethoxazole-trimethoprim 16 mg/mL of trimethoprim solution 5 mL Vial,24.0,8.4,6.87,17.88,10
NDC,70069036110,sulfamethoxazole-trimethoprim 16 mg/mL of trimethoprim solution 5 mL Vial,24.0,8.4,6.87,17.88,10
NDC,70069036210,sulfamethoxazole-trimethoprim 16 mg/mL of trimethoprim solution 10 mL Vial,35.9,12.57,10.28,26.75,10
NDC,70069038101,haloperidol decanoate per 50 mg,62.96,22.04,12.21,43.69,6
NDC,70069038301,haloperidol decanoate per 50 mg,114.46,40.07,12.21,43.69,6
NDC,70069038310,haloperidol decanoate per 50 mg,114.46,40.07,12.21,43.69,6
NDC,70069038401,haloperidol decanoate per 50 mg,72.9,25.52,12.21,43.69,6
NDC,70069042101,latanoprost 0.005 % drops 2.5 mL DROP BTL,224.2,78.47,64.21,167.03,5
NDC,70069047110,lacosamide 10 solution 20 mL Vial,273.76,95.82,78.4,203.95,5
NDC,70069050625,copper 0.4 mg/mL solution 10 mL Vial,76.7,26.85,21.97,57.14,5
NDC,70069060101,proparacaine 0.5 % drops 15 mL DROP BTL,103.26,36.15,29.57,76.93,5
NDC,70069064125,atropine per 0.01 mg,48.88,17.11,14.0,36.42,5
NDC,70069072725,calcium gluconate per 10 mL,76.35,26.73,0.08,26.19,6
NDC,70069074701,potassium phosphate 3 mmol/mL solution 15 mL Vial,129.63,45.38,37.13,96.57,5
NDC,70069074725,potassium phosphate 3 mmol/mL solution 15 mL Vial,129.63,45.38,37.13,96.57,5
NDC,70069078325,succinylcholine per 20 mg,24.0,8.4,6.87,17.88,5
NDC,70069078801,acetylcysteine per 100 mg,471.32,164.97,1.02,161.66,6
NDC,70069078804,acetylcysteine per 100 mg,471.32,164.97,1.02,161.66,6
NDC,70069080101,phenylephrine per 1 mL,24.0,8.4,0.02,17.88,11
NDC,70069080125,phenylephrine per 1 mL,24.0,8.4,0.02,17.88,11
NDC,70069080401,SUMAtriptan 6 mg/0.5 mL solution 0.5 mL Vial,35.4,12.39,10.14,26.37,5
NDC,70069080405,SUMAtriptan 6 mg/0.5 mL solution 0.5 mL Vial,35.4,12.39,10.14,26.37,5
NDC,70069080601,neostigmine 1 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,70069080610,neostigmine 1 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,70069081610,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,70069082001,hydroxyurea 500 mg capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,70092103617,norepinephrine in 5% dextrose 8 mg/250 mL solution 250 mL Bag,78.87,27.61,22.59,58.76,5
NDC,70092104646,phenylephrine 100 mcg/mL syringe 10 mL Syringe,24.0,8.4,0.02,17.88,11
NDC,70092105305,vancomycin 1 gram/250 mL solution 250 mL Bag,34.03,11.92,9.75,25.35,5
NDC,70092106807,oxytocin in 0.9% NaCl 30 unit/500 mL solution 500 mL Bag,60.18,21.07,17.24,44.83,5
NDC,70092107844,ePHEDrine 50 mg/5 mL syringe 5 mL Syringe,74.1,25.94,21.22,55.2,5
NDC,70092108644,succinylcholine chloride 100 mg/5 mL (20 mg/mL) syringe 5 mL Syringe,263.55,92.25,75.48,196.34,5
NDC,70092108746,succinylcholine,64.29,22.51,18.41,47.9,5
NDC,70092111249,HYDROmorphone (PF) 6 mg/30 mL (0.2 mg/mL) pt controlled analgesia syring 30 mL Syringe,44.67,15.64,12.79,33.28,5
NDC,70092111379,HYDROmorphone (PF) 6 mg/30 mL (0.2 mg/mL) patient control.analgesia soln 30 mL Vial,44.67,15.64,0.17,33.28,11
NDC,70092111779,HYDROmorphone (PF) 30 mg/30 mL (1 mg/mL) patient control.analgesia soln 30 mL Vial,69.67,24.39,19.95,51.9,5
NDC,70092111944,ketamine in 0.9 % sodium chloride 50 mg/5 mL (10 mg/mL) syringe 5 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,70092113544,lidocaine-racepinephrine-tetracaine 4-0.05-0.5 % gel 3 mL Syringe,23.85,8.35,6.83,17.77,5
NDC,70092116037,fentaNYL-bupivacaine 2 mcg/mL- 0.1 % solution 250 mL Bag,50.31,17.61,14.41,37.48,5
NDC,70092117735,midazolam (PF) in sodium chloride 0.9% 1 mg/mL solution 50 mL Bag,34.27,12.0,0.23,11.75,6
NDC,70092119146,phenylephrine 100 mcg/mL syringe 10 mL Syringe,24.0,8.4,0.02,17.88,11
NDC,70092129349,HYDROmorphone PF 1 mg/mL patient control.analgesia soln 30 mL Vial,44.82,15.69,12.84,33.39,5
NDC,70092138036,morphine (PF) in sodium chloride 0.9% 1 mg/mL solution 100 mL Bag,46.05,16.12,13.19,34.31,5
NDC,70092141836,midazolam (PF) in sodium chloride 0.9% 1 mg/mL solution 100 mL Bag,68.85,24.1,0.23,23.62,6
NDC,70092141946,phenylephrine 10 mcg/mL syringe 10 mL Syringe,34.74,12.16,9.95,25.88,5
NDC,70092144343,lidocaine buffered with 8.4% sod bicarb 0.9 % (1 mL) syringe 1 mL Syringe,24.0,8.4,0.02,17.88,6
NDC,70092152049,morphine (PF) 30 mg/30 mL (1 mg/mL) pt controlled analgesia syring 30 mL Syringe,42.48,14.87,12.17,31.65,5
NDC,70092161144,lidocaine-racepinephrine-tetracaine 4-0.05-0.5 % gel 3 mL Syringe,23.85,8.35,6.83,17.77,5
NDC,70092204646,phenylephrine 100 mcg/mL syringe 10 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,70092905405,vancomycin 1250 mg/250 mL solution 250 mL Bag,64.23,22.49,18.4,47.85,5
NDC,70092905605,vancomycin 1.5 gram/250 mL solution 250 mL Bag,70.82,24.79,20.28,52.76,5
NDC,70092929349,HYDROmorphone (PF) 30 mg/30 mL (1 mg/mL) pt controlled analgesia syring 30 mL Syringe,69.67,24.39,19.95,51.9,5
NDC,70092929349,HYDROmorphone PF 1 mg/mL patient control.analgesia soln 30 mL Vial,69.67,24.39,19.95,51.9,5
NDC,70095002401,pantoprazole 40 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,70095002402,pantoprazole 40 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,70095002403,pantoprazole 40 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,70095002501,azithromycin per 500 mg,24.0,8.4,3.71,14.59,6
NDC,70095002502,azithromycin per 500 mg,24.0,8.4,3.71,14.59,6
NDC,70095005001,sodium bicarbonate 1 mEq/mL (8.4 %) solution 50 mL Vial,28.32,9.92,8.11,21.1,5
NDC,70095005003,sodium bicarbonate 1 mEq/mL (8.4 %) solution 50 mL Vial,28.32,9.92,8.11,21.1,5
NDC,70100042402,indocyanine green 25 mg recon soln 1 each Vial,601.06,210.38,172.14,447.79,5
NDC,70100072501,indocyanine green 25 mg recon soln 1 each Vial,843.21,295.13,241.5,628.19,5
NDC,70100082502,indocyanine green 25 mg recon soln 1 each Vial,843.21,295.13,241.5,628.19,5
NDC,70114010101,pegfilgrastim-cbqv 6 mg/0.6 mL syringe 0.6 mL Syringe,11823.6,4138.26,135.89,4055.49,10
NDC,70114013001,"pegfilgrastim-cbqv 6 mg/0.6 mL syringe, w/ wearable injector 0.6 mL Syringe",11823.6,4138.26,135.89,4055.49,10
NDC,70121100201,eptifibatide per 5 mg,320.02,112.01,91.65,238.41,5
NDC,70121104902,triamcinolone per 10 mg,24.07,8.43,1.57,8.26,6
NDC,70121104905,triamcinolone per 10 mg,24.07,8.43,1.57,8.26,6
NDC,70121116801,triamcinolone per 10 mg,24.55,8.6,1.57,8.42,6
NDC,70121123801,cyclophosphamide per 100 mg,334.18,116.97,0.77,248.96,10
NDC,70121123901,cyclophosphamide per 100 mg,668.35,233.93,0.77,497.92,10
NDC,70121124001,cyclophosphamide per 100 mg,1047.84,366.75,0.77,780.64,10
NDC,70121146702,medroxyPROGESTERone 150 mg/mL suspension 1 mL Vial,230.93,80.83,0.05,79.21,6
NDC,70121146705,medroxyPROGESTERone 150 mg/mL suspension 1 mL Vial,230.93,80.83,0.05,79.21,6
NDC,70121148001,medroxyPROGESTERone 150 mg/mL suspension 1 mL Syringe,271.87,95.16,0.05,93.25,6
NDC,70121148001,medroxyPROGESTERone 150 mg/mL syringe 1 mL Syringe,271.87,95.16,0.05,93.25,6
NDC,70121157301,methylprednisolone per 40 mg,27.31,9.56,0.21,20.35,6
NDC,70121157305,methylprednisolone per 40 mg,27.29,9.56,0.21,20.33,6
NDC,70121157601,norepinephrine 1 mg/mL solution 4 mL Vial,51.03,17.87,14.61,38.02,5
NDC,70121157607,norepinephrine 1 mg/mL solution 4 mL Vial,51.03,17.87,14.61,38.02,5
NDC,70121157705,phenylephrine per 1 mL,24.0,8.4,0.02,17.88,11
NDC,70121164205,vasopressin 20 unit/mL solution 1 mL Vial,297.66,104.19,85.25,221.76,5
NDC,70121165101,triamcinolone per 10 mg,24.07,8.43,1.57,8.26,6
NDC,70121165105,triamcinolone per 10 mg,24.07,8.43,1.57,8.26,6
NDC,70121168001,carboprost 250 mcg/mL solution 1 mL Vial,903.38,316.19,15.56,673.02,14
NDC,70121168007,carboprost 250 mcg/mL solution 1 mL Vial,903.38,316.19,15.56,673.02,14
NDC,70121171201,dexMEDEtomidine 400 mcg/100 mL (4 mcg/mL) solution 100 mL Flex Cont,75.52,26.44,21.63,56.26,5
NDC,70121171202,dexMEDEtomidine 400 mcg/100 mL (4 mcg/mL) solution 100 mL Flex Cont,75.52,26.44,21.63,56.26,5
NDC,70121171203,dexMEDEtomidine 400 mcg/100 mL (4 mcg/mL) solution 100 mL Flex Cont,75.52,26.44,21.63,56.26,5
NDC,70121171901,magnesium sulfate 2 gram/50 mL (4 %) piggyback 50 mL Bag,35.4,12.39,0.84,12.14,6
NDC,70121171902,magnesium sulfate 2 gram/50 mL (4 %) piggyback 50 mL Bag,35.4,12.39,0.84,12.14,6
NDC,70121171909,magnesium sulfate 2 gram/50 mL (4 %) piggyback 50 mL Bag,35.4,12.39,0.84,12.14,6
NDC,70121271502,methylene blue 5 mg/mL solution 10 mL AMPUL,560.74,196.26,160.6,417.75,5
NDC,70121271503,methylene blue 5 mg/mL solution 10 mL AMPUL,560.74,196.26,160.6,417.75,5
NDC,70127010001,cannabidioL 100 mg/mL solution 100 mL Bottle,4842.72,1694.96,1386.96,3607.83,5
NDC,70127010010,cannabidioL 100 mg/mL solution 100 mL Bottle,4842.72,1694.96,1386.96,3607.83,5
NDC,70257005211,hepatitis b immune globulin per 0.5 mL,575.89,201.57,70.23,466.68,10
NDC,70257005251,hepatitis b immune globulin per 0.5 mL,575.89,201.57,70.23,466.68,10
NDC,70257012611,varicella-zoster immune globulin 125 unit/1.2 mL solution 1.2 mL Vial,6181.03,2163.37,2120.09,11445.63,10
NDC,70257012651,varicella-zoster immune globulin 125 unit/1.2 mL solution 1.2 mL Vial,6181.03,2163.37,2120.09,11445.63,10
NDC,70257035002,"rho(D) immune globulin 2,500 unit (500 mcg)/2.2 mL solution 2.2 mL Vial",2563.86,897.36,34.26,879.4,10
NDC,70257035051,"rho(D) immune globulin 2,500 unit (500 mcg)/2.2 mL solution 2.2 mL Vial",2563.86,897.36,34.26,879.4,10
NDC,70377006212,labetaloL 300 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,70377008111,dorzolamide 2 % drops 10 mL DROP BTL,157.65,55.18,45.15,117.45,5
NDC,70436001982,azithromycin per 500 mg,40.83,14.3,3.71,14.59,6
NDC,70436002880,nitroprusside 25 mg/mL solution 2 mL Vial,59.0,20.65,16.9,43.96,5
NDC,70436002980,voriconazole per 10 mg,360.09,126.04,1.41,123.51,6
NDC,70436003235,doxycycline 100 mg recon soln 1 each Vial,71.27,24.95,20.41,53.1,5
NDC,70436003282,doxycycline 100 mg recon soln 1 each Vial,71.27,24.95,20.41,53.1,5
NDC,70436003901,guanFACINE 1 mg tablet extended release 24 hr 100 each Bottle,24.76,8.67,7.09,18.45,5
NDC,70436005801,buPROPion SR 100 MG tablet sustained-release 12 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,70436008955,ganciclovir per 500 mg,124.61,43.62,42.74,207.08,6
NDC,70436011036,tobramycin per 80 mg,203.9,71.37,4.08,69.94,6
NDC,70436011056,tobramycin per 80 mg,203.9,71.37,4.08,69.94,6
NDC,70436020380,dobutamine per 250 mg,24.0,8.4,8.23,46.3,6
NDC,70436020382,dobutamine per 250 mg,24.0,8.4,8.23,46.3,6
NDC,70436022748,fluconazole 40 mg/mL suspension for reconstitution 35 mL Bottle,306.78,107.38,87.86,228.55,5
NDC,70436023039,voriconazole 200 mg/5 mL suspension for reconstitution 75 mL Bottle,2490.57,871.7,713.3,1855.47,5
NDC,70460000101,cholera vaccine 4x10exp8 to 2x 10exp9 CF unit suspension for reconstitution 100 mL Packet,637.2,223.02,218.56,1442.13,6
NDC,70460000202,cholera vaccine 4x10exp8 to 2x 10exp9 CF unit suspension for reconstitution 100 mL Packet,778.8,272.58,267.13,1442.13,6
NDC,70461002503,influenza vaccine 45 mcg (15 mcg x 3)/0.5 mL syringe 0.5 mL Syringe,78.32,27.42,0.05,159.82,10
NDC,70461002504,influenza vaccine 45 mcg (15 mcg x 3)/0.5 mL syringe 0.5 mL Syringe,78.32,27.42,0.05,159.82,10
NDC,70512052005,olopatadine 0.1 % drops 5 mL DROP BTL,29.31,10.26,8.39,21.84,5
NDC,70515026010,digoxin 250 mcg/mL (0.25 mg/mL) solution 2 mL AMPUL,390.05,136.52,15.53,133.79,6
NDC,70515026210,digoxin per 500 mcg,390.05,136.52,15.53,133.79,6
NDC,70515026310,digoxin per 500 mcg,405.62,141.97,15.53,139.13,6
NDC,70594002601,"bacitracin 50,000 unit recon soln 1 each Vial",28.32,9.92,8.11,21.1,5
NDC,70594002602,"bacitracin 50,000 unit recon soln 1 each Vial",28.32,9.92,8.11,21.1,5
NDC,70594002603,"bacitracin 50,000 unit recon soln 1 each Vial",24.0,8.4,6.87,17.88,5
NDC,70594002604,"bacitracin 50,000 unit recon soln 1 each Vial",24.0,8.4,6.87,17.88,5
NDC,70594003701,micafungin 100 mg recon soln 1 each Vial,529.58,185.36,0.53,181.65,6
NDC,70594004602,vancomycin per 500 mg,24.0,8.4,6.87,17.88,5
NDC,70594004801,vancomycin 10 gram recon soln 1 each Vial,169.92,59.48,48.67,126.59,5
NDC,70594004902,"polymyxin B 500,000 unit recon soln 1 each Vial",31.86,11.16,9.12,23.74,5
NDC,70594006701,voriconazole per 10 mg,113.28,39.65,1.41,38.86,6
NDC,70594007201,neostigmine 1 mg/mL solution 10 mL Vial,24.07,8.43,6.89,17.93,5
NDC,70594007202,neostigmine 1 mg/mL solution 10 mL Vial,24.07,8.43,6.89,17.93,5
NDC,70594007801,piperacillin sod-tazobactam per 1 g,24.0,8.4,1.95,8.23,6
NDC,70594007802,piperacillin sod-tazobactam per 1 g,24.0,8.4,1.95,8.23,6
NDC,70594008001,piperacillin sod-tazobactam per 1 g,39.65,13.88,1.95,13.6,6
NDC,70594008002,piperacillin sod-tazobactam per 1 g,39.65,13.88,1.95,13.6,6
NDC,70594008201,ampicillin-sulbactam per 1.5 g,25.49,8.93,2.92,9.92,6
NDC,70594008202,ampicillin-sulbactam per 1.5 g,25.49,8.93,2.92,9.92,6
NDC,70594008301,ampicillin-sulbactam per 1.5 g,141.6,49.56,2.92,48.57,6
NDC,70594008601,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,70594008602,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,70594008701,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,70594008702,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,70594008901,cefepime per 500 mg,24.0,8.4,2.08,8.23,6
NDC,70594008902,cefepime per 500 mg,24.0,8.4,2.08,8.23,6
NDC,70594009001,cefepime per 500 mg,27.75,9.72,2.08,9.52,6
NDC,70594009002,cefepime per 500 mg,27.75,9.72,2.08,9.52,6
NDC,70594011101,acetylcysteine per 100 mg,509.76,178.42,1.02,174.85,6
NDC,70594011102,acetylcysteine per 100 mg,509.76,178.42,1.02,174.85,6
NDC,70594011201,carboprost 250 mcg/mL solution 1 mL Vial,113.28,39.65,15.56,84.39,14
NDC,70594011202,carboprost 250 mcg/mL solution 1 mL Vial,113.28,39.65,15.56,84.39,14
NDC,70594011401,bupivacaine PF 0.25 % (2.5 mg/mL) solution 10 mL Vial,24.0,8.4,0.02,8.23,6
NDC,70594011402,bupivacaine PF 0.25 % (2.5 mg/mL) solution 10 mL Vial,24.0,8.4,0.02,8.23,6
NDC,70655000206,fluconazole 2 mg/mL 100 mL Flex Cont,24.0,8.4,6.87,17.88,5
NDC,70655000206,fluconazole per 200 mg,24.0,8.4,4.62,14.06,6
NDC,70655008806,fluconazole per 200 mg,24.0,8.4,4.62,14.06,6
NDC,70700011384,desogestreL-ethinyl estradioL 0.15-0.03 mg tablet 28 each BLIST PACK,92.84,32.5,26.59,69.17,5
NDC,70700011385,desogestreL-ethinyl estradioL 0.15-0.03 mg tablet 28 each BLIST PACK,92.84,32.5,26.59,69.17,5
NDC,70700011885,levonorgestrel-ethinyl estradiol 0.1-20 mg-mcg tablet 28 each BLIST PACK,69.45,24.31,19.89,51.74,5
NDC,70700017386,tobramycin per 80 mg,516.25,180.69,4.08,177.07,6
NDC,70700017422,DOCEtaxeL 20 mg/2 mL (10 mg/mL) solution 2 mL Vial,917.14,321.0,1.65,314.58,6
NDC,70700018723,fluorouracil per 500 mg,67.73,23.71,4.22,23.23,6
NDC,70700026894,fosfomycin 3 gram packet 1 each Packet,236.94,82.93,67.86,176.52,5
NDC,70700026899,fosfomycin 3 gram packet 1 each Packet,236.94,82.93,67.86,176.52,5
NDC,70700027322,estradiol 10 mg/mL oil 5 mL Vial,352.42,123.35,13.52,120.88,6
NDC,70710106603,clomiPRAMINE 50 MG capsule 30 each Bottle,26.53,9.29,7.6,19.76,5
NDC,70710111001,cyproheptadine 4 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,70710113201,chlorpromazine per 25 mg,35.13,12.3,10.06,26.17,5
NDC,70710115803,leflunomide 20 MG tablet 30 each Bottle,38.72,13.56,11.09,28.85,5
NDC,70710116506,oseltamivir 6 mg/mL suspension for reconstitution 60 mL Bottle,387.13,135.5,110.87,288.41,5
NDC,70710128501,baclofen 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,70710128601,baclofen 20 MG tablet 100 each Bottle,12.11,4.24,3.47,9.02,5
NDC,70710130206,mesalamine 1000 MG suppository 1 each BLIST PACK,90.14,31.55,25.82,67.15,5
NDC,70710130207,mesalamine 1000 MG suppository 30 each Box,90.14,31.55,25.82,67.15,5
NDC,70710135906,lacosamide 10 solution 20 mL Vial,185.54,64.94,53.14,138.23,5
NDC,70710136703,emtricitabine-tenofovir (TDF) 200-300 mg tablet 30 each Bottle,165.22,57.83,0.49,108.16,10
NDC,70710137701,succinylcholine per 20 mg,56.59,19.81,16.21,42.16,5
NDC,70710137702,succinylcholine per 20 mg,56.59,19.81,16.21,42.16,5
NDC,70710145802,azithromycin 200 mg/5 mL suspension for reconstitution 15 mL Bottle,82.31,28.81,23.57,61.32,5
NDC,70710145902,azithromycin 200 mg/5 mL suspension for reconstitution 22.5 mL Bottle,82.31,28.81,23.57,61.32,5
NDC,70710146002,azithromycin 200 mg/5 mL suspension for reconstitution 30 mL Bottle,82.34,28.82,23.58,61.34,5
NDC,70710146301,haloperidol decanoate per 50 mg,124.61,43.62,12.21,43.69,6
NDC,70710146305,haloperidol decanoate per 50 mg,124.61,43.62,12.21,43.69,6
NDC,70710147801,fomepizone per 15 mg,4248.0,1486.8,1216.63,3164.76,5
NDC,70710148801,fluPHENAZine 1 MG tablet 100 each Bottle,10.37,3.63,2.97,7.73,5
NDC,70710148901,fluPHENAZine 2.5 MG tablet 100 each Bottle,16.05,5.62,4.6,11.96,5
NDC,70710149101,fluPHENAZine 10 MG tablet 100 each Bottle,27.38,9.59,7.84,20.4,5
NDC,70710151502,fondaparinux per 0.5 mg,303.52,106.24,1.65,104.11,6
NDC,70710151506,fondaparinux per 0.5 mg,303.52,106.24,1.65,104.11,6
NDC,70710153001,doxorubicin liposomal per 10 mg,1920.95,672.34,71.86,658.89,10
NDC,70710153101,doxorubicin liposomal per 10 mg,4802.48,1680.87,71.86,1647.25,10
NDC,70710164301,verapamiL 2.5 mg/mL solution 2 mL Vial,29.5,10.33,8.45,21.98,5
NDC,70710164305,verapamiL 2.5 mg/mL solution 2 mL Vial,29.5,10.33,8.45,21.98,5
NDC,70710164307,verapamiL 2.5 mg/mL solution 2 mL Vial,29.5,10.33,8.45,21.98,5
NDC,70710166301,cyanocobalamin per 1000 mcg,24.0,8.4,2.07,8.23,6
NDC,70710166307,cyanocobalamin per 1000 mcg,24.0,8.4,2.07,8.23,6
NDC,70710172401,micafungin per 1 mg,110.45,38.66,0.53,37.88,6
NDC,70710172406,micafungin per 1 mg,110.45,38.66,0.53,37.88,6
NDC,70710172501,micafungin 100 mg recon soln 1 each Vial,220.9,77.32,0.53,75.77,6
NDC,70710172506,micafungin 100 mg recon soln 1 each Vial,220.9,77.32,0.53,75.77,6
NDC,70710183801,methylene blue 5 mg/mL solution 10 mL Vial,663.8,232.33,190.11,494.53,5
NDC,70710183805,methylene blue 5 mg/mL solution 10 mL Vial,663.8,232.33,190.11,494.53,5
NDC,70710193701,verapamiL 2.5 mg/mL solution 2 mL Vial,29.5,10.33,8.45,21.98,5
NDC,70710193707,verapamiL 2.5 mg/mL solution 2 mL Vial,29.5,10.33,8.45,21.98,5
NDC,70720095036,goserelin per 3.6 mg,3183.03,1114.07,1004.87,1518.24,6
NDC,70720095130,goserelin acetate per 3.6 mg,8757.39,3065.09,1004.87,3003.78,6
NDC,70748025807,"posaconazole 100 mg tablet,delayed release (DR/EC) 60 each Bottle",174.66,61.14,50.02,130.12,5
NDC,70752010112,cyproheptadine 2 mg/5 mL syrup 473 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,70756001402,"nitroglycerin 0.4 MG tablet, sublingual 25 each Bottle",6.0,2.1,1.72,4.47,5
NDC,70756001405,"nitroglycerin 0.4 MG tablet, sublingual 25 each Bottle",6.0,2.1,1.72,4.47,5
NDC,70756020211,amitriptyline 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,70756021590,fenofibrate 160 MG tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,70756042911,prazosin 1 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,70756043011,prazosin 2 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,70756044011,prazosin 5 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,70756060525,verapamiL 2.5 mg/mL solution 2 mL Vial,29.5,10.33,8.45,21.98,5
NDC,70756060730,ofloxacin 0.3 % drops 5 mL DROP BTL,166.03,58.12,47.55,123.69,5
NDC,70756061125,ePHEDrine 50 mg/mL solution 1 mL Vial,70.83,24.8,20.29,52.77,5
NDC,70756061430,phenylephrine 10 % drops 5 mL DROP BTL,118.0,41.3,33.8,87.91,5
NDC,70756062925,phenylephrine 2.5 % drops 2 mL Bottle,95.89,33.57,27.46,71.44,5
NDC,70756064025,lidocaine 1 % solution 2 mL Vial,24.0,8.4,0.02,17.88,6
NDC,70756064025,lidocaine PF 10 mg/mL (1 %) solution 2 mL Vial,24.0,8.4,0.02,17.88,6
NDC,70756064082,lidocaine PF 10 mg/mL (1 %) solution 2 mL Vial,24.0,8.4,0.02,17.88,6
NDC,70756064525,lidocaine 1 % solution 10 mL Vial,24.0,8.4,0.02,17.88,6
NDC,70756064586,lidocaine 1 % solution 10 mL Vial,24.0,8.4,0.02,17.88,6
NDC,70756064935,phenylephrine 2.5 % drops 15 mL DROP BTL,265.5,92.93,76.04,197.8,5
NDC,70756072111,acetaZOLAMIDE 250 MG tablet 100 each Bottle,6.51,2.28,1.86,4.85,5
NDC,70839036204,cocaine 4 % solution 4 mL Bottle,832.61,291.42,3.01,620.29,6
NDC,70842012001,meropenem-vaborbactam 2 gram recon soln 1 each Vial,630.12,220.55,180.47,469.44,5
NDC,70842012006,meropenem-vaborbactam 2 gram recon soln 1 each Vial,630.12,220.55,180.47,469.44,5
NDC,70842024001,rezafungin 200 mg recon soln 1 each Vial,5917.87,2071.26,10.79,2029.83,10
NDC,70860010010,azithromycin per 500 mg,24.0,8.4,3.71,14.59,6
NDC,70860010041,azithromycin per 500 mg,24.0,8.4,3.71,14.59,6
NDC,70860010410,vancomycin per 500 mg,24.0,8.4,6.87,17.88,5
NDC,70860010520,vancomycin per 500 mg,24.0,8.4,6.87,17.88,5
NDC,70860010541,vancomycin per 500 mg,24.0,8.4,6.87,17.88,5
NDC,70860011215,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,70860011526,ampicillin per 500 mg,38.23,13.39,1.41,13.11,6
NDC,70860011626,nafcillin per 2 g,32.57,11.4,9.33,24.26,5
NDC,70860011641,nafcillin per 2 g,32.57,11.4,9.33,24.26,5
NDC,70860011726,nafcillin per 2 g,61.45,21.51,17.6,45.78,5
NDC,70860011741,nafcillin per 2 g,61.45,21.51,17.6,45.78,5
NDC,70860011999,nafcillin per 2 g,283.2,99.12,81.11,210.98,5
NDC,70860012020,piperacillin sod-tazobactam per 1 g,24.0,8.4,1.95,8.23,6
NDC,70860012041,piperacillin sod-tazobactam per 1 g,24.0,8.4,1.95,8.23,6
NDC,70860012130,piperacillin sod-tazobactam per 1 g,24.21,8.48,1.95,8.3,6
NDC,70860012141,piperacillin sod-tazobactam per 1 g,24.21,8.48,1.95,8.3,6
NDC,70860012241,piperacillin sod-tazobactam per 1 g,31.05,10.87,1.95,10.65,6
NDC,70860012250,piperacillin sod-tazobactam per 1 g,31.05,10.87,1.95,10.65,6
NDC,70860012541,azithromycin per 500 mg,98.41,34.45,3.71,33.75,6
NDC,70860012566,azithromycin per 500 mg,24.0,8.4,3.71,14.59,6
NDC,70860012620,penicillin g potassium per 600000 Units,36.67,12.84,1.27,12.58,6
NDC,70860012641,penicillin g potassium per 600000 Units,36.67,12.84,1.27,12.58,6
NDC,70860012751,penicillin g potassium per 600000 Units,155.76,54.52,1.27,53.43,6
NDC,70860020050,paclitaxel per 30 mg,169.92,59.48,0.18,58.28,6
NDC,70860020851,doxorubicin per 10 mg,339.84,118.95,5.41,116.57,6
NDC,70860020910,mesna per 200 mg,58.06,20.33,2.26,19.91,6
NDC,70860021051,zoledronic acid-mannitoL-water 4 mg/100 mL piggyback 100 mL Vial,134.52,47.09,11.64,47.68,6
NDC,70860021566,paclitaxel per 30 mg,24.0,8.4,0.18,8.23,6
NDC,70860021567,paclitaxel per 30 mg,48.16,16.86,0.18,16.52,6
NDC,70860021568,paclitaxel per 30 mg,107.62,37.67,0.18,36.91,6
NDC,70860030005,metoprolol 5 mg/5 mL solution 5 mL Vial,24.0,8.4,6.87,17.88,10
NDC,70860030105,diltiazem 5 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,10
NDC,70860030110,diltiazem 5 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,10
NDC,70860030141,diltiazem 5 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,10
NDC,70860030142,diltiazem 5 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,10
NDC,70860030202,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,70860030204,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,70860030241,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,70860030242,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,70860030606,isoproterenol 0.2 mg/mL solution 5 mL Vial,396.48,138.77,113.55,295.38,5
NDC,70860040010,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",24.0,8.4,6.87,17.88,10
NDC,70860040210,bivalirudin per 1 mg,410.64,143.73,0.3,140.85,6
NDC,70860040504,bumetanide per 0.5 mg,24.0,8.4,1.11,17.88,11
NDC,70860040541,bumetanide per 0.5 mg,24.0,8.4,1.11,17.88,11
NDC,70860040610,bumetanide per 0.5 mg,24.0,8.4,1.11,17.88,11
NDC,70860045110,levothyroxine 20 mcg/mL recon soln 1 each Vial,260.0,91.0,19.38,193.7,6
NDC,70860045210,levothyroxine 40 mcg/mL recon soln 1 each Vial,539.07,188.68,19.38,401.61,6
NDC,70860050141,magnesium sulfate 2 gram/50 mL (4 %) piggyback 50 mL Bag,24.0,8.4,0.84,8.23,6
NDC,70860050181,magnesium sulfate 2 gram/50 mL (4 %) piggyback 50 mL Bag,24.0,8.4,0.84,8.23,6
NDC,70860060110,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,70860060441,"levETIRAcetam 1,500 mg/100 mL piggyback 100 mL Bag",223.73,78.31,0.1,76.74,6
NDC,70860060482,"levETIRAcetam 1,500 mg/100 mL piggyback 100 mL Bag",223.73,78.31,0.1,76.74,6
NDC,70860060502,dexmedeTOMIDine 100 mcg/mL solution 2 mL Vial,50.98,17.85,14.6,37.98,5
NDC,70860060503,dexmedeTOMIDine 100 mcg/mL solution 2 mL Vial,24.0,8.4,6.87,17.88,5
NDC,70860065105,rocuronium 10 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,70860065110,rocuronium 10 mg/mL solution 10 mL Vial,31.15,10.91,8.92,23.21,5
NDC,70860070002,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,70860070041,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,70860070101,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,70860070103,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,70860077602,ondansetron per 1 mg,24.0,8.4,0.17,8.23,6
NDC,70860077641,ondansetron per 1 mg,24.0,8.4,0.17,8.23,6
NDC,70860077720,ondansetron per 1 mg,24.0,8.4,0.17,8.23,6
NDC,70860077802,prochlorperazine edisylate per 10 mg,24.0,8.4,5.66,15.78,6
NDC,70860077841,prochlorperazine edisylate per 10 mg,24.0,8.4,5.66,15.78,6
NDC,70860078010,fosaprepitant per 1 mg,497.02,173.96,0.23,170.48,6
NDC,70860078101,glycopyrrolate 0.2 mg/mL solution 1 mL Vial,24.0,8.4,0.92,8.23,6
NDC,70860078141,glycopyrrolate 0.2 mg/mL solution 1 mL Vial,24.0,8.4,0.92,8.23,6
NDC,70860078310,fosaprepitant per 1 mg,70.8,24.78,0.23,24.28,6
NDC,70860078405,valproate 500 mg/5 mL (100 mg/mL) solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,70860078441,valproate 500 mg/5 mL (100 mg/mL) solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,70954002010,prazosin 2 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,70954002110,prazosin 5 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,70954004110,rifabutin 150 mg capsule 100 each Bottle,41.29,14.46,11.83,30.76,5
NDC,70954013610,dapsone 100 MG tablet 30 each Bottle,7.13,2.5,2.04,5.31,5
NDC,70954013620,dapsone 100 MG tablet 100 each Bottle,6.37,2.23,1.82,4.75,5
NDC,70954013910,levOCARNitine (with sugar) 100 mg/mL solution 118 mL Bottle,107.77,37.72,30.87,80.29,5
NDC,70954014010,levOCARNitine (sugar free) 100 mg/mL solution 118 mL Bottle,107.77,37.72,30.87,80.29,5
NDC,70954015110,naproxen 125 mg/5 mL suspension 500 mL Bottle,2821.38,987.49,808.04,2101.93,5
NDC,70954015720,clorazepate 15 MG tablet 30 each Bottle,12.85,4.5,3.68,9.57,5
NDC,70954018810,acyclovir 200 mg/5 mL suspension 473 mL Bottle,1035.91,362.57,296.68,771.75,5
NDC,70954021110,trihexyphenidyL 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,70954021210,trihexyphenidyL 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,70954025810,sulfamethoxazole-trimethoprim 200-40 mg/5 mL suspension 473 mL Bottle,501.21,175.43,143.55,373.4,5
NDC,70954031610,famotidine 40 mg/5 mL (8 mg/mL) suspension for reconstitution 50 mL Bottle,417.6,146.16,119.6,311.11,5
NDC,70954039810,dexamethasone per 0.25 mg,6.0,2.1,0.08,4.47,11
NDC,70954041710,glutamine powder 5 gram powder in packet 1 each Packet,60.27,21.1,17.26,44.9,5
NDC,70954041720,glutamine powder 5 gram powder in packet 60 each Packet,60.27,21.1,17.26,44.9,5
NDC,70954044310,miSOPROStoL 100 MCG tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
NDC,70954044320,miSOPROStoL 100 MCG tablet 120 each Bottle,6.0,2.1,1.72,4.47,5
NDC,70954044420,miSOPROStoL 200 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,70954048410,pyrazinamide 500 mg tablet 60 each Bottle,14.9,5.22,4.27,11.1,5
NDC,70954048420,pyrazinamide 500 mg tablet 90 each Bottle,14.81,5.19,4.24,11.03,5
NDC,70954048810,lacosamide 10 mg/mL solution 200 mL Bottle,26.31,9.21,7.54,19.6,5
NDC,70954049210,levOCARNitine 330 mg tablet 90 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,70954051810,lidocaine 4 % (40 mg/mL) solution 50 mL Bottle,152.57,53.4,43.7,113.66,5
NDC,70954056410,estradioL 0.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,70954056610,estradioL 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,70954060010,FLUoxetine 20 mg/5 mL (4 mg/mL) solution 120 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,70954068810,prochlorperazine maleate per 5 mg,6.0,2.1,0.59,2.06,6
NDC,70954097820,bromocriptine 2.5 mg tablet 100 each Bottle,8.86,3.11,2.54,6.6,5
NDC,71019007607,EPINEPHrine 100 mcg/10 mL (10 mcg/mL) syringe 10 mL Syringe,26.49,9.28,7.59,19.74,5
NDC,71019008901,EPINEPHrine in 5% dextrose 8 mg/250 mL (32 mcg/mL) solution 258 mL Bag,295.47,103.42,84.62,220.13,5
NDC,71019017513,lidocaine buffered with 8.4% sod bicarb 0.9 % (10 mL) syringe 10 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,71019022211,norepinephrine in 5% dextrose 8 mg/250 mL solution 250 mL Bag,129.63,45.38,37.13,96.57,5
NDC,71019036701,vasopressin 40 unit/100 mL (0.4 unit/mL) solution 100 mL Bag,1278.39,447.44,366.13,952.4,5
NDC,71093013802,quetiapine XR 300 MG tablet extended release 24 hr 60 each Bottle,54.2,18.97,15.52,40.38,5
NDC,71225010501,hydroxyprogesterone 250 mg/mL (1 mL) oil 1 mL Vial,807.12,282.5,231.16,601.3,5
NDC,71225010501,hydroxyprogesterone 250 mg/mL oil 1 mL Vial,807.12,282.5,231.16,601.3,5
NDC,71266629001,lidocaine-epinephrine-tetracaine 4-0.18-0.5 % gel 3 mL Syringe,37.76,13.22,10.81,28.13,5
NDC,71285040401,dextrose 10%-amino acid 3% 3-10 % parenteral solution 250 mL Bag,83.54,29.24,23.93,62.24,5
NDC,71285604401,oxytocin in 0.9% NaCl 30 unit/500 mL solution 500 mL Bag,30408.6,10643.01,8709.02,22654.41,5
NDC,71285604801,magnesium sulfate 2 gram/50 mL piggyback 50 mL Bag,24.0,8.4,6.87,17.88,5
NDC,71285605701,norepinephrine in 5% dextrose 8 mg/250 mL solution 250 mL Bag,143.96,50.39,41.23,107.25,5
NDC,71285606401,vancomycin 1 gram/250 mL solution 250 mL Bag,31.8,11.13,9.11,23.69,5
NDC,71285607801,vancomycin 2 gram/500 mL solution 500 mL Bag,58.65,20.53,16.8,43.69,5
NDC,71285701901,EPINEPHrine in 5% dextrose 8 mg/250 mL (32 mcg/mL) solution 250 mL Bag,194.11,67.94,55.59,144.61,5
NDC,71285706001,vancomycin 1.75 gram/500 mL solution 500 mL Bag,55.79,19.53,15.98,41.56,5
NDC,71285806901,"oxytocin 40 unit/1000 mL solution 1,000 mL Bag",33.04,11.57,9.46,24.61,5
NDC,71285808602,tromethamine 1.8 gram/50 mL (0.3 molar) syringe 50 mL Syringe,240.75,84.27,68.95,179.36,5
NDC,71286207108,fentaNYL (PF) 300 mcg/30 mL (10 mcg/mL) patient control.analgesia soln 30 mL Vial,30.0,10.5,1.6,10.29,6
NDC,71286207108,fentaNYL (PF) in sodium chloride 0.9% 10 mcg/mL patient control.analgesia soln 30 mL Vial,30.0,10.5,1.6,10.29,6
NDC,71288000230,piperacillin sod-tazobactam per 1 g,24.0,8.4,1.95,8.23,6
NDC,71288000231,piperacillin sod-tazobactam per 1 g,24.0,8.4,1.95,8.23,6
NDC,71288000330,piperacillin sod-tazobactam per 1 g,24.0,8.4,1.95,8.23,6
NDC,71288000450,piperacillin sod-tazobactam per 1 g,24.0,8.4,1.95,8.23,6
NDC,71288000451,piperacillin sod-tazobactam per 1 g,24.0,8.4,1.95,8.23,6
NDC,71288000520,ampicillin-sulbactam per 1.5 g,24.0,8.4,2.92,9.92,6
NDC,71288000630,ampicillin-sulbactam per 1.5 g,24.0,8.4,2.92,9.92,6
NDC,71288000775,ampicillin-sulbactam per 1.5 g,157.18,55.02,2.92,53.91,6
NDC,71288000815,cefepime per 500 mg,24.0,8.4,2.08,8.23,6
NDC,71288000920,cefepime per 500 mg,27.47,9.62,2.08,9.42,6
NDC,71288001615,daptomycin per 1 mg,84.96,29.74,0.06,29.14,6
NDC,71288002420,vancomycin per 500 mg,25.49,8.93,7.3,18.99,5
NDC,71288002421,vancomycin per 500 mg,25.49,8.93,7.3,18.99,5
NDC,71288002730,voriconazole per 10 mg,99.12,34.7,1.41,34.0,6
NDC,71288002811,micafungin per 1 mg,77.09,26.99,0.53,26.44,6
NDC,71288002910,micafungin 100 mg recon soln 1 each Vial,150.29,52.61,0.53,51.55,6
NDC,71288002911,micafungin 100 mg recon soln 1 each Vial,150.29,52.61,0.53,51.55,6
NDC,71288003220,ampicillin-sulbactam per 1.5 g,24.0,8.4,2.92,9.92,6
NDC,71288003221,ampicillin-sulbactam per 1.5 g,24.0,8.4,2.92,9.92,6
NDC,71288010120,oxaliplatin per 0.5 mg,56.64,19.83,0.12,19.43,6
NDC,71288010610,bleomycin per 15 Units,86.9,30.42,29.81,128.63,6
NDC,71288010920,cytarabine per 100 mg,52.06,18.23,1.5,17.86,6
NDC,71288011450,gemcitabine per 200 mg,130.08,45.53,5.44,44.62,6
NDC,71288011530,azaCITIDine 10 MG/ML recon soln 1 each Vial,127.44,44.61,0.54,43.71,6
NDC,71288011530,azaCITIDine 100 mg recon soln 1 each Vial,127.44,44.61,0.54,43.71,6
NDC,71288011810,bortezomib 3.5 mg recon soln 1 each Vial,118.94,41.63,3.23,40.8,6
NDC,71288011810,bortezomib per 0.1 mg,118.94,41.63,3.23,40.8,6
NDC,71288014408,DOCEtaxeL 80 mg/8 mL (10 mg/mL) solution 8 mL Vial,453.12,158.6,1.65,155.42,6
NDC,71288015395,azaCITIDine 10 MG/ML recon soln 1 each Vial,110.45,38.66,0.54,37.88,6
NDC,71288015395,azaCITIDine 100 mg recon soln 1 each Vial,110.45,38.66,0.54,37.88,6
NDC,71288016010,leucovorin calcium per 50 mg,28.32,9.92,7.32,24.64,6
NDC,71288016120,leucovorin calcium per 50 mg,45.31,15.86,7.32,24.64,6
NDC,71288017221,oxaliplatin per 0.5 mg,56.64,19.83,0.12,19.43,6
NDC,71288020202,nitroprusside 25 mg/mL solution 2 mL Vial,84.96,29.74,24.33,63.3,5
NDC,71288020302,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,71288020303,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,71288020304,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,71288020305,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,71288020310,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,71288020311,furosemide per 20 mg,24.0,8.4,6.87,17.88,5
NDC,71288030301,cyanocobalamin per 1000 mcg,24.0,8.4,2.07,8.23,6
NDC,71288030302,cyanocobalamin per 1000 mcg,24.0,8.4,2.07,8.23,6
NDC,71288040002,"heparin (PF) 1,000 unit/mL solution 2 mL Vial",26.9,9.42,0.39,9.23,6
NDC,71288040003,"heparin (PF) 1,000 unit/mL solution 2 mL Vial",26.9,9.42,0.39,9.23,6
NDC,71288040102,heparin (porcine) per 1000 Units,38.23,13.39,0.39,13.11,6
NDC,71288040201,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,71288040202,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,71288040210,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,71288040211,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,71288040301,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,71288040302,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,71288041082,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,71288041083,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,71288041086,enoxaparin per 10 mg,33.98,11.9,1.02,11.66,6
NDC,71288041087,enoxaparin per 10 mg,33.98,11.9,1.02,11.66,6
NDC,71288041401,glycopyrrolate 0.2 mg/mL solution 1 mL Vial,24.0,8.4,0.92,8.23,6
NDC,71288041403,glycopyrrolate 0.2 mg/mL solution 1 mL Vial,24.0,8.4,0.92,8.23,6
NDC,71288041491,glycopyrrolate 0.2 mg/mL solution 1 mL Vial,24.0,8.4,0.92,17.88,11
NDC,71288041492,glycopyrrolate 0.2 mg/mL solution 1 mL Vial,24.0,8.4,0.92,17.88,11
NDC,71288041493,glycopyrrolate 0.2 mg/mL solution 2 mL Vial,24.0,8.4,0.92,17.88,11
NDC,71288041494,glycopyrrolate 0.2 mg/mL solution 2 mL Vial,24.0,8.4,0.92,17.88,11
NDC,71288042710,bivalirudin per 1 mg,198.24,69.39,0.3,68.0,6
NDC,71288042711,bivalirudin per 1 mg,198.24,69.39,0.3,68.0,6
NDC,71288043291,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,71288043292,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,71288043391,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,71288043392,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,71288043484,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,71288043485,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,71288043491,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,71288043492,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,71288043591,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,71288043592,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,71288043691,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,71288043692,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,71288043791,enoxaparin per 10 mg,31.41,11.0,1.02,10.77,6
NDC,71288043793,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,71288043794,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,71288043895,enoxaparin per 10 mg,29.85,10.45,1.02,10.24,6
NDC,71288043896,enoxaparin per 10 mg,29.85,10.45,1.02,10.24,6
NDC,71288050110,neostigmine 1 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,71288050111,neostigmine 1 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,71288050502,dexmedeTOMIDine 100 mcg/mL solution 2 mL Vial,24.0,8.4,6.87,17.88,5
NDC,71288050503,dexmedeTOMIDine 100 mcg/mL solution 2 mL Vial,24.0,8.4,6.87,17.88,5
NDC,71288060011,pantoprazole 40 mg recon soln 1 each Vial,24.0,8.4,6.87,17.88,5
NDC,71288070005,rocuronium 10 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,71288070006,rocuronium 10 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,71288070105,atracurium 10 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,71288070210,atracurium 10 mg/mL solution 10 mL Vial,26.76,9.37,7.66,19.94,5
NDC,71288071810,rocuronium 10 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,71288071811,rocuronium 10 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,71288080702,phenylephrine per 1 mL,24.0,8.4,0.02,17.88,11
NDC,71288081111,methylene blue 5 mg/mL solution 10 mL Vial,663.8,232.33,190.11,494.53,5
NDC,71321080230,vitamin E 22.5 mg (50 unit)/mL drops 30 mL DROP BTL,25.45,8.91,7.29,18.96,5
NDC,71321080320,calcium acetate 667 mg tablet 200 each Bottle,6.0,2.1,1.72,4.47,10
NDC,71351001001,"potassium-sodium-phosphate 7.1 mEq K+,8 mmol Phos/packet powder in packet 100 each Packet",6.0,2.1,1.72,4.47,5
NDC,71351001099,"potassium-sodium-phosphate 7.1 mEq K+,8 mmol Phos/packet powder in packet 1 each Packet",6.0,2.1,1.72,4.47,5
NDC,71351001312,lactobacillus acidoph-lactobacillus bulgar 100 million cell granules in packet 12 each Packet,6.0,2.1,1.72,4.47,5
NDC,71351001399,lactobacillus acidoph-lactobacillus bulgar 100 million cell granules in packet 1 each Packet,6.0,2.1,1.72,4.47,5
NDC,71351002105,lidocaine PF 10 mg/mL (1 %) solution 5 mL Vial,24.0,8.4,0.02,17.88,6
NDC,71351002125,lidocaine 1 % solution 5 mL Vial,24.0,8.4,0.02,17.88,6
NDC,71351002125,lidocaine PF 10 mg/mL (1 %) solution 5 mL Vial,24.0,8.4,0.02,17.88,6
NDC,71357000101,tromethamine 36 mg/mL (0.3 M) solution 500 mL Glass Cont,990.02,346.51,283.54,737.56,5
NDC,71357000106,tromethamine 36 mg/mL (0.3 M) solution 500 mL Glass Cont,990.02,346.51,283.54,737.56,5
NDC,71399012204,vitamin A & D ointment 113 g Tube,10.67,3.74,3.06,7.95,5
NDC,71399102503,acetaminophen 325 MG tablet 100 each Box,6.0,2.1,1.72,4.47,5
NDC,71399102701,diphenhydramine per 50 mg,6.0,2.1,0.03,2.1,6
NDC,71399445601,"lidocaine 4 % adhesive patch,medicated 1 each Box",6.0,2.1,1.72,4.47,5
NDC,71399445605,"lidocaine 4 % adhesive patch,medicated 5 each Box",6.0,2.1,1.72,4.47,5
NDC,71399740105,cholecalciferol 10 mcg/mL (400 unit/mL) drops 50 mL DROP BTL,8.5,2.98,2.43,6.33,5
NDC,71399788901,magnesium citrate solution 296 mL Bottle,8.38,2.94,2.4,6.24,5
NDC,71399801401,acetaminophen 325 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,71399802502,"acetaminophen 325 MG tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,71399802601,diphenhydramine per 50 mg,6.0,2.1,0.03,2.1,6
NDC,71399802702,"acetaminophen 500 MG tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
NDC,71399824503,sennosides 8.6 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,71449001832,HYDROmorphone (PF) 30 mg/30 mL (1 mg/mL) pt controlled analgesia syring 30 mL Syringe,69.67,24.39,19.95,51.9,5
NDC,71449009642,moxifloxacin (PF)-BSS 1 mg/mL solution 1 mL Vial,51.0,17.85,14.61,38.0,5
NDC,71449015770,oxytocin 30 unit/500 mL solution 500 mL Bag,63.0,22.05,18.04,46.94,5
NDC,71449015770,oxytocin in 0.9% NaCl 30 unit/500 mL solution 500 mL Bag,63.0,22.05,18.04,46.94,5
NDC,71475025701,tafenoquine 100 mg tablet 16 each BLIST PACK,45.67,15.99,13.08,34.02,5
NDC,71525630004,hydrogen peroxide 3 % solution 118 mL Bottle,22.5,7.88,6.44,16.76,5
NDC,71740011230,potassium iodide 1 gram/mL solution 30 mL Bottle,1348.03,471.82,386.08,1004.28,5
NDC,71837584301,sargramostim per 50 mcg,891.03,311.87,61.89,305.78,10
NDC,71837584305,sargramostim per 50 mcg,891.03,311.87,61.89,305.78,10
NDC,71839010401,fosaprepitant per 1 mg,851.96,298.19,0.23,292.22,6
NDC,71839010601,neostigmine 1 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,71839010701,daptomycin per 1 mg,1261.51,441.53,0.06,432.7,6
NDC,71839010910,enoxaparin per 10 mg,24.0,8.4,1.02,8.23,6
NDC,71839011010,enoxaparin per 10 mg,26.35,9.23,1.02,9.04,6
NDC,71839011110,enoxaparin per 10 mg,39.59,13.86,1.02,13.58,6
NDC,71839011210,enoxaparin per 10 mg,52.75,18.47,1.02,18.09,6
NDC,71839011310,enoxaparin per 10 mg,65.94,23.08,1.02,22.62,6
NDC,71839011801,"heparin (PF) 5,000 unit/0.5 mL solution 0.5 mL Vial",24.0,8.4,0.39,8.23,6
NDC,71839011825,"heparin (PF) 5,000 unit/0.5 mL solution 0.5 mL Vial",24.0,8.4,0.39,8.23,6
NDC,71839012001,nitroprusside 25 mg/mL solution 2 mL Vial,763.79,267.33,218.75,569.02,5
NDC,71839012201,pantoprazole 40 mg recon soln 1 each Vial,200.6,70.21,57.45,149.45,5
NDC,71839012210,pantoprazole 40 mg recon soln 1 each Vial,200.6,70.21,57.45,149.45,5
NDC,71839012225,pantoprazole 40 mg recon soln 1 each Vial,501.5,175.53,143.63,373.62,5
NDC,71839012325,glycopyrrolate 0.2 mg/mL solution 1 mL Vial,24.43,8.56,0.92,18.2,11
NDC,71839013701,carboprost 250 mcg/mL solution 1 mL Vial,903.38,316.19,15.56,673.02,14
NDC,71839013710,carboprost 250 mcg/mL solution 1 mL Vial,903.38,316.19,15.56,673.02,14
NDC,71839014101,rocuronium 10 mg/mL solution 5 mL Vial,46.41,16.25,13.29,34.58,5
NDC,71839014110,rocuronium 10 mg/mL solution 5 mL Vial,46.41,16.25,13.29,34.58,5
NDC,71839014201,rocuronium 10 mg/mL solution 10 mL Vial,89.11,31.19,25.52,66.39,5
NDC,71839014210,rocuronium 10 mg/mL solution 10 mL Vial,89.11,31.19,25.52,66.39,5
NDC,71839014301,norepinephrine 1 mg/mL solution 4 mL Vial,50.74,17.76,14.53,37.8,5
NDC,71839014325,norepinephrine 1 mg/mL solution 4 mL Vial,50.74,17.76,14.53,37.8,5
NDC,71930001730,ondansetron per 8 mg,6.0,2.1,0.02,2.06,6
NDC,71930002890,pyridostigmine 60 mg tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,72060014201,lumateperone 42 mg capsule 1 each BLIST PACK,161.42,56.5,46.23,120.26,5
NDC,72060014230,lumateperone 42 mg capsule 30 each BLIST PACK,161.42,56.5,46.23,120.26,5
NDC,72060014240,lumateperone 42 mg capsule 30 each Bottle,161.42,56.5,46.23,120.26,5
NDC,72078000200,norepinephrine 1 mg/mL solution 4 mL Vial,49.45,17.31,14.16,36.84,5
NDC,72078000204,norepinephrine 1 mg/mL solution 4 mL Vial,49.45,17.31,14.16,36.84,5
NDC,72078003401,remifentaniL 1 mg recon soln 1 each Vial,190.76,66.77,54.63,142.12,5
NDC,72078004609,amiodarone per 30 mg,24.0,8.4,0.92,8.23,6
NDC,72078004618,amiodarone per 30 mg,42.35,14.83,0.92,14.53,6
NDC,72140003147,white petrolatum 41 % ointment 396 g Jar,53.27,18.65,15.26,39.69,5
NDC,72140003263,white petrolatum 41 % ointment 99 g Jar,30.84,10.8,8.83,22.98,5
NDC,72140011047,white petrolatum 41 % ointment 20 g Tube,20.25,7.09,5.8,15.09,5
NDC,72140045231,white petrolatum 41 % ointment 50 g Tube,20.3,7.11,5.81,15.12,5
NDC,72140063377,white petrolatum 41 % ointment 85 g Tube,27.88,9.76,7.98,20.77,5
NDC,72196040401,dextrose 10%-amino acid 3% 3-10 % parenteral solution 250 mL Bag,83.54,29.24,23.93,62.24,5
NDC,72196604801,magnesium sulfate 2 gram/50 mL piggyback 50 mL Bag,24.0,8.4,6.87,17.88,5
NDC,72196606401,vancomycin 1 gram/250 mL solution 250 mL Bag,31.8,11.13,9.11,23.69,5
NDC,72196607401,vancomycin 1250 mg/250 mL solution 250 mL Bag,38.68,13.54,11.08,28.82,5
NDC,72196607601,vancomycin 1.5 gram/250 mL solution 250 mL Bag,43.5,15.23,12.46,32.41,5
NDC,72196607601,vancomycin 1500 mg/250 mL solution 250 mL Bag,43.5,15.23,12.46,32.41,5
NDC,72196701901,EPINEPHrine in 5% dextrose 8 mg/250 mL (32 mcg/mL) solution 250 mL Bag,194.11,67.94,55.59,144.61,5
NDC,72196806901,"oxytocin 40 unit/1000 mL solution 1,000 mL Bag",33.04,11.57,9.46,24.61,5
NDC,72196806901,"oxytocin in 0.9% NaCl 40 unit/1000 mL solution 1,000 mL Bag",33.04,11.57,9.46,24.61,5
NDC,72205000792,capecitabine per 500 mg,92.32,32.32,0.03,68.78,10
NDC,72205001390,pregabalin 75 MG capsule 90 each Bottle,19.89,6.97,5.7,14.82,5
NDC,72205003960,dofetilide 125 MCG capsule 60 each Bottle,23.0,8.05,6.59,17.14,5
NDC,72205004160,dofetilide 500 MCG capsule 60 each Bottle,23.0,8.05,6.59,17.14,5
NDC,72205004930,aminocaproic acid 500 mg tablet 30 each Bottle,52.87,18.51,15.14,39.39,5
NDC,72205005108,albendazole 200 mg tablet 2 each Bottle,540.22,189.08,154.72,402.46,5
NDC,72205005401,fosaprepitant per 1 mg,758.15,265.36,0.23,260.05,6
NDC,72205010001,fluphenazine decanoate per 25 mg,220.9,77.32,15.1,75.77,6
NDC,72205010201,bumetanide per 0.5 mg,24.0,8.4,1.11,17.88,11
NDC,72205010207,bumetanide per 0.5 mg,24.0,8.4,1.11,17.88,11
NDC,72205022007,lacosamide 10 solution 20 mL Vial,113.28,39.65,32.44,84.39,5
NDC,72205036860,ticagrelor 90 mg tablet 60 each Bottle,14.26,5.0,4.08,10.62,5
NDC,72241001103,rivastigmine 1.5 MG capsule 60 each Bottle,9.51,3.33,2.72,7.08,5
NDC,72241002405,celecoxib 200 MG capsule 100 each Bottle,17.89,6.27,5.12,13.33,5
NDC,72266010201,labetaloL 5 mg/mL solution 20 mL Vial,24.0,8.4,0.31,17.88,11
NDC,72266011801,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,72266011825,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,72266014610,etomidate 2 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,72266014701,etomidate 2 mg/mL solution 20 mL Vial,24.0,8.4,6.87,17.88,5
NDC,72266014710,etomidate 2 mg/mL solution 20 mL Vial,24.0,8.4,6.87,17.88,5
NDC,72266015801,moxifloxacin 0.5 % drops 3 mL DROP BTL,32.85,11.5,9.41,24.47,5
NDC,72266015901,ertapenem per 500 mg,226.56,79.3,18.75,77.71,6
NDC,72266015905,ertapenem per 500 mg,226.56,79.3,18.75,77.71,6
NDC,72266015910,ertapenem per 500 mg,226.56,79.3,18.75,77.71,6
NDC,72266016001,ziprasidone mesylate per 10 mg,92.86,32.51,13.38,50.33,6
NDC,72266016010,ziprasidone mesylate per 10 mg,92.86,32.51,13.38,50.33,6
NDC,72266016201,oxaliplatin per 0.5 mg,70.8,24.78,0.12,24.28,6
NDC,72266016306,tobramycin per 80 mg,218.06,76.33,4.08,74.79,6
NDC,72266019701,dorzolamide 2 % drops 10 mL DROP BTL,42.48,14.87,12.17,31.65,5
NDC,72266023401,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,72266023425,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,72266024205,lacosamide 10 solution 20 mL Vial,169.78,59.43,48.62,126.49,5
NDC,72266025301,cisplatin per 50 mg,113.28,39.65,5.1,38.86,6
NDC,72305002530,levothyroxine 25 MCG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,72305011230,levothyroxine 112 MCG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,72319002102,ranolazine 500 MG tablet extended release 12 hr 60 each Bottle,15.16,5.31,4.34,11.29,5
NDC,72485010101,diphenhydramine per 50 mg,24.0,8.4,1.32,8.23,6
NDC,72485010125,diphenhydramine per 50 mg,24.0,8.4,1.32,8.23,6
NDC,72485010401,caffeine citrate per 5 mg,28.32,9.92,8.11,21.1,5
NDC,72485010410,caffeine citrate per 5 mg,31.15,10.91,8.92,23.21,5
NDC,72485010501,nitroprusside 25 mg/mL solution 2 mL Vial,56.64,19.83,16.22,42.2,5
NDC,72485010610,levetriracetam per 10 mg,24.0,8.4,0.1,8.23,6
NDC,72485010825,verapamiL 2.5 mg/mL solution 2 mL Vial,29.48,10.32,8.44,21.96,5
NDC,72485011010,caffeine citrate 20 mg/mL solution 3 mL Vial,56.36,19.73,16.14,41.99,5
NDC,72485011310,isoproterenol 0.2 mg/mL solution 5 mL AMPUL,198.24,69.39,56.78,147.69,5
NDC,72485011610,niCARdipine 25 mg/10 mL solution 10 mL Vial,66.08,23.13,0.18,22.67,6
NDC,72485040301,piperacillin sod-tazobactam per 1 g,40.45,14.16,1.95,13.87,6
NDC,72485040310,piperacillin sod-tazobactam per 1 g,40.45,14.16,1.95,13.87,6
NDC,72485040401,piperacillin sod-tazobactam per 1 g,51.21,17.93,1.95,17.57,6
NDC,72485040410,piperacillin sod-tazobactam per 1 g,51.21,17.93,1.95,17.57,6
NDC,72485041201,meropenem per 100 mg,24.0,8.4,0.63,8.23,6
NDC,72485041210,meropenem per 100 mg,24.0,8.4,0.63,8.23,6
NDC,72485041601,ampicillin-sulbactam per 1.5 g,24.0,8.4,2.92,9.92,6
NDC,72485041610,ampicillin-sulbactam per 1.5 g,24.0,8.4,2.92,9.92,6
NDC,72485041701,ampicillin-sulbactam per 1.5 g,24.0,8.4,2.92,9.92,6
NDC,72485041710,ampicillin-sulbactam per 1.5 g,24.0,8.4,2.92,9.92,6
NDC,72485042101,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,72485042110,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,72485042201,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,72485042210,ampicillin per 500 mg,24.0,8.4,1.41,8.23,6
NDC,72485050110,milrinone 1 mg/mL solution 10 mL Vial,24.0,8.4,2.54,9.8,6
NDC,72485050401,phenylephrine per 1 mL,24.0,8.4,0.02,17.88,11
NDC,72485050425,phenylephrine per 1 mL,24.0,8.4,0.02,17.88,11
NDC,72485050701,thiamine per 100 mg,24.0,8.4,3.23,13.12,6
NDC,72485050725,thiamine per 100 mg,24.0,8.4,3.23,13.12,6
NDC,72485050801,etomidate 2 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,72485050810,etomidate 2 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
NDC,72485050901,etomidate 2 mg/mL solution 20 mL Vial,24.0,8.4,6.87,17.88,5
NDC,72485050910,etomidate 2 mg/mL solution 20 mL Vial,24.0,8.4,6.87,17.88,5
NDC,72485051001,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",32.57,11.4,9.33,24.26,10
NDC,72485051010,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",32.57,11.4,9.33,24.26,10
NDC,72485067031,erythromycin 5 mg/gram (0.5 %) ointment 1 g Tube,47.28,16.55,13.54,35.22,5
NDC,72485067035,erythromycin 5 mg/gram (0.5 %) ointment 3.5 g Tube,59.79,20.93,17.12,44.54,5
NDC,72516003201,metoprolol succinate 100 MG tablet extended release 24 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,72572001501,aminocaproic acid per 5 g,24.0,8.4,6.87,17.88,5
NDC,72572005501,cefazolin per 500 mg,24.0,8.4,1.25,8.23,6
NDC,72578000118,doxycycline hyclate 100 MG tablet 50 each Bottle,14.51,5.08,4.16,10.81,5
NDC,72578000201,acyclovir 200 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,72578003601,metFORMIN XR 750 MG tablet extended release 24 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,72578005518,doxycycline hyclate 100 MG capsule 50 each Bottle,7.74,2.71,2.22,5.77,5
NDC,72578008601,desonide 0.05 % cream 15 g Tube,189.5,66.33,54.27,141.18,5
NDC,72578008602,desonide 0.05 % cream 60 g Tube,757.84,265.25,217.05,564.59,5
NDC,72578008901,"nystatin 100,000 unit/gram ointment 15 g Tube",39.65,13.88,11.36,29.54,5
NDC,72578009918,levoFLOXacin 500 MG tablet 50 each Bottle,45.47,15.92,13.02,33.88,5
NDC,72578010092,levoFLOXacin 750 MG tablet 20 each Bottle,85.13,29.8,24.38,63.42,5
NDC,72578014806,darunavir 800 mg tablet 30 each Bottle,178.01,62.31,50.98,132.62,5
NDC,72611063901,clindamycin per 300 mg,24.0,8.4,3.14,8.45,6
NDC,72611063925,clindamycin per 300 mg,24.0,8.4,3.14,8.45,6
NDC,72611064555,clindamycin per 300 mg,84.11,29.44,3.14,28.85,6
NDC,72611071901,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,72611071925,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,72611072201,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,72611072225,ketorolac tromethamine per 15 mg,24.0,8.4,0.35,8.23,10
NDC,72611073401,labetaloL 5 mg/mL solution 20 mL Vial,32.47,11.37,0.31,24.19,11
NDC,72611074001,metoprolol 5 mg/5 mL solution 5 mL Vial,24.0,8.4,6.87,17.88,10
NDC,72611074010,metoprolol 5 mg/5 mL solution 5 mL Vial,24.0,8.4,6.87,17.88,10
NDC,72611074125,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,72611074910,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,72611075601,rocuronium 10 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,72611075610,rocuronium 10 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,72611075701,rocuronium 10 mg/mL solution 10 mL Vial,28.89,10.12,8.27,21.52,5
NDC,72611075710,rocuronium 10 mg/mL solution 10 mL Vial,28.89,10.12,8.27,21.52,5
NDC,72611076101,vancomycin per 500 mg,24.0,8.4,6.87,17.88,5
NDC,72611076110,vancomycin per 500 mg,24.0,8.4,6.87,17.88,5
NDC,72611076501,vancomycin per 500 mg,24.0,8.4,6.87,17.88,5
NDC,72611076510,vancomycin per 500 mg,24.0,8.4,6.87,17.88,5
NDC,72611086001,acetylcysteine per 100 mg,314.35,110.03,1.02,107.82,6
NDC,72611086004,acetylcysteine per 100 mg,314.35,110.03,1.02,107.82,6
NDC,72854026504,"benzocaine-menthoL 7-1 % spray,non-aerosol 115 mL Bottle",17.37,6.08,4.97,12.94,5
NDC,72888003401,carvediloL 3.125 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,72888005301,metOLazone 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,72888008201,isosorbide dinitrate 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,72888011201,midodrine 2.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,72888012526,lidocaine 2 % solution 100 mL Bottle,31.15,10.91,8.92,23.21,5
NDC,72888015201,clonazepam 0.5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,72888015301,clonazepam 1 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,72903085301,mirvetuximab soravtansine-gynx 5 mg/mL solution 20 mL Vial,19207.62,6722.67,71.13,6588.21,10
NDC,73043002101,succinylcholine per 20 mg,24.0,8.4,6.87,17.88,5
NDC,73043002191,succinylcholine per 20 mg,24.0,8.4,6.87,17.88,5
NDC,73177010102,ketamine 50 mg/5 mL (10 mg/mL) syringe 5 mL Syringe,30.0,10.5,8.59,22.35,5
NDC,73177010102,ketamine in 0.9 % sodium chloride 50 mg/5 mL (10 mg/mL) syringe 5 mL Syringe,17.24,6.04,4.94,12.84,5
NDC,73177010201,fentaNYL in sodium chloride 0.9% 20 mcg/2 mL (10 mcg/mL) syringe 2 mL Syringe,30.0,10.5,1.6,10.29,6
NDC,73177010430,HYDROmorphone (PF) 6 mg/30 mL (0.2 mg/mL) pt controlled analgesia syring 30 mL Syringe,35.97,12.59,7.57,22.81,5
NDC,73177010430,HYDROmorphone (PF)-0.9 % NaCL 0.2 mg/mL patient control.analgesia soln 30 mL Vial,35.97,12.59,7.57,22.81,5
NDC,73177010501,morphine in sodium chloride 0.9% 2 mg/2 mL (1 mg/mL) syringe 2 mL Syringe,30.0,10.5,7.71,24.11,6
NDC,73177010516,morphine (PF) 30 mg/30 mL (1 mg/mL) pt controlled analgesia syring 30 mL Syringe,44.89,15.72,12.86,33.44,5
NDC,73177010803,phenylephrine 100 mcg/mL syringe 10 mL Syringe,24.0,8.4,0.02,17.88,11
NDC,73177011602,succinylcholine,32.21,11.28,9.22,24.0,5
NDC,73177011603,succinylcholine,47.86,16.76,13.71,35.66,5
NDC,73177012119,lidocaine-racepinephrine-tetracaine 4-0.09-0.5 % gel 3 mL Syringe,33.9,11.87,9.71,25.26,5
NDC,73177014633,albuterol per 1 mg,150.0,52.5,0.25,51.45,6
NDC,73177015602,ketamine (PF) 50 mg/5 mL (10 mg/mL) syringe 5 mL Syringe,30.0,10.5,8.59,22.35,5
NDC,73177016333,albuterol per 1 mg,150.0,52.5,0.25,51.45,6
NDC,73293000102,lidocaine 1 % solution 5 mL Vial,24.0,8.4,0.02,17.88,6
NDC,73293000102,lidocaine PF 10 mg/mL (1 %) solution 5 mL Vial,24.0,8.4,0.02,17.88,6
NDC,73302045601,ulipristaL 30 mg tablet 1 each BLIST PACK,109.74,38.41,31.43,81.76,5
NDC,73475304105,efgartigimod alfa-fcab 20 mg/mL solution 20 mL Vial,17359.29,6075.755,32.61,6013.19,20
NDC,74300000070,zinc oxide 40 % paste 57 g Tube,7.26,2.55,2.08,5.41,5
NDC,74300000071,zinc oxide 40 % paste 113 g Tube,12.8,4.48,3.67,9.54,5
NDC,74300000300,zinc oxide 13 % cream 57 g Tube,8.88,3.11,2.54,6.62,5
NDC,74300000301,zinc oxide 13 % cream 113 g Tube,9.87,3.46,2.83,7.35,5
NDC,74300000320,pyrethrins-piperonyl butoxide 0.33-4 % shampoo 236 mL Bottle,32.86,11.51,9.41,24.48,5
NDC,74300000412,pyrethrins-piperonyl butoxide 0.33-4 % shampoo 59 mL Bottle,15.73,5.51,4.51,11.72,5
NDC,74312000810,vitamin E 45 mg/0.25mL 100 unit/0.25mL drops 75 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,74312007961,biotin 1 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,75826013910,PHENobarbitaL 32.4 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
NDC,75826014110,PHENobarbitaL 64.8 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,75834002012,"cholecalciferol 1,250 mcg (50,000 unit) capsule 12 each Bottle",6.0,2.1,1.72,4.47,5
NDC,75834017002,zinc oxide 20 % ointment 56.7 g Tube,20.21,7.08,5.79,15.06,5
NDC,75834017101,calcium gluconate per 10 mL,28.37,9.93,0.08,9.73,6
NDC,75834017119,calcium gluconate per 10 mL,28.37,9.93,0.08,9.73,6
NDC,75834028030,potassium iodide 1 gram/mL solution 30 mL DROP BTL,6.0,2.1,1.72,4.47,5
NDC,75834050005,metFORMIN XR 500mg tablet extended release 24 hr 500 each Bottle,6.0,2.1,1.72,4.47,5
NDC,75907002311,cloNIDine 0.1 mg/24 hr patch weekly 1 each Box,78.25,27.39,22.41,58.3,5
NDC,75907002348,cloNIDine 0.1 mg/24 hr patch weekly 4 each Box,78.25,27.39,22.41,58.3,5
NDC,75907002511,cloNIDine 0.3 mg/24 hr patch weekly 1 each Box,182.78,63.98,52.35,136.17,5
NDC,75907002548,cloNIDine 0.3 mg/24 hr patch weekly 4 each Box,182.78,63.98,52.35,136.17,5
NDC,75907007001,nortriptyline 25 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,75987013015,teprotumumab-trbw 47.6 mg/ml recon soln 1 each Vial,51029.67,17860.39,367.91,17503.18,10
NDC,76014000310,neostigmine 1 mg/mL solution 10 mL Vial,51.99,18.2,14.89,38.73,5
NDC,76014000333,neostigmine 1 mg/mL solution 10 mL Vial,51.99,18.2,14.89,38.73,5
NDC,76045000401,morphine per 10 mg,30.0,10.5,9.12,36.34,6
NDC,76045000410,morphine per 10 mg,30.0,10.5,9.12,36.34,6
NDC,76045000411,morphine per 10 mg,30.0,10.5,9.12,36.34,6
NDC,76045000510,morphine per 10 mg,30.0,10.5,9.12,36.34,6
NDC,76045000901,hydromorphone per 4 mg,30.0,10.5,7.57,22.81,5
NDC,76045000905,hydromorphone per 4 mg,30.0,10.5,0.17,22.35,6
NDC,76045000910,hydromorphone per 4 mg,30.0,10.5,0.17,22.35,6
NDC,76045000911,hydromorphone per 4 mg,30.0,10.5,0.17,22.35,6
NDC,76045001000,HYDROmorphone (PF) 2 mg/mL syringe 1 mL Syringe,30.0,10.5,0.17,22.35,6
NDC,76045001001,HYDROmorphone (PF) 2 mg/mL syringe 1 mL Syringe,30.0,10.5,0.17,22.35,6
NDC,76045001010,HYDROmorphone (PF) 2 mg/mL syringe 1 mL Syringe,30.0,10.5,0.17,22.35,6
NDC,76045001011,HYDROmorphone (PF) 2 mg/mL syringe 1 mL Syringe,30.0,10.5,0.17,22.35,6
NDC,76045001110,hydromorphone per 4 mg,30.0,10.5,0.17,22.35,6
NDC,76045010210,diphenhydrAMINE 50 mg/mL syringe 1 mL Syringe,24.0,8.4,1.32,8.23,6
NDC,76075010101,carfilzomib 2 mg/ml recon soln 1 each Vial,10017.33,3506.07,56.24,3435.94,10
NDC,76075010201,carfilzomib 30 mg recon soln 1 each Vial,5008.68,1753.04,56.24,1717.98,10
NDC,76125015002,rabies immune globulin 150 unit/mL solution 2 mL Vial,2111.59,739.06,242.18,1227.6,10
NDC,76125015003,rabies immune globulin 150 unit/mL solution 2 mL Vial,2111.59,739.06,242.18,1227.6,10
NDC,76125067650,"antihemophilic factor VIII 1,000 (+/-) unit recon soln 1 each Vial",4327.77,1514.72,1.39,1484.43,10
NDC,76125067912,"antihemophilic factor VIII 1,000 (+/-) unit recon soln 1 each Vial",4572.74,1600.46,1.39,1568.45,10
NDC,76125079025,albumin human 5% per 50 mL,141.6,49.56,40.55,105.49,5
NDC,76125079026,albumin human 5% per 50 mL,141.6,49.56,40.55,105.49,5
NDC,76154047515,norepinephrine in 0.9% NaCl 8 mg/250 mL solution 250 mL Bag,72.0,25.2,20.62,53.64,5
NDC,76154048705,vasopressin 40 unit/100 mL (0.4 unit/mL) solution 100 mL Bag,578.91,202.62,165.8,431.29,5
NDC,76189053430,PONATinib 45 mg tablet 30 each Bottle,814.2,284.97,233.19,606.58,5
NDC,76189053530,PONATinib 15 mg tablet 30 each Bottle,1628.4,569.94,466.37,1213.16,5
NDC,76204002260,sodium chloride 3 % solution for nebulization 4 mL Vial,6.0,2.1,1.72,4.47,5
NDC,76204002596,cromolyn 100 mg/5 mL concentrate 5 mL AMPUL,6.0,2.1,1.72,4.47,5
NDC,76204010025,ipratropium per 1 mg,6.0,2.1,0.53,2.06,6
NDC,76204010030,ipratropium per 1 mg,6.0,2.1,0.53,2.06,6
NDC,76204010060,ipratropium per 1 mg,6.0,2.1,0.53,2.06,6
NDC,76204020001,albuterol per 1 mg,6.0,2.1,0.07,2.06,6
NDC,76204020025,albuterol per 1 mg,6.0,2.1,0.07,2.06,6
NDC,76204020030,albuterol per 1 mg,6.0,2.1,0.07,2.06,6
NDC,76204020060,albuterol per 1 mg,6.0,2.1,0.07,2.06,6
NDC,76204030003,sodium chloride 0.9 % solution for nebulization 3 mL Vial,6.0,2.1,1.72,4.47,5
NDC,76204030050,sodium chloride 0.9 % solution for nebulization 15 mL Vial,6.0,2.1,1.72,4.47,5
NDC,76204060001,ipratropium-albuterol sulfate 0.5-3 mg/3 mL solution for nebulization 3 mL Vial,6.0,2.1,0.28,2.06,6
NDC,76204060030,ipratropium-albuterol sulfate 0.5-3 mg/3 mL solution for nebulization 3 mL Vial,6.0,2.1,0.28,2.06,6
NDC,76204060060,ipratropium-albuterol sulfate 0.5-3 mg/3 mL solution for nebulization 3 mL Vial,6.0,2.1,0.28,2.06,6
NDC,76204090024,levalbuterol per 0.5 mg,7.38,2.59,0.08,2.53,6
NDC,76204090025,levalbuterol per 0.5 mg,6.0,2.1,0.08,2.06,6
NDC,76282041901,lisinopriL 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,76282066339,diclofenac 1 % gel 100 g Tube,9.91,3.47,2.84,7.38,5
NDC,76310002201,aldesleukin per vial,15721.75,5502.62,4502.71,11712.7,5
NDC,76310002401,foscarnet per 1000 mg,1394.17,487.96,96.96,478.2,6
NDC,76310002415,foscarnet per 1000 mg,1415.41,495.4,96.96,485.49,6
NDC,76310002425,foscarnet per 1000 mg,1415.41,495.4,96.96,485.49,6
NDC,76310011001,dexrazoxane HCl(extravasation) 500 mg recon soln 1 each Vial,1299.89,454.97,49.74,597.3,10
NDC,76329124001,phytonadione 1 mg/0.5 mL syringe 0.5 mL Syringe,70.04,24.52,4.52,52.18,11
NDC,76329146901,nalOXone 1 mg/mL syringe 2 mL Syringe,93.46,32.72,26.77,69.63,10
NDC,76329146901,naloxone 1 mg/mL syringe 2 mL Syringe,93.46,32.72,26.77,69.63,10
NDC,76329191101,morphine per 10 mg,33.98,11.9,9.73,25.32,5
NDC,76329191201,morphine (PF) 30 mg/30 mL (1 mg/mL) patient control.analgesia soln 30 mL Vial,39.65,13.88,7.71,82.33,12
NDC,76329301305,lidocaine 2 % jelly in applicator 10 mL Syringe,19.94,6.98,5.71,14.86,5
NDC,76329330101,dextrose 50% syringe 50 mL Syringe,37.52,13.14,10.75,27.95,5
NDC,76329330201,dextrose 50% syringe 50 mL Syringe,57.35,20.08,16.43,42.73,5
NDC,76329330401,calcium chloride 100 mg/mL (10 %) syringe 10 mL Syringe,29.74,10.41,8.52,22.16,5
NDC,76329331601,"EPINEPHrine (1:10,000) 0.1 mg/mL syringe 10 mL Syringe",26.34,9.225,1.24,18.46,11
NDC,76329331601,"EPINEPHrine endotracheal 0.1 mg/mL (1:10,000) syringe 10 mL Syringe",27.9,9.77,1.24,20.79,11
NDC,76329331801,EPINEPHrine 0.1 mg/mL syringe 10 mL Syringe,38.92,13.63,11.15,29.0,5
NDC,76329331801,"EPINEPHrine endotracheal 0.1 mg/mL (1:10,000) syringe 10 mL Syringe",38.92,13.63,11.15,29.0,5
NDC,76329333901,atropine per 0.01 mg,25.49,8.93,0.13,8.74,6
NDC,76329334001,atropine per 0.01 mg,32.43,11.36,0.13,11.12,6
NDC,76329335201,sodium bicarbonate 8.4 % (1 mEq/mL) syringe 50 mL Syringe,55.81,19.54,15.98,41.58,5
NDC,76329336901,nalOXone 1 mg/mL syringe 2 mL Syringe,93.46,32.72,26.77,69.63,10
NDC,76329336901,naloxone 1 mg/mL syringe 2 mL Syringe,93.46,32.72,26.77,69.63,10
NDC,76329339001,lidocaine (cardiac) 100 mg/5 mL (2 %) syringe 5 mL Syringe,25.37,8.88,0.02,18.9,6
NDC,76329339905,procainamide per 1 g,240.72,84.26,68.94,179.34,5
NDC,76329630005,lidocaine 4 % solution 4 mL Bottle,85.53,29.94,24.5,63.72,5
NDC,76329826101,lorazepam per 2 mg,30.0,10.5,1.85,10.29,6
NDC,76329906000,EPINEPHrine 1 mg/mL solution 30 mL Vial,637.2,223.02,182.49,474.71,5
NDC,76385010201,primaquine 26.3 mg (15 mg base) tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,76385010401,benztropine 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,76385013401,nadoloL 40 MG tablet 100 each Bottle,9.35,3.28,2.68,6.97,5
NDC,76385013601,metOLazone 2.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,76385013701,metOLazone 5 MG tablet 100 each Bottle,6.2,2.17,1.78,4.62,5
NDC,76385014401,hydroxychloroquine 200 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,76388063550,chlorambuciL 2 mg tablet 50 each Bottle,57.41,20.1,16.44,42.77,5
NDC,76388071325,busulfan per 2 mg,66.33,23.22,10.12,720.39,10
NDC,76439025810,prenatal vitamins with iron/calcium 27 mg iron- 1 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,76439035890,levomefolate 15 mg tablet 90 each Bottle,6.99,2.45,2.0,5.21,5
NDC,76439035930,levomefolate 7.5 mg tablet 30 each Bottle,6.99,2.45,2.0,5.21,5
NDC,76478050150,pentobarbital per 50 mg,6658.15,2330.36,36.84,2283.75,10
NDC,77333004920,"aspirin 81 MG tablet,chewable 150 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,77333004925,"aspirin 81 MG tablet,chewable 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,77333030810,omega 3 DHA-EPA 1000 mg (120 mg-180 mg) capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,77333030825,omega 3 DHA-EPA 1000 mg (120 mg-180 mg) capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,77333051610,melatonin 3 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,77333081210,"simethicone 80 MG tablet,chewable 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,77333081225,"simethicone 80 MG tablet,chewable 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,77333082710,sodium bicarbonate 650 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,77333082725,sodium bicarbonate 650 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,77333083110,sodium bicarbonate 650 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,77333093410,thiamine mononitrate 100 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,77333093425,thiamine mononitrate 100 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,77333093710,cyanocobalamin 500 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,77333094010,pyridoxine 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,77333094025,pyridoxine 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,77333094810,cholecalciferol 10 mcg (400 unit) tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,77333094825,cholecalciferol 10 mcg (400 unit) tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,77333095110,vitamin E 180 mg (400 unit) capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,77333095125,vitamin E 180 mg (400 unit) capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,77333098310,zinc sulfate 50 mg zinc (220 mg) capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,77333098325,zinc sulfate 50 mg zinc (220 mg) capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,77777009215,TAC20 20 %-4 %-2% 30 mL Bottle,194.98,68.25,55.84,145.26,5
NDC,78112001103,"phenoL 1.4 % aerosol,spray 177 mL Bottle",16.71,5.85,4.79,12.45,5
NDC,78112001106,benzocaine-menthoL 6-10 mg lozenge 18 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,78206011101,mometasone 50 mcg/actuation HFA aerosol inhaler 13 g CANISTER,263.48,92.22,75.46,196.29,5
NDC,78206011201,mometasone 100 mcg/actuation HFA aerosol inhaler 13 g CANISTER,284.25,99.49,81.41,211.77,5
NDC,78206011301,mometasone 200 mcg/actuation HFA aerosol inhaler 13 g CANISTER,334.04,116.92,95.67,248.86,5
NDC,78206011801,betamethasone acet & sod phos per 4 mg,123.64,43.28,11.25,42.41,6
NDC,78206012601,mometasone-formoterol 200-5 mcg/actuation HFA aerosol inhaler 13 g AER W/ADAP,970.26,339.6,277.88,722.84,5
NDC,78206014501,etonogestreL 68 mg implant 1 each PF APPLI,3274.59,1146.11,1123.18,5729.08,6
NDC,78206014603,etonogestreL-ethinyl estradioL 0.12-0.015 mg/24 hr ring 1 each Packet,460.57,161.2,131.91,343.12,5
NDC,78206016201,inFLIXimab-abda 10 mg/ml recon soln 1 each Vial,2133.61,746.77,26.8,731.83,10
NDC,78482011002,albendazole 200 mg tablet 2 each Bottle,6.0,2.1,1.72,4.47,5
NDC,78670000367,dantrolene 20 mg recon soln 1 each Vial,198.24,69.39,56.78,147.69,5
NDC,78670014011,naloxone 5 mg/0.5 mL syringe 0.5 mL Syringe,177.0,61.95,50.69,131.87,5
NDC,79854003985,biotin 1 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,79854004097,acetylcysteine 600 mg capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,80196029660,"silver gel,extended release 42.5 g Tube",70.51,24.68,20.19,52.53,5
NDC,80196075364,miconazole 2 % cream 118 mL Tube,23.39,8.19,6.7,17.43,5
NDC,80681009800,thiamine 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,80681011600,"pediatric multivitamin tablet,chewable 250 each Bottle",6.0,2.1,1.72,4.47,5
NDC,80681012600,vitamin B-complex with C tablet 130 each Bottle,6.0,2.1,1.72,4.47,5
NDC,80681015400,vitamin B-complex with C tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,80681016800,"cholecalciferol 25 mcg (1,000 unit) tablet 90 each Bottle",6.0,2.1,1.72,4.47,5
NDC,80681016900,"cholecalciferol 25 mcg (1,000 unit) tablet 100 each Bottle",6.0,2.1,1.72,4.47,5
NDC,80725025001,paromomycin 250 mg capsule 100 each Bottle,344.24,120.49,98.59,256.46,5
NDC,80725062025,busulfan per 2 mg,850.62,297.72,10.12,720.39,10
NDC,80777010201,COVID-19 vaccine 50 mcg/0.5 mL suspension 0.5 mL Syringe,306.33,107.22,87.73,285.87,10
NDC,80777010204,COVID-19 vaccine 50 mcg/0.5 mL suspension 0.5 mL Vial,302.79,105.98,86.72,285.87,10
NDC,80777010293,COVID-19 vaccine 50 mcg/0.5 mL suspension 0.5 mL Syringe,306.33,107.22,87.73,285.87,10
NDC,80777010295,COVID-19 vaccine 50 mcg/0.5 mL suspension 0.5 mL Vial,302.79,105.98,86.72,285.87,10
NDC,80777010296,COVID-19 vaccine 50 mcg/0.5 mL suspension 0.5 mL Syringe,306.33,107.22,87.73,285.87,10
NDC,80777011001,COVID-19 vaccine 50 mcg/0.5 mL syringe 0.5 mL Syringe,409.65,143.38,117.32,285.87,10
NDC,80777011093,COVID-19 vaccine 50 mcg/0.5 mL syringe 0.5 mL Syringe,409.65,143.38,117.32,285.87,10
NDC,80777011201,COVID-19 vaccine 50 mcg/0.5 mL syringe 0.5 mL Syringe,165.0,57.75,47.26,285.87,10
NDC,80777011288,COVID-19 vaccine 50 mcg/0.5 mL syringe 0.5 mL Syringe,165.0,57.75,47.26,285.87,10
NDC,80777011296,COVID-19 vaccine 50 mcg/0.5 mL syringe 0.5 mL Syringe,165.0,57.75,47.26,285.87,10
NDC,80777011309,COVID vaccine 25 mcg/0.25 mL syringe 0.25 mL Syringe,164.99,57.75,47.25,260.07,10
NDC,80777011380,COVID vaccine 25 mcg/0.25 mL syringe 0.25 mL Syringe,164.99,57.75,47.25,260.07,10
NDC,80777011387,COVID vaccine 25 mcg/0.25 mL syringe 0.25 mL Syringe,164.99,57.75,47.25,260.07,10
NDC,80777027310,COVID-19 vaccine 100 mcg/0.5 mL suspension 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,80777027399,COVID-19 vaccine 100 mcg/0.5 mL suspension 5 mL Vial,24.0,8.4,6.87,17.88,5
NDC,80777028707,COVID vaccine 25 mcg/0.25 mL suspension 0.25 mL Vial,302.79,105.98,86.72,260.07,10
NDC,80777028707,COVID-19 vaccine 25 mcg/0.25 mL suspension 0.25 mL Vial,302.79,105.98,86.72,260.07,10
NDC,80777028792,COVID vaccine 25 mcg/0.25 mL suspension 0.25 mL Vial,302.79,105.98,86.72,260.07,10
NDC,80777028792,COVID-19 vaccine 25 mcg/0.25 mL suspension 0.25 mL Vial,302.79,105.98,86.72,260.07,10
NDC,80777029109,COVID vaccine 25 mcg/0.25 mL syringe 0.25 mL Syringe,409.65,143.38,117.32,260.07,10
NDC,80777029180,COVID vaccine 25 mcg/0.25 mL syringe 0.25 mL Syringe,409.65,143.38,117.32,260.07,10
NDC,80777029181,COVID vaccine 25 mcg/0.25 mL syringe 0.25 mL Syringe,409.65,143.38,117.32,260.07,10
NDC,80830236201,calcium gluconate 1 gram/50 mL solution 50 mL Bag,55.93,19.58,0.08,19.18,6
NDC,80830236209,calcium gluconate 1 gram/50 mL solution 50 mL Bag,55.93,19.58,0.08,19.18,6
NDC,80830236301,calcium gluconate 2 gram/100 mL solution 100 mL Bag,111.86,39.16,0.08,38.37,6
NDC,80830236309,calcium gluconate 2 gram/100 mL solution 100 mL Bag,111.86,39.16,0.08,38.37,6
NDC,81033000210,acetaminophen 325 mg/10.15 mL solution 10.15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,81033000240,acetaminophen 325 mg/10.15 mL solution 10.15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,81033022015,potassium chloride 20 mEq/15 mL liquid 15 mL Cup,9.91,3.47,2.84,7.38,5
NDC,81033022051,potassium chloride 20 mEq/15 mL liquid 15 mL Cup,9.91,3.47,2.84,7.38,5
NDC,81033022052,potassium chloride 20 mEq/15 mL liquid 15 mL Cup,9.91,3.47,2.84,7.38,5
NDC,81284015200,piperacillin sod-tazobactam per 1 g,24.0,8.4,1.95,8.23,6
NDC,81284015210,piperacillin sod-tazobactam per 1 g,24.0,8.4,1.95,8.23,6
NDC,81284021100,phenylephrine per 1 mL,24.0,8.4,0.02,17.88,11
NDC,81284021125,phenylephrine per 1 mL,24.0,8.4,0.02,17.88,11
NDC,81284041100,dihydroergotamine mesylate per 1 mg,220.9,77.32,69.86,265.3,6
NDC,81284041105,dihydroergotamine mesylate per 1 mg,220.9,77.32,69.86,265.3,6
NDC,81284041110,dihydroergotamine mesylate per 1 mg,195.59,68.46,67.09,265.3,6
NDC,81284061100,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",19.79,6.93,4.46,17.88,15
NDC,81284061110,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",19.79,6.93,4.46,17.88,15
NDC,81284083105,PHYSostigmine salicylate 0.4 mg/mL solution 5 mL AMPUL,384.78,134.68,110.2,286.66,5
NDC,81284083105,PHYSostigmine salicylate 2 mg/5 mL solution 5 mL AMPUL,384.78,134.68,110.2,286.66,5
NDC,81298501001,carboprost 250 mcg/mL solution 1 mL Vial,169.92,59.48,15.56,126.59,14
NDC,81298501003,carboprost 250 mcg/mL solution 1 mL Vial,169.92,59.48,15.56,126.59,14
NDC,81298501005,carboprost 250 mcg/mL solution 1 mL Vial,169.92,59.48,15.56,126.59,14
NDC,81298578105,triamcinolone per 10 mg,24.0,8.4,1.57,8.23,6
NDC,81298811201,cyclophosphamide per 100 mg,716.5,250.78,0.77,533.79,10
NDC,81298866001,fluorescein 500 mg/5 mL (10 %) solution 5 mL Vial,203.9,71.37,58.4,151.91,5
NDC,81298866003,fluorescein 500 mg/5 mL (10 %) solution 5 mL Vial,203.9,71.37,58.4,151.91,5
NDC,81298965503,norepinephrine in 0.9% NaCl 8 mg/250 mL solution 250 mL Bag,112.1,39.24,32.11,83.51,5
NDC,81483000060,ketamine in 0.9 % sodium chloride 50 mg/5 mL (10 mg/mL) syringe 5 mL Vial,17.31,6.06,4.96,12.9,5
NDC,81483000600,ketamine 10 mg/mL solution 5 mL Vial,30.0,10.5,8.59,22.35,5
NDC,81483000700,ketamine 100 mg/mL solution 5 mL Vial,30.21,10.58,8.65,22.51,5
NDC,81483003700,"lidocaine-epinephrine (PF) 1 %-1:100,000 solution 10 mL Vial",24.07,8.43,0.02,17.93,6
NDC,81483003700,lidocaine-epinephrine 1 %-1:100000 solution 10 mL Vial,24.07,8.43,6.89,17.93,5
NDC,81483003800,lidocaine-epinephrine (PF) 2 %-1:200000 solution 10 mL Vial,25.39,8.89,0.02,18.92,6
NDC,81665030102,cocaine 4 % solution 4 mL Bottle,1016.69,355.85,3.01,757.43,6
NDC,81952011101,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,81952011106,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,81952011201,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,81952011204,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,81952011206,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,81952011209,heparin (porcine) per 1000 Units,24.0,8.4,0.39,8.23,6
NDC,81964020369,amoxicillin-clavulanate 600-42.9 mg/5 mL suspension for reconstitution 125 mL Bottle,208.27,72.9,59.65,155.16,5
NDC,81964020410,amoxicillin-clavulanate 250-62.5 mg/5 mL suspension for reconstitution 100 mL Bottle,208.15,72.86,59.61,155.07,5
NDC,81964020501,amoxicillin 500 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,82182077305,brimonidine 0.15 % drops 5 mL DROP BTL,452.36,158.33,129.56,337.01,5
NDC,82584079201,lidocaine (PF) 3.5 % gel 1 mL Tube,66.15,23.16,18.95,49.28,5
NDC,83090000801,bortezomib 3.5 mg recon soln 1 each Vial,849.6,297.36,3.23,291.41,6
NDC,83090000801,bortezomib per 0.1 mg,849.6,297.36,3.23,291.41,6
NDC,83090001101,daptomycin per 1 mg,84.96,29.74,0.06,29.14,6
NDC,83090001210,lacosamide 10 solution 20 mL Vial,113.28,39.65,32.44,84.39,5
NDC,83257001111,insulin glargine-yfgn 100 unit/mL solution 10 mL Vial,762.89,267.02,218.49,568.35,5
NDC,83257001411,insulin glargine-yfgn 100 unit/mL solution 10 mL Vial,178.32,62.42,51.07,132.85,5
NDC,83257002611,ustekinumab-kfce 130 mg/26 mL solution 26 mL Vial,1132.77,396.47,3.35,843.91,9
NDC,83634030305,isoproterenol 0.2 mg/mL solution 5 mL Vial,396.48,138.77,113.55,295.38,5
NDC,83634030342,isoproterenol 0.2 mg/mL solution 5 mL Vial,396.48,138.77,113.55,295.38,5
NDC,83634045110,desmopressin per 1 mcg,1118.64,391.53,9.75,383.69,6
NDC,83634050041,magnesium sulfate 2 gram/50 mL (4 %) piggyback 50 mL Flex Cont,24.0,8.4,0.84,8.23,6
NDC,83634050081,magnesium sulfate 2 gram/50 mL (4 %) piggyback 50 mL Flex Cont,24.0,8.4,0.84,8.23,6
NDC,83634060002,dexmedeTOMIDine 100 mcg/mL solution 2 mL Vial,24.0,8.4,6.87,17.88,5
NDC,83634060041,dexmedeTOMIDine 100 mcg/mL solution 2 mL Vial,24.0,8.4,6.87,17.88,5
NDC,83851010000,fluorescein 1 mg strip 1 each Strip,6.0,2.1,1.72,4.47,5
NDC,83851010030,fluorescein 1 mg strip 300 each Box,6.0,2.1,1.72,4.47,5
NDC,83980000101,hydroxychloroquine 200 mg tablet 100 each Bottle,9.65,3.38,2.76,7.19,5
NDC,84383011001,penicillin G benzathine 1.2 million unit suspension for reconstitution 1 each Vial,41.21,14.43,11.8,30.7,5
NDC,85412046162,"evacuated glass container bottle 1,000 mL Bottle",160.14,56.05,45.86,119.3,5
NDC,86790016280,wheat dextrin 4 gram powder in packet 28 each Packet,6.0,2.1,1.72,4.47,5
NDC,87701040065,glycerin 99.5 % solution 473 mL Bottle,58.05,20.32,16.63,43.25,5
NDC,87701040244,magnesium citrate solution 296 mL Bottle,11.88,4.16,3.4,8.85,5
NDC,87701040486,ibuprofen 100 mg/5 mL suspension 240 mL Bottle,19.82,6.94,5.68,14.77,5
NDC,87701040653,cetirizine 10 MG tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
NDC,87701040660,"sodium bicarbonate/chloride 700-2,300 mg packet 30 each KIT",6.0,2.1,1.72,4.47,5
NDC,87701040668,"glucose 4 GM tablet,chewable 10 each Tube",6.0,2.1,1.72,4.47,5
NDC,87701040729,thiamine 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,87701040731,cyanocobalamin 500 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,87701040754,vitamin E 180 mg (400 unit) capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,87701040813,melatonin 3 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,87701040816,co-enzyme Q-10 100 mg capsule 30 each Bottle,6.0,2.1,1.72,4.47,5
NDC,87701041285,nicotine polacrilex 2 MG lozenge 72 each Bottle,6.0,2.1,1.72,4.47,5
NDC,87701042599,"glucose 3.75 gram tablet,chewable 10 each Bottle",6.0,2.1,1.72,4.47,5
NDC,87701042599,"glucose 4 GM tablet,chewable 10 each Bottle",6.0,2.1,1.72,4.47,5
NDC,87701042600,"glucose 4 GM tablet,chewable 50 each Bottle",6.0,2.1,1.72,4.47,5
NDC,87701042975,aluminum-magnesium hydroxide-simethicone 200-200-20 mg/5 mL suspension 355 mL Bottle,212.05,74.22,60.73,157.98,5
NDC,87701043173,sennosides 8.6 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
NDC,87701053380,pyrethrins-piperonyl butoxide 0.33-4 % shampoo 118 mL Bottle,23.67,8.29,6.78,17.63,5
NDC,87701072289,"bismuth subsalicylate 262 mg tablet,chewable 30 each Bottle",6.0,2.1,1.72,4.47,5
NDC,88395001540,"omega 3 DHA-EPA 1,600 mg/5 mL liquid 200 mL Bottle",6.0,2.1,1.72,4.47,5
NDC,88888011302,aspirin 300 MG suppository 1 each,6.0,2.1,1.72,4.47,5
NDC,88888017801,hydrOXYzine 10 mg/5 mL solution 5 mL Syringe,20.43,7.16,5.85,15.22,5
NDC,88888109922,probiotic 2.7 billion CFU capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,89122072420,hyaluronate 10 mg/mL syringe 2 mL Syringe,538.08,188.33,120.62,385.34,6
NDC,89130444401,hyaluronate 10 mg/mL syringe 2.5 mL Syringe,671.77,235.12,120.62,385.34,6
NDC,98888888888,sucrose 24 % 2 mL Vial,6.0,2.1,1.72,4.47,5
NDC,99207024005,edetate calcium disodium per 1000 mg,15251.64,5338.08,5231.31,34200.97,10
NDC,99207030060,clindamycin-tretinoin 1.2-0.025 % gel 60 g Tube,1999.82,699.94,572.75,1489.87,5
NDC,99900010101,acetaminophen 325 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,99900010201,acetaminophen 500 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,99900035301,aluminum hydroxide 320 mg/5 mL suspension 30 mL Cup,6.0,2.1,1.72,4.47,5
NDC,99900036502,amantadine 50 mg/5 mL solution 10 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99900109001,bismuth subsalicylate 262 mg/15 mL suspension 30 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99900125901,caffeine 200 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,99900165701,chlorpromazine per 25 mg,16.19,5.67,4.64,12.06,5
NDC,99900175801,clorazepate 15 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
NDC,99900236701,dextrose 70% (D70W) parenteral solution 20 mL Syringe,141.6,49.56,40.55,105.49,5
NDC,99900240201,diazePAM 5 mg/5 mL (1 mg/mL) solution 1 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,99900240202,diazePAM 5 mg/5 mL (1 mg/mL) solution 1 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,99900240203,diazePAM 5 mg/5 mL (1 mg/mL) solution 5 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,9990024022,diazePAM 5 mg/5 mL (1 mg/mL) solution 1 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,99900285002,epinephrine per 0.1 mg,44.46,15.57,12.73,33.12,5
NDC,99900303701,fentanyl per 0.1 mg,30.0,10.5,1.6,10.29,6
NDC,99900306901,ferrous sulfate 220 mg (44 mg iron)/5 mL elixir 6.8 mL Cup,6.0,2.1,1.72,4.47,5
NDC,99900375801,hydromorphone per 4 mg,30.0,10.5,0.17,22.35,6
NDC,99900375802,hydromorphone per 4 mg,30.0,10.5,0.17,22.35,6
NDC,99900375901,hydromorphone per 4 mg,30.0,10.5,0.17,22.35,6
NDC,99900377101,hydrOXYzine 10 mg/5 mL solution 5 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99900423601,ketamine 10 mg/mL solution 3 mL Syringe,30.0,10.5,8.59,22.35,5
NDC,99900423801,ketamine 50 mg/mL solution 1 mL Syringe,30.0,10.5,8.59,22.35,5
NDC,99900457101,LORazepam 2 mg/mL concentrate 1 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,99900457102,LORazepam 2 mg/mL concentrate 1 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,9990045712,LORazepam 2 mg/mL concentrate 1 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,99900474902,mannitol 20 % parenteral solution 60 mL Syringe,33.76,11.82,9.67,25.15,5
NDC,99900495201,methadone 1 mg/1 mL solution 1 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,99900495202,methadone 1 mg/1 mL solution 1 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,9990049522,methadone 1 mg/1 mL solution 1 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,99900508601,mineral oil oil 30 mL Cup,7.42,2.6,2.13,5.53,5
NDC,99900517601,morphine 2 mg/mL solution 1 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,99900517602,morphine 2 mg/mL solution 5 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,99900547301,neomycin sulfate (bulk) powder 25 g Jar,225.03,78.77,64.45,167.65,5
NDC,99900575101,"nystatin 100,000 unit/mL suspension 5 mL Syringe",6.0,2.1,1.72,4.47,5
NDC,99900575102,"nystatin 100,000 unit/mL suspension 1 mL Syringe",6.0,2.1,1.72,4.47,5
NDC,99900575104,"nystatin 100,000 unit/mL suspension 1 mL Syringe",6.0,2.1,1.72,4.47,5
NDC,99900575105,"nystatin 100,000 unit/mL suspension 1 mL Syringe",6.0,2.1,1.72,4.47,5
NDC,99900621201,PHENobarbitaL 20 mg/5 mL (4 mg/mL) elixir 5 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,99900621202,PHENobarbitaL 20 mg/5 mL (4 mg/mL) elixir 5 mL Cup,9.0,3.15,2.58,6.71,5
NDC,99900643201,potassium chloride 20 mEq/15 mL liquid 0 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99900665402,propranoloL 20 mg/5 mL (4 mg/mL) solution 0 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99900665403,propranoloL 20 mg/5 mL (4 mg/mL) solution 5 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99900680202,ranitidine 15 mg/mL syrup 10 mL Syringe,17.23,6.04,4.93,12.84,5
NDC,99900732201,sodium chloride 4 mEq/mL solution 30 mL KIT,24.0,8.4,6.87,17.88,5
NDC,99900748501,water for irrigation (sterile) solution 500 mL Flex Cont,11.8,4.13,3.38,8.79,5
NDC,99900894302,acetaminophen 325 mg/10.15 mL suspension 10.15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,99900926001,benzylpenicilloyl polylysine 0.25 mL solution 0.25 mL Syringe,283.2,99.12,81.11,210.98,5
NDC,99900938501,"calcium carbonate 200 mg calcium (500 mg) tablet,chewable 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
NDC,99900992101,mineral oil oil 414 mL Bottle,9.77,3.42,2.8,7.28,5
NDC,99901001001,famotidine 40 mg/5 mL (8 mg/mL) suspension 2.5 mL Cup,30.57,10.7,8.76,22.77,5
NDC,99901001002,famotidine 40 mg/5 mL (8 mg/mL) suspension 0 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99901001003,famotidine 40 mg/5 mL (8 mg/mL) suspension 100 mL Bottle,231.75,81.12,66.37,172.65,5
NDC,99901037201,labetaloL 5 mg/mL solution 4 mL Syringe,24.0,8.4,0.31,17.88,11
NDC,99901058801,metOLazone 5 MG tablet 1 each BLIST PACK,6.65,2.33,1.9,4.95,5
NDC,99901065501,morphine 20 mg/mL solution 1 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,99901090001,penicillin g potassium per 600000 Units,52.48,18.37,1.27,18.0,6
NDC,99901111701,prednisolone per 5 mg,6.0,2.1,0.69,2.06,6
NDC,99901135901,silver nitrate stick 75-25 % stick 1 each Packet,6.0,2.1,1.72,4.47,5
NDC,99901150701,terbutaline per 1 mg,1273.81,445.84,4.08,436.92,6
NDC,99901482501,fosfomycin 3 gram packet 3 each Packet,129.93,45.48,37.21,96.8,5
NDC,99901570601,sodium citrate-citric acid 500-334 mg/5 mL solution 30 mL BLIST PACK,6.37,2.23,1.82,4.75,5
NDC,99901585201,morphine per 10 mg,30.0,10.5,10.29,82.33,6
NDC,99901599204,methadone 10 mg/mL concentrate 0 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,99901599601,methadone 10 mg/mL concentrate 5 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,99901599602,methadone 10 mg/mL concentrate 5 mL Cup,9.0,3.15,2.58,6.71,5
NDC,99901599603,methadone 10 mg/mL concentrate 5 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,9990159963,methadone 10 mg/mL concentrate 5 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,99901737701,risperiDONE 1 mg/mL solution 1 mL Syringe,11.5,4.03,3.29,8.57,5
NDC,99901737702,risperiDONE 1 mg/mL solution 0 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99901783701,albuterol 90 mcg/actuation HFA aerosol inhaler 8 g CANISTER,6.0,2.1,1.72,4.47,5
NDC,99901969001,benzocaine 10 % gel 7 g Tube,11.75,4.12,3.37,8.75,5
NDC,99901979101,povidone-iodine 5 % solution 0.4 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99901979102,povidone-iodine 5 % solution 1.5 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99901979103,povidone-iodine 5 % solution 3 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99902417601,midazolam 2 mg/mL syrup 1 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,99902746601,dextrose 40 % gel 1 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99902799101,carboxymethylcellulose 0.5 % dropperette 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,99902799901,sodium polystyrene 15 g/60 mL suspension 60 mL Bottle,6.09,2.14,1.74,4.54,5
NDC,99902804801,benzocaine-menthoL 20-0.5 % aerosol 56 g CANISTER,19.98,7.0,5.72,14.89,5
NDC,99902882401,hydrocortisone 2.5 % cream with perineal applicator 30 g Tube,9.35,3.28,2.68,6.97,5
NDC,99902897101,beclomethasone 80 mcg/actuation aerosol 8.7 g AER W/ADAP,9.41,3.3,2.7,7.01,5
NDC,99903086201,fentaNYL-bupivacaine 2 mcg/mL- 0.125 % solution 250 mL Cartridge,30.13,10.55,8.63,22.45,5
NDC,99903086301,fentaNYL-bupivacaine 2 mcg/mL- 0.1 % solution 250 mL Bag,30.13,10.55,8.63,22.45,5
NDC,99903086303,fentaNYL-bupivacaine 2 mcg/mL- 0.1 % solution 250 mL Cartridge,30.13,10.55,8.63,22.45,5
NDC,99903086701,fentaNYL-bupivacaine 5-0.1 mcg/mL-% solution 250 mL Cartridge,42.94,15.03,12.3,31.99,5
NDC,99903131001,alteplase 2 mg/2 mL recon soln 2 mL Syringe,498.46,174.47,95.09,467.5,10
NDC,99903427001,midazolam in sodium chloride 0.9% 1 mg/mL solution 100 mL Bag,35.5,12.43,10.17,26.45,5
NDC,99903427002,midazolam in sodium chloride 0.9% 1 mg/mL solution 250 mL Bag,84.96,29.74,24.33,63.3,5
NDC,99903437101,ARIPiprazole 20 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,99903437201,ARIPiprazole 30 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,99903471101,"buprenorphine 2 mg tablet, sublingual 1 each BLIST PACK",9.0,3.15,2.58,6.71,5
NDC,99903828501,aluminum-magnesium hydroxide-simethicone 200-200-20 mg/5 mL suspension 30 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99903848801,FLUoxetine 20 mg/5 mL (4 mg/mL) solution 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,99903848802,FLUoxetine 20 mg/5 mL (4 mg/mL) solution 0 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99903998401,magic mouthwash 200-25-400-40 mg/30 mL mouthwash 237 mL Bottle,83.34,29.17,23.87,62.09,5
NDC,99903998402,magic mouthwash 200-25-400-40 mg/30 mL mouthwash 118 mL Bottle,69.06,24.18,19.78,51.45,5
NDC,99903998403,magic mouthwash 200-25-400-40 mg/30 mL mouthwash 15 mL Syringe,8.78,3.08,2.51,6.54,5
NDC,99904003501,sucrose 24 % 2 mL Vial,6.0,2.1,1.72,4.47,5
NDC,99904003502,sucrose 24 % 15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,99904005001,tacrolimus per 1 mg,412.06,144.23,118.01,306.98,5
NDC,9990400501,tacrolimus per 1 mg,412.06,144.23,118.01,306.98,5
NDC,99904069701,fluticasone 44 mcg/actuation HFA aerosol inhaler 10.6 g AER W/ADAP,6.0,2.1,1.72,4.47,5
NDC,99904069801,fluticasone 110 mcg/actuation HFA aerosol inhaler 12 g AER W/ADAP,6.0,2.1,1.72,4.47,5
NDC,99904069901,fluticasone 220 mcg/actuation HFA aerosol inhaler 12 g AER W/ADAP,7.79,2.73,2.23,5.8,5
NDC,99904114201,ipratropium 17 mcg/actuation HFA aerosol inhaler 12.9 g AER W/ADAP,6.0,2.1,1.72,4.47,5
NDC,99904146301,sodium chloride syringe 0.2 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,99904216201,pregabalin 25 MG capsule 1 each BLIST PACK,24.56,8.6,7.03,18.3,5
NDC,99904355801,meperidine 20 mg/2 mL solution 2 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,99907030601,ARIPiprazole 2 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
NDC,99907717301,fluticasone-salmeterol 45-21 mcg/actuation HFA aerosol inhaler 12 g CANISTER,6.36,2.23,1.82,4.74,5
NDC,99907717302,fluticasone-salmeterol 45-21 mcg/actuation HFA aerosol inhaler 8 g CANISTER,7.52,2.64,2.15,5.6,5
NDC,99907717401,fluticasone-salmeterol 115-21 mcg/actuation HFA aerosol inhaler 12 g CANISTER,7.9,2.77,2.26,5.89,5
NDC,99907717402,fluticasone-salmeterol 115-21 mcg/actuation HFA aerosol inhaler 8 g CANISTER,7.52,2.64,2.15,5.6,5
NDC,99907717501,fluticasone-salmeterol 230-21 mcg/actuation HFA aerosol inhaler 12 g CANISTER,10.39,3.64,2.98,7.74,5
NDC,99907717502,fluticasone-salmeterol 230-21 mcg/actuation HFA aerosol inhaler 8 g CANISTER,11.15,3.91,3.19,8.31,5
NDC,99907800301,codeine-guaifenesin 10-100 mg/5 mL liquid 10 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,99908145301,budesonide-formoteroL 80-4.5 mcg/actuation HFA aerosol inhaler 6.9 g AER W/ADAP,9.12,3.2,2.61,6.79,5
NDC,99908145401,budesonide-formoteroL 160-4.5 mcg/actuation HFA aerosol inhaler 6 g AER W/ADAP,10.49,3.68,3.0,7.82,5
NDC,99909693001,cholecalciferol 10 mcg/mL (400 unit/mL) drops 1 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99909693002,cholecalciferol 10 mcg/mL (400 unit/mL) drops 1 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,9990969301,cholecalciferol 10 mcg/mL (400 unit/mL) drops 1 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99909940501,opium 10 mg/mL (morphine) tincture 1 mL Syringe,14.55,5.1,4.17,10.84,5
NDC,99910548201,lacosamide 10 mg/mL solution 5 mL Syringe,26.08,9.13,7.47,19.43,5
NDC,99910806501,bevacizumab 25 mg/mL solution 0.12 mL Syringe,64.3,22.51,22.05,385.87,10
NDC,99910806502,bevacizumab 25 mg/mL solution 0.15 mL Syringe,56.27,19.7,19.3,385.87,10
NDC,99910806503,bevacizumab 25 mg/mL solution 0.175 mL Syringe,98.74,34.56,33.87,385.87,10
NDC,99911285001,epinephrine per 0.1 mg,24.0,8.4,6.87,17.88,5
NDC,99911335501,lansoprazole 3 mg/mL suspension for reconstitution 300 mL KIT,10.02,3.51,2.87,7.46,5
NDC,99911335502,lansoprazole 3 mg/mL suspension for reconstitution 5 mL Syringe,10.02,3.51,2.87,7.46,5
NDC,99911335503,lansoprazole 3 mg/mL suspension for reconstitution 0 mL Syringe,10.02,3.51,2.87,7.46,5
NDC,99911775001,melatonin 1 mg/mL liquid 3 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99911775002,melatonin 1 mg/mL liquid 0 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99911775003,melatonin 1 mg/mL liquid 3 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99911775004,melatonin 1 mg/mL liquid 3 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99911775005,melatonin 1 mg/mL liquid 1 mL Syringe,10.48,3.67,3.0,7.81,5
NDC,99911925501,ferric subsulfate 20 % solution with applicator 4 mL Syringe,17.75,6.22,5.08,13.22,5
NDC,99912173201,dexMEDEtomidine 400 mcg/100 mL (4 mcg/mL) solution 100 mL Bag,59.1,20.69,16.93,44.03,5
NDC,99912269001,cloBAZam 2.5 mg/mL suspension 2 mL Syringe,73.94,25.88,21.18,55.09,5
NDC,99912269002,cloBAZam 2.5 mg/mL suspension 2 mL Syringe,45.4,15.89,13.0,33.82,5
NDC,99912722801,senna 8.8 mg/5 mL syrup 5 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99912722802,senna 8.8 mg/5 mL syrup 0 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99912722803,senna 8.8 mg/5 mL syrup 5 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99912727401,sodium bicarbonate 1 mEq/mL (8.4 %) solution 10 mL Vial,30.77,10.77,8.81,22.92,5
NDC,9991272741,sodium bicarbonate 1 mEq/mL (8.4 %) solution 10 mL Vial,30.77,10.77,8.81,22.92,5
NDC,99912748801,lidocaine 2 % solution 30 mL Cup,9.35,3.28,2.68,6.97,5
NDC,99912748802,lidocaine 2 % solution 15 mL Cup,7.08,2.48,2.03,5.27,5
NDC,99912748803,lidocaine 2 % solution 15 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99912770201,"fentaNYL 2,000 mcg in sodium chloride 0.9% 100 mL 20 mcg/mL solution 100 mL Bag",30.0,10.5,8.59,22.35,5
NDC,99912831501,dextrose 50% syringe 50 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,99912867301,evacuated glass container bottle 500 mL Bottle,64.62,22.62,18.51,48.14,5
NDC,99912956501,fentaNYL-bupivacaine 2 mcg/mL- 0.125 % prefilled pump reservoir 100 mL Box,30.0,10.5,8.59,22.35,5
NDC,99912964501,oxytocin in 0.9% NaCl 30 unit/500 mL solution 500 mL Bag,24.0,8.4,6.87,17.88,5
NDC,99912965001,"oxytocin in 0.9% NaCl 40 unit/1000 mL solution 1,000 mL Bag",24.0,8.4,6.87,17.88,5
NDC,9991296501,"oxytocin in 0.9% NaCl 40 unit/1000 mL solution 1,000 mL Bag",24.0,8.4,6.87,17.88,5
NDC,99912965302,vancomycin 1 gram/250 mL solution 250 mL Bag,56.47,19.77,16.17,42.07,5
NDC,99912984401,contact lens multipurpose solution 296 mL Bottle,23.75,8.32,6.8,17.69,5
NDC,99912986501,"fentaNYL 2,500 mcg in sodium chloride 0.9% 100 mL 25 mcg/mL solution 100 mL Bag",53.57,18.75,15.34,39.91,5
NDC,99913002901,heparin 100 unit/mL syringe 2.5 mL Syringe,73.16,25.61,0.03,25.09,6
NDC,99913037201,HYDROmorphone (PF) 30 mg/30 mL (1 mg/mL) patient control.analgesia soln 30 mL Vial,33.44,11.71,9.58,24.91,5
NDC,99913037201,HYDROmorphone 1 mg/mL patient control.analgesia soln 30 mL Vial,33.44,11.71,7.57,22.81,5
NDC,99913037501,fentaNYL (PF) 10 mcg/mL patient control.analgesia soln 30 mL Vial,30.0,10.5,1.6,10.29,6
NDC,99913037501,fentaNYL (PF) 300 mcg/30 mL (10 mcg/mL) patient control.analgesia soln 30 mL Vial,30.0,10.5,1.6,10.29,6
NDC,99913037501,fentaNYL (PF) in sodium chloride 0.9% 10 mcg/mL patient control.analgesia soln 30 mL Vial,30.0,10.5,1.6,10.29,6
NDC,9991303751,fentaNYL (PF) 10 mcg/mL patient control.analgesia soln 30 mL Vial,30.0,10.5,1.6,10.29,6
NDC,9991303751,fentaNYL (PF) in sodium chloride 0.9% 10 mcg/mL patient control.analgesia soln 30 mL Vial,30.0,10.5,1.6,10.29,6
NDC,99913139201,morphine (PF) 30 mg/30 mL (1 mg/mL) patient control.analgesia soln 30 mL Vial,76.84,26.9,7.71,82.33,12
NDC,9991313921,morphine (PF) 1 mg/mL patient control.analgesia soln 30 mL Vial,76.84,26.9,7.71,82.33,12
NDC,99913168901,ketamine in 0.9 % sodium chloride 50 mg/5 mL (10 mg/mL) syringe 5 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,99913171301,levETIRAcetam 100 mg/mL solution 0 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99913178101,"fentaNYL (PF) 1,500 mcg/30 mL (50 mcg/mL) pt controlled analgesia syring 30 mL Syringe",30.0,10.5,8.59,22.35,5
NDC,9991317811,fentaNYL (PF) 50 mcg/mL pt controlled analgesia syring 30 mL Syringe,30.0,10.5,8.59,22.35,5
NDC,99913203101,bupivacaine (PF) in 0.9% NaCl 0.125 % solution 250 mL Cartridge,34.33,12.02,9.83,25.58,5
NDC,99913203101,bupivacaine (PF) in 0.9% NaCl 0.125% solution 250 mL Cartridge,34.33,12.02,9.83,25.58,5
NDC,99913210602,acetaminophen 325 mg/10.15 mL solution 10.15 mL Cup,6.0,2.1,1.72,4.47,5
NDC,99913245001,norepinephrine in 0.9% NaCl 8 mg/250 mL solution 250 mL Bag,104.82,36.69,30.02,78.09,5
NDC,99913245701,phenylephrine 40 mg/250 mL (160 mcg/mL) solution 250 mL Bag,140.08,49.03,40.12,104.36,5
NDC,99913247101,norepinephrine in 5% dextrose 8 mg/250 mL solution 250 mL Bag,111.54,39.04,31.95,83.1,5
NDC,99913247701,phenylephrine 100 mcg/mL syringe 10 mL Syringe,34.74,12.16,0.02,25.88,11
NDC,99913265401,fentaNYL 50 mcg/mL solution 100 mL Bag,141.6,49.56,40.55,105.49,5
NDC,99913345301,omeprazole 2 mg/mL suspension for reconstitution 300 mL KIT,324.26,113.5,92.87,241.57,5
NDC,99913345304,omeprazole 2 mg/mL suspension for reconstitution 10 mL Syringe,10.81,3.79,3.1,8.05,5
NDC,99913345305,omeprazole 2 mg/mL suspension for reconstitution 0 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99913399701,EPINEPHrine in 5% dextrose 8 mg/250 mL (32 mcg/mL) solution 250 mL Bag,27.61,9.67,7.91,20.57,5
NDC,99913399702,EPINEPHrine in 0.9% NaCl 8 mg/250 mL (32 mcg/mL) solution 250 mL Bag,27.61,9.67,7.91,20.57,5
NDC,99913405602,gabapentin 300 mg/6 mL (6 mL) solution 6 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99913418801,midazolam per 1 mg,30.0,10.5,0.23,10.29,6
NDC,99913436001,"LET 4 %-1:1,000 -0.5 % 5 mL KIT",8.55,3.0,2.45,6.37,5
NDC,9991343601,"LET 4 %-1:1,000 -0.5 % 5 mL KIT",8.55,3.0,2.45,6.37,5
NDC,99915859001,nitroglycerin in dextrose 5% 50 mg/250 mL (200 mcg/mL) solution 10 mL Syringe,24.0,8.4,2.13,8.23,6
NDC,99916620801,tiotropium 2.5 mcg/actuation mist 4 g AER W/ADAP,21.24,7.44,6.08,15.82,5
NDC,99917066601,vancomycin 750 mg/250 mL solution 250 mL Bag,56.07,19.63,16.06,41.77,5
NDC,99917081901,"naloxone 4 mg/actuation spray,non-aerosol 1 each KIT",354.0,123.9,101.39,263.73,5
NDC,99917271701,HYDROmorphone 25 mg in sodium chloride 0.9% 50 mL 0.5 mg/mL solution 50 mL Bag,30.0,10.5,8.59,22.35,5
NDC,99917283301,HYDROmorphone-bupivacaine 5-0.1 mcg/mL-% solution 250 mL Cartridge,30.91,10.82,8.85,23.03,5
NDC,99917283301,hydromorphone-bupivacaine 5-0.1 mcg/mL-% solution 250 mL Cartridge,30.91,10.82,8.85,23.03,5
NDC,99917283302,HYDROmorphone-bupivacaine 5-0.1 mcg/mL-% solution 250 mL Cartridge,30.91,10.82,8.85,23.03,5
NDC,99918103501,dextrose 10%-amino acid 3% 3-10 % parenteral solution 250 mL Bag,83.54,29.24,23.93,62.24,5
NDC,99918134301,dextrose 15 gram/32 mL gel in packet 1 mL Syringe,7.17,2.51,2.05,5.34,5
NDC,99918158301,HYDROmorphone 50 mg in sodium chloride 0.9% 50 mL 1 mg/mL solution 50 mL Bag,30.0,10.5,8.59,22.35,5
NDC,99918158302,HYDROmorphone 50 mg in sodium chloride 0.9% 50 mL 1 mg/mL solution 50 mL Bag,30.0,10.5,8.59,22.35,5
NDC,99930028991,erythromycin ethylsuccinate 200 mg/5 mL suspension for reconstitution 5 mL Syringe,43.81,15.34,12.55,32.64,5
NDC,99930100101,ethanol 40 % solution 30 mL Cup,6.0,2.1,1.72,4.47,5
NDC,99930100201,ethanol 40 % solution 30 mL Cup,6.0,2.1,1.72,4.47,5
NDC,99930100401,"prismaSATE BGK 4/0/1.2 5,000 mL",94.01,32.91,26.92,70.04,5
NDC,99930100501,"prismaSATE BK 0/3.5 5,000 mL",94.01,32.91,26.92,70.04,5
NDC,99930101101,glycopyrrolate 500 mcg/mL suspension 60 mL Bottle,77.88,27.26,22.3,58.02,5
NDC,99930101201,bupivacaine 0.1% solution 250 mL Cartridge,24.0,8.4,6.87,17.88,5
NDC,99930101301,bupivacaine 0.125% solution 250 mL Cartridge,483.8,169.33,138.56,360.43,5
NDC,99930101401,bupivacaine 0.2% solution 250 mL Cartridge,48.38,16.94,13.86,36.04,5
NDC,99930106101,methohexital 100 mg/10 mL syringe 10 mL Syringe,37.53,13.14,10.75,27.96,5
NDC,9993010611,methohexital 100 mg/10 mL syringe 10 mL Syringe,37.53,13.14,10.75,27.96,5
NDC,99930106201,NIFEdipine 4 mg/mL 30 mL Bottle,32.78,11.48,9.39,24.42,5
NDC,9993010621,NIFEdipine 4 mg/mL 30 mL Bottle,32.78,11.48,9.39,24.42,5
NDC,99930106301,phenol 5 % injectable 10 mL Vial,209.99,73.5,60.14,156.44,5
NDC,99930106401,dextrose 10%-amino acid 4% 250 mL Bag,143.22,50.13,41.02,106.7,5
NDC,99930106501,cloNIDine 10 mcg/mL suspension 20 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,9993010651,cloNIDine 10 mcg/mL suspension 20 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,99930106601,cloNIDine 100 mcg/mL suspension 60 mL Bottle,27.19,9.52,7.79,20.26,5
NDC,9993010661,cloNIDine 100 mcg/mL suspension 60 mL Bottle,27.19,9.52,7.79,20.26,5
NDC,99930106701,zonisamide 10 mg/mL suspension 50 mL Bottle,26.55,9.3,7.6,19.78,5
NDC,9993010671,zonisamide 10 mg/mL suspension 50 mL Bottle,26.55,9.3,7.6,19.78,5
NDC,99930107001,progesterone 100 mg suppository 30 each KIT,216.13,75.65,61.9,161.02,5
NDC,99930107301,alkaline saline 2% mouth rinse 2% solution 210 mL Bottle,121.92,42.68,34.92,90.83,5
NDC,9993010731,alkaline saline 2% mouth rinse 2% solution 210 mL Bottle,121.92,42.68,34.92,90.83,5
NDC,99930107601,methacholine 4 mg/mL solution 3 mL Syringe,114.0,39.9,32.65,84.93,5
NDC,99930107602,methacholine 4 mg/mL solution 12 mL Vial,76.46,26.77,21.9,56.96,5
NDC,9993010761,methacholine 4 mg/mL solution 3 mL Syringe,114.0,39.9,32.65,84.93,5
NDC,99930107701,methacholine 16 mg/mL 3 mL Syringe,114.0,39.9,32.65,84.93,5
NDC,99930107702,methacholine 16 mg/mL 6.25 mL Vial,89.21,31.23,25.55,66.46,5
NDC,9993010771,methacholine 16 mg/mL 3 mL Syringe,114.0,39.9,32.65,84.93,5
NDC,99930107802,methacholine 1 mg/mL solution 12 mL Vial,24.0,8.4,6.87,17.88,5
NDC,99930108901,albuterol 90 mcg/actuation HFA aerosol inhaler 8.5 g CANISTER,168.68,59.04,48.31,125.67,5
NDC,99930109002,morphine in sodium chloride 0.9% 1 mg/mL 100 mL Bag,30.0,10.5,7.71,24.11,6
NDC,99930109003,morphine in sodium chloride 0.9% 1 mg/mL 100 mL Bag,30.0,10.5,7.71,24.11,6
NDC,9993010902,morphine in sodium chloride 0.9% 1 mg/mL 100 mL Bag,30.0,10.5,7.71,24.11,6
NDC,99930109801,"penicllin G potassium 10,000 units/mL syringe 0.4 mL Syringe",24.0,8.4,6.87,17.88,5
NDC,99930110001,verapamil 100 mcg/mL solution 50 mL Syringe,112.5,39.38,32.22,83.81,5
NDC,99930110101,nitroprusside 200 mcg/mL solution 250 mL,849.6,297.36,243.33,632.95,5
NDC,99930110601,albuterol per 1 mg,11.8,4.13,3.38,8.79,5
NDC,99930110701,albuterol per 1 mg,14.16,4.96,4.06,10.55,5
NDC,99930110901,piperacillin-tazobactam 3.375 gram piggyback 100 mL Bag,56.07,19.63,16.06,41.77,5
NDC,99930111001,hydroxychloroquine 25 mg/mL suspension 8 mL,10.12,3.55,2.9,7.54,5
NDC,99930111002,hydroxychloroquine 25 mg/mL suspension 120 mL Bottle,151.8,53.13,43.48,113.09,5
NDC,99930111101,remdesivir 5 mg/ml solution 1 each Vial,24.0,8.4,6.87,31.79,15
NDC,99930111201,SUfentanil 5 mcg/mL solution 5 mL Syringe,53.81,18.84,15.41,40.09,5
NDC,99930111301,bupivacaine-sodium bicarb-heparin 50 50 mL Syringe,84.49,29.58,24.2,62.95,5
NDC,99930111801,gentamicin per 80 mg,24.0,8.4,4.44,15.69,6
NDC,99930112001,esmolol 10 mg/mL parenteral solution 50 mL Syringe,275.88,96.56,79.01,205.53,5
NDC,99930112301,chromium 0.4 mcg/mL solution 1 mL Vial,24.0,8.4,6.87,17.88,5
NDC,99930112401,diclofenac 100 mg suppository 1 each,8.01,2.81,2.29,5.97,5
NDC,99930113601,hydrOXYzine 50 mg/5 mL solution 5 mL Syringe,18.09,6.34,5.18,13.48,5
NDC,99930114701,vancomycin 31.5 mg/mL drops 16.2 mL DROP BTL,66.41,23.25,19.02,49.48,5
NDC,99930114801,gentamicin 13.6 mg/mL drops 7 mL DROP BTL,109.4,38.29,31.33,81.5,5
NDC,99930115001,adenosine per 6 mg,31.01,10.86,0.72,10.64,6
NDC,99930116201,midazolam 500 mg in 100 mL 100 mL Bag,167.09,58.49,47.85,124.48,5
NDC,99930145301,methadone 10 mg/mL concentrate 1 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,9993017801,methacholine 1 mg/mL solution 3 mL Syringe,114.0,39.9,32.65,84.93,5
NDC,999301781,methacholine 1 mg/mL solution 3 mL Syringe,114.0,39.9,32.65,84.93,5
NDC,99930201501,fentaNYL in dextrose 5% 5 mcg/mL 2.2 mL Vial,30.0,10.5,1.6,10.29,6
NDC,99930201601,midazolam in dextrose 5% 0.1 mg/mL 2.2 mL Vial,30.0,10.5,0.23,10.29,6
NDC,99930201701,LORazepam in dextrose 5% 0.2 mg/mL 2.2 mL Vial,30.0,10.5,1.85,10.29,6
NDC,99930201801,buffered lidocaine 0.9% 0.9 % syringe 0.2 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,99930201901,methacholine 2 mg/mL 3 mL Vial,24.0,8.4,6.87,17.88,5
NDC,99930202001,heparin 2 units/mL 3 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,99930202101,"penicillin G sodium 100,000 units/mL syringe 0.6 mL Syringe",24.0,8.4,6.87,17.88,5
NDC,99930202201,remifentanil in sodium chloride 0.9% 25 mcg/mL syringe 1 mL Syringe,30.0,10.5,8.59,22.35,5
NDC,99930203501,clindamycin 150 MG capsule 8 each Bottle,13.8,4.83,3.95,10.28,5
NDC,99930205101,ondansetron per 8 mg,6.0,2.1,0.02,2.06,6
NDC,99930205201,zolpidem 5 MG tablet 2 tablet Bottle,21.83,7.65,6.25,16.26,5
NDC,99930205601,morphine 0.4 mg/mL 1 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,99930205701,lorazepam 0.4 mg/mL 1 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,99930205801,clonazepam 0.1 mg/mL 1 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,99930205802,clonazepam 0.1 mg/mL 10 mL Syringe,9.0,3.15,2.58,6.71,5
NDC,99930206001,cefazolin per 500 mg,24.0,8.4,1.25,8.23,6
NDC,99930206101,LORazepam in sodium chloride 0.9% 1 mg/mL 50 mL Bag,74.86,26.21,1.85,25.68,6
NDC,99930206201,morphine in dextrose 5% 1 mg/mL 100 mL Bag,30.0,10.5,7.71,24.11,6
NDC,99930206202,morphine in dextrose 5% 1 mg/mL 100 mL Bag,30.0,10.5,7.71,24.11,6
NDC,99930206301,vancomycin 1250 mg/250 mL solution 250 mL Bag,28.25,9.89,8.09,21.05,5
NDC,99930206401,vancomycin 1500 mg/250 mL solution 250 mL Bag,34.09,11.94,9.76,25.4,5
NDC,99930206501,midazolam in dextrose 5% 0.5 mg/mL 20 mL Syringe,30.0,10.5,0.23,10.29,6
NDC,99930206601,midazolam 100 mg in 20 mL (5 mg/mL) 20 mL Syringe,30.0,10.5,0.23,10.29,6
NDC,99930206602,midazolam 250 mg in 50 mL (5 mg/mL) 50 mL Syringe,68.44,23.96,0.23,23.47,6
NDC,99930206602,midazolam 5 mg/mL 50 mL Syringe,68.44,23.96,0.23,23.47,6
NDC,99930206701,morphine in sodium chloride 0.9% 0.2 mg/mL 1.2 mL Vial,30.0,10.5,7.71,24.11,6
NDC,99930206702,morphine in sodium chloride 0.9% 0.2 mg/mL 2.2 mL Vial,30.0,10.5,7.71,24.11,6
NDC,99930206801,midazolam in sodium chloride 0.9% 1 mg/mL 50 mL Bag,30.0,10.5,0.23,10.29,6
NDC,99930206801,midazolam in sodium chloride 0.9% 1 mg/mL solution 50 mL Bag,30.0,10.5,8.59,22.35,5
NDC,99930206901,fentaNYL 100 mcg in 20 mL (5 mcg/mL) 20 mL Syringe,30.0,10.5,1.6,10.29,6
NDC,99930207001,fentanyl 50 mcg/mL 40 mL Syringe,54.37,19.03,1.6,18.65,6
NDC,99930207003,"fentanyl 1,000 mcg in 20 mL (50 mcg/mL) 20 mL Syringe",30.0,10.5,1.6,10.29,6
NDC,99930207101,fentaNYL in sodium chloride 0.9% 0.5 mcg/mL 2 mL Syringe,30.0,10.5,1.6,10.29,6
NDC,9993020711,fentaNYL in sodium chloride 0.9% 0.5 mcg/mL 2 mL Vial,30.0,10.5,1.6,10.29,6
NDC,99930207201,fentaNYL in dextrose 5% 10 mcg/mL 50 mL Syringe,30.0,10.5,1.6,10.29,6
NDC,9993020721,fentaNYL in dextrose 5% 10 mcg/mL 50 mL Syringe,30.0,10.5,1.6,10.29,6
NDC,99930207301,fentaNYL in dextrose 5% 25 mcg/mL 50 mL Syringe,30.0,10.5,1.6,10.29,6
NDC,9993020731,fentaNYL in dextrose 5% 25 mcg/mL 50 mL Syringe,30.0,10.5,1.6,10.29,6
NDC,99930207401,midazolam 50 mg in 50 mL (1 mg/mL) 50 mL Syringe,30.0,10.5,0.23,10.29,6
NDC,9993020741,midazolam in dextrose 5% 1 mg/mL 50 mL Syringe,30.0,10.5,0.23,10.29,6
NDC,99930207501,morphine 50 mg in 50 mL (1 mg/mL) 50 mL Syringe,30.0,10.5,7.71,24.11,6
NDC,9993020751,morphine 1 mg/mL 50 mL Syringe,30.0,10.5,7.71,24.11,6
NDC,99930207601,morphine 5 mg/mL 50 mL Syringe,133.43,46.71,7.71,45.77,6
NDC,99930207602,morphine 5 mg/mL 20 mL Syringe,32.19,11.27,7.71,24.11,6
NDC,9993020761,morphine 5 mg/mL 50 mL Syringe,133.43,46.71,7.71,45.77,6
NDC,99930207701,HYDROmorphone 4 mg in 20 mL (0.2 mg/mL) 20 mL Syringe,30.0,10.5,0.17,22.35,6
NDC,9993020771,hydromorphone in sodium chloride 0.9% 0.2 mg/mL 20 mL Syringe,30.0,10.5,7.57,22.81,5
NDC,99930207801,HYDROmorphone in dextrose 5% 0.5 mg/mL 20 mL Syringe,30.0,10.5,7.57,22.81,5
NDC,9993020781,HYDROmorphone in dextrose 5% 0.5 mg/mL 20 mL Syringe,30.0,10.5,7.57,22.81,5
NDC,99930207901,ketamine in dextrose 5% 2 mg/mL 50 mL Syringe,30.0,10.5,8.59,22.35,5
NDC,9993020791,ketamine in dextrose 5% 2 mg/mL 50 mL Syringe,30.0,10.5,8.59,22.35,5
NDC,99930208001,phenylephrine 10 mcg/mL injectable 10 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,9993020801,phenylephrine 10 mcg/mL injectable 10 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,99930208201,"Bio-K Plus 50 billion cell capsule,delayed release(DR/EC) 15 each Bottle",6.0,2.1,1.72,4.47,5
NDC,99930208301,phytonadione 1 mg/mL 5 mL Syringe,53.48,18.72,15.32,39.84,5
NDC,9993020831,phytonadione 1 mg/mL 5 mL Syringe,53.48,18.72,15.32,39.84,5
NDC,99930208501,naloxone 1 mg/mL syringe 2 mL KIT,93.46,32.72,26.77,69.63,5
NDC,9993020851,naloxone 1 mg/mL syringe 2 mL KIT,93.46,32.72,26.77,69.63,5
NDC,99930209102,vancomycin 50 mg/mL 2.5 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99930209102,vancomycin 50 mg/mL solution 2.5 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99930209103,vancomycin 50 mg/mL 300 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,99930209103,vancomycin 50 mg/mL solution 300 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,99930209301,tobramycin 15 mg/mL drops 15 mL DROP BTL,41.95,14.69,12.01,31.25,5
NDC,9993020931,tobramycin 15 mg/mL drops 15 mL DROP BTL,41.95,14.69,12.01,31.25,5
NDC,99930209401,vancomycin 25 mg/mL drops 15 mL DROP BTL,32.85,11.5,9.41,24.47,5
NDC,9993020941,vancomycin 25 mg/mL drops 15 mL DROP BTL,32.85,11.5,9.41,24.47,5
NDC,99930209501,vancomycin 50 mg/mL drops 15 mL DROP BTL,32.85,11.5,9.41,24.47,5
NDC,9993020951,vancomycin 50 mg/mL drops 15 mL DROP BTL,32.85,11.5,9.41,24.47,5
NDC,99930209601,cefazolin 50 mg/mL drops 15 mL DROP BTL,21.38,7.49,6.12,15.93,5
NDC,9993020961,cefazolin 50 mg/mL drops 15 mL DROP BTL,21.38,7.49,6.12,15.93,5
NDC,99930209701,ceftazidine 50 mg/mL drops 15 mL DROP BTL,29.95,10.49,8.58,22.31,5
NDC,9993020971,ceftazidine 50 mg/mL drops 15 mL DROP BTL,29.95,10.49,8.58,22.31,5
NDC,9993021005,methacholine 32 mg/mL 3 mL Vial,150.1,52.54,42.99,111.82,5
NDC,999302105,methacholine 32 mg/mL 3 mL Vial,150.1,52.54,42.99,111.82,5
NDC,99930210801,isoproterenol in NS 250 mcg/100 mL 100 mL Bag,1271.66,445.09,364.2,947.39,5
NDC,99930210901,dexmedetomidine 4 mcg/mL 50 mL Syringe,135.94,47.58,38.93,101.28,10
NDC,99930211001,dexmedetomidine in 0.9% sodium chloride 4 mcg/mL 50 mL Syringe,24.0,8.4,6.87,17.88,10
NDC,99930211002,dexmedetomidine in 0.9% sodium chloride 4 mcg/mL 12.5 mL Syringe,33.98,11.9,9.73,25.32,5
NDC,99930211101,ketamine 100 mg/100 mL solution 100 mL Bag,29.76,10.42,8.52,22.17,5
NDC,99930211102,ketamine 100 mg/100 mL solution 100 mL Bag,29.76,10.42,8.52,22.17,5
NDC,99930211301,morphine 0.2 mg/mL 5 mL Syringe,30.0,10.5,7.71,24.11,6
NDC,99930211302,morphine 0.2 mg/mL 10 mL Syringe,30.0,10.5,7.71,24.11,6
NDC,99930211401,morphine 0.2 mg/mL 5 mL Syringe,30.0,10.5,7.71,24.11,6
NDC,99930211402,morphine 0.2 mg/mL 10 mL Syringe,30.0,10.5,7.71,24.11,6
NDC,99930211501,morphine 0.5 mg/mL 20 mL Syringe,30.0,10.5,7.71,24.11,6
NDC,99930211601,morphine 0.5 mg/mL 20 mL Syringe,30.0,10.5,7.71,24.11,6
NDC,99930211701,morphine 50 mg in 50 mL (1 mg/mL) 50 mL Syringe,30.0,10.5,7.71,24.11,6
NDC,99930211801,morphine 5 mg/mL 20 mL Syringe,32.62,11.42,7.71,24.11,6
NDC,99930211802,morphine 5 mg/mL 50 mL Syringe,30.0,10.5,7.71,24.11,6
NDC,99930211901,vancomycin 1.75 gram/500 mL solution 500 mL Bag,110.21,38.58,31.56,82.11,5
NDC,99930211901,vancomycin 1750 mg/500 mL solution 517.5 mL Bag,110.21,38.58,31.56,82.11,5
NDC,99930212001,vancomycin 2 gram/500 mL solution 500 mL Bag,125.36,43.88,35.9,93.39,5
NDC,99930212001,vancomycin 2000 mg/520 mL solution 520 mL Bag,125.36,43.88,35.9,93.39,5
NDC,99930212101,ketamine 1250 mg/250 mL solution 250 mL Bag,60.79,21.28,17.41,45.29,5
NDC,99930212102,ketamine 1250 mg/250 mL solution 250 mL Bag,60.79,21.28,17.41,45.29,5
NDC,99930212201,midazolam per 1 mg,73.02,25.56,0.23,25.05,6
NDC,99930212501,"epoprostenol 15,000 ng/mL 50 mL Syringe",56.71,19.85,16.24,42.25,5
NDC,99930212601,EPINEPHrine 0.01 mg/mL 10 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,99930212601,EPINEPHrine 100 mcg/10 mL (10 mcg/mL) syringe 10 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,99930212701,neomycin 10% solution 50 mL Bottle,69.27,24.25,19.84,51.61,5
NDC,99930212801,"fentaNYL-bupivacaine-epinephrine (PF) 2-0.1-1:1,000,000 MCG/ML-% solution 100 mL Cartridge",30.0,10.5,8.59,22.35,5
NDC,99930212802,"fentaNYL-bupivacaine-epinephrine (PF) 2-0.1-1:1,000,000 MCG/ML-% solution 250 mL Cartridge",38.25,13.39,10.95,28.5,5
NDC,99930213102,fentaNYL 100 mcg in 20 mL (5 mcg/mL) 20 mL Syringe,30.0,10.5,1.6,10.29,6
NDC,99930213202,fentaNYL 200 mcg in 20 mL (10 mcg/mL) 20 mL Syringe,30.0,10.5,1.6,10.29,6
NDC,99930213501,alteplase 0.5 mg/0.5 ml recon soln 0.5 mL Syringe,124.61,43.62,42.74,467.5,10
NDC,99930213601,alteplase 1 mg/1 mL recon soln 1 mL Syringe,249.22,87.23,85.48,467.5,10
NDC,99930213701,"ceFAZolin-heparin 5 mg/mL-5,000 units/mL 5 mL Syringe",64.4,22.54,18.44,47.98,5
NDC,99930213801,"vancomycin-heparin 5 mg/mL-5,000 units/mL 5 mL Syringe",82.81,28.99,23.72,61.69,5
NDC,99930213901,"gentamicin-heparin 1 mg/mL-2,500 units/mL 5 mL Syringe",53.75,18.82,15.39,40.04,5
NDC,99930214201,pancreatic flushing solution for feeding tubes 10 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99930214301,metroNIDAZOLE 100mg/ml suspension for reconstitution 150 mL KIT,271.16,94.91,77.66,202.01,5
NDC,99930214601,isoniazid 50 MG tablet 1 each Package,6.0,2.1,1.72,4.47,5
NDC,99930214801,terbutaline per 1 mg,226.56,79.3,4.08,77.71,6
NDC,99930214802,terbutaline per 1 mg,566.4,198.24,4.08,194.28,6
NDC,99930215001,"ethanol 95 % solution 1,750 mL Bottle",94.99,33.25,27.21,70.77,5
NDC,99930215101,methacholine 0.25 mg/mL 12 mL Vial,24.0,8.4,6.87,17.88,5
NDC,99930215201,methacholine 0.0625 mg/mL 12 mL Vial,24.0,8.4,6.87,17.88,5
NDC,99930215301,tolvaptan 7.5 mg 1 each Package,607.93,212.78,174.11,452.91,5
NDC,99930215401,lurasidone 20 mg 1 each Package,57.74,20.21,16.54,43.02,5
NDC,99930215501,lurasidone 60 mg 1 each Package,86.21,30.18,24.69,64.23,5
NDC,99930216002,ketamine 5000 mg/250 mL solution 250 mL Bag,331.16,115.91,94.84,246.71,5
NDC,99930216102,ketamine 5000 mg/250 mL solution 250 mL Bag,337.12,118.0,96.55,251.15,5
NDC,99930216201,remdesivir 200 mg/250 mL solution 250 mL Bag,2955.31,1034.36,6.9,1013.67,10
NDC,99930216401,ketamine 1250 mg/250 mL solution 250 mL Bag,60.79,21.28,17.41,45.29,5
NDC,99930216501,piperacillin-tazobactam 3.375 gram piggyback 50 mL Bag,56.07,19.63,16.06,41.77,5
NDC,99930216801,TAC20 20 %-4 %-2% 30 mL Vial,6.0,2.1,1.72,4.47,5
NDC,99930217301,norepinephrine 40 mcg/10 mL (4 mcg/mL) syringe 10 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,99930217601,fentaNYL 15 mcg in 3 mL (5 mcg/mL) 3 mL Syringe,30.0,10.5,1.6,10.29,6
NDC,99930217701,fentaNYL 15 mcg in 3 mL (5 mcg/mL) 3 mL Syringe,30.0,10.5,1.6,10.29,6
NDC,99930217801,fentaNYL 500 mcg in 50 mL (10 mcg/mL) 50 mL Syringe,30.0,10.5,1.6,10.29,6
NDC,99930217901,"fentanyl 2,500 mcg in 50 mL (50 mcg/mL) 50 mL Syringe",67.97,23.79,1.6,23.31,6
NDC,99930218101,midazolam 0.9 mg in 3 mL (0.3 mg/mL) 3 mL Syringe,30.0,10.5,0.23,10.29,6
NDC,99930218201,midazolam 0.9 mg in 3 mL (0.3 mg/mL) 3 mL Syringe,30.0,10.5,0.23,10.29,6
NDC,99930218301,midazolam 6 mg in 20 mL (0.3 mg/mL) 20 mL Syringe,30.0,10.5,0.23,10.29,6
NDC,99930218401,midazolam 6 mg in 20 mL (0.3 mg/mL) 20 mL Syringe,30.0,10.5,0.23,10.29,6
NDC,99930218501,midazolam 20 mg in 20 mL (1 mg/mL) 20 mL Syringe,30.0,10.5,0.23,10.29,6
NDC,99930218601,midazolam 20 mg in 20 mL (1 mg/mL) 20 mL Syringe,30.0,10.5,0.23,10.29,6
NDC,99930218701,midazolam 50 mg in 50 mL (1 mg/mL) 50 mL Syringe,30.0,10.5,0.23,10.29,6
NDC,99930218801,morphine 0.6 mg in 3 mL (0.2 mg/mL) 3 mL Syringe,30.0,10.5,7.71,24.11,6
NDC,99930218901,morphine 0.6 mg in 3 mL (0.2 mg/mL) 3 mL Syringe,30.0,10.5,7.71,24.11,6
NDC,99930219001,morphine 4 mg in 20 mL (0.2 mg/mL) 20 mL Syringe,35.85,12.55,7.71,24.11,6
NDC,99930219101,morphine 4 mg in 20 mL (0.2 mg/mL) 20 mL Syringe,35.85,12.55,7.71,24.11,6
NDC,99930219201,morphine 20 mg in 20 mL (1 mg/mL) 20 mL Syringe,30.0,10.5,7.71,24.11,6
NDC,99930219301,morphine 20 mg in 20 mL (1 mg/mL) 20 mL Syringe,30.0,10.5,7.71,24.11,6
NDC,99930219401,ketamine 6 mg in 3 mL (2 mg/mL) 3 mL Syringe,30.0,10.5,8.59,22.35,5
NDC,99930219501,ketamine 40 mg in 20 mL (2 mg/mL) 20 mL Syringe,30.0,10.5,8.59,22.35,5
NDC,99930219601,ketamine 200 mg in 20 mL (10 mg/mL) 20 mL Syringe,56.92,19.93,16.3,42.41,5
NDC,99930219701,ketamine in sodium chloride 0.9% 500 mg in 50 mL (10 mg/mL) 50 mL Syringe,142.31,49.81,40.76,106.02,5
NDC,99930219801,HYDROmorphone 0.6 mg in 3 mL (0.2 mg/mL) 3 mL Syringe,30.0,10.5,0.17,22.35,6
NDC,99930219901,HYDROmorphone 0.6 mg in 3 mL (0.2 mg/mL) 3 mL Syringe,30.0,10.5,0.17,22.35,6
NDC,99930220001,HYDROmorphone 4 mg in 20 mL (0.2 mg/mL) 20 mL Syringe,30.0,10.5,0.17,22.35,6
NDC,99930220101,HYDROmorphone 20 mg in 20 mL (1 mg/mL) 20 mL Syringe,30.0,10.5,0.17,22.35,6
NDC,99930220201,HYDROmorphone 20 mg in 20 mL (1 mg/mL) 20 mL Syringe,30.0,10.5,0.17,22.35,6
NDC,99930220301,HYDROmorphone 50 mg in 50 mL (1 mg/mL) 50 mL Syringe,74.36,26.03,0.17,55.4,6
NDC,99930220401,HYDROmorphone 50 mg in 50 mL (1 mg/mL) 50 mL Syringe,74.36,26.03,0.17,55.4,6
NDC,99930220501,pentobarbital per 50 mg,82.24,28.79,28.21,277.04,10
NDC,99930220601,pentobarbital per 50 mg,82.24,28.79,28.21,277.04,10
NDC,99930220701,pentobarbital per 50 mg,548.28,191.9,36.84,277.04,10
NDC,99930220801,pentobarbital per 50 mg,548.28,191.9,36.84,277.04,10
NDC,99930220901,pentobarbital per 50 mg,3426.72,1199.36,36.84,1175.36,10
NDC,99930221001,pentobarbital per 50 mg,8566.8,2998.38,36.84,2938.41,10
NDC,99930221101,LORazepam 3 mg in 3 mL (1 mg/mL) 3 mL Syringe,30.0,10.5,1.85,10.29,6
NDC,99930221201,LORazepam 3 mg in 3 mL (1 mg/mL) 3 mL Syringe,30.0,10.5,1.85,10.29,6
NDC,99930221301,LORazepam 20 mg in 20 mL (1 mg/mL) 20 mL Syringe,30.0,10.5,1.85,10.29,6
NDC,99930221401,LORazepam 20 mg in 20 mL (1 mg/mL) 20 mL Syringe,30.0,10.5,1.85,10.29,6
NDC,99930221501,LORazepam 50 mg in 50 mL (1 mg/mL) 50 mL Syringe,74.86,26.21,1.85,25.68,6
NDC,99930221601,LORazepam 50 mg in 50 mL (1 mg/mL) 50 mL Syringe,74.86,26.21,1.85,25.68,6
NDC,99930293021,prednisolone per 5 mg,6.0,2.1,0.69,2.06,6
NDC,99930300101,dextrose 10%-amino acid 2% 250 mL Bag,143.22,50.13,41.02,106.7,5
NDC,99930300901,morphine-bupivacaine 30-0.1 mcg/mL-% solution 250 mL Cartridge,36.16,12.66,10.36,26.94,5
NDC,99930301001,morphine-bupivacaine 50-0.1 mcg/mL-% solution 250 mL Cartridge,52.73,18.46,15.1,39.28,5
NDC,99930301101,morphine-bupivacaine 50-0.125 mcg/mL-% solution 250 mL Cartridge,60.75,21.27,17.4,45.26,5
NDC,99930301201,misoprostol 50 MCG 1 each Package,6.0,2.1,1.72,4.47,5
NDC,99930301301,indigo ink 5 mL,287.1,100.49,82.23,213.89,5
NDC,99930301401,leech 1 each,34.22,11.98,9.8,25.49,5
NDC,99930301501,vancomycin 5 % 15 mL DROP BTL,28.23,9.89,8.09,21.03,5
NDC,99930303001,phenylephrine 10 mcg/mL injectable 10 mL Syringe,24.0,8.4,6.87,17.88,5
NDC,99930303501,reddix butt cream 30 g Jar,37.52,13.14,10.75,27.95,5
NDC,99930303601,magnesium sulfate in 0.9% NaCl 10 gram/250 mL (4 %) solution 250 mL Bag,24.0,8.4,6.87,17.88,5
NDC,99930304201,diazepam 5 mg suppository 1 each Package,9.0,3.15,2.58,6.71,5
NDC,99930306701,"lidocaine-phenylephrine 2-0.25 % spray,suspension 30 mL Spray Bottle",6.0,2.1,1.72,4.47,5
NDC,99930307001,azithromycin in 0.9% NaCl 2 mg/mL solution 250 mL Bag,32.1,11.24,9.19,23.91,5
NDC,99930307002,azithromycin in 0.9% NaCl 2 mg/mL solution 250 mL Bag,108.44,37.96,31.06,80.79,5
NDC,99930307301,lidocaine-sodium bicarb-heparin 50 50 mL Syringe,89.54,31.34,25.64,66.71,5
NDC,99930307501,lidocaine-racepinephrine-tetracaine 4-0.05-0.5 % gel 3 mL Syringe,30.0,10.5,8.59,22.35,5
NDC,99930307801,dexMEDEtomidine 4 mcg/mL solution 50 mL Bag,29.55,10.35,8.46,22.01,5
NDC,99930307801,dexmedetomidine 4 mcg/mL 50 mL Bag,29.55,10.35,8.46,22.01,10
NDC,99930308701,"LET 4 %-1:1,000 -0.5 % solution 100 mL KIT",6.0,2.1,1.72,4.47,5
NDC,99930308701,LET 4-0.18-0.5 % solution 100 mL KIT,6.0,2.1,1.72,4.47,5
NDC,99930308901,placental allograft 6 cm2 sheet 1 each Box,1876.2,656.67,131.27,643.54,10
NDC,99930309001,placental allograft 8 cm2 sheet 1 each Box,2242.0,784.7,131.27,769.01,10
NDC,99930309101,placental allograft 12 cm2 sheet 1 each Box,3304.0,1156.4,131.27,1133.27,10
NDC,99930309201,placental allograft 16 cm2 sheet 1 each,4389.6,1536.36,131.27,1505.63,10
NDC,99930309301,placental allograft 24 cm2 sheet 1 each Box,6136.0,2147.6,131.27,2104.65,10
NDC,99930309401,placental allograft 36 cm2 sheet 1 each Box,8378.0,2932.3,131.27,2873.65,10
NDC,99930309501,wound matrix 1.6 cm2 disk 1 each Box,1062.0,371.7,131.27,364.27,10
NDC,99930309601,wound matrix 4 cm2 sheet 1 each Box,1770.0,619.5,131.27,607.11,10
NDC,99930309701,wound matrix 8 cm2 sheet 1 each Box,2242.0,784.7,131.27,769.01,10
NDC,99930309801,wound matrix 25 cm2 sheet 1 each Box,6608.0,2312.8,131.27,2266.54,10
NDC,99930309901,wound matrix 54 cm2 sheet 1 each Box,14273.28,4995.65,131.27,4895.74,10
NDC,99930310001,wound matrix 128 cm2 sheet 1 each Box,31860.0,11151.0,131.27,10927.98,10
NDC,99930310401,Breeza,63.72,22.31,18.25,47.47,5
NDC,99930310501,hyaluronic acid 2.5x2.5 cm pad 1 each Box,436.64,152.83,27.9,213.74,10
NDC,99930310601,hyaluronic acid 5x5 cm pad 1 each Box,800.14,280.05,27.9,274.45,10
NDC,99930310801,trichloroacetic acid 35 % solution 30 mL Bottle,23.97,8.39,6.87,17.86,5
NDC,99930310901,trichloroacetic acid 90 % solution 30 mL Bottle,272.93,95.53,78.17,203.33,5
NDC,99930311001,polyethylene glycol powder in packet 1 each Package,6.0,2.1,1.72,4.47,5
NDC,99930312001,tobramycin 4 % solution for nebulization 7.5 mL Syringe,15.42,5.4,5.29,155.33,6
NDC,99930312101,potassium chloride in sterile water 0.1 mEq/mL piggyback 0 mL Syringe,24.0,8.4,0.2,8.23,6
NDC,99930312201,potassium chloride per 2 mEq,24.0,8.4,0.2,8.23,6
NDC,99930312301,sodium bicarbonate solution 250 mL Bag,123.9,43.37,35.48,92.31,5
NDC,99930312302,sodium bicarbonate solution 500 mL Bag,247.8,86.73,70.97,184.61,5
NDC,99930312401,morphine-bupivacaine 30-0.125 mcg/mL-% solution 250 mL Cartridge,36.16,12.66,10.36,26.94,5
NDC,99930312501,fentaNYL-bupivacaine 2 mcg/mL- 0.075 % solution 250 mL Cartridge,30.13,10.55,8.63,22.45,5
NDC,99930313002,ferric gluconate 125 mg/110 mL solution 110 mL Bag,72.22,25.28,3.91,24.77,6
NDC,99930313301,dexamethasone 4 mg/mL solution 0.1 mL Syringe,24.0,8.4,0.2,8.23,6
NDC,99930700101,quetiapine 10 mg/mL suspension 80 mL Bottle,10.57,3.7,3.03,7.87,5
NDC,99931666380,mometasone 200 mcg/actuation HFA aerosol inhaler 13 g CANISTER,668.12,233.85,191.35,497.75,5
NDC,99931666390,mometasone 100 mcg/actuation HFA aerosol inhaler 13 g CANISTER,568.47,198.97,162.81,423.51,5
NDC,99931854720,mometasone 50 mcg/actuation HFA aerosol inhaler 13 g CANISTER,526.99,184.45,150.93,392.61,5
NDC,99931935101,ketamine 10 mg/mL Oral 2 mL Syringe,30.0,10.5,8.59,22.35,5
NDC,99936659001,levETIRAcetam 100 mg/mL solution 5 mL Cup,6.0,2.1,1.72,4.47,5
NDC,99940048401,rifampin 10 mg/mL 120 mL Bottle,43.61,15.27,12.49,32.49,5
NDC,9994004841,rifampin 10 mg/mL 120 mL Bottle,43.61,15.27,12.49,32.49,5
NDC,99940048501,clopidogrel 5 mg/mL 60 mL Bottle,6.0,2.1,1.72,4.47,5
NDC,99940048801,cholestyramine-aspartame (CHOLESTYRAMINE LIGHT) 5% in Aquaphor 80 g Jar,1773.78,620.83,508.01,1321.47,5
NDC,99940062001,misoprostol 25 MCG 1 each Package,6.0,2.1,1.72,4.47,5
NDC,99940090001,niMODipine 30 MG 1 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99940840021,propofol (DIPROVAN) infusion 10 mg/mL 100 mL Bag,82.84,29.0,0.17,28.41,6
NDC,99940840202,propofol (DIPROVAN) infusion 10 mg/mL 200 mL Bag,165.67,57.99,0.17,56.82,6
NDC,99950103601,"cellulose, oxidized 2"" X 14"" package 1 each Packet",423.3,148.16,121.23,315.36,5
NDC,99950103701,"cellulose, oxidized 2"" X 3"" pad 1 each Packet",252.05,88.22,72.19,187.78,5
NDC,99950103801,"cellulose, oxidized 4"" X 8"" pad 1 each Packet",460.12,161.05,131.78,342.79,5
NDC,99950110201,ampicillin-sulbactam in sodium chloride 0.9% 100 mL 3 gram solution 100 mL Bag,35.16,12.31,10.07,26.19,5
NDC,99999680201,ranitidine 15 mg/mL syrup 0 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,9999968021,ranitidine 15 mg/mL syrup 0 mL Syringe,6.0,2.1,1.72,4.47,5
NDC,99999999999,"prismaSATE BGK 2/0 5,000 mL",94.01,32.91,26.92,70.04,5
NDC,99999999999,"prismaSATE BGK 4/2.5 5,000 mL",94.01,32.91,26.92,70.04,5
RC,0114,Psych,,,1512.04,1512.04,1
RC,0114,Psych/Detox,,,1142.0,1142.0,1
RC,0116,Detox - Rev Code,,,1384.32,1384.32,1
RC,0116,Psych/Detox,,,1142.0,1142.0,1
RC,0118,Detox - Rev Code,,,1384.32,1384.32,1
RC,0118,Rehab,,,3553.0,4617.0,2
RC,0120,HC SEMI PVT,3642.74,1274.96,1249.46,6806.0,2
RC,0120,HC SEMI PVT BOARDER,3642.76,1274.97,1249.47,6806.0,2
RC,0120,HC SEMI PVT TRAUMA,10440.06,3654.03,3580.94,6806.0,2
RC,0120,HC SEMI PVT TRAUMA STEPDOWN,12945.67,4530.99,4440.36,6806.0,2
RC,0120,Surgical Services - Rev Code,7041.41,2464.5,6852.0,6852.0,4
RC,0122,HC SEMI PVT,3642.74,1274.96,1249.46,6806.0,2
RC,0122,Surgical Services - Rev Code,3642.74,1274.96,6852.0,6852.0,1
RC,0123,HC SEMI PVT PEDS,2727.42,954.6,935.51,6806.0,2
RC,0123,Surgical Services - Rev Code,2727.42,954.6,6852.0,6852.0,1
RC,0124,HC SEMI PVT PSY,2727.42,954.6,935.51,6806.0,4
RC,0124,Surgical Services - Rev Code,2727.42,954.6,6852.0,6852.0,1
RC,0126,Detox - Rev Code,,,1384.32,1384.32,1
RC,0126,Psych/Detox,,,1142.0,1142.0,1
RC,0128,HC SEMI PVT TRAUMA REHAB,2727.42,954.6,935.51,4617.0,4
RC,0131,HC MED-SUR-GY/3&4 BED,3436.55,1202.8,1178.74,6806.0,2
RC,0131,Surgical Services - Rev Code,3436.55,1202.8,6852.0,6852.0,1
RC,0133,HC PEDS/3&4 BED,3436.55,1202.8,1178.74,6806.0,2
RC,0133,Surgical Services - Rev Code,3436.55,1202.8,6852.0,6852.0,1
RC,0134,Psych,,,1512.04,1512.04,1
RC,0134,Psych/Detox,,,1142.0,1142.0,1
RC,0136,Detox - Rev Code,,,1384.32,1384.32,1
RC,0136,Psych/Detox,,,1142.0,1142.0,1
RC,0138,HC REHAB/3&4 BED,2727.42,954.6,935.51,4617.0,4
RC,0140,HC ROOM-BED /DLX PVT,7114.8,2490.18,2440.38,6227.0,5
RC,0144,Psych,,,1512.04,1512.04,1
RC,0144,Psych/Detox,,,1142.0,1142.0,1
RC,0146,Detox - Rev Code,,,1384.32,1384.32,1
RC,0146,Psych/Detox,,,1142.0,1142.0,1
RC,0148,Detox - Rev Code,,,1384.32,1384.32,1
RC,0148,Rehab,,,3553.0,4617.0,2
RC,0150,HC ROOM-BED /WARD,2727.42,954.6,935.51,6806.0,2
RC,0150,Surgical Services - Rev Code,2727.42,954.6,6852.0,6852.0,1
RC,0151,HC MED-SUR-GY/ WARD,2727.42,954.6,935.51,6806.0,2
RC,0151,Surgical Services - Rev Code,2727.42,954.6,6852.0,6852.0,1
RC,0154,Psych,,,1512.04,1512.04,1
RC,0154,Psych/Detox,,,1142.0,1142.0,1
RC,0156,Detox - Rev Code,,,1384.32,1384.32,1
RC,0156,Psych/Detox,,,1142.0,1142.0,1
RC,0158,Detox - Rev Code,,,1384.32,1384.32,1
RC,0158,Rehab,,,3553.0,4617.0,2
RC,0164,HC LEVEL IV ISOLATION,12581.13,4403.4,4315.33,6806.0,2
RC,0164,HC PCU ISOLATION,8399.23,2939.74,2880.94,6806.0,2
RC,0164,HC STERILE ISOLATION,4281.64,1498.58,1468.6,6806.0,2
RC,0164,Surgical Services - Rev Code,8399.23,2939.74,6852.0,6852.0,3
RC,0170,HC NURSERY GENERAL,3642.74,1274.96,1249.46,3021.0,3
RC,0171,Boarder Baby,,,4617.0,4617.0,1
RC,0171,NICU Level 1,,,3021.0,3021.0,1
RC,0171,Normal Newborn,,,1571.0,1571.0,1
RC,0172,HC NURSERY LEVEL II,5959.88,2085.96,2044.24,4918.0,4
RC,0173,HC NURSERY BOARDER,3436.55,1202.8,1178.74,5593.0,4
RC,0173,HC NURSERY LEVEL III,8025.31,2808.86,2752.68,5593.0,4
RC,0174,HC NICU LEVEL IV,9745.89,3411.07,3342.84,6104.0,3
RC,0179,NICU Level 1,,,3021.0,3021.0,1
RC,0179,Normal Newborn,,,1571.0,1571.0,1
RC,0200,ICU,,,10255.0,10255.0,1
RC,0200,ICU/CCU,,,4817.0,4817.0,1
RC,0201,HC BIO CONTAINMENT ROOM,11210.62,3923.72,3845.24,10255.0,3
RC,0201,HC ICU ISOLATION,11995.36,4198.38,4114.41,10255.0,3
RC,0201,HC SICU STEP-DOWN,7084.37,2479.53,2429.94,10255.0,3
RC,0201,HC SURGICAL ICU,10111.89,3539.17,3468.38,10255.0,3
RC,0202,HC 2B MEDICAL ICU,10111.89,3539.17,3468.38,10255.0,3
RC,0202,HC ICU STEP DOWN,7084.37,2479.53,2429.94,10255.0,3
RC,0202,HC OVERFLOW MICU,3436.55,1202.8,1178.74,10255.0,3
RC,0202,HC PCU,7084.37,2479.53,2429.94,10255.0,3
RC,0203,HC PEDIATRIC ICU,8025.31,2808.86,2752.68,10255.0,3
RC,0204,ICU/CCU,,,4817.0,4817.0,1
RC,0204,Psych,,,1512.04,1512.04,1
RC,0205,ICU/CCU,,,4817.0,4817.0,1
RC,0206,ICU/CCU,,,4817.0,4817.0,1
RC,0206,Intermediate Care,,,7809.0,7809.0,1
RC,0207,ICU,,,10255.0,10255.0,1
RC,0207,ICU/CCU,,,4817.0,4817.0,1
RC,0208,HC TRAUMA,16743.49,5860.23,4817.0,10255.0,3
RC,0209,ICU,,,10255.0,10255.0,1
RC,0209,ICU/CCU,,,4817.0,4817.0,1
RC,0210,ICU,,,10255.0,10255.0,1
RC,0210,ICU/CCU,,,4817.0,4817.0,1
RC,0211,ICU,,,10255.0,10255.0,1
RC,0211,ICU/CCU,,,4817.0,4817.0,1
RC,0212,ICU,,,10255.0,10255.0,1
RC,0212,ICU/CCU,,,4817.0,4817.0,1
RC,0213,ICU/CCU,,,4817.0,4817.0,1
RC,0214,ICU/CCU,,,4817.0,4817.0,1
RC,0214,Intermediate Care,,,7809.0,7809.0,1
RC,0215,ICU/CCU,,,4817.0,4817.0,1
RC,0216,ICU/CCU,,,4817.0,4817.0,1
RC,0217,ICU/CCU,,,4817.0,4817.0,1
RC,0218,ICU/CCU,,,4817.0,4817.0,1
RC,0219,ICU,,,10255.0,10255.0,1
RC,0219,ICU/CCU,,,4817.0,4817.0,1
RC,0250,ALPRAZolam 0.25 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,10
RC,0250,ALPRAZolam 0.25 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,10
RC,0250,ALPRAZolam 0.25 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,15
RC,0250,ALPRAZolam 1 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,ALPRAZolam 1 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,10
RC,0250,ALPRAZolam 1 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,10
RC,0250,AMILoride 5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,AMILoride 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,AMILoride 5 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,ARIPiprazole 1 mg/mL solution 150 mL Bottle,2501.36,875.48,211.19,1863.78,15
RC,0250,ARIPiprazole 10 MG tablet 1 each BLIST PACK,70.75999999999999,24.775,20.23,52.81,10
RC,0250,ARIPiprazole 10 MG tablet 100 each BLIST PACK,70.89,24.82,20.3,52.81,5
RC,0250,ARIPiprazole 10 MG tablet 100 each Bottle,75.695,26.5,21.68,56.4,10
RC,0250,ARIPiprazole 10 MG tablet 30 each Bottle,75.53,26.485,21.63,56.46,15
RC,0250,ARIPiprazole 10 MG tablet 50 each BLIST PACK,70.63,24.73,20.23,52.62,5
RC,0250,ARIPiprazole 15 MG tablet 1 each BLIST PACK,72.94,25.53,20.89,54.34,5
RC,0250,ARIPiprazole 15 MG tablet 100 each Bottle,75.695,26.5,21.68,56.4,10
RC,0250,ARIPiprazole 15 MG tablet 30 each BLIST PACK,72.94,25.53,20.89,54.34,5
RC,0250,ARIPiprazole 15 MG tablet 30 each Bottle,75.53,26.485,21.63,56.46,15
RC,0250,"ARIPiprazole 15 MG tablet,disintegrating 30 each BLIST PACK",89.98,31.5,25.77,67.04,5
RC,0250,ARIPiprazole 2 MG tablet 1 each BLIST PACK,72.19,25.27,1.72,54.34,15
RC,0250,ARIPiprazole 2 MG tablet 100 each Bottle,75.695,26.5,21.68,56.4,10
RC,0250,ARIPiprazole 2 MG tablet 20 each BLIST PACK,72.19,25.27,20.68,53.78,5
RC,0250,ARIPiprazole 2 MG tablet 30 each BLIST PACK,59.0,20.65,16.9,43.96,5
RC,0250,ARIPiprazole 2 MG tablet 30 each Bottle,75.525,26.44,15.78,56.46,20
RC,0250,ARIPiprazole 20 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,ARIPiprazole 20 MG tablet 100 each BLIST PACK,119.07,41.68,34.1,88.71,5
RC,0250,ARIPiprazole 20 MG tablet 100 each Bottle,107.04,37.47,30.66,79.74,5
RC,0250,ARIPiprazole 20 MG tablet 30 each BLIST PACK,76.46,26.77,21.9,56.96,5
RC,0250,ARIPiprazole 20 MG tablet 30 each Bottle,107.04,37.47,30.42,79.83,15
RC,0250,ARIPiprazole 30 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,ARIPiprazole 30 MG tablet 100 each BLIST PACK,119.07,41.68,34.1,88.71,5
RC,0250,ARIPiprazole 30 MG tablet 100 each Bottle,107.04,37.47,30.66,79.74,5
RC,0250,ARIPiprazole 30 MG tablet 30 each BLIST PACK,88.36,30.93,25.31,65.83,5
RC,0250,ARIPiprazole 30 MG tablet 30 each Bottle,106.62,37.32,30.42,79.74,10
RC,0250,ARIPiprazole 5 MG tablet 1 each BLIST PACK,70.89,24.82,20.3,52.81,5
RC,0250,ARIPiprazole 5 MG tablet 100 each BLIST PACK,70.89,24.82,20.3,52.81,5
RC,0250,ARIPiprazole 5 MG tablet 100 each Bottle,75.695,26.5,21.68,56.4,10
RC,0250,ARIPiprazole 5 MG tablet 30 each Bottle,75.525,26.44,21.63,56.27,10
RC,0250,ARIPiprazole 5 MG tablet 50 each BLIST PACK,70.63,24.73,20.23,52.62,5
RC,0250,BUPivacaine (PF) 0.5 % (5 mg/mL) solution 10 mL Vial,24.0,8.4,6.87,17.88,40
RC,0250,BUPivacaine (PF) 0.5 % (5 mg/mL) solution 30 mL Vial,24.0,8.4,6.87,17.88,45
RC,0250,BUPivacaine HCl 0.25 % (2.5 mg/mL) solution 50 mL Vial,24.0,8.4,6.87,17.88,5
RC,0250,"BUPivacaine-EPINEPHrine (PF) 0.5 %-1:200,000 solution 10 mL Vial",24.0,8.4,6.87,17.88,30
RC,0250,"BUPivacaine-EPINEPHrine (PF) 0.5 %-1:200,000 solution 30 mL Vial",27.75,9.72,6.87,27.48,25
RC,0250,BUPivacaine-EPINEPHrine 0.25 %-1:200000 solution 50 mL Vial,44.84,15.7,9.94,40.97,15
RC,0250,"BUPivacaine-EPINEPHrine 0.5 %-1:200,000 solution 50 mL Vial",42.535,14.89,7.54,43.78,15
RC,0250,BUPivacaine-dextrose-water(PF) 0.75 % (7.5 mg/mL) solution 2 mL AMPUL,24.0,8.4,6.87,17.88,25
RC,0250,"Bio-K Plus 50 billion cell capsule,delayed release(DR/EC) 15 each Bottle",6.0,2.1,1.72,4.47,10
RC,0250,"Bio-K Plus 50 billion cell capsule,delayed release(DR/EC) 20 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,Breeza,63.72,22.31,18.25,47.47,5
RC,0250,COVID-19 vaccine 30 mcg/0.3 mL suspension for reconstitution 1.8 mL Vial,24.0,8.4,6.87,17.88,10
RC,0250,DTaP-IPV pediatric vaccine 15 Lf-48 mcg- 5 Lf unit/0.5mL suspension 0.5 mL Vial,158.365,55.435,40.66,130.19,10
RC,0250,"DULoxetine 20 MG capsule,delayed release(DR/EC) 1 each BLIST PACK",19.27,6.75,5.52,14.36,10
RC,0250,"DULoxetine 20 MG capsule,delayed release(DR/EC) 30 each BLIST PACK",12.635,4.425,1.72,14.36,20
RC,0250,"DULoxetine 20 MG capsule,delayed release(DR/EC) 50 each BLIST PACK",19.27,6.75,5.52,14.36,5
RC,0250,"DULoxetine 20 MG capsule,delayed release(DR/EC) 60 each Bottle",16.509999999999998,5.785,4.73,12.31,10
RC,0250,"DULoxetine 30 MG capsule,delayed release(DR/EC) 1 each BLIST PACK",16.075000000000003,5.630000000000001,4.0,13.54,10
RC,0250,"DULoxetine 30 MG capsule,delayed release(DR/EC) 100 each BLIST PACK",12.085,4.23,1.72,13.54,15
RC,0250,"DULoxetine 30 MG capsule,delayed release(DR/EC) 30 each BLIST PACK",13.98,4.9,4.0,10.42,5
RC,0250,"DULoxetine 30 MG capsule,delayed release(DR/EC) 30 each Bottle",18.51,6.48,5.3,13.79,5
RC,0250,"DULoxetine 30 MG capsule,delayed release(DR/EC) 90 each Bottle",18.445,6.460000000000001,5.26,13.79,20
RC,0250,"DULoxetine 60 MG capsule,delayed release(DR/EC) 1 each BLIST PACK",18.17,6.36,5.2,13.54,10
RC,0250,"DULoxetine 60 MG capsule,delayed release(DR/EC) 100 each BLIST PACK",18.17,6.36,5.2,13.54,10
RC,0250,"DULoxetine 60 MG capsule,delayed release(DR/EC) 90 each Bottle",18.09,6.335000000000001,5.1,13.69,10
RC,0250,"EPINEPHrine (1:10,000) 0.1 mg/mL syringe 10 mL Syringe",24.39,8.54,6.87,18.46,20
RC,0250,EPINEPHrine 0.01 mg/mL 10 mL Syringe,24.0,8.4,6.87,17.88,5
RC,0250,EPINEPHrine 0.15 mg/0.15 mL auto-injector 2 each Syringe,582.93,204.03,166.95,434.28,5
RC,0250,EPINEPHrine 0.15 mg/0.3 mL auto-injector 2 each Syringe,652.145,228.255,126.73,642.03,10
RC,0250,EPINEPHrine 0.3 mg/0.3 mL auto-injector 2 each Syringe,582.93,204.03,126.73,642.03,15
RC,0250,EPINEPHrine 1 mg/mL solution 30 mL Bottle,709.63,248.38,203.24,528.67,5
RC,0250,EPINEPHrine 100 mcg/10 mL (10 mcg/mL) syringe 10 mL Syringe,25.244999999999997,8.84,6.87,19.74,10
RC,0250,EPINEPHrine bitartrate (bulk) powder 5 g Jar,1150.5,402.68,329.5,857.12,5
RC,0250,"EPINEPHrine endotracheal 0.1 mg/mL (1:10,000) syringe 10 mL Syringe",25.95,9.085,6.87,20.79,15
RC,0250,EPINEPHrine in 0.9% NaCl 8 mg/250 mL (32 mcg/mL) solution 250 mL Bag,102.89500000000001,36.019999999999996,7.91,132.74,15
RC,0250,EPINEPHrine in 5% dextrose 8 mg/250 mL (32 mcg/mL) solution 250 mL Bag,110.86000000000001,38.805,7.91,144.61,15
RC,0250,EPINEPHrine in 5% dextrose 8 mg/250 mL (32 mcg/mL) solution 258 mL Bag,295.47,103.42,84.62,220.13,5
RC,0250,FLUoxetine 10 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,FLUoxetine 10 MG capsule 100 each Bottle,6.13,2.15,1.76,4.57,10
RC,0250,FLUoxetine 20 mg/5 mL (4 mg/mL) solution 0 mL Syringe,6.0,2.1,1.72,4.47,5
RC,0250,FLUoxetine 20 mg/5 mL (4 mg/mL) solution 120 mL Bottle,6.0,2.1,1.72,4.47,15
RC,0250,FLUoxetine 20 mg/5 mL (4 mg/mL) solution 5 mL Cup,15.74,5.51,1.72,12.39,30
RC,0250,FLUoxetine 20mg capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,FLUoxetine 20mg capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,FLUoxetine 20mg capsule 100 each Bottle,6.3,2.21,1.8,4.69,15
RC,0250,FLUoxetine 20mg capsule 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,HYDROcodone-acetaminophen 10-325 mg tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,10
RC,0250,HYDROcodone-acetaminophen 10-325 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,10
RC,0250,HYDROcodone-acetaminophen 10-325 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
RC,0250,HYDROcodone-acetaminophen 10-325 mg tablet 50 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,HYDROcodone-acetaminophen 5-325 mg tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,10
RC,0250,HYDROcodone-acetaminophen 5-325 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,30
RC,0250,HYDROcodone-acetaminophen 7.5-325 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,10
RC,0250,HYDROcodone-acetaminophen 7.5-325 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,10
RC,0250,HYDROcodone-acetaminophen 7.5-325 mg tablet 50 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,HYDROcodone-acetaminophen 7.5-325 mg/15 mL solution 15 mL Cup,12.57,4.4,3.33,9.83,25
RC,0250,HYDROcodone-acetaminophen 7.5-325 mg/15 mL solution 473 mL Bottle,324.84,113.7,93.03,242.01,5
RC,0250,HYDROmorphone (PF) 30 mg/30 mL (1 mg/mL) patient control.analgesia soln 30 mL Vial,51.555,18.05,9.58,51.9,10
RC,0250,HYDROmorphone (PF) 30 mg/30 mL (1 mg/mL) pt controlled analgesia syring 30 mL Syringe,69.67,24.39,19.24,52.32,20
RC,0250,HYDROmorphone (PF) 6 mg/30 mL (0.2 mg/mL) pt controlled analgesia syring 30 mL Syringe,42.0,14.705,11.26,33.28,10
RC,0250,HYDROmorphone 2 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,HYDROmorphone 2 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,20
RC,0250,HYDROmorphone 2 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,10
RC,0250,HYDROmorphone 25 mg in sodium chloride 0.9% 50 mL 0.5 mg/mL solution 50 mL Bag,30.0,10.5,8.59,22.35,5
RC,0250,HYDROmorphone 30 mg/30 mL (1 mg/mL) pt controlled analgesia syring 30 mL Syringe,61.83,21.65,17.71,46.06,5
RC,0250,HYDROmorphone 50 mg in sodium chloride 0.9% 50 mL 1 mg/mL solution 50 mL Bag,94.815,33.19,8.59,118.92,15
RC,0250,HYDROmorphone 8 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
RC,0250,HYDROmorphone PF 1 mg/mL patient control.analgesia soln 30 mL Vial,57.245000000000005,20.04,12.84,51.9,10
RC,0250,HYDROmorphone-bupivacaine 5-0.1 mcg/mL-% solution 250 mL Cartridge,30.91,10.82,8.85,23.03,10
RC,0250,ISOtretinoin 40 MG capsule 30 each BLIST PACK,58.6,20.51,16.78,43.66,5
RC,0250,LC Bead 100-300 micrometers 1 each,2360.0,826.0,675.9,1758.2,5
RC,0250,LC Bead 300-500 micrometers 1 each,2360.0,826.0,675.9,1758.2,5
RC,0250,LC Bead 500-700 micrometers 1 each,2360.0,826.0,675.9,1758.2,5
RC,0250,"LET 4 %-1:1,000 -0.5 % 5 mL KIT",8.55,3.0,2.45,6.37,10
RC,0250,"LET 4 %-1:1,000 -0.5 % solution 100 mL KIT",160.295,56.105,1.72,234.37,10
RC,0250,LET 4-0.18-0.5 % solution 100 mL KIT,6.0,2.1,1.72,4.47,5
RC,0250,LORazepam 0.5 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,LORazepam 0.5 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,15
RC,0250,LORazepam 0.5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,15
RC,0250,LORazepam 0.5 MG tablet 500 each Bottle,9.0,3.15,2.58,6.71,5
RC,0250,LORazepam 1 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,10
RC,0250,"LORazepam 1 MG tablet 1,000 each Bottle",9.0,3.15,2.58,6.71,5
RC,0250,LORazepam 1 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,20
RC,0250,LORazepam 1 MG tablet 100 each Bottle,74.475,26.07,2.58,104.26,20
RC,0250,LORazepam 1 MG tablet 500 each Bottle,9.0,3.15,2.58,6.71,10
RC,0250,LORazepam 2 mg/mL concentrate 1 mL Syringe,9.0,3.15,2.58,6.71,15
RC,0250,LORazepam 2 mg/mL concentrate 30 mL Bottle,410.675,143.74,32.46,527.46,20
RC,0250,Lactobacillus acidophilus-Lactobacilus bulgaricus 1 million cell tablet 50 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,"Lactobacillus acidophilus-Lactobacilus bulgarius 1 million cell tablet,chewable 50 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,NIFEdipine 10 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,NIFEdipine 10 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,NIFEdipine 10 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,20
RC,0250,NIFEdipine 4 mg/mL 30 mL Bottle,32.78,11.48,9.39,24.42,10
RC,0250,NIFEdipine XL 30 MG tablet extended release 24hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,NIFEdipine XL 30 MG tablet extended release 24hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,NIFEdipine XL 30 MG tablet extended release 24hr 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,NIFEdipine XL 30 MG tablet extended release 24hr 50 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,NIFEdipine XL 60 MG tablet extended release 24hr 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,NIFEdipine XL 60 MG tablet extended release 24hr 50 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,NIFEdipine XL 90 MG tablet extended release 24hr 100 each Bottle,6.175,2.165,1.73,4.69,10
RC,0250,OLANZapine 10 MG tablet 1 each BLIST PACK,47.95,16.79,13.73,35.72,5
RC,0250,OLANZapine 10 MG tablet 100 each BLIST PACK,47.475,16.619999999999997,13.46,35.72,10
RC,0250,OLANZapine 10 mg recon soln 1 each Vial,100.37,35.13,28.05,79.51,15
RC,0250,OLANZapine 15 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,OLANZapine 15 MG tablet 500 each Bottle,70.5,24.68,20.19,52.52,5
RC,0250,OLANZapine 2.5 MG tablet 1 each BLIST PACK,26.37,9.23,7.55,19.65,5
RC,0250,OLANZapine 2.5 MG tablet 100 each BLIST PACK,26.395000000000003,9.24,7.55,19.68,10
RC,0250,OLANZapine 2.5 MG tablet 30 each Bottle,26.43,9.26,7.57,19.69,5
RC,0250,OLANZapine 20 MG tablet 100 each BLIST PACK,94.0,32.9,26.92,70.03,5
RC,0250,OLANZapine 20 MG tablet 50 each BLIST PACK,94.0,32.9,26.92,70.03,5
RC,0250,OLANZapine 5 MG tablet 1 each BLIST PACK,25.7,9.0,7.36,19.15,5
RC,0250,OLANZapine 5 MG tablet 100 each BLIST PACK,28.445,9.96,7.36,23.24,15
RC,0250,OLANZapine 5 MG tablet 30 each Bottle,31.19,10.92,8.93,23.24,5
RC,0250,OLANZapine 7.5 MG tablet 100 each BLIST PACK,37.96,13.29,10.87,28.28,5
RC,0250,OLANZapine 7.5 MG tablet 30 each Bottle,37.96,13.29,10.87,28.28,5
RC,0250,OLANZapine 7.5 MG tablet 50 each BLIST PACK,37.91,13.27,10.86,28.24,5
RC,0250,OLANZapine 7.5 MG tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,OLANZapine 7.5 MG tablet 90 each Bottle,34.22,11.98,9.8,25.49,5
RC,0250,"OLANZapine zydis 10 MG tablet,disintegrating 1 each BLIST PACK",49.49,9.924999999999999,2.06,36.88,15
RC,0250,"OLANZapine zydis 10 MG tablet,disintegrating 30 each BLIST PACK",49.49,9.924999999999999,2.06,36.88,20
RC,0250,"OLANZapine zydis 10 MG tablet,disintegrating 30 each Bottle",49.5,17.33,14.18,36.88,5
RC,0250,"OLANZapine zydis 20 MG tablet,disintegrating 1 each BLIST PACK",96.49,19.35,4.02,71.89,15
RC,0250,"OLANZapine zydis 20 MG tablet,disintegrating 30 each BLIST PACK",96.49,19.35,4.02,71.89,20
RC,0250,"OLANZapine zydis 5 MG tablet,disintegrating 1 each BLIST PACK",33.68,11.79,1.72,25.1,15
RC,0250,"OLANZapine zydis 5 MG tablet,disintegrating 100 each BLIST PACK",33.69,11.8,9.65,25.1,5
RC,0250,"OLANZapine zydis 5 MG tablet,disintegrating 30 each BLIST PACK",33.68,11.79,1.72,35.3,30
RC,0250,"OLANZapine zydis 5 MG tablet,disintegrating 30 each Bottle",33.5,11.73,9.54,25.1,10
RC,0250,OXcarbazepine 150 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,OXcarbazepine 150 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,OXcarbazepine 150 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,OXcarbazepine 300 MG tablet 1 each BLIST PACK,6.5,2.28,1.86,4.84,10
RC,0250,OXcarbazepine 300 MG tablet 100 each BLIST PACK,6.54,2.295,1.86,4.9,15
RC,0250,OXcarbazepine 300 MG tablet 100 each Bottle,6.195,2.175,1.76,4.64,10
RC,0250,OXcarbazepine 300 mg/5 mL (60 mg/mL) suspension 250 mL Bottle,6.0,2.1,1.72,4.47,20
RC,0250,OXcarbazepine 600 MG tablet 1 each BLIST PACK,11.95,4.19,3.42,8.9,5
RC,0250,OXcarbazepine 600 MG tablet 100 each BLIST PACK,11.95,4.19,3.42,8.9,5
RC,0250,OXcarbazepine 600 MG tablet 100 each Bottle,11.355,3.9800000000000004,3.24,8.49,10
RC,0250,OXcarbazepine 600 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,Ora-Plus suspension 473 mL Bottle,51.35,17.98,14.71,38.26,5
RC,0250,Ora-Sweet (Sugar Free) liquid 473 mL Bottle,51.35,17.98,14.71,38.26,5
RC,0250,Ora-Sweet liquid 473 mL Bottle,51.35,17.98,14.71,38.26,5
RC,0250,Ora-Sweet syrup 473 mL Bottle,51.35,17.98,14.71,38.26,10
RC,0250,PARoxetine 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,PARoxetine 10 MG tablet 100 each BLIST PACK,6.31,2.21,1.81,4.7,10
RC,0250,PARoxetine 10 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,PARoxetine 10 MG tablet 90 each Bottle,6.16,2.16,1.76,4.59,5
RC,0250,PARoxetine 20 MG tablet 100 each BLIST PACK,6.58,2.31,1.88,4.9,10
RC,0250,PARoxetine 20 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,PARoxetine 20 MG tablet 90 each Bottle,6.45,2.26,1.85,4.81,5
RC,0250,PAZOPanib 200 mg tablet 120 each Bottle,362.43,126.86,63.4,313.29,15
RC,0250,PHENobarbitaL 20 mg/5 mL (4 mg/mL) elixir 473 mL Bottle,218.79000000000002,76.58,61.06,167.16,20
RC,0250,PHENobarbitaL 20 mg/5 mL (4 mg/mL) elixir 5 mL Cup,10.82,3.79,2.58,9.42,15
RC,0250,PHENobarbitaL 20 mg/5 mL (4 mg/mL) elixir 5 mL Syringe,9.0,3.15,2.58,6.71,5
RC,0250,PHENobarbitaL 32.4 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,10
RC,0250,PHENobarbitaL 32.4 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,25
RC,0250,PHENobarbitaL 64.8 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,25
RC,0250,PHENobarbitaL 97.2 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,10
RC,0250,"PHOXILLUM B22K4/0 K (4)-Mg (1.5 mEq/L)-PO4 (1) solution 5,000 mL Bag",111.24,38.94,31.86,82.87,5
RC,0250,PHYSostigmine salicylate 0.4 mg/mL solution 5 mL AMPUL,384.78,134.68,110.2,286.66,5
RC,0250,PHYSostigmine salicylate 1 mg/mL solution 2 mL AMPUL,221.71,77.6,63.5,165.17,5
RC,0250,PHYSostigmine salicylate 2 mg/5 mL solution 5 mL AMPUL,384.78,134.68,110.2,286.66,5
RC,0250,PONATinib 15 mg tablet 30 each Bottle,1628.4,569.94,466.37,1213.16,5
RC,0250,PONATinib 45 mg tablet 30 each Bottle,814.2,284.97,233.19,606.58,5
RC,0250,"RABEprazole 20 mg tablet,delayed release (DR/EC) 30 each Bottle",41.645,14.580000000000002,7.75,41.9,10
RC,0250,SITagliptin phosphate 100 MG tablet 30 each Bottle,31.15,10.91,8.92,23.21,5
RC,0250,SITagliptin phosphate 25 MG tablet 30 each Bottle,31.15,10.91,8.92,23.21,5
RC,0250,SITagliptin phosphate 50 MG tablet 30 each Bottle,31.15,10.91,8.92,23.21,5
RC,0250,SORAfenib 200 mg tablet 120 each Bottle,301.06,105.38,86.22,224.29,5
RC,0250,SUMAtriptan 25 MG tablet 1 each BLIST PACK,63.84,22.35,18.28,47.56,5
RC,0250,SUMAtriptan 25 MG tablet 9 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,SUMAtriptan 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,SUMAtriptan 50 MG tablet 9 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,SUMAtriptan 6 mg/0.5 mL pen injector 0.5 mL Syringe,683.23,239.14,195.68,509.01,5
RC,0250,SUMAtriptan 6 mg/0.5 mL solution 0.5 mL Vial,34.69,12.145,7.3,159.72,45
RC,0250,SUNItinib malate 12.5 MG capsule 28 each Bottle,634.0,221.9,181.58,472.33,5
RC,0250,SUNItinib malate 25 MG capsule 28 each Bottle,1268.0,443.8,363.16,944.66,5
RC,0250,SUNItinib malate 50 MG capsule 28 each Bottle,2207.41,772.6,632.2,1644.52,5
RC,0250,SUfentanil 5 mcg/mL solution 5 mL Syringe,53.81,18.84,15.41,40.09,5
RC,0250,SUfentanil 50 mcg/mL solution 1 mL AMPUL,30.0,10.5,8.59,22.35,5
RC,0250,SUfentanil 50 mcg/mL solution 1 mL Vial,37.14,13.0,10.64,27.67,5
RC,0250,SUfentanil 50 mcg/mL solution 2 mL AMPUL,30.0,10.5,8.59,22.35,5
RC,0250,Saccharomyces boulardii 250 mg capsule 50 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,TAC20 20 %-4 %-2% 30 mL Bottle,194.98,68.25,55.84,145.26,5
RC,0250,TAC20 20 %-4 %-2% 30 mL Vial,6.0,2.1,1.72,4.47,5
RC,0250,"TAKE HOME methadone 10 mg/mL concentrate 1,000 mL Bottle",276.12,96.64500000000001,70.97,226.81,20
RC,0250,TOLAZamide 250 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,TiZANidine 2 MG capsule 150 each Bottle,7.75,2.72,2.22,5.77,5
RC,0250,abacavir 20 mg/mL solution 240 mL Bottle,415.74,145.51,119.07,309.73,5
RC,0250,abacavir 300 mg tablet 1 each BLIST PACK,23.69,8.3,6.78,17.65,5
RC,0250,abacavir 300 mg tablet 30 each BLIST PACK,23.69,8.3,6.78,17.65,5
RC,0250,abacavir 300 mg tablet 60 each Bottle,23.71,8.3,6.52,17.68,20
RC,0250,abacavir-lamivudine 600-300 mg tablet 30 each Bottle,115.84,40.545,31.43,90.85,25
RC,0250,abacavir-lamivudine-zidovudine 300-150-300 mg tablet 60 each Bottle,75.98,26.6,21.76,56.61,5
RC,0250,abiraterone 250 mg tablet 120 each Bottle,282.46,98.87,80.9,210.43,5
RC,0250,"acamprosate 333 mg tablet,delayed release (DR/EC) 1 each BLIST PACK",6.4,2.24,1.83,4.77,5
RC,0250,"acamprosate 333 mg tablet,delayed release (DR/EC) 180 each Bottle",6.1899999999999995,2.17,1.72,4.75,20
RC,0250,"acamprosate 333 mg tablet,delayed release (DR/EC) 30 each BLIST PACK",6.4,2.24,1.83,4.77,5
RC,0250,acarbose 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,acarbose 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,acarbose 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,acetaZOLAMIDE 125 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,acetaZOLAMIDE 250 MG tablet 1 each BLIST PACK,9.88,3.46,2.83,7.36,10
RC,0250,acetaZOLAMIDE 250 MG tablet 100 each BLIST PACK,9.88,3.46,2.83,7.36,10
RC,0250,acetaZOLAMIDE 250 MG tablet 100 each Bottle,6.654999999999999,2.33,1.86,5.07,10
RC,0250,acetaZOLAMIDE 250 MG tablet 50 each BLIST PACK,9.88,3.46,2.83,7.36,5
RC,0250,"acetaZOLAMIDE 500 mg capsule, extended release 100 each Bottle",10.13,3.55,2.9,7.55,15
RC,0250,"acetaZOLAMIDE 500 mg capsule, extended release 30 each BLIST PACK",12.510000000000002,4.385,3.31,10.04,15
RC,0250,acetaminophen 10 mg/mL solution 100 mL Vial,119.415,41.8,30.01,99.87,15
RC,0250,acetaminophen 120 MG suppository 1 each Box,6.0,2.1,1.72,4.47,10
RC,0250,acetaminophen 120 MG suppository 100 each Box,6.0,2.1,1.72,4.47,5
RC,0250,acetaminophen 120 MG suppository 12 each Box,6.0,2.1,1.72,4.47,15
RC,0250,acetaminophen 120 MG suppository 6 each Box,6.0,2.1,1.72,4.47,5
RC,0250,"acetaminophen 160 MG tablet,chewable 24 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"acetaminophen 160 MG tablet,chewable 24 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,acetaminophen 160 mg/5 mL (5 mL) suspension 5 mL Cup,6.0,2.1,1.72,4.47,40
RC,0250,acetaminophen 160 mg/5 mL solution 5 mL Cup,6.0,2.1,1.72,4.47,5
RC,0250,acetaminophen 160 mg/5 mL suspension 10 mL Cup,6.0,2.1,1.72,4.47,5
RC,0250,acetaminophen 160 mg/5 mL suspension 118 mL Bottle,6.96,2.44,1.72,12.45,20
RC,0250,acetaminophen 160 mg/5 mL suspension 120 mL Bottle,18.270000000000003,6.4,4.95,14.35,10
RC,0250,acetaminophen 160 mg/5 mL suspension 30 mL Bottle,13.17,4.615,3.35,10.92,10
RC,0250,acetaminophen 325 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,"acetaminophen 325 MG tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,15
RC,0250,acetaminophen 325 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,25
RC,0250,acetaminophen 325 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,35
RC,0250,acetaminophen 325 MG tablet 100 each Box,6.0,2.1,1.72,4.47,5
RC,0250,acetaminophen 325 MG tablet 50 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,acetaminophen 325 MG tablet 750 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,acetaminophen 325 mg/10.15 mL solution 10.15 mL BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,acetaminophen 325 mg/10.15 mL solution 10.15 mL Cup,6.005,2.105,1.72,4.48,40
RC,0250,acetaminophen 325 mg/10.15 mL suspension 10.15 mL Cup,6.0,2.1,1.72,4.47,20
RC,0250,acetaminophen 500 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,"acetaminophen 500 MG tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,15
RC,0250,acetaminophen 500 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,acetaminophen 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,acetaminophen 500 MG tablet 24 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,acetaminophen 500 MG tablet 500 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,acetaminophen 500 MG tablet 700 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,acetaminophen 650 MG suppository 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,acetaminophen 650 MG suppository 100 each Box,6.0,2.1,1.72,4.47,10
RC,0250,acetaminophen 650 MG suppository 12 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,acetaminophen 650 MG suppository 12 each Box,6.0,2.1,1.72,4.47,5
RC,0250,acetaminophen 650 MG suppository 50 each Box,6.0,2.1,1.72,4.47,10
RC,0250,acetaminophen-codeine 300 mg-30 mg /12.5 mL solution 12.5 mL BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,acetaminophen-codeine 300-30 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,15
RC,0250,acetaminophen-codeine 300-60 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,"acetic acid 0.25 % solution 1,000 mL Bottle",23.6,8.26,6.76,17.58,5
RC,0250,acetic acid 0.25 % solution 250 mL Bottle,15.34,5.37,4.39,11.43,5
RC,0250,acetic acid 0.25 % solution 500 mL Bottle,21.24,7.44,6.08,15.82,5
RC,0250,acetic acid 2 % solution 15 mL Bottle,94.41,33.05,27.04,70.34,5
RC,0250,acetic acid 2 % solution 15 mL DROP BTL,103.845,36.349999999999994,27.04,84.39,10
RC,0250,acetic acid 5 % liquid 12 mL Vial,18.73,6.5600000000000005,4.5,16.2,10
RC,0250,acetic acid 5 % liquid 500 mL Bottle,165.2,57.82,47.31,123.07,5
RC,0250,acetic acid-aluminum acetate 2 % drops 60 mL DROP BTL,169.92,59.48,48.67,126.59,5
RC,0250,acetylcholine 1 % (10 mg/mL) kit 1 each KIT,369.76,129.42,105.9,275.47,5
RC,0250,acetylcysteine 600 mg capsule 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,acitretin 25 MG capsule 30 each Bottle,153.36,53.68,43.92,114.25,5
RC,0250,activated charcoaL 50 gram/240 mL suspension 240 mL Bottle,75.895,26.57,16.06,71.31,10
RC,0250,activated charcoaL 50 gram/240 mL suspension 240 mL Tube,56.07,19.63,16.06,41.77,5
RC,0250,activated charcoal-sorbitoL 25 gram/120 mL suspension 120 mL Bottle,39.36,13.78,11.27,29.32,5
RC,0250,activated charcoal-sorbitoL 50 gram/240 mL suspension 240 mL Bottle,75.895,26.57,16.06,71.31,10
RC,0250,acyclovir 200 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,acyclovir 200 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,acyclovir 200 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,acyclovir 200 mg/5 mL suspension 473 mL Bottle,1070.5149999999999,374.685,296.68,823.31,20
RC,0250,acyclovir 400 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,acyclovir 400 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,acyclovir 400 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,acyclovir 400 MG tablet 50 each BLIST PACK,8.84,3.1,2.53,6.59,5
RC,0250,acyclovir 800 MG tablet 1 each BLIST PACK,10.74,3.76,3.08,8.0,5
RC,0250,acyclovir 800 MG tablet 100 each BLIST PACK,10.74,3.76,3.08,8.0,5
RC,0250,acyclovir 800 MG tablet 100 each Bottle,7.38,2.59,2.11,5.5,5
RC,0250,adapalene 0.1 % cream 45 g Tube,1498.38,524.44,429.14,1116.29,5
RC,0250,adefovir 10 MG tablet 30 each Bottle,153.9,53.87,44.08,114.66,5
RC,0250,afatinib 20 mg tablet 30 each Bottle,1113.14,389.6,318.8,829.29,5
RC,0250,afatinib 30 mg tablet 30 each Bottle,1113.14,389.6,318.8,829.29,5
RC,0250,afatinib 40 mg tablet 30 each Bottle,1113.14,389.6,318.8,829.29,5
RC,0250,albendazole 200 mg tablet 2 each Bottle,617.84,216.25,1.72,1330.16,45
RC,0250,albumin human 25% per 50 mL,263.61,92.27,37.75,379.77,65
RC,0250,albumin human 5% per 50 mL,204.73,71.66,26.43,636.03,55
RC,0250,albuterol 2 mg/5 mL syrup 473 mL Bottle,71.44,25.01,20.46,53.22,5
RC,0250,albuterol 90 mcg/actuation HFA aerosol inhaler 18 g CANISTER,154.41500000000002,54.05,42.2,120.3,10
RC,0250,albuterol 90 mcg/actuation HFA aerosol inhaler 6.7 g CANISTER,174.69,61.15,30.4,168.23,20
RC,0250,albuterol 90 mcg/actuation HFA aerosol inhaler 8 g CANISTER,35.17,12.31,1.72,47.93,10
RC,0250,albuterol 90 mcg/actuation HFA aerosol inhaler 8.5 g CANISTER,174.68,61.14,48.31,154.65,25
RC,0250,albuterol per 1 mg,12.98,4.545,3.38,10.55,10
RC,0250,aldesleukin per vial,14492.855,5072.505,3798.8,11712.7,10
RC,0250,alendronate 10 MG tablet 1 each BLIST PACK,6.9,2.42,1.98,5.14,5
RC,0250,alendronate 10 MG tablet 100 each Bottle,6.9,2.42,1.98,5.14,5
RC,0250,alendronate 10 MG tablet 20 each BLIST PACK,6.9,2.42,1.98,5.14,5
RC,0250,alendronate 10 MG tablet 30 each Bottle,6.91,2.42,1.98,5.15,10
RC,0250,alendronate 40 MG tablet 30 each Bottle,15.57,5.45,4.46,11.6,5
RC,0250,alendronate 70 MG tablet 4 each BLIST PACK,48.35,16.925,13.84,36.03,20
RC,0250,alendronate 70 mg/75 mL solution 75 mL Bottle,135.05,47.27,38.68,100.61,5
RC,0250,alkaline saline 2% mouth rinse 2% solution 210 mL Bottle,121.92,42.68,34.92,90.83,10
RC,0250,allopurinoL 100 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,allopurinoL 100 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,25
RC,0250,allopurinoL 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,allopurinoL 300 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,allopurinoL 300 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,allopurinoL 300 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,allopurinol 500 mg recon soln 1 each Vial,11168.075,3908.83,3163.23,8412.06,10
RC,0250,alprostadil per 1.25 mcg,393.2,137.625,87.87,357.29,10
RC,0250,altretamine 50 mg capsule 100 each Bottle,45.03,15.77,12.9,33.55,5
RC,0250,alum ammonium powder 340 g Jar,47.34,16.57,13.56,35.27,5
RC,0250,alum-mag hydroxide-simeth 225-200-25 mg/5 mL suspension 360 mL Bottle,6.0,2.1,1.72,4.47,5
RC,0250,aluminum chloride 20 % solution 37.5 mL Bottle,23.9,8.37,6.84,17.81,5
RC,0250,aluminum chloride 20 % solution 60 mL Bottle,35.54,12.44,10.18,26.48,5
RC,0250,aluminum hydroxide 320 mg/5 mL suspension 30 mL Cup,6.0,2.1,1.72,4.47,5
RC,0250,aluminum hydroxide 320 mg/5 mL suspension 473 mL Bottle,17.86,6.26,5.12,13.31,5
RC,0250,"aluminum hydroxide-magnesium trisilicate 80-14.2 mg tablet,chewable 100 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,aluminum-magnesium hydroxide 200-200 mg/5 mL suspension 30 mL Cup,13.38,4.69,3.83,9.97,5
RC,0250,aluminum-magnesium hydroxide-simethicone 200-200-20 mg/5 mL suspension 30 mL Cup,8.99,3.15,2.55,6.97,25
RC,0250,aluminum-magnesium hydroxide-simethicone 200-200-20 mg/5 mL suspension 30 mL Syringe,6.0,2.1,1.72,4.47,5
RC,0250,aluminum-magnesium hydroxide-simethicone 200-200-20 mg/5 mL suspension 355 mL Bottle,109.025,38.16,1.72,157.98,30
RC,0250,amLODIPine 10mg tablet 1 each BLIST PACK,8.32,2.915,1.72,7.93,15
RC,0250,"amLODIPine 10mg tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,amLODIPine 10mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,amLODIPine 10mg tablet 50 each BLIST PACK,10.64,3.73,3.05,7.93,5
RC,0250,amLODIPine 10mg tablet 90 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,amLODIPine 2.5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,amLODIPine 2.5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,amLODIPine 2.5 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,amLODIPine 2.5 MG tablet 90 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,amLODIPine 5mg tablet 1 each BLIST PACK,7.105,2.49,1.72,6.12,10
RC,0250,amLODIPine 5mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,amLODIPine 5mg tablet 50 each BLIST PACK,8.21,2.88,2.35,6.12,5
RC,0250,amLODIPine 5mg tablet 90 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,amLODIPine-benazepriL 5-20 mg capsule 100 each Bottle,36.01,12.61,10.31,26.83,5
RC,0250,amantadine 100 mg capsule 1 each BLIST PACK,7.78,2.73,1.72,6.12,15
RC,0250,amantadine 100 mg capsule 100 each BLIST PACK,6.890000000000001,2.415,1.72,5.8,20
RC,0250,amantadine 100 mg capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,amantadine 100 mg capsule 50 each BLIST PACK,8.22,2.88,2.35,6.12,5
RC,0250,amantadine 100 mg capsule 500 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,amantadine 50 mg/5 mL solution 10 mL Cup,11.705,4.105,3.34,8.75,10
RC,0250,amantadine 50 mg/5 mL solution 10 mL Syringe,6.0,2.1,1.72,4.47,5
RC,0250,amantadine 50 mg/5 mL solution 473 mL Bottle,166.88,58.415,47.0,126.4,15
RC,0250,ambrisentan 10 MG tablet 30 each BLIST PACK,271.14,94.9,77.65,202.0,5
RC,0250,amino acid infusion 6 % parenteral solution 500 mL Bag,63.72,22.31,18.25,47.47,5
RC,0250,amino acid infusion 6.9 % parenteral solution 750 mL Bag,155.76,54.52,44.61,116.04,5
RC,0250,"amino acids 3%-electrolytes-glycerin 3 % parenteral solution 1,000 mL Bag",96.76,33.87,27.71,72.09,5
RC,0250,aminocaproic acid 500 mg tablet 30 each Bottle,52.379999999999995,18.340000000000003,4.84,42.96,20
RC,0250,aminocaproic acid per 5 g,24.744999999999997,8.665,6.87,18.99,15
RC,0250,aminosalicylic acid 4 gram granules DR for susp in packet 30 each Packet,18.88,6.61,5.41,14.07,5
RC,0250,amiodarone 200 MG tablet 1 each BLIST PACK,12.375,4.335,1.72,13.97,10
RC,0250,amiodarone 200 MG tablet 100 each BLIST PACK,12.375,4.335,1.72,13.97,25
RC,0250,amiodarone 200 MG tablet 60 each Bottle,7.91,2.775,2.25,5.95,10
RC,0250,amiodarone per 30 mg,40.14,14.05,6.87,35.86,55
RC,0250,amitriptyline 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,amitriptyline 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,amitriptyline 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,amitriptyline 10 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,amitriptyline 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,amitriptyline 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,amitriptyline 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,amitriptyline 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,amitriptyline 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,amitriptyline 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,amitriptyline 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,amitriptyline 75 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,amitriptyline 75 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,amitriptyline 75 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,ammonia 15 % (w/v) solution 1 each AMPUL,6.0,2.1,1.72,4.47,10
RC,0250,ammonium lactate 12 % lotion 225 g Bottle,89.475,31.325,22.36,75.16,10
RC,0250,ammonium lactate 12 % lotion 226 g Bottle,90.14,31.55,25.82,67.15,5
RC,0250,amobarbital per 125 mg,2076.0,726.6,594.57,1546.62,5
RC,0250,"amoxicillin 125 MG tablet,chewable 100 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,amoxicillin 125 mg/5 mL suspension for reconstitution 100 mL Bottle,8.5,2.98,2.43,6.33,5
RC,0250,amoxicillin 125 mg/5 mL suspension for reconstitution 150 mL Bottle,9.56,3.35,2.74,7.12,5
RC,0250,amoxicillin 250 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,"amoxicillin 250 MG tablet,chewable 100 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,amoxicillin 250 mg/5 mL suspension for reconstitution 100 mL Bottle,14.4,5.04,4.12,10.73,5
RC,0250,amoxicillin 250 mg/5 mL suspension for reconstitution 150 mL Bottle,16.64,5.83,4.77,12.4,10
RC,0250,amoxicillin 250 mg/5 mL suspension for reconstitution 80 mL Bottle,12.555,4.4,3.57,9.42,15
RC,0250,amoxicillin 400 mg/5 mL suspension for reconstitution 100 mL Bottle,23.13,8.1,6.62,17.23,15
RC,0250,amoxicillin 400 mg/5 mL suspension for reconstitution 50 mL Bottle,11.504999999999999,4.029999999999999,3.28,8.61,15
RC,0250,amoxicillin 400 mg/5 mL suspension for reconstitution 75 mL Bottle,17.26,6.045,4.92,12.93,15
RC,0250,amoxicillin 500 MG capsule 1 each BLIST PACK,6.4,2.24,1.83,4.77,5
RC,0250,amoxicillin 500 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,amoxicillin 500 MG capsule 50 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,amoxicillin 500 MG capsule 500 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,amoxicillin 500 MG tablet 1 each BLIST PACK,6.19,2.17,1.77,4.61,5
RC,0250,amoxicillin 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,amoxicillin-clavulanate 250-125 mg tablet 30 each Bottle,13.97,4.89,4.0,10.41,5
RC,0250,amoxicillin-clavulanate 250-62.5 mg/5 mL suspension for reconstitution 100 mL Bottle,208.15,72.86,58.4,255.29,15
RC,0250,amoxicillin-clavulanate 250-62.5 mg/5 mL suspension for reconstitution 75 mL Bottle,204.7,71.65,43.75,191.2,15
RC,0250,amoxicillin-clavulanate 400-57 mg/5 mL suspension for reconstitution 100 mL Bottle,162.6,56.91,46.57,121.14,10
RC,0250,amoxicillin-clavulanate 400-57 mg/5 mL suspension for reconstitution 50 mL Bottle,86.02000000000001,30.115000000000002,23.76,66.37,15
RC,0250,amoxicillin-clavulanate 500-125 mg tablet 100 each Bottle,8.795,3.085,2.48,6.65,10
RC,0250,amoxicillin-clavulanate 500-125 mg tablet 20 each Bottle,8.93,3.13,2.56,6.65,5
RC,0250,amoxicillin-clavulanate 600-42.9 mg/5 mL suspension for reconstitution 125 mL Bottle,204.14,71.45,43.17,155.16,15
RC,0250,amoxicillin-clavulanate 600-42.9 mg/5 mL suspension for reconstitution 200 mL Bottle,307.78,107.73,88.15,229.3,5
RC,0250,amoxicillin-clavulanate 600-42.9 mg/5 mL suspension for reconstitution 75 mL Bottle,106.28999999999999,37.205,25.85,91.12,10
RC,0250,amoxicillin-clavulanate 875-125 mg tablet 100 each Bottle,11.74,4.115,3.31,8.88,15
RC,0250,amoxicillin-clavulanate 875-125 mg tablet 20 each Bottle,11.945,4.1850000000000005,3.41,8.92,20
RC,0250,"amphetamine-dextroamphetamine XR 20 MG capsule,extended release 24hr 100 each Bottle",11.735,4.11,2.58,10.78,30
RC,0250,"amphetamine-dextroamphetamine XR 30 MG capsule,extended release 24hr 1 each BLIST PACK",19.04,6.67,5.45,14.18,5
RC,0250,"amphetamine-dextroamphetamine XR 30 MG capsule,extended release 24hr 100 each Bottle",14.47,5.07,2.58,15.03,20
RC,0250,"amphetamine-dextroamphetamine XR 30 MG capsule,extended release 24hr 20 each BLIST PACK",19.04,6.67,5.45,14.18,5
RC,0250,"amphetamine-dextroamphetamine XR 5 MG capsule,extended release 24hr 100 each Bottle",11.735,4.11,2.58,10.78,30
RC,0250,ampicillin-sulbactam in sodium chloride 0.9% 100 mL 3 gram solution 100 mL Bag,35.16,12.31,10.07,26.19,5
RC,0250,anagrelide 0.5 MG capsule 100 each Bottle,26.35,9.23,7.55,19.63,5
RC,0250,anastrozole 1 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,anastrozole 1 mg tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,anastrozole 1 mg tablet 30 each Bottle,31.5,11.03,8.99,23.7,15
RC,0250,anastrozole 1 mg tablet 90 each Bottle,31.4,10.99,8.99,23.39,5
RC,0250,anthralin 1 % cream 50 g Tube,991.2,346.92,283.88,738.44,5
RC,0250,anticoagulant citrate dextrose 2.45-2.2 gram- 800 mg/100 mL solution 750 mL Bag,60.18,21.07,17.24,44.83,5
RC,0250,apixaban 2.5 mg tablet 100 each BLIST PACK,28.62,10.02,8.2,21.32,5
RC,0250,apixaban 2.5 mg tablet 60 each Bottle,28.62,10.02,8.2,21.32,5
RC,0250,apixaban 5 mg tablet 100 each BLIST PACK,28.62,10.02,8.2,21.32,5
RC,0250,apixaban 5 mg tablet 60 each Bottle,28.62,10.02,8.2,21.32,5
RC,0250,apixaban 5 mg tablet 74 each Bottle,28.62,10.02,8.2,21.32,5
RC,0250,apraclonidine 0.5 % drops 5 mL DROP BTL,213.67,74.79,58.65,352.01,15
RC,0250,argatroban 1 mg/mL solution 50 mL Vial,552.24,193.29,89.22,514.27,30
RC,0250,argatroban 50 mg/50 mL (1 mg/mL) solution 50 mL Vial,645.9300000000001,226.07999999999998,184.12,483.51,25
RC,0250,argatroban per 5 mg,1165.37,407.88,220.36,2771.27,20
RC,0250,arginine (L-arginine) (bulk) 100 % powder 100 g Jar,304.44,106.56,87.19,226.81,5
RC,0250,arginine (L-arginine) (bulk) 100 % powder 500 g Jar,1597.72,559.21,457.59,1190.3,5
RC,0250,arginine (L-arginine) 10 % parenteral solution 300 mL Bag,118.94,41.63,34.06,88.61,5
RC,0250,artemether-lumefantrine 20-120 mg tablet 24 each Bottle,15.9,5.57,4.55,11.85,5
RC,0250,artificial tears(hypromellose) 0.5 % drops 15 mL DROP BTL,79.19,27.72,22.68,59.0,5
RC,0250,ascorbic acid 500 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,ascorbic acid 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,ascorbic acid 500 mg/mL solution 50 mL Vial,256.3,89.71,73.4,190.94,5
RC,0250,"asenapine maleate 10 mg tablet, sublingual 10 each BLIST PACK",59.51,20.83,17.04,44.33,5
RC,0250,"asenapine maleate 10 mg tablet, sublingual 60 each BLIST PACK",59.51,20.83,17.04,44.33,5
RC,0250,"asenapine maleate 2.5 mg tablet, sublingual 60 each BLIST PACK",59.51,20.83,17.04,44.33,5
RC,0250,"asenapine maleate 5 mg tablet, sublingual 60 each BLIST PACK",59.51,20.83,17.04,44.33,5
RC,0250,"asenapine maleate 5 mg tablet, sublingual 60 each Bottle",10.62,3.72,3.04,7.91,5
RC,0250,aspirin 300 MG suppository 1 each,6.0,2.1,1.72,4.47,5
RC,0250,aspirin 300 MG suppository 12 each Box,6.0,2.1,1.72,4.47,5
RC,0250,aspirin 325 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,aspirin 325 MG tablet 130 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,aspirin 325 MG tablet 500 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,"aspirin 325 MG tablet,delayed release (DR/EC) 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"aspirin 325 MG tablet,delayed release (DR/EC) 100 each Bottle",6.0,2.1,1.72,4.47,10
RC,0250,"aspirin 325 MG tablet,delayed release (DR/EC) 750 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,aspirin 600 MG suppository 12 each Box,6.0,2.1,1.72,4.47,5
RC,0250,"aspirin 81 MG tablet,chewable 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"aspirin 81 MG tablet,chewable 1,000 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,"aspirin 81 MG tablet,chewable 150 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"aspirin 81 MG tablet,chewable 300 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"aspirin 81 MG tablet,chewable 36 each Bottle",6.0,2.1,1.72,4.47,15
RC,0250,"aspirin 81 MG tablet,chewable 500 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"aspirin 81 MG tablet,chewable 750 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"aspirin EC 81 MG tablet,delayed release (DR/EC) 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"aspirin EC 81 MG tablet,delayed release (DR/EC) 180 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,aspirin-acetaminophen-caffeine 250-250-65 mg tablet 24 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,"aspirin-dipyridamole 25-200 mg capsule, ER multiphase 12 hr 60 each Bottle",26.62,9.32,7.62,19.83,5
RC,0250,atazanavir 150 MG capsule 60 each Bottle,67.34,23.575,18.79,51.46,10
RC,0250,atazanavir 200 MG capsule 60 each Bottle,94.965,33.245000000000005,18.79,92.62,15
RC,0250,atazanavir 300 MG capsule 1 each BLIST PACK,51.92,18.18,14.87,38.68,5
RC,0250,atazanavir 300 MG capsule 30 each BLIST PACK,51.92,18.18,14.87,38.68,5
RC,0250,atazanavir 300 MG capsule 30 each Bottle,126.56,44.3,35.27,96.84,15
RC,0250,atenoloL 100 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,atenoloL 100 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,atenoloL 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,atenoloL 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,atenoloL 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,atenoloL 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,atenoloL 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,atomoxetine 10 MG capsule 30 each Bottle,33.59,11.76,9.61,27.81,20
RC,0250,atomoxetine 18 MG capsule 30 each Bottle,37.33,13.07,10.69,27.81,5
RC,0250,atomoxetine 25 MG capsule 30 each BLIST PACK,10.38,3.64,2.97,7.73,5
RC,0250,atomoxetine 25 MG capsule 30 each Bottle,37.33,13.07,10.69,27.81,5
RC,0250,atomoxetine 40 MG capsule 1 each BLIST PACK,17.91,6.27,5.13,13.34,5
RC,0250,atomoxetine 40 MG capsule 30 each BLIST PACK,17.91,6.27,5.13,13.34,10
RC,0250,atomoxetine 40 MG capsule 30 each Bottle,36.5,12.78,10.45,27.19,10
RC,0250,atomoxetine 60 MG capsule 30 each Bottle,38.525,13.489999999999998,10.45,30.21,10
RC,0250,atomoxetine 80 MG capsule 30 each Bottle,41.565,14.555,11.28,32.59,10
RC,0250,atorvastatin 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,atorvastatin 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,atorvastatin 10 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,atorvastatin 10 MG tablet 90 each Bottle,9.55,3.35,2.74,7.11,5
RC,0250,atorvastatin 20 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,atorvastatin 20 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,atorvastatin 40 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,atorvastatin 40 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,atorvastatin 40 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,atorvastatin 80 MG tablet 90 each Bottle,13.61,4.77,3.9,10.14,5
RC,0250,atovaquone 750 mg/5 mL suspension 210 mL Bottle,3721.46,1302.52,931.55,3177.52,15
RC,0250,atovaquone 750 mg/5 mL suspension 5 mL BLIST PACK,93.89,32.87,26.89,69.95,5
RC,0250,atovaquone 750 mg/5 mL suspension 5 mL Cup,83.95,29.39,23.18,88.48,25
RC,0250,atovaquone 750 mg/5 mL suspension 5 mL Packet,97.47,34.12,27.92,72.62,10
RC,0250,atovaquone-proguaniL 250-100 mg tablet 24 each BLIST PACK,16.87,5.91,4.83,12.57,5
RC,0250,atracurium 10 mg/mL solution 10 mL Vial,42.34,14.825,7.66,33.76,25
RC,0250,atracurium 10 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,20
RC,0250,atropine 1 % drops 15 mL DROP BTL,379.805,132.935,105.99,290.21,10
RC,0250,atropine 1 % drops 2 mL DROP BTL,110.13,38.55,30.73,84.15,10
RC,0250,atropine 1 % drops 5 mL DROP BTL,150.405,52.65,37.49,127.54,25
RC,0250,atropine 1 % ointment 3.5 g Tube,43.39,15.19,12.43,32.33,5
RC,0250,auranofin 3 MG capsule 60 each Bottle,52.91,18.52,15.15,39.42,5
RC,0250,axitinib 1 mg tablet 180 each Bottle,313.84,109.85,89.88,233.81,5
RC,0250,axitinib 5 mg tablet 60 each Bottle,941.51,329.53,269.65,701.42,5
RC,0250,"azelastine 137 mcg (0.1 %) spray,non-aerosol 30 mL SQUEEZ BTL",295.945,103.58500000000001,71.13,255.92,10
RC,0250,azithromycin 1 % drops 2.5 mL DROP BTL,630.71,220.75,180.64,469.88,5
RC,0250,azithromycin 1 gram packet 1 each Packet,68.75,24.07,19.69,51.22,5
RC,0250,azithromycin 1 gram packet 3 each Packet,69.345,24.275,19.69,52.11,10
RC,0250,azithromycin 200 mg/5 mL suspension for reconstitution 15 mL Bottle,82.31,28.81,23.57,61.32,20
RC,0250,azithromycin 200 mg/5 mL suspension for reconstitution 22.5 mL Bottle,82.31,28.81,23.57,61.32,10
RC,0250,azithromycin 200 mg/5 mL suspension for reconstitution 30 mL Bottle,82.34,28.82,23.58,61.34,20
RC,0250,azithromycin 250 MG tablet 1 each BLIST PACK,13.695,4.800000000000001,2.85,12.99,10
RC,0250,azithromycin 250 MG tablet 100 each BLIST PACK,9.95,3.49,2.85,7.41,10
RC,0250,azithromycin 250 MG tablet 30 each Bottle,18.35,6.425,5.25,13.69,30
RC,0250,azithromycin 250 MG tablet 50 each BLIST PACK,17.44,6.11,1.72,13.69,30
RC,0250,azithromycin 250 MG tablet 6 each BLIST PACK,12.245000000000001,4.29,1.75,13.69,25
RC,0250,azithromycin 500 MG tablet 1 each BLIST PACK,16.22,5.68,4.65,12.08,5
RC,0250,azithromycin 500 MG tablet 30 each BLIST PACK,61.86,21.655,4.65,80.09,10
RC,0250,azithromycin 600 MG tablet 1 each BLIST PACK,15.04,5.27,4.31,11.2,5
RC,0250,azithromycin 600 MG tablet 30 each BLIST PACK,15.04,5.27,4.31,11.2,5
RC,0250,azithromycin 600 MG tablet 30 each Bottle,44.09,15.44,12.63,32.85,10
RC,0250,azithromycin in 0.9% NaCl 2 mg/mL solution 250 mL Bag,70.27,24.6,9.19,80.79,10
RC,0250,aztreonam per 500 mg,93.46,32.72,11.76,154.67,45
RC,0250,"bacitracin 50,000 unit recon soln 1 each Vial",26.905,9.425,6.87,23.4,45
RC,0250,bacitracin 500 unit/gram ointment 14.2 g Tube,10.96,3.84,3.14,8.17,5
RC,0250,bacitracin 500 unit/gram ointment 15 g Tube,6.0,2.1,1.72,4.47,5
RC,0250,bacitracin 500 unit/gram ointment 28 g Tube,18.7,6.55,5.36,13.93,5
RC,0250,bacitracin 500 unit/gram ointment 28.4 g Tube,14.145,4.955,3.51,11.93,15
RC,0250,bacitracin 500 unit/gram ointment in packet 144 each Packet,6.0,2.1,1.72,4.47,15
RC,0250,bacitracin 500 unit/gram packet 1 each Packet,6.0,2.1,1.72,4.47,15
RC,0250,bacitracin 500 unit/gram packet 144 each Packet,6.0,2.1,1.72,4.47,10
RC,0250,"bacitracin-polymyxin B 500-10,000 unit/gram ointment 3.5 g Tube",56.120000000000005,19.645,15.2,44.08,10
RC,0250,baclofen 1 mg/mL 120 mL KIT,6.0,2.1,1.72,4.47,5
RC,0250,baclofen 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,baclofen 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,25
RC,0250,baclofen 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,baclofen 10 MG tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,baclofen 20 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,baclofen 20 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,baclofen 20 MG tablet 100 each Bottle,12.11,4.24,3.47,9.02,5
RC,0250,baclofen 20 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,baclofen 5 mg/mL 60 mL KIT,6.0,2.1,1.72,4.47,5
RC,0250,balanced salt (BSS) intraocular irrigation solution 15 mL Bottle,35.82,12.54,10.26,26.69,5
RC,0250,balsalazide 750 mg capsule 1 each BLIST PACK,6.22,2.18,1.78,4.63,5
RC,0250,balsalazide 750 mg capsule 280 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,balsalazide 750 mg capsule 30 each BLIST PACK,6.22,2.18,1.78,4.63,5
RC,0250,bamlanivimab 700 mg/20 mL (35 mg/mL) solution 20 mL Vial,24.0,8.4,6.87,17.88,5
RC,0250,baricitinib 2 mg tablet 30 each Bottle,261.24,91.44,74.82,194.62,5
RC,0250,beclomethasone 40 mcg/actuation HFA aerosol breath activated 10.6 g AER BR.ACT,620.2,217.07,177.63,462.05,5
RC,0250,beclomethasone 80 mcg/actuation HFA aerosol breath activated 10.6 g AER BR.ACT,830.63,290.73,237.89,618.82,5
RC,0250,beclomethasone 80 mcg/actuation aerosol 8.7 g AER W/ADAP,9.41,3.3,2.7,7.01,5
RC,0250,belladonna-opium 16.2-60 MG suppository 12 each Box,78.95,27.64,22.61,58.82,5
RC,0250,belladonna-opium 16.2-60 MG suppository 4 each Box,118.42,41.45,33.92,88.22,5
RC,0250,benazepriL 20 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,bendamustine 25 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,10
RC,0250,bendamustine 25 mg/mL solution 4 mL Vial,9225.76,3229.02,2642.26,6873.19,5
RC,0250,benralizumab 30 mg/mL syringe 1 mL Syringe,13457.97,4710.29,3854.36,10026.19,5
RC,0250,benzocaine 10 % gel 7 g Tube,11.75,4.12,3.37,8.75,5
RC,0250,benzocaine 20 % aerosol 57 g CANISTER,10.49,3.68,3.0,7.82,5
RC,0250,"benzocaine 20 % aerosol,spray 57 g Can",86.495,30.28,20.96,74.36,10
RC,0250,benzocaine-benzethonium 20-0.2 % aerosol 78 g CANISTER,14.815,5.1899999999999995,3.79,12.2,10
RC,0250,benzocaine-menthoL 15-3.6 mg lozenge 16 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,benzocaine-menthoL 15-3.6 mg lozenge 18 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,benzocaine-menthoL 20-0.5 % aerosol 56 g CANISTER,16.005,5.609999999999999,3.45,14.89,10
RC,0250,benzocaine-menthoL 20-0.5 % aerosol 78 g CANISTER,14.815,5.1899999999999995,3.79,12.2,10
RC,0250,benzocaine-menthoL 20-0.5 % aerosol 85 g CANISTER,15.45,5.41,4.42,11.51,5
RC,0250,benzocaine-menthoL 6-10 mg lozenge 18 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,"benzocaine-menthoL 7-1 % spray,non-aerosol 115 mL Bottle",17.37,6.08,4.97,12.94,5
RC,0250,benzocaine-menthoL-zinc 20-0.1-0.15 % gel 5.1 g Tube,9.98,3.5,2.86,7.44,5
RC,0250,benzocaine-menthol 20-0.5 % aerosol 56 g CANISTER,12.03,4.22,3.45,8.96,5
RC,0250,benzoin 100 % swab 50 each Packet,6.0,2.1,1.72,4.47,5
RC,0250,benzoin compound 10 % 10-2-8-4 % tincture 473 mL Bottle,150.7,52.75,43.16,112.27,5
RC,0250,benzoin compound 10 % 10-2-8-4 % tincture 58 mL Bottle,12.18,4.27,3.49,9.07,5
RC,0250,benzoin compound 10 % 10-2-8-4 % tincture 59 mL Bottle,24.78,8.68,7.1,18.46,5
RC,0250,benzonatate 100 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,benzonatate 100 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,benzoyl peroxide 10 % gel 42.5 g Tube,16.35,5.73,4.68,12.18,5
RC,0250,benzoyl peroxide 10 % gel 60 g Tube,48.99,17.15,14.03,36.5,5
RC,0250,benzoyl peroxide 5 % gel 42.5 g Tube,13.44,4.71,3.85,10.01,5
RC,0250,benzoyl peroxide 5 % gel 60 g Tube,47.86,16.76,13.71,35.66,5
RC,0250,benzoyl peroxide 5 % gel 90 g Tube,56.5,19.78,16.18,42.09,5
RC,0250,benztropine 1 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,benztropine 1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,benztropine 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,"benztropine 2 MG tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,benztropine 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,benzylpenicilloyl polylysine 0.25 mL solution 0.25 mL AMPUL,502.96,176.04,144.05,374.71,10
RC,0250,benzylpenicilloyl polylysine 0.25 mL solution 0.25 mL Syringe,283.2,99.12,81.11,210.98,5
RC,0250,beractant 25 mg/mL suspension 4 mL Vial,1084.66,379.64,310.65,808.07,5
RC,0250,beractant 25 mg/mL suspension 8 mL Vial,1919.78,671.93,549.82,1430.24,5
RC,0250,betamethasone (augmented) 0.05 % cream 15 g Tube,50.25,17.59,3.13,66.72,10
RC,0250,betamethasone (augmented) 0.05 % cream 50 g Tube,200.25,70.09,57.35,149.19,5
RC,0250,betamethasone (augmented) 0.05 % ointment 15 g Tube,149.71,52.4,42.88,111.53,5
RC,0250,betamethasone (augmented) 0.05 % ointment 45 g Tube,301.4,105.49,86.32,224.54,5
RC,0250,betamethasone dipropionate 0.05 % cream 45 g Tube,207.73,72.71,56.24,185.77,20
RC,0250,betamethasone dipropionate 0.05 % ointment 15 g Tube,132.075,46.230000000000004,34.1,108.1,15
RC,0250,betamethasone dipropionate 0.05 % ointment 45 g Tube,264.96500000000003,92.745,68.65,216.23,15
RC,0250,"betaxoloL 0.25 % drops,suspension 10 mL DROP BTL",923.4,323.19,264.46,687.93,5
RC,0250,bethanechol 25 MG tablet 1 each BLIST PACK,6.15,2.1550000000000002,1.72,4.69,10
RC,0250,bethanechol 25 MG tablet 100 each BLIST PACK,6.15,2.1550000000000002,1.72,4.69,15
RC,0250,bethanechol 25 MG tablet 50 each BLIST PACK,7.42,2.6,2.13,5.53,5
RC,0250,bethanechol 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,bexarotene 75 mg capsule 100 each Bottle,704.45,246.56,201.75,524.82,5
RC,0250,bicalutamide 50 mg tablet 30 each Bottle,43.53,15.24,1.72,32.63,20
RC,0250,"bicarb dial soln15 without cal K (4 mEq/L) -Mg (1.2 mEq/L) solution 5,000 mL Bag",129.8,45.43,37.17,96.7,10
RC,0250,"bicarb dialysis8 w-out calcium K (2 mEq/L) -Mg (1 mEq/L) solution 5,000 mL Bag",129.8,45.43,37.17,96.7,10
RC,0250,"bicarbonate dialysis soln no.9 K (4 mEq/L)-Ca (2.5)-Mg (1.5) solution 5,000 mL Bag",129.8,45.43,37.17,96.7,5
RC,0250,bictegrav-emtricit-tenofov ala 50-200-25 mg tablet 30 each BLIST PACK,398.0,139.3,113.99,296.51,5
RC,0250,bictegrav-emtricit-tenofov ala 50-200-25 mg tablet 30 each Bottle,398.0,139.3,113.99,296.51,5
RC,0250,bimatoprost 0.01 % drops 2.5 mL DROP BTL,747.53,261.64,214.09,556.91,5
RC,0250,bimatoprost 0.03 % drops 2.5 mL DROP BTL,317.73,111.21,91.0,236.71,5
RC,0250,biotin 1 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,biotin 300 mcg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,bisacodyL 10 mg suppository 1 each Box,6.0,2.1,1.72,4.47,10
RC,0250,bisacodyL 10 mg suppository 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,bisacodyL 10 mg suppository 12 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,bisacodyL 10 mg suppository 12 each Box,6.0,2.1,1.72,4.47,15
RC,0250,bisacodyL 10 mg suppository 50 each Box,6.0,2.1,1.72,4.47,5
RC,0250,bisacodyL 10 mg suppository 8 each Box,6.0,2.1,1.72,4.47,10
RC,0250,"bisacodyL 5 mg tablet,delayed release (DR/EC) 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"bisacodyL 5 mg tablet,delayed release (DR/EC) 100 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,"bismuth subsalicylate 262 mg tablet,chewable 30 each BLIST PACK",6.0,2.1,1.72,4.47,10
RC,0250,"bismuth subsalicylate 262 mg tablet,chewable 30 each Bottle",6.0,2.1,1.72,4.47,15
RC,0250,bismuth subsalicylate 262 mg/15 mL suspension 118 mL Bottle,6.0,2.1,1.72,4.47,20
RC,0250,bismuth subsalicylate 262 mg/15 mL suspension 236 mL Bottle,6.0,2.1,1.72,4.47,15
RC,0250,bismuth subsalicylate 262 mg/15 mL suspension 30 mL Syringe,6.0,2.1,1.72,4.47,5
RC,0250,bismuth subsalicylate 262 mg/15 mL suspension 473 mL Bottle,6.0,2.1,1.72,4.47,5
RC,0250,boric acid (bulk) powder 170 g Jar,21.66,7.59,6.2,16.14,5
RC,0250,boric acid (bulk) powder 340 g Jar,38.52,13.49,11.03,28.7,5
RC,0250,bosentan 125 MG tablet 60 each Bottle,290.87,101.81,83.31,216.7,5
RC,0250,bosutinib 100 mg tablet 120 each Bottle,459.79,160.93,131.68,342.54,5
RC,0250,bosutinib 500 mg tablet 30 each Bottle,1839.16,643.71,526.74,1370.17,5
RC,0250,botulism immune globulin 100 mg recon soln 1 each Vial,34550.84,12092.8,9895.36,25740.38,5
RC,0250,brexpiprazole 1 mg tablet 30 each Bottle,143.08,50.08,40.98,106.59,5
RC,0250,brilliant blue G 0.025 % syringe 0.5 mL Syringe,420.0,147.0,120.29,312.9,10
RC,0250,brimonidine 0.15 % drops 10 mL DROP BTL,1039.17,363.715,259.05,874.5,10
RC,0250,brimonidine 0.15 % drops 5 mL DROP BTL,519.7049999999999,181.9,129.56,437.35,20
RC,0250,brimonidine 0.2 % drops 10 mL DROP BTL,80.38,28.14,23.02,59.88,5
RC,0250,brimonidine 0.2 % drops 5 mL DROP BTL,42.79,14.98,12.26,31.88,5
RC,0250,brimonidine-timoloL 0.2-0.5 % drops 5 mL DROP BTL,578.11,202.34,165.57,430.69,5
RC,0250,brivaracetam 10 mg/mL solution 300 mL Bottle,4171.54,1460.04,1194.73,3107.8,5
RC,0250,brivaracetam 100 mg tablet 60 each Bottle,69.52,24.34,19.91,51.79,5
RC,0250,brivaracetam 50 mg tablet 60 each Bottle,69.52,24.34,19.91,51.79,5
RC,0250,bromocriptine 2.5 mg tablet 1 each BLIST PACK,19.53,6.84,5.59,14.55,5
RC,0250,bromocriptine 2.5 mg tablet 100 each Bottle,14.75,5.17,2.54,11.02,25
RC,0250,bromocriptine 2.5 mg tablet 30 each BLIST PACK,19.53,6.84,5.59,14.55,5
RC,0250,bromocriptine 2.5 mg tablet 30 each Bottle,12.274999999999999,4.3,2.8,11.02,20
RC,0250,buPROPion 100 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,buPROPion 100 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,buPROPion 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,buPROPion 75 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,buPROPion 75 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,buPROPion 75 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,buPROPion 75 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,buPROPion SR 100 MG tablet sustained-release 12 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,buPROPion SR 100 MG tablet sustained-release 12 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,buPROPion SR 100 MG tablet sustained-release 12 hr 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,buPROPion SR 150 MG tablet sustained-release 12 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,buPROPion SR 150 MG tablet sustained-release 12 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,buPROPion SR 150 MG tablet sustained-release 12 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,buPROPion SR 150 MG tablet sustained-release 12 hr 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,buPROPion SR 150 MG tablet sustained-release 12 hr 60 each Bottle,22.3,7.81,6.39,16.61,5
RC,0250,buPROPion XL 150 MG tablet extended release 24 hr 1 each BLIST PACK,12.32,4.32,3.15,13.65,15
RC,0250,buPROPion XL 150 MG tablet extended release 24 hr 100 each BLIST PACK,11.655000000000001,4.085,3.15,9.18,10
RC,0250,buPROPion XL 150 MG tablet extended release 24 hr 30 each BLIST PACK,18.32,6.42,5.25,13.65,5
RC,0250,buPROPion XL 150 MG tablet extended release 24 hr 90 each Bottle,11.26,3.95,1.72,9.18,30
RC,0250,buPROPion XL 300 MG tablet extended release 24 hr 1 each BLIST PACK,7.17,2.51,2.05,5.34,5
RC,0250,buPROPion XL 300 MG tablet extended release 24 hr 30 each BLIST PACK,9.21,3.2249999999999996,2.05,8.38,15
RC,0250,buPROPion XL 300 MG tablet extended release 24 hr 30 each Bottle,14.225,4.984999999999999,3.89,11.07,15
RC,0250,buPROPion XL 300 MG tablet extended release 24 hr 90 each Bottle,11.25,3.94,3.22,8.38,5
RC,0250,budesonide 180 mcg/actuation aerosol powdr breath activated 1 each CANISTER,749.35,262.28,214.61,558.27,5
RC,0250,"budesonide 3 mg capsule,delayed,extend.release 100 each Bottle",32.33,11.32,1.72,43.7,10
RC,0250,budesonide-formoteroL 160-4.5 mcg/actuation HFA aerosol inhaler 10.2 g AER W/ADAP,663.5,232.23,190.03,494.31,5
RC,0250,budesonide-formoteroL 160-4.5 mcg/actuation HFA aerosol inhaler 6 g AER W/ADAP,230.67000000000002,80.74000000000001,3.0,335.88,10
RC,0250,budesonide-formoteroL 80-4.5 mcg/actuation HFA aerosol inhaler 10.2 g AER W/ADAP,580.47,203.17,166.25,432.45,5
RC,0250,budesonide-formoteroL 80-4.5 mcg/actuation HFA aerosol inhaler 6.9 g AER W/ADAP,200.54,70.195,2.61,292.01,10
RC,0250,buffered lidocaine 0.9% 0.9 % syringe 0.2 mL Syringe,24.0,8.4,6.87,17.88,5
RC,0250,bumetanide 1 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,bumetanide 1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,bumetanide 1 MG tablet 100 each Bottle,6.3,2.21,1.72,4.75,15
RC,0250,bumetanide 1 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,bumetanide 1 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,bumetanide 2 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,bumetanide 2 MG tablet 100 each Bottle,6.93,2.43,1.72,5.21,15
RC,0250,bumetanide 2 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,bumetanide per 0.5 mg,24.0,8.4,6.87,17.88,95
RC,0250,bupivacaine (PF) in 0.9% NaCl 0.125 % solution 250 mL Cartridge,34.33,12.02,9.83,25.58,5
RC,0250,bupivacaine (PF) in 0.9% NaCl 0.125% solution 250 mL Cartridge,34.33,12.02,9.83,25.58,5
RC,0250,bupivacaine 0.1% solution 250 mL Cartridge,24.0,8.4,6.87,17.88,5
RC,0250,bupivacaine 0.125% solution 250 mL Cartridge,483.8,169.33,138.56,360.43,5
RC,0250,bupivacaine 0.2% solution 250 mL Cartridge,48.38,16.94,13.86,36.04,5
RC,0250,bupivacaine 0.25 % (2.5 mg/mL) solution 10 mL Vial,24.0,8.4,6.87,17.88,40
RC,0250,bupivacaine 0.25 % (2.5 mg/mL) solution 30 mL Vial,24.0,8.4,6.87,17.88,35
RC,0250,bupivacaine PF 0.75 % (7.5 mg/mL) solution 10 mL Vial,24.0,8.4,6.87,17.88,25
RC,0250,bupivacaine PF 0.75 % (7.5 mg/mL) solution 30 mL Vial,24.0,8.4,6.87,17.88,30
RC,0250,"bupivacaine-EPINEPHrine (PF) 0.25 %-1:200,000 solution 10 mL Vial",24.0,8.4,6.87,17.88,5
RC,0250,"bupivacaine-EPINEPHrine (PF) 0.25 %-1:200,000 solution 30 mL Vial",33.56,11.75,9.41,25.53,25
RC,0250,"bupivacaine-epinephrine 0.5 %-1:200,000 cartridge 1.8 mL Cartridge",6.0,2.1,1.72,4.47,5
RC,0250,bupivacaine-sodium bicarb-heparin 50 50 mL Syringe,84.49,29.58,24.2,62.95,5
RC,0250,buprenorphine 10 mcg/hour patch weekly 4 each Box,261.385,91.49000000000001,65.32,219.54,10
RC,0250,"buprenorphine 2 mg tablet, sublingual 1 each BLIST PACK",9.0,3.15,2.58,6.71,5
RC,0250,"buprenorphine 2 mg tablet, sublingual 30 each BLIST PACK",9.0,3.15,2.58,6.71,5
RC,0250,"buprenorphine 2 mg tablet, sublingual 30 each Bottle",9.77,3.42,2.58,7.91,25
RC,0250,buprenorphine 20 mcg/hour patch weekly 4 each Box,403.77,141.32,115.64,300.81,5
RC,0250,buprenorphine 5 mcg/hour patch weekly 4 each Box,152.05,53.22,43.55,113.28,5
RC,0250,"buprenorphine 8 mg tablet, sublingual 30 each BLIST PACK",9.91,3.47,2.84,7.38,5
RC,0250,"buprenorphine 8 mg tablet, sublingual 30 each Bottle",19.97,6.99,2.58,14.91,20
RC,0250,buprenorphine-naloxone 2-0.5 mg film 1 each Packet,12.16,4.26,3.46,10.57,15
RC,0250,buprenorphine-naloxone 2-0.5 mg film 30 each Packet,12.120000000000001,4.245,3.32,10.57,20
RC,0250,"buprenorphine-naloxone 2-0.5 mg tablet, sublingual 30 each Bottle",13.75,4.82,3.94,10.24,25
RC,0250,buprenorphine-naloxone 8-2 mg film 1 each Packet,25.43,8.91,7.28,18.95,5
RC,0250,buprenorphine-naloxone 8-2 mg film 30 each Packet,25.43,8.91,7.28,18.95,5
RC,0250,"buprenorphine-naloxone 8-2 mg tablet, sublingual 30 each BLIST PACK",24.62,8.62,7.05,18.34,5
RC,0250,"buprenorphine-naloxone 8-2 mg tablet, sublingual 30 each Bottle",24.02,8.41,5.72,18.32,35
RC,0250,busPIRone 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,busPIRone 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,busPIRone 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,20
RC,0250,busPIRone 15 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,busPIRone 15 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,busPIRone 15 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,20
RC,0250,busPIRone 15 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,busPIRone 15 MG tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,busPIRone 15 MG tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,busPIRone 5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,busPIRone 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,busPIRone 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,butalbital-acetaminophen-caffeine 50-325-40 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,butalbital-acetaminophen-caffeine 50-325-40 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,butorphanol per 1 mg,207.185,72.52,53.57,169.35,10
RC,0250,cabergoline 0.5 mg tablet 8 each Bottle,86.52,30.29,24.78,64.46,20
RC,0250,cabozantinib 100 mg/day(80 mg x1-20 mg x1) capsule 56 each BLIST PACK,459.99,161.0,131.74,342.69,5
RC,0250,cabozantinib 140 mg/day(80 mg x1-20 mg x3) capsule 112 each BLIST PACK,229.99,80.5,65.87,171.34,5
RC,0250,cabozantinib 20 mg tablet 30 each Bottle,2482.83,869.0,711.08,1849.71,5
RC,0250,cabozantinib 40 mg tablet 30 each Bottle,2482.83,869.0,711.08,1849.71,5
RC,0250,cabozantinib 60 mg tablet 30 each Bottle,2482.83,869.0,711.08,1849.71,5
RC,0250,cabozantinib 60 mg/day (20 mg x 3/day) capsule 84 each BLIST PACK,306.66,107.34,87.83,228.46,5
RC,0250,caffeine 200 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,caffeine 200 mg tablet 16 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,caffeine 200 mg tablet 16 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,caffeine 200 mg tablet 40 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,caffeine citrate 20 mg/mL solution 3 mL Vial,56.64,19.83,9.73,93.21,25
RC,0250,caffeine citrate per 5 mg,48.14,16.85,8.11,70.33,35
RC,0250,caffeine-sodium benzoate 250 mg/mL (125 mg/mL caffeine) solution 2 mL Vial,110.84,38.8,31.74,82.58,5
RC,0250,calamine-zinc oxide 8-8 % lotion 177 mL Bottle,10.03,3.52,1.72,7.78,15
RC,0250,calcipotriene 0.005 % cream 120 g Tube,2749.02,962.16,787.32,2048.02,5
RC,0250,calcipotriene 0.005 % ointment 60 g Tube,854.13,298.95,244.62,636.33,5
RC,0250,calcitRIOL 1 mcg/mL solution 15 mL Bottle,12.879999999999999,4.515,2.02,13.95,10
RC,0250,"calcitonin 200 unit/actuation spray,non-aerosol 3.7 mL SQUEEZ BTL",279.76,97.92,80.12,208.42,10
RC,0250,calcitrioL 0.25 MCG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,calcitrioL 0.25 MCG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,calcitrioL 0.25 MCG capsule 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,calcitrioL 0.25 MCG capsule 30 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,calcitrioL 0.5 MCG capsule 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,calcium acetate 667 mg tablet 200 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,calcium acetate(phosphat bind) 667 mg capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,calcium acetate(phosphat bind) 667 mg capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,calcium acetate(phosphat bind) 667 mg capsule 200 each Bottle,6.0,2.1,1.72,4.47,30
RC,0250,calcium acetate(phosphat bind) 667 mg capsule 30 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,calcium carbonate 1250 mg/5 mL (500 mg elemental calcium/5 mL) suspension 473 mL Bottle,6.0,2.1,1.72,4.47,5
RC,0250,calcium carbonate 1250 mg/5 mL (500 mg elemental calcium/5 mL) suspension 500 mL Bottle,6.0,2.1,1.72,4.47,5
RC,0250,"calcium carbonate 200 mg calcium (500 mg) tablet,chewable 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"calcium carbonate 200 mg calcium (500 mg) tablet,chewable 150 each Bottle",6.0,2.1,1.72,4.47,15
RC,0250,"calcium carbonate 200 mg calcium (500 mg) tablet,chewable 20 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"calcium carbonate 200 mg calcium (500 mg) tablet,chewable 500 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"calcium carbonate-vitamin D 1250 mg (500 mg elemental calcium) tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,calcium carbonate-vitamin D 1250 mg (500 mg elemental calcium) tablet 150 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,calcium carbonate-vitamin D 1250 mg (500 mg elemental calcium) tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,calcium carbonate-vitamin D 600 mg-10 mcg (400 unit) tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,calcium carbonate-vitamin D3 250 mg-3 mcg (120 unit) tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,calcium carbonate-vitamin D3 250 mg-3.125 mcg (125 unit) tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,calcium carbonate-vitamin D3 250 mg-3.125 mcg (125 unit) tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,calcium chloride 100 mg/mL (10 %) solution 10 mL Vial,55.989999999999995,19.6,15.67,42.65,15
RC,0250,calcium chloride 100 mg/mL (10 %) syringe 10 mL Syringe,29.74,10.41,6.87,36.08,35
RC,0250,calcium citrate 200 mg (950 mg) tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,calcium citrate 250 mg calcium tablet 180 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,calcium citrate-vitamin D3 315 mg-6.25 mcg (250 unit) tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,calcium glubionate 115 mg/5 mL (1.8 gram/5 mL) syrup 473 mL Bottle,6.0,2.1,1.72,4.47,5
RC,0250,camphor-phenol 10.8-4.7 % gel 6.5 g Tube,14.14,4.95,4.05,10.53,5
RC,0250,canagliflozin 100 mg tablet 30 each Bottle,56.5,19.78,16.18,42.09,5
RC,0250,canagliflozin 100 mg tablet 90 each Bottle,56.5,19.78,16.18,42.09,5
RC,0250,canagliflozin 300 mg tablet 30 each Bottle,56.5,19.78,16.18,42.09,5
RC,0250,candida albicans skin test FDA STANDARD allergen 1 mL Vial,91.19,31.92,26.12,67.94,5
RC,0250,cangrelor 50 mg recon soln 1 each Vial,2835.39,992.39,812.06,2112.37,10
RC,0250,cannabidioL 100 mg/mL solution 100 mL Bottle,4842.72,1694.96,1386.96,3607.83,10
RC,0250,capsaicin 0.025 % cream 60 g Tube,23.51,8.23,6.73,17.51,10
RC,0250,captopriL 12.5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,captopriL 12.5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,captopriL 12.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,20
RC,0250,captopriL 12.5 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,captopriL 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,captopriL 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,captopriL 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,captopriL 25 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,captopriL 50 MG tablet 100 each Bottle,6.42,2.25,1.72,5.1,10
RC,0250,carbachoL 0.01 % solution 1.5 mL Vial,131.6,46.06,37.69,98.04,5
RC,0250,"carbamazepine 100 mg tablet,chewable 1 each BLIST PACK",6.0,2.1,1.72,4.47,10
RC,0250,"carbamazepine 100 mg tablet,chewable 100 each BLIST PACK",6.0,2.1,1.72,4.47,15
RC,0250,carbamazepine 100 mg/5 mL suspension 450 mL Bottle,6.0,2.1,1.72,4.47,10
RC,0250,carbamazepine 200 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,carbamazepine 200 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,carbamazepine 200 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,carbamazepine XR 200 MG tablet extended release 12 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,carbamazepine XR 200 MG tablet extended release 12 hr 30 each BLIST PACK,9.52,3.34,2.73,7.09,5
RC,0250,carbamazepine XR 400 MG tablet extended release 12 hr 100 each Bottle,18.67,6.54,5.35,13.91,5
RC,0250,carbamide peroxide 6.5 % drops 15 mL DROP BTL,16.83,5.895,1.72,13.34,20
RC,0250,carbidopa 25 mg tablet 100 each Bottle,51.57,18.05,7.1,62.42,15
RC,0250,carbidopa-levodopa 10-100 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,carbidopa-levodopa 10-100 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,carbidopa-levodopa 25-100 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,carbidopa-levodopa 25-100 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,carbidopa-levodopa 25-100 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,carbidopa-levodopa 25-100 mg tablet extended release 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,carbidopa-levodopa 25-100 mg tablet extended release 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,carbidopa-levodopa 25-100 mg tablet extended release 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,carbidopa-levodopa 25-250 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,carbidopa-levodopa 25-250 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,carbidopa-levodopa 25-250 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,carbidopa-levodopa 50-200 mg tablet extended release 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,carbidopa-levodopa 50-200 mg tablet extended release 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,carbidopa-levodopa-entacapone 50-200-200 mg tablet 100 each Bottle,21.66,7.59,6.2,16.14,5
RC,0250,carboprost 250 mcg/mL solution 1 mL AMPUL,396.48,138.77,113.55,295.38,5
RC,0250,carboprost 250 mcg/mL solution 1 mL Vial,234.49,82.08,32.44,673.02,70
RC,0250,carboxymethylcellulose 0.5 % dropperette 50 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,carboxymethylcellulose 0.5 % dropperette 70 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,carboxymethylcellulose sodium 0.5 % drops 15 mL DROP BTL,17.49,6.13,5.01,13.03,5
RC,0250,"carboxymethylcellulose sodium 1 % dropperette,gel 28 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"carboxymethylcellulose sodium 1 % dropperette,gel 30 each BLIST PACK",6.0,2.1,1.72,4.47,10
RC,0250,"cardioplegic solution 29 mmol/L (potassium) solution 1,000 mL Bag",153.4,53.69,43.93,114.28,5
RC,0250,carisoprodoL 350 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,10
RC,0250,carisoprodoL 350 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,10
RC,0250,carisoprodoL-aspirin 200-325 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
RC,0250,carmustine in polifeprosan 7.7 mg wafer 8 each Box,14952.95,5233.54,4282.52,11139.95,5
RC,0250,carvediloL 12.5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,carvediloL 12.5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,carvediloL 12.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,carvediloL 25mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,carvediloL 25mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,carvediloL 25mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,carvediloL 3.125 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,carvediloL 3.125 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,carvediloL 3.125 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,carvediloL 6.25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,carvediloL 6.25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,carvediloL 6.25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,"carvedilol CR 40 MG capsule, ER multiphase 24 hr 30 each Bottle",25.99,9.1,7.44,19.36,5
RC,0250,castor oiL 100 % oil 59 mL Bottle,11.56,4.05,3.31,8.61,5
RC,0250,"ceFAZolin-heparin 5 mg/mL-5,000 units/mL 5 mL Syringe",64.4,22.54,18.44,47.98,5
RC,0250,cefazolin 50 mg/mL drops 15 mL DROP BTL,21.38,7.49,6.12,15.93,10
RC,0250,cefdinir 125 mg/5 mL suspension for reconstitution 100 mL Bottle,190.69,66.75,54.61,142.06,5
RC,0250,cefdinir 125 mg/5 mL suspension for reconstitution 60 mL Bottle,120.22,42.08,34.39,89.67,30
RC,0250,cefdinir 250 mg/5 mL suspension for reconstitution 60 mL Bottle,234.56,82.1,67.12,174.9,15
RC,0250,cefdinir 300 MG capsule 60 each Bottle,12.06,4.225,3.45,8.99,25
RC,0250,cefixime 100 mg/5 mL suspension for reconstitution 50 mL Bottle,525.57,183.95,150.52,391.55,5
RC,0250,cefixime 400 mg capsule 10 each BLIST PACK,62.05,21.725,16.83,48.66,15
RC,0250,cefixime 400 mg capsule 50 each Bottle,60.415000000000006,21.15,15.9,48.66,15
RC,0250,cefotetan per 500 mg,99.67500000000001,34.89,18.41,167.73,35
RC,0250,cefpodoxime 100 MG tablet 20 each Bottle,15.9,5.57,4.55,11.85,15
RC,0250,cefpodoxime 200 MG tablet 20 each Bottle,19.96,6.99,5.72,14.87,5
RC,0250,ceftazidine 50 mg/mL drops 15 mL DROP BTL,29.95,10.49,8.58,22.31,10
RC,0250,ceftolozane-tazobactam 1.5 gram recon soln 1 each Vial,322.68,112.94,92.42,240.4,5
RC,0250,cefuroxime 125 mg/5 mL suspension for reconstitution 100 mL Bottle,411.35,143.98,117.81,306.46,5
RC,0250,cefuroxime 250 mg/5 mL suspension for reconstitution 100 mL Bottle,699.98,245.0,200.47,521.49,5
RC,0250,celecoxib 100 MG capsule 100 each BLIST PACK,10.3,3.61,2.95,7.67,5
RC,0250,celecoxib 100 MG capsule 100 each Bottle,10.91,3.82,3.12,8.13,5
RC,0250,celecoxib 200 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,celecoxib 200 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,celecoxib 200 MG capsule 100 each Bottle,17.89,6.27,5.12,13.33,10
RC,0250,celecoxib 200 MG capsule 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,"cellulose, oxidized 2"" X 14"" package 1 each Packet",423.3,148.16,121.23,315.36,5
RC,0250,"cellulose, oxidized 2"" X 3"" pad 1 each Packet",252.05,88.22,72.19,187.78,5
RC,0250,"cellulose, oxidized 4"" X 8"" pad 1 each Packet",460.12,161.05,131.78,342.79,5
RC,0250,cephalexin 125 mg/5 mL suspension for reconstitution 100 mL Bottle,56.17,19.66,16.09,41.85,5
RC,0250,cephalexin 250 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,cephalexin 250 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,cephalexin 250 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,cephalexin 250 MG capsule 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,cephalexin 250 mg/5 mL suspension for reconstitution 100 mL Bottle,67.97,23.79,15.48,632.95,20
RC,0250,cephalexin 500 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,cephalexin 500 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,cephalexin 500 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,cephalexin 500 MG capsule 50 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,ceritinib 150 mg capsule 70 each Bottle,1660.43,581.16,475.55,1237.02,5
RC,0250,cetirizine 1 mg/mL solution 120 mL Bottle,56.495000000000005,19.78,7.7,64.14,20
RC,0250,cetirizine 1 mg/mL solution 5 mL Cup,7.47,2.615,1.94,6.09,10
RC,0250,cetirizine 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,cetirizine 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,cetirizine 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,cetirizine 10 MG tablet 90 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,cetirizine 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,cherry syrup liquid 473 mL Bottle,44.09,15.435,11.83,34.93,10
RC,0250,chlorambuciL 2 mg tablet 50 each Bottle,57.41,20.1,16.44,42.77,5
RC,0250,chlorhexidine 0.12 % mouthwash 15 mL Bottle,7.68,2.69,2.2,5.72,5
RC,0250,chlorhexidine 0.12 % mouthwash 15 mL Cup,6.135,2.1500000000000004,1.72,4.67,70
RC,0250,chlorhexidine 0.12 % mouthwash 473 mL Bottle,6.0,2.1,1.72,4.47,5
RC,0250,chlorhexidine 4 % liquid 118 mL Bottle,9.19,3.22,2.63,6.85,5
RC,0250,chlorhexidine 4 % liquid 15 mL Packet,6.0,2.1,1.72,4.47,5
RC,0250,chlorhexidine 4 % liquid 237 mL Bottle,22.93,8.030000000000001,6.41,17.5,10
RC,0250,chloroquine 500 mg tablet 25 each Bottle,56.29,19.71,16.12,41.94,5
RC,0250,chlorothiazide 250 mg/5 mL suspension 237 mL Bottle,192.97,67.54,55.27,143.76,5
RC,0250,chlorpheniramine 4 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,chlorpromazine per 10 mg,12.14,4.25,2.91,11.65,45
RC,0250,chlorpromazine per 25 mg,24.49,8.58,4.64,39.1,135
RC,0250,chlorthalidone 25 MG tablet 1 each BLIST PACK,6.1850000000000005,2.165,1.72,4.75,15
RC,0250,chlorthalidone 25 MG tablet 100 each BLIST PACK,6.1850000000000005,2.165,1.72,4.75,10
RC,0250,chlorthalidone 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,chlorthalidone 25 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,chlorthalidone 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,"cholecalciferol 1,250 mcg (50,000 unit) capsule 12 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,cholecalciferol 10 mcg (400 unit) tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,cholecalciferol 10 mcg (400 unit) tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,cholecalciferol 10 mcg (400 unit) tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,cholecalciferol 10 mcg (400 unit) tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,cholecalciferol 10 mcg/mL (400 unit/mL) drops 1 mL Syringe,6.0,2.1,1.72,4.47,15
RC,0250,cholecalciferol 10 mcg/mL (400 unit/mL) drops 50 mL DROP BTL,15.93,5.58,2.43,43.96,20
RC,0250,"cholecalciferol 25 mcg (1,000 unit) tablet 100 each BLIST PACK",6.0,2.1,1.72,4.47,20
RC,0250,"cholecalciferol 25 mcg (1,000 unit) tablet 100 each Bottle",6.0,2.1,1.72,4.47,10
RC,0250,"cholecalciferol 25 mcg (1,000 unit) tablet 90 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,cholestyramine 4 gram powder in packet 1 each Packet,7.93,2.7800000000000002,2.27,5.92,20
RC,0250,cholestyramine 4 gram powder in packet 60 each Packet,7.93,2.7800000000000002,2.27,5.92,25
RC,0250,cholestyramine-aspartame (CHOLESTYRAMINE LIGHT) 5% in Aquaphor 80 g Jar,1773.78,620.83,508.01,1321.47,5
RC,0250,cholestyramine-aspartame 4 gram powder in packet 60 each Packet,7.91,2.77,2.27,5.89,5
RC,0250,chromium 0.4 mcg/mL solution 1 mL Vial,24.0,8.4,6.87,17.88,5
RC,0250,chromium 4 mcg/mL solution 10 mL Vial,56.17,19.66,16.09,41.85,5
RC,0250,ciclesonide 160 mcg/actuation HFA aerosol inhaler 6.1 g CANISTER,712.44,249.36,204.04,530.77,5
RC,0250,"ciclesonide 50 mcg spray,non-aerosol 12.5 g SQUEEZ BTL",794.26,278.0,227.48,591.72,5
RC,0250,cilostazoL 100 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,cilostazoL 100 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,cilostazoL 100 MG tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,cilostazoL 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,cilostazoL 50 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,cilostazoL 50 MG tablet 60 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,cimetidine 400 MG tablet 100 each Bottle,7.88,2.76,2.26,5.87,5
RC,0250,cinacalcet 30 MG tablet 1 each BLIST PACK,67.85,23.75,17.91,54.5,10
RC,0250,cinacalcet 30 MG tablet 30 each BLIST PACK,67.85,23.75,17.91,54.5,10
RC,0250,cinacalcet 30 MG tablet 30 each Bottle,74.25,25.994999999999997,20.72,56.73,20
RC,0250,cinacalcet 30 MG tablet 90 each Bottle,72.35,25.33,20.72,53.9,5
RC,0250,cinacalcet 60 MG tablet 30 each Bottle,152.3,53.31,43.62,113.46,5
RC,0250,ciprofloxacin 0.3 % drops 5 mL DROP BTL,75.65,26.48,11.36,83.18,10
RC,0250,ciprofloxacin 500 MG tablet 1 each BLIST PACK,6.75,2.365,1.72,5.59,10
RC,0250,ciprofloxacin 500 MG tablet 100 each BLIST PACK,6.75,2.365,1.72,5.59,15
RC,0250,ciprofloxacin 500 MG tablet 100 each Bottle,12.925,4.53,3.63,9.82,15
RC,0250,"ciprofloxacin 500 mg/5 mL suspension,microcapsule recon 100 mL Bottle",384.09000000000003,134.435,96.45,321.4,10
RC,0250,ciprofloxacin 750 MG tablet 1 each BLIST PACK,18.08,6.33,5.18,13.47,5
RC,0250,ciprofloxacin 750 MG tablet 100 each BLIST PACK,18.08,6.33,5.18,13.47,5
RC,0250,ciprofloxacin 750 MG tablet 50 each Bottle,13.28,4.65,3.68,9.92,15
RC,0250,cisatracurium 10 mg/mL conc. (ICU USE ONLY) solution 20 mL Vial,471.81,165.14,135.13,351.5,5
RC,0250,citalopram 10 mg/5 mL solution 240 mL Bottle,6.0,2.1,1.72,4.47,10
RC,0250,citalopram 20 MG tablet 1 each BLIST PACK,6.02,2.11,1.72,4.48,5
RC,0250,citalopram 20 MG tablet 100 each BLIST PACK,6.01,2.105,1.72,4.48,10
RC,0250,citalopram 20 MG tablet 100 each Bottle,6.35,2.23,1.82,4.73,5
RC,0250,citalopram 40 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,citalopram 40 MG tablet 100 each Bottle,6.31,2.21,1.8,4.89,15
RC,0250,citric acid monohydrate 100 % granules 500 g Jar,220.66,77.24,63.2,164.39,5
RC,0250,clarithromycin 250 MG tablet 60 each Bottle,12.434999999999999,4.355,3.06,10.58,10
RC,0250,clarithromycin 250 mg/5 mL suspension for reconstitution 100 mL Bottle,514.95,180.24,147.48,383.64,5
RC,0250,clarithromycin 250 mg/5 mL suspension for reconstitution 50 mL Bottle,277.89,97.27,79.59,207.03,5
RC,0250,clarithromycin 500 MG tablet 1 each BLIST PACK,15.495000000000001,5.425000000000001,4.15,12.3,10
RC,0250,clarithromycin 500 MG tablet 30 each BLIST PACK,15.495000000000001,5.425000000000001,4.15,12.3,10
RC,0250,clarithromycin 500 MG tablet 60 each Bottle,12.434999999999999,4.355,3.06,10.58,20
RC,0250,clindamycin 1 % lotion 60 mL Bottle,283.62,99.27,77.99,253.61,15
RC,0250,clindamycin 150 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,clindamycin 150 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,clindamycin 150 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,clindamycin 150 MG capsule 8 each Bottle,13.8,4.83,3.95,10.28,5
RC,0250,clindamycin 75 mg/5 mL recon soln 100 mL Bottle,107.735,37.715,19.8,109.01,25
RC,0250,clindamycin in 0.9 % sod chloride 300 mg/50 mL piggyback 50 mL Bag,24.0,8.4,6.87,17.88,10
RC,0250,clindamycin per 300 mg,35.989999999999995,12.6,6.87,44.92,80
RC,0250,clindamycin-benzoyl peroxide 1-5 % gel 50 g Jar,1003.83,351.35,287.5,747.85,5
RC,0250,clindamycin-tretinoin 1.2-0.025 % gel 60 g Tube,1999.82,699.94,572.75,1489.87,5
RC,0250,cloBAZam 10 mg tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,cloBAZam 10 mg tablet 100 each Bottle,44.84,15.7,12.37,66.05,20
RC,0250,cloBAZam 10 mg tablet 30 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,cloBAZam 2.5 mg/mL suspension 120 mL Bottle,20.4,7.15,2.58,27.54,35
RC,0250,cloBAZam 2.5 mg/mL suspension 2 mL Syringe,59.67,20.884999999999998,13.0,55.09,10
RC,0250,cloNIDine 0.1 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,cloNIDine 0.1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,cloNIDine 0.1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,cloNIDine 0.1 mg/24 hr patch weekly 1 each Box,78.25,27.39,22.41,58.3,5
RC,0250,cloNIDine 0.1 mg/24 hr patch weekly 4 each Box,78.21000000000001,27.375,22.39,58.3,15
RC,0250,cloNIDine 0.2 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,cloNIDine 0.2 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,cloNIDine 0.2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,cloNIDine 0.2 MG tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,cloNIDine 0.2 mg/24 hr patch weekly 1 each Box,131.61,46.07,37.69,98.05,5
RC,0250,cloNIDine 0.2 mg/24 hr patch weekly 1 each Packet,131.75,46.12,37.73,98.15,5
RC,0250,cloNIDine 0.2 mg/24 hr patch weekly 4 each Box,131.68,46.095,37.69,98.15,10
RC,0250,cloNIDine 0.3 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,cloNIDine 0.3 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,cloNIDine 0.3 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,cloNIDine 0.3 mg/24 hr patch weekly 1 each Box,182.78,63.98,52.35,136.17,5
RC,0250,cloNIDine 0.3 mg/24 hr patch weekly 4 each Box,182.78,63.98,52.35,136.17,10
RC,0250,cloNIDine 10 mcg/mL suspension 20 mL Bottle,6.0,2.1,1.72,4.47,10
RC,0250,cloNIDine 100 mcg/mL suspension 60 mL Bottle,27.19,9.52,7.79,20.26,10
RC,0250,cloNIDine ER 0.1 mg tablet extended release 12 hr 60 each Bottle,10.62,3.72,3.04,7.91,5
RC,0250,cloZAPine 100 MG tablet 1 each BLIST PACK,8.125,2.8499999999999996,2.32,6.08,10
RC,0250,cloZAPine 100 MG tablet 100 each BLIST PACK,8.125,2.8499999999999996,2.32,6.08,15
RC,0250,cloZAPine 100 MG tablet 100 each Bottle,8.08,2.835,2.31,6.03,10
RC,0250,"cloZAPine 100 MG tablet,disintegrating 100 each Bottle",45.31,15.86,12.98,33.76,5
RC,0250,"cloZAPine 100 MG tablet,disintegrating 48 each BLIST PACK",19.29,6.76,5.52,14.37,5
RC,0250,cloZAPine 200 MG tablet 1 each BLIST PACK,15.37,5.38,4.27,11.5,15
RC,0250,cloZAPine 200 MG tablet 100 each BLIST PACK,15.37,5.38,4.27,11.5,15
RC,0250,cloZAPine 200 MG tablet 100 each Bottle,14.92,5.23,4.27,11.12,10
RC,0250,cloZAPine 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,cloZAPine 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,cloZAPine 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,"cloZAPine 25 MG tablet,disintegrating 100 each Bottle",11.33,3.97,3.24,8.44,5
RC,0250,clobetasoL 0.05 % ointment 15 g Tube,366.85,128.4,105.07,273.3,10
RC,0250,clobetasoL 0.05 % ointment 30 g Tube,612.99,214.55,175.56,456.68,5
RC,0250,clobetasoL 0.05 % ointment 60 g Jar,1225.97,429.09,351.12,913.35,5
RC,0250,clobetasoL 0.05 % ointment 60 g Tube,1225.97,429.09,351.12,913.35,5
RC,0250,clobetasoL 0.05 % solution 25 mL Bottle,243.43,85.21,69.72,181.36,5
RC,0250,clomiPHENE 50 mg tablet 30 each BLIST PACK,16.33,5.72,4.68,12.17,5
RC,0250,clomiPRAMINE 25 MG capsule 100 each Bottle,26.53,9.29,7.6,19.76,10
RC,0250,clomiPRAMINE 25 MG capsule 30 each Bottle,16.265,5.694999999999999,1.72,19.76,10
RC,0250,clomiPRAMINE 50 MG capsule 100 each Bottle,26.53,9.29,7.6,19.76,10
RC,0250,clomiPRAMINE 50 MG capsule 30 each Bottle,16.265,5.694999999999999,1.72,19.76,10
RC,0250,clomiPRAMINE 75 MG capsule 30 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,"clonazePAM 0.125 MG tablet,disintegrating 60 each BLIST PACK",9.0,3.15,2.58,6.71,10
RC,0250,clonazepam 0.1 mg/mL 1 mL Syringe,9.0,3.15,2.58,6.71,5
RC,0250,clonazepam 0.1 mg/mL 10 mL Syringe,9.0,3.15,2.58,6.71,5
RC,0250,"clonazepam 0.25 MG tablet,disintegrating 60 each BLIST PACK",9.0,3.15,2.58,6.71,10
RC,0250,clonazepam 0.5 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,20
RC,0250,clonazepam 0.5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,30
RC,0250,clonazepam 0.5 MG tablet 500 each Bottle,9.0,3.15,2.58,6.71,10
RC,0250,clonazepam 1 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,clonazepam 1 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,15
RC,0250,clonazepam 1 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,25
RC,0250,"clonazepam 1 MG tablet,disintegrating 60 each BLIST PACK",9.0,3.15,2.58,6.71,5
RC,0250,clonazepam 2 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,15
RC,0250,clopidogreL 300 mg tablet 1 each BLIST PACK,54.165,18.965,13.02,46.83,10
RC,0250,clopidogreL 300 mg tablet 20 each BLIST PACK,36.33,12.719999999999999,7.79,33.88,10
RC,0250,clopidogreL 300 mg tablet 30 each BLIST PACK,62.86,22.01,18.0,46.83,5
RC,0250,clopidogreL 75 mg tablet 1 each BLIST PACK,11.04,3.865,1.72,11.98,10
RC,0250,clopidogreL 75 mg tablet 100 each BLIST PACK,10.29,3.61,1.72,11.98,15
RC,0250,clopidogreL 75 mg tablet 90 each Bottle,16.41,5.75,4.7,12.23,5
RC,0250,clopidogrel 5 mg/mL 60 mL Bottle,6.0,2.1,1.72,4.47,5
RC,0250,clorazepate 15 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,clorazepate 15 MG tablet 100 each Bottle,10.015,3.51,2.58,8.22,15
RC,0250,clorazepate 15 MG tablet 30 each Bottle,12.85,4.5,3.68,9.57,5
RC,0250,clorazepate 7.5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,15
RC,0250,clotrimazole 1 % cream 15 g Tube,46.98,16.45,4.04,35.05,15
RC,0250,clotrimazole 1 % solution 10 mL Bottle,106.51,37.28,30.5,79.35,5
RC,0250,clotrimazole 1 % solution 30 mL Bottle,135.54500000000002,47.44499999999999,27.13,131.39,10
RC,0250,clotrimazole 10 mg troche 140 each Bottle,6.89,2.42,1.97,5.13,5
RC,0250,clotrimazole 10 mg troche 70 each BLIST PACK,8.11,2.84,2.32,6.04,5
RC,0250,clotrimazole 10 mg troche 70 each Bottle,6.795,2.38,1.72,5.65,10
RC,0250,clotrimazole 2 % cream 21 g TUBE/KIT,26.515,9.285,7.52,19.94,10
RC,0250,clotrimazole-betamethasone 1-0.05 % cream 15 g Tube,165.67,57.99,47.45,123.42,5
RC,0250,clove oil oil 3.7 mL Bottle,31.12,10.9,8.91,23.18,5
RC,0250,co-enzyme Q-10 100 mg capsule 30 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,co-enzyme Q-10 30 mg capsule 30 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,co-enzyme Q-10 50 mg capsule 30 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,coal tar 0.5 % shampoo 251 mL Bottle,14.22,4.98,4.07,10.59,5
RC,0250,cocaine 4 % solution 4 mL Bottle,610.2,213.575,150.81,516.91,10
RC,0250,codeine 30 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,codeine 30 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
RC,0250,codeine-guaifenesin 10-100 mg/5 mL liquid 10 mL Cup,10.52,3.6849999999999996,2.58,8.97,25
RC,0250,codeine-guaifenesin 10-100 mg/5 mL liquid 10 mL Syringe,9.0,3.15,2.58,6.71,5
RC,0250,codeine-guaifenesin 10-100 mg/5 mL liquid 118 mL Bottle,31.19,10.92,8.93,23.24,5
RC,0250,codeine-guaifenesin 10-100 mg/5 mL liquid 237 mL Bottle,60.41,21.15,17.3,45.01,5
RC,0250,codeine-guaifenesin 10-100 mg/5 mL liquid 473 mL Bottle,110.51,38.68,31.65,82.33,5
RC,0250,codeine-guaifenesin 10-100 mg/5 mL liquid 5 mL Cup,9.575,3.355,2.58,7.56,10
RC,0250,colchicine 0.6 mg capsule 100 each Bottle,17.69,6.2,5.07,13.18,5
RC,0250,colchicine 0.6 mg tablet 1 each BLIST PACK,26.31,9.21,7.54,19.6,5
RC,0250,colchicine 0.6 mg tablet 100 each Bottle,15.9,6.17,4.55,14.41,20
RC,0250,colchicine 0.6 mg tablet 30 each BLIST PACK,26.31,9.21,7.54,19.6,5
RC,0250,colchicine 0.6 mg tablet 30 each Bottle,20.36,7.13,5.83,15.17,5
RC,0250,colesevelam 625 mg tablet 1 each BLIST PACK,9.43,3.31,2.7,7.03,5
RC,0250,colesevelam 625 mg tablet 30 each BLIST PACK,9.43,3.31,2.7,7.03,5
RC,0250,colestipoL 1 gram tablet 120 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,colestipoL 5 gram packet 30 each Packet,9.27,3.25,2.65,6.91,5
RC,0250,collagenase 250 unit/gram ointment 30 g Tube,899.09,314.69,257.5,669.82,5
RC,0250,conjugated estrogens 0.625 mg/gram cream 30 g TUBE/KIT,1305.13,456.8,373.79,972.32,5
RC,0250,conjugated estrogens-medroxyprogesterone 0.3-1.5 mg tablet 28 each BLIST PACK,25.04,8.77,7.17,18.65,5
RC,0250,conjugated estrogens-medroxyprogesterone 0.625 mg (14)/ 0.625mg-5mg(14) tablet 28 each BLIST PACK,25.04,8.77,7.17,18.65,5
RC,0250,contact lens multipurpose solution 296 mL Bottle,15.370000000000001,5.385,2.0,17.69,10
RC,0250,copper 0.4 mg/mL solution 10 mL Vial,83.25,29.14,21.97,66.9,15
RC,0250,crizotinib 200 mg capsule 60 each Bottle,998.66,349.54,286.02,744.0,5
RC,0250,crizotinib 250 mg capsule 60 each Bottle,998.66,349.54,286.02,744.0,5
RC,0250,cromolyn 100 mg/5 mL concentrate 5 mL AMPUL,15.29,5.36,1.72,13.17,20
RC,0250,"cromolyn 5.2 mg/spray (4 %) spray,non-aerosol 26 mL SQUEEZ BTL",30.43,10.66,8.72,22.67,5
RC,0250,crotamiton 10 % cream 60 g Tube,1432.71,501.45,410.33,1067.37,5
RC,0250,crotamiton 10 % lotion 60 g Bottle,1432.71,501.45,410.33,1067.37,5
RC,0250,cyanocobalamin 1000 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,cyanocobalamin 1000 MCG tablet 130 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,cyanocobalamin 500 MCG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,cyanocobalamin 500 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,cyanocobalamin 500 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,cyanocobalamin 500 MCG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,cycloSERINE 250 mg capsule 30 each BLIST PACK,197.3,69.06,56.51,146.99,5
RC,0250,cycloSPORINE 0.05 % dropperette 30 each BLIST PACK,30.47,10.67,8.73,22.7,5
RC,0250,cycloSPORINE 0.05 % dropperette 30 each Vial,28.95,10.14,8.29,21.57,5
RC,0250,cyclobenzaprine 10mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,"cyclobenzaprine 10mg tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,cyclobenzaprine 10mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,cyclobenzaprine 10mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,cyclobenzaprine 10mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,cyclobenzaprine 5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,cyclopentolate 0.5 % drops 15 mL DROP BTL,6.0,2.1,1.72,4.47,10
RC,0250,cyclopentolate 1 % drops 15 mL DROP BTL,6.0,2.1,1.72,4.47,15
RC,0250,cyclopentolate 1 % drops 2 mL DROP BTL,6.0,2.1,1.72,4.47,20
RC,0250,cyclopentolate 1 % drops 5 mL DROP BTL,6.0,2.1,1.72,4.47,5
RC,0250,cyclopentolate 2 % drops 15 mL DROP BTL,6.0,2.1,1.72,4.47,5
RC,0250,cyclopentolate 2 % drops 2 mL DROP BTL,6.0,2.1,1.72,4.47,5
RC,0250,cyclopentolate 2 % drops 5 mL DROP BTL,6.0,2.1,1.72,4.47,5
RC,0250,cyclopentolate-phenylephrine 0.2-1 % drops 2 mL DROP BTL,104.83,36.7,30.02,78.1,5
RC,0250,cyclopentolate-phenylephrine 0.2-1 % drops 5 mL DROP BTL,184.2,64.47,52.75,137.23,5
RC,0250,cyproheptadine 2 mg/5 mL syrup 473 mL Bottle,6.0,2.1,1.72,4.47,15
RC,0250,cyproheptadine 4 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,cyproheptadine 4 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,20
RC,0250,cyproheptadine 4 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,cysteine (L-Cysteine) 50 mg/mL solution 10 mL Vial,66.03,23.12,18.91,49.19,5
RC,0250,dabigatran 75 mg capsule 60 each BLIST PACK,9.36,3.28,2.68,6.97,5
RC,0250,dabigatran 75 mg capsule 60 each Bottle,9.36,3.28,2.68,6.97,5
RC,0250,dabigatran etexilate 150 mg capsule 60 each BLIST PACK,9.36,3.28,2.68,6.97,5
RC,0250,dabigatran etexilate 150 mg capsule 60 each Bottle,9.129999999999999,3.2,2.55,6.97,10
RC,0250,dabrafenib 50 mg capsule 120 each Bottle,147.43,51.61,42.22,109.84,5
RC,0250,dabrafenib 75 mg capsule 120 each Bottle,296.21000000000004,103.68,63.33,276.61,10
RC,0250,dalfampridine 10 mg tablet extended release 12 hr 60 each Bottle,157.75,55.22,45.18,117.52,5
RC,0250,danazoL 200 MG capsule 100 each Bottle,21.4,7.49,6.13,15.94,5
RC,0250,danazoL 50 MG capsule 100 each Bottle,8.56,3.0,2.45,6.38,5
RC,0250,dantrolene 20 mg recon soln 1 each Vial,224.635,78.63,56.78,187.02,15
RC,0250,dantrolene 25 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,dantrolene 25 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,dantrolene 25 MG capsule 30 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,dantrolene 25 MG capsule 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,dapsone 100 MG tablet 100 each Bottle,6.37,2.23,1.82,4.75,10
RC,0250,dapsone 100 MG tablet 30 each BLIST PACK,7.529999999999999,2.6399999999999997,2.04,5.91,10
RC,0250,dapsone 100 MG tablet 30 each Bottle,7.13,2.5,2.04,5.31,10
RC,0250,darifenacin 7.5 MG tablet extended release 24 hr 30 each Bottle,35.97,12.59,10.3,26.8,5
RC,0250,darunavir 600 MG tablet 60 each Bottle,93.95,32.89,25.49,75.89,15
RC,0250,darunavir 800 mg tablet 30 each Bottle,190.87,66.81,50.98,151.78,15
RC,0250,darunavir ethanolate 400 MG tablet 60 each Bottle,68.8,24.08,19.7,51.26,5
RC,0250,darunavir-cobicistat 800-150 mg-mg tablet 30 each Bottle,232.86,81.51,66.69,173.48,5
RC,0250,dasatinib 100 mg tablet 30 each Bottle,1722.45,602.86,493.31,1283.23,5
RC,0250,dasatinib 140 mg tablet 30 each Bottle,1722.45,602.86,493.31,1283.23,5
RC,0250,dasatinib 20 mg tablet 60 each Bottle,477.84,167.25,136.85,355.99,5
RC,0250,dasatinib 50 mg tablet 60 each Bottle,955.68,334.49,273.71,711.98,5
RC,0250,dasatinib 70 mg tablet 60 each Bottle,955.68,334.49,273.71,711.98,5
RC,0250,dasatinib 80 mg tablet 30 each Bottle,1722.45,602.86,493.31,1283.23,5
RC,0250,deferasirox 180 mg tablet 30 each Bottle,312.42,109.35,89.48,232.75,5
RC,0250,"delavirdine 100 MG tablet, dispersible 360 each Bottle",14.0,4.9,4.01,10.43,5
RC,0250,delavirdine 200 mg tablet 180 each Bottle,12.97,4.54,3.71,9.66,5
RC,0250,demeclocycline 150 MG tablet 1 each BLIST PACK,25.09,8.79,7.19,18.69,5
RC,0250,demeclocycline 150 MG tablet 100 each BLIST PACK,25.09,8.79,7.19,18.69,5
RC,0250,demeclocycline 150 MG tablet 100 each Bottle,22.19,7.77,6.36,16.53,5
RC,0250,desflurane 100 % liquid 240 mL Bottle,453.69,158.8,129.94,338.0,5
RC,0250,desipramine 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,desipramine 100 MG tablet 100 each Bottle,13.54,4.74,3.88,10.09,5
RC,0250,desipramine 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,desipramine 50 MG tablet 100 each Bottle,8.504999999999999,2.98,2.32,6.64,15
RC,0250,desmopressin 0.1 MG tablet 1 each BLIST PACK,6.665,2.335,1.78,5.31,10
RC,0250,desmopressin 0.1 MG tablet 100 each Bottle,12.47,4.37,2.04,12.94,25
RC,0250,desmopressin 0.1 MG tablet 30 each BLIST PACK,6.665,2.335,1.78,5.31,15
RC,0250,desmopressin 0.2 MG tablet 100 each Bottle,14.12,4.945,2.94,13.39,10
RC,0250,"desmopressin 10 mcg/spray (0.1 mL) spray,non-aerosol 5 mL AER W/ADAP",581.17,203.41,166.45,432.97,5
RC,0250,desogestreL-ethinyl estradioL 0.15-0.03 mg tablet 28 each BLIST PACK,72.03,25.22,1.72,69.17,35
RC,0250,desogestrel-ethinyl estradiol 0.15-0.02 mg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,desonide 0.05 % cream 15 g Tube,189.5,66.33,54.27,141.18,10
RC,0250,desonide 0.05 % cream 60 g Tube,480.87,168.31,58.4,564.59,10
RC,0250,desonide 0.05 % ointment 15 g Tube,141.85,49.65,15.68,141.18,15
RC,0250,desonide 0.05 % ointment 60 g Tube,567.39,198.59,62.78,564.59,15
RC,0250,desvenlafaxine 100 MG tablet extended release 24 hr 30 each Bottle,28.2,9.87,8.08,21.01,5
RC,0250,desvenlafaxine 25 mg tablet extended release 24 hr 30 each Bottle,28.2,9.87,8.08,21.01,5
RC,0250,desvenlafaxine 50 MG tablet extended release 24 hr 30 each Bottle,41.34,14.47,11.84,30.8,5
RC,0250,desvenlafaxine 50 mg tablet extended release 24 hr 30 each Bottle,13.7,4.8,3.92,10.21,5
RC,0250,desvenlafaxine 50 mg tablet extended release 24hr 30 each Bottle,27.94,9.78,8.0,20.82,5
RC,0250,"dexAMETHasone 0.1 % drops,suspension 5 mL DROP BTL",224.25,78.49,64.23,167.07,5
RC,0250,dexAMETHasone 0.1 mg/mL solution 500 mL Bottle,56.64,19.83,16.22,42.2,5
RC,0250,dexAMETHasone 1 mg/mL drops 30 mL DROP BTL,75.9,26.57,21.74,56.55,5
RC,0250,dexAMETHasone sod phos (bulk) 100 % powder 1 g Jar,282.78,98.98,80.99,210.67,5
RC,0250,dexAMETHasone sod phos (bulk) 100 % powder 10 g Jar,2827.85,989.75,809.9,2106.75,5
RC,0250,dexAMETHasone sod phos (bulk) 100 % powder 100 g Jar,26931.85,9426.15,7713.28,20064.23,5
RC,0250,dexAMETHasone sod phos (bulk) 100 % powder 25 g Jar,7069.62,2474.37,2024.74,5266.87,5
RC,0250,dexAMETHasone sod phos (bulk) 100 % powder 5 g Jar,1237.96,433.28999999999996,304.16,1053.37,10
RC,0250,dexMEDEtomidine 4 mcg/mL solution 50 mL Bag,41.68,14.594999999999999,8.46,40.09,10
RC,0250,dexMEDEtomidine 4 mcg/mL solution 50 mL Bottle,121.78,42.63,34.88,90.73,5
RC,0250,dexMEDEtomidine 400 mcg/100 mL (4 mcg/mL) solution 100 mL Bag,59.1,20.69,16.09,168.79,15
RC,0250,dexMEDEtomidine 400 mcg/100 mL (4 mcg/mL) solution 100 mL Bottle,141.6,49.56,40.55,105.49,5
RC,0250,dexMEDEtomidine 400 mcg/100 mL (4 mcg/mL) solution 100 mL Flex Cont,90.62,31.72,21.63,110.77,35
RC,0250,dexamethasone 0.1 % drops 5 mL DROP BTL,152.64,53.43,43.72,113.72,5
RC,0250,dexamethasone per 0.25 mg,6.0,2.1,1.72,4.47,20
RC,0250,"dexamethasone,micronized(bulk) 100 % powder 1 g Jar",359.88,125.96,103.07,268.11,5
RC,0250,"dexlansoprazole 60 mg capsule,biphase delayed releas 30 each Bottle",29.11,10.19,8.34,21.69,5
RC,0250,dexmedeTOMIDine 100 mcg/mL solution 10 mL Vial,377.32,132.07,108.06,281.1,5
RC,0250,dexmedeTOMIDine 100 mcg/mL solution 2 mL Vial,50.98,17.85,6.87,135.46,80
RC,0250,dexmedeTOMIDine 100 mcg/mL solution 4 mL Vial,223.59,78.26,64.04,166.57,5
RC,0250,dexmedeTOMIDine 4 mcg/mL solution 20 mL Vial,75.9,26.57,21.51,57.14,20
RC,0250,dexmedetomidine 4 mcg/mL 20 mL Vial,76.7,26.85,21.51,60.06,15
RC,0250,dexmedetomidine 4 mcg/mL 50 mL Bag,29.55,10.35,8.46,22.01,10
RC,0250,dexmedetomidine 4 mcg/mL 50 mL Syringe,135.94,47.58,38.93,101.28,10
RC,0250,dexmedetomidine 4 mcg/mL solution 50 mL Bag,102.07,35.73,29.23,76.04,5
RC,0250,dexmedetomidine in 0.9% sodium chloride 4 mcg/mL 12.5 mL Syringe,33.98,11.9,9.73,25.32,5
RC,0250,dexmedetomidine in 0.9% sodium chloride 4 mcg/mL 20 mL Vial,76.7,26.85,21.51,60.06,15
RC,0250,dexmedetomidine in 0.9% sodium chloride 4 mcg/mL 50 mL Syringe,24.0,8.4,6.87,17.88,10
RC,0250,dexmethylphenidate 2.5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
RC,0250,dexmethylphenidate 5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
RC,0250,"dexmethylphenidate XR 15 MG capsule,ER biphasic 50-50 100 each Bottle",18.19,6.37,5.21,13.55,5
RC,0250,"dexmethylphenidate XR 20 MG capsule,ER biphasic 50-50 100 each Bottle",22.54,7.890000000000001,4.16,28.33,20
RC,0250,dextran 40 10% in dextrose 5% 10 % parenteral solution 500 mL Flex Cont,188.8,66.08,54.07,140.66,5
RC,0250,dextran 40 10% in sodium chloride 0.9% 10 % parenteral solution 500 mL Bag,197.06,68.98,56.44,146.81,5
RC,0250,"dextroamphetamine 10 MG capsule, extended release 100 each Bottle",11.94,4.18,3.42,8.9,5
RC,0250,"dextroamphetamine sulfate 5 MG capsule, extended release 100 each Bottle",9.56,3.35,2.74,7.12,5
RC,0250,dextroamphetamine sulfate 5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,15
RC,0250,dextroamphetamine-amphetamine 10 mg tablet 100 each Bottle,21.11,7.390000000000001,2.58,24.75,25
RC,0250,dextroamphetamine-amphetamine 15 mg tablet 100 each Bottle,21.11,7.390000000000001,2.58,24.75,20
RC,0250,dextroamphetamine-amphetamine 20 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
RC,0250,dextroamphetamine-amphetamine 5 mg tablet 100 each Bottle,21.11,7.390000000000001,2.58,24.75,20
RC,0250,dextromethorphan-quinidine 20-10 mg capsule 60 each Bottle,74.28,26.0,21.27,55.34,5
RC,0250,"dextrose 10 % 10% 1,000 mL Bag",24.0,8.4,6.87,17.88,5
RC,0250,dextrose 10 % 10% 250 mL Bag,24.0,8.4,6.87,17.88,5
RC,0250,dextrose 10 % 10% 500 mL Bag,24.0,8.4,6.87,17.88,5
RC,0250,dextrose 10 % 10% 500 mL Flex Cont,24.0,8.4,6.87,17.88,5
RC,0250,"dextrose 10 % parenteral solution 1,000 mL Bag",24.0,8.4,6.87,17.88,5
RC,0250,dextrose 10 % parenteral solution 250 mL Bag,24.0,8.4,6.87,17.88,10
RC,0250,dextrose 10 % parenteral solution 250 mL Flex Cont,24.0,8.4,6.87,17.88,5
RC,0250,dextrose 10 % parenteral solution 500 mL Bag,24.0,8.4,6.87,17.88,10
RC,0250,dextrose 10 % parenteral solution 500 mL Flex Cont,24.0,8.4,6.87,17.88,5
RC,0250,dextrose 10% and sodium chloride 0.2% parenteral solution 250 mL Bag,24.0,8.4,6.87,17.88,5
RC,0250,"dextrose 10% and sodium chloride 0.45% parenteral solution 1,000 mL Bag",25.96,9.09,7.43,19.34,5
RC,0250,dextrose 10%-amino acid 2% 250 mL Bag,143.22,50.13,41.02,106.7,5
RC,0250,dextrose 10%-amino acid 3% 3-10 % parenteral solution 250 mL Bag,83.54,29.24,23.93,62.24,15
RC,0250,dextrose 10%-amino acid 4% 250 mL Bag,143.22,50.13,41.02,106.7,5
RC,0250,dextrose 15 gram/32 mL gel in packet 1 mL Syringe,7.17,2.51,2.05,5.34,5
RC,0250,dextrose 15 gram/32 mL gel in packet 32 mL Packet,6.585,2.3049999999999997,1.72,5.34,10
RC,0250,dextrose 15 gram/59 mL liquid 59 mL Bottle,6.96,2.44,1.99,5.19,5
RC,0250,dextrose 24 gram/31 gram gel 31 g Tube,10.54,3.69,3.02,7.85,5
RC,0250,dextrose 25 % syringe 10 mL Syringe,58.29,20.41,16.69,43.43,10
RC,0250,dextrose 40 % gel 1 mL Syringe,6.0,2.1,1.72,4.47,5
RC,0250,dextrose 40 % gel 37.5 g Tube,9.29,3.26,2.66,6.92,20
RC,0250,dextrose 5% 5 % 100 mL Bag,24.0,8.4,6.87,17.88,15
RC,0250,dextrose 5% 5 % 50 mL Bag,24.0,8.4,6.87,17.88,10
RC,0250,dextrose 5% 5 % 50 mL Flex Cont,24.0,8.4,6.87,17.88,5
RC,0250,"dextrose 5% and sodium chlordie 0.2% with KCl 20 mEq/L 20 mEq/L parenteral solution 1,000 mL Bag",25.96,9.09,7.43,19.34,5
RC,0250,"dextrose 5% and sodium chlordie 0.45% with KCL 40 mEq/L 40 mEq/L parenteral solution 1,000 mL Bag",28.32,9.92,8.11,21.1,5
RC,0250,"dextrose 5% and sodium chloride 0.2% parenteral solution 1,000 mL Bag",24.0,8.4,6.87,17.88,5
RC,0250,dextrose 5% and sodium chloride 0.2% parenteral solution 500 mL Bag,24.0,8.4,6.87,17.88,5
RC,0250,dextrose 5% and sodium chloride 0.2% parenteral solution 500 mL Flex Cont,24.0,8.4,6.87,17.88,5
RC,0250,"dextrose 5% and sodium chloride 0.45% parenteral solution 1,000 mL Bag",24.0,8.4,6.87,17.88,10
RC,0250,dextrose 5% and sodium chloride 0.45% parenteral solution 500 mL Bag,24.0,8.4,6.87,17.88,5
RC,0250,"dextrose 5% and sodium chloride 0.45% with KCl 20 mEq/L 20 mEq/L parenteral solution 1,000 mL Bag",24.0,8.4,6.87,17.88,5
RC,0250,"dextrose 5% and sodium chloride 0.45% with KCl 20 mEq/L 20 mEq/L parenteral solution 1,000 mL Flex Cont",24.0,8.4,6.87,17.88,5
RC,0250,"dextrose 5% and sodium chloride 0.9% with KCl 20 mEq/L 20 mEq/L parenteral solution 1,000 mL Bag",27.34,9.57,6.87,22.86,15
RC,0250,"dextrose 5% and sodium chloride 0.9% with KCl 20 mEq/L 20 mEq/L parenteral solution 1,000 mL Flex Cont",24.0,8.4,6.87,17.88,5
RC,0250,"dextrose 5% and sodium chloride 0.9% with KCl 40 mEq/L 40 mEq/L parenteral solution 1,000 mL Bag",28.32,9.92,8.11,21.1,5
RC,0250,"dextrose 5% and sodium chloride 0.9% with KCl 40 mEq/L 40 mEq/L parenteral solution 1,000 mL Flex Cont",24.0,8.4,6.87,17.88,5
RC,0250,dextrose 5% in lactated ringers per 1000 mL,24.0,8.4,6.87,17.88,15
RC,0250,dextrose 5% in normal saline per 1000 mL,24.0,8.4,6.87,17.88,20
RC,0250,dextrose 5% in sodium chloride 0.45% normal saline per 500 mL,24.0,8.4,6.87,17.88,10
RC,0250,dextrose 5% per 500 mL,24.0,8.4,6.87,17.88,35
RC,0250,dextrose 50% per 500 mL,24.0,8.4,6.87,17.88,5
RC,0250,dextrose 50% syringe 50 mL Syringe,51.92,18.18,6.87,42.73,35
RC,0250,"dextrose 70% (D70W) parenteral solution 2,000 mL Bag",51.92,18.18,12.17,42.2,15
RC,0250,"dextrose 70% (D70W) parenteral solution 2,000 mL Flex Cont",61.36,21.48,17.57,45.71,5
RC,0250,dextrose 70% (D70W) parenteral solution 20 mL Syringe,141.6,49.56,40.55,105.49,5
RC,0250,dextrose 70% (D70W) parenteral solution 500 mL Bag,36.58,12.81,10.48,27.25,5
RC,0250,dextrose 70% (D70W) parenteral solution 500 mL Flex Cont,44.84,15.7,12.84,33.41,5
RC,0250,diazePAM 2 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,diazePAM 2 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,diazePAM 2 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,20
RC,0250,diazePAM 2.5 mg kit 1 each KIT,837.38,293.09,239.83,623.85,5
RC,0250,diazePAM 5 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,diazePAM 5 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,10
RC,0250,diazePAM 5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,15
RC,0250,diazePAM 5 mg/5 mL (1 mg/mL) solution 1 mL Syringe,9.0,3.15,2.58,6.71,15
RC,0250,diazePAM 5 mg/5 mL (1 mg/mL) solution 5 mL Syringe,9.0,3.15,2.58,6.71,5
RC,0250,diazePAM 5 mg/5 mL (1 mg/mL) solution 500 mL Bottle,184.08,64.43,52.72,137.14,5
RC,0250,diazePAM 5-7.5-10 mg kit 1 each KIT,608.96,213.14000000000001,123.03,587.31,10
RC,0250,diazepam 5 mg suppository 1 each Package,9.0,3.15,2.58,6.71,5
RC,0250,diazoxide 50 mg/mL suspension 30 mL Bottle,1127.455,394.615,251.13,1026.65,10
RC,0250,dibucaine 1 % ointment 28 g Tube,15.2,5.325,3.71,13.0,10
RC,0250,diclofenac 0.1 % drops 2.5 mL DROP BTL,105.66,36.99,30.26,78.72,5
RC,0250,diclofenac 0.1 % drops 5 mL DROP BTL,106.82499999999999,37.394999999999996,11.83,128.4,20
RC,0250,diclofenac 1 % gel 100 g Tube,56.17,19.66,2.84,108.48,55
RC,0250,diclofenac 1 % gel 50 g Tube,22.66,7.94,6.49,16.88,5
RC,0250,diclofenac 100 mg suppository 1 each,8.01,2.81,2.29,5.97,5
RC,0250,"diclofenac 25 MG tablet,delayed release (DR/EC) 100 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,"diclofenac 50 MG tablet,delayed release (DR/EC) 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"diclofenac 50 MG tablet,delayed release (DR/EC) 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"diclofenac 50 MG tablet,delayed release (DR/EC) 100 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,"diclofenac 50 MG tablet,delayed release (DR/EC) 60 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,"diclofenac 75mg tablet,delayed release (DR/EC) 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"diclofenac 75mg tablet,delayed release (DR/EC) 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"diclofenac 75mg tablet,delayed release (DR/EC) 100 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,dicloxacillin 250 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,dicyclomine 10 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,dicyclomine 10 mg/5 mL solution 473 mL Bottle,6.0,2.1,1.72,4.47,5
RC,0250,dicyclomine per 20 mg,6.0,2.1,1.72,4.47,40
RC,0250,"didanosine EC 125 MG capsule,delayed release(DR/EC) 30 each Bottle",10.93,3.83,2.61,9.5,10
RC,0250,"didanosine EC 200 MG capsule,delayed release(DR/EC) 30 each Bottle",14.57,5.1,4.17,10.85,5
RC,0250,"didanosine EC 250 MG capsule,delayed release(DR/EC) 30 each Bottle",22.275,7.8,5.32,19.36,10
RC,0250,"didanosine EC 400 MG capsule,delayed release(DR/EC) 30 each Bottle",29.01,10.16,8.31,21.61,5
RC,0250,difluprednate 0.05 % drops 5 mL DROP BTL,569.94,199.485,149.64,459.95,10
RC,0250,digoxin 125 mcg (0.125 mg) tablet 1 each BLIST PACK,6.02,2.1100000000000003,1.72,4.5,15
RC,0250,digoxin 125 mcg (0.125 mg) tablet 100 each BLIST PACK,6.02,2.1100000000000003,1.72,4.5,25
RC,0250,digoxin 125 mcg (0.125 mg) tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,digoxin 250 mcg (0.25 mg) tablet 100 each BLIST PACK,6.04,2.12,1.72,15.19,15
RC,0250,digoxin 250 mcg (0.25 mg) tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,digoxin 50 mcg/mL (0.05 mg/mL) solution 60 mL Bottle,351.03,122.87,100.53,261.52,5
RC,0250,digoxin 50 mcg/mL (0.05 mg/mL) solution 60 mL DROP BTL,396.48,138.77,113.55,295.38,5
RC,0250,diltiazem 30 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,diltiazem 5 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,35
RC,0250,diltiazem 5 mg/mL solution 25 mL Vial,28.105,9.84,6.87,24.0,10
RC,0250,diltiazem 5 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,35
RC,0250,diltiazem 60 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,diltiazem 60 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,diltiazem 60 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,diltiazem 90 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,diltiazem 90 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,diltiazem 90 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,20
RC,0250,"diltiazem CD 120 MG capsule,extended release 24hr 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"diltiazem CD 120 MG capsule,extended release 24hr 100 each BLIST PACK",6.0,2.1,1.72,4.47,10
RC,0250,"diltiazem CD 120 MG capsule,extended release 24hr 90 each Bottle",6.0,2.1,1.72,4.47,10
RC,0250,"diltiazem CD 180 MG capsule,extended release 24hr 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"diltiazem CD 180 MG capsule,extended release 24hr 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"diltiazem CD 180 MG capsule,extended release 24hr 90 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,"diltiazem CD 240 MG capsule,extended release 24hr 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"diltiazem CD 240 MG capsule,extended release 24hr 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"diltiazem CD 240 MG capsule,extended release 24hr 90 each Bottle",6.0,2.1,1.72,4.47,10
RC,0250,"diltiazem CD 300 MG capsule,extended release 24hr 1 each BLIST PACK",6.32,2.22,1.81,4.71,5
RC,0250,"diltiazem SR 60 MG capsule,extended release 12 hr 100 each Bottle",7.49,2.63,2.15,5.58,5
RC,0250,dimenhyDRINATE 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,dimethyl sulfoxide 99 % liquid 100 mL Bottle,292.64,102.43,83.81,218.02,5
RC,0250,dimethyl sulfoxide 99.99 % liquid 100 mL Bottle,292.64,102.43,83.81,218.02,5
RC,0250,dinoprostone 20 MG suppository 1 each Box,6253.54,2188.74,1791.01,4658.89,5
RC,0250,"diphenhydrAMINE 12.5 mg tablet,chewable 20 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,diphenhydrAMINE 12.5 mg/5 mL liquid 10 mL Cup,6.345000000000001,2.225,1.72,5.13,45
RC,0250,diphenhydrAMINE 12.5 mg/5 mL liquid 118 mL Bottle,12.81,4.49,1.72,12.66,25
RC,0250,diphenhydrAMINE 12.5 mg/5 mL liquid 236 mL Bottle,24.51,8.58,7.02,18.26,5
RC,0250,diphenhydrAMINE 12.5 mg/5 mL liquid 473 mL Bottle,6.0,2.1,1.72,4.47,5
RC,0250,diphenhydrAMINE 12.5 mg/5 mL liquid 5 mL Cup,6.01,2.105,1.72,4.48,15
RC,0250,diphenhydramine per 50 mg,6.785,2.38,1.72,18.26,90
RC,0250,diphenoxylate-atropine 2.5-0.025 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,25
RC,0250,dipyridamole 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,disopyramide 100 MG capsule 100 each Bottle,6.74,2.36,1.93,5.02,5
RC,0250,"disopyramide CR 150 MG capsule, extended release 100 each Bottle",14.45,5.06,4.14,10.77,5
RC,0250,disulfiram 250 mg tablet 100 each Bottle,9.575,3.36,2.73,7.17,10
RC,0250,disulfiram 250 mg tablet 30 each Bottle,9.53,6.465,2.73,20.4,15
RC,0250,"divalproex DR 250 MG tablet,delayed release (DR/EC) 1 each BLIST PACK",6.0,2.1,1.72,4.47,10
RC,0250,"divalproex DR 250 MG tablet,delayed release (DR/EC) 100 each BLIST PACK",6.0,2.1,1.72,4.47,20
RC,0250,"divalproex DR 250 MG tablet,delayed release (DR/EC) 100 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,"divalproex DR 500 MG tablet,delayed release (DR/EC) 1 each BLIST PACK",6.8100000000000005,2.385,1.72,5.68,10
RC,0250,"divalproex DR 500 MG tablet,delayed release (DR/EC) 100 each BLIST PACK",6.0,2.1,1.72,4.47,10
RC,0250,"divalproex DR 500 MG tablet,delayed release (DR/EC) 100 each Bottle",7.59,2.66,2.17,5.65,5
RC,0250,"divalproex DR 500 MG tablet,delayed release (DR/EC) 90 each BLIST PACK",7.62,2.67,2.18,5.68,5
RC,0250,divalproex ER 250 MG tablet extended release 24 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,divalproex ER 250 MG tablet extended release 24 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,divalproex ER 250 MG tablet extended release 24 hr 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,divalproex ER 500 MG tablet extended release 24 hr 1 each BLIST PACK,7.14,2.5,1.72,6.73,15
RC,0250,divalproex ER 500 MG tablet extended release 24 hr 100 each BLIST PACK,9.04,3.17,2.59,6.73,5
RC,0250,divalproex ER 500 MG tablet extended release 24 hr 100 each Bottle,9.62,3.37,2.76,7.17,15
RC,0250,divalproex ER 500 MG tablet extended release 24 hr 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,divalproex ER 500 MG tablet extended release 24 hr 80 each BLIST PACK,7.14,2.5,2.04,5.32,5
RC,0250,"divalproex sprinkle 125 mg capsule, delayed rel sprinkle 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"divalproex sprinkle 125 mg capsule, delayed rel sprinkle 100 each BLIST PACK",6.0,2.1,1.72,4.47,10
RC,0250,"divalproex sprinkle 125 mg capsule, delayed rel sprinkle 100 each Bottle",6.0,2.1,1.72,4.47,10
RC,0250,docusate 100 mg/10 mL liquid 10 mL BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,docusate 100 mg/10 mL liquid 10 mL Cup,6.0,2.1,1.72,4.47,30
RC,0250,docusate 100 mg/10 mL liquid 473 mL Bottle,30.14,10.555,4.48,31.6,20
RC,0250,docusate 100mg capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,"docusate 100mg capsule 1,000 each Bottle",6.0,2.1,1.72,4.47,15
RC,0250,docusate 100mg capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,25
RC,0250,docusate 100mg capsule 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,docusate 100mg capsule 250 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,docusate 60 mg/15 mL syrup 473 mL Bottle,16.74,5.86,4.79,12.47,5
RC,0250,dofetilide 125 MCG capsule 60 each Bottle,20.21,7.08,5.52,17.14,25
RC,0250,dofetilide 250 MCG capsule 14 each Bottle,29.43,10.31,8.43,21.93,5
RC,0250,dofetilide 250 MCG capsule 40 each BLIST PACK,31.38,10.99,8.99,23.38,5
RC,0250,dofetilide 500 MCG capsule 40 each BLIST PACK,14.92,5.23,4.27,11.12,5
RC,0250,dofetilide 500 MCG capsule 60 each Bottle,20.21,7.08,5.51,17.14,20
RC,0250,dolutegravir 50 mg tablet 30 each Bottle,219.49,76.83,62.86,163.52,5
RC,0250,donepeziL 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,donepeziL 10 MG tablet 30 each Bottle,20.43,7.16,5.85,15.22,5
RC,0250,donepeziL 10 MG tablet 90 each Bottle,20.42,7.155,5.85,15.22,10
RC,0250,donepeziL 5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,donepeziL 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,"donepezil ODT 10 MG tablet,disintegrating 30 each BLIST PACK",18.38,6.44,5.26,13.69,5
RC,0250,dorzolamide 2 % drops 10 mL DROP BTL,157.53,55.14,12.17,159.93,35
RC,0250,dorzolamide-timoloL 22.3-6.8 mg/mL drops 10 mL DROP BTL,287.92,100.78,16.9,442.24,40
RC,0250,doxapram 20 mg/mL solution 20 mL Vial,140.255,49.09,37.17,112.28,10
RC,0250,doxazosin 1 MG tablet 1 each BLIST PACK,7.445,2.6100000000000003,1.72,6.62,15
RC,0250,doxazosin 1 MG tablet 100 each BLIST PACK,7.445,2.6100000000000003,1.72,6.62,10
RC,0250,doxazosin 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,doxazosin 1 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,doxazosin 2 MG tablet 1 each BLIST PACK,7.435,2.605,1.72,6.61,15
RC,0250,doxazosin 2 MG tablet 100 each BLIST PACK,7.435,2.605,1.72,6.61,10
RC,0250,doxazosin 2 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,doxazosin 4 MG tablet 1 each BLIST PACK,9.31,3.26,2.67,6.94,5
RC,0250,doxazosin 4 MG tablet 100 each BLIST PACK,7.655,2.6799999999999997,1.72,6.94,10
RC,0250,doxazosin 4 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,doxazosin 4 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,doxazosin 8 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,doxazosin 8 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,doxazosin 8 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,doxepin 10 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,doxepin 10 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,doxepin 10 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,doxepin 100 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,doxepin 100 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,doxepin 25 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,doxepin 25 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,doxepin 25 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,doxepin 50 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,doxepin 50 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,doxepin 50 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,doxycycline 100 MG capsule 20 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,doxycycline 100 MG capsule 50 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,doxycycline 100 mg recon soln 1 each Vial,71.08,24.88,12.3,55.55,35
RC,0250,doxycycline 25 mg/5 mL suspension for reconstitution 60 mL Bottle,8.97,3.14,2.57,6.68,10
RC,0250,doxycycline hyclate 100 MG capsule 50 each Bottle,7.74,2.71,2.22,5.77,5
RC,0250,doxycycline hyclate 100 MG tablet 1 each BLIST PACK,12.905,4.52,3.61,9.83,10
RC,0250,doxycycline hyclate 100 MG tablet 30 each BLIST PACK,11.96,4.1899999999999995,3.07,9.83,10
RC,0250,doxycycline hyclate 100 MG tablet 50 each BLIST PACK,9.405,3.295,1.77,9.4,10
RC,0250,doxycycline hyclate 100 MG tablet 50 each Bottle,14.51,5.08,4.16,10.81,15
RC,0250,doxycycline hyclate 100 MG tablet 500 each Bottle,14.51,5.08,4.16,10.81,5
RC,0250,doxylamine 25 mg tablet 32 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,doxylamine 25 mg tablet 32 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,dronedarone 400 mg tablet 60 each Bottle,38.23,13.39,10.95,28.48,5
RC,0250,drospirenone-ethinyl estradioL 3-0.02 mg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,drospirenone-ethinyl estradioL 3-0.03 mg tablet 28 each BLIST PACK,272.875,95.51,51.84,271.75,10
RC,0250,drospirenone-ethinyl estradiol 3-0.03 mg tablet 28 each BLIST PACK,6.46,2.27,1.85,4.81,15
RC,0250,droxidopa 100 mg capsule 90 each Bottle,86.71,30.35,24.83,64.6,5
RC,0250,ePHEDrine 5 mg/mL solution 10 mL Vial,82.13,28.75,23.52,61.19,15
RC,0250,ePHEDrine 50 mg/5 mL syringe 5 mL Syringe,101.55,35.545,21.22,96.11,10
RC,0250,ePHEDrine 50 mg/mL solution 1 mL AMPUL,129.245,45.24,35.67,99.78,10
RC,0250,ePHEDrine 50 mg/mL solution 1 mL Vial,82.24,28.79,20.29,103.93,20
RC,0250,econazole nitrate 1 % cream 85 g Tube,968.9,339.12,277.49,721.83,5
RC,0250,"edetate disodium (bulk) 100 % powder 2,500 g Jar",9192.2,3217.27,2632.65,6848.19,5
RC,0250,efavirenz 200 MG capsule 90 each Bottle,27.77,9.72,7.95,20.69,5
RC,0250,efavirenz 600 mg tablet 30 each Bottle,87.94,30.78,24.18,68.96,20
RC,0250,efavirenz-emtricitabine-tenofovir 600-200-300 mg tablet 30 each Bottle,282.7,98.95,80.97,210.61,5
RC,0250,"electrolyte parenteral solution 1,000 mL Bag",47.2,16.52,13.52,35.16,5
RC,0250,eletriptan 20 MG tablet 6 each BLIST PACK,144.645,50.63,41.31,108.06,10
RC,0250,eltrombopag olamine 50 MG tablet 30 each Bottle,1337.01,467.96,382.92,996.07,5
RC,0250,eluxadoline 100 mg tablet 60 each Bottle,79.36,27.78,22.73,59.12,5
RC,0250,elvitegravir-cobicistat-emtricitabine-tenofovir 150-150-200-10 mg tablet 30 each Bottle,398.0,139.3,113.99,296.51,5
RC,0250,elvitegravir-cobicistat-emtricitabine-tenofovir 150-150-200-300 mg tablet 30 each Bottle,417.5,146.13,119.57,311.04,5
RC,0250,emollient emulsion 45 g Tube,141.56,49.55,40.54,105.46,5
RC,0250,empagliflozin 10 mg tablet 30 each BLIST PACK,59.42,20.8,17.02,44.27,5
RC,0250,empagliflozin 10 mg tablet 30 each Bottle,59.42,20.8,17.02,44.27,5
RC,0250,empagliflozin 10 mg tablet 90 each Bottle,59.42,20.8,17.02,44.27,5
RC,0250,empagliflozin 25 mg tablet 30 each BLIST PACK,59.42,20.8,17.02,44.27,5
RC,0250,empagliflozin 25 mg tablet 30 each Bottle,59.42,20.8,17.02,44.27,5
RC,0250,emtricitab-rilpivirine-tenofovir 200-25-300 mg tablet 30 each Bottle,315.755,110.52000000000001,77.13,269.85,10
RC,0250,emtricitabine 10 mg/mL solution 170 mL Bottle,47.86,16.76,13.71,35.66,5
RC,0250,emtricitabine 200 mg capsule 30 each Bottle,50.65,17.73,14.51,37.73,5
RC,0250,emtricitabine-tenofovir alafen 200-25 mg tablet 30 each BLIST PACK,207.9,72.77,59.54,154.89,5
RC,0250,emtricitabine-tenofovir alafen 200-25 mg tablet 30 each Bottle,207.9,72.77,59.54,154.89,5
RC,0250,enalapril 2.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,"enalapril 20 MG tablet 1,000 each Bottle",6.53,2.29,1.87,4.86,15
RC,0250,enalapril 20 MG tablet 100 each BLIST PACK,6.265000000000001,2.1950000000000003,1.72,4.86,15
RC,0250,enalapril 20 MG tablet 100 each Bottle,6.53,2.29,1.87,4.86,15
RC,0250,enalapril 20 MG tablet 30 each Bottle,92.7,32.45,26.55,69.06,5
RC,0250,enalapril 20 MG tablet 500 each Bottle,6.53,2.29,1.87,4.86,5
RC,0250,enalapril 20 MG tablet 90 each Bottle,92.69,32.45,26.55,69.05,5
RC,0250,enalaprilat 1.25 mg/mL solution 1 mL Vial,24.0,8.4,6.87,17.88,20
RC,0250,enalaprilat 1.25 mg/mL solution 2 mL Vial,26.85,9.4,7.69,20.0,15
RC,0250,entacapone 200 mg tablet 1 each BLIST PACK,11.66,4.09,3.34,8.69,5
RC,0250,entacapone 200 mg tablet 100 each Bottle,10.015,3.51,2.67,7.98,10
RC,0250,entacapone 200 mg tablet 30 each BLIST PACK,11.66,4.09,3.34,8.69,5
RC,0250,entecavir 0.05 mg/mL solution 210 mL Bottle,129.56,45.35,37.11,96.52,5
RC,0250,entecavir 0.5 mg tablet 30 each Bottle,104.86500000000001,36.71,30.03,78.13,15
RC,0250,entecavir 1 mg tablet 30 each Bottle,117.215,41.03,30.03,96.52,10
RC,0250,enzalutamide 40 mg capsule 120 each Bottle,351.78,123.13,100.75,262.08,5
RC,0250,eplerenone 25 MG tablet 30 each BLIST PACK,11.8,4.13,3.38,8.79,5
RC,0250,eplerenone 25 MG tablet 30 each Bottle,10.035,3.52,2.82,7.63,20
RC,0250,eplerenone 25 MG tablet 90 each Bottle,10.035,3.52,2.82,7.63,15
RC,0250,"epoprostenol 15,000 ng/mL 50 mL Syringe",56.71,19.85,16.24,42.25,5
RC,0250,eptifibatide per 5 mg,984.64,344.63,48.67,3428.49,35
RC,0250,"ergocalciferol 1,250 mcg (50,000 unit) capsule 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"ergocalciferol 1,250 mcg (50,000 unit) capsule 100 each BLIST PACK",6.0,2.1,1.72,4.47,15
RC,0250,"ergocalciferol 1,250 mcg (50,000 unit) capsule 100 each Bottle",6.0,2.1,1.72,4.47,10
RC,0250,"ergocalciferol 1,250 mcg (50,000 unit) capsule 50 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"ergocalciferol 200 mcg/mL (8,000 unit/mL) drops 60 mL Bottle",6.0,2.1,1.72,4.47,5
RC,0250,"ergocalciferol 200 mcg/mL (8,000 unit/mL) drops 60 mL DROP BTL",6.0,2.1,1.72,4.47,15
RC,0250,"ergotamine 2 MG tablet, sublingual 20 each BLIST PACK",35.28,12.35,10.1,26.28,5
RC,0250,ergotamine-caffeine 1-100 mg tablet 100 each Bottle,36.43,12.76,10.43,27.14,5
RC,0250,erlotinib 100 mg tablet 30 each Bottle,705.36,246.88,202.02,525.49,5
RC,0250,erlotinib 150 mg tablet 30 each Bottle,797.81,279.24,228.49,594.37,5
RC,0250,erlotinib 25 mg tablet 30 each Bottle,256.81,89.89,73.55,191.32,5
RC,0250,erythromycin 250 mg tablet 100 each Bottle,30.98,10.85,8.87,23.08,5
RC,0250,"erythromycin 250 mg tablet,delayed release (DR/EC) 100 each Bottle",20.84,7.3,5.97,15.53,5
RC,0250,erythromycin 5 mg/gram (0.5 %) ointment 1 g Tube,27.75,9.72,5.88,35.22,30
RC,0250,erythromycin 5 mg/gram (0.5 %) ointment 3.5 g Tube,38.52,13.615,10.62,44.54,25
RC,0250,erythromycin base 250 MG tablet 100 each Bottle,31.134999999999998,10.905000000000001,8.42,24.48,10
RC,0250,erythromycin base 250 MG tablet 30 each Bottle,29.41,10.3,8.42,21.91,5
RC,0250,erythromycin ethylsuccinate 200 mg/5 mL suspension for reconstitution 100 mL Bottle,953.2,333.625,263.94,793.83,35
RC,0250,erythromycin ethylsuccinate 200 mg/5 mL suspension for reconstitution 200 mL Bottle,1752.54,613.39,483.0,1396.01,15
RC,0250,erythromycin ethylsuccinate 200 mg/5 mL suspension for reconstitution 5 mL Syringe,43.81,15.34,12.55,32.64,5
RC,0250,escitalopram 10 MG tablet 1 each BLIST PACK,10.2,3.57,2.92,7.6,5
RC,0250,escitalopram 10 MG tablet 100 each BLIST PACK,10.27,3.5949999999999998,2.92,7.7,10
RC,0250,escitalopram 10 MG tablet 100 each Bottle,11.13,3.9,3.19,8.29,5
RC,0250,escitalopram 20 MG tablet 1 each BLIST PACK,10.855,3.8049999999999997,3.11,8.09,10
RC,0250,escitalopram 20 MG tablet 100 each BLIST PACK,10.85,3.8,3.09,8.09,15
RC,0250,escitalopram 20 MG tablet 100 each Bottle,11.61,4.07,3.33,8.65,5
RC,0250,escitalopram 5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,escitalopram 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,escitalopram 5 MG tablet 100 each Bottle,9.79,3.43,2.8,7.93,30
RC,0250,esmoloL 100 mg/10 mL (10 mg/mL) solution 10 mL Vial,34.43,12.06,6.87,33.23,35
RC,0250,esmolol 10 mg/mL parenteral solution 250 mL Bag,449.58000000000004,157.36,78.57,923.93,20
RC,0250,esmolol 10 mg/mL parenteral solution 250 mL Flex Cont,382.32,133.82,109.5,284.83,5
RC,0250,esmolol 10 mg/mL parenteral solution 50 mL Syringe,275.88,96.56,79.01,205.53,5
RC,0250,"esmolol 2,500 mg/250 mL (10 mg/mL) parenteral solution 250 mL Bag",697.675,244.19,118.11,923.93,25
RC,0250,"esmolol 2,500 mg/250 mL (10 mg/mL) parenteral solution 250 mL Flex Cont",1379.42,482.8,395.07,1027.67,5
RC,0250,esomeprazole 2.5 mg granules DR for susp in packet 30 each Packet,27.12,9.5,7.77,20.2,5
RC,0250,"esomeprazole 20 MG capsule,delayed release(DR/EC) 30 each Bottle",23.645,8.28,6.1,19.36,10
RC,0250,esomeprazole 20 mg granules DR for susp in packet 1 each Packet,23.02,8.06,6.59,17.15,5
RC,0250,esomeprazole 20 mg granules DR for susp in packet 30 each Packet,23.02,8.06,6.59,17.15,10
RC,0250,"esomeprazole 40 MG capsule,delayed release(DR/EC) 30 each Bottle",23.049999999999997,8.07,5.76,19.36,10
RC,0250,esomeprazole 40 mg granules DR for susp in packet 1 each Packet,23.02,8.06,6.59,17.15,5
RC,0250,esomeprazole 40 mg granules DR for susp in packet 30 each Packet,23.02,8.06,6.59,17.15,5
RC,0250,esomeprazole 40 mg recon soln 1 each Vial,141.6,49.56,40.55,105.49,5
RC,0250,estradioL 0.01 % (0.1 mg/gram) cream 42.5 g Tube,847.13,296.5,242.62,631.11,5
RC,0250,estradioL 0.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,20
RC,0250,estradioL 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,estradioL 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,20
RC,0250,estradiol semi-weekly 0.05 mg/24 hr patch semiweekly 1 each Box,40.0,14.0,11.46,29.8,5
RC,0250,estradiol semi-weekly 0.05 mg/24 hr patch semiweekly 8 each Box,40.0,14.0,11.46,29.8,5
RC,0250,estradiol semi-weekly 0.075 mg/24 hr patch semiweekly 8 each Box,54.54,19.09,15.62,40.63,5
RC,0250,estradiol semi-weekly 0.1 mg/24 hr patch semiweekly 8 each Box,26.8,9.38,7.68,19.97,5
RC,0250,estradiol weekly 0.025 mg/24 hr patch weekly 4 each Box,54.77,19.17,15.69,40.8,5
RC,0250,estradiol weekly 0.05 mg/24 hr patch weekly 1 each Box,53.465,18.715000000000003,14.94,40.8,10
RC,0250,estradiol weekly 0.05 mg/24 hr patch weekly 4 each Box,54.77,19.17,15.69,40.8,5
RC,0250,estradiol weekly 0.1 mg/24 hr patch weekly 1 each Box,54.77,19.17,15.69,40.8,5
RC,0250,estradiol weekly 0.1 mg/24 hr patch weekly 4 each Box,53.465,18.715000000000003,14.94,40.8,10
RC,0250,estramustine 140 mg capsule 100 each Bottle,47.46,16.62,13.59,35.36,5
RC,0250,estrogens conjugated (synthetic B) 0.3 MG tablet 100 each Bottle,7.05,2.47,2.02,5.25,5
RC,0250,estrogens-methyltestosterone 0.625-1.25 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
RC,0250,eszopiclone 1 MG tablet 30 each Bottle,27.55,9.65,7.89,20.52,20
RC,0250,eszopiclone 2 MG tablet 100 each Bottle,27.55,9.65,7.89,20.52,5
RC,0250,etesevimab 700 mg/20 mL (35 mg/mL) solution 20 mL Vial,24.0,8.4,6.87,17.88,5
RC,0250,ethacrynic acid 25 mg tablet 100 each Bottle,56.80500000000001,19.89,16.19,42.53,15
RC,0250,ethacrynic acid 50 mg recon soln 1 each Vial,10761.6,3766.56,3082.12,8017.39,10
RC,0250,ethambutoL 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,ethambutoL 400 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,ethambutoL 400 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,ethambutoL 400 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,ethanol (ethyl alcohol) 98 % solution 5 mL Vial,1317.93,461.28,377.46,981.86,5
RC,0250,ethanol 40 % solution 30 mL Cup,6.0,2.1,1.72,4.47,10
RC,0250,"ethanol 95 % solution 1,750 mL Bottle",94.99,33.25,27.21,70.77,5
RC,0250,ethionamide 250 mg tablet 100 each Bottle,15.87,5.56,4.55,11.82,5
RC,0250,ethosuximide 250 mg capsule 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,ethosuximide 250 mg/5 mL solution 473 mL Bottle,545.86,191.06,156.33,406.67,5
RC,0250,ethyl alcohoL 99% 99 % solution 5 mL AMPUL,471.76,165.12,135.11,351.46,10
RC,0250,ethyl alcohol 95% liquid 500 mL Bottle,354.0,123.9,101.39,263.73,5
RC,0250,"ethyl chloride 100 % aerosol,spray 116 mL SQUEEZ BTL",148.51,51.985,40.57,115.74,10
RC,0250,ethynodiol diac-eth estradioL 1-50 mg-mcg tablet 28 each BLIST PACK,38.32,13.415000000000001,1.72,52.63,10
RC,0250,etodolac 400 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,etomidate 2 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,70
RC,0250,etomidate 2 mg/mL solution 20 mL Vial,26.2,9.17,6.87,23.0,60
RC,0250,etonogestreL-ethinyl estradioL 0.12-0.015 mg/24 hr ring 1 each Packet,460.57,161.2,131.91,343.12,10
RC,0250,etonogestrel 68 mg implant 1 each PF APPLI,2001.04,700.37,573.1,1490.77,10
RC,0250,etravirine 100 mg tablet 120 each Bottle,35.35,12.38,10.12,26.34,5
RC,0250,"evacuated glass container bottle 1,000 mL Bottle",160.14,56.05,45.86,119.3,5
RC,0250,evacuated glass container bottle 500 mL Bottle,64.62,22.62,18.51,48.14,5
RC,0250,exemestane 25 mg tablet 30 each Bottle,47.75,16.72,8.81,80.96,15
RC,0250,exenatide 10 mcg/dose(250 mcg/mL) 2.4 mL pen injector 2.4 mL Syringe,2407.06,842.48,689.38,1793.26,5
RC,0250,exenatide 5 mcg/dose (250 mcg/mL) 1.2 mL pen injector 1.2 mL Syringe,2407.06,842.48,689.38,1793.26,5
RC,0250,eye lubricant 57.7-31.9 % ointment 3.5 g Tube,12.97,4.54,3.71,9.66,5
RC,0250,eye lubricant 80-20 % ointment 3.5 g Tube,16.89,5.92,4.84,12.58,10
RC,0250,eye lubricant 80-20 % ointment 5 g Tube,25.49,8.93,7.3,18.99,5
RC,0250,eye lubricant 83-15 % ointment 3.5 g Tube,12.925,4.529999999999999,2.93,11.63,10
RC,0250,eye lubricant 94-3 % ointment 3.5 g Tube,17.72,6.21,4.78,15.05,15
RC,0250,eye lubricant ointment 3.5 g Tube,18.05,6.32,3.83,16.89,35
RC,0250,eye lubricant ointment 5 g Tube,37.64,13.18,10.78,28.04,5
RC,0250,"eye vitamin supplement 2,148 mcg-113 mg-45 mg-17.4mg tablet 120 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,ezetimibe 10 mg tablet 1 each BLIST PACK,29.25,10.24,8.38,21.79,10
RC,0250,ezetimibe 10 mg tablet 20 each BLIST PACK,29.24,10.24,8.37,21.78,5
RC,0250,ezetimibe 10 mg tablet 30 each BLIST PACK,29.25,10.24,8.38,21.79,10
RC,0250,ezetimibe 10 mg tablet 30 each Bottle,24.265,8.5,6.95,18.08,10
RC,0250,ezetimibe 10 mg tablet 90 each Bottle,24.26,8.5,6.95,18.07,5
RC,0250,famciclovir 250 MG tablet 30 each Bottle,14.92,5.23,4.27,11.12,5
RC,0250,famciclovir 500 MG tablet 1 each BLIST PACK,6.5,2.28,1.86,4.84,5
RC,0250,famciclovir 500 MG tablet 30 each BLIST PACK,30.49,10.68,8.73,22.72,5
RC,0250,famotidine 10 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,famotidine 20 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,"famotidine 20 MG tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,15
RC,0250,famotidine 20 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,famotidine 20 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,35
RC,0250,famotidine 20 MG tablet 25 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,famotidine 20 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,famotidine 20 MG tablet 50 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,famotidine 20 mg/2 mL solution 2 mL Vial,27.755000000000003,9.715,6.87,23.47,25
RC,0250,famotidine 40 MG tablet 100 each Bottle,11.05,3.87,3.16,8.23,10
RC,0250,famotidine 40 mg/5 mL (8 mg/mL) suspension 0 mL Syringe,6.0,2.1,1.72,4.47,5
RC,0250,famotidine 40 mg/5 mL (8 mg/mL) suspension 100 mL Bottle,231.75,81.12,66.37,172.65,5
RC,0250,famotidine 40 mg/5 mL (8 mg/mL) suspension 2.5 mL Cup,30.57,10.7,8.76,22.77,5
RC,0250,famotidine 40 mg/5 mL (8 mg/mL) suspension for reconstitution 50 mL Bottle,417.365,146.07999999999998,119.47,311.11,25
RC,0250,famotidine per 20 mg,24.87,8.71,6.87,23.65,20
RC,0250,fat emulsion (Smoflipid) 20 % emulsion 100 mL Bag,68.44,23.96,19.6,50.99,10
RC,0250,fat emulsion (Smoflipid) 20 % emulsion 250 mL Bag,84.37,29.53,24.16,62.86,10
RC,0250,fat emulsion (Smoflipid) 20 % emulsion 500 mL Bag,106.2,37.17,30.42,79.12,5
RC,0250,fat emulsion (Smoflipid) 20 % emulsion 500 mL Flex Cont,106.2,37.17,30.42,79.12,5
RC,0250,"fat emulsion 20 % emulsion 1,000 mL Bag",207.68,72.69,59.48,154.72,5
RC,0250,fat emulsion 20 % emulsion 100 mL Bag,88.97,31.14,25.48,66.28,5
RC,0250,fat emulsion 20 % emulsion 100 mL Flex Cont,89.68,31.39,25.68,66.81,10
RC,0250,fat emulsion 20 % emulsion 250 mL Bag,139.24,48.74,39.88,103.73,5
RC,0250,fat emulsion 20 % emulsion 250 mL Flex Cont,79.65,27.88,22.81,59.34,5
RC,0250,fat emulsion 20 % emulsion 500 mL Bag,118.0,41.3,33.8,87.91,5
RC,0250,febuxostat 40 mg tablet 30 each BLIST PACK,7.08,2.48,2.03,5.27,5
RC,0250,febuxostat 40 mg tablet 30 each Bottle,31.15,10.91,8.92,23.21,5
RC,0250,fedratinib 100 mg capsule 120 each Bottle,651.35,227.98,186.55,485.26,5
RC,0250,felbamate 400 MG tablet 100 each Bottle,12.26,4.295,3.49,9.18,10
RC,0250,felbamate 600 mg/5 mL suspension 237 mL Bottle,45.94,16.085,5.96,52.94,10
RC,0250,felodipine 10 MG tablet extended release 24 hr 100 each Bottle,6.41,2.25,1.84,4.78,10
RC,0250,felodipine 2.5 MG tablet extended release 24 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,felodipine 5 MG tablet extended release 24 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,fenofibrate 145 MG tablet 1 each BLIST PACK,10.745000000000001,3.7649999999999997,2.67,9.05,10
RC,0250,fenofibrate 145 MG tablet 30 each BLIST PACK,9.38,3.29,1.89,9.05,10
RC,0250,fenofibrate 145 MG tablet 90 each Bottle,13.52,4.74,3.87,10.07,5
RC,0250,fenofibrate 160 MG tablet 30 each BLIST PACK,16.82,5.89,4.82,12.53,5
RC,0250,fenofibrate 160 MG tablet 90 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,fenofibrate 54 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,fenofibrate 54 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,fenofibrate 54 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,fenofibrate 54 MG tablet 90 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,"fentaNYL (PF) 1,500 mcg/30 mL (50 mcg/mL) pt controlled analgesia syring 30 mL Syringe",30.0,10.5,8.59,22.35,5
RC,0250,fentaNYL (PF) 2.5 mg/250 mL 2.5 mg/250 mL pt controlled analgesia syring 250 mL Bag,107.97,37.79,30.92,80.44,5
RC,0250,fentaNYL (PF) 2.5 mg/250 mL 2.5 mg/250 mL solution 250 mL Bag,107.97,37.79,30.92,80.44,5
RC,0250,fentaNYL (PF) 50 mcg/mL pt controlled analgesia syring 30 mL Syringe,30.0,10.5,8.59,22.35,5
RC,0250,fentaNYL 100 mcg/hr patch 72 hour 1 each Box,185.76,65.02,53.2,138.39,5
RC,0250,fentaNYL 100 mcg/hr patch 72 hour 5 each Box,125.995,44.105000000000004,36.07,93.91,20
RC,0250,fentaNYL 100 mcg/hr patch 72 hour 5 each Packet,185.76,65.02,53.2,138.39,5
RC,0250,fentaNYL 12 mcg/hr patch 72 hour 1 each Box,47.91,16.77,13.72,35.69,5
RC,0250,fentaNYL 12 mcg/hr patch 72 hour 1 each Packet,47.91,16.77,13.72,35.69,5
RC,0250,fentaNYL 12 mcg/hr patch 72 hour 5 each Box,47.91,16.77,13.72,35.69,20
RC,0250,"fentaNYL 2,000 mcg in sodium chloride 0.9% 100 mL 20 mcg/mL solution 100 mL Bag",63.465,22.215,8.59,72.21,10
RC,0250,"fentaNYL 2,500 mcg in sodium chloride 0.9% 100 mL 25 mcg/mL solution 100 mL Bag",53.57,18.75,14.61,67.56,25
RC,0250,fentaNYL 25 mcg/hr patch 72 hour 5 each Box,42.11,14.745000000000001,9.75,37.39,20
RC,0250,fentaNYL 50 mcg/hr patch 72 hour 5 each Box,62.24,21.79,17.82,46.39,20
RC,0250,fentaNYL 50 mcg/hr patch 72 hour 5 each Packet,62.21,21.78,17.82,46.35,5
RC,0250,fentaNYL 50 mcg/mL solution 100 mL Bag,201.10500000000002,70.39,40.55,194.15,10
RC,0250,fentaNYL 75 mcg/hr patch 72 hour 5 each Box,117.43,41.105000000000004,27.18,104.27,15
RC,0250,fentaNYL 75 mcg/hr patch 72 hour 5 each Packet,94.9,33.22,27.18,70.7,5
RC,0250,fentaNYL-bupivacaine 2 mcg/mL- 0.075 % solution 250 mL Cartridge,30.13,10.55,8.63,22.45,5
RC,0250,fentaNYL-bupivacaine 2 mcg/mL- 0.1 % solution 100 mL Cartridge,30.0,10.5,8.59,22.35,5
RC,0250,fentaNYL-bupivacaine 2 mcg/mL- 0.1 % solution 250 mL Bag,50.31,17.61,8.63,60.55,20
RC,0250,fentaNYL-bupivacaine 2 mcg/mL- 0.1 % solution 250 mL Cartridge,30.13,10.55,8.63,22.45,5
RC,0250,fentaNYL-bupivacaine 2 mcg/mL- 0.125 % prefilled pump reservoir 100 mL Box,50.745,17.765,8.59,53.26,10
RC,0250,fentaNYL-bupivacaine 2 mcg/mL- 0.125 % solution 250 mL Cartridge,30.13,10.55,8.63,22.45,5
RC,0250,fentaNYL-bupivacaine 5-0.1 mcg/mL-% solution 250 mL Cartridge,42.94,15.03,12.3,31.99,5
RC,0250,"fentaNYL-bupivacaine-epinephrine (PF) 2-0.1-1:1,000,000 MCG/ML-% solution 100 mL Cartridge",30.0,10.5,8.59,22.35,5
RC,0250,"fentaNYL-bupivacaine-epinephrine (PF) 2-0.1-1:1,000,000 MCG/ML-% solution 250 mL Cartridge",38.25,13.39,10.95,28.5,5
RC,0250,ferric subsulfate (bulk) 20 to 22 gram/100 mL solution 100 mL Bottle,135.23,47.34,38.73,100.75,5
RC,0250,ferric subsulfate 20 % solution with applicator 4 mL Syringe,17.75,6.22,5.08,13.22,5
RC,0250,ferric subsulfate 20 % solution with applicator 8 mL Bottle,34.955,12.24,9.86,26.44,10
RC,0250,ferrous gluconate 324 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,ferrous sulfate 15 mg/mL (elemental iron) drops 50 mL Bottle,7.55,2.65,2.16,5.62,5
RC,0250,ferrous sulfate 15 mg/mL (elemental iron) drops 50 mL DROP BTL,17.345,6.075,2.16,18.81,20
RC,0250,ferrous sulfate 220 mg (44 mg iron)/5 mL elixir 473 mL Bottle,20.09,7.04,5.75,14.97,5
RC,0250,ferrous sulfate 220 mg (44 mg iron)/5 mL elixir 6.8 mL Cup,6.0,2.1,1.72,4.47,5
RC,0250,ferrous sulfate 300 mg (60 mg iron)/5 mL liquid 5 mL Cup,9.66,3.385,2.49,7.83,30
RC,0250,"ferrous sulfate 324 mg (65 mg iron) tablet,delayed release (DR/EC) 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,ferrous sulfate 325 (65 FE) MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,ferrous sulfate 325 (65 FE) MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,fexofenadine 60 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,fexofenadine 60 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,fexofenadine 60 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,fexofenadine-pseudoephedrine 180-240 mg tablet extended release 24 hr 10 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,fidaxomicin 200 mg tablet 20 each Bottle,737.03,257.97,211.09,549.09,5
RC,0250,finasteride 1 mg tablet 30 each Bottle,6.4,2.24,1.83,4.77,5
RC,0250,finasteride 5 mg tablet 1 each BLIST PACK,6.6899999999999995,2.3449999999999998,1.72,5.5,10
RC,0250,finasteride 5 mg tablet 100 each BLIST PACK,6.93,2.4299999999999997,1.72,5.86,15
RC,0250,finasteride 5 mg tablet 100 each Bottle,7.38,2.59,2.11,5.5,5
RC,0250,finasteride 5 mg tablet 50 each BLIST PACK,7.38,2.59,1.72,5.54,15
RC,0250,finasteride 5 mg tablet 90 each Bottle,7.35,2.58,2.11,5.48,5
RC,0250,flecainide 100 MG tablet 1 each BLIST PACK,14.1,4.94,4.04,10.5,5
RC,0250,flecainide 100 MG tablet 100 each BLIST PACK,8.45,2.96,2.42,6.3,5
RC,0250,flecainide 100 MG tablet 100 each Bottle,7.449999999999999,2.61,1.85,6.3,10
RC,0250,flecainide 100 MG tablet 50 each BLIST PACK,14.1,4.94,4.04,10.5,5
RC,0250,flecainide 150 MG tablet 100 each Bottle,11.645,4.08,2.94,9.71,10
RC,0250,flecainide 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,flecainide 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,flecainide 50 MG tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,fluPHENAZine 1 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,fluPHENAZine 1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,fluPHENAZine 1 MG tablet 100 each Bottle,10.37,3.63,2.97,7.73,20
RC,0250,fluPHENAZine 10 MG tablet 1 each BLIST PACK,22.625,7.92,1.72,28.33,20
RC,0250,fluPHENAZine 10 MG tablet 100 each BLIST PACK,14.37,5.03,1.72,28.33,15
RC,0250,fluPHENAZine 10 MG tablet 100 each Bottle,27.38,9.59,7.84,20.4,25
RC,0250,fluPHENAZine 2.5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,fluPHENAZine 2.5 MG tablet 100 each BLIST PACK,13.485,4.72,1.72,15.62,10
RC,0250,fluPHENAZine 2.5 MG tablet 100 each Bottle,16.05,5.62,4.6,11.96,20
RC,0250,fluPHENAZine 2.5 MG tablet 50 each BLIST PACK,22.06,7.73,6.32,16.43,5
RC,0250,fluPHENAZine 2.5 mg/5 mL elixir 473 mL Bottle,6.0,2.1,1.72,4.47,5
RC,0250,fluPHENAZine 2.5 mg/5 mL elixir 60 mL Bottle,6.0,2.1,1.72,4.47,5
RC,0250,fluPHENAZine 2.5 mg/mL solution 10 mL Vial,27.2,9.52,7.79,20.26,5
RC,0250,fluPHENAZine 5 MG tablet 1 each BLIST PACK,25.18,8.82,1.72,22.6,20
RC,0250,fluPHENAZine 5 MG tablet 100 each BLIST PACK,18.17,6.359999999999999,1.72,22.6,10
RC,0250,fluPHENAZine 5 MG tablet 100 each Bottle,21.71,7.6,6.22,16.17,20
RC,0250,fluPHENAZine 5 MG tablet 30 each BLIST PACK,25.18,8.82,7.21,18.76,5
RC,0250,fluPHENAZine 5 MG tablet 50 each BLIST PACK,30.34,10.62,8.69,22.6,5
RC,0250,fluPHENAZine 5 mg/mL concentrate 120 mL Bottle,6.0,2.1,1.72,4.47,5
RC,0250,fluconazole 100 MG tablet 1 each BLIST PACK,39.565,13.854999999999999,6.44,42.2,10
RC,0250,fluconazole 100 MG tablet 100 each BLIST PACK,56.64,19.83,16.22,42.2,5
RC,0250,fluconazole 100 MG tablet 50 each BLIST PACK,22.49,7.88,6.44,16.76,5
RC,0250,fluconazole 150 MG tablet 1 each BLIST PACK,33.065,11.58,9.42,128.45,30
RC,0250,fluconazole 150 MG tablet 12 each BLIST PACK,32.88,11.51,1.72,24.63,25
RC,0250,fluconazole 2 mg/mL 100 mL Flex Cont,25.49,8.93,6.87,39.38,25
RC,0250,fluconazole 200 MG tablet 1 each BLIST PACK,71.17,24.915,11.03,77.36,10
RC,0250,fluconazole 200 MG tablet 100 each BLIST PACK,71.205,24.925,11.05,77.36,10
RC,0250,fluconazole 200 MG tablet 30 each Bottle,34.0,11.9,9.74,25.33,5
RC,0250,fluconazole 200 MG tablet 50 each BLIST PACK,22.25,7.79,1.72,28.68,10
RC,0250,fluconazole 40 mg/mL suspension for reconstitution 35 mL Bottle,306.78,107.38,22.81,229.9,25
RC,0250,flucytosine 250 MG capsule 1 each BLIST PACK,231.83,81.15,66.4,172.71,5
RC,0250,flucytosine 250 MG capsule 100 each Bottle,193.68,67.79,55.47,144.29,5
RC,0250,flucytosine 250 MG capsule 30 each BLIST PACK,231.83,81.15,66.4,172.71,5
RC,0250,flucytosine 500 mg capsule 100 each Bottle,374.78,131.18,107.34,279.21,10
RC,0250,flucytosine 500 mg capsule 30 each Bottle,270.97499999999997,94.845,47.88,279.21,10
RC,0250,fludrocortisone 0.1 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,fludrocortisone 0.1 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,fludrocortisone 0.1 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,flumazeniL 0.1 mg/mL solution 10 mL Vial,220.61,77.22,63.18,164.35,5
RC,0250,flumazeniL 0.1 mg/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,30
RC,0250,fluocinolone 0.01 % solution 60 mL Bottle,442.5,154.88,126.73,329.66,20
RC,0250,fluocinonide 0.05 % cream 15 g Tube,107.51,37.63,30.79,80.09,20
RC,0250,fluocinonide 0.05 % cream 60 g Tube,430.04,150.52,123.16,320.38,15
RC,0250,fluocinonide 0.05 % gel 30 g Jar,281.08,98.38,80.5,209.4,5
RC,0250,fluocinonide 0.05 % ointment 15 g Tube,166.98,58.45,47.82,124.4,10
RC,0250,fluocinonide 0.05 % ointment 60 g Tube,667.93,233.78,191.3,497.61,5
RC,0250,fluocinonide 0.05 % solution 60 mL Bottle,262.525,91.88499999999999,65.7,288.63,20
RC,0250,fluorescein 0.6 mg strip 300 each Box,6.0,2.1,1.72,4.47,5
RC,0250,fluorescein 1 mg strip 1 each Packet,6.0,2.1,1.72,4.47,5
RC,0250,fluorescein 1 mg strip 1 each Strip,6.0,2.1,1.72,4.47,5
RC,0250,fluorescein 1 mg strip 100 each Box,6.0,2.1,1.72,4.47,10
RC,0250,fluorescein 1 mg strip 300 each Box,6.0,2.1,1.72,4.47,10
RC,0250,fluorescein 500 mg/5 mL (10 %) solution 5 mL Vial,183.285,64.155,46.59,151.91,20
RC,0250,fluorescein-benoxinate 0.3-0.4 % drops 5 mL DROP BTL,90.62,31.72,25.95,67.51,5
RC,0250,fluorescein-proparacaine 0.25-0.5% 0.25-0.5 % drops 5 mL DROP BTL,95.64,33.475,24.91,77.71,10
RC,0250,"fluorometholone 0.1 % drops,suspension 5 mL DROP BTL",348.135,121.85,62.81,355.34,10
RC,0250,fluorometholone 0.1 % ointment 3.5 g Tube,397.47,139.12,113.84,296.12,5
RC,0250,fluorouraciL 5 % cream 40 g Tube,639.04,223.67000000000002,48.67,676.84,20
RC,0250,flurbiprofen 0.03 % drops 2.5 mL DROP BTL,61.275000000000006,21.45,5.9,75.95,10
RC,0250,flutamide 125 MG capsule 180 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,fluticasone 110 mcg/actuation HFA aerosol inhaler 12 g AER W/ADAP,6.0,2.1,1.72,4.47,5
RC,0250,fluticasone 220 mcg/actuation HFA aerosol inhaler 12 g AER W/ADAP,7.79,2.73,2.23,5.8,5
RC,0250,fluticasone 44 mcg/actuation HFA aerosol inhaler 10.6 g AER W/ADAP,6.0,2.1,1.72,4.47,5
RC,0250,fluticasone propion-salmeteroL 100-50 mcg/dose blister with device 14 each BLIST PACK,9.21,3.23,2.64,6.86,5
RC,0250,fluticasone propion-salmeteroL 115-21 mcg/actuation HFA aerosol inhaler 12 g CANISTER,903.18,316.12,258.67,672.87,5
RC,0250,fluticasone propion-salmeteroL 115-21 mcg/actuation HFA aerosol inhaler 8 g CANISTER,443.11,155.09,126.91,330.12,5
RC,0250,fluticasone propion-salmeteroL 230-21 mcg/actuation HFA aerosol inhaler 12 g CANISTER,1245.29,435.86,356.65,927.74,5
RC,0250,fluticasone propion-salmeteroL 230-21 mcg/actuation HFA aerosol inhaler 8 g CANISTER,724.29,253.51,207.44,539.6,5
RC,0250,fluticasone propion-salmeteroL 250-50 mcg/dose blister with device 14 each BLIST PACK,9.21,3.23,2.64,6.86,5
RC,0250,fluticasone propion-salmeteroL 250-50 mcg/dose blister with device 60 each BLIST PACK,9.24,3.24,2.65,6.88,5
RC,0250,fluticasone propion-salmeteroL 45-21 mcg/actuation HFA aerosol inhaler 12 g CANISTER,710.27,248.6,203.42,529.15,5
RC,0250,fluticasone propion-salmeteroL 45-21 mcg/actuation HFA aerosol inhaler 8 g CANISTER,477.21,167.03,136.67,355.52,5
RC,0250,fluticasone propion-salmeteroL 500-50 mcg/dose blister with device 14 each BLIST PACK,15.01,5.26,4.3,11.18,5
RC,0250,fluticasone propion-salmeteroL 500-50 mcg/dose blister with device 60 each BLIST PACK,12.52,4.39,3.59,9.33,5
RC,0250,fluticasone propionate 110 mcg/actuation HFA aerosol inhaler 12 g AER W/ADAP,756.105,264.645,211.0,577.74,10
RC,0250,fluticasone propionate 220 mcg/actuation HFA aerosol inhaler 12 g AER W/ADAP,1174.4299999999998,411.05499999999995,327.74,897.37,10
RC,0250,fluticasone propionate 44 mcg/actuation HFA aerosol inhaler 10.6 g AER W/ADAP,564.785,197.68,157.61,431.56,10
RC,0250,"fluticasone propionate 50 mcg/actuation spray,suspension 16 g AER W/ADAP",210.735,73.76,57.63,164.09,15
RC,0250,fluticasone-salmeterol 115-21 mcg/actuation HFA aerosol inhaler 12 g CANISTER,7.9,2.77,2.26,5.89,5
RC,0250,fluticasone-salmeterol 115-21 mcg/actuation HFA aerosol inhaler 8 g CANISTER,7.52,2.64,2.15,5.6,5
RC,0250,fluticasone-salmeterol 230-21 mcg/actuation HFA aerosol inhaler 12 g CANISTER,10.39,3.64,2.98,7.74,5
RC,0250,fluticasone-salmeterol 230-21 mcg/actuation HFA aerosol inhaler 8 g CANISTER,11.15,3.91,3.19,8.31,5
RC,0250,fluticasone-salmeterol 45-21 mcg/actuation HFA aerosol inhaler 12 g CANISTER,6.36,2.23,1.82,4.74,5
RC,0250,fluticasone-salmeterol 45-21 mcg/actuation HFA aerosol inhaler 8 g CANISTER,7.52,2.64,2.15,5.6,5
RC,0250,fluvastatin 20 MG capsule 30 each Bottle,11.81,4.14,3.38,8.8,5
RC,0250,fluvastatin 40 MG capsule 30 each Bottle,11.81,4.14,3.38,8.8,5
RC,0250,fluvastatin 40 MG capsule 90 each Bottle,11.8,4.13,3.38,8.79,5
RC,0250,fluvoxaMINE 100 MG tablet 1 each BLIST PACK,6.23,2.19,1.78,4.64,5
RC,0250,fluvoxaMINE 100 MG tablet 100 each BLIST PACK,6.23,2.19,1.78,4.64,5
RC,0250,fluvoxaMINE 100 MG tablet 100 each Bottle,6.220000000000001,2.185,1.78,4.64,15
RC,0250,"fluvoxaMINE 100 mg capsule,extended release 24hr 30 each Bottle",24.03,8.42,6.88,17.9,5
RC,0250,fluvoxaMINE 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,fluvoxaMINE 50 MG tablet 1 each BLIST PACK,6.07,2.13,1.74,4.52,5
RC,0250,fluvoxaMINE 50 MG tablet 100 each BLIST PACK,6.07,2.13,1.74,4.52,5
RC,0250,fluvoxaMINE 50 MG tablet 100 each Bottle,6.07,2.13,1.74,4.52,15
RC,0250,folic acid 1 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,folic acid 1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,25
RC,0250,folic acid 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,folic acid 5 mg/mL solution 10 mL Vial,121.27,42.45,29.57,103.77,10
RC,0250,fomepizone per 15 mg,3577.95,1252.2849999999999,798.92,3653.42,20
RC,0250,"formoterol 12 mcg capsule, w/inhalation device 60 each BLIST PACK",11.47,4.02,3.29,8.55,5
RC,0250,fosamprenavir 700 mg tablet 60 each Bottle,54.68,19.14,15.66,40.74,5
RC,0250,fosfomycin 3 gram packet 1 each Packet,236.94,82.93,66.58,192.56,25
RC,0250,fosfomycin 3 gram packet 3 each Packet,129.93,45.48,37.21,96.8,5
RC,0250,furosemide 10 mg/mL solution 120 mL Bottle,41.63,14.58,11.92,31.01,5
RC,0250,furosemide 10 mg/mL solution 60 mL Bottle,23.009999999999998,8.06,6.16,18.25,10
RC,0250,furosemide 20mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,"furosemide 20mg tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,furosemide 20mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,furosemide 20mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,furosemide 40 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,furosemide 40 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,furosemide 40 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,furosemide 80 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,furosemide 80 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,furosemide 80 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,gabapentin 100 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,gabapentin 100 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,25
RC,0250,gabapentin 100 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,20
RC,0250,gabapentin 100 MG capsule 500 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,gabapentin 250 mg/5 mL solution 470 mL Bottle,623.925,218.375,98.48,673.48,20
RC,0250,gabapentin 250 mg/5 mL solution 473 mL Bottle,346.05,121.12,99.11,257.81,5
RC,0250,gabapentin 300 mg/6 mL (6 mL) solution 6 mL Cup,11.51,4.03,1.72,12.68,30
RC,0250,gabapentin 300 mg/6 mL (6 mL) solution 6 mL Syringe,6.0,2.1,1.72,4.47,5
RC,0250,gabapentin 300mg capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,gabapentin 300mg capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,gabapentin 300mg capsule 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,gabapentin 300mg capsule 500 each Bottle,6.0,2.1,1.72,4.47,20
RC,0250,gabapentin 400 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,gabapentin 400 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,gabapentin 400 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,galantamine 12 MG tablet 60 each Bottle,7.51,2.63,2.15,5.59,5
RC,0250,gelatin absorbable 10x12.5 cm film 1 each Packet,6353.78,2223.83,1819.72,4733.57,5
RC,0250,gelatin absorbable 2x6 cm 12-7 mm sponge 12 each PF APPLI,26.97,9.44,7.72,20.09,5
RC,0250,gelatin absorbable powder 1 g Packet,237.6,83.16,68.05,177.01,5
RC,0250,gelatin absorbable syringe syringe 1 each Syringe,197.69,69.19500000000001,14.27,257.45,10
RC,0250,gelatin absorbable syringe syringe 6 each Syringe,345.57,120.95,98.97,257.45,5
RC,0250,gelatin adsorbable 2.5x5 cm film 6 each Packet,702.19,245.77,201.11,523.13,5
RC,0250,gelatin adsorbable 50 sponge 4 each PF APPLI,87.45,30.61,25.05,65.15,5
RC,0250,gelatin adsorbable 50 sponge 4 each Packet,39.3,13.76,11.26,29.28,5
RC,0250,gelatin adsorbable 8x12.5 cm 100 sponge 6 each PF APPLI,130.72,45.76,37.44,97.39,5
RC,0250,gemfibroziL 600 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,gemfibroziL 600 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,gemfibroziL 600 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,gemfibroziL 600 MG tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,gentamicin 0.1 % ointment 15 g Tube,116.54,40.79,33.38,86.82,15
RC,0250,gentamicin 0.3 % (3 mg/gram) ointment 3.5 g Tube,80.44,28.16,23.04,59.93,5
RC,0250,gentamicin 0.3 % drops 5 mL DROP BTL,76.17,26.665,14.67,75.34,10
RC,0250,gentamicin 13.6 mg/mL drops 7 mL DROP BTL,109.4,38.29,31.33,81.5,5
RC,0250,"gentamicin-heparin 1 mg/mL-2,500 units/mL 5 mL Syringe",53.75,18.82,15.39,40.04,5
RC,0250,gentian violet 1 % solution 59 mL Bottle,16.080000000000002,5.635,3.67,14.42,10
RC,0250,gentian violet 2 % solution 59 mL Bottle,36.62,12.82,10.49,27.28,5
RC,0250,gentian violet 2 % solution 59.14 mL Bottle,36.85,12.9,10.55,27.45,5
RC,0250,glatiramer 20 mg/mL syringe 1 mL Syringe,671.56,235.05,192.33,500.31,5
RC,0250,glatiramer 40 mg/mL syringe 1 mL Syringe,1445.17,505.81,413.9,1076.65,5
RC,0250,glecaprevir-pibrentasvir 100-40 mg tablet 3 each BLIST PACK,445.03,155.77,127.46,331.55,5
RC,0250,glecaprevir-pibrentasvir 100-40 mg tablet 84 each BLIST PACK,445.03,155.77,127.46,331.55,5
RC,0250,glimepiride 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,glimepiride 4 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,glimepiride 4 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,glipiZIDE 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,glipiZIDE 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,glipiZIDE 5mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,glipiZIDE 5mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,glipiZIDE 5mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,glipiZIDE 5mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,"glucose 3.75 gram tablet,chewable 10 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,"glucose 4 GM tablet,chewable 10 each Bottle",6.0,2.1,1.72,4.47,10
RC,0250,"glucose 4 GM tablet,chewable 10 each Tube",6.0,2.1,1.72,4.47,10
RC,0250,"glucose 4 GM tablet,chewable 50 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,glutamine powder 5 gram powder in packet 1 each Packet,60.27,21.1,17.26,44.9,5
RC,0250,glutamine powder 5 gram powder in packet 60 each Packet,60.27,21.1,17.26,44.9,5
RC,0250,glyBURIDE 2.5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,glyBURIDE 2.5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,glyBURIDE 2.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,glyBURIDE 5mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,glyBURIDE 5mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,glyBURIDE 5mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,glyBURIDE micronized 3 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,glyburide-metformin 1.25-250 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,glyburide-metformin 2.5-500 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,glyburide-metformin 5-500 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,glycerin (adult) suppository 1 each Box,6.0,2.1,1.72,4.47,5
RC,0250,glycerin (adult) suppository 10 each Box,6.0,2.1,1.72,4.47,5
RC,0250,glycerin (adult) suppository 25 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,glycerin (adult) suppository 50 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,glycerin (adult) suppository 50 each Jar,6.0,2.1,1.72,4.47,5
RC,0250,glycerin (child) suppository 12 each Jar,6.0,2.1,1.72,4.47,5
RC,0250,glycerin (child) suppository 25 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,"glycerin 100 % liquid 3,840 mL Bottle",344.37,120.53,98.63,256.56,5
RC,0250,"glycerin 99.5 % solution 3,800 mL Bottle",358.72,125.56,102.74,267.25,5
RC,0250,glycerin 99.5 % solution 473 mL Bottle,58.605,20.515,11.51,47.4,20
RC,0250,glycerol formal (bulk) 100 % liquid 500 mL Bottle,743.4,260.19,212.91,553.83,5
RC,0250,"glycine urologic solution 1.5 % solution 3,000 mL Bottle",35.4,12.39,10.14,26.37,5
RC,0250,"glycine urologic solution 1.5 % solution 3,000 mL Flex Cont",42.48,14.87,12.17,31.65,5
RC,0250,glycopyrrolate 0.2 mg/mL solution 1 mL Vial,24.43,8.56,6.87,28.57,65
RC,0250,glycopyrrolate 0.2 mg/mL solution 2 mL Vial,24.0,8.4,6.87,17.88,15
RC,0250,glycopyrrolate 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,glycopyrrolate 500 mcg/mL suspension 60 mL Bottle,77.88,27.26,22.3,58.02,5
RC,0250,griseofulvin 250 MG tablet 100 each Bottle,18.68,6.54,5.35,13.92,5
RC,0250,griseofulvin 500 mg tablet 30 each Bottle,20.08,7.03,5.75,14.96,5
RC,0250,griseofulvin microsize 125 mg/5 mL suspension 118 mL Bottle,143.97,50.39,41.23,107.26,5
RC,0250,guaiFENesin 100 mg/5 mL liquid 10 mL Cup,6.0,2.1,1.72,4.47,20
RC,0250,guaiFENesin 100 mg/5 mL liquid 118 mL Bottle,10.66,3.7350000000000003,1.72,11.41,15
RC,0250,guaiFENesin 100 mg/5 mL liquid 5 mL Cup,6.0,2.1,1.72,4.47,10
RC,0250,guaifenesin-DM 30-600 mg tablet extended release 12 hr 40 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,guaifenesin-dextromethorphan 100-10 mg/5mL syrup 10 mL Cup,6.55,2.295,1.87,4.89,20
RC,0250,guaifenesin-dextromethorphan 100-10 mg/5mL syrup 118 mL Bottle,12.25,4.29,1.72,11.41,15
RC,0250,guaifenesin-dextromethorphan 100-10 mg/5mL syrup 5 mL Cup,6.0,2.1,1.72,4.47,20
RC,0250,guanFACINE 1 MG tablet 1 each BLIST PACK,6.87,2.4050000000000002,1.72,5.77,10
RC,0250,guanFACINE 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,guanFACINE 1 MG tablet 30 each BLIST PACK,6.87,2.4050000000000002,1.72,5.77,10
RC,0250,guanFACINE 1 mg tablet extended release 24 hr 100 each Bottle,24.76,8.67,7.09,18.45,15
RC,0250,guanFACINE 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,guanFACINE 4 mg tablet extended release 24 hr 100 each Bottle,27.51,9.63,7.88,20.49,5
RC,0250,guar gum packet 1 each Packet,6.0,2.1,1.72,4.47,5
RC,0250,haloperidoL 0.5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,"haloperidoL 0.5 MG tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,haloperidoL 0.5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,haloperidoL 0.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,haloperidoL 1 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,"haloperidoL 1 MG tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,haloperidoL 1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,haloperidoL 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,haloperidoL 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,haloperidoL 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,haloperidoL 2 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,haloperidoL 2 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,haloperidoL 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,haloperidoL 20 MG tablet 100 each Bottle,7.5249999999999995,2.635,1.86,6.36,10
RC,0250,haloperidoL 5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,haloperidoL 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,haloperidoL 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,haloperidol 2 mg/mL concentrate 120 mL Bottle,6.0,2.1,1.72,4.47,5
RC,0250,haloperidol 2 mg/mL concentrate 5 mL Cup,9.89,3.47,2.83,7.37,5
RC,0250,hard lens cleaner solution 105 mL Bottle,22.55,7.9,6.46,16.8,5
RC,0250,hard lens cleaner solution 30 mL Bottle,23.22,8.13,6.65,17.3,5
RC,0250,heparin (PF) 100 unit/mL (1 mL) solution 1 mL Vial,24.0,8.4,6.87,17.88,5
RC,0250,heparin (porcine) per 1000 Units,24.78,8.68,6.87,22.86,25
RC,0250,heparin 2 units/mL 3 mL Syringe,24.0,8.4,6.87,17.88,5
RC,0250,heparin lock flush 100 unit/mL solution 1 mL Vial,24.0,8.4,6.87,17.88,5
RC,0250,heparin lock flush 100 unit/mL solution 5 mL Vial,24.0,8.4,6.87,17.88,5
RC,0250,hetastarch 6 % 6 % solution 500 mL Bag,120.36,42.13,34.47,89.67,10
RC,0250,histamine phosphate solution 5 mL Vial,24.0,8.4,6.87,17.88,5
RC,0250,homatropine 5 % drops 5 mL DROP BTL,104.67,36.64,29.98,77.98,5
RC,0250,hydrALAZINE 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,hydrALAZINE 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,hydrALAZINE 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,hydrALAZINE 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,hydrALAZINE 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,hydrALAZINE 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,hydrALAZINE 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,hydrALAZINE 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,hydrOXYzine 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,hydrOXYzine 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,25
RC,0250,hydrOXYzine 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,hydrOXYzine 10 MG tablet 500 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,hydrOXYzine 10 mg/5 mL solution 118 mL Bottle,46.23,16.19,13.24,34.44,5
RC,0250,hydrOXYzine 10 mg/5 mL solution 25 mL Cup,287.27,100.55,82.27,214.02,5
RC,0250,hydrOXYzine 10 mg/5 mL solution 473 mL Bottle,612.84,214.5,48.91,1039.54,25
RC,0250,hydrOXYzine 10 mg/5 mL solution 5 mL Syringe,13.215,4.63,1.72,15.22,10
RC,0250,hydrOXYzine 25mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,"hydrOXYzine 25mg tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,hydrOXYzine 25mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,hydrOXYzine 25mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,hydrOXYzine 25mg tablet 500 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,hydrOXYzine 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,hydrOXYzine 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,hydrOXYzine 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,25
RC,0250,hydrOXYzine 50 MG tablet 500 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,hydrOXYzine 50 mg/5 mL solution 5 mL Syringe,18.09,6.34,5.18,13.48,5
RC,0250,hydroCHLOROthiazide 25mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,hydroCHLOROthiazide 25mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,hydroCHLOROthiazide 25mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,hydroCHLOROthiazide 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,hydrocortisone 0.5 % ointment 28.35 g Tube,8.83,3.1,2.53,6.58,5
RC,0250,hydrocortisone 1 % cream 28 g Tube,8.79,3.08,2.52,6.55,5
RC,0250,hydrocortisone 1 % cream 28.4 g Tube,11.33,3.97,3.24,8.44,5
RC,0250,hydrocortisone 1 % cream 30 g Tube,9.42,3.3,2.7,7.02,5
RC,0250,hydrocortisone 1 % ointment 28 g Tube,8.75,3.065,1.72,10.83,20
RC,0250,hydrocortisone 1 % ointment 28.35 g Tube,14.549999999999999,5.095000000000001,3.06,13.71,10
RC,0250,hydrocortisone 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,hydrocortisone 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,hydrocortisone 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,hydrocortisone 100 mg/60 mL enema 60 mL SQUEEZ BTL,45.315,15.865,8.56,45.26,10
RC,0250,hydrocortisone 2.5 % cream 28 g Tube,22.665,7.9350000000000005,6.17,17.72,10
RC,0250,hydrocortisone 2.5 % cream 30 g Tube,25.98,9.1,7.44,19.36,5
RC,0250,hydrocortisone 2.5 % cream with perineal applicator 28 g Tube,185.02,64.76,52.99,137.84,5
RC,0250,hydrocortisone 2.5 % cream with perineal applicator 30 g Tube,102.80499999999999,35.99,2.68,146.21,10
RC,0250,hydrocortisone 20 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,hydrocortisone 20 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,hydrocortisone 25 mg suppository 1 each Box,43.74,15.315000000000001,9.75,39.82,10
RC,0250,hydrocortisone 25 mg suppository 12 each Box,53.45,18.71,9.75,39.85,20
RC,0250,hydrocortisone 25 mg suppository 24 each Box,50.77,17.77,14.53,37.88,15
RC,0250,hydrocortisone 5 MG tablet 50 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,hydrocortisone-aloe vera 1 % cream 28 g Tube,6.0,2.1,1.72,4.47,5
RC,0250,hydrocortisone-aloe vera 1 % cream 28.4 g Tube,12.27,4.3,3.51,9.14,5
RC,0250,hydrogen peroxide 3 % solution 118 mL Bottle,22.5,7.88,6.44,16.76,5
RC,0250,hydrogen peroxide 3 % solution 473 mL Bottle,6.0,2.1,1.72,4.47,25
RC,0250,hydromorphone-bupivacaine 5-0.1 mcg/mL-% solution 250 mL Cartridge,30.91,10.82,8.85,23.03,5
RC,0250,hydroxocobalamin 5 gram recon soln 1 each Vial,2646.955,926.435,666.16,2211.12,10
RC,0250,hydroxychloroquine 200 mg tablet 1 each BLIST PACK,10.36,3.63,2.97,7.72,5
RC,0250,hydroxychloroquine 200 mg tablet 100 each BLIST PACK,8.18,2.865,1.72,7.72,15
RC,0250,hydroxychloroquine 200 mg tablet 100 each Bottle,10.29,3.61,1.72,29.41,40
RC,0250,hydroxychloroquine 200 mg tablet 50 each BLIST PACK,10.36,3.63,2.97,7.72,5
RC,0250,hydroxychloroquine 25 mg/mL suspension 120 mL Bottle,151.8,53.13,43.48,113.09,5
RC,0250,hydroxychloroquine 25 mg/mL suspension 8 mL,10.12,3.55,2.9,7.54,5
RC,0250,hydroxyprogesterone 250 mg/mL (1 mL) oil 1 mL Vial,2028.975,710.145,231.16,1800.05,25
RC,0250,hydroxyprogesterone 250 mg/mL oil 1 mL Vial,2044.42,715.55,231.16,1800.05,30
RC,0250,hydroxyprogesterone 250 mg/mL oil 5 mL Vial,1090.65,381.73,312.36,812.53,5
RC,0250,hydroxyprogesterone 275 mg/1.1 mL auto-injector 1.1 mL Syringe,2274.1,795.94,651.3,1694.2,5
RC,0250,hydroxyurea 500 mg capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,hydroxyurea 500 mg capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,hydroxyurea 500 mg capsule 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,hyoscyamine 0.375 mg tablet extended release 12 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,"hyoscyamine sulfate 0.125 mg tablet,disintegrating 100 each Bottle",6.0,2.1,1.72,4.47,10
RC,0250,hypromellose 2.5 % drops 15 mL DROP BTL,57.1,19.99,16.35,42.54,5
RC,0250,ibrutinib 140 mg capsule 120 each Bottle,570.87,199.81,163.5,425.3,5
RC,0250,ibrutinib 140 mg capsule 90 each Bottle,570.87,199.81,163.5,425.3,5
RC,0250,"ibuprofen 100 mg tablet,chewable 24 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,ibuprofen 100 mg/5 mL suspension 10 mL Cup,6.0,2.1,1.72,4.47,30
RC,0250,ibuprofen 100 mg/5 mL suspension 118 mL Bottle,20.89,7.32,2.47,19.5,20
RC,0250,ibuprofen 100 mg/5 mL suspension 120 mL Bottle,17.84,6.25,4.87,15.82,30
RC,0250,ibuprofen 100 mg/5 mL suspension 240 mL Bottle,21.805,7.635,5.68,17.72,10
RC,0250,ibuprofen 100 mg/5 mL suspension 473 mL Bottle,70.33,24.62,20.14,52.4,5
RC,0250,ibuprofen 100 mg/5 mL suspension 5 mL Cup,6.0,2.1,1.72,4.47,40
RC,0250,ibuprofen 200 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,ibuprofen 200 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,ibuprofen 200 MG tablet 250 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,ibuprofen 200 MG tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,ibuprofen 600mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,ibuprofen 600mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,ibuprofen 600mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,ibuprofen 600mg tablet 500 each Bottle,6.0,2.1,1.72,4.47,25
RC,0250,ibuprofen 600mg tablet 750 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,idaruCIZUmab 2.5 gram/50 mL solution 50 mL Vial,7225.02,2528.76,2069.25,5382.64,5
RC,0250,idelalisib 150 mg tablet 60 each Bottle,690.2,241.57,197.67,514.2,5
RC,0250,imatinib 100 MG tablet 90 each Bottle,265.18,92.82,75.95,197.56,5
RC,0250,imatinib 400 MG tablet 30 each BLIST PACK,955.56,334.45,273.67,711.89,5
RC,0250,imatinib 400 MG tablet 30 each Bottle,955.56,334.45,273.67,711.89,5
RC,0250,imipramine 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,imipramine 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,imipramine 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,imiquimod 5 % cream in packet 24 each Packet,13.274999999999999,4.65,1.72,63.85,20
RC,0250,indigo ink 5 mL,287.1,100.49,82.23,213.89,5
RC,0250,indigotindisulfonate 8 mg/mL (0.8 %) solution 5 mL AMPUL,533.61,186.77,152.83,397.54,5
RC,0250,indinavir 400 MG capsule 180 each Bottle,14.37,5.03,4.12,10.71,5
RC,0250,indocyanine green 25 mg recon soln 1 each Vial,722.135,252.755,66.89,1442.27,30
RC,0250,indomethacin 1 mg recon soln 1 each Vial,1302.72,455.96,321.19,1115.98,15
RC,0250,indomethacin 25 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,indomethacin 25 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,indomethacin 25 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,indomethacin 25 MG capsule 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,indomethacin 50 mg suppository 30 each BLIST PACK,1024.91,358.72,293.53,763.56,5
RC,0250,indomethacin 50 mg suppository 30 each Box,977.04,341.97,279.82,727.89,5
RC,0250,insulin degludec 100 unit/mL (3 mL) insulin pen 3 mL Syringe,287.985,100.8,82.48,214.55,10
RC,0250,insulin detemir per 5 Units,305.43,106.91,87.48,227.55,5
RC,0250,insulin glargine-yfgn 100 unit/mL solution 10 mL Vial,470.605,164.72,51.07,568.35,10
RC,0250,interferon beta-1a (albumin) 44 mcg/0.5 mL syringe 0.5 mL Syringe,2593.24,907.64,742.7,1931.96,5
RC,0250,iodine-potassium iodide 5-10 % solution 8 mL Bottle,25.81,9.04,7.39,19.23,5
RC,0250,ipratropium 17 mcg/actuation HFA aerosol inhaler 12.9 g AER W/ADAP,437.48,153.12,1.72,647.38,10
RC,0250,ipratropium-albuteroL 20-100 mcg/actuation mist 4 g AER W/ADAP,1427.38,499.59,408.8,1063.4,5
RC,0250,irbesartan 150 MG tablet 30 each Bottle,14.465,5.0649999999999995,2.08,16.15,10
RC,0250,irbesartan 150 MG tablet 90 each Bottle,7.25,2.54,1.72,5.46,20
RC,0250,irbesartan 75 MG tablet 30 each Bottle,6.88,2.41,1.97,5.13,5
RC,0250,irbesartan 75 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,irbesartan 75 MG tablet 90 each Bottle,11.915,4.175,1.72,13.28,10
RC,0250,irbesartan-hydrochlorothiazide 150-12.5 mg tablet 30 each Bottle,8.81,3.09,2.52,6.56,5
RC,0250,irbesartan-hydrochlorothiazide 150-12.5 mg tablet 90 each Bottle,8.77,3.07,2.51,6.53,5
RC,0250,irbesartan-hydrochlorothiazide 300-12.5 mg tablet 30 each Bottle,9.575,3.355,2.74,7.15,15
RC,0250,irbesartan-hydrochlorothiazide 300-12.5 mg tablet 90 each Bottle,9.575,3.355,2.74,7.15,10
RC,0250,isavuconazonium 186 mg capsule 14 each BLIST PACK,306.87,107.405,81.89,244.21,10
RC,0250,isavuconazonium 372 mg recon soln 1 each Vial,5722.03,2002.7150000000001,319.88,7693.74,10
RC,0250,isoflurane 99.9 % liquid 100 mL Bottle,56.64,19.83,16.22,42.2,10
RC,0250,isoniazid 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,isoniazid 100 mg/mL solution 10 mL Vial,830.86,290.81,237.96,618.99,5
RC,0250,isoniazid 300 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,isoniazid 300 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,isoniazid 300 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,isoniazid 300 MG tablet 30 each Bottle,7.955,2.785,1.72,7.38,10
RC,0250,isoniazid 50 MG tablet 1 each Package,6.0,2.1,1.72,4.47,5
RC,0250,isoniazid 50 mg/5 mL solution 473 mL Bottle,1092.84,382.5,312.99,814.17,5
RC,0250,"isopropyl alcohoL 70 % solution 3,840 mL Bottle",81.56,28.55,23.36,60.76,5
RC,0250,isopropyl alcohoL 70 % solution 473 mL Bottle,21.21,7.43,1.72,36.59,25
RC,0250,isoproterenol 0.2 mg/mL solution 1 mL AMPUL,4169.99,1459.5,1194.29,3106.64,5
RC,0250,isoproterenol 0.2 mg/mL solution 1 mL Vial,523.92,183.38,150.05,390.32,5
RC,0250,isoproterenol 0.2 mg/mL solution 5 mL AMPUL,792.96,277.54,56.78,1033.82,10
RC,0250,isoproterenol 0.2 mg/mL solution 5 mL Vial,566.4,198.24,113.55,1265.9,45
RC,0250,isoproterenol in NS 250 mcg/100 mL 100 mL Bag,1271.66,445.09,364.2,947.39,5
RC,0250,isosorbide dinitrate 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,isosorbide dinitrate 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,isosorbide dinitrate 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,isosorbide dinitrate 10 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,isosorbide dinitrate 20 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,isosorbide dinitrate 20 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,isosorbide dinitrate 20 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,isosorbide dinitrate 5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,isosorbide dinitrate 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,isosorbide dinitrate 5 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,isosorbide dinitrate 5 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,isosorbide mononitrate 30 MG tablet extended release 24 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,isosorbide mononitrate 30 MG tablet extended release 24 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,isosorbide mononitrate 30 MG tablet extended release 24 hr 100 each Bottle,6.955,2.435,1.72,5.89,10
RC,0250,isosorbide mononitrate 30 MG tablet extended release 24 hr 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,isosulfan blue 1 % solution 5 mL Vial,3438.58,1203.51,984.81,2561.74,10
RC,0250,itraconazole 10 mg/mL solution 150 mL Bottle,931.905,326.17,250.22,737.65,10
RC,0250,itraconazole 100 mg capsule 1 each BLIST PACK,11.395,3.995,2.7,9.95,10
RC,0250,itraconazole 100 mg capsule 20 each BLIST PACK,13.35,4.68,3.82,9.95,5
RC,0250,itraconazole 100 mg capsule 28 each BLIST PACK,21.96,7.69,6.29,16.36,5
RC,0250,itraconazole 100 mg capsule 30 each BLIST PACK,9.44,3.31,2.7,7.03,5
RC,0250,itraconazole 100 mg capsule 30 each Bottle,56.98,19.95,16.32,42.45,5
RC,0250,ivermectin 3 mg tablet 20 each BLIST PACK,12.455,4.365,3.36,9.82,10
RC,0250,karaya gum powder 500 g Jar,336.3,117.71,96.32,250.54,5
RC,0250,ketamine (PF) 50 mg/5 mL (10 mg/mL) syringe 5 mL Syringe,30.0,10.5,8.59,22.35,5
RC,0250,ketamine 10 mg/mL Oral 2 mL Syringe,30.0,10.5,8.59,22.35,5
RC,0250,ketamine 10 mg/mL solution 20 mL Vial,56.92,19.93,16.05,51.17,30
RC,0250,ketamine 10 mg/mL solution 3 mL Syringe,30.0,10.5,8.59,22.35,5
RC,0250,ketamine 10 mg/mL solution 5 mL Vial,30.0,10.5,8.59,22.35,5
RC,0250,ketamine 100 mg/100 mL solution 100 mL Bag,29.76,10.42,8.52,22.17,10
RC,0250,ketamine 100 mg/mL solution 10 mL Vial,39.34,13.77,11.27,29.31,5
RC,0250,ketamine 100 mg/mL solution 5 mL Vial,33.144999999999996,11.605,8.59,28.14,35
RC,0250,ketamine 1250 mg/250 mL solution 250 mL Bag,60.79,21.28,17.41,45.29,15
RC,0250,ketamine 200 mg in 20 mL (10 mg/mL) 20 mL Syringe,56.92,19.93,16.3,42.41,5
RC,0250,ketamine 40 mg in 20 mL (2 mg/mL) 20 mL Syringe,30.0,10.5,8.59,22.35,5
RC,0250,ketamine 50 mg/5 mL (10 mg/mL) syringe 5 mL Syringe,30.0,10.5,8.59,22.35,5
RC,0250,ketamine 50 mg/mL solution 1 mL Syringe,30.0,10.5,8.59,22.35,5
RC,0250,ketamine 50 mg/mL solution 10 mL Vial,30.0,10.5,8.59,22.35,30
RC,0250,ketamine 5000 mg/250 mL solution 250 mL Bag,334.14,116.955,94.84,251.15,10
RC,0250,ketamine 6 mg in 3 mL (2 mg/mL) 3 mL Syringe,30.0,10.5,8.59,22.35,5
RC,0250,ketamine in 0.9 % sodium chloride 50 mg/5 mL (10 mg/mL) syringe 5 mL Syringe,14.165,4.965,2.58,13.45,35
RC,0250,ketamine in 0.9 % sodium chloride 50 mg/5 mL (10 mg/mL) syringe 5 mL Vial,17.31,6.06,4.96,12.9,5
RC,0250,ketamine in dextrose 5% 2 mg/mL 50 mL Syringe,30.0,10.5,8.59,22.35,10
RC,0250,ketamine in sodium chloride 0.9% 500 mg in 50 mL (10 mg/mL) 50 mL Syringe,142.31,49.81,40.76,106.02,5
RC,0250,ketoconazole 2 % cream 15 g Tube,191.425,67.005,20.88,230.9,10
RC,0250,ketoconazole 2 % shampoo 120 mL Bottle,63.58,22.255000000000003,15.98,53.17,10
RC,0250,ketoconazole 200 mg tablet 100 each Bottle,8.2,2.875,2.14,6.66,15
RC,0250,ketorolac 0.5 % drops 10 mL DROP BTL,504.4,176.54,144.46,375.78,5
RC,0250,ketorolac 0.5 % drops 3 mL DROP BTL,78.245,27.39,11.88,85.68,10
RC,0250,ketorolac 0.5 % drops 5 mL DROP BTL,251.185,87.92,71.31,581.12,25
RC,0250,ketotifen 0.025 % (0.035 %) drops 10 mL DROP BTL,24.45,8.56,7.0,18.22,5
RC,0250,ketotifen 0.025 % (0.035 %) drops 5 mL DROP BTL,29.45,10.31,8.24,22.36,15
RC,0250,labetaloL 200 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,labetaloL 200 MG tablet 100 each BLIST PACK,7.115,2.495,1.72,6.13,25
RC,0250,labetaloL 200 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,labetaloL 300 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,labetaloL 300 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,labetaloL 300 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,20
RC,0250,labetaloL 5 mg/mL solution 20 mL Vial,32.47,11.37,6.87,83.55,50
RC,0250,labetaloL 5 mg/mL solution 4 mL Syringe,24.0,8.4,6.87,17.88,5
RC,0250,labetaloL 5 mg/mL solution 40 mL Vial,25.97,9.09,6.87,20.82,15
RC,0250,labetalol 300 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,labetalol 300 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,lacosamide 10 mg/mL solution 200 mL Bottle,26.08,9.13,2.58,24.71,35
RC,0250,lacosamide 10 mg/mL solution 5 mL Syringe,26.08,9.13,7.47,19.43,5
RC,0250,lacosamide 10 solution 20 mL Vial,185.425,64.9,32.44,209.05,40
RC,0250,lacosamide 100 mg tablet 60 each BLIST PACK,33.9,11.864999999999998,2.58,43.81,15
RC,0250,lacosamide 100 mg tablet 60 each Bottle,42.41,14.85,12.01,39.82,15
RC,0250,lacosamide 200 mg tablet 60 each Bottle,56.62,19.82,16.22,42.18,5
RC,0250,lacosamide 50 mg tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,lacosamide 50 mg tablet 60 each BLIST PACK,23.305,8.16,2.58,28.02,15
RC,0250,lacosamide 50 mg tablet 60 each Bottle,26.975,9.445,7.68,20.21,10
RC,0250,"lactase 3,000 unit tablet 120 each Bottle",6.0,2.1,1.72,4.47,10
RC,0250,"lactase 9,000 unit tablet 32 each Box",6.0,2.1,1.72,4.47,5
RC,0250,"lactase 9,000 unit tablet,chewable 32 each Box",6.0,2.1,1.72,4.47,5
RC,0250,"lactase 9,000 unit tablet,chewable 32 each Packet",6.0,2.1,1.72,4.47,5
RC,0250,"lactated ringer's 1,000 mL Bag",24.0,8.4,6.87,17.88,10
RC,0250,lactated ringer's 250 mL Bag,24.0,8.4,6.87,17.88,5
RC,0250,lactated ringer's 500 mL Bag,24.0,8.4,6.87,17.88,15
RC,0250,"lactated ringer's solution 1,000 mL Bottle",9.44,3.31,2.7,7.03,5
RC,0250,lactobacillus acidoph-lactobacillus bulgar 100 million cell granules in packet 1 each Packet,6.0,2.1,1.72,4.47,10
RC,0250,lactobacillus acidoph-lactobacillus bulgar 100 million cell granules in packet 12 each Packet,6.0,2.1,1.72,4.47,20
RC,0250,lactose bulk powder 50 g Jar,73.99,25.9,21.19,55.12,5
RC,0250,lactulose 10 gram/15 mL solution 236 mL Bottle,42.33,14.82,12.12,31.54,5
RC,0250,lactulose 10 gram/15 mL solution 237 mL Bottle,39.989999999999995,14.0,9.13,156.26,30
RC,0250,lactulose 10 gram/15 mL solution 30 mL Cup,6.0,2.1,1.72,4.47,10
RC,0250,lactulose 10 gram/15 mL solution 473 mL Bottle,82.605,28.915,23.02,63.21,15
RC,0250,lactulose 10 gram/15 mL solution 946 mL Bottle,156.33,54.72,44.77,116.47,5
RC,0250,lactulose 20 gram/30 mL solution 30 mL Cup,6.505,2.2800000000000002,1.72,5.22,50
RC,0250,lamiVUDine 10 mg/mL solution 240 mL Bottle,282.63,98.93,80.95,210.56,10
RC,0250,lamiVUDine 100 MG tablet 30 each Bottle,37.98,13.3,10.88,28.3,5
RC,0250,lamiVUDine 150 MG tablet 30 each BLIST PACK,19.27,6.75,5.52,14.36,10
RC,0250,lamiVUDine 150 MG tablet 60 each Bottle,16.89,5.915,4.83,12.59,20
RC,0250,lamivudine-zidovudine 150-300 mg tablet 60 each Bottle,39.595,13.865,10.49,31.7,10
RC,0250,lamoTRIgine 100 mg tablet extended release 24hr 30 each Bottle,33.1,11.59,9.48,24.66,5
RC,0250,lamoTRIgine 300 mg tablet extended release 24hr 30 each Bottle,52.95,18.54,15.16,39.45,5
RC,0250,lamotrigine 100 MG tablet 1 each BLIST PACK,11.21,3.93,3.21,8.35,5
RC,0250,lamotrigine 100 MG tablet 100 each BLIST PACK,8.605,3.015,1.72,8.35,20
RC,0250,lamotrigine 100 MG tablet 100 each Bottle,11.39,3.99,3.26,8.49,5
RC,0250,"lamotrigine 100 MG tablet,disintegrating 30 each Bottle",43.31,15.16,12.4,32.27,5
RC,0250,lamotrigine 150 MG tablet 1 each BLIST PACK,14.11,4.94,4.04,10.51,5
RC,0250,lamotrigine 150 MG tablet 100 each BLIST PACK,14.11,4.94,4.04,10.51,5
RC,0250,lamotrigine 150 MG tablet 60 each Bottle,12.25,4.29,3.51,9.13,5
RC,0250,lamotrigine 200 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,lamotrigine 200 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,lamotrigine 200 MG tablet 60 each Bottle,13.38,4.69,3.82,10.14,15
RC,0250,lamotrigine 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,lamotrigine 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,lamotrigine 25 MG tablet 100 each Bottle,9.97,3.49,2.86,7.43,5
RC,0250,"lamotrigine 25 MG tablet, chewable dispersible 100 each Bottle",7.55,2.65,2.16,5.62,5
RC,0250,"lamotrigine 5 MG tablet, chewable dispersible 100 each Bottle",36.03,12.62,10.32,26.84,5
RC,0250,lanolin (bulk) wax 100 g Jar,141.13,49.4,40.42,105.14,5
RC,0250,lanolin (bulk) wax 500 g Jar,741.04,259.37,212.23,552.07,5
RC,0250,lansoprazole (bulk) 100 % powder 25 g Jar,2273.15,795.61,651.03,1693.5,5
RC,0250,"lansoprazole 15 MG capsule,delayed release(DR/EC) 30 each Bottle",13.9,4.87,3.98,10.36,5
RC,0250,"lansoprazole 15 MG tablet,disintegrat, delay rel 100 each BLIST PACK",39.19,13.72,11.22,29.2,5
RC,0250,lansoprazole 3 mg/mL suspension for reconstitution 0 mL Syringe,10.02,3.51,2.87,7.46,5
RC,0250,lansoprazole 3 mg/mL suspension for reconstitution 150 mL KIT,6.0,2.1,1.72,4.47,5
RC,0250,lansoprazole 3 mg/mL suspension for reconstitution 300 mL KIT,8.01,2.8049999999999997,1.72,7.46,10
RC,0250,lansoprazole 3 mg/mL suspension for reconstitution 5 mL Syringe,10.02,3.51,2.87,7.46,5
RC,0250,"lansoprazole 30 MG capsule,delayed release(DR/EC) 100 each BLIST PACK",13.37,4.68,3.83,9.96,5
RC,0250,"lansoprazole 30 MG capsule,delayed release(DR/EC) 90 each Bottle",13.9,4.87,3.98,10.36,5
RC,0250,"lansoprazole 30 MG tablet,disintegrat, delay rel 100 each BLIST PACK",39.19,13.72,11.22,29.2,5
RC,0250,"lanthanum 1000 MG tablet,chewable 10 each Bottle",18.285,6.3999999999999995,1.72,22.77,10
RC,0250,"lanthanum 1000 MG tablet,chewable 90 each Bottle",30.57,10.7,8.76,22.77,5
RC,0250,"lanthanum 1000 MG tablet,chewable 90 each Box",6.0,2.1,1.72,4.47,5
RC,0250,lapatinib 250 mg tablet 150 each Bottle,449.16,157.21,128.64,334.62,5
RC,0250,latanoprost 0.005 % drops 2.5 mL DROP BTL,224.51999999999998,78.58500000000001,16.48,568.78,30
RC,0250,"latrodectus mactans antivenin 6,000 unit recon soln 1 each Vial",78.47,27.47,22.47,58.46,5
RC,0250,leech 1 each,34.22,11.98,9.8,25.49,5
RC,0250,leflunomide 10 MG tablet 30 each Bottle,38.72,13.56,4.27,28.88,15
RC,0250,leflunomide 20 MG tablet 1 each BLIST PACK,14.16,4.96,4.06,10.55,5
RC,0250,leflunomide 20 MG tablet 30 each Bottle,38.739999999999995,13.565000000000001,11.09,28.88,20
RC,0250,leflunomide 20 MG tablet 50 each BLIST PACK,14.16,4.96,4.06,10.55,5
RC,0250,lenalidomide 10 mg capsule 100 each Bottle,2524.87,883.71,723.12,1881.03,5
RC,0250,lenalidomide 10 mg capsule 28 each Bottle,2524.87,883.71,723.12,1881.03,5
RC,0250,lenalidomide 15 mg capsule 100 each Bottle,2524.87,883.71,723.12,1881.03,5
RC,0250,lenalidomide 15 mg capsule 21 each Bottle,2524.87,883.71,723.12,1881.03,5
RC,0250,lenalidomide 2.5 mg capsule 100 each Bottle,2524.87,883.71,723.12,1881.03,5
RC,0250,lenalidomide 2.5 mg capsule 28 each Bottle,2524.87,883.71,723.12,1881.03,5
RC,0250,lenalidomide 20 mg capsule 100 each Bottle,2524.87,883.71,723.12,1881.03,5
RC,0250,lenalidomide 20 mg capsule 21 each Bottle,2524.87,883.71,723.12,1881.03,5
RC,0250,lenalidomide 25 mg capsule 100 each Bottle,2524.87,883.71,723.12,1881.03,5
RC,0250,lenalidomide 25 mg capsule 21 each Bottle,2524.87,883.71,723.12,1881.03,5
RC,0250,lenalidomide 5 mg capsule 100 each Bottle,2524.87,883.71,723.12,1881.03,5
RC,0250,lenalidomide 5 mg capsule 28 each Bottle,2524.87,883.71,723.12,1881.03,5
RC,0250,lenvatinib 24 mg/day(10 mg x 2-4 mg x 1) capsule 15 each BLIST PACK,786.13,275.15,225.15,585.67,5
RC,0250,lenvatinib 24 mg/day(10 mg x 2-4 mg x 1) capsule 90 each BLIST PACK,786.13,275.15,225.15,585.67,5
RC,0250,letrozole 2.5 mg tablet 30 each Bottle,42.6,14.91,12.2,31.74,5
RC,0250,leucovorin per 50 mg,6.61,2.32,1.72,5.71,25
RC,0250,"levETIRAcetam 1,000 mg tablet for suspension 1 each BLIST PACK",30.49,10.68,8.73,22.72,5
RC,0250,levETIRAcetam 100 mg/mL solution 0 mL Syringe,6.0,2.1,1.72,4.47,5
RC,0250,levETIRAcetam 100 mg/mL solution 5 mL Cup,16.33,5.725,1.72,16.43,70
RC,0250,levOCARNitine (sugar free) 100 mg/mL solution 118 mL Bottle,107.77,37.72,30.87,80.29,5
RC,0250,levOCARNitine (with sugar) 100 mg/mL solution 118 mL Bottle,107.77,37.72,30.79,85.27,15
RC,0250,levOCARNitine 330 mg tablet 90 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,levOCARNitine 500 mg tablet 30 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,levOCARNitine tartrate 250 mg capsule 60 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,levalbuterol 45 mcg/actuation HFA aerosol inhaler 15 g AER W/ADAP,202.91,71.02,58.11,151.17,5
RC,0250,levetiracetam 100 mg/mL solution 473 mL Bottle,715.54,250.44,201.73,1919.4,20
RC,0250,levetiracetam 1000 MG tablet 60 each Bottle,16.6,5.81,4.75,12.37,5
RC,0250,levetiracetam 250 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,levetiracetam 500 MG tablet 1 each BLIST PACK,7.145,2.505,1.72,6.18,15
RC,0250,levetiracetam 500 MG tablet 100 each BLIST PACK,7.46,2.62,1.72,6.18,30
RC,0250,levetiracetam 500 MG tablet 120 each Bottle,8.285,2.9050000000000002,2.37,6.18,20
RC,0250,levetiracetam 500 MG tablet 500 each Bottle,8.29,2.91,2.37,6.18,10
RC,0250,levetiracetam XR 500 mg tablet extended release 24 hr 60 each Bottle,10.49,3.68,3.0,7.82,5
RC,0250,levoFLOXacin 25 mg/mL solution 100 mL Bottle,543.51,190.23499999999999,94.36,564.38,10
RC,0250,levoFLOXacin 25 mg/mL solution 200 mL Bottle,658.91,230.62,188.71,490.89,5
RC,0250,levoFLOXacin 250 MG tablet 100 each BLIST PACK,22.46,7.865,1.72,29.0,15
RC,0250,levoFLOXacin 250 MG tablet 50 each Bottle,39.67,13.89,11.36,29.55,5
RC,0250,levoFLOXacin 500 MG tablet 100 each BLIST PACK,25.305,8.86,1.72,33.23,15
RC,0250,levoFLOXacin 500 MG tablet 50 each Bottle,45.495000000000005,15.93,13.02,33.91,20
RC,0250,levoFLOXacin 750 MG tablet 100 each BLIST PACK,44.765,15.67,1.72,62.23,15
RC,0250,levoFLOXacin 750 MG tablet 20 each Bottle,85.13499999999999,29.8,24.38,63.43,10
RC,0250,levomefolate 15 mg tablet 90 each Bottle,6.99,2.45,2.0,5.21,5
RC,0250,levomefolate 7.5 mg tablet 30 each Bottle,6.99,2.45,2.0,5.21,5
RC,0250,"levomilnacipran 40 mg capsule,extended release 24 hr 30 each Bottle",49.69,17.4,14.23,37.02,5
RC,0250,levonorgestreL 1.5 MG tablet 1 each BLIST PACK,89.16,31.21,16.22,72.64,25
RC,0250,"levonorgestreL-ethinyl estrad 0.15-30 mg-mcg tablets,dose pack,3 month 91 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,levonorgestrel-ethinyl estradiol 0.1-20 mg-mcg tablet 28 each BLIST PACK,75.99000000000001,26.6,1.72,61.84,45
RC,0250,levonorgestrel-ethinyl estradiol 0.15-0.03 mg tablet 28 each BLIST PACK,72.95,25.54,1.72,54.4,35
RC,0250,levonorgestrel-ethinyl estradiol 50-30 (6)/75-40 (5)/125-30(10) tablet 28 each BLIST PACK,64.89,22.72,18.58,48.34,5
RC,0250,levothyroxine 100 MCG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,levothyroxine 100 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,levothyroxine 100 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,levothyroxine 112 MCG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,levothyroxine 112 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,levothyroxine 112 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,levothyroxine 112 MCG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,levothyroxine 125 MCG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,levothyroxine 125 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,levothyroxine 125 MCG tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,levothyroxine 150 MCG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,levothyroxine 150 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,levothyroxine 175 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,levothyroxine 175 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,levothyroxine 200 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,levothyroxine 200 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,levothyroxine 25 MCG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,levothyroxine 25 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,levothyroxine 25 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,levothyroxine 25 MCG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,levothyroxine 50 MCG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,levothyroxine 50 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,levothyroxine 50 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,levothyroxine 50 MCG tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,levothyroxine 75 MCG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,levothyroxine 75 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,levothyroxine 75 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,levothyroxine 88 MCG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,levothyroxine 88 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,levothyroxine 88 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,lidocaine (PF) 3.5 % gel 1 mL Tube,66.155,23.16,18.95,49.29,15
RC,0250,lidocaine (cardiac) 100 mg/5 mL (2 %) syringe 5 mL Syringe,24.0,8.4,6.87,17.88,5
RC,0250,lidocaine 1 % solution 2 mL Vial,24.0,8.4,6.87,17.88,5
RC,0250,lidocaine 1 % solution 5 mL AMPUL,24.0,8.4,6.87,17.88,5
RC,0250,lidocaine 2 % jelly 30 mL Tube,302.88,106.01,86.74,225.65,5
RC,0250,lidocaine 2 % jelly 5 mL Tube,19.115000000000002,6.695,5.27,14.77,15
RC,0250,lidocaine 2 % jelly in applicator 10 mL Syringe,19.94,6.98,5.71,14.86,5
RC,0250,lidocaine 2 % jelly in applicator 11 mL Syringe,17.99,6.3,5.15,13.4,5
RC,0250,lidocaine 2 % jelly in applicator 6 mL Syringe,16.85,5.9,4.83,12.55,5
RC,0250,lidocaine 2 % solution 100 mL Bottle,154.345,54.025,8.92,206.77,25
RC,0250,lidocaine 2 % solution 15 mL Cup,9.045,3.17,1.72,13.53,45
RC,0250,lidocaine 2 % solution 15 mL Syringe,6.0,2.1,1.72,4.47,5
RC,0250,lidocaine 2 % solution 30 mL Cup,9.35,3.28,2.68,6.97,5
RC,0250,lidocaine 20 mg/mL (2 %) solution 5 mL Vial,24.0,8.4,6.87,17.88,5
RC,0250,lidocaine 4 % (40 mg/mL) solution 50 mL Bottle,132.925,46.525,32.44,113.66,35
RC,0250,"lidocaine 4 % adhesive patch,medicated 1 each Box",6.0,2.1,1.72,4.47,5
RC,0250,"lidocaine 4 % adhesive patch,medicated 1 each Packet",6.15,2.16,1.76,4.58,5
RC,0250,"lidocaine 4 % adhesive patch,medicated 5 each Box",6.075,2.13,1.72,4.58,20
RC,0250,lidocaine 4 % cream 5 g Tube,14.865,5.205,2.84,14.77,15
RC,0250,lidocaine 4 % kit 1 each KIT,56.64,19.83,16.22,42.2,5
RC,0250,lidocaine 4 % solution 4 mL Bottle,85.53,29.94,24.5,63.72,5
RC,0250,"lidocaine 5 % adhesive patch,medicated 1 each Box",24.25,8.49,6.33,55.93,20
RC,0250,"lidocaine 5 % adhesive patch,medicated 30 each Box",24.25,8.49,6.33,55.93,25
RC,0250,lidocaine 5 % ointment 30 g Tube,539.43,188.81,154.49,401.88,5
RC,0250,lidocaine 5 % ointment 35.44 g Tube,708.0,247.8,4.38,556.75,45
RC,0250,lidocaine HCl (bulk) 100 % powder 500 g Jar,5044.5,1765.58,1444.74,3758.15,5
RC,0250,lidocaine PF 10 mg/mL (1 %) solution 5 mL AMPUL,24.0,8.4,6.87,17.88,5
RC,0250,lidocaine PF 10 mg/mL (1 %) solution 5 mL Vial,24.0,8.4,6.87,17.88,5
RC,0250,lidocaine buffered with 8.4% sod bicarb 0.9 % (10 mL) syringe 10 mL Syringe,24.0,8.4,6.87,17.88,5
RC,0250,lidocaine-epinephrine (PF) 2 %-1:200000 solution 20 mL Vial,44.51,15.58,12.75,33.16,5
RC,0250,lidocaine-epinephrine 1 %-1:100000 solution 10 mL Vial,24.07,8.43,6.89,17.93,5
RC,0250,lidocaine-epinephrine 1 %-1:100000 solution 20 mL Vial,24.0,8.4,6.87,17.88,5
RC,0250,"lidocaine-epinephrine 1.5 %-1:200,000 solution 5 mL AMPUL",24.0,8.4,6.87,17.88,5
RC,0250,lidocaine-epinephrine 2 %-1:100000 solution 20 mL Vial,24.0,8.4,6.87,17.88,5
RC,0250,lidocaine-epinephrine 2 %-1:100000 solution 30 mL Vial,24.0,8.4,6.87,17.88,5
RC,0250,lidocaine-epinephrine 2 %-1:100000 solution 50 mL Vial,24.0,8.4,6.87,17.88,5
RC,0250,"lidocaine-epinephrine 2 %-1:200,000 solution 20 mL Vial",24.0,8.4,6.87,17.88,5
RC,0250,lidocaine-epinephrine-tetracaine 4-0.18-0.5 % gel 3 mL Syringe,37.76,13.22,10.81,28.13,5
RC,0250,"lidocaine-phenylephrine 2-0.25 % spray,suspension 30 mL Spray Bottle",6.0,2.1,1.72,4.47,5
RC,0250,lidocaine-prilocaine 2.5-2.5 % cream 30 g Tube,125.39,43.89,35.91,93.42,5
RC,0250,lidocaine-prilocaine 2.5-2.5 % cream 5 g Tube,18.97,6.64,5.43,14.13,5
RC,0250,lidocaine-racepinephrine-tetracaine 4-0.05-0.5 % gel 3 mL Syringe,26.925,9.425,6.83,22.35,15
RC,0250,lidocaine-racepinephrine-tetracaine 4-0.09-0.5 % gel 3 mL Syringe,33.9,11.87,9.71,25.26,5
RC,0250,lidocaine-sodium bicarb-heparin 50 50 mL Syringe,89.54,31.34,25.64,66.71,5
RC,0250,linaCLOtide 145 mcg capsule 30 each Bottle,53.62,18.77,15.36,39.95,5
RC,0250,linaCLOtide 290 mcg capsule 30 each Bottle,53.62,18.77,15.36,39.95,5
RC,0250,linaCLOtide 72 mcg capsule 30 each Bottle,53.62,18.77,15.36,39.95,5
RC,0250,linezolid 100 mg/5 mL suspension for reconstitution 150 mL Bottle,1737.79,608.23,199.12,1682.07,25
RC,0250,linezolid 600 mg tablet 1 each BLIST PACK,170.745,59.765,12.41,222.12,10
RC,0250,linezolid 600 mg tablet 20 each Bottle,7.77,2.72,2.23,5.79,5
RC,0250,linezolid 600 mg tablet 30 each BLIST PACK,431.88,151.16,85.39,322.91,15
RC,0250,liothyronine 25 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,liothyronine 25 MCG tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,liothyronine 5 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,liothyronine 5 MCG tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,"lipase-protease-amylase 24,000-76,000 -120,000 unit capsule,delayed release(DR/EC) 100 each Bottle",24.08,8.43,6.9,17.94,10
RC,0250,"lipase-protease-amylase 24,000-76,000 -120,000 unit capsule,delayed release(DR/EC) 250 each Bottle",22.94,8.03,6.57,17.09,5
RC,0250,"lipase-protease-amylase 6,000-19,000 -30,000 unit capsule,delayed release(DR/EC) 100 each Bottle",6.08,2.13,1.74,4.53,10
RC,0250,"lipase-protease-amylase 6,000-19,000 -30,000 unit capsule,delayed release(DR/EC) 250 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,liraglutide 0.6 mg/0.1 mL (18 mg/3 mL) pen injector 3 mL Syringe,769.61,269.37,220.42,573.36,5
RC,0250,lisdexamfetamine 20 MG capsule 100 each Bottle,36.61,12.82,10.49,27.27,5
RC,0250,lisdexamfetamine 30 MG capsule 100 each Bottle,36.61,12.82,10.49,27.27,5
RC,0250,lisdexamfetamine 40 MG capsule 100 each Bottle,36.61,12.82,10.49,27.27,5
RC,0250,lisinopriL 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,lisinopriL 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,lisinopriL 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,20
RC,0250,lisinopriL 20mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,"lisinopriL 20mg tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,lisinopriL 20mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,lisinopriL 20mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,lisinopriL 5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,lisinopriL 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,lisinopriL 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,lisinopriL-hydrochlorothiazide 10-12.5 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,lisinopriL-hydrochlorothiazide 10-12.5 mg tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,lisinopriL-hydrochlorothiazide 20-12.5 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,lisinopriL-hydrochlorothiazide 20-25 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,lisinopriL-hydrochlorothiazide 20-25 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,lisinopriL-hydrochlorothiazide 20-25 mg tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,lithium 150 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,lithium 300 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,lithium 300 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,lithium 300 MG tablet extended release 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,lithium 300 MG tablet extended release 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,lithium 300 MG tablet extended release 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,lithium 450 MG tablet extended release 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,lithium 450 MG tablet extended release 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,lithium 450 MG tablet extended release 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,lithium citrate 8 mEq/5 mL solution 500 mL Bottle,424.8,148.68,121.66,316.48,5
RC,0250,lodoxamide 0.1 % drops 10 mL DROP BTL,559.04,195.67,160.11,416.48,5
RC,0250,lomustine 10 MG capsule 5 each Bottle,344.06,120.43,98.54,256.32,5
RC,0250,lomustine 100 MG capsule 5 each Bottle,3799.01,1329.66,1088.04,2830.26,5
RC,0250,lomustine 40 MG capsule 5 each Bottle,1376.2,481.67,394.14,1025.27,5
RC,0250,loperamide 1 mg/5 mL liquid 10 mL Cup,6.0,2.1,1.72,4.47,10
RC,0250,loperamide 1 mg/5 mL liquid 118 mL Bottle,13.09,4.59,3.75,9.75,5
RC,0250,loperamide 1 mg/7.5 mL liquid 120 mL Bottle,12.18,4.27,3.0,10.97,15
RC,0250,loperamide 1 mg/7.5 mL liquid 240 mL Bottle,21.52,7.54,6.16,16.03,5
RC,0250,loperamide 2 mg capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,loperamide 2 mg capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,loperamide 2 mg capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,loperamide 2 mg tablet 12 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,loperamide 2 mg tablet 18 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,lopinavir-ritonavir 200-50 mg tablet 120 each Bottle,22.96,8.040000000000001,6.23,18.01,10
RC,0250,lopinavir-ritonavir 400-100 mg/5 mL solution 160 mL Bottle,1450.36,507.63,415.38,1080.52,5
RC,0250,loratadine 10 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,loratadine 10 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,loratadine 5 mg/5 mL solution 120 mL Bottle,6.0,2.1,1.72,4.47,15
RC,0250,lorazepam 0.4 mg/mL 1 mL Syringe,9.0,3.15,2.58,6.71,5
RC,0250,losartan 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,losartan 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,losartan 25 MG tablet 90 each Bottle,6.92,2.425,1.72,5.84,10
RC,0250,losartan 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,losartan 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,losartan 50 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,losartan 50 MG tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,losartan-hydrochlorothiazide 100-12.5 mg tablet 90 each Bottle,8.04,2.82,2.3,5.99,5
RC,0250,losartan-hydrochlorothiazide 100-25 mg tablet 90 each Bottle,8.04,2.82,2.3,5.99,5
RC,0250,losartan-hydrochlorothiazide 50-12.5 mg tablet 30 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,losartan-hydrochlorothiazide 50-12.5 mg tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,loxapine 10 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,loxapine 25 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,loxapine 5 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,loxapine 5 MG capsule 60 each Bottle,8.5,2.98,2.43,6.33,5
RC,0250,loxapine 50 MG capsule 100 each Bottle,6.0600000000000005,2.125,1.73,4.52,10
RC,0250,lubiprostone 24 MCG capsule 60 each Bottle,16.64,5.83,4.51,13.05,15
RC,0250,lubiprostone 8 MCG capsule 60 each Bottle,17.52,6.14,5.02,13.05,5
RC,0250,lumateperone 42 mg capsule 1 each BLIST PACK,161.42,56.5,46.23,120.26,5
RC,0250,lumateperone 42 mg capsule 30 each BLIST PACK,161.42,56.5,46.23,120.26,5
RC,0250,lumateperone 42 mg capsule 30 each Bottle,161.42,56.5,46.23,120.26,5
RC,0250,lurasidone 120 mg tablet 30 each Bottle,179.72,62.91,38.17,148.93,15
RC,0250,lurasidone 20 mg 1 each Package,57.74,20.21,16.54,43.02,5
RC,0250,lurasidone 20 mg tablet 1 each BLIST PACK,12.06,4.23,3.45,8.98,5
RC,0250,lurasidone 20 mg tablet 30 each BLIST PACK,12.06,4.23,3.45,8.98,5
RC,0250,lurasidone 20 mg tablet 30 each Bottle,120.44,42.16,34.49,89.73,5
RC,0250,lurasidone 40 mg tablet 1 each BLIST PACK,69.60499999999999,24.365000000000002,3.47,94.69,10
RC,0250,lurasidone 40 mg tablet 30 each BLIST PACK,12.11,4.24,3.47,9.02,5
RC,0250,lurasidone 40 mg tablet 30 each Bottle,104.84,36.695,1.72,99.78,20
RC,0250,lurasidone 60 mg 1 each Package,86.21,30.18,24.69,64.23,5
RC,0250,lurasidone 60 mg tablet 30 each Bottle,120.4,42.14,11.03,89.73,15
RC,0250,lurasidone 80 mg tablet 1 each BLIST PACK,69.78,24.43,3.57,94.69,10
RC,0250,lurasidone 80 mg tablet 100 each BLIST PACK,127.1,44.49,36.4,94.69,5
RC,0250,lurasidone 80 mg tablet 30 each BLIST PACK,12.46,4.37,3.57,9.28,5
RC,0250,lurasidone 80 mg tablet 30 each Bottle,127.165,44.510000000000005,34.48,99.78,10
RC,0250,luspatercept-aamt 25 mg recon soln 1 each Vial,9745.43,3410.91,2791.09,7260.35,5
RC,0250,mafenide 50 gram packet 5 each Packet,550.04,192.52,157.53,409.78,5
RC,0250,mafenide 85 mg/g cream 113.4 g Tube,311.25,108.94,89.14,231.88,5
RC,0250,magic mouthwash 200-25-400-40 mg/30 mL mouthwash 118 mL Bottle,69.06,24.18,19.78,51.45,5
RC,0250,magic mouthwash 200-25-400-40 mg/30 mL mouthwash 119 mL KIT,85.66,29.99,24.53,63.82,5
RC,0250,magic mouthwash 200-25-400-40 mg/30 mL mouthwash 15 mL Syringe,8.78,3.08,2.51,6.54,5
RC,0250,magic mouthwash 200-25-400-40 mg/30 mL mouthwash 237 mL Bottle,83.34,29.17,23.87,62.09,5
RC,0250,magnesium chloride 200 mg/mL (20 %) solution 50 mL Vial,45.08,15.78,12.91,33.58,5
RC,0250,magnesium citrate solution 296 mL Bottle,8.38,2.94,1.72,8.85,50
RC,0250,magnesium hydroxide 400 mg/5 mL suspension 30 mL BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,magnesium hydroxide 400 mg/5 mL suspension 30 mL Cup,6.115,2.145,1.72,4.64,15
RC,0250,magnesium hydroxide 400 mg/5 mL suspension 355 mL Bottle,6.0,2.1,1.72,4.47,5
RC,0250,magnesium hydroxide 400 mg/5 mL suspension 473 mL Bottle,6.7,2.35,1.92,4.99,5
RC,0250,magnesium oxide 400 mg (241.3 mg magnesium) tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,magnesium oxide 400 mg (241.3 mg magnesium) tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,30
RC,0250,magnesium oxide 400 mg (241.3 mg magnesium) tablet 120 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,magnesium sulfate 100 % crystals 454 g Jar,6.0,2.1,1.72,4.47,5
RC,0250,magnesium sulfate 2 gram/50 mL piggyback 50 mL Bag,24.0,8.4,6.87,17.88,25
RC,0250,magnesium sulfate in 0.9% NaCl 10 gram/250 mL (4 %) solution 250 mL Bag,27.9,9.765,6.87,23.69,10
RC,0250,malathion 0.5 % lotion 59 mL Bottle,617.53,216.14,176.86,460.06,5
RC,0250,mannitol 20 % parenteral solution 250 mL Bag,109.445,38.31,16.56,120.0,10
RC,0250,mannitol 20 % parenteral solution 250 mL Flex Cont,65.49,22.93,18.76,48.79,5
RC,0250,mannitol 20 % parenteral solution 500 mL Bag,160.48000000000002,56.175,40.89,132.74,10
RC,0250,mannitol 20 % parenteral solution 500 mL Flex Cont,54.28,19.0,15.55,40.44,5
RC,0250,mannitol 20 % parenteral solution 60 mL Syringe,33.76,11.82,9.67,25.15,5
RC,0250,maprotiline 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,maraviroc 150 mg tablet 60 each Bottle,81.66,28.59,23.39,60.84,5
RC,0250,maraviroc 300 mg tablet 60 each Bottle,81.66,28.59,23.39,60.84,5
RC,0250,meclizine 12.5 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,meclizine 12.5 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,meclizine 12.5 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,meclizine 12.5 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,meclizine 25 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,medium chain triglycerides 7.7 kcal/mL oil 946 mL Bottle,6.0,2.1,1.72,4.47,10
RC,0250,medroxyPROGESTERone 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,medroxyPROGESTERone 150 mg/mL suspension 1 mL Syringe,271.87,95.16,77.86,202.54,5
RC,0250,medroxyPROGESTERone 150 mg/mL suspension 1 mL Vial,230.81,80.78999999999999,36.5,440.41,40
RC,0250,medroxyPROGESTERone 150 mg/mL syringe 1 mL Syringe,271.87,95.16,77.86,202.54,5
RC,0250,medroxyPROGESTERone 2.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,mefloquine 250 mg tablet 25 each BLIST PACK,24.99,8.75,7.16,18.62,5
RC,0250,mefloquine 250 mg tablet 25 each Bottle,31.97,11.19,9.16,23.82,5
RC,0250,megestroL 40 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,megestroL 40 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,megestroL 400 mg/10 mL (10 mL) suspension 10 mL Cup,13.22,4.63,2.86,12.64,40
RC,0250,melatonin 1 mg/4 mL drops 60 mL DROP BTL,6.0,2.1,1.72,4.47,10
RC,0250,melatonin 1 mg/mL liquid 0 mL Syringe,6.0,2.1,1.72,4.47,5
RC,0250,melatonin 1 mg/mL liquid 1 mL Syringe,10.48,3.67,3.0,7.81,5
RC,0250,melatonin 1 mg/mL liquid 3 mL Syringe,6.0,2.1,1.72,4.47,15
RC,0250,melatonin 1 mg/mL liquid 30 mL DROP BTL,6.0,2.1,1.72,4.47,5
RC,0250,melatonin 1 mg/mL liquid 59 mL Bottle,6.0,2.1,1.72,4.47,5
RC,0250,melatonin 3 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,melatonin 3 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,melatonin 3 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,melatonin 3 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,melatonin 3 mg tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,meloxicam 7.5 MG tablet 1 each BLIST PACK,7.31,2.56,2.09,5.45,5
RC,0250,meloxicam 7.5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,meloxicam 7.5 MG tablet 100 each Bottle,7.48,2.62,2.14,5.57,10
RC,0250,meloxicam 7.5 MG tablet 50 each BLIST PACK,7.31,2.56,2.09,5.45,5
RC,0250,meloxicam 7.5 MG tablet 90 each Bottle,6.54,2.29,1.87,4.87,5
RC,0250,memantine 10 MG tablet 1 each BLIST PACK,10.2,3.5700000000000003,1.72,10.73,10
RC,0250,memantine 10 MG tablet 100 each BLIST PACK,14.4,5.04,4.12,10.73,5
RC,0250,memantine 10 MG tablet 60 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,memantine 10 MG tablet 60 each Bottle,14.38,5.04,4.12,10.71,5
RC,0250,memantine 5 MG tablet 1 each BLIST PACK,20.99,7.35,6.01,15.64,5
RC,0250,memantine 5 MG tablet 60 each Bottle,20.99,7.35,6.01,15.64,5
RC,0250,"mening A conj vacc,2 of 2 (PF) 10 mcg /0.5 mL (final) recon soln 1 each Vial",407.97,142.79,116.84,303.94,5
RC,0250,meningococcal vaccine 10-5 mcg/0.5 mL solution 0.5 mL Vial,420.16,147.06,120.33,313.02,10
RC,0250,meperidine 20 mg/2 mL solution 2 mL Syringe,24.0,8.4,6.87,17.88,5
RC,0250,meperidine 20 mg/2 mL solution 500 mL Bottle,377.6,132.16,108.14,281.31,5
RC,0250,meperidine 50 mg tablet 25 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,mercaptopurine 50 mg tablet 25 each Bottle,19.32,6.77,5.53,14.39,5
RC,0250,meropenem-vaborbactam 2 gram recon soln 1 each Vial,630.12,220.55,180.47,469.44,10
RC,0250,"mesalamine 0.375 gram capsule,extended release 24hr 120 each Bottle",12.04,4.22,3.45,8.97,5
RC,0250,"mesalamine 1.2 gram tablet,delayed release (DR/EC) 120 each Bottle",25.18,8.82,6.83,19.75,20
RC,0250,mesalamine 1000 MG suppository 1 each BLIST PACK,90.14,31.55,25.82,67.15,5
RC,0250,mesalamine 1000 MG suppository 30 each BLIST PACK,90.14,31.55,25.82,67.15,5
RC,0250,mesalamine 1000 MG suppository 30 each Box,90.14,31.55,25.82,67.15,5
RC,0250,"mesalamine 250 mg capsule, extended release 240 each Bottle",8.6,3.01,2.46,6.41,5
RC,0250,mesalamine 4 gram/60 mL enema 60 mL SQUEEZ BTL,57.35,20.08,15.61,42.93,20
RC,0250,"mesalamine 800 mg tablet,delayed release (DR/EC) 1 each BLIST PACK",25.32,8.87,7.25,18.86,5
RC,0250,"mesalamine 800 mg tablet,delayed release (DR/EC) 180 each Bottle",18.32,6.42,5.25,13.65,5
RC,0250,"mesalamine 800 mg tablet,delayed release (DR/EC) 30 each BLIST PACK",38.7,13.55,11.08,28.83,5
RC,0250,"metFORMIN 500 MG (MOD) tablet,ER gast.retention 24 hr 100 each Bottle",131.20499999999998,45.925,37.58,97.75,10
RC,0250,metFORMIN 500mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,metFORMIN 500mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,metFORMIN 500mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,metFORMIN 850 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,metFORMIN 850 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,metFORMIN XR 500mg tablet extended release 24 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,metFORMIN XR 500mg tablet extended release 24 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,metFORMIN XR 500mg tablet extended release 24 hr 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,metFORMIN XR 500mg tablet extended release 24 hr 50 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,metFORMIN XR 500mg tablet extended release 24 hr 500 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,metFORMIN XR 750 MG tablet extended release 24 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,metOLazone 2.5 MG tablet 1 each BLIST PACK,7.77,2.725,2.22,5.8,10
RC,0250,metOLazone 2.5 MG tablet 100 each BLIST PACK,7.77,2.725,2.22,5.8,10
RC,0250,metOLazone 2.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,metOLazone 5 MG tablet 1 each BLIST PACK,7.73,2.71,1.9,6.56,10
RC,0250,metOLazone 5 MG tablet 100 each BLIST PACK,8.81,3.09,2.52,6.56,5
RC,0250,metOLazone 5 MG tablet 100 each Bottle,6.1,2.135,1.72,4.62,15
RC,0250,metaproterenoL 10 mg/5 mL syrup 473 mL Bottle,6.0,2.1,1.72,4.47,5
RC,0250,metaxalone 800 MG tablet 100 each Bottle,20.814999999999998,7.289999999999999,3.31,22.42,10
RC,0250,metaxalone 800 MG tablet 30 each BLIST PACK,13.9,4.87,3.98,10.36,5
RC,0250,methIMAzole 5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,methIMAzole 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,methIMAzole 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,20
RC,0250,methacholine 0.0625 mg/mL 12 mL Vial,24.0,8.4,6.87,17.88,5
RC,0250,methacholine 0.25 mg/mL 12 mL Vial,24.0,8.4,6.87,17.88,5
RC,0250,methacholine 1 mg/mL solution 12 mL Vial,24.0,8.4,6.87,17.88,5
RC,0250,methacholine 1 mg/mL solution 3 mL Syringe,114.0,39.9,32.65,84.93,10
RC,0250,methacholine 16 mg/mL 3 mL Syringe,114.0,39.9,32.65,84.93,10
RC,0250,methacholine 16 mg/mL 6.25 mL Vial,89.21,31.23,25.55,66.46,5
RC,0250,methacholine 2 mg/mL 3 mL Vial,24.0,8.4,6.87,17.88,5
RC,0250,methacholine 32 mg/mL 3 mL Vial,150.1,52.54,42.99,111.82,10
RC,0250,methacholine 4 mg/mL solution 12 mL Vial,76.46,26.77,21.9,56.96,5
RC,0250,methacholine 4 mg/mL solution 3 mL Syringe,114.0,39.9,32.65,84.93,10
RC,0250,methadone 1 mg/1 mL solution 1 mL Syringe,9.0,3.15,2.58,6.71,15
RC,0250,methadone 1 mg/1 mL solution 500 mL Bottle,94.4,33.04,27.04,70.33,5
RC,0250,methadone 10 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,methadone 10 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,10
RC,0250,methadone 10 mg/mL concentrate 0 mL Syringe,9.0,3.15,2.58,6.71,5
RC,0250,methadone 10 mg/mL concentrate 1 mL Syringe,9.0,3.15,2.58,6.71,5
RC,0250,"methadone 10 mg/mL concentrate 1,000 mL Bottle",9.0,3.15,2.58,6.71,25
RC,0250,methadone 10 mg/mL concentrate 5 mL Cup,9.0,3.15,2.58,6.71,5
RC,0250,methadone 10 mg/mL concentrate 5 mL Syringe,9.0,3.15,2.58,6.71,15
RC,0250,"methadone 40 mg tablet,soluble 100 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,methadone 5 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,10
RC,0250,methadone 5 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,10
RC,0250,methazolAMIDE 50 MG tablet 100 each Bottle,21.095,7.385,5.18,17.96,10
RC,0250,methocarbamoL 500 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,methocarbamoL 500 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,methocarbamoL 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,20
RC,0250,methocarbamoL 500 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,methohexitaL 500 mg recon soln 1 each Vial,295.26,103.35,78.66,235.32,10
RC,0250,methohexital 100 mg/10 mL syringe 10 mL Syringe,37.53,13.14,10.75,27.96,10
RC,0250,methsuximide 300 mg capsule 100 each Bottle,13.0,4.55,3.72,9.69,5
RC,0250,methyl salicylate liquid 59 mL Bottle,21.38,7.49,6.12,15.93,5
RC,0250,methylcellulose 27.5 % to 31.5 % (USP) powder 100 g Jar,404.5,141.58,115.85,301.35,5
RC,0250,methylcellulose 30 % powder 500 g Jar,1121.0,392.35,321.05,835.15,5
RC,0250,methyldopa 250 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,methyldopa 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,methylene blue 1 % (10 mg/mL) solution 1 mL Vial,39.48,13.82,11.31,29.41,5
RC,0250,methylene blue 1 % (10 mg/mL) solution 10 mL Vial,475.21,166.33,136.1,354.03,5
RC,0250,methylene blue 5 mg/mL solution 10 mL AMPUL,612.27,214.29500000000002,160.6,494.53,20
RC,0250,methylene blue 5 mg/mL solution 10 mL Vial,523.06,183.075,109.5,494.53,30
RC,0250,methylergonovine 0.2 mg tablet 1 each BLIST PACK,155.76,54.52,44.61,116.04,5
RC,0250,methylergonovine 0.2 mg tablet 12 each Bottle,167.48,58.62,45.44,131.34,20
RC,0250,methylergonovine 0.2 mg tablet 20 each BLIST PACK,155.76,54.52,44.61,116.04,5
RC,0250,methylergonovine 0.2 mg tablet 28 each Bottle,171.785,60.13,47.94,131.26,10
RC,0250,methylnaltrexone 12 mg/0.6 mL solution 0.6 mL Vial,481.25,168.44,137.83,358.53,5
RC,0250,methylnaltrexone 12 mg/0.6 mL syringe 0.6 mL Syringe,481.25,168.44,137.83,358.53,5
RC,0250,methylnaltrexone 8 mg/0.4 mL syringe 0.4 mL Syringe,481.24,168.44,137.83,358.52,5
RC,0250,methylphenidate 5 mg/5 mL solution 500 mL Bottle,9.0,3.15,2.58,6.71,5
RC,0250,methylphenidate ER 10 MG tablet extended release 100 each Bottle,18.29,6.405,5.07,14.07,10
RC,0250,methylphenidate ER 10 MG tablet extended release 60 each Bottle,17.7,6.2,5.07,13.19,5
RC,0250,methylphenidate ER 20 MG tablet extended release 100 each Bottle,18.88,6.615,5.24,14.51,15
RC,0250,methylphenidate HCl 10 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,10
RC,0250,methylphenidate HCl 10 MG tablet 30 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,methylphenidate HCl 18 MG tablet extended release 24hr 100 each Bottle,22.97,8.04,4.2,27.21,25
RC,0250,methylphenidate HCl 18 MG tablet extended release 24hr 30 each BLIST PACK,11.57,4.05,3.31,8.62,5
RC,0250,methylphenidate HCl 27 MG tablet extended release 24hr 100 each Bottle,23.07,8.075,4.31,23.8,30
RC,0250,methylphenidate HCl 36 MG tablet extended release 24hr 100 each Bottle,38.63,13.53,11.06,28.78,5
RC,0250,methylphenidate HCl 5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,20
RC,0250,methylphenidate HCl 54 MG tablet extended release 24hr 100 each Bottle,42.03,14.72,12.04,31.31,5
RC,0250,metoclopramide 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,metoclopramide 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,metoclopramide 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,metoclopramide 10 MG tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,metoclopramide 5 mg/5 mL solution 10 mL Cup,11.47,4.02,3.29,8.55,5
RC,0250,metoprolol 5 mg/5 mL solution 5 mL Vial,24.0,8.4,6.87,17.88,55
RC,0250,metoprolol succinate 100 MG tablet extended release 24 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,metoprolol succinate 100 MG tablet extended release 24 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,metoprolol succinate 100 MG tablet extended release 24 hr 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,metoprolol succinate 100 MG tablet extended release 24 hr 50 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,metoprolol succinate 200 MG tablet extended release 24 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,metoprolol succinate 25 MG tablet extended release 24 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,metoprolol succinate 25 MG tablet extended release 24 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,metoprolol succinate 25 MG tablet extended release 24 hr 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,metoprolol succinate 25 MG tablet extended release 24 hr 50 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,metoprolol succinate 50 MG tablet extended release 24 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,metoprolol succinate 50 MG tablet extended release 24 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,metoprolol succinate 50 MG tablet extended release 24 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,metoprolol succinate 50 MG tablet extended release 24 hr 50 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,metoprolol tartrate 100 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,metoprolol tartrate 100 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,metoprolol tartrate 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,metoprolol tartrate 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,metoprolol tartrate 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,metoprolol tartrate 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,metoprolol tartrate 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,metoprolol tartrate 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,metroNIDAZOLE 0.75 % (37.5mg/5 gram) gel 70 g Tube,377.32,132.07,103.28,286.64,30
RC,0250,metroNIDAZOLE 0.75 % gel 45 g Tube,754.23,263.99,216.01,561.9,5
RC,0250,metroNIDAZOLE 100mg/ml suspension for reconstitution 150 mL KIT,271.16,94.91,77.66,202.01,10
RC,0250,metroNIDAZOLE 250 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,metroNIDAZOLE 250 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,25
RC,0250,metroNIDAZOLE 250 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,metroNIDAZOLE 5 mg/mL piggyback 100 mL Bag,24.0,8.4,6.87,17.88,35
RC,0250,metroNIDAZOLE 500 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,metroNIDAZOLE 500 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,metroNIDAZOLE 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,metroNIDAZOLE 500 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,metroNIDAZOLE 500 mg/100 mL piggyback 100 mL Bag,24.0,8.4,6.87,17.88,40
RC,0250,metroNIDAZOLE 50mg/ml suspension for reconstitution 150 mL,271.16,94.91,77.66,202.01,5
RC,0250,metroNIDAZOLE 50mg/ml suspension for reconstitution 150 mL KIT,133.46,46.72,38.22,99.43,5
RC,0250,mexiletine 150 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,mexiletine 200 MG capsule 100 each Bottle,7.14,2.5,2.04,5.32,10
RC,0250,miFEPRIStone 200 mg tablet 1 each BLIST PACK,101.48,35.52,29.06,75.6,5
RC,0250,miSOPROStoL 100 MCG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,miSOPROStoL 100 MCG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,miSOPROStoL 100 MCG tablet 120 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,miSOPROStoL 100 MCG tablet 60 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,miSOPROStoL 200 MCG tablet 1 each BLIST PACK,6.43,2.26,1.84,4.79,10
RC,0250,miSOPROStoL 200 MCG tablet 100 each BLIST PACK,6.43,2.26,1.84,4.79,10
RC,0250,miSOPROStoL 200 MCG tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,miSOPROStoL 200 MCG tablet 60 each Bottle,11.325,3.965,1.72,12.4,10
RC,0250,miconazole 2 % cream 118 mL Tube,23.25,8.14,6.62,17.43,10
RC,0250,miconazole 2 % cream 14 g Tube,9.195,3.2199999999999998,1.72,9.23,15
RC,0250,miconazole 2 % cream 14.2 g Tube,6.0,2.1,1.72,4.47,5
RC,0250,miconazole 2 % cream 28 g Tube,7.27,2.55,2.08,5.42,5
RC,0250,miconazole 2 % cream 28.4 g Tube,6.37,2.23,1.82,4.75,5
RC,0250,miconazole 2 % cream 30 g Tube,9.23,3.2350000000000003,1.72,9.28,10
RC,0250,miconazole 2 % ointment 57 g Tube,197.88,69.26,56.67,147.42,5
RC,0250,miconazole 2 % ointment 71 g Tube,134.55,47.1,38.54,100.24,10
RC,0250,miconazole 2 % powder 71 g Bottle,19.1,6.69,4.03,14.73,15
RC,0250,miconazole 2 % powder 85 g Bottle,18.46,6.47,5.29,13.75,5
RC,0250,miconazole 2 % powder 85 g Jar,13.239999999999998,4.640000000000001,3.73,10.01,10
RC,0250,miconazole 2 % powder 90 g Jar,11.26,3.95,3.22,8.39,5
RC,0250,microfibrillar collagen powder 1 g Packet,6.0,2.1,1.72,4.47,5
RC,0250,midazolam 2 mg/mL syrup 1 mL Syringe,9.0,3.15,2.58,6.71,5
RC,0250,midazolam 2 mg/mL syrup 118 mL Bottle,389.315,136.265,53.99,439.62,10
RC,0250,midazolam 500 mg in 100 mL 100 mL Bag,167.09,58.49,47.85,124.48,5
RC,0250,midazolam in sodium chloride 0.9% 1 mg/mL solution 100 mL Bag,35.5,12.43,10.17,26.45,5
RC,0250,midazolam in sodium chloride 0.9% 1 mg/mL solution 250 mL Bag,84.96,29.74,24.33,63.3,5
RC,0250,midazolam in sodium chloride 0.9% 1 mg/mL solution 50 mL Bag,30.0,10.5,8.59,22.35,5
RC,0250,midodrine 10 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,midodrine 10 MG tablet 100 each Bottle,17.205000000000002,6.0249999999999995,3.29,17.09,10
RC,0250,midodrine 10 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,midodrine 2.5 MG tablet 1 each BLIST PACK,9.265,3.245,1.72,9.33,15
RC,0250,midodrine 2.5 MG tablet 100 each BLIST PACK,6.375,2.2350000000000003,1.72,5.03,15
RC,0250,midodrine 2.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,midodrine 2.5 MG tablet 50 each BLIST PACK,9.265,3.245,1.72,9.33,15
RC,0250,midodrine 5 MG tablet 100 each BLIST PACK,6.2,2.17,1.72,4.77,20
RC,0250,midodrine 5 MG tablet 100 each Bottle,7.905,2.77,1.72,7.31,15
RC,0250,midodrine 5 MG tablet 50 each BLIST PACK,7.655,2.6799999999999997,1.72,6.94,10
RC,0250,midodrine 5 MG tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,mineral oil enema 133 mL SQUEEZ BTL,7.22,2.53,1.72,6.08,15
RC,0250,mineral oil oil 10 mL Vial,51.964999999999996,18.195,11.29,48.07,10
RC,0250,mineral oil oil 25 mL Bottle,12.86,4.51,3.68,9.58,5
RC,0250,mineral oil oil 30 mL Cup,6.71,2.35,1.72,5.53,10
RC,0250,mineral oil oil 414 mL Bottle,9.77,3.42,2.8,7.28,5
RC,0250,mineral oil oil 472 mL Bottle,15.59,5.46,4.46,11.61,5
RC,0250,mineral oil oil 473 mL Bottle,18.42,6.455,4.48,15.8,10
RC,0250,mineral oil oil 500 mL Bottle,6.4,2.24,1.83,4.77,5
RC,0250,minocycline 100 MG capsule 50 each Bottle,8.02,2.81,2.3,5.97,5
RC,0250,minocycline 50 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,minoxidiL 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,minoxidiL 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,minoxidiL 2.5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,minoxidiL 2.5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,minoxidiL 2.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,minoxidiL 5 % solution 60 mL Bottle,59.47,20.82,17.03,44.31,5
RC,0250,mirabegron 25 mg tablet extended release 24 hr 30 each Bottle,43.45,15.21,12.44,32.37,5
RC,0250,mirtazapine 15 MG tablet 1 each BLIST PACK,6.205,2.175,1.72,4.78,10
RC,0250,mirtazapine 15 MG tablet 100 each BLIST PACK,6.41,2.25,1.72,5.03,20
RC,0250,mirtazapine 15 MG tablet 30 each Bottle,6.37,2.23,1.82,4.75,5
RC,0250,"mirtazapine 15 MG tablet,disintegrating 30 each BLIST PACK",6.0,2.1,1.72,4.47,10
RC,0250,mirtazapine 30 MG tablet 100 each BLIST PACK,6.3,2.205,1.72,4.92,20
RC,0250,mirtazapine 30 MG tablet 30 each Bottle,6.6,2.31,1.89,4.92,5
RC,0250,"mirtazapine 30 MG tablet,disintegrating 30 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,misoprostol 25 MCG 1 each Package,6.0,2.1,1.72,4.47,5
RC,0250,misoprostol 50 MCG 1 each Package,6.0,2.1,1.72,4.47,5
RC,0250,mitotane 500 mg tablet 100 each Bottle,13.59,4.76,3.89,10.12,5
RC,0250,modafiniL 100 MG tablet 30 each BLIST PACK,62.25,21.79,17.83,46.38,5
RC,0250,modafiniL 100 MG tablet 30 each Bottle,57.17,20.015,14.92,46.42,20
RC,0250,mometasone 100 mcg/actuation HFA aerosol inhaler 13 g CANISTER,426.36,149.23,81.41,423.51,10
RC,0250,mometasone 200 mcg/actuation HFA aerosol inhaler 13 g CANISTER,501.08000000000004,175.385,95.67,497.75,10
RC,0250,mometasone 50 mcg/actuation HFA aerosol inhaler 13 g CANISTER,395.235,138.33499999999998,75.46,392.61,10
RC,0250,"mometasone 50 mcg/actuation spray,non-aerosol 17 g CANISTER",712.05,249.22,203.93,530.48,5
RC,0250,mometasone-formoterol 100-5 mcg/actuation HFA aerosol inhaler 13 g AER W/ADAP,881.74,308.61,252.53,656.9,5
RC,0250,mometasone-formoterol 200-5 mcg/actuation HFA aerosol inhaler 13 g AER W/ADAP,926.0,324.105,252.53,722.84,10
RC,0250,mometasone-formoterol 200-5 mcg/actuation HFA aerosol inhaler 8.8 g AER W/ADAP,596.87,208.91,170.94,444.67,5
RC,0250,montelukast 10 mg tablet 1 each BLIST PACK,12.99,4.55,3.72,9.68,5
RC,0250,montelukast 10 mg tablet 100 each BLIST PACK,9.495000000000001,3.325,1.72,9.68,10
RC,0250,montelukast 10 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,montelukast 10 mg tablet 90 each Bottle,13.35,4.68,3.82,9.95,5
RC,0250,"montelukast 4 MG tablet,chewable 30 each Bottle",12.61,4.42,3.4,9.95,10
RC,0250,"montelukast 4 MG tablet,chewable 50 each BLIST PACK",8.64,3.03,2.47,6.44,5
RC,0250,montelukast 4 mg granules in packet 30 each Packet,13.35,4.68,3.82,9.95,5
RC,0250,"montelukast 5 MG tablet,chewable 30 each Bottle",13.35,4.68,3.82,9.95,5
RC,0250,"montelukast 5 MG tablet,chewable 50 each BLIST PACK",9.69,3.4,2.78,7.22,5
RC,0250,"montelukast 5 MG tablet,chewable 90 each Bottle",11.87,4.16,3.4,8.84,10
RC,0250,morphine (PF) 30 mg/30 mL (1 mg/mL) pt controlled analgesia syring 30 mL Syringe,43.685,15.295,12.17,33.44,10
RC,0250,morphine (PF) in sodium chloride 0.9% 1 mg/mL solution 100 mL Bag,46.05,16.12,13.19,34.31,5
RC,0250,morphine 0.4 mg/mL 1 mL Syringe,9.0,3.15,2.58,6.71,5
RC,0250,morphine 100 MG tablet extended release 1 each BLIST PACK,21.45,7.51,6.14,15.98,5
RC,0250,morphine 100 MG tablet extended release 100 each BLIST PACK,21.45,7.51,6.14,15.98,5
RC,0250,morphine 15 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,morphine 15 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
RC,0250,morphine 15 MG tablet extended release 1 each BLIST PACK,9.0,3.15,2.58,6.71,10
RC,0250,morphine 15 MG tablet extended release 100 each BLIST PACK,9.0,3.15,2.58,6.71,15
RC,0250,morphine 15 MG tablet extended release 100 each Bottle,9.0,3.15,2.58,6.71,10
RC,0250,morphine 15 mg/mL solution 20 mL Vial,30.0,10.5,8.59,22.35,5
RC,0250,morphine 2 mg/mL solution 1 mL Syringe,9.0,3.15,2.58,6.71,5
RC,0250,morphine 2 mg/mL solution 100 mL Bottle,29.03,10.17,8.31,21.63,5
RC,0250,morphine 2 mg/mL solution 5 mL Cup,9.0,3.15,2.58,6.71,10
RC,0250,morphine 2 mg/mL solution 5 mL Syringe,9.0,3.15,2.58,6.71,5
RC,0250,morphine 2 mg/mL solution 500 mL Bottle,100.3,35.11,28.73,74.72,5
RC,0250,morphine 20 mg/mL solution 1 mL Syringe,9.0,3.15,2.58,6.71,5
RC,0250,morphine 20 mg/mL solution 120 mL Bottle,9.0,3.15,2.58,6.71,10
RC,0250,morphine 20 mg/mL solution 30 mL Bottle,9.0,3.15,2.58,6.71,10
RC,0250,morphine 30 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,morphine 30 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
RC,0250,morphine 30 MG tablet extended release 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,morphine 30 MG tablet extended release 100 each BLIST PACK,9.0,3.15,2.58,6.71,10
RC,0250,morphine 30 MG tablet extended release 100 each Bottle,9.0,3.15,2.58,6.71,10
RC,0250,morphine per 10 mg,33.98,11.9,9.73,25.32,5
RC,0250,morphine-bupivacaine 30-0.1 mcg/mL-% solution 250 mL Cartridge,36.16,12.66,10.36,26.94,5
RC,0250,morphine-bupivacaine 30-0.125 mcg/mL-% solution 250 mL Cartridge,36.16,12.66,10.36,26.94,5
RC,0250,morphine-bupivacaine 50-0.1 mcg/mL-% solution 250 mL Cartridge,52.73,18.46,15.1,39.28,5
RC,0250,morphine-bupivacaine 50-0.125 mcg/mL-% solution 250 mL Cartridge,60.75,21.27,17.4,45.26,5
RC,0250,moxifloxacin (PF)-BSS 1 mg/mL solution 1 mL Vial,51.0,17.85,14.61,38.0,5
RC,0250,moxifloxacin 0.5 % drops 3 mL DROP BTL,394.94,138.23,9.41,367.36,35
RC,0250,moxifloxacin 400 mg tablet 30 each BLIST PACK,21.84,7.65,6.25,16.27,5
RC,0250,moxifloxacin 400 mg tablet 30 each Bottle,64.215,22.479999999999997,18.38,47.87,20
RC,0250,multivitamin (TRI-VI-SOL) 250 mcg-50 mg- 10 mcg/mL drops 50 mL DROP BTL,23.25,8.14,6.66,17.32,5
RC,0250,multivitamin (TRI-VI-SOL) 750 unit-35 mg -400 unit/mL drops 50 mL DROP BTL,6.0,2.1,1.72,4.47,5
RC,0250,multivitamin 0.8 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,multivitamin 11 mg iron/mL drops 50 mL DROP BTL,6.0,2.1,1.72,4.47,5
RC,0250,multivitamin 400-20-300 mcg tablet 60 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,"multivitamin 5,000-60-30 unit-mg-unit tablet 120 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,multivitamin 9 mg iron/15 mL liquid 236 mL Bottle,6.0,2.1,1.72,4.47,10
RC,0250,"multivitamin tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,10
RC,0250,multivitamin tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,multivitamin tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,multivitamin with iron 2.5 mg-50 mg-18 iron/15 mL liquid 354 mL Bottle,21.72,7.61,6.22,16.18,5
RC,0250,"multivitamins (adult) with vit K 3,300 unit- 150 mcg/10 mL solution 10 mL Vial",24.0,8.4,6.87,17.88,10
RC,0250,"multivitamins (adult) with vit K 3,300 unit- 150 mcg/10 mL solution 100 mL Vial",201.31,70.46,57.66,149.98,5
RC,0250,multivitamins (pediatric < 11 years old) with vit K 80 mg-400 unit- 200 mcg/5 mL solution 5 mL Vial,1362.02,476.71,390.08,1014.7,5
RC,0250,mupirocin 2 % ointment 1 g Tube,48.33,16.92,13.84,36.01,10
RC,0250,mupirocin 2 % ointment 22 g Tube,79.92999999999999,27.98,7.6,150.31,20
RC,0250,mycophenolate 500 mg recon soln 1 each Vial,255.555,89.45,58.8,227.81,10
RC,0250,nabumetone 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,nadoloL 20 MG tablet 100 each Bottle,8.01,2.81,2.29,5.97,10
RC,0250,nadoloL 40 MG tablet 100 each Bottle,9.355,3.28,2.68,6.97,10
RC,0250,nafcillin per 2 g,319.51,111.83500000000001,89.22,243.99,15
RC,0250,nalOXone 1 mg/mL syringe 2 mL Syringe,89.21,31.23,25.43,69.63,20
RC,0250,naloxone 1 mg/mL syringe 2 mL KIT,93.46,32.72,26.77,69.63,10
RC,0250,naloxone 1 mg/mL syringe 2 mL Syringe,89.21,31.23,25.43,69.63,20
RC,0250,"naloxone 4 mg/actuation spray,non-aerosol 1 each KIT",354.0,123.9,101.39,263.73,5
RC,0250,"naloxone 4 mg/actuation spray,non-aerosol 2 each BLIST PACK",240.71,84.25,36.49,263.73,10
RC,0250,naltrexone 50 mg tablet 1 each BLIST PACK,10.18,3.57,2.92,7.58,5
RC,0250,naltrexone 50 mg tablet 100 each Bottle,11.555,4.05,2.89,9.7,10
RC,0250,naltrexone 50 mg tablet 30 each BLIST PACK,8.09,2.835,1.72,7.58,10
RC,0250,naltrexone 50 mg tablet 30 each Bottle,10.08,3.53,2.89,7.51,5
RC,0250,naphazoline-pheniramine 0.025-0.3 % drops 15 mL DROP BTL,17.97,6.289999999999999,3.94,16.54,15
RC,0250,naphazoline-pheniramine 0.025-0.3 % drops 5 mL DROP BTL,7.85,2.75,2.25,5.85,5
RC,0250,naproxen 125 mg/5 mL suspension 500 mL Bottle,2241.41,784.5,475.84,2101.93,10
RC,0250,naproxen 375 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,naproxen 375 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,naproxen 375 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,naproxen 500mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,naproxen 500mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,naproxen 500mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,nateglinide 120 MG tablet 100 each Bottle,10.59,3.71,3.03,7.89,5
RC,0250,nebivoloL 5 MG tablet 30 each Bottle,16.44,5.76,4.71,12.25,5
RC,0250,nefazodone 100 MG tablet 60 each Bottle,11.33,3.97,3.24,8.44,5
RC,0250,nefazodone 150 MG tablet 60 each Bottle,11.54,4.04,3.31,8.6,5
RC,0250,nefazodone 200 MG tablet 60 each Bottle,11.76,4.12,3.37,8.76,5
RC,0250,nefazodone 50 MG tablet 100 each Bottle,11.06,3.88,3.17,8.24,5
RC,0250,nelfinavir 250 MG tablet 300 each Bottle,11.46,4.02,3.28,8.54,5
RC,0250,nelfinavir 625 MG tablet 120 each Bottle,28.65,10.03,8.21,21.34,5
RC,0250,neomycin 10% solution 50 mL Bottle,69.27,24.25,19.84,51.61,5
RC,0250,neomycin 500 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,neomycin 500 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,neomycin 500 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,neomycin sulfate (bulk) powder 10 g Jar,126.9,44.42,36.34,94.54,5
RC,0250,neomycin sulfate (bulk) powder 25 g Jar,225.03,78.77,64.45,167.65,5
RC,0250,neomycin sulfate (bulk) powder 50 g Jar,634.49,222.08,181.72,472.7,5
RC,0250,"neomycin-bacitracin-polymyxin 3.5-400-10,000 mg-unit-unit/g ointment 3.5 g Tube",117.61,41.17,33.68,87.62,5
RC,0250,"neomycin-bacitracnZn-polymyxnB 3.5-400-5,000 mg-unit-unit ointment in packet 144 each Packet",6.0,2.1,1.72,4.47,15
RC,0250,"neomycin-bacitracnZn-polymyxnB 3.5mg-400 unit- 5,000 unit/gram ointment 14 g Tube",9.35,3.28,2.68,6.97,5
RC,0250,"neomycin-bacitracnZn-polymyxnB 3.5mg-400 unit- 5,000 unit/gram ointment 14.2 g Tube",12.03,4.22,3.45,8.96,5
RC,0250,"neomycin-bacitracnZn-polymyxnB 3.5mg-400 unit- 5,000 unit/gram ointment 28 g Tube",16.78,5.88,4.81,12.5,5
RC,0250,"neomycin-bacitracnZn-polymyxnB 3.5mg-400 unit- 5,000 unit/gram ointment 28.4 g Tube",17.02,5.96,4.87,12.68,5
RC,0250,"neomycin-colist-hydrocortisone-thonzonium 3.3-3-10-0.5 mg/mL drops,suspension 10 mL DROP BTL",656.03,229.62,187.89,488.74,5
RC,0250,"neomycin-polymyxin B GU 40 mg-200,000 unit/mL solution 1 mL AMPUL",32.23,11.29,9.23,24.01,5
RC,0250,"neomycin-polymyxin B-dexameth 3.5 mg/g-10,000 unit/g-0.1 % ointment 3.5 g Tube",65.935,23.085,8.96,359.8,20
RC,0250,"neomycin-polymyxin-dexamethasone 3.5mg/mL-10,000 unit/mL-0.1 % drops,suspension 5 mL DROP BTL",75.355,26.380000000000003,13.42,77.36,10
RC,0250,"neomycin-polymyxin-gramicidin 1.75 mg-10,000 unit-0.025mg/mL drops 10 mL DROP BTL",144.57,50.6,41.4,107.7,5
RC,0250,"neomycin-polymyxin-hydrocortisone 3.5-10,000-1 mg/mL-unit/mL-% drops,suspension 10 mL DROP BTL",247.52,86.64,68.05,207.86,15
RC,0250,"neomycin-polymyxin-hydrocortisone 3.5-10,000-1 mg/mL-unit/mL-% solution 10 mL DROP BTL",242.56,84.9,68.05,184.4,10
RC,0250,neostigmine 1 mg/3 mL syringe 3 mL Syringe,58.5,20.48,16.75,43.58,5
RC,0250,neostigmine 1 mg/mL solution 10 mL Vial,37.525,13.14,6.87,38.73,115
RC,0250,neostigmine 1 mg/mL syringe 3 mL Syringe,75.93,26.58,16.75,69.55,15
RC,0250,nevirapine 200 mg tablet 60 each Bottle,25.58,8.955,7.32,19.06,15
RC,0250,nevirapine 50 mg/5 mL suspension 240 mL Bottle,41.769999999999996,14.625,10.67,34.49,10
RC,0250,niCARdipine 20 mg/200 mL (0.1 mg/mL) piggyback 200 mL Bag,287.92,100.78,82.46,214.5,5
RC,0250,niCARdipine 25 mg/10 mL solution 10 mL Vial,60.13,21.05,15.5,64.86,45
RC,0250,niCARdipine 40 mg/200 mL (0.2 mg/mL) piggyback 200 mL Bag,518.255,181.395,131.94,429.0,25
RC,0250,niMODipine 30 MG 1 mL Syringe,6.0,2.1,1.72,4.47,5
RC,0250,niMODipine 30 MG capsule 1 each BLIST PACK,44.13,15.45,12.64,32.88,5
RC,0250,niMODipine 30 MG capsule 100 each BLIST PACK,43.45,15.21,12.44,32.37,5
RC,0250,niMODipine 30 MG capsule 20 each BLIST PACK,44.14,15.45,12.64,32.88,5
RC,0250,niMODipine 30 MG capsule 30 each BLIST PACK,45.39,15.89,13.0,33.82,5
RC,0250,niMODipine 60 mg/10 mL solution 237 mL Bottle,153.32,53.67,43.91,114.22,5
RC,0250,niacin 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,niacin 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,niacinamide 500 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,nicotine (polacrilex) 2 mg mini lozenge 81 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,nicotine (polacrilex) 4 mg mini lozenge 1 each,6.0,2.1,1.72,4.47,5
RC,0250,nicotine (polacrilex) 4 mg mini lozenge 20 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,nicotine (polacrilex) 4 mg mini lozenge 81 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,nicotine 14 mg/24 hr patch 24 hour 1 each Box,6.0,2.1,1.72,4.47,5
RC,0250,nicotine 14 mg/24 hr patch 24 hour 14 each Box,6.37,2.23,1.72,5.02,25
RC,0250,nicotine 21 mg/24 hr patch 24 hour 1 each Packet,6.0,2.1,1.72,4.47,5
RC,0250,nicotine 21 mg/24 hr patch 24 hour 14 each Box,6.0,2.1,1.72,4.47,15
RC,0250,nicotine 21 mg/24 hr patch 24 hour 28 each Box,6.0,2.1,1.72,4.47,15
RC,0250,nicotine 7 mg/24 hr patch 24 hour 14 each Box,6.0,2.1,1.72,4.47,25
RC,0250,nicotine 7 mg/24 hr patch 24 hour 7 each Box,6.0,2.1,1.72,4.47,10
RC,0250,nicotine polacrilex 2 MG lozenge 144 each Box,6.0,2.1,1.72,4.47,5
RC,0250,nicotine polacrilex 2 MG lozenge 24 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,nicotine polacrilex 2 MG lozenge 27 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,nicotine polacrilex 2 MG lozenge 72 each Bottle,6.0,2.1,1.72,4.47,20
RC,0250,nicotine polacrilex 2 MG lozenge 81 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,nicotine polacrilex 2 mg gum 110 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,nicotine polacrilex 2 mg gum 110 each Box,6.0,2.1,1.72,4.47,5
RC,0250,nicotine polacrilex 2 mg gum 170 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,nicotine polacrilex 2 mg gum 20 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,nicotine polacrilex 2 mg gum 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,nicotine polacrilex 4 MG gum 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,nicotine polacrilex 4 MG gum 110 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,nicotine polacrilex 4 MG gum 110 each Box,6.0,2.1,1.72,4.47,10
RC,0250,nicotine polacrilex 4 MG lozenge 24 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,nicotine polacrilex 4 MG lozenge 72 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,nicotine polacrilex 4 MG lozenge 72 each Box,6.0,2.1,1.72,4.47,5
RC,0250,nilotinib HCl 150 mg capsule 28 each BLIST PACK,547.31,191.56,156.75,407.75,10
RC,0250,nilotinib HCl 200 mg capsule 28 each BLIST PACK,547.31,191.56,156.75,407.75,10
RC,0250,nilutamide 150 mg tablet 30 each BLIST PACK,611.36,213.98,175.09,455.46,5
RC,0250,"nirmatrelvir-ritonavir 300 mg (150 mg x 2)-100 mg tablets,dose pack 30 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,nisoldipine 20 MG tablet extended release 24 hr 100 each Bottle,38.83,13.6,11.12,28.93,5
RC,0250,nisoldipine 30 MG tablet extended release 24 hr 100 each Bottle,42.34,14.82,12.13,31.54,5
RC,0250,nitazoxanide 500 MG tablet 12 each Bottle,389.88,136.46,111.66,290.46,5
RC,0250,nitazoxanide 500 MG tablet 30 each Bottle,371.75,130.115,103.74,284.05,10
RC,0250,nitrofurantoin (macrocrystal-monohydrate) 100 MG capsule 1 each BLIST PACK,10.184999999999999,3.57,2.39,8.97,10
RC,0250,nitrofurantoin (macrocrystal-monohydrate) 100 MG capsule 100 each BLIST PACK,10.184999999999999,3.57,2.39,8.97,20
RC,0250,nitrofurantoin (macrocrystal-monohydrate) 100 MG capsule 100 each Bottle,8.89,3.12,2.55,6.62,15
RC,0250,nitrofurantoin (macrocrystal-monohydrate) 100 MG capsule 50 each BLIST PACK,10.11,3.54,2.9,7.53,5
RC,0250,nitrofurantoin 100 MG capsule 1 each BLIST PACK,8.13,2.85,2.33,6.06,5
RC,0250,nitrofurantoin 100 MG capsule 100 each Bottle,7.97,2.79,2.28,5.94,5
RC,0250,nitrofurantoin 25 mg/5 mL suspension 230 mL Bottle,4625.47,1618.915,473.06,5661.4,10
RC,0250,nitrofurantoin 50 MG capsule 1 each BLIST PACK,8.475,2.975,1.87,7.77,10
RC,0250,nitrofurantoin 50 MG capsule 100 each BLIST PACK,6.52,2.29,1.87,4.86,5
RC,0250,nitrofurantoin 50 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,nitroglycerin 0.1 mg/hr patch 24 hour 1 each Packet,6.0,2.1,1.72,4.47,5
RC,0250,nitroglycerin 0.1 mg/hr patch 24 hour 30 each Packet,6.015000000000001,2.1100000000000003,1.72,4.49,10
RC,0250,nitroglycerin 0.2 mg/hr patch 24 hour 30 each Packet,6.0,2.1,1.72,4.47,15
RC,0250,"nitroglycerin 0.4 MG tablet, sublingual 100 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,"nitroglycerin 0.4 MG tablet, sublingual 25 each Bottle",6.0,2.1,1.72,4.47,35
RC,0250,nitroglycerin 0.4 mg/hr patch 24 hour 1 each Packet,6.0,2.1,1.72,4.47,5
RC,0250,nitroglycerin 0.4 mg/hr patch 24 hour 30 each Packet,6.0,2.1,1.72,4.47,10
RC,0250,nitroglycerin 0.6 mg/hr patch 24 hour 30 each Packet,6.0,2.1,1.72,4.47,15
RC,0250,nitroglycerin 2 % ointment 1 g Packet,7.15,2.51,2.05,5.33,5
RC,0250,nitroglycerin 50 mg/10 mL (5 mg/mL) solution 10 mL Vial,40.4,14.14,11.57,30.1,5
RC,0250,nitroglycerin 50 mg/250 mL (200 mcg/mL) solution 250 mL Bottle,66.67,23.34,19.09,49.67,5
RC,0250,nitroglycerin in 5 % dextrose 200 mcg/mL solution 250 mL Bottle,66.67,23.34,19.09,49.67,5
RC,0250,nitroprusside 200 mcg/mL solution 250 mL,849.6,297.36,243.33,632.95,5
RC,0250,nitroprusside 25 mg/mL solution 2 mL Vial,240.72,84.255,16.22,632.95,60
RC,0250,norelgestromin-ethinyl estradiol 150-35 mcg/24 hr patch weekly 3 each Box,120.12,42.05,34.4,89.49,5
RC,0250,norepinephrine 1 mg/mL solution 4 mL AMPUL,24.0,8.4,6.87,17.88,10
RC,0250,norepinephrine 1 mg/mL solution 4 mL Vial,50.74,17.76,6.87,47.42,80
RC,0250,norepinephrine 40 mcg/10 mL (4 mcg/mL) syringe 10 mL Syringe,24.0,8.4,6.87,17.88,5
RC,0250,norepinephrine in 0.9% NaCl 8 mg/250 mL solution 250 mL Bag,104.82,36.69,20.62,83.51,15
RC,0250,norepinephrine in 0.9% NaCl 8 mg/250 mL solution 250 mL Bottle,55.46,19.42,15.88,41.32,5
RC,0250,norepinephrine in 5% dextrose 8 mg/250 mL solution 250 mL Bag,103.75999999999999,36.32,14.61,107.25,40
RC,0250,norethindrone 0.35 mg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,norethindrone 5 mg tablet 50 each Bottle,6.25,2.19,1.79,4.66,10
RC,0250,norethindrone-ethin estradioL 1-35 mg-mcg tablet 28 each BLIST PACK,6.29,2.21,1.8,4.69,5
RC,0250,norethindrone-ethin estradiol 0.5-35 mg-mcg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,norethindrone-ethin estradiol 1-35 mg-mcg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,norethindrone-ethinyl estradiol 1-20 mg-mcg tablet 21 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,norethindrone-ethinyl estradiol triphasic 0.5/0.75/1 mg- 35 mcg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,norethindrone-ethinyl estradiol-iron 1 mg-10 mcg tablet 28 each BLIST PACK,19.07,6.68,5.46,14.21,5
RC,0250,norethindrone-ethinyl estradiol-iron 1 mg-20 mcg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,norethindrone-mestranoL 1-50 mg-mcg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,"norflurane-pentafluoropropane aerosol,spray 116 mL CANISTER",147.04,51.47,40.57,115.74,15
RC,0250,norgestimate-ethinyl estradioL 0.18/0.215/0.25 mg-0.035mg (28) tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,norgestimate-ethinyl estradioL 0.18/0.215/0.25 mg-25 mcg tablet 28 each BLIST PACK,15.1,5.29,4.32,11.25,10
RC,0250,norgestimate-ethinyl estradioL 0.18/0.215/0.25 mg-35 mcg (28) tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,norgestimate-ethinyl estradioL 0.25-0.035 mg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,norgestimate-ethinyl estradioL 0.25-35 mg-mcg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,norgestrel-ethinyl estradioL 0.5-50 mg-mcg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,norgestrel-ethinyl estradiol 0.3-30 mg-mcg tablet 28 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,nortriptyline 10 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,nortriptyline 10 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,nortriptyline 10 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,nortriptyline 25 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,nortriptyline 25 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,nortriptyline 25 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,nortriptyline 25 MG capsule 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,nortriptyline 25 MG capsule 90 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,"nystatin 100,000 unit/gram cream 15 g Tube",41.365,14.48,11.83,30.86,20
RC,0250,"nystatin 100,000 unit/gram ointment 15 g Tube",40.480000000000004,14.170000000000002,11.36,30.78,20
RC,0250,"nystatin 100,000 unit/gram powder 15 g Bottle",64.82,22.69,12.67,49.24,15
RC,0250,"nystatin 100,000 unit/gram powder 15 g SQUEEZ BTL",59.879999999999995,20.96,14.83,65.85,25
RC,0250,"nystatin 100,000 unit/gram powder 30 g Bottle",127.02,44.46,36.38,94.63,5
RC,0250,"nystatin 100,000 unit/gram powder 30 g SQUEEZ BTL",109.88,38.46,27.49,94.63,15
RC,0250,"nystatin 100,000 unit/mL suspension 1 mL Syringe",6.0,2.1,1.72,4.47,15
RC,0250,"nystatin 100,000 unit/mL suspension 473 mL Bottle",270.14,94.55,77.37,201.25,15
RC,0250,"nystatin 100,000 unit/mL suspension 480 mL Bottle",108.75,38.07,31.15,81.02,5
RC,0250,"nystatin 100,000 unit/mL suspension 5 mL Cup",6.0,2.1,1.72,4.47,50
RC,0250,"nystatin 100,000 unit/mL suspension 5 mL Syringe",6.0,2.1,1.72,4.47,5
RC,0250,"nystatin 100,000 unit/mL suspension 60 mL Bottle",36.955,12.940000000000001,9.73,29.75,15
RC,0250,"nystatin 100,000 unit/mL suspension 60 mL DROP BTL",39.93,13.98,11.44,29.75,5
RC,0250,nystatin 2 billion unit powder 1 each Jar,517.17,181.01,148.12,385.29,5
RC,0250,ofloxacin 0.3 % drops 10 mL DROP BTL,102.65,35.93,27.29,81.95,10
RC,0250,ofloxacin 0.3 % drops 5 mL DROP BTL,166.03,58.12,14.15,271.25,30
RC,0250,olanzapine-fluoxetine 12-25 mg capsule 30 each Bottle,51.51,18.03,14.75,38.37,5
RC,0250,olopatadine 0.1 % drops 5 mL DROP BTL,54.480000000000004,19.075,6.38,613.14,50
RC,0250,olopatadine 0.2 % drops 2.5 mL DROP BTL,4228.55,1480.0,1211.06,3150.27,5
RC,0250,omalizumab 75 mg/0.5 mL syringe 0.5 mL Syringe,1597.93,559.28,457.65,1190.46,5
RC,0250,"omega 3 DHA-EPA 1,600 mg/5 mL liquid 200 mL Bottle",6.0,2.1,1.72,4.47,5
RC,0250,omega 3 DHA-EPA 1000 mg (120 mg-180 mg) capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,omega 3 DHA-EPA 1000 mg (120 mg-180 mg) capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,omega 3 DHA-EPA 1000 mg (120 mg-180 mg) capsule 150 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,omega 3 DHA-EPA 1000 mg (120 mg-180 mg) capsule 90 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,"omega 3 DHA-EPA 300-1,000 mg capsule,delayed release(DR/EC) 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,omega-3 acid ethyl esters 1 gram capsule 1 each BLIST PACK,9.48,3.325,2.47,7.71,10
RC,0250,omega-3 acid ethyl esters 1 gram capsule 120 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,omega-3 acid ethyl esters 1 gram capsule 50 each BLIST PACK,8.61,3.02,2.47,6.41,5
RC,0250,"omega-3 fatty acids 1,000 mg capsule 90 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,omeprazole 2 mg/mL suspension for reconstitution 0 mL Syringe,6.0,2.1,1.72,4.47,5
RC,0250,omeprazole 2 mg/mL suspension for reconstitution 10 mL Syringe,10.81,3.79,3.1,8.05,5
RC,0250,omeprazole 2 mg/mL suspension for reconstitution 150 mL KIT,162.13,56.75,46.43,120.79,5
RC,0250,omeprazole 2 mg/mL suspension for reconstitution 300 mL Bottle,1080.41,378.15,309.43,804.91,5
RC,0250,omeprazole 2 mg/mL suspension for reconstitution 300 mL KIT,243.905,85.375,46.84,241.57,10
RC,0250,"omeprazole 20mg capsule,delayed release(DR/EC) 1 each BLIST PACK",13.115,4.595,2.63,12.69,10
RC,0250,"omeprazole 20mg capsule,delayed release(DR/EC) 100 each BLIST PACK",7.6,2.66,1.72,6.85,15
RC,0250,"omeprazole 20mg capsule,delayed release(DR/EC) 100 each Bottle",9.055,3.175,2.28,7.56,10
RC,0250,"omeprazole 20mg capsule,delayed release(DR/EC) 50 each BLIST PACK",17.03,5.97,4.88,12.69,5
RC,0250,opium 10 mg/mL (morphine) tincture 1 mL Syringe,14.55,5.1,4.17,10.84,5
RC,0250,opium 10 mg/mL (morphine) tincture 118 mL Bottle,9.0,3.15,2.58,6.71,10
RC,0250,oseltamivir 30 MG capsule 10 each BLIST PACK,33.47,12.77,9.58,29.4,40
RC,0250,oseltamivir 45 MG capsule 10 each BLIST PACK,33.465,11.72,9.58,24.94,15
RC,0250,oseltamivir 6 mg/mL suspension for reconstitution 60 mL Bottle,386.91999999999996,135.425,110.67,320.48,30
RC,0250,oseltamivir 75 MG capsule 10 each BLIST PACK,39.745,13.915,10.45,32.04,45
RC,0250,oxandrolone 10 MG tablet 60 each Bottle,44.25,15.49,12.67,32.97,5
RC,0250,oxyCODONE 10 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,oxyCODONE 10 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,15
RC,0250,oxyCODONE 10 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,15
RC,0250,oxyCODONE 15 MG tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,oxyCODONE 15 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,"oxyCODONE 20 mg tablet,oral only,ext.rel.12 hr 100 each Bottle",26.020000000000003,9.115,6.34,22.29,10
RC,0250,"oxyCODONE 20 mg tablet,oral only,ext.rel.12 hr 20 each BLIST PACK",30.69,10.75,8.79,22.86,5
RC,0250,"oxyCODONE 40 mg tablet,oral only,ext.rel.12 hr 100 each Bottle",44.57,15.605,10.85,38.18,10
RC,0250,"oxyCODONE 40 mg tablet,oral only,ext.rel.12 hr 20 each BLIST PACK",52.54,18.39,15.05,39.14,5
RC,0250,oxyCODONE 5 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,30
RC,0250,oxyCODONE 5 MG tablet 100 each Bottle,9.0,3.15,2.58,6.71,15
RC,0250,oxyCODONE 5 MG tablet 500 each Bottle,9.0,3.15,2.58,6.71,5
RC,0250,oxyCODONE 5 mg/5 mL solution 5 mL Cup,18.955,6.640000000000001,5.03,15.17,20
RC,0250,oxyCODONE-acetaminophen 10-325 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,5
RC,0250,oxyCODONE-acetaminophen 5-325 mg tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,oxyCODONE-acetaminophen 5-325 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,25
RC,0250,oxybutynin 5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,oxybutynin 5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,25
RC,0250,oxybutynin 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,20
RC,0250,oxybutynin 5 mg/5 mL syrup 473 mL Bottle,6.0,2.1,1.72,4.47,10
RC,0250,oxybutynin XL 5 MG tablet extended release 24hr 100 each Bottle,7.25,2.54,2.08,5.4,5
RC,0250,oxybutynin XL 5 MG tablet extended release 24hr 50 each BLIST PACK,7.25,2.54,2.08,5.4,5
RC,0250,"oxycoDONE 10 mg tablet,oral only,ext.rel.12 hr 100 each Bottle",11.86,4.16,2.58,11.96,15
RC,0250,"oxycoDONE 10 mg tablet,oral only,ext.rel.12 hr 20 each BLIST PACK",16.47,5.77,4.72,12.27,5
RC,0250,"oxymetazoline 0.05 % spray,non-aerosol 15 mL SQUEEZ BTL",12.925,4.53,1.72,10.47,25
RC,0250,"oxymetazoline 0.05 % spray,non-aerosol 30 mL SQUEEZ BTL",9.42,3.3,1.72,11.92,30
RC,0250,oxytocin 30 unit/500 mL solution 500 mL Bag,63.0,22.05,18.04,46.94,5
RC,0250,"oxytocin 40 unit/1000 mL solution 1,000 mL Bag",36.2,12.675,9.46,29.32,20
RC,0250,oxytocin in 0.9% NaCl 30 unit/500 mL solution 500 mL Bag,60.81,21.29,6.87,22654.41,25
RC,0250,"oxytocin in 0.9% NaCl 40 unit/1000 mL solution 1,000 mL Bag",33.04,11.57,6.87,29.32,25
RC,0250,oxytocin per 10 Units,24.0,8.4,6.87,17.88,55
RC,0250,paliperidone 1.5 mg tablet extended release 24hr 30 each Bottle,34.73,12.16,9.95,25.87,5
RC,0250,paliperidone 3 MG tablet extended release 24hr 30 each Bottle,72.13,25.25,8.93,53.8,20
RC,0250,paliperidone 6 MG tablet extended release 24hr 100 each BLIST PACK,111.26,38.95,31.86,82.89,5
RC,0250,paliperidone 6 MG tablet extended release 24hr 30 each Bottle,72.21,25.28,20.68,53.8,10
RC,0250,palivizumab 100 mg/mL solution 1 mL Vial,8412.98,2944.55,2409.48,6267.67,5
RC,0250,palivizumab 50 mg/0.5 mL solution 0.5 mL Vial,4455.35,1559.38,1276.01,3319.24,5
RC,0250,pamidronate disodium per 30 mg,159.63,55.88,45.72,118.92,5
RC,0250,pancreatic flushing solution for feeding tubes 10 mL Syringe,6.0,2.1,1.72,4.47,5
RC,0250,"pancrelipase (Lip-Prot-Amyl) 12,000-38,000 -60,000 unit capsule,delayed release(DR/EC) 100 each Bottle",12.15,4.26,3.48,9.05,10
RC,0250,"pancrelipase (Lip-Prot-Amyl) 3,000-9,500- 15,000 unit capsule,delayed release(DR/EC) 70 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,"pancrelipase (Lip-Prot-Amyl) 36,000-114,000- 180,000 unit capsule,delayed release(DR/EC) 100 each Bottle",36.57,12.8,10.47,27.24,5
RC,0250,pancuronium 1 mg/mL solution 10 mL Vial,24.0,8.4,6.87,17.88,5
RC,0250,"pantoprazole 20 MG tablet,delayed release (DR/EC) 1 each BLIST PACK",8.97,3.14,2.57,6.68,10
RC,0250,"pantoprazole 20 MG tablet,delayed release (DR/EC) 100 each BLIST PACK",8.97,3.14,2.57,6.68,10
RC,0250,"pantoprazole 40 MG tablet,delayed release (DR/EC) 1 each BLIST PACK",9.5,3.33,1.72,9.26,15
RC,0250,"pantoprazole 40 MG tablet,delayed release (DR/EC) 100 each BLIST PACK",9.215,3.2300000000000004,1.72,9.26,10
RC,0250,"pantoprazole 40 MG tablet,delayed release (DR/EC) 50 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"pantoprazole 40 MG tablet,delayed release (DR/EC) 80 each BLIST PACK",6.0,2.1,1.72,4.47,10
RC,0250,"pantoprazole 40 MG tablet,delayed release (DR/EC) 90 each Bottle",11.030000000000001,3.87,2.76,9.26,10
RC,0250,pantoprazole 40 mg granules DR for susp in packet 1 each Packet,40.1,14.04,11.48,29.87,5
RC,0250,pantoprazole 40 mg granules DR for susp in packet 30 each Packet,40.1,14.04,11.48,29.87,5
RC,0250,pantoprazole 40 mg recon soln 1 each Vial,200.6,70.21,6.87,373.62,130
RC,0250,papaverine per 60 mg,106.2,37.17,26.36,87.37,30
RC,0250,paromomycin 250 mg capsule 100 each Bottle,178.81,62.589999999999996,3.83,256.46,10
RC,0250,patiromer calcium sorbitex 8.4 gram powder in packet 1 each Packet,100.55,35.2,28.8,74.91,5
RC,0250,patiromer calcium sorbitex 8.4 gram powder in packet 4 each Packet,134.35,47.03,38.48,100.09,5
RC,0250,pediatric multivit with fluoride 0.25 mg/mL drops 50 mL DROP BTL,6.0,2.1,1.72,4.47,5
RC,0250,pediatric multivitamin 750-35-400 unit-mg-unit/mL drops 50 mL DROP BTL,20.18,7.07,5.78,15.03,5
RC,0250,pediatric multivitamin no.192 250 mcg-50 mg- 10 mcg/mL drops 50 mL DROP BTL,23.25,8.14,6.66,17.32,5
RC,0250,"pediatric multivitamin tablet,chewable 250 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,pediatric multivitamin with vitamin K 400 mcg/mL drops 60 mL DROP BTL,6.0,2.1,1.72,4.47,5
RC,0250,pediatric multivitamin with vitamin K 500 mcg/mL liquid 60 mL Bottle,6.0,2.1,1.72,4.47,5
RC,0250,"pediatric polyvitamin 1,500-35-400 unit-mg-unit/mL drops 50 mL DROP BTL",12.39,4.34,3.55,9.23,5
RC,0250,peg 400-hypromellose-glycerin 1-0.2-0.2 % drops 15 mL DROP BTL,10.485,3.67,1.72,11.15,10
RC,0250,peginterferon alfa-2a 180 mcg/mL solution 1 mL Vial,2892.86,1012.51,828.52,2155.18,5
RC,0250,penciclovir 1 % cream 5 g Tube,2299.56,804.85,658.59,1713.17,5
RC,0250,penicillAMINE 250 MG capsule 100 each Bottle,741.66,259.59,212.41,552.54,5
RC,0250,penicillin G benzathine 1.2 million unit suspension for reconstitution 1 each Vial,41.21,14.43,11.8,30.7,5
RC,0250,"penicillin G sodium 100,000 units/mL syringe 0.6 mL Syringe",24.0,8.4,6.87,17.88,5
RC,0250,penicillin G sodium 5 million unit recon soln 1 each Vial,135.93,47.58,38.93,101.27,10
RC,0250,penicillin v potassium 125 mg/5 mL recon soln 100 mL Bottle,23.6,8.26,6.76,17.58,5
RC,0250,penicillin v potassium 250 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,penicillin v potassium 250 mg/5 mL recon soln 200 mL Bottle,38.23,13.39,10.95,28.48,5
RC,0250,penicillin v potassium 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,"penicllin G potassium 10,000 units/mL syringe 0.4 mL Syringe",24.0,8.4,6.87,17.88,5
RC,0250,pentosan polysulfate 100 mg capsule 100 each Bottle,33.92,11.88,9.71,25.27,5
RC,0250,pentoxifylline 400 mg tablet extended release 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,pentoxifylline 400 mg tablet extended release 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,peppermint oiL oil 30 mL Bottle,63.44,22.21,18.17,47.26,5
RC,0250,perampaneL 2 mg tablet 30 each Bottle,58.62,20.52,16.79,43.67,5
RC,0250,perampaneL 6 mg tablet 30 each Bottle,115.83,40.55,33.17,86.29,5
RC,0250,perampaneL 8 mg tablet 30 each Bottle,115.83,40.55,33.17,86.29,5
RC,0250,permethrin 1 % liquid 59 mL Bottle,36.2,12.67,7.5,31.12,20
RC,0250,permethrin 5 % cream 60 g Tube,280.37,98.13,79.77,217.63,15
RC,0250,perphenazine per 4 mg,6.0,2.1,1.72,4.47,15
RC,0250,perphenazine per 8 mg,6.42,2.25,1.72,5.1,30
RC,0250,phenazopyridine 100 MG tablet 100 each Bottle,6.37,2.23,1.82,4.75,15
RC,0250,phenoL (bulk) 89 % liquid 100 mL Bottle,170.86,59.81,48.93,127.29,5
RC,0250,"phenoL 1.4 % aerosol,spray 177 mL Bottle",12.95,4.54,1.91,13.69,35
RC,0250,phenoL 89 % swab 30 each Packet,12.88,4.51,3.69,9.6,5
RC,0250,phenol 5 % injectable 10 mL Vial,209.99,73.5,60.14,156.44,5
RC,0250,phenoxybenzamine 10 mg capsule 100 each Bottle,318.57,111.5,91.24,237.33,5
RC,0250,phenylephrine 0.125 % drops 15 mL DROP BTL,13.2,4.62,3.78,9.83,5
RC,0250,"phenylephrine 0.25 % spray,non-aerosol 15 mL SQUEEZ BTL",9.81,3.44,2.57,7.88,15
RC,0250,phenylephrine 0.25 % suppository 12 each Box,6.0,2.1,1.72,4.47,10
RC,0250,phenylephrine 0.25 % suppository 24 each Box,6.0,2.1,1.72,4.47,5
RC,0250,phenylephrine 0.25% suppository 12 each Box,6.0,2.1,1.72,4.47,10
RC,0250,"phenylephrine 0.5 % spray,non-aerosol 15 mL SQUEEZ BTL",9.385000000000002,3.29,2.57,7.31,15
RC,0250,"phenylephrine 0.5 % spray,non-aerosol 21 mL SQUEEZ BTL",12.54,4.39,3.59,9.34,5
RC,0250,phenylephrine 1 % drops 30 mL DROP BTL,8.5,2.98,2.43,6.33,5
RC,0250,"phenylephrine 1 % spray,non-aerosol 15 mL SQUEEZ BTL",10.55,3.7,2.89,8.2,10
RC,0250,"phenylephrine 1 % spray,non-aerosol 30 mL SQUEEZ BTL",16.28,5.7,4.66,12.13,5
RC,0250,phenylephrine 10 % drops 5 mL DROP BTL,62.0,21.7,1.72,87.91,15
RC,0250,phenylephrine 10 mcg/mL injectable 10 mL Syringe,24.0,8.4,6.87,17.88,15
RC,0250,phenylephrine 10 mcg/mL syringe 10 mL Syringe,29.37,10.280000000000001,6.87,25.88,10
RC,0250,phenylephrine 100 mcg/mL syringe 10 mL Syringe,29.37,10.280000000000001,6.87,25.88,40
RC,0250,phenylephrine 2.5 % drops 15 mL DROP BTL,260.19,91.07,73.0,197.8,15
RC,0250,phenylephrine 2.5 % drops 2 mL Bottle,95.89,33.57,27.46,71.44,5
RC,0250,phenylephrine 2.5 % drops 2 mL DROP BTL,95.89,33.57,27.46,71.44,5
RC,0250,phenylephrine 40 mg/250 mL (160 mcg/mL) solution 250 mL Bag,100.71,35.25,27.58,104.36,15
RC,0250,phenylephrine per 1 mL,68.64,24.025,6.87,84.39,100
RC,0250,phenytoin 100 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,phenytoin 100 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,phenytoin 100 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,phenytoin 100 mg/4 mL suspension 4 mL Cup,19.68,6.89,5.43,15.19,20
RC,0250,phenytoin 125 mg/5 mL suspension 237 mL Bottle,82.78,28.975,22.75,64.17,10
RC,0250,"phenytoin 50 mg tablet,chewable 1 each BLIST PACK",6.0,2.1,1.72,4.47,10
RC,0250,"phenytoin 50 mg tablet,chewable 100 each BLIST PACK",6.33,2.22,1.81,4.72,5
RC,0250,"phenytoin 50 mg tablet,chewable 100 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,"phenytoin 50 mg tablet,chewable 30 each BLIST PACK",6.0,2.1,1.72,4.47,10
RC,0250,phytonadione 1 mg/0.5 mL syringe 0.5 mL Syringe,70.04,24.52,20.06,52.18,5
RC,0250,phytonadione 1 mg/mL 5 mL Syringe,53.48,18.72,15.32,39.84,10
RC,0250,phytonadione 5 mg tablet 100 each Bottle,166.41,58.25,47.66,123.98,5
RC,0250,pilocarpine 1 % drops 15 mL DROP BTL,223.76,78.32,62.68,173.29,15
RC,0250,pilocarpine 2 % drops 15 mL DROP BTL,233.39,81.695,64.1,200.78,20
RC,0250,pilocarpine 4 % drops 15 mL DROP BTL,239.8,83.93,67.21,185.83,15
RC,0250,pilocarpine 5 MG tablet 1 each BLIST PACK,7.08,2.48,2.03,5.27,5
RC,0250,pilocarpine 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,pilocarpine 5 MG tablet 30 each BLIST PACK,7.08,2.48,2.03,5.27,5
RC,0250,pimozide 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,pioglitazone 15 MG tablet 1 each BLIST PACK,9.705,3.4000000000000004,1.72,9.99,10
RC,0250,pioglitazone 30 MG tablet 1 each BLIST PACK,20.49,7.18,5.87,15.27,5
RC,0250,pioglitazone 30 MG tablet 100 each BLIST PACK,13.594999999999999,4.765,1.92,15.27,10
RC,0250,pioglitazone 30 MG tablet 30 each Bottle,25.27,8.85,7.24,18.83,15
RC,0250,pioglitazone 30 MG tablet 90 each Bottle,25.28,8.855,7.24,18.84,10
RC,0250,pioglitazone 45 MG tablet 30 each Bottle,27.42,9.6,7.85,20.43,5
RC,0250,pioglitazone 45 MG tablet 90 each Bottle,27.415,9.6,7.85,20.43,10
RC,0250,piperacillin-tazobactam 3.375 gram piggyback 100 mL Bag,56.07,19.63,16.06,41.77,5
RC,0250,piperacillin-tazobactam 3.375 gram piggyback 50 mL Bag,56.07,19.63,16.06,41.77,5
RC,0250,piroxicam 10 MG capsule 100 each Bottle,6.15,2.16,1.76,4.58,10
RC,0250,piroxicam 20 MG capsule 100 each Bottle,10.59,3.71,3.03,7.89,10
RC,0250,pitavastatin calcium 1 mg tablet 90 each Bottle,30.18,10.57,8.64,22.48,5
RC,0250,podophyllum resin 25 % liquid 15 mL Bottle,289.11,101.19,82.8,215.39,5
RC,0250,polidocanoL 1 % (20 mg/2 mL) solution 2 mL AMPUL,62.78,21.98,17.98,46.77,5
RC,0250,polyethylene glycol 17 gram powder in packet 1 each Packet,6.0,2.1,1.72,4.47,25
RC,0250,polyethylene glycol 17 gram powder in packet 10 each Packet,6.0,2.1,1.72,4.47,5
RC,0250,polyethylene glycol 17 gram powder in packet 100 each Packet,6.0,2.1,1.72,4.47,10
RC,0250,polyethylene glycol 17 gram powder in packet 14 each Packet,6.55,2.295,1.72,5.29,10
RC,0250,polyethylene glycol 17 gram powder in packet 24 each Packet,6.0,2.1,1.72,4.47,10
RC,0250,polyethylene glycol 17 gram powder in packet 30 each Packet,6.0,2.1,1.72,4.47,5
RC,0250,"polyethylene glycol 236-22.74-6.74 -5.86 gram recon soln 4,000 mL Bottle",75.52,26.44,18.93,126.59,20
RC,0250,"polyethylene glycol 420 gram recon soln 4,000 mL Bottle",75.52,26.44,21.63,56.26,5
RC,0250,polyethylene glycol powder in packet 1 each Package,6.0,2.1,1.72,4.47,5
RC,0250,"polymyxin B 500,000 unit recon soln 1 each Vial",36.58,12.81,9.12,30.77,15
RC,0250,"polymyxin B-trimethoprim 10,000 unit- 1 mg/mL drops 10 mL DROP BTL",31.72,11.11,8.7,168.5,25
RC,0250,polyvinyl alcohol 1.4 % drops 15 mL DROP BTL,15.01,5.26,1.72,17.38,30
RC,0250,pomalidomide 1 mg capsule 100 each Bottle,3232.66,1131.44,925.83,2408.33,5
RC,0250,pomalidomide 1 mg capsule 21 each Bottle,3232.66,1131.44,925.83,2408.33,5
RC,0250,pomalidomide 2 mg capsule 100 each Bottle,3232.66,1131.44,925.83,2408.33,5
RC,0250,pomalidomide 2 mg capsule 21 each Bottle,3232.66,1131.44,925.83,2408.33,5
RC,0250,pomalidomide 3 mg capsule 100 each Bottle,3232.66,1131.44,925.83,2408.33,5
RC,0250,pomalidomide 3 mg capsule 21 each Bottle,3232.66,1131.44,925.83,2408.33,5
RC,0250,pomalidomide 4 mg capsule 100 each Bottle,3232.66,1131.44,925.83,2408.33,5
RC,0250,pomalidomide 4 mg capsule 21 each Bottle,3232.66,1131.44,925.83,2408.33,5
RC,0250,poractant alfa 120 mg/1.5 mL suspension 1.5 mL Vial,1696.25,593.69,485.81,1263.71,5
RC,0250,poractant alfa 240 mg/3 mL suspension 3 mL Vial,3344.83,1170.7,957.96,2491.9,5
RC,0250,"posaconazole 100 mg tablet,delayed release (DR/EC) 60 each Bottle",184.37,64.535,50.02,144.59,15
RC,0250,posaconazole 200 mg/5 mL suspension 105 mL Bottle,194.13,67.95,55.6,144.63,5
RC,0250,posaconazole 300 mg/16.7 mL solution 16.7 mL Vial,1502.23,525.79,430.24,1119.16,5
RC,0250,potassium acetate 2 mEq/mL solution 20 mL Vial,24.0,8.4,6.87,17.88,10
RC,0250,"potassium chloride 10 MEQ tablet,ER particles/crystals 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"potassium chloride 10 MEQ tablet,ER particles/crystals 100 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,potassium chloride 10 meq tablet extended release 1 each BLIST PACK,6.0,2.1,1.72,4.47,25
RC,0250,potassium chloride 10 meq tablet extended release 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,potassium chloride 10 meq tablet extended release 80 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,"potassium chloride 20 MEQ tablet,ER particles/crystals 1 each BLIST PACK",6.0,2.1,1.72,4.47,10
RC,0250,"potassium chloride 20 MEQ tablet,ER particles/crystals 100 each BLIST PACK",6.0,2.1,1.72,4.47,10
RC,0250,"potassium chloride 20 MEQ tablet,ER particles/crystals 100 each Bottle",6.0,2.1,1.72,4.47,15
RC,0250,"potassium chloride 20 MEQ tablet,ER particles/crystals 80 each BLIST PACK",6.0,2.1,1.72,4.47,10
RC,0250,potassium chloride 20 mEq tablet extended release 1 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,potassium chloride 20 mEq tablet extended release 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,potassium chloride 20 mEq tablet extended release 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,potassium chloride 20 mEq tablet extended release 80 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,potassium chloride 20 mEq/15 mL liquid 0 mL Syringe,6.0,2.1,1.72,4.47,5
RC,0250,potassium chloride 20 mEq/15 mL liquid 15 mL Cup,39.9,13.97,2.3,40.11,60
RC,0250,potassium chloride 20 mEq/15 mL liquid 473 mL Bottle,893.02,312.56,255.76,665.3,5
RC,0250,"potassium citrate-citric acid 1,100-334 mg/5 mL solution 473 mL Bottle",118.33,41.42,33.89,88.16,5
RC,0250,potassium iodide 1 gram/mL solution 30 mL Bottle,1348.03,471.82,386.08,1004.28,5
RC,0250,potassium iodide 1 gram/mL solution 30 mL DROP BTL,6.0,2.1,1.72,4.47,5
RC,0250,potassium iodide-iodine 5 % solution 14 mL Bottle,91.16,31.91,26.11,67.91,5
RC,0250,potassium iodide-iodine 5 % solution 473 mL Bottle,195.35,68.38,55.95,145.54,5
RC,0250,potassium iodide-iodine 5 % solution 500 mL Bottle,456.66,159.84,130.79,340.21,5
RC,0250,potassium phosphate 3 mmol/mL solution 15 mL Vial,129.63,45.38,11.99,101.19,35
RC,0250,potassium phosphate 3 mmol/mL solution 5 mL Vial,67.89,19.225,12.01,50.59,25
RC,0250,potassium phosphate 3 mmol/mL solution 50 mL Vial,263.315,92.16499999999999,54.54,250.45,10
RC,0250,"potassium phosphate 500 mg tablet,soluble 100 each Bottle",6.0,2.1,1.72,4.47,10
RC,0250,potassium-citrate-sodium citrate-citric acid 550-500-334 mg/5 mL solution 473 mL Bottle,6.0,2.1,1.72,4.47,10
RC,0250,"potassium-sodium-phosphate 7.1 mEq K+,8 mmol Phos/packet powder in packet 1 each Packet",6.0,2.1,1.72,4.47,5
RC,0250,"potassium-sodium-phosphate 7.1 mEq K+,8 mmol Phos/packet powder in packet 100 each Packet",6.0,2.1,1.72,4.47,15
RC,0250,povidone-iodine 10 % solution 118 mL Bottle,6.0,2.1,1.72,4.47,15
RC,0250,povidone-iodine 10 % solution 14.8 mL Bottle,6.0,2.1,1.72,4.47,5
RC,0250,povidone-iodine 10 % solution 236 mL Bottle,9.47,3.32,2.71,7.06,5
RC,0250,povidone-iodine 10 % solution 237 mL Bottle,27.97,9.79,8.01,20.84,5
RC,0250,povidone-iodine 10 % solution 473 mL Bottle,13.4,4.69,3.84,9.98,5
RC,0250,povidone-iodine 10 % swab 1 each PF APPLI,6.0,2.1,1.72,4.47,5
RC,0250,povidone-iodine 5 % solution 0.4 mL Syringe,6.0,2.1,1.72,4.47,5
RC,0250,povidone-iodine 5 % solution 1.5 mL Syringe,6.0,2.1,1.72,4.47,5
RC,0250,povidone-iodine 5 % solution 3 mL Syringe,6.0,2.1,1.72,4.47,5
RC,0250,povidone-iodine 5 % solution 30 mL Bottle,31.86,11.16,9.12,23.74,5
RC,0250,povidone-iodine 7.5 % solution 118 mL Bottle,11.97,4.19,3.43,8.92,5
RC,0250,povidone-iodine 7.5 % solution 473 mL Box,12.28,4.3,3.52,9.15,5
RC,0250,pramipexole 0.125 MG tablet 90 each Bottle,6.96,2.44,1.99,5.19,5
RC,0250,pramipexole 0.25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,pramipexole 0.25 MG tablet 100 each BLIST PACK,6.4399999999999995,2.255,1.72,5.13,15
RC,0250,pramipexole 0.25 MG tablet 90 each Bottle,7.415,2.6,1.99,5.88,10
RC,0250,pramipexole 0.5 MG tablet 90 each Bottle,6.96,2.44,1.99,5.19,5
RC,0250,pramipexole 1 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,pramipexole 1 MG tablet 90 each Bottle,6.96,2.44,1.99,5.19,5
RC,0250,pramipexole 1.5 MG tablet 90 each Bottle,6.96,2.44,1.99,5.19,5
RC,0250,prasugreL HCl 10 mg tablet 30 each Bottle,38.93,13.63,1.72,29.02,30
RC,0250,pravastatin 10 MG tablet 1 each BLIST PACK,6.775,2.375,1.72,5.62,10
RC,0250,pravastatin 10 MG tablet 100 each BLIST PACK,6.775,2.375,1.72,5.62,10
RC,0250,pravastatin 10 MG tablet 90 each Bottle,7.59,2.66,2.17,5.65,20
RC,0250,pravastatin 40 MG tablet 1 each BLIST PACK,11.26,3.95,3.22,8.39,5
RC,0250,pravastatin 40 MG tablet 100 each BLIST PACK,11.26,3.95,3.22,8.39,10
RC,0250,pravastatin 40 MG tablet 90 each Bottle,11.31,3.96,3.24,8.43,15
RC,0250,pravastatin 80 MG tablet 90 each Bottle,13.665,4.785,3.24,11.93,10
RC,0250,praziquanteL 600 mg tablet 6 each Bottle,223.40499999999997,78.195,60.61,175.2,10
RC,0250,prazosin 1 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,prazosin 1 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,prazosin 1 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,prazosin 1 MG capsule 90 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,prazosin 2 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,prazosin 2 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,prazosin 2 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,prazosin 5 MG capsule 1 each BLIST PACK,10.17,3.56,2.91,7.58,5
RC,0250,prazosin 5 MG capsule 100 each BLIST PACK,10.17,3.56,2.91,7.58,5
RC,0250,prazosin 5 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,prazosin 5 MG capsule 20 each BLIST PACK,9.71,3.4,2.78,7.23,5
RC,0250,prazosin 5 MG capsule 250 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,"prednisoLONE acetate 0.12 % drops,suspension 10 mL DROP BTL",908.53,317.99,260.2,676.85,5
RC,0250,"prednisoLONE acetate 0.12 % drops,suspension 5 mL DROP BTL",454.25,158.99,130.1,338.42,5
RC,0250,"prednisoLONE acetate 1 % drops,suspension 1 mL DROP BTL",78.56,27.5,22.5,58.53,5
RC,0250,"prednisoLONE acetate 1 % drops,suspension 10 mL DROP BTL",260.87,91.31,71.38,302.45,15
RC,0250,"prednisoLONE acetate 1 % drops,suspension 5 mL DROP BTL",199.635,69.875,35.69,338.42,20
RC,0250,pregabalin 100 MG capsule 90 each Bottle,19.89,6.97,5.7,14.82,5
RC,0250,pregabalin 25 MG capsule 1 each BLIST PACK,16.78,5.875,2.58,18.3,10
RC,0250,pregabalin 25 MG capsule 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,pregabalin 25 MG capsule 30 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,pregabalin 25 MG capsule 90 each Bottle,20.439999999999998,7.16,4.85,21.35,20
RC,0250,pregabalin 75 MG capsule 100 each BLIST PACK,20.259999999999998,7.095,2.58,23.48,15
RC,0250,pregabalin 75 MG capsule 90 each Bottle,18.52,6.49,4.91,14.82,25
RC,0250,prenatal vitamin 27 mg iron-800 mcg-260 mg capsule 60 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,prenatal vitamin 27 mg iron-800 mcg-260 mg capsule 90 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,prenatal vitamin 29-1 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,prenatal vitamins with iron/calcium 27 mg iron- 1 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,primaquine 26.3 mg (15 mg base) tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,primidone 250 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,primidone 250 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,primidone 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,primidone 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,primidone 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,"prismaSATE BGK 2/0 5,000 mL",94.01,32.91,26.92,70.04,5
RC,0250,"prismaSATE BGK 4/0/1.2 5,000 mL",94.01,32.91,26.92,70.04,5
RC,0250,"prismaSATE BGK 4/2.5 5,000 mL",94.01,32.91,26.92,70.04,5
RC,0250,"prismaSATE BK 0/3.5 5,000 mL",94.01,32.91,26.92,70.04,5
RC,0250,"prismaSOL BGK 0/2.5 Ca (2.5 mEq/L) -Mg (1.5 mEq/L) solution 5,000 mL Bag",129.8,45.43,37.17,96.7,5
RC,0250,"prismaSOL BGK 2/3.5 K (2 mEq/L) -Ca (3.5)-Mg(1) solution 5,000 mL Bag",129.8,45.43,37.17,96.7,5
RC,0250,"prismaSOL BGK 4/2.5 K (4 mEq/L)-Ca (2.5)-Mg (1.5) solution 5,000 mL Bag",129.8,45.43,37.17,96.7,5
RC,0250,"prismaSOL BK 0/0/1.2 Mg 1.2 mEq/L solution 5,000 mL Bag",129.8,45.43,37.17,96.7,5
RC,0250,probenecid 500 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,probenecid 500 mg tablet 100 each Bottle,7.405,2.5949999999999998,1.72,6.56,10
RC,0250,probenecid-colchicine 500-0.5 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,probiotic 2.7 billion CFU capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,procainamide per 1 g,240.72,84.26,68.94,179.34,5
RC,0250,procarbazine 50 mg capsule 100 each Bottle,277.31,97.06,79.42,206.6,5
RC,0250,prochlorperazine 25 MG suppository 12 each BLIST PACK,28.93,10.13,8.29,21.55,5
RC,0250,prochlorperazine 25 MG suppository 12 each Box,29.7,10.4,8.51,22.13,5
RC,0250,progesterone 100 MG capsule 100 each Bottle,9.51,3.33,1.72,9.09,30
RC,0250,progesterone 100 mg suppository 30 each Jar,6.55,2.3,1.88,4.88,5
RC,0250,progesterone 100 mg suppository 30 each KIT,216.13,75.65,61.9,161.02,5
RC,0250,progesterone 200 MG capsule 100 each Bottle,13.75,4.82,2.7,13.45,10
RC,0250,promethazine 12.5 MG suppository 12 each Box,41.78,14.63,11.97,31.13,5
RC,0250,promethazine 25 MG suppository 1 each Box,41.78,14.63,11.97,31.13,5
RC,0250,promethazine 25 MG suppository 12 each Box,41.78,14.63,11.97,31.13,15
RC,0250,propafenone 150 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,propafenone 150 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,propafenone 150 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,propafenone 225 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,propantheline 15 MG tablet 100 each Bottle,7.08,2.48,2.03,5.27,5
RC,0250,proparacaine 0.5 % drops 15 mL DROP BTL,101.315,35.465,23.93,77.14,25
RC,0250,propranoloL 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,propranoloL 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,20
RC,0250,propranoloL 20 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,"propranoloL 20 MG tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,propranoloL 20 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,propranoloL 20 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,25
RC,0250,propranoloL 20 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,propranoloL 20 mg/5 mL (4 mg/mL) solution 0 mL Syringe,6.0,2.1,1.72,4.47,5
RC,0250,propranoloL 20 mg/5 mL (4 mg/mL) solution 5 mL Cup,9.96,3.49,2.85,7.42,10
RC,0250,propranoloL 20 mg/5 mL (4 mg/mL) solution 5 mL Syringe,6.0,2.1,1.72,4.47,5
RC,0250,propranoloL 20 mg/5 mL (4 mg/mL) solution 500 mL Bottle,155.76,54.52,44.61,116.04,5
RC,0250,propranoloL 40 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,propranoloL 40 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,propranoloL 40 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,propranoloL 40 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,"propranoloL 60 MG capsule,extended release 24 hr 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"propranoloL 60 MG capsule,extended release 24 hr 100 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"propranoloL 60 MG capsule,extended release 24 hr 100 each Bottle",6.0,2.1,1.72,4.47,20
RC,0250,"propranoloL 80 MG capsule,extended release 24 hr 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"propranoloL 80 MG capsule,extended release 24 hr 100 each Bottle",6.0,2.1,1.72,4.47,15
RC,0250,propranoloL 80 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,"propranolol LA 120 MG capsule,extended release 24 hr 1 each BLIST PACK",9.23,3.24,2.64,6.88,5
RC,0250,"propranolol LA 120 MG capsule,extended release 24 hr 100 each Bottle",7.04,2.47,2.02,5.24,10
RC,0250,"propranolol LA 160 mg capsule,extended release 24 hr 1 each BLIST PACK",10.91,3.82,3.12,8.13,5
RC,0250,"propranolol LA 160 mg capsule,extended release 24 hr 100 each Bottle",9.195,3.2199999999999998,2.63,6.87,15
RC,0250,propylthiouraciL 50 mg tablet 1 each BLIST PACK,7.93,2.78,2.27,5.91,5
RC,0250,propylthiouraciL 50 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,propylthiouraciL 50 mg tablet 30 each BLIST PACK,7.93,2.78,2.27,5.91,5
RC,0250,"prothrombin 4-factor unactivated 1,000 unit (800-1240 unit) recon soln 1 Units Vial",24.0,8.4,6.87,17.88,5
RC,0250,prothrombin 4-factor unactivated 500 unit (400-620 unit) recon soln 1 Units Vial,24.0,8.4,6.87,17.88,10
RC,0250,prothrombin complex concentrate 350-650 unit recon soln 1 each Vial,3056.2,1069.67,875.3,2276.87,10
RC,0250,prucalopride 2 mg tablet 30 each Bottle,52.6,18.41,15.06,39.19,5
RC,0250,pseudoephedrine 30 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,pseudoephedrine 30 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,pseudoephedrine 30 MG tablet 24 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,pseudoephedrine 30 MG tablet 24 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,pseudoephedrine 30 mg/5 mL liquid 118 mL Bottle,6.0,2.1,1.72,4.47,5
RC,0250,pseudoephedrine 60 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,pseudoephedrine 60 MG tablet 30 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,pseudoephedrine 60 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,psyllium 3.4 g/packet powder in packet 1 each Packet,6.0,2.1,1.72,4.47,5
RC,0250,psyllium 3.4 g/packet powder in packet 30 each Packet,6.0,2.1,1.72,4.47,10
RC,0250,psyllium 3.4 g/packet powder in packet 44 each Packet,6.0,2.1,1.72,4.47,10
RC,0250,pyrazinamide 500 mg tablet 1 each BLIST PACK,20.255000000000003,7.095,4.71,17.93,10
RC,0250,pyrazinamide 500 mg tablet 100 each BLIST PACK,19.7,6.9,4.39,17.93,10
RC,0250,pyrazinamide 500 mg tablet 100 each Bottle,14.53,5.09,4.16,10.82,10
RC,0250,pyrazinamide 500 mg tablet 60 each Bottle,14.9,5.22,4.27,11.1,10
RC,0250,pyrazinamide 500 mg tablet 90 each Bottle,14.81,5.19,4.24,11.03,10
RC,0250,pyrethrins-piperonyl butoxide 0.33-4 % shampoo 118 mL Bottle,23.39,8.19,5.1,19.5,20
RC,0250,pyrethrins-piperonyl butoxide 0.33-4 % shampoo 236 mL Bottle,32.86,11.51,9.41,24.48,5
RC,0250,pyrethrins-piperonyl butoxide 0.33-4 % shampoo 59 mL Bottle,14.825,5.195,3.99,11.72,10
RC,0250,pyridostigmine 180 mg tablet extended release 30 each Bottle,116.14,40.65,33.26,86.52,5
RC,0250,pyridostigmine 5 mg/mL solution 2 mL AMPUL,90.62,31.72,25.95,67.51,5
RC,0250,pyridostigmine 60 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,pyridostigmine 60 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,pyridostigmine 60 mg tablet 30 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,pyridostigmine 60 mg tablet 90 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,pyridoxine 100 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,pyridoxine 100 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,pyridoxine 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,pyridoxine 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,pyridoxine 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,pyridoxine 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,pyridoxine 50 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,pyrimethamine 25 mg tablet 100 each Bottle,2124.0,743.4,608.31,1582.38,10
RC,0250,quetiapine 10 mg/mL suspension 80 mL Bottle,10.57,3.7,3.03,7.87,5
RC,0250,quetiapine 100 MG tablet 1 each BLIST PACK,15.265,5.35,4.36,11.39,10
RC,0250,quetiapine 100 MG tablet 100 each BLIST PACK,10.645,3.7300000000000004,1.72,11.39,20
RC,0250,quetiapine 100 MG tablet 100 each Bottle,16.185000000000002,5.67,4.63,12.06,10
RC,0250,quetiapine 100 MG tablet 50 each BLIST PACK,15.24,5.34,4.36,11.35,5
RC,0250,quetiapine 200 MG tablet 1 each BLIST PACK,28.78,10.08,8.23,21.48,10
RC,0250,quetiapine 200 MG tablet 100 each BLIST PACK,28.83,10.1,8.26,21.48,15
RC,0250,quetiapine 200 MG tablet 100 each Bottle,30.53,10.69,8.74,22.74,5
RC,0250,quetiapine 200 MG tablet 50 each BLIST PACK,28.73,10.06,8.23,21.4,5
RC,0250,quetiapine 25 MG tablet 1 each BLIST PACK,8.91,3.12,2.55,6.64,5
RC,0250,quetiapine 25 MG tablet 100 each BLIST PACK,7.455,2.6100000000000003,1.72,6.64,20
RC,0250,quetiapine 25 MG tablet 100 each Bottle,9.434999999999999,3.31,2.7,7.03,15
RC,0250,quetiapine 25 MG tablet 50 each BLIST PACK,8.77,3.07,2.51,6.53,5
RC,0250,quetiapine 300 MG tablet 100 each BLIST PACK,21.905,7.67,1.72,28.17,25
RC,0250,quetiapine 300 MG tablet 100 each Bottle,40.03,14.02,11.46,29.82,5
RC,0250,quetiapine 400 MG tablet 1 each BLIST PACK,44.43,15.56,12.72,33.1,5
RC,0250,quetiapine 400 MG tablet 100 each BLIST PACK,44.43,15.56,12.72,33.1,15
RC,0250,quetiapine 400 MG tablet 100 each Bottle,46.825,16.39,13.35,35.05,10
RC,0250,quetiapine 50 MG tablet 1 each BLIST PACK,14.625,5.125,4.18,10.91,10
RC,0250,quetiapine 50 MG tablet 100 each BLIST PACK,10.32,3.615,1.72,10.91,25
RC,0250,quetiapine 50 MG tablet 100 each Bottle,15.5,5.43,4.44,11.55,10
RC,0250,quetiapine 50 MG tablet 50 each BLIST PACK,14.61,5.12,4.18,10.88,5
RC,0250,quetiapine XR 150 mg tablet extended release 24 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,quetiapine XR 150 mg tablet extended release 24 hr 60 each Bottle,37.58,13.16,10.76,28.0,5
RC,0250,quetiapine XR 200 MG tablet extended release 24 hr 100 each BLIST PACK,45.96,16.09,13.16,34.24,5
RC,0250,quetiapine XR 200 MG tablet extended release 24 hr 60 each Bottle,45.96,16.09,13.16,34.24,5
RC,0250,quetiapine XR 300 MG tablet extended release 24 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,quetiapine XR 300 MG tablet extended release 24 hr 60 each Bottle,54.23,18.979999999999997,15.52,40.41,25
RC,0250,quetiapine XR 400 MG tablet extended release 24 hr 100 each BLIST PACK,70.83,24.8,20.29,52.77,5
RC,0250,quetiapine XR 400 MG tablet extended release 24 hr 60 each Bottle,70.83,24.8,20.29,52.77,5
RC,0250,quetiapine XR 50 mg tablet extended release 24 hr 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,quetiapine XR 50 mg tablet extended release 24 hr 60 each Bottle,20.93,7.33,5.99,15.59,20
RC,0250,quiniDINE gluconate 80 mg/mL solution 10 mL Vial,50.88,17.81,14.57,37.91,5
RC,0250,rOPINIRole 0.25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,rOPINIRole 0.25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,rOPINIRole 0.5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,rOPINIRole 0.5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,rOPINIRole 0.5 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,rOPINIRole 1 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,rOPINIRole 1 MG tablet 100 each Bottle,10.955,3.835,1.72,11.85,15
RC,0250,rOPINIRole 2 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,rOPINIRole 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,rOPINIRole 2 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,rOPINIRole 3 MG tablet 100 each Bottle,16.51,5.78,4.73,12.3,5
RC,0250,rOPINIRole 4 MG tablet 100 each Bottle,6.13,2.15,1.76,4.57,5
RC,0250,racemic epinephrine 2.25 % solution for nebulization 1 each Vial,6.0,2.1,1.72,4.47,10
RC,0250,raloxifene 60 mg tablet 30 each Bottle,18.69,6.55,5.35,13.92,5
RC,0250,"raltegravir 100 mg tablet,chewable 60 each Bottle",24.58,8.61,7.04,18.31,5
RC,0250,"raltegravir 25 mg tablet,chewable 60 each Bottle",6.15,2.16,1.76,4.58,5
RC,0250,raltegravir 400 mg tablet 60 each Bottle,98.33,34.42,28.16,73.26,5
RC,0250,ramelteon 8 mg tablet 30 each Bottle,36.72,12.86,10.52,27.36,5
RC,0250,ranitidine 15 mg/mL syrup 0 mL Syringe,6.0,2.1,1.72,4.47,10
RC,0250,ranitidine 15 mg/mL syrup 10 mL Cup,15.634999999999998,5.475,4.06,14.26,25
RC,0250,ranitidine 15 mg/mL syrup 10 mL Syringe,17.23,6.04,4.93,12.84,5
RC,0250,ranitidine 15 mg/mL syrup 473 mL Bottle,814.88,285.21,233.38,607.09,5
RC,0250,ranitidine 150mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,ranitidine 150mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,ranitidine 150mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,"ranolazine 1,000 mg tablet extended release 12 hr 60 each Bottle",31.86,11.16,9.12,23.74,5
RC,0250,ranolazine 500 MG tablet extended release 12 hr 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,ranolazine 500 MG tablet extended release 12 hr 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,ranolazine 500 MG tablet extended release 12 hr 60 each Bottle,16.68,5.845000000000001,4.34,14.46,20
RC,0250,rasagiline 1 MG tablet 30 each Bottle,118.1,41.34,33.82,87.98,5
RC,0250,ravulizumab-cwvz 300 mg/30 mL (10 mg/mL) solution 30 mL Vial,18136.13,6347.65,5194.19,13511.42,5
RC,0250,reddix butt cream 30 g Jar,37.52,13.14,10.75,27.95,5
RC,0250,remdesivir 100 mg recon soln 1 each Vial,1472.64,515.43,421.76,1097.12,10
RC,0250,remdesivir 5 mg/ml solution 1 each Vial,24.0,8.4,6.87,17.88,5
RC,0250,remdesivir 5 mg/ml solution 20 mL Vial,24.0,8.4,6.87,17.88,5
RC,0250,remifentaniL 1 mg recon soln 1 each Vial,190.76,66.77,49.71,154.67,15
RC,0250,remifentaniL 2 mg recon soln 1 each Vial,364.25,127.49,104.32,271.37,5
RC,0250,remifentanil in sodium chloride 0.9% 25 mcg/mL syringe 1 mL Syringe,30.0,10.5,8.59,22.35,5
RC,0250,reserpine 0.1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,ribavirin 200 MG capsule 50 each BLIST PACK,23.41,8.2,6.7,17.44,10
RC,0250,riboflavin (vitamin B2) 100 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,rifAMPin 150 MG capsule 30 each BLIST PACK,9.2,3.225,2.58,6.99,15
RC,0250,rifAMPin 150 MG capsule 30 each Bottle,7.545,2.645,2.13,5.7,10
RC,0250,rifAMPin 300 MG capsule 1 each BLIST PACK,6.585,2.3049999999999997,1.72,5.34,10
RC,0250,rifAMPin 300 MG capsule 100 each BLIST PACK,6.585,2.3049999999999997,1.72,5.34,20
RC,0250,rifAMPin 300 MG capsule 100 each Bottle,8.42,2.95,1.72,8.08,10
RC,0250,rifAMPin 300 MG capsule 30 each Bottle,10.84,3.8,3.1,8.08,5
RC,0250,rifAMPin 300 MG capsule 60 each Bottle,8.42,2.95,1.72,8.08,10
RC,0250,rifAMPin 600 mg recon soln 1 each Vial,469.49,164.325,124.1,376.73,15
RC,0250,rifAMPin-isoniazid 300-150 mg capsule 60 each Bottle,30.08,10.53,8.61,22.41,5
RC,0250,rifAXIMin 200 mg tablet 30 each Bottle,31.79,11.13,9.1,23.68,5
RC,0250,rifAXIMin 550 mg tablet 60 each BLIST PACK,163.47,57.22,46.82,121.79,5
RC,0250,rifAXIMin 550 mg tablet 60 each Bottle,163.47,57.22,46.82,121.79,5
RC,0250,rifabutin 150 mg capsule 1 each BLIST PACK,54.28,19.0,15.55,40.44,5
RC,0250,rifabutin 150 mg capsule 100 each Bottle,41.29,14.46,11.83,30.76,10
RC,0250,rifabutin 150 mg capsule 30 each BLIST PACK,54.28,19.0,15.55,40.44,5
RC,0250,rifampin 10 mg/mL 120 mL Bottle,43.61,15.27,12.49,32.49,10
RC,0250,rifapentine 150 mg tablet 1 each BLIST PACK,14.06,4.93,4.03,10.47,5
RC,0250,rifapentine 150 mg tablet 24 each BLIST PACK,10.76,3.77,3.08,8.02,5
RC,0250,rilpivirine HCl 25 mg tablet 30 each Bottle,140.03,49.02,40.1,104.32,5
RC,0250,riluzole 50 mg tablet 60 each Bottle,87.635,30.68,24.97,65.63,10
RC,0250,risedronate 35 MG tablet 4 each DOSE-PACK,146.21,51.18,41.87,108.93,5
RC,0250,risedronate 5 MG tablet 30 each Bottle,20.9,7.32,5.99,15.57,10
RC,0250,risperiDONE 0.5 MG tablet 1 each BLIST PACK,10.08,3.53,2.89,7.51,5
RC,0250,risperiDONE 0.5 MG tablet 100 each BLIST PACK,10.08,3.53,2.89,7.51,5
RC,0250,"risperiDONE 0.5 MG tablet,disintegrating 1 each BLIST PACK",11.6,4.06,3.32,8.64,5
RC,0250,"risperiDONE 0.5 MG tablet,disintegrating 28 each BLIST PACK",11.355,3.9749999999999996,3.18,8.64,10
RC,0250,"risperiDONE 0.5 MG tablet,disintegrating 30 each BLIST PACK",11.6,4.06,3.32,8.64,10
RC,0250,risperiDONE 1 MG tablet 1 each BLIST PACK,10.72,3.76,3.07,7.99,5
RC,0250,risperiDONE 1 MG tablet 100 each BLIST PACK,8.36,2.9299999999999997,1.72,7.99,10
RC,0250,risperiDONE 1 MG tablet 60 each Bottle,10.74,3.76,3.08,8.0,5
RC,0250,"risperiDONE 1 MG tablet,disintegrating 1 each BLIST PACK",13.56,4.75,3.88,10.1,5
RC,0250,"risperiDONE 1 MG tablet,disintegrating 28 each BLIST PACK",13.275,4.65,3.72,10.1,15
RC,0250,"risperiDONE 1 MG tablet,disintegrating 30 each BLIST PACK",13.56,4.75,3.88,10.1,5
RC,0250,risperiDONE 1 mg/mL solution 0 mL Syringe,6.0,2.1,1.72,4.47,5
RC,0250,risperiDONE 1 mg/mL solution 1 mL Syringe,11.5,4.03,3.29,8.57,5
RC,0250,risperiDONE 1 mg/mL solution 30 mL Bottle,359.80499999999995,125.935,98.77,294.8,30
RC,0250,risperiDONE 2 MG tablet 1 each BLIST PACK,17.91,6.27,5.13,13.34,5
RC,0250,risperiDONE 2 MG tablet 100 each BLIST PACK,11.955,4.185,1.72,13.34,10
RC,0250,risperiDONE 2 MG tablet 60 each Bottle,17.945,6.285,5.14,13.37,10
RC,0250,"risperiDONE 2 MG tablet,disintegrating 1 each BLIST PACK",21.575,7.555,6.05,16.42,10
RC,0250,"risperiDONE 2 MG tablet,disintegrating 28 each BLIST PACK",21.575,7.555,6.05,16.42,15
RC,0250,risperiDONE 3 MG tablet 1 each BLIST PACK,21.04,7.37,6.03,15.67,5
RC,0250,risperiDONE 3 MG tablet 100 each BLIST PACK,21.04,7.37,6.03,15.67,5
RC,0250,risperiDONE 3 MG tablet 60 each Bottle,21.08,7.38,6.04,15.7,10
RC,0250,"risperiDONE 3 MG tablet,disintegrating 28 each BLIST PACK",27.22,9.530000000000001,7.63,20.71,10
RC,0250,risperiDONE 4 MG tablet 1 each BLIST PACK,28.26,9.9,8.09,21.05,5
RC,0250,risperiDONE 4 MG tablet 100 each BLIST PACK,28.26,9.9,8.09,21.05,5
RC,0250,risperiDONE 4 MG tablet 60 each Bottle,28.32,9.92,8.11,21.1,10
RC,0250,"risperiDONE 4 MG tablet,disintegrating 28 each BLIST PACK",36.565,12.805,10.25,27.83,15
RC,0250,ritonavir 100 mg capsule 30 each Bottle,20.23,7.09,5.79,15.07,5
RC,0250,ritonavir 100 mg tablet 1 each BLIST PACK,26.55,9.3,7.6,19.78,5
RC,0250,ritonavir 100 mg tablet 30 each BLIST PACK,26.55,9.3,7.6,19.78,5
RC,0250,ritonavir 100 mg tablet 30 each Bottle,23.065,8.075,6.26,18.09,10
RC,0250,ritonavir 80 mg/mL solution 240 mL Bottle,21.24,7.44,6.08,15.82,5
RC,0250,rivaroxaban 10 mg tablet 100 each BLIST PACK,56.46,19.77,16.17,42.06,5
RC,0250,rivaroxaban 10 mg tablet 30 each Bottle,56.46,19.77,16.17,42.06,5
RC,0250,rivaroxaban 15 mg tablet 100 each BLIST PACK,56.46,19.77,16.17,42.06,5
RC,0250,rivaroxaban 15 mg tablet 90 each Bottle,56.46,19.77,16.17,42.06,5
RC,0250,rivaroxaban 2.5 mg tablet 1 each BLIST PACK,28.23,9.89,8.09,21.03,5
RC,0250,rivaroxaban 2.5 mg tablet 100 each BLIST PACK,28.23,9.89,8.09,21.03,5
RC,0250,rivaroxaban 2.5 mg tablet 60 each Bottle,28.23,9.89,8.09,21.03,5
RC,0250,rivaroxaban 20 mg tablet 100 each BLIST PACK,56.46,19.77,16.17,42.06,5
RC,0250,rivaroxaban 20 mg tablet 14 each Bottle,42.29,14.81,12.11,31.51,5
RC,0250,rivaroxaban 20 mg tablet 30 each Bottle,56.46,19.77,16.17,42.06,5
RC,0250,rivaroxaban 20 mg tablet 90 each Bottle,56.46,19.77,16.17,42.06,5
RC,0250,rivastigmine 1.5 MG capsule 60 each Bottle,10.02,3.51,2.72,8.2,25
RC,0250,rivastigmine 4.6 mg/24 hour patch 24 hour 30 each Box,39.88,13.96,11.42,29.71,5
RC,0250,rivastigmine 9.5 mg/24 hour patch 24 hour 1 each Packet,39.88,13.96,11.42,29.71,5
RC,0250,rivastigmine 9.5 mg/24 hour patch 24 hour 30 each Box,39.88,13.96,11.42,29.71,15
RC,0250,rizatriptan 10 MG tablet 1 each BLIST PACK,110.64,38.73,31.69,82.43,5
RC,0250,rizatriptan 10 MG tablet 12 each BLIST PACK,110.64,38.73,31.69,82.43,5
RC,0250,rizatriptan 5 MG tablet 18 each BLIST PACK,74.64,26.13,21.38,55.61,10
RC,0250,rocuronium 10 mg/mL solution 10 mL Vial,30.125,10.55,6.87,66.39,120
RC,0250,rocuronium 10 mg/mL solution 5 mL Vial,24.78,8.68,6.87,34.58,115
RC,0250,rocuronium 50 mg/5 mL (10 mg/mL) syringe 5 mL Syringe,24.0,8.4,6.87,17.88,5
RC,0250,rosuvastatin 10 MG tablet 1 each BLIST PACK,18.98,6.65,5.44,14.14,5
RC,0250,rosuvastatin 10 MG tablet 100 each BLIST PACK,16.86,5.91,4.83,12.56,5
RC,0250,rosuvastatin 10 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,rosuvastatin 10 MG tablet 90 each Bottle,21.11,7.39,6.05,15.73,15
RC,0250,rosuvastatin 20 MG tablet 1 each BLIST PACK,16.86,5.91,1.72,14.14,15
RC,0250,rosuvastatin 20 MG tablet 100 each BLIST PACK,16.86,5.91,4.83,12.56,5
RC,0250,rosuvastatin 20 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,rosuvastatin 20 MG tablet 90 each Bottle,21.11,7.39,6.05,15.73,15
RC,0250,rosuvastatin 40 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,rosuvastatin 40 MG tablet 30 each Bottle,21.11,7.39,6.05,15.73,5
RC,0250,rosuvastatin 40 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,rosuvastatin 40 MG tablet 90 each Bottle,13.555,4.745,1.72,15.73,10
RC,0250,rosuvastatin 5 MG tablet 1 each BLIST PACK,16.86,5.91,4.83,12.56,5
RC,0250,rosuvastatin 5 MG tablet 100 each BLIST PACK,16.86,5.91,4.83,12.56,5
RC,0250,rosuvastatin 5 MG tablet 90 each Bottle,21.11,7.39,6.05,15.73,25
RC,0250,rotigotine 2 mg/24 hour patch 24 hour 30 each Box,81.56,28.55,23.36,60.76,5
RC,0250,rotigotine 4 mg/24 hour patch 24 hour 30 each Box,81.56,28.55,23.36,60.76,5
RC,0250,rufinamide 200 MG tablet 120 each Bottle,33.64,11.78,9.63,27.85,15
RC,0250,rufinamide 40 mg/mL suspension 460 mL Bottle,4473.76,1565.82,1231.54,3711.46,20
RC,0250,rufinamide 400 MG tablet 120 each Bottle,74.76,26.17,21.41,55.7,5
RC,0250,ruxolitinib 5 mg tablet 60 each Bottle,787.58,275.66,225.56,586.75,5
RC,0250,sacubitriL-valsartan 24-26 mg tablet 180 each Bottle,33.29,11.66,9.53,24.8,5
RC,0250,sacubitriL-valsartan 24-26 mg tablet 60 each Bottle,19.645,6.88,1.72,24.8,10
RC,0250,sacubitriL-valsartan 49-51 mg tablet 60 each Bottle,33.29,11.66,9.53,24.8,5
RC,0250,sacubitriL-valsartan 97-103 mg tablet 180 each Bottle,33.29,11.66,9.53,24.8,5
RC,0250,sacubitriL-valsartan 97-103 mg tablet 60 each Bottle,19.645,6.88,1.72,24.8,10
RC,0250,salicylate-resorcinol-lactate 14-14-14 % solution 500 mL Bottle,339.84,118.95,97.33,253.18,5
RC,0250,"salicylic acid 40 % adhesive patch,medicated 1 each Packet",6.0,2.1,1.72,4.47,5
RC,0250,salicylic acid 40 % plaster 25 each Packet,6.0,2.1,1.72,4.47,5
RC,0250,salicylic acid-lactic acid 17 % liquid 9 mL Bottle,23.34,8.17,6.68,17.39,5
RC,0250,salicylic acid-sulfur 2-2 % shampoo 118 mL Bottle,10.3,3.61,2.95,7.67,5
RC,0250,salsalate 500 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,saquinavir 200 mg capsule 270 each Bottle,61.67,21.59,17.66,45.94,5
RC,0250,scopolamine 1 mg/patch patch 3 day 1 each Box,50.975,17.845,13.65,40.44,10
RC,0250,scopolamine 1 mg/patch patch 3 day 10 each Box,54.28,19.0,15.53,44.93,20
RC,0250,scopolamine 1 mg/patch patch 3 day 24 each Box,57.295,20.055,15.55,44.93,10
RC,0250,scopolamine 1 mg/patch patch 3 day 4 each Box,47.67,16.69,13.02,39.51,15
RC,0250,scopolamine 1.5 mg/patch patch 3 day 1 each Box,53.03,18.57,15.19,39.51,5
RC,0250,secobarbital 100 mg capsule 100 each Bottle,36.37,12.73,10.42,27.1,5
RC,0250,selegiline 5 mg capsule 60 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,selegiline 6 mg/24 hr patch 24 hour 30 each Box,212.61,74.42,60.89,158.39,5
RC,0250,selegiline 9 mg/24 hr patch 24 hour 30 each Box,212.61,74.42,60.89,158.39,5
RC,0250,selenium 40 mcg/mL solution 10 mL Vial,50.22,17.58,14.38,37.41,5
RC,0250,selenium sulfide 2.5 % lotion 120 mL Bottle,46.73,16.36,13.38,34.81,5
RC,0250,senna 8.8 mg/5 mL syrup 0 mL Syringe,6.0,2.1,1.72,4.47,5
RC,0250,senna 8.8 mg/5 mL syrup 15 mL Cup,9.59,3.36,2.75,7.14,10
RC,0250,senna 8.8 mg/5 mL syrup 236 mL Bottle,29.52,10.34,8.45,21.99,5
RC,0250,senna 8.8 mg/5 mL syrup 237 mL Bottle,27.97,9.795,6.0,21.66,20
RC,0250,senna 8.8 mg/5 mL syrup 5 mL Cup,7.02,2.46,1.72,5.44,40
RC,0250,senna 8.8 mg/5 mL syrup 5 mL Syringe,6.0,2.1,1.72,4.47,10
RC,0250,senna leaf extract 176 mg/5 mL syrup 15 mL Cup,11.4,3.99,3.26,8.49,5
RC,0250,senna leaf extract 176 mg/5 mL syrup 237 mL Bottle,39.71,13.9,11.37,29.58,5
RC,0250,"sennosides 8.6 mg tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,sennosides 8.6 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,sennosides 8.6 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,40
RC,0250,sennosides 8.6 mg tablet 50 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,sertraline 100 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,sertraline 100 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,sertraline 100 MG tablet 30 each Bottle,6.725,2.36,1.92,5.01,10
RC,0250,sertraline 100 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,sertraline 100 MG tablet 500 each Bottle,6.72,2.36,1.92,5.01,5
RC,0250,sertraline 100 MG tablet 90 each Bottle,6.72,2.36,1.92,5.01,5
RC,0250,sertraline 20 mg/mL concentrate 60 mL Bottle,6.0,2.1,1.72,4.47,15
RC,0250,sertraline 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,sertraline 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,sertraline 25 MG tablet 500 each Bottle,6.41,2.25,1.84,4.78,5
RC,0250,sertraline 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,sertraline 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,sertraline 50 MG tablet 100 each Bottle,6.72,2.36,1.92,5.01,5
RC,0250,sertraline 50 MG tablet 30 each Bottle,6.72,2.36,1.92,5.01,5
RC,0250,sertraline 50 MG tablet 500 each Bottle,6.72,2.36,1.92,5.01,5
RC,0250,sevelamer 400 MG tablet 360 each Bottle,9.74,3.415,2.72,7.44,10
RC,0250,sevelamer 800 MG tablet 180 each Bottle,20.02,7.015000000000001,5.44,15.69,10
RC,0250,sevelamer 800 mg tablet 1 each BLIST PACK,21.0,7.35,6.01,15.65,5
RC,0250,sevelamer 800 mg tablet 270 each Bottle,14.38,5.04,1.72,12.55,20
RC,0250,sevelamer 800 mg tablet 50 each BLIST PACK,21.0,7.35,6.01,15.65,5
RC,0250,sevelamer carbonate 2.4 gram powder in packet 1 each Packet,45.44,15.91,13.01,33.85,5
RC,0250,sevelamer carbonate 2.4 gram powder in packet 90 each Box,50.54,17.69,14.47,37.65,5
RC,0250,sevelamer carbonate 2.4 gram powder in packet 90 each Packet,45.44,15.91,12.58,37.65,15
RC,0250,sevoflurane 99.97 % liquid 250 mL Bottle,359.015,125.66,92.09,295.38,10
RC,0250,sildenafiL (pulm.hypertension) 20 mg tablet 1 each BLIST PACK,38.89,13.62,1.72,35.57,20
RC,0250,sildenafiL (pulm.hypertension) 20 mg tablet 30 each BLIST PACK,26.87,9.405000000000001,1.72,35.57,15
RC,0250,sildenafiL (pulm.hypertension) 20 mg tablet 50 each BLIST PACK,38.89,13.62,11.14,28.97,5
RC,0250,sildenafiL 10 mg/mL suspension for reconstitution 112 mL Bottle,174.94,61.23,50.1,130.33,5
RC,0250,sildenafiL 100 MG tablet 30 each Bottle,247.6,86.66,70.91,184.46,5
RC,0250,sildenafiL 25 MG tablet 30 each Bottle,247.6,86.66,70.91,184.46,5
RC,0250,sildenafiL 50 MG tablet 30 each Bottle,247.6,86.66,70.91,184.46,5
RC,0250,siltuximab 20 mg/ml recon soln 1 each Vial,7585.98,2655.095,869.05,9042.49,10
RC,0250,"silver gel,extended release 42.5 g Tube",70.51,24.68,20.19,52.53,5
RC,0250,silver nitrate stick 75-25 % stick 1 each Packet,6.0,2.1,1.72,4.47,5
RC,0250,silver nitrate stick 75-25 % stick 10 each Packet,6.0,2.1,1.72,4.47,5
RC,0250,silver nitrate stick 75-25 % stick 100 each Vial,6.0,2.1,1.72,4.47,5
RC,0250,silver sulfADIAZINE 1 % cream 20 g Tube,47.059999999999995,16.475,7.38,50.92,10
RC,0250,silver sulfADIAZINE 1 % cream 25 g Tube,22.07,7.73,6.08,23.83,15
RC,0250,silver sulfADIAZINE 1 % cream 400 g Jar,139.71,48.9,40.01,104.08,5
RC,0250,silver sulfADIAZINE 1 % cream 50 g Jar,42.305,14.81,10.21,36.48,10
RC,0250,silver sulfADIAZINE 1 % cream 50 g Tube,36.58,12.81,10.21,36.48,15
RC,0250,"simethicone 125 MG tablet,chewable 18 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,"simethicone 125 MG tablet,chewable 60 each Bottle",6.0,2.1,1.72,4.47,10
RC,0250,"simethicone 40 mg/0.6 mL drops,suspension 15 mL DROP BTL",12.5,4.38,3.58,9.31,5
RC,0250,"simethicone 40 mg/0.6 mL drops,suspension 30 mL",7.01,2.46,2.01,5.22,5
RC,0250,"simethicone 40 mg/0.6 mL drops,suspension 30 mL Bottle",8.99,3.15,2.57,6.7,5
RC,0250,"simethicone 40 mg/0.6 mL drops,suspension 30 mL DROP BTL",18.939999999999998,6.635,1.76,26.37,30
RC,0250,"simethicone 80 MG tablet,chewable 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"simethicone 80 MG tablet,chewable 100 each BLIST PACK",6.0,2.1,1.72,4.47,10
RC,0250,"simethicone 80 MG tablet,chewable 100 each Bottle",6.0,2.1,1.72,4.47,10
RC,0250,"simethicone 80 MG tablet,chewable 8 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,simple syrup syrup 473 mL Bottle,44.09,15.435,11.83,34.93,10
RC,0250,simple syrup syrup 500 mL Bottle,672.6,235.41,192.63,501.09,5
RC,0250,simvastatin 10 MG tablet 1 each BLIST PACK,6.58,2.31,1.88,4.9,10
RC,0250,simvastatin 10 MG tablet 100 each BLIST PACK,6.58,2.31,1.88,4.9,10
RC,0250,simvastatin 20mg tablet 1 each BLIST PACK,11.61,4.07,3.33,8.65,10
RC,0250,simvastatin 20mg tablet 100 each BLIST PACK,11.61,4.07,3.33,8.65,10
RC,0250,simvastatin 20mg tablet 90 each Bottle,11.61,4.07,3.33,8.65,5
RC,0250,simvastatin 40mg tablet 1 each BLIST PACK,11.61,4.07,3.33,8.65,5
RC,0250,simvastatin 40mg tablet 100 each BLIST PACK,11.61,4.07,3.33,8.65,5
RC,0250,"sod chloride, sodium bicarb packet with rinse device 50 each KIT",6.0,2.1,1.72,4.47,5
RC,0250,"sod chloride, sodium bicarb packet with rinse device 60 each KIT",6.0,2.1,1.72,4.47,5
RC,0250,sodium acetate 2 mEq/mL solution 100 mL Vial,47.79,16.73,7.17,52.57,10
RC,0250,sodium acetate 2 mEq/mL solution 20 mL Vial,31.67,11.09,9.07,23.59,5
RC,0250,sodium acetate 2 mEq/mL solution 50 mL Vial,34.34,12.02,6.87,38.33,20
RC,0250,sodium acetate 4 mEq/mL solution 100 mL Vial,25.02,8.76,7.17,18.64,5
RC,0250,sodium and potassium phosphate 250 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,sodium bicarbonate 1 mEq/mL (8.4 %) solution 10 mL Vial,30.77,10.77,8.81,22.92,10
RC,0250,sodium bicarbonate 1 mEq/mL (8.4 %) solution 50 mL Vial,27.73,9.71,7.1,52.4,50
RC,0250,sodium bicarbonate 10 mEq/10 mL (8.4 %) syringe 10 mL Syringe,198.95,69.64,56.98,148.22,5
RC,0250,sodium bicarbonate 4 % solution 5 mL Vial,24.0,8.4,6.87,17.88,5
RC,0250,sodium bicarbonate 4.2 % (0.5 mEq/mL) syringe 10 mL Syringe,46.635,16.330000000000002,8.77,46.68,15
RC,0250,sodium bicarbonate 4.2 % solution 10 mL Vial,24.0,8.4,6.87,17.88,10
RC,0250,sodium bicarbonate 4.2 % solution 5 mL Vial,45.315,15.864999999999998,6.87,49.64,25
RC,0250,sodium bicarbonate 650 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,"sodium bicarbonate 650 MG tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,sodium bicarbonate 650 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,sodium bicarbonate 650 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,sodium bicarbonate 650 MG tablet 500 each DOSE-PACK,6.0,2.1,1.72,4.47,5
RC,0250,sodium bicarbonate 8.4 % (1 mEq/mL) syringe 50 mL Syringe,43.245000000000005,15.14,8.58,44.48,25
RC,0250,sodium bicarbonate powder 113 g Jar,16.8,5.88,4.81,12.52,5
RC,0250,sodium bicarbonate solution 250 mL Bag,123.9,43.37,35.48,92.31,5
RC,0250,sodium bicarbonate solution 500 mL Bag,247.8,86.73,70.97,184.61,5
RC,0250,"sodium bicarbonate/chloride 700-2,300 mg packet 30 each KIT",6.0,2.1,1.72,4.47,5
RC,0250,sodium bicarbonate/chloride packet with rinse device 60 each KIT,6.0,2.1,1.72,4.47,5
RC,0250,"sodium chloride 0.45 % 0.45 % 1,000 mL Bag",24.0,8.4,6.87,17.88,10
RC,0250,sodium chloride 0.45 % 0.45 % 50 mL Flex Cont,24.0,8.4,6.87,17.88,5
RC,0250,sodium chloride 0.45 % 0.45 % 500 mL Bag,24.0,8.4,6.87,17.88,5
RC,0250,sodium chloride 0.45 % 0.45 % 500 mL Flex Cont,24.0,8.4,6.87,17.88,10
RC,0250,"sodium chloride 0.45 % parenteral solution 1,000 mL Bag",24.0,8.4,6.87,17.88,5
RC,0250,"sodium chloride 0.45 % parenteral solution 1,000 mL Flex Cont",24.0,8.4,6.87,17.88,5
RC,0250,sodium chloride 0.45 % parenteral solution 50 mL Flex Cont,24.0,8.4,6.87,17.88,5
RC,0250,sodium chloride 0.45 % parenteral solution 500 mL Bag,24.0,8.4,6.87,17.88,10
RC,0250,sodium chloride 0.45 % parenteral solution 500 mL Flex Cont,24.0,8.4,6.87,17.88,10
RC,0250,"sodium chloride 0.65 % aerosol,spray 30 mL SQUEEZ BTL",9.84,3.45,2.82,7.33,5
RC,0250,"sodium chloride 0.65 % aerosol,spray 44 mL SQUEEZ BTL",6.0,2.1,1.72,4.47,5
RC,0250,sodium chloride 0.9 % (PF) solution 10 mL Vial,24.0,8.4,6.87,17.88,15
RC,0250,sodium chloride 0.9 % (PF) solution 2 mL Vial,24.0,8.4,6.87,17.88,5
RC,0250,sodium chloride 0.9 % (PF) solution 20 mL Vial,24.0,8.4,6.87,17.88,15
RC,0250,sodium chloride 0.9 % (PF) solution 50 mL Vial,24.0,8.4,6.87,17.88,10
RC,0250,sodium chloride 0.9 % 100 mL Bag,24.425,8.555,6.87,18.99,20
RC,0250,sodium chloride 0.9 % 100 mL Flex Cont,24.0,8.4,6.87,17.88,15
RC,0250,sodium chloride 0.9 % 50 mL Bag,37.465,13.120000000000001,9.12,30.33,20
RC,0250,sodium chloride 0.9 % 50 mL Flex Cont,24.0,8.4,6.87,17.88,5
RC,0250,sodium chloride 0.9 % parenteral solution 100 mL Bag,24.0,8.4,6.87,17.88,20
RC,0250,sodium chloride 0.9 % parenteral solution 50 mL Bag,24.0,8.4,6.87,17.88,15
RC,0250,"sodium chloride 0.9 % solution 1,000 mL Bag",320.96,112.34,91.92,239.12,5
RC,0250,"sodium chloride 0.9 % solution 1,000 mL Bottle",12.98,4.545,3.38,10.55,15
RC,0250,"sodium chloride 0.9 % solution 1,500 mL Bottle",14.16,4.96,4.06,10.55,5
RC,0250,sodium chloride 0.9 % solution 250 mL Bottle,28.32,9.92,8.11,21.1,5
RC,0250,"sodium chloride 0.9 % solution 3,000 mL Bag",49.56,17.35,6.35,42.2,20
RC,0250,"sodium chloride 0.9 % solution 3,000 mL Flex Cont",35.4,12.39,10.14,26.37,5
RC,0250,sodium chloride 0.9 % solution 500 mL Bottle,12.98,4.55,3.04,11.43,15
RC,0250,sodium chloride 0.9 % solution 500 mL Flex Cont,15.34,5.37,4.39,11.43,5
RC,0250,sodium chloride 0.9 % solution for nebulization 15 mL Vial,6.0,2.1,1.72,4.47,5
RC,0250,sodium chloride 0.9 % solution for nebulization 3 mL Vial,6.0,2.1,1.72,4.47,20
RC,0250,sodium chloride 0.9 % solution for nebulization 5 mL Vial,6.0,2.1,1.72,4.47,5
RC,0250,sodium chloride 0.9% syringe 10 mL Syringe,24.0,8.4,6.87,17.88,20
RC,0250,sodium chloride 1 gram tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,"sodium chloride 1 gram tablet,soluble 100 each Bottle",6.0,2.1,1.72,4.47,10
RC,0250,"sodium chloride 1,000 mg tablet,soluble 1 each BLIST PACK",6.0,2.1,1.72,4.47,5
RC,0250,"sodium chloride 1,000 mg tablet,soluble 1,000 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,sodium chloride 10 % solution for nebulization 15 mL Vial,6.0,2.1,1.72,4.47,5
RC,0250,sodium chloride 3 % parenteral solution 500 mL Bag,24.0,8.4,6.87,17.88,5
RC,0250,sodium chloride 3 % parenteral solution 500 mL Flex Cont,24.0,8.4,6.87,17.88,5
RC,0250,sodium chloride 3 % solution for nebulization 15 mL Vial,6.0,2.1,1.72,4.47,5
RC,0250,sodium chloride 3 % solution for nebulization 4 mL Vial,6.0,2.1,1.72,4.47,20
RC,0250,sodium chloride 4 mEq/mL solution 100 mL Vial,36.9,12.915,6.87,37.1,10
RC,0250,sodium chloride 4 mEq/mL solution 30 mL KIT,24.0,8.4,6.87,17.88,5
RC,0250,sodium chloride 4 mEq/mL solution 30 mL Vial,24.0,8.4,6.87,17.88,15
RC,0250,sodium chloride 5 % drops 15 mL DROP BTL,34.8,12.18,3.56,35.42,15
RC,0250,sodium chloride 5 % ointment 3.5 g Tube,28.765,10.075,7.28,30.98,20
RC,0250,sodium chloride bacteriostatic 0.9 % solution 10 mL Vial,24.0,8.4,6.87,17.88,10
RC,0250,sodium chloride bacteriostatic 0.9 % solution 20 mL Vial,24.0,8.4,6.87,17.88,5
RC,0250,sodium chloride bacteriostatic 0.9 % solution 30 mL Vial,24.0,8.4,6.87,17.88,20
RC,0250,sodium chloride per 500 mL,24.0,8.4,6.87,17.88,5
RC,0250,sodium chloride piggyback 100 mL Bag,24.0,8.4,6.87,17.88,10
RC,0250,sodium chloride piggyback 50 mL Bag,24.0,8.4,6.87,17.88,5
RC,0250,sodium chloride powder 100 g Jar,42.72,14.96,12.24,31.83,5
RC,0250,sodium chloride powder 500 g Jar,218.89,76.61500000000001,61.17,167.03,10
RC,0250,sodium chloride syringe 0.2 mL Syringe,24.0,8.4,6.87,17.88,5
RC,0250,sodium chloride syringe 10 mL Syringe,24.0,8.4,6.87,17.88,20
RC,0250,sodium citrate-citric acid 500-334 mg/5 mL solution 30 mL BLIST PACK,6.1850000000000005,2.165,1.72,4.75,10
RC,0250,sodium citrate-citric acid 500-334 mg/5 mL solution 30 mL Cup,13.665,4.785,3.55,11.13,15
RC,0250,sodium citrate-citric acid 500-334 mg/5 mL solution 473 mL Bottle,69.77,24.425,11.19,74.85,15
RC,0250,sodium fluoride 1.1 % gel 100 mL Bottle,43.66,15.29,12.5,32.53,5
RC,0250,sodium fluoride 1.1 % gel 56 g Tube,18.11,6.34,5.19,13.49,5
RC,0250,sodium fluoride 1.1 % gel 56.6 g Tube,100.25,35.09,28.71,74.69,5
RC,0250,sodium fluoride 1.1 % paste 100 mL Bottle,54.04,18.92,15.48,40.26,5
RC,0250,sodium glycerophosphate 1 mmol/mL solution 20 mL Vial,36.82,12.89,10.55,27.43,5
RC,0250,sodium hyaluronate 10 mg/mL syringe 0.85 mL Syringe,216.0,75.6,61.86,160.92,5
RC,0250,sodium hyaluronate 14 mg/mL syringe 0.85 mL Syringe,216.0,75.6,61.86,160.92,5
RC,0250,sodium hypochlorite 0.125 % solution 473 mL Bottle,37.95,13.285,9.27,32.43,10
RC,0250,sodium hypochlorite 0.25 % solution 473 mL Bottle,37.95,13.285,9.27,32.43,10
RC,0250,sodium hypochlorite 0.5 % solution 473 mL Bottle,36.28,12.7,9.27,29.94,10
RC,0250,sodium iodide 100 mcg/mL solution 10 mL Vial,28.3,9.91,8.11,21.08,5
RC,0250,sodium metabisulfite (bulk) 100 % granules 0.075 g Jar,70.21,24.58,20.11,52.31,5
RC,0250,sodium phosphate 3 mmol/mL solution 15 mL Vial,113.88,39.86,26.78,86.95,25
RC,0250,sodium phosphate 3 mmol/mL solution 5 mL Vial,54.94,19.23,13.09,40.95,25
RC,0250,sodium phosphate 3 mmol/mL solution 50 mL Vial,389.05,136.17,111.42,289.84,5
RC,0250,sodium phosphates 19-7 gram/118 mL enema 133 mL SQUEEZ BTL,6.0,2.1,1.72,4.47,20
RC,0250,sodium phosphates 19-7 gram/118 mL enema 266 mL SQUEEZ BTL,8.16,2.86,2.34,6.08,5
RC,0250,sodium phosphates 9.5-3.5 gram/59 mL enema 66 mL SQUEEZ BTL,6.0,2.1,1.72,4.47,5
RC,0250,sodium polystyrene 15 g/60 mL suspension 500 mL Bottle,141.6,49.56,40.55,105.49,5
RC,0250,sodium polystyrene 15 g/60 mL suspension 60 mL Bottle,16.355,5.73,1.74,19.83,10
RC,0250,sodium polystyrene 15 gram powder 454 g Bottle,412.5,144.38,118.14,307.31,5
RC,0250,sodium polystyrene 15-20 gram/60 mL suspension 60 mL Bottle,73.21,25.63,20.97,54.54,10
RC,0250,sodium polystyrene powder 453.6 g Jar,184.13,64.45,52.73,137.18,5
RC,0250,sodium tetradecyl sulfate 1 % (10 mg/mL) solution 2 mL Vial,221.25,77.44,63.37,164.83,10
RC,0250,sodium tetradecyl sulfate 3 % (30 mg/mL) solution 2 mL Vial,137.885,48.265,15.61,164.83,20
RC,0250,sodium thiosulfate 12.5 gram/50 mL (250 mg/mL) solution 50 mL Vial,273.76,95.82,78.4,203.95,5
RC,0250,sodium zirconium cyclosilicate 10 gram powder in packet 1 each Packet,81.33,28.47,23.29,60.59,5
RC,0250,sodium zirconium cyclosilicate 10 gram powder in packet 11 each Packet,81.33,28.47,23.29,60.59,5
RC,0250,sodium zirconium cyclosilicate 10 gram powder in packet 30 each Packet,81.33,28.47,23.29,60.59,5
RC,0250,sodium-pot-mag-Ca-chlor-acetat 25-20-5-5-30-30 mEq/20 mL solution 250 mL Vial,56.05,19.62,16.05,41.76,5
RC,0250,soft contact lens saline solution 118 mL Bottle,10.03,3.52,2.87,7.47,5
RC,0250,solifenacin 10 MG tablet 30 each Bottle,36.39,12.74,10.42,27.11,5
RC,0250,solifenacin 5 MG tablet 30 each Bottle,30.93,10.83,8.86,23.04,5
RC,0250,solifenacin 5 MG tablet 90 each Bottle,30.93,10.83,8.86,23.04,5
RC,0250,somatropin 0.2 mg/0.25 mL syringe 7 each Cartridge,88.04,30.82,25.21,65.59,5
RC,0250,sorbitoL 70 % solution 30 mL BLIST PACK,9.56,3.35,2.74,7.12,5
RC,0250,sorbitoL 70 % solution 473 mL Bottle,14.51,5.08,4.16,10.81,5
RC,0250,"sorbitoL-mannitoL 2.7-0.54 gram/100 mL solution 3,000 mL Bottle",42.48,14.87,12.17,31.65,5
RC,0250,sorbitol 70 % solution 473 mL Bottle,58.05,20.32,16.63,43.25,5
RC,0250,sotaloL 80 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,sotaloL 80 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,sotaloL 80 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,spironolacton-hydrochlorothiaz 25-25 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,spironolactone 100 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,spironolactone 100 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,20
RC,0250,spironolactone 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,spironolactone 100 MG tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,spironolactone 25 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,spironolactone 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,25
RC,0250,spironolactone 25 MG tablet 100 each Bottle,6.875,2.41,1.72,5.77,20
RC,0250,spironolactone 25 MG tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,spironolactone 25 mg/5 mL suspension 118 mL Bottle,1092.48,382.375,298.29,851.86,10
RC,0250,spironolactone 50 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,spironolactone 50 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,spironolactone 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,20
RC,0250,stavudine 15 MG capsule 60 each Bottle,15.24,5.34,4.11,12.01,15
RC,0250,stavudine 20 MG capsule 60 each Bottle,18.1,6.34,5.18,13.48,5
RC,0250,stavudine 30 MG capsule 60 each Bottle,19.23,6.74,5.51,14.33,5
RC,0250,stavudine 40 MG capsule 60 each Bottle,19.58,6.86,5.61,14.59,5
RC,0250,sterile irrigation irrigation solution 118 mL Bottle,9.19,3.22,2.63,6.85,5
RC,0250,sterile talc 4 gram suspension for reconstitution 1 each Vial,330.4,115.64,94.63,246.15,5
RC,0250,sterile water solution 10 mL Vial,9.7,3.4,2.53,10.55,25
RC,0250,sterile water solution 100 mL Vial,25.604999999999997,8.965,6.62,20.92,15
RC,0250,sterile water solution 20 mL Vial,13.69,4.8,1.72,13.78,25
RC,0250,sterile water solution 5 mL Vial,9.51,3.33,2.72,7.08,5
RC,0250,sterile water solution 50 mL Vial,19.94,6.98,1.72,17.84,25
RC,0250,succimer (bulk) 98 % powder 25 g Jar,2164.71,757.65,619.97,1612.71,5
RC,0250,succimer 100 mg capsule 100 each Bottle,62.4,21.84,17.87,46.49,5
RC,0250,succinylcholine,53.56,18.755000000000003,9.22,47.9,20
RC,0250,succinylcholine chloride 100 mg/5 mL (20 mg/mL) syringe 5 mL Syringe,263.55,92.25,75.48,196.34,5
RC,0250,succinylcholine per 20 mg,39.98,14.0,6.87,42.16,65
RC,0250,sucralfate 1 gram tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,sucralfate 1 gram tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,sucralfate 1 gram tablet 100 each Bottle,10.02,3.51,1.72,10.46,15
RC,0250,sucralfate 1 gram tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,sucralfate 100 mg/mL suspension 10 mL Cup,26.57,9.3,5.31,24.63,80
RC,0250,sucralfate 100 mg/mL suspension 420 mL Bottle,756.29,264.71,216.6,563.44,5
RC,0250,sucrose 24 % 15 mL Cup,6.0,2.1,1.72,4.47,5
RC,0250,sucrose 24 % 2 mL Vial,6.0,2.1,1.72,4.47,10
RC,0250,sugammadex 100 mg/mL solution 2 mL Vial,385.55,134.95,110.42,287.23,10
RC,0250,sulfaDIAZINE 500 mg tablet 100 each Bottle,11.91,4.17,3.41,8.87,5
RC,0250,sulfaDIAZINE 500 mg tablet 60 each Bottle,47.29,16.56,13.54,35.23,5
RC,0250,sulfaSALAzine 500 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,sulfaSALAzine 500 mg tablet 300 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,sulfaSALAzine 500 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,sulfacetamide 10 % drops 15 mL DROP BTL,131.33,45.97,37.61,97.84,5
RC,0250,sulfamethoxazole-trimethoprim 16 mg/mL of trimethoprim solution 10 mL Vial,35.71,12.504999999999999,10.17,26.75,25
RC,0250,sulfamethoxazole-trimethoprim 16 mg/mL of trimethoprim solution 5 mL Vial,24.0,8.4,6.87,17.88,15
RC,0250,sulfamethoxazole-trimethoprim 200-40 mg/5 mL suspension 473 mL Bottle,381.77,133.625,75.13,373.4,15
RC,0250,sulfamethoxazole-trimethoprim 400-80 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,sulfamethoxazole-trimethoprim 400-80 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,sulfamethoxazole-trimethoprim 400-80 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,sulfamethoxazole-trimethoprim 800-160 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,sulfamethoxazole-trimethoprim 800-160 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,25
RC,0250,sulfamethoxazole-trimethoprim 800-160 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,sulfamethoxazole-trimethoprim 800-160 mg tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,sulfanilamide 15 % cream 120 g TUBE/KIT,640.32,224.12,183.39,477.04,5
RC,0250,sulindac 200 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,surgical lubricant gel 120.49 g Tube,9.1,3.19,2.61,6.78,10
RC,0250,surgical lubricant gel 3 g Packet,6.0,2.1,1.72,4.47,5
RC,0250,surgical lubricant gel 5 g BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,tacrolimus 0.1 % ointment 30 g Tube,655.61,229.47,176.05,508.84,15
RC,0250,tacrolimus 0.1 % ointment 60 g Tube,1311.22,458.93,375.53,976.86,5
RC,0250,tacrolimus per 1 mg,412.06,144.23,118.01,306.98,10
RC,0250,tafenoquine 100 mg tablet 16 each BLIST PACK,45.67,15.99,13.08,34.02,5
RC,0250,tafluprost 0.0015 % dropperette 30 each BLIST PACK,21.72,7.61,6.22,16.18,5
RC,0250,tamoxifen 10 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,tamoxifen 10 MG tablet 60 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,tamoxifen 20 MG tablet 30 each Bottle,8.94,3.13,2.56,6.66,5
RC,0250,tamoxifen 20 mg/10 mL solution 150 mL Bottle,54.15,18.96,15.51,40.34,5
RC,0250,tamsulosin 0.4 mg capsule 1 each BLIST PACK,7.975,2.795,1.72,7.41,10
RC,0250,tamsulosin 0.4 mg capsule 100 each BLIST PACK,9.94,3.4850000000000003,2.84,7.41,10
RC,0250,tamsulosin 0.4 mg capsule 100 each Bottle,9.95,3.49,2.85,7.41,5
RC,0250,tamsulosin 0.4 mg capsule 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,tamsulosin 0.4 mg capsule 90 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,temazepam 15 mg capsule 1 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,temazepam 15 mg capsule 100 each BLIST PACK,9.0,3.15,2.58,6.71,5
RC,0250,temazepam 15 mg capsule 100 each Bottle,9.0,3.15,2.58,6.71,15
RC,0250,tenofovir 300 mg tablet 30 each Bottle,90.61,31.72,3.77,88.16,15
RC,0250,terazosin 2 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,terazosin 2 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,terazosin 2 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,terazosin 2 MG capsule 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,terbinafine 1 % cream 15 g Tube,19.275,6.75,5.43,14.59,10
RC,0250,terbinafine 1 % cream 28.4 g Tube,24.53,8.59,7.03,18.27,5
RC,0250,terbinafine 1 % cream 30 g Tube,28.39,9.94,8.13,21.15,5
RC,0250,terbinafine 250 mg tablet 30 each Bottle,30.450000000000003,10.66,8.64,22.89,15
RC,0250,terbutaline 2.5 MG tablet 100 each Bottle,12.84,4.5,3.68,9.57,10
RC,0250,terbutaline 5 mg tablet 100 each Bottle,15.68,5.49,4.49,11.68,5
RC,0250,terconazole 0.8 % cream 20 g TUBE/KIT,96.62,33.82,27.67,71.98,5
RC,0250,terconazole 80 mg suppository 3 each Box,77.0,26.95,22.05,57.37,5
RC,0250,teriparatide 20 mcg/dose (560mcg/2.24mL) pen injector 2.24 mL Syringe,13016.76,4555.87,3728.0,9697.49,5
RC,0250,teriparatide 20 mcg/dose (620mcg/2.48mL) pen injector 2.4 mL Syringe,10189.07,3566.18,2918.15,7590.86,5
RC,0250,testosterone 1 % (25 mg/2.5gram) gel in packet 2.5 g Packet,34.41,12.05,9.86,25.64,5
RC,0250,testosterone 1 % (50 mg/5 gram) gel in packet 5 g Packet,33.925,11.88,6.98,31.3,20
RC,0250,testosterone 2 mg/24 hour patch 24 hour 60 each Box,27.810000000000002,9.74,7.6,21.66,10
RC,0250,testosterone 4 mg/24 hr patch 24 hour 30 each Box,55.620000000000005,19.47,15.21,43.31,10
RC,0250,tetrabenazine 12.5 MG tablet 112 each Bottle,178.39,62.44,10.61,138.41,15
RC,0250,tetrabenazine 25 MG tablet 112 each Bottle,356.78,124.88,75.91,276.83,15
RC,0250,"tetracaine 0.5 % dropperette,viscous 1 each BLIST PACK",23.51,8.23,6.73,17.51,5
RC,0250,tetracaine 0.5 % drops 15 mL DROP BTL,178.415,62.449999999999996,29.2,189.89,10
RC,0250,tetracaine 0.5 % drops 5 mL DROP BTL,84.96,29.74,24.33,63.3,5
RC,0250,tetracaine 2 % solution 30 mL Bottle,37.45,13.11,10.73,27.9,5
RC,0250,tetracaine HCl (PF) 0.5 % drops 2 mL DROP BTL,26.03,9.12,7.45,19.39,5
RC,0250,tetracaine HCl (PF) 0.5 % drops 4 mL DROP BTL,39.31,13.76,11.26,29.29,5
RC,0250,tetracaine HCl powder 100 g Jar,2360.0,826.0,675.9,1758.2,5
RC,0250,tetracaine HCl powder 500 g Jar,698.56,244.5,200.07,520.43,5
RC,0250,tetracycline 500 MG capsule 100 each Bottle,37.17,13.01,10.65,27.69,10
RC,0250,tetracycline 500 MG capsule 60 each Bottle,37.17,13.01,10.65,27.69,5
RC,0250,thalidomide 100 MG capsule 28 each BLIST PACK,785.62,274.97,225.0,585.29,5
RC,0250,"theophylline 100 MG capsule,extended release 24hr 100 each Bottle",10.96,3.84,3.14,8.17,5
RC,0250,theophylline 200 MG tablet extended release 12 hr 100 each Box,6.0,2.1,1.72,4.47,5
RC,0250,theophylline 300 MG tablet extended release 12 hr 100 each Bottle,10.14,3.55,2.9,7.55,15
RC,0250,theophylline 400 mg tablet extended release 24 hr 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,theophylline 80 mg/15 mL elixir 473 mL Bottle,588.28,205.905,74.49,682.77,10
RC,0250,theophylline 80 mg/15 mL solution 473 mL Bottle,260.09,91.04,74.49,193.77,5
RC,0250,"thiamine 100 MG tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,10
RC,0250,thiamine 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,20
RC,0250,thiamine mononitrate 100 mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,thiamine mononitrate 100 mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,thiamine mononitrate 100 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,thiamine mononitrate 100 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,thioridazine 25 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,thioridazine 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,thioridazine 50 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,thiothixene 10 MG capsule 100 each Bottle,7.92,2.78,2.27,5.9,5
RC,0250,thiothixene 5 MG capsule 100 each BLIST PACK,8.55,3.0,2.45,6.37,5
RC,0250,thiothixene 5 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,"thrombin (bovine) 20,000 unit recon soln 1 each Vial",846.37,296.23,242.4,630.55,5
RC,0250,"thrombin (bovine) 20,000 unit spray syringe 1 each KIT",968.69,339.05,277.43,721.67,5
RC,0250,"thrombin (bovine) 20,000 unit spray,non-aerosol 1 each KIT",968.69,339.05,277.43,721.67,5
RC,0250,"thrombin (recombinant) 20,000 unit recon soln 1 each KIT",981.29,343.45500000000004,279.01,736.34,15
RC,0250,"thrombin (recombinant) 20,000 unit recon soln 1 each Vial",974.21,340.98,279.01,725.79,5
RC,0250,"thrombin (recombinant) 5,000 unit recon soln 1 each KIT",243.55,85.25,69.75,181.44,10
RC,0250,"thrombin 5,000 unit syringe kit 1 each KIT",586.63,205.33,168.01,437.04,5
RC,0250,thyroid 30 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,thyroid 60 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,"thyroid, pork 15 mg tablet 100 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,thyrotropin alfa 0.9 mg recon soln 1 each Vial,4787.5,1675.63,1371.14,3566.69,10
RC,0250,tiZANidine 2 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,tiZANidine 2 MG tablet 150 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,tiZANidine 2 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,tiZANidine 2 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,tiZANidine 4 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,tiZANidine 4 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,tiZANidine 4 MG tablet 150 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,tiZANidine 4 MG tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,tiaGABine 2 MG tablet 30 each Bottle,18.73,6.56,5.36,13.95,5
RC,0250,tiaGABine 4 MG tablet 30 each Bottle,18.73,6.56,4.53,25.13,15
RC,0250,ticagrelor 90 mg tablet 100 each BLIST PACK,21.94,7.68,6.28,16.35,5
RC,0250,ticagrelor 90 mg tablet 60 each Bottle,18.1,6.34,4.08,16.35,10
RC,0250,timolol 0.25 % drops 10 mL DROP BTL,65.49,22.93,18.76,48.79,5
RC,0250,timolol 0.25 % drops 5 mL DROP BTL,21.924999999999997,7.675000000000001,2.42,26.37,15
RC,0250,timolol 0.25 % gel forming solution 5 mL DROP BTL,467.87,163.76,134.0,348.56,5
RC,0250,timolol 0.5 % drops 10 mL DROP BTL,76.35,26.73,21.87,56.88,15
RC,0250,timolol 0.5 % drops 5 mL DROP BTL,40.12,14.05,4.43,446.48,25
RC,0250,tinidazole 500 MG tablet 12 each Bottle,19.96,6.99,5.72,14.87,5
RC,0250,"tiotropium 18 mcg capsule, w/inhalation device 30 each BLIST PACK",31.42,11.0,9.0,23.41,5
RC,0250,"tiotropium 18 mcg capsule, w/inhalation device 5 each BLIST PACK",34.47,12.07,9.87,25.68,5
RC,0250,tiotropium 2.5 mcg/actuation mist 4 g AER W/ADAP,212.4,74.34,6.08,1112.72,15
RC,0250,tipranavir 250 mg capsule 120 each Bottle,49.46,17.32,14.17,36.85,5
RC,0250,tirofiban per 0.25 mg,260.54,91.19,74.62,194.1,5
RC,0250,tobramycin 0.3 % drops 5 mL DROP BTL,57.3,20.06,9.84,59.78,10
RC,0250,tobramycin 15 mg/mL drops 15 mL DROP BTL,41.95,14.69,12.01,31.25,10
RC,0250,"tobramycin-dexamethasone 0.3-0.1 % drops,suspension 2.5 mL DROP BTL",171.24,59.94,30.77,175.42,25
RC,0250,tobramycin-dexamethasone 0.3-0.1 % ointment 3.5 g Tube,652.0899999999999,228.235,161.96,550.32,10
RC,0250,tolcapone 100 MG tablet 90 each Bottle,335.7,117.5,96.14,250.1,5
RC,0250,tolnaftate 1 % cream 14.18 g Tube,6.12,2.15,1.75,4.56,5
RC,0250,tolnaftate 1 % cream 30 g Tube,17.7,6.2,4.26,15.29,10
RC,0250,tolterodine 1 MG tablet 60 each Bottle,8.51,2.98,2.24,17.8,15
RC,0250,tolterodine 2 MG tablet 60 each Bottle,8.02,2.81,2.3,5.97,20
RC,0250,"tolterodine LA 2 MG capsule,extended release 24hr 30 each Bottle",38.91,13.62,11.14,28.99,5
RC,0250,"tolterodine LA 4 MG capsule,extended release 24hr 30 each Bottle",18.94,6.63,5.42,14.11,5
RC,0250,"tolterodine LA 4 MG capsule,extended release 24hr 500 each Bottle",18.96,6.64,5.43,14.13,5
RC,0250,tolvaptan 15 mg tablet 1 each BLIST PACK,1325.73,464.01,379.69,987.67,5
RC,0250,tolvaptan 15 mg tablet 10 each BLIST PACK,1329.345,465.275,379.69,1097.53,25
RC,0250,tolvaptan 30 mg tablet 10 each BLIST PACK,1528.27,534.9,437.7,1138.56,5
RC,0250,tolvaptan 7.5 mg 1 each Package,607.93,212.78,174.11,452.91,5
RC,0250,topiramate 100 MG tablet 100 each BLIST PACK,14.63,5.13,4.19,10.9,10
RC,0250,topiramate 100 MG tablet 500 each Bottle,15.34,5.37,4.39,11.43,5
RC,0250,topiramate 100 MG tablet 60 each Bottle,16.43,5.76,4.71,12.24,5
RC,0250,"topiramate 15 MG capsule, sprinkle 60 each Bottle",11.955,4.185,1.72,13.34,15
RC,0250,topiramate 200 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,topiramate 200 MG tablet 60 each Bottle,17.965,6.295,4.78,14.33,10
RC,0250,"topiramate 25 MG capsule, sprinkle 60 each Bottle",6.895,2.42,1.97,5.14,15
RC,0250,topiramate per 25 mg,6.015000000000001,2.1100000000000003,1.72,4.49,15
RC,0250,torsemide 100 MG tablet 100 each Bottle,7.17,2.51,2.05,5.34,5
RC,0250,torsemide 20 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,torsemide 20 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,traMADoL 50 mg tablet 1 each BLIST PACK,9.0,3.15,2.58,6.71,15
RC,0250,traMADoL 50 mg tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,20
RC,0250,traMADoL 50 mg tablet 100 each Bottle,9.0,3.15,2.58,6.71,10
RC,0250,traZODone 100mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,"traZODone 100mg tablet 1,000 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,traZODone 100mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,traZODone 100mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,traZODone 50mg tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,traZODone 50mg tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,traZODone 50mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,20
RC,0250,traZODone 50mg tablet 500 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,trace elements Cr-Cu-Mn-Zn 0.85 mcg-0.1 mg -25mcg-1.5mg/mL solution 2 mL Vial,32.79,11.48,9.39,24.43,5
RC,0250,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL AMPUL",70.185,24.564999999999998,11.83,63.3,20
RC,0250,"tranexamic acid 1,000 mg/10 mL (100 mg/mL) solution 10 mL Vial",54.94,19.23,3.1,152.59,160
RC,0250,tranexamic acid 650 mg tablet 1 each BLIST PACK,12.16,4.26,3.48,9.06,5
RC,0250,tranexamic acid 650 mg tablet 30 each BLIST PACK,12.29,4.305,3.48,9.25,10
RC,0250,tranexamic acid 650 mg tablet 30 each Bottle,12.315000000000001,4.3149999999999995,3.53,9.18,15
RC,0250,tranylcypromine 10 mg tablet 100 each Bottle,8.52,2.99,2.44,6.35,5
RC,0250,travoprost 0.004 % drops 2.5 mL DROP BTL,549.36,192.28,157.34,409.27,5
RC,0250,tretinoin 0.05 % cream 20 g Tube,46.73,16.36,13.38,34.81,5
RC,0250,tretinoin 10 mg capsule 1 each BLIST PACK,71.56,25.05,20.49,53.31,5
RC,0250,tretinoin 10 mg capsule 100 each Bottle,88.15,30.86,25.25,65.67,10
RC,0250,tretinoin 10 mg capsule 30 each BLIST PACK,71.56,25.05,20.49,53.31,5
RC,0250,triamcinolone 0.025 % cream 15 g Tube,10.51,3.68,3.01,7.83,15
RC,0250,triamcinolone 0.025 % ointment 15 g Tube,14.44,5.06,4.14,10.76,5
RC,0250,triamcinolone 0.025 % ointment 80 g Tube,23.79,8.33,6.81,17.72,10
RC,0250,triamcinolone 0.1 % cream 15 g Tube,9.17,3.21,2.43,10.26,15
RC,0250,triamcinolone 0.1 % cream 80 g Tube,22.47,7.87,6.44,16.74,5
RC,0250,triamcinolone 0.1 % ointment 15 g Tube,13.17,4.61,3.76,10.18,35
RC,0250,triamcinolone 0.1 % ointment 30 g Tube,16.99,5.95,4.87,12.66,10
RC,0250,triamcinolone 0.1 % ointment 80 g Tube,31.15,10.91,8.6,24.47,15
RC,0250,triamcinolone 0.1 % paste 5 g Tube,190.19,66.57,54.47,141.69,10
RC,0250,trichloroacetic acid 25 % recon soln 6.26 g Bottle,183.41,64.2,52.53,136.64,5
RC,0250,trichloroacetic acid 35 % recon soln 8.71 g Bottle,208.74,73.06,59.78,155.51,5
RC,0250,trichloroacetic acid 35 % solution 30 mL Bottle,23.97,8.39,6.87,17.86,5
RC,0250,trichloroacetic acid 50 % recon soln 12.51 g Bottle,244.01,85.41,69.88,181.79,5
RC,0250,trichloroacetic acid 80 % recon soln 20.04 g Bottle,264.8,92.68,75.84,197.28,5
RC,0250,trichloroacetic acid 90 % recon soln 22.5 g Bottle,272.93,95.53,78.17,203.33,5
RC,0250,trichloroacetic acid 90 % solution 30 mL Bottle,272.93,95.53,78.17,203.33,5
RC,0250,trifluoperazine 1 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,trifluoperazine 1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,trifluoperazine 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,trifluoperazine 10 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,trifluoperazine 2 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,trifluoperazine 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,trifluoperazine 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,trifluridine 1 % drops 7.5 mL DROP BTL,578.22,202.38,165.6,430.77,5
RC,0250,trihexyphenidyL 2 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,trihexyphenidyL 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,trimethoprim 100 mg tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,trimethoprim 100 mg tablet 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,trimethoprim 50 mg/5 mL solution 473 mL Bottle,2344.19,820.47,671.38,1746.42,5
RC,0250,tromethamine 1.8 gram/50 mL (0.3 molar) syringe 50 mL Syringe,240.75,84.27,68.95,179.36,5
RC,0250,tromethamine 36 mg/mL (0.3 M) solution 500 mL Glass Cont,1050.79,367.78,283.54,828.11,20
RC,0250,trophamine 10 % parenteral solution 500 mL Bag,113.28,39.655,28.73,94.06,10
RC,0250,tropicamide 0.5 % drops 15 mL DROP BTL,23.61,8.27,6.76,17.59,5
RC,0250,tropicamide 1 % drops 15 mL DROP BTL,45.04,15.765,1.72,62.64,20
RC,0250,tropicamide 1 % drops 2 mL DROP BTL,6.0,2.1,1.72,4.47,5
RC,0250,tropicamide 1 % drops 3 mL DROP BTL,6.0,2.1,1.72,4.47,5
RC,0250,trospium 20 mg tablet 60 each Bottle,6.7,2.35,1.92,4.99,5
RC,0250,trypan blue 0.06 % syringe 0.5 mL Syringe,119.3,41.76,34.17,88.88,5
RC,0250,tuberculin 5 tub. unit /0.1 mL solution 1 mL Vial,32.78,11.48,9.39,24.42,10
RC,0250,tuberculin 5 tub. unit /0.1 mL solution 5 mL Vial,25.54,8.94,7.31,19.03,10
RC,0250,ulipristaL 30 mg tablet 1 each BLIST PACK,105.49,36.925,29.0,81.76,10
RC,0250,urea 15 gram powder in packet 8 each Packet,10.27,3.6,2.94,7.65,5
RC,0250,urea 40 % cream 28.35 g Bottle,231.03,80.87,66.17,172.12,15
RC,0250,urea 40 % cream 28.35 g Tube,231.03,80.87,66.17,172.12,5
RC,0250,urea 40 % cream 85 g Bottle,358.87,125.61,102.78,267.36,5
RC,0250,ursodioL 300 mg capsule 1 each BLIST PACK,18.04,6.32,5.17,13.44,10
RC,0250,ursodioL 300 mg capsule 100 each BLIST PACK,15.239999999999998,5.34,3.56,13.44,10
RC,0250,ursodioL 300 mg capsule 100 each Bottle,17.35,6.08,4.97,12.93,15
RC,0250,ursodioL 300 mg capsule 50 each BLIST PACK,18.04,6.32,5.17,13.44,5
RC,0250,valACYclovir 500 MG tablet 1 each BLIST PACK,13.215,4.63,2.69,12.7,10
RC,0250,valACYclovir 500 MG tablet 100 each BLIST PACK,6.9,2.42,1.72,6.99,15
RC,0250,valACYclovir 500 MG tablet 30 each BLIST PACK,12.9,4.52,2.51,12.7,10
RC,0250,valACYclovir 500 MG tablet 30 each Bottle,17.05,5.97,4.88,12.7,5
RC,0250,valACYclovir 500 MG tablet 90 each Bottle,17.05,5.97,4.88,12.7,5
RC,0250,valGANciclovir 450 mg tablet 20 each BLIST PACK,352.65,123.43,101.0,262.72,5
RC,0250,valGANciclovir 450 mg tablet 30 each BLIST PACK,45.14,15.8,12.93,33.63,5
RC,0250,valGANciclovir 450 mg tablet 60 each Bottle,162.32,56.82,43.53,186.52,20
RC,0250,valGANciclovir 50 mg/mL recon soln 88 mL Bottle,2308.36,807.93,492.97,2207.73,20
RC,0250,valproate 500 mg/5 mL (100 mg/mL) solution 5 mL Vial,56.91,19.92,6.87,66.92,50
RC,0250,valproic acid 250 mg/5 mL (5 mL) solution 5 mL Cup,6.1850000000000005,2.165,1.72,4.75,20
RC,0250,valproic acid 250 mg/5 mL solution 473 mL Bottle,168.56,59.0,40.28,126.4,20
RC,0250,valproic acid 250 mg/5 mL solution 480 mL Bottle,1440.92,504.33,412.68,1073.49,5
RC,0250,valsartan 160 MG tablet 90 each Bottle,11.8,4.13,3.38,8.79,5
RC,0250,valsartan 80 MG tablet 90 each Bottle,10.97,3.84,3.14,8.17,5
RC,0250,vancomycin 1 gram/250 mL solution 250 mL Bag,34.03,11.92,6.87,42.07,30
RC,0250,vancomycin 1.5 gram/250 mL solution 250 mL Bag,57.16,20.009999999999998,12.46,52.76,10
RC,0250,vancomycin 1.75 gram/500 mL solution 500 mL Bag,110.21,38.58,15.98,128.33,15
RC,0250,vancomycin 125 MG capsule 1 each BLIST PACK,73.88,25.86,21.16,55.04,5
RC,0250,vancomycin 125 MG capsule 20 each BLIST PACK,40.55,14.195,2.07,55.04,25
RC,0250,vancomycin 125 MG capsule 50 each Bottle,7.31,2.56,2.09,5.45,5
RC,0250,vancomycin 1250 mg/250 mL solution 250 mL Bag,38.68,13.54,8.09,47.85,15
RC,0250,vancomycin 1500 mg/250 mL solution 250 mL Bag,38.795,13.585,9.76,32.41,10
RC,0250,vancomycin 1750 mg/500 mL solution 517.5 mL Bag,110.21,38.58,31.56,82.11,5
RC,0250,vancomycin 2 gram/500 mL solution 500 mL Bag,92.005,32.205,16.8,93.39,10
RC,0250,vancomycin 2000 mg/520 mL solution 520 mL Bag,125.36,43.88,35.9,93.39,5
RC,0250,vancomycin 25 mg/mL drops 15 mL DROP BTL,32.85,11.5,9.41,24.47,10
RC,0250,vancomycin 250 MG capsule 20 each BLIST PACK,136.33,47.72,39.04,101.57,5
RC,0250,vancomycin 31.5 mg/mL drops 16.2 mL DROP BTL,66.41,23.25,19.02,49.48,5
RC,0250,vancomycin 5 % 15 mL DROP BTL,28.23,9.89,8.09,21.03,5
RC,0250,vancomycin 50 mg/mL 150 mL KIT,6.0,2.1,1.72,4.47,5
RC,0250,vancomycin 50 mg/mL 2.5 mL Syringe,6.0,2.1,1.72,4.47,5
RC,0250,vancomycin 50 mg/mL 300 mL Bottle,6.0,2.1,1.72,4.47,5
RC,0250,vancomycin 50 mg/mL 300 mL KIT,6.0,2.1,1.72,4.47,5
RC,0250,vancomycin 50 mg/mL drops 15 mL DROP BTL,32.85,11.5,9.41,24.47,10
RC,0250,vancomycin 50 mg/mL recon soln 150 mL Bottle,7.01,2.46,2.01,5.22,10
RC,0250,vancomycin 50 mg/mL recon soln 300 mL Bottle,11.0,3.8499999999999996,1.72,11.92,10
RC,0250,vancomycin 50 mg/mL solution 150 mL KIT,6.0,2.1,1.72,4.47,5
RC,0250,vancomycin 50 mg/mL solution 2.5 mL Syringe,6.0,2.1,1.72,4.47,5
RC,0250,vancomycin 50 mg/mL solution 300 mL Bottle,6.0,2.1,1.72,4.47,5
RC,0250,vancomycin 50 mg/mL solution 300 mL KIT,6.0,2.1,1.72,4.47,5
RC,0250,vancomycin 750 mg/250 mL solution 250 mL Bag,56.07,19.63,16.06,41.77,5
RC,0250,vancomycin per 500 mg,24.0,8.4,6.87,17.88,5
RC,0250,"vancomycin-heparin 5 mg/mL-5,000 units/mL 5 mL Syringe",82.81,28.99,23.72,61.69,5
RC,0250,vandetanib 100 mg tablet 30 each Bottle,450.62,157.72,129.06,335.71,5
RC,0250,vandetanib 300 mg tablet 30 each Bottle,901.23,315.44,258.11,671.42,5
RC,0250,varenicline 0.5 MG tablet 56 each Bottle,23.73,8.31,6.8,17.68,5
RC,0250,varenicline tartrate 0.5 MG tablet 56 each Bottle,20.74,7.26,5.94,15.45,5
RC,0250,varenicline tartrate 1 mg tablet 56 each Bottle,21.89,7.67,5.94,17.68,20
RC,0250,"varicella-zoster gE vac,2 of 2 50 mcg suspension for reconstitution 1 each Vial",408.37,142.93,116.96,304.24,10
RC,0250,varicella-zoster immune glob 125 unit recon soln 1 each Vial,1932.84,676.5,553.57,1439.97,5
RC,0250,vasopressin 20 unit/mL solution 1 mL Vial,79.3,27.76,14.61,333.45,75
RC,0250,vasopressin 20 unit/mL solution 10 mL Vial,56.64,19.83,16.22,42.2,5
RC,0250,vasopressin 40 unit/100 mL (0.4 unit/mL) solution 100 mL Bag,928.6500000000001,325.03,165.8,952.4,10
RC,0250,vasopressin 40 unit/100 mL (0.4 unit/mL) solution 100 mL Vial,1202.89,421.02,344.51,896.15,10
RC,0250,vecuronium 10 mg recon soln 1 each Vial,24.035,8.415,6.87,17.93,55
RC,0250,vecuronium 20 mg recon soln 1 each Vial,37.92,13.28,9.77,35.86,15
RC,0250,venetoclax 100 mg tablet 1 each BLIST PACK,368.58,129.01,105.56,274.59,5
RC,0250,venlafaxine 100 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,venlafaxine 25 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,venlafaxine 25 MG tablet 30 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,venlafaxine 37.5 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,venlafaxine 37.5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,venlafaxine 75 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,venlafaxine 75 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,venlafaxine 75 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,"venlafaxine XR 150 MG capsule,extended release 24hr 1 each BLIST PACK",10.79,3.78,3.09,8.04,5
RC,0250,"venlafaxine XR 150 MG capsule,extended release 24hr 100 each BLIST PACK",8.395,2.94,1.72,8.04,10
RC,0250,"venlafaxine XR 150 MG capsule,extended release 24hr 30 each Bottle",11.99,4.2,3.43,8.93,5
RC,0250,"venlafaxine XR 150 MG capsule,extended release 24hr 90 each Bottle",11.99,4.2,3.43,8.93,5
RC,0250,"venlafaxine XR 37.5 MG capsule,extended release 24hr 1 each BLIST PACK",8.83,3.1,2.53,6.58,5
RC,0250,"venlafaxine XR 37.5 MG capsule,extended release 24hr 100 each BLIST PACK",8.83,3.1,2.53,6.58,5
RC,0250,"venlafaxine XR 37.5 MG capsule,extended release 24hr 30 each Bottle",9.82,3.44,2.81,7.32,5
RC,0250,"venlafaxine XR 37.5 MG capsule,extended release 24hr 90 each Bottle",9.83,3.45,2.82,7.32,5
RC,0250,"venlafaxine XR 75 MG capsule,extended release 24hr 1 each BLIST PACK",9.9,3.47,2.84,7.38,5
RC,0250,"venlafaxine XR 75 MG capsule,extended release 24hr 100 each BLIST PACK",9.9,3.47,2.84,7.38,5
RC,0250,"venlafaxine XR 75 MG capsule,extended release 24hr 30 each Bottle",11.01,3.86,3.15,8.2,5
RC,0250,"venlafaxine XR 75 MG capsule,extended release 24hr 90 each Bottle",11.01,3.86,3.15,8.2,5
RC,0250,verapamiL 120 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,verapamiL 120 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,verapamiL 2.5 mg/mL solution 2 mL Vial,29.48,10.32,6.87,61.98,85
RC,0250,verapamiL 80 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,verapamiL 80 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0250,verapamil 100 mcg/mL solution 50 mL Syringe,112.5,39.38,32.22,83.81,5
RC,0250,"verapamil PM 120 MG capsule,ext rel. pellets 24 hr 100 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,"verapamil PM 180 MG capsule,ext rel. pellets 24 hr 100 each Bottle",6.0,2.1,1.72,4.47,5
RC,0250,verapamil SR 240 MG tablet extended release 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,vilazodone 20 mg tablet 30 each Bottle,34.44,12.06,9.86,25.66,5
RC,0250,vilazodone 40 mg tablet 30 each Bottle,34.44,12.06,9.86,25.66,5
RC,0250,vitamin A & D ointment 113 g Jar,8.8,3.08,2.52,6.56,5
RC,0250,vitamin A & D ointment 113 g Tube,10.934999999999999,3.83,2.98,9.33,20
RC,0250,vitamin A & D ointment 42.5 g Tube,6.92,2.43,1.98,5.16,5
RC,0250,vitamin A & D ointment 56 g Tube,6.0,2.1,1.72,4.47,5
RC,0250,vitamin A 10000 UNIT capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,vitamin A capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,vitamin B complex with vitamin C/biotin 1-60-300 mg-mg-mcg tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,vitamin B-complex with C tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,vitamin B-complex with C tablet 130 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,vitamin E 180 mg (400 unit) capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,vitamin E 180 mg (400 unit) capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,vitamin E 180 mg (400 unit) capsule 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,vitamin E 22.5 mg (50 unit)/mL drops 30 mL DROP BTL,25.45,8.91,6.31,18.99,15
RC,0250,vitamin E 400 UNIT capsule 110 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,vitamin E 45 mg/0.25mL 100 unit/0.25mL drops 75 mL Bottle,6.0,2.1,1.72,4.47,5
RC,0250,vitamin E 50 unit/mL drops 30 mL DROP BTL,25.49,8.93,7.3,18.99,5
RC,0250,voriconazole 200 MG tablet 30 each BLIST PACK,110.7,38.75,31.7,82.47,10
RC,0250,voriconazole 200 MG tablet 30 each Bottle,114.64,40.129999999999995,31.39,139.81,30
RC,0250,voriconazole 200 mg/5 mL suspension for reconstitution 75 mL Bottle,2114.62,740.12,497.96,1855.47,15
RC,0250,voriconazole 50 MG tablet 30 each Bottle,46.91,16.42,13.44,34.95,5
RC,0250,vortioxetine 10 mg tablet 30 each Bottle,48.54,16.99,13.9,36.16,5
RC,0250,vortioxetine 20 mg tablet 30 each Bottle,48.54,16.99,13.9,36.16,5
RC,0250,vortioxetine 5 mg tablet 30 each Bottle,48.54,16.99,13.9,36.16,5
RC,0250,warfarin 1 MG tablet 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,warfarin 1 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,warfarin 1 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,warfarin 2.5 MG tablet 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,warfarin 5 MG tablet 100 each BLIST PACK,6.275,2.2,1.72,4.88,25
RC,0250,warfarin 5 MG tablet 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,water for injection (bacteriostatic) solution 30 mL Vial,24.0,8.4,6.87,17.88,10
RC,0250,"water for injection (sterile) parenteral solution 1,000 mL Bag",28.32,9.92,8.11,21.1,5
RC,0250,"water for injection (sterile) parenteral solution 2,000 mL Bag",24.0,8.4,6.87,17.88,5
RC,0250,"water for injection (sterile) parenteral solution 2,000 mL Flex Cont",28.32,9.92,8.11,21.1,5
RC,0250,"water for injection (sterile) parenteral solution 3,000 mL Bag",35.4,12.39,10.14,26.37,5
RC,0250,"water for irrigation (sterile) solution 1,000 mL Bottle",11.8,4.13,2.35,10.55,20
RC,0250,"water for irrigation (sterile) solution 1,000 mL Flex Cont",23.6,8.26,6.76,17.58,5
RC,0250,"water for irrigation (sterile) solution 1,500 mL Flex Cont",15.39,5.39,4.41,11.47,5
RC,0250,water for irrigation (sterile) solution 250 mL Flex Cont,30.68,10.74,8.79,22.86,5
RC,0250,"water for irrigation (sterile) solution 3,000 mL Flex Cont",31.86,11.155000000000001,8.11,26.37,10
RC,0250,water for irrigation (sterile) solution 500 mL Bottle,12.98,4.55,2.7,11.43,15
RC,0250,water for irrigation (sterile) solution 500 mL Flex Cont,13.57,4.75,3.38,11.43,10
RC,0250,wheat dextrin 4 gram powder in packet 28 each Packet,6.0,2.1,1.72,4.47,5
RC,0250,white petrolatum 41 % ointment 20 g Tube,20.25,7.09,5.8,15.09,5
RC,0250,white petrolatum 41 % ointment 396 g Jar,53.27,18.65,15.26,39.69,5
RC,0250,white petrolatum 41 % ointment 50 g Tube,20.3,7.11,5.81,15.12,5
RC,0250,white petrolatum 41 % ointment 85 g Tube,27.88,9.76,7.98,20.77,5
RC,0250,white petrolatum 41 % ointment 99 g Jar,30.84,10.8,8.83,22.98,5
RC,0250,white petrolatum gel 368 g Jar,13.9,4.87,3.98,10.36,5
RC,0250,white petrolatum-mineral oiL ointment 114 g Jar,31.48,11.02,9.02,23.45,5
RC,0250,"witch hazel 50 % pads, medicated 40 each Box",6.0,2.1,1.72,4.47,5
RC,0250,zafirlukast 10 MG tablet 60 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,zanamivir 5 mg/actuation blister with device 20 each Box,8.35,2.93,2.39,6.22,5
RC,0250,zidovudine per 100 mg,14.2,4.97,1.72,99.16,30
RC,0250,zinc oxide 13 % cream 113 g Tube,11.6,4.0649999999999995,2.83,9.93,10
RC,0250,zinc oxide 13 % cream 57 g Tube,8.88,3.11,2.54,6.62,5
RC,0250,zinc oxide 16 % ointment 113 g Tube,20.53,7.19,5.88,15.29,5
RC,0250,zinc oxide 16 % ointment 57 g Tube,12.78,4.48,3.66,9.52,5
RC,0250,zinc oxide 20 % ointment 28.35 g Tube,6.89,2.42,1.97,5.13,5
RC,0250,zinc oxide 20 % ointment 56.7 g Tube,20.21,7.08,5.79,15.06,5
RC,0250,zinc oxide 20 % ointment 57 g Tube,15.33,5.37,4.39,11.42,5
RC,0250,zinc oxide 40 % ointment 113 g Tube,23.47,8.22,6.72,17.49,5
RC,0250,zinc oxide 40 % ointment 57 g Tube,9.955,3.49,2.7,7.82,10
RC,0250,zinc oxide 40 % paste 113 g Tube,12.8,4.48,3.67,9.54,5
RC,0250,zinc oxide 40 % paste 28 g Tube,6.0,2.1,1.72,4.47,5
RC,0250,zinc oxide 40 % paste 57 g Tube,7.26,2.55,2.08,5.41,5
RC,0250,zinc oxide-petrolatum 20-51 % paste 170 g Tube,276.43,96.76,79.17,205.94,5
RC,0250,zinc sulfate 1 mg/mL solution 10 mL Vial,75.28,26.35,21.56,56.08,5
RC,0250,zinc sulfate 50 mg zinc (220 mg) capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,zinc sulfate 50 mg zinc (220 mg) capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,zinc sulfate 50 mg zinc (220 mg) capsule 100 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,zinc sulfate powder 500 g Jar,280.84,98.3,80.43,209.23,5
RC,0250,ziprasidone 20 MG capsule 1 each BLIST PACK,14.325,5.02,2.48,14.89,10
RC,0250,ziprasidone 20 MG capsule 20 each BLIST PACK,8.67,3.04,2.48,6.46,5
RC,0250,ziprasidone 20 MG capsule 60 each Bottle,21.15,7.41,6.06,15.76,10
RC,0250,ziprasidone 20 MG capsule 80 each BLIST PACK,13.895,4.87,2.24,14.89,10
RC,0250,ziprasidone 40 MG capsule 1 each BLIST PACK,19.98,7.0,5.72,14.89,5
RC,0250,ziprasidone 40 MG capsule 40 each BLIST PACK,21.16,7.41,6.06,15.76,5
RC,0250,ziprasidone 40 MG capsule 60 each Bottle,21.035,7.37,5.99,15.76,15
RC,0250,ziprasidone 40 MG capsule 80 each BLIST PACK,19.98,7.0,5.72,14.89,5
RC,0250,ziprasidone 60 MG capsule 60 each Bottle,25.67,8.99,7.35,19.12,5
RC,0250,ziprasidone 60 MG capsule 80 each BLIST PACK,24.24,8.49,6.94,18.06,5
RC,0250,ziprasidone 80 MG capsule 1 each BLIST PACK,24.24,8.49,6.94,18.06,5
RC,0250,ziprasidone 80 MG capsule 80 each BLIST PACK,24.24,8.49,6.94,18.06,5
RC,0250,zolpidem 5 MG tablet 100 each BLIST PACK,9.0,3.15,2.58,6.71,10
RC,0250,zolpidem 5 MG tablet 2 tablet Bottle,21.83,7.65,6.25,16.26,5
RC,0250,"zolpidem CR 12.5 MG tablet,ext release multiphase 100 each Bottle",14.43,5.06,4.13,10.75,5
RC,0250,"zolpidem CR 6.25 MG tablet,ext release multiphase 100 each Bottle",9.0,3.15,2.58,6.71,5
RC,0250,zonisamide 10 mg/mL suspension 50 mL Bottle,26.55,9.3,7.6,19.78,10
RC,0250,zonisamide 100 MG capsule 1 each BLIST PACK,6.0,2.1,1.72,4.47,15
RC,0250,zonisamide 100 MG capsule 100 each BLIST PACK,6.0,2.1,1.72,4.47,10
RC,0250,zonisamide 100 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,10
RC,0250,zonisamide 100 MG capsule 50 each BLIST PACK,6.0,2.1,1.72,4.47,5
RC,0250,zonisamide 100 MG capsule 500 each Bottle,6.0,2.1,1.72,4.47,5
RC,0250,zonisamide 100 mg/5 mL suspension 150 mL Bottle,1188.02,415.81,340.25,885.07,5
RC,0250,zonisamide 25 MG capsule 100 each Bottle,6.0,2.1,1.72,4.47,15
RC,0270,HC AERO-VENT,36.28,12.7,10.39,27.03,5
RC,0270,HC AKRAD CATHETER,83.29,29.16,23.85,62.05,5
RC,0270,HC BAG BILE 19OZ ADJUST,17.94,6.28,5.14,13.37,5
RC,0270,HC BAIR HUGGER,61.86,21.66,17.72,46.09,5
RC,0270,HC BLANKET HYPER/HYPO L VEST,173.42,60.7,49.67,129.2,5
RC,0270,HC BLANKET HYPER/HYPO LEG,84.82,29.69,24.29,63.19,5
RC,0270,HC BLANKET HYPER/HYPO S/M VEST,169.47,59.32,48.54,126.26,5
RC,0270,HC BLENDER OXYGEN,35.62,12.47,10.2,26.54,5
RC,0270,HC BNDG 3X10 ZINC OXIDE UNNABOOT,14.78,5.18,4.23,11.01,5
RC,0270,HC CATH ART RAD SET 22GX1 3/8,29.98,10.5,8.59,22.34,5
RC,0270,HC CATH EP EF QUAD,376.99,131.95,107.97,280.86,5
RC,0270,HC CATH FOLEY 12F 5CC LF,30.75,10.77,8.81,22.91,5
RC,0270,HC CATH FOLEY 14F 5CC,27.83,9.75,7.97,20.73,5
RC,0270,HC CATH FOLEY 16FR 5CC IC LUBRICA,25.84,9.05,7.4,19.25,5
RC,0270,HC CATH FOLEY 20F 5CC,27.83,9.75,7.97,20.73,5
RC,0270,HC CATH FOLEY 24F 30CC 3W,49.25,17.24,14.11,36.69,5
RC,0270,HC CATH FOLEY 6FR LF,69.44,24.31,19.89,51.73,5
RC,0270,HC CATH FOLEY 8F 3CC,21.87,7.66,6.26,16.29,5
RC,0270,HC CATH MONITOR PEDI,108.02,37.81,30.94,80.47,5
RC,0270,HC CATH ONLY FORPICC PEDI 24GX30C,142.57,49.9,40.83,106.21,5
RC,0270,HC CATH SUCT 14FR STL W/GLV,8.93,3.13,2.56,6.65,5
RC,0270,HC CATH SWAN GANZ MONITOR KIT,75.43,26.41,21.6,56.2,5
RC,0270,HC CERCLAGE TRAY,109.67,38.39,31.41,81.7,5
RC,0270,"HC CS TRANSDUCER, SWAN",79.01,27.66,22.63,58.86,5
RC,0270,HC CUSTOM LT HEART PACK,127.66,44.69,36.56,95.11,5
RC,0270,HC CUSTOM RT HEART PACK,66.18,23.17,18.95,49.3,5
RC,0270,HC DSG 4INX4IN CALCIUM ALGINATE,8.51,2.98,2.44,6.34,5
RC,0270,HC DSG D STAY DRY,202.21,70.78,57.91,150.65,5
RC,0270,HC ELECTRODE PAD ELCT. STIMULATON,6.0,2.1,1.72,4.47,10
RC,0270,HC ENEMA ADULT MINERAL OIL FLEET,6.08,2.13,1.74,4.53,5
RC,0270,HC FABRICATION,89.48,31.32,25.63,66.66,10
RC,0270,HC FILSHIE CLIP EACH SET X,222.77,77.97,63.8,165.96,5
RC,0270,HC FLOWMETER OXYGEN,148.07,51.83,42.41,110.31,5
RC,0270,HC FMS COLLECTION BAG,15.21,5.33,4.36,11.33,5
RC,0270,HC IN HSE TRANS OF PAT 45M,88.63,31.03,25.38,66.03,5
RC,0270,HC MITYVAC - DISPOSABLE,84.35,29.53,24.16,62.84,5
RC,0270,HC NACL 30CC,2.78,0.98,0.8,2.07,5
RC,0270,HC NDL HUBER 20GX1IN,17.81,6.24,5.1,13.27,5
RC,0270,HC NDL HUBER 22GX0.75IN,17.81,6.24,5.1,13.27,5
RC,0270,HC OXIMETRY TITRATION,75.78,26.53,21.7,56.46,5
RC,0270,HC OXYGEN,40.16,14.06,11.5,29.92,5
RC,0270,HC PAD ECG DEFIB 4.5X4.5IN CONMED,13.23,4.64,3.79,9.86,5
RC,0270,HC PSTNR DONUT INFLAT CUSHION,3.37,1.18,0.97,2.51,5
RC,0270,HC PUNCH BX 4MM SKIN STL ACUDERM,4.18,1.47,1.2,3.11,5
RC,0270,HC STOCKING PNEUM KNEE-HI UNIV,74.34,26.02,21.29,55.38,5
RC,0270,HC TEFCAT CATHETER,40.78,14.28,11.68,30.38,5
RC,0270,HC THUMB SPICA,80.33,28.12,23.01,59.85,15
RC,0270,HC TRANSSEPTAL NEEDLE,771.12,269.9,220.85,574.48,5
RC,0270,HC TRAY CVP DSG,29.43,10.31,8.43,21.93,5
RC,0270,HC TRAY TRACH CARE,4.5,1.58,1.29,3.35,5
RC,0270,"HC TRAY,INTUBATION",738.7,258.55,211.56,550.33,5
RC,0270,HC WOUND CARE LEVEL 1,28.65,10.03,8.21,21.34,10
RC,0270,HC WRAP INFANT HYPOTHERM 4KG,672.0,235.2,192.46,500.64,5
RC,0270,HC WRAP INFANT HYPOTHERM 4KG-7KG,672.0,235.2,192.46,500.64,5
RC,0272,HC ADAPT FEEDING TUBE RED,21.84,7.65,6.25,16.27,5
RC,0272,HC ADAPT FEM LL TUOHY BORST,18.82,6.59,5.39,14.02,5
RC,0272,"HC ALCOHOL, ISOPROPYL",6.83,2.4,1.96,5.09,5
RC,0272,HC ALEXIS C-SEC RETRACTOR 11-17CM,263.76,92.32,75.54,196.5,5
RC,0272,HC ALEXIS C-SECTION RETRACTOR,202.21,70.78,57.91,150.65,5
RC,0272,HC ANEST TRAY PAIN UNIVERSAL BLK,54.6,19.11,15.64,40.68,5
RC,0272,HC BAKRI TAMPONADE BALLOON,719.71,251.9,206.12,536.18,5
RC,0272,HC BALLOON CONQUEST PTA,840.0,294.0,240.58,625.8,5
RC,0272,HC BALLOON RX RETRIEV,514.08,179.93,147.23,382.99,5
RC,0272,HC BALLOON SHOCKWARE E8 IVL 4.0X80,9400.0,3290.0,2692.16,7003.0,5
RC,0272,HC BALLOON SHOCKWARE E8 IVL 5.0X80,9400.0,3290.0,2692.16,7003.0,5
RC,0272,HC BALLOON SHOCKWARE E8 IVL 6.0X80,9400.0,3290.0,2692.16,7003.0,5
RC,0272,HC BALLOON SHOCKWAVE E8 IVL 2.5X80,9400.0,3290.0,2692.16,7003.0,5
RC,0272,HC BALLOON SHOCKWAVE E8 IVL 3.0X80,9400.0,3290.0,2692.16,7003.0,5
RC,0272,HC BALLOON SHOCKWAVE E8 IVL 3.5X80,9400.0,3290.0,2692.16,7003.0,5
RC,0272,HC BALLOON SHOCKWAVE JAVLIN 025X150,9400.0,3290.0,2692.16,7003.0,5
RC,0272,HC BALLOON ULTR LOW PRF,1008.0,352.8,288.69,750.96,5
RC,0272,HC BAND COMPRESS HEMO 24,65.52,22.94,18.76,48.81,5
RC,0272,HC BAND COMPRESS HEMO 27,65.52,22.94,18.76,48.81,5
RC,0272,HC BAND VASC TR REG,110.88,38.81,31.76,82.61,5
RC,0272,HC BOBBIN MYRINGOTOMY FLUOR1.14,18.71,6.55,5.36,13.94,5
RC,0272,HC BRUSH RX CYTOLOGY,366.28,128.2,104.9,272.88,5
RC,0272,HC CANNULA,167.08,58.48,47.85,124.47,5
RC,0272,HC CAP END TIDAL CO2 DTECTR SZ24,30.24,10.59,8.66,22.53,5
RC,0272,HC CAP RX LOCK AND BIOPSY PENTEX,31.06,10.88,8.9,23.14,5
RC,0272,HC CATH ANGIO BEA C1  5F 035 65,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA C1 5F 035 100,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA C1 5F 038 80,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA C2 5F 035 100,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA C2 5F 035 80,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA C2 5F 038 65,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA CHG B 5F 038 80,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA CHG C 5F 038 80,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA DAV 5F 035 125,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA DAV 5F 035 65,84.0,29.4,24.06,62.58,10
RC,0272,HC CATH ANGIO BEA DAV 5F 038 65,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA FC3 5F 035 100,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA H1 5F 035 100,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA HN5 5F 038 100,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA JB1 5F 035 100,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA JB1 5F 038 100,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA JB1 5F 038 65,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA JB2 5F 035 100,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA JB2 5F 038 100,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA KMP 5F 035 40,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA KMP 5F 038 40,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA KMP 5F 038 65,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA LEV1 5F 038 65,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA MPA 5F 038 100,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA MPA 5F 038 125,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA MPA 5F 038 65,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA MPA 5F 038 80,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA MPB 5F 038 80,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA RC1 5F 035 65,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA RC1 5F 038 65,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA RC2 5F 035 65,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA RC2 5F 038 65,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA RIM 5F 035 65,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA RIM 5F 038 100,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA RIM 5F 038 65,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA RLG 5F 038 65,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA RLG 5F 038 80,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA SIM1 5F 035 100,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA SIM1 5F 038 65,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA SIM2 5F 035 100,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA SIM2 5F 038 100,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA SIM2 5F 038 125,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA SIM2 5F 038 65,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA SIM3 5F 035 100,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA SIM3 5F 038 100,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA TEGT 5F 038 65,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA VERT 5F 038 100,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA VERT 5F 038 125,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA VS 5F 038 80,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA VS1 5F 038 80,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA VS2 5F 038 80,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA VS3 5F 038 80,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA VTK 5F 038 100,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA VTK 5F 038 125,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA WNBG 5F 035 100,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEA WNBG 5F 038 100,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEACHG2.5 5F 038 80,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEAI C1 5F 035 60,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ANGIO BEASHK1.0 5F 038 65,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH ART RAD WIND SET 20GX1.5,33.37,11.68,9.56,24.86,5
RC,0272,HC CATH BAND LNG TR INFLATOR,134.95,47.24,38.65,100.54,5
RC,0272,HC CATH COIL EMB DTCH 035X14X10,1638.0,573.3,469.12,1220.31,5
RC,0272,HC CATH COIL EMB DTCH 035X14X12,1638.0,573.3,469.12,1220.31,5
RC,0272,HC CATH COIL EMB DTCH 035X14X14,1638.0,573.3,469.12,1220.31,5
RC,0272,HC CATH COIL EMB DTCH 035X14X16,1638.0,573.3,469.12,1220.31,5
RC,0272,HC CATH COIL EMB DTCH 035X14X18,1638.0,573.3,469.12,1220.31,5
RC,0272,HC CATH COIL EMB DTCH 035X14X20,1638.0,573.3,469.12,1220.31,5
RC,0272,HC CATH COIL EMB DTCH 035X14X6,1638.0,573.3,469.12,1220.31,5
RC,0272,HC CATH COIL EMB DTCH 035X14X8,1638.0,573.3,469.12,1220.31,5
RC,0272,HC CATH COIL EMB DTCH 035X7X10,1512.0,529.2,433.04,1126.44,5
RC,0272,HC CATH COIL EMB DTCH 035X7X12,1512.0,529.2,433.04,1126.44,5
RC,0272,HC CATH COIL EMB DTCH 035X7X14,1512.0,529.2,433.04,1126.44,5
RC,0272,HC CATH COIL EMB DTCH 035X7X16,1512.0,529.2,433.04,1126.44,5
RC,0272,HC CATH COIL EMB DTCH 035X7X18,1512.0,529.2,433.04,1126.44,5
RC,0272,HC CATH COIL EMB DTCH 035X7X20,1638.0,573.3,469.12,1220.31,5
RC,0272,HC CATH COIL EMB DTCH 035X7X6,1512.0,529.2,433.04,1126.44,5
RC,0272,HC CATH COIL EMB DTCH 035X7X8,1512.0,529.2,433.04,1126.44,5
RC,0272,HC CATH CONTOUR SE  1ML,497.28,174.05,142.42,370.47,5
RC,0272,HC CATH CONTOUR SE 2ML,55.27,19.35,15.83,41.18,5
RC,0272,HC CATH DILAT SHNDR BLRY,188.5,65.98,53.99,140.43,5
RC,0272,HC CATH DILAT SHNDR BLRY 6FX200CM,194.88,68.21,55.81,145.19,5
RC,0272,HC CATH DILAT SHNDR BLRY 7FX200CM,194.88,68.21,55.81,145.19,5
RC,0272,HC CATH DILAT SHNDR BLRY 9FX200CM,194.88,68.21,55.81,145.19,5
RC,0272,HC CATH DILAT SHNDR BLRY11.5FX200,194.88,68.21,55.81,145.19,5
RC,0272,HC CATH DRAIN 14-16F,1373.4,480.69,393.34,1023.18,5
RC,0272,HC CATH DRAIN DAW MUEL,242.39,84.84,69.42,180.58,5
RC,0272,HC CATH DRN NASOBILIARY 7FRX250,369.6,129.36,105.85,275.35,5
RC,0272,HC CATH DRN PLEURAL PGTL,449.6,157.36,128.77,334.95,5
RC,0272,HC CATH EMBOSPHERE 300 500 SYR2ML,777.6,272.16,222.7,579.31,5
RC,0272,HC CATH EP EF QUAD,376.99,131.95,107.97,280.86,5
RC,0272,HC CATH EXTRACTION KIT CET200,134.4,47.04,38.49,100.13,5
RC,0272,HC CATH GLIDE  ST GWIR0.038,163.13,57.1,46.72,121.53,5
RC,0272,HC CATH GOOSE NCK,1024.8,358.68,293.5,763.48,5
RC,0272,HC CATH GUIDE VIZIGO MD CRV,2255.4,789.39,645.95,1680.27,5
RC,0272,HC CATH IMPRESS REUTER 5F,45.36,15.88,12.99,33.79,5
RC,0272,HC CATH IMPRESS VERTEB 5F,45.36,15.88,12.99,33.79,5
RC,0272,HC CATH INTRO GROSHONG,1470.23,514.59,421.07,1095.32,5
RC,0272,HC CATH INTRO GROSHONG 8FR,3552.7,1243.45,1017.49,2646.76,5
RC,0272,HC CATH KUMPE 65CM,45.36,15.88,12.99,33.79,5
RC,0272,HC CATH LACRIMAL INTUB W/TUBING,123.48,43.22,35.36,91.99,5
RC,0272,HC CATH LITHOPLASTY 3.5X60,5775.0,2021.25,1653.96,4302.38,5
RC,0272,HC CATH LITHOPLASTY 4.0X40,5775.0,2021.25,1653.96,4302.38,5
RC,0272,HC CATH LITHOPLASTY 4.0X60,5775.0,2021.25,1653.96,4302.38,5
RC,0272,HC CATH LITHOPLASTY 5.5X60,5775.0,2021.25,1653.96,4302.38,5
RC,0272,HC CATH LITHOPLASTY 6.0X60,5775.0,2021.25,1653.96,4302.38,5
RC,0272,HC CATH LITHOPLASTY 6.5X60,5775.0,2021.25,1653.96,4302.38,5
RC,0272,HC CATH LITHOPLASTY 7.0X60,5775.0,2021.25,1653.96,4302.38,5
RC,0272,HC CATH LUM EMBL 5.5FX80CM,273.84,95.85,78.43,204.01,5
RC,0272,HC CATH MDL BILI SM PMTD7.0X19X90,2929.5,1025.33,839.01,2182.48,5
RC,0272,HC CATH PERM REPAIR KIT,449.4,157.29,128.71,334.8,5
RC,0272,HC CATH PROXIS INFUSION,1008.0,352.8,288.69,750.96,5
RC,0272,HC CATH PUSHING -MULTI SIZES,100.8,35.28,28.87,75.1,5
RC,0272,HC CATH PVA 300-500,308.7,108.05,88.41,229.98,5
RC,0272,HC CATH SFTY D/L POLY RADPICC,1192.8,417.48,341.62,888.64,5
RC,0272,HC CATH SFTY S/L POLY RADPIC,188.16,65.86,53.89,140.18,5
RC,0272,HC CATH SHEATH DRY SEAL 12X65,1915.2,670.32,548.51,1426.82,5
RC,0272,HC CATH SHEATH DRY SEAL 14X65,1915.2,670.32,548.51,1426.82,5
RC,0272,HC CATH SHEATH DRY SEAL 16X65,1915.2,670.32,548.51,1426.82,5
RC,0272,HC CATH SHEATH INTR IMPELLA 14F,1764.0,617.4,505.21,1314.18,5
RC,0272,HC CATH SHEATHANL1 5.0 18/38,223.1,78.09,63.9,166.21,5
RC,0272,HC CATH SHOCKWARE PERI IVL 3.5X60,5775.0,2021.25,1653.96,4302.38,5
RC,0272,HC CATH SHOCKWARE PERI IVL 4.5X60,5775.0,2021.25,1653.96,4302.38,5
RC,0272,HC CATH SHOCKWARE PERI IVL 5.5X60,5775.0,2021.25,1653.96,4302.38,5
RC,0272,HC CATH SHOCKWARE PERI IVL 6.5X60,5775.0,2021.25,1653.96,4302.38,5
RC,0272,HC CATH SHOCKWARE PERI IVL 7.0X60,5775.0,2021.25,1653.96,4302.38,5
RC,0272,HC CATH SHOCKWARE PERI IVL 8.0X60,5775.0,2021.25,1653.96,4302.38,5
RC,0272,HC CATH SINGLE LUMEN 5F,403.2,141.12,115.48,300.38,5
RC,0272,HC CATH SOS OMNI SELECTIVE,80.64,28.23,23.1,60.08,5
RC,0272,HC CATH STENT GRFT BALLOON,1495.2,523.32,428.23,1113.92,5
RC,0272,HC CATH SV BEREN 5FX100 038 B PG,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH SV CB2 5FX65 035 B PG,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH SV CB2 5FX80 038 B PG,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH SV SW1 5FX100 038 B PG,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH SV SW3 5FX100 038 B PG,84.0,29.4,24.06,62.58,5
RC,0272,HC CATH SWAN GANZ 5.5F PEDI,899.2,314.72,257.53,669.9,5
RC,0272,HC CATH TJLBX,1283.1,449.09,367.48,955.91,5
RC,0272,HC CATH TRAY CENTRAL LINE,92.13,32.25,26.39,68.64,5
RC,0272,HC CATH UMB ART 5FR,46.94,16.43,13.44,34.97,5
RC,0272,HC CATH UMB DUAL LUMEN 3.5F,112.32,39.32,32.17,83.68,5
RC,0272,HC CATH VISCERAL,50.8,17.78,14.55,37.85,5
RC,0272,HC CATH VSSL 20BD5F.052,319.2,111.72,91.42,237.8,5
RC,0272,HC CATH VSSL 2BD 5F.052,94.08,32.93,26.94,70.09,5
RC,0272,HC CAUT BIPOLAR 18G,28.99,10.15,8.3,21.6,5
RC,0272,HC CLIP HEMOSTAT DEVICE,531.22,185.93,152.14,395.76,5
RC,0272,HC CLSR COMPRESS RADIAL 26,100.8,35.28,28.87,75.1,5
RC,0272,HC CLSR TECHSTAR SUT 6FR,863.52,302.24,247.31,643.32,5
RC,0272,HC D STAT FLOWABLE,359.86,125.96,103.06,268.1,5
RC,0272,HC DEVICE BIOPINCE,147.84,51.75,42.34,110.14,5
RC,0272,HC DEVICE FASTING PERCUTANE SM,32.76,11.47,9.38,24.41,5
RC,0272,HC DEVICE INFLATION 622510,100.8,35.28,28.87,75.1,5
RC,0272,HC DEVICE NET STD RETRIEVAL,257.04,89.97,73.62,191.49,5
RC,0272,HC DEVICE OCCL POD CPLX 4X30,3580.0,1253.0,1025.31,2667.1,5
RC,0272,HC DEVICE OCCL POD CPLX 5X30,3580.0,1253.0,1025.31,2667.1,5
RC,0272,HC DEVICE OCCL POD CPLX 6X50,3580.0,1253.0,1025.31,2667.1,5
RC,0272,HC DEVICE OCCL POD CPLX 8X60,3580.0,1253.0,1025.31,2667.1,5
RC,0272,HC DEVICE PUPIL MALYUGIN RING,420.0,147.0,120.29,312.9,5
RC,0272,HC DEVICE STAY FIX L 12F,32.55,11.4,9.32,24.25,5
RC,0272,HC DRAIN CHEST INLN .25 TB STPCK,120.75,42.27,34.58,89.96,5
RC,0272,HC DSG D STAY DRY,202.21,70.78,57.91,150.65,5
RC,0272,HC DSG NASAL PK BACT SM,31.22,10.93,8.94,23.26,5
RC,0272,HC ELCTRD PCING TRNSVEN BALN 5FR,581.47,203.52,166.53,433.2,5
RC,0272,HC ENDO SPHINC AUTOTOME RX39 20MM,967.68,338.69,277.14,720.92,5
RC,0272,HC ENDO SPHINC TRILUM MONOWR,440.16,154.06,126.06,327.92,5
RC,0272,HC ENDO SPHINC UTS WGUIDE 5.1X 180,735.84,257.55,210.74,548.2,5
RC,0272,HC ENDO SPHINC WIREGUIDE,811.82,284.14,232.51,604.81,5
RC,0272,HC EXCITE CONTRAST INJECT TUBING,23.81,8.34,6.82,17.74,5
RC,0272,HC FCP BIOPSY RADIAL EDGE 1.8X100,148.05,51.82,42.4,110.3,5
RC,0272,HC FCP GI COLD,29.32,10.27,8.4,21.84,10
RC,0272,HC FCP GI HOT BIOPSY,68.54,23.99,19.63,51.06,5
RC,0272,HC FCP GI W/NDL,189.57,66.35,54.29,141.23,5
RC,0272,HC FCP RADIAL JUMBO W/NDL,154.22,53.98,44.17,114.89,5
RC,0272,HC FIT PRESS REPO SLEEVE,28.28,9.9,8.1,21.07,5
RC,0272,HC I COIL EMBOLD FIBER 10X20,2360.4,826.14,676.02,1758.5,5
RC,0272,HC I COIL EMBOLD FIBER 10X30,2950.5,1032.68,845.02,2198.12,5
RC,0272,HC I COIL EMBOLD FIBER 10X50,2950.5,1032.68,845.02,2198.12,5
RC,0272,HC I COIL EMBOLD FIBER 12X20,2360.4,826.14,676.02,1758.5,5
RC,0272,HC I COIL EMBOLD FIBER 12X30,2950.5,1032.68,845.02,2198.12,5
RC,0272,HC I COIL EMBOLD FIBER 12X50,2950.5,1032.68,845.02,2198.12,5
RC,0272,HC I COIL EMBOLD FIBER 14X20,2360.4,826.14,676.02,1758.5,5
RC,0272,HC I COIL EMBOLD FIBER 14X30,2950.5,1032.68,845.02,2198.12,5
RC,0272,HC I COIL EMBOLD FIBER 14X50,2950.5,1032.68,845.02,2198.12,5
RC,0272,HC I COIL EMBOLD FIBER 18X50,2950.5,1032.68,845.02,2198.12,5
RC,0272,HC I COIL EMBOLD FIBER 20X50,2950.5,1032.68,845.02,2198.12,5
RC,0272,HC I COIL EMBOLD FIBER 22X60,2950.5,1032.68,845.02,2198.12,5
RC,0272,HC I COIL EMBOLD FIBER 2X4,2146.2,751.17,614.67,1598.92,5
RC,0272,HC I COIL EMBOLD FIBER 2X6,2146.2,751.17,614.67,1598.92,5
RC,0272,HC I COIL EMBOLD FIBER 32X60,2950.5,1032.68,845.02,2198.12,5
RC,0272,HC I COIL EMBOLD FIBER 3X12,2360.4,826.14,676.02,1758.5,5
RC,0272,HC I COIL EMBOLD FIBER 3X6,2146.2,751.17,614.67,1598.92,5
RC,0272,HC I COIL EMBOLD FIBER 4X15,2360.4,826.14,676.02,1758.5,5
RC,0272,HC I COIL EMBOLD FIBER 4X8,2146.2,751.17,614.67,1598.92,5
RC,0272,HC I COIL EMBOLD FIBER 5X15,2360.4,826.14,676.02,1758.5,5
RC,0272,HC I COIL EMBOLD FIBER 5X8,2146.2,751.17,614.67,1598.92,5
RC,0272,HC I COIL EMBOLD FIBER 6X10,2360.4,826.14,676.02,1758.5,5
RC,0272,HC I COIL EMBOLD FIBER 6X20,2360.4,826.14,676.02,1758.5,5
RC,0272,HC I COIL EMBOLD FIBER 8X20,2360.4,826.14,676.02,1758.5,5
RC,0272,HC I DEVICE OCCL POD RUBY 10,3380.0,1183.0,968.03,2518.1,5
RC,0272,HC I DEVICE OCCL POD RUBY 12,3380.0,1183.0,968.03,2518.1,5
RC,0272,HC I DEVICE OCCL POD RUBY 14,3380.0,1183.0,968.03,2518.1,5
RC,0272,HC I WIRE COIL PACK 15,2280.0,798.0,652.99,1698.6,5
RC,0272,HC I WIRE COIL PACK LP 45,2500.0,875.0,716.0,1862.5,5
RC,0272,HC I WIRE COIL PACK LP 60,2500.0,875.0,716.0,1862.5,5
RC,0272,HC I WIRE COIL RUBY LP 5X10,2500.0,875.0,716.0,1862.5,5
RC,0272,HC I WIRE COIL RUBY LP 5X30,2500.0,875.0,716.0,1862.5,5
RC,0272,HC I WIRE COIL RUBY LP 6X10,2500.0,875.0,716.0,1862.5,5
RC,0272,HC I WIRE COIL RUBY LP 6X30,2500.0,875.0,716.0,1862.5,5
RC,0272,HC I WIRE COIL RUBY LP 7X40,2500.0,875.0,716.0,1862.5,5
RC,0272,HC I WIRE COIL RUBY LP 8X60,2500.0,875.0,716.0,1862.5,5
RC,0272,HC INST FLOWSWITCH,36.82,12.89,10.55,27.43,5
RC,0272,HC INST GI SNARE,57.83,20.25,16.56,43.08,5
RC,0272,HC INST LITHOTRIP CRUSHV SNGL,1555.95,544.59,445.62,1159.18,5
RC,0272,HC KIT BIOPSY NDL LIVER,150.8,52.78,43.19,112.35,5
RC,0272,HC KIT CATH EMB MICRO,33.81,11.84,9.68,25.19,5
RC,0272,HC KIT CATH PLUERX,1386.0,485.1,396.95,1032.57,5
RC,0272,HC KIT INFL DEVICE MERIT,18.85,6.6,5.4,14.04,5
RC,0272,HC KIT MIC KEY TJ 16F,1092.81,382.49,312.98,814.14,5
RC,0272,HC KIT WASTE MGMNT PUSH PULL,28.56,10.0,8.18,21.28,5
RC,0272,HC LUB ROTAGLIDE,298.47,104.47,85.48,222.36,5
RC,0272,HC NDL CHIBA 22GX20CM,67.2,23.52,19.25,50.06,5
RC,0272,HC NDL CHIBA BIOP DCHN 22,47.04,16.47,13.47,35.04,5
RC,0272,HC NDL COAX DTN-M3,59.64,20.88,17.08,44.43,5
RC,0272,HC NDL COAX INTRDV,45.36,15.88,12.99,33.79,5
RC,0272,HC NDL ECHOTIP,805.39,281.89,230.66,600.02,5
RC,0272,HC NDL HAWK AKNS BLNT,112.59,39.41,32.25,83.88,5
RC,0272,HC NDL INJECT CARR LOCKE,154.22,53.98,44.17,114.89,5
RC,0272,HC NDL OSTEOSITE VERBROPLAS,147.84,51.75,42.34,110.14,5
RC,0272,HC NDL QUICK CORE QC-20-,136.08,47.63,38.97,101.38,5
RC,0272,HC NDL QUICK CORE QCS-20T,182.28,63.8,52.2,135.8,5
RC,0272,HC NDL TROC 21GX15CM,235.2,82.32,67.36,175.22,5
RC,0272,HC PACK ANGIOGRAPHIC,300.83,105.3,86.16,224.12,5
RC,0272,HC PATCH EP CARTO 3,1257.6,440.16,360.18,936.91,5
RC,0272,HC PLUG AMPLATZ VASC IV 4X10,2394.0,837.9,685.64,1783.53,5
RC,0272,HC PROBE INJECTION GOLD,822.53,287.89,235.57,612.78,5
RC,0272,HC PROBE QSLVR BIPL COAG,651.17,227.91,186.5,485.12,5
RC,0272,HC SEADRAGON TORQUE DEVICE,20.09,7.04,5.75,14.97,5
RC,0272,HC SEPRAFILM ASHESION BARRIER,651.17,227.91,186.5,485.12,5
RC,0272,HC SET BIOPSY ACKERMN ABC,1302.0,455.7,372.89,969.99,5
RC,0272,HC SET FEEDING TUBE MCLEAN RING,239.4,83.79,68.56,178.35,5
RC,0272,HC SET GASTRO MALLINCK INSTI PERC,550.2,192.57,157.58,409.9,5
RC,0272,HC SET HASKAL TRNSJUG INTRA,1461.6,511.56,418.6,1088.89,5
RC,0272,HC SET PEN AND LAB RADIOLOGY,294.0,102.9,84.2,219.03,5
RC,0272,HC STENT GRAFT FLUENCY 60X60X117,5376.0,1881.6,1539.69,4005.12,5
RC,0272,HC STENT ONLY GEE PANC,174.57,61.1,50.0,130.05,5
RC,0272,HC STENT RETRIEVER SOEHENDRA,380.21,133.08,108.89,283.26,5
RC,0272,HC STENT RX BILIARY,339.51,118.83,97.24,252.93,5
RC,0272,HC STENT ZIMMON BILIARY,193.85,67.85,55.52,144.42,5
RC,0272,HC TIP MATCH GD INTR NDL,134.4,47.04,38.49,100.13,5
RC,0272,HC TRAY CHEST TUBE W TROCAR 10F,68.96,24.14,19.75,51.38,5
RC,0272,HC TRAY CHEST TUBE W TROCAR 12F,29.22,10.23,8.37,21.77,5
RC,0272,HC TRAY CHEST TUBE W TROCAR 16F,29.22,10.23,8.37,21.77,5
RC,0272,HC TRAY CHEST TUBE W TROCAR 24F,13.02,4.56,3.73,9.7,5
RC,0272,HC TRAY CHEST TUBE W TROCAR 28F,13.02,4.56,3.73,9.7,5
RC,0272,HC TRAY CHEST TUBE W TROCAR 32F,22.62,7.92,6.48,16.85,5
RC,0272,HC TRAY CHEST TUBE W TROCAR 36F,236.8,82.88,67.82,176.42,5
RC,0272,HC TRAY CHEST TUBE W TROCAR 40F,187.84,65.75,53.8,139.94,5
RC,0272,HC TRAY CHEST TUBE W TROCAR 8F,68.96,24.14,19.75,51.38,5
RC,0272,HC TRAY PARACENTES 5F 10CM,103.95,36.39,29.77,77.44,5
RC,0272,HC TRAY SPECIAL PROC NON-VASCULAR,178.31,62.41,51.07,132.84,5
RC,0272,HC TUBE DEPOT FLX W 24IN,30.45,10.66,8.72,22.69,5
RC,0272,HC TUBE FEED 18F,722.37,252.83,206.89,538.17,5
RC,0272,HC TUBE J 14-18F,416.3,145.71,119.23,310.14,5
RC,0272,HC TUBE PE BEVELED 1.14MM,70.72,24.76,20.25,52.69,5
RC,0272,HC TUBE PE PAPARELLA II FR SZ1.27,92.06,32.23,26.37,68.58,5
RC,0272,HC TUBE PE PAPARELLA II SZ 1.02,79.02,27.66,22.63,58.87,5
RC,0272,HC TUBE PE PAPARELLA II SZ 1.14,101.07,35.38,28.95,75.3,5
RC,0272,HC TUBE PEG GAUDERER,651.17,227.91,186.5,485.12,5
RC,0272,HC TUBE PEG REPLACEMENT,188.5,65.98,53.99,140.43,5
RC,0272,HC TUBE POSIDYNE ELD W EXT,20.63,7.23,5.91,15.37,5
RC,0272,HC TUBE TRACH CUFF FEN SHLY 4.0MM,179.76,62.92,51.48,133.92,5
RC,0272,HC VALVE COPILOT BLEEDBACK CTRL,161.08,56.38,46.13,120.0,5
RC,0272,HC VASCULAR PLUG II,2016.0,705.6,577.38,1501.92,5
RC,0272,HC WHCRE COHCL PACK LP 10 0022,2376.0,831.6,680.49,1770.12,5
RC,0272,HC WHCRE COHCL PACK LP 15 0011,2376.0,831.6,680.49,1770.12,5
RC,0272,HC WHCRE COHCL PACK LP 3 0022,2376.0,831.6,680.49,1770.12,5
RC,0272,HC WHCRE COHCL PACK LP 30 0011,2376.0,831.6,680.49,1770.12,5
RC,0272,HC WHCRE COHCL PACK LP 6 0022,2376.0,831.6,680.49,1770.12,5
RC,0272,HC WHCRE COHCL POD PCK J SFT 30 0033,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WHCRE COHCL POD PCKL J SFT 45 0033,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WHCRE COHCL RUBY LP 1X2 0022,1800.0,630.0,515.52,1341.0,5
RC,0272,HC WHCRE COHCL RUBY LP 1X5 0022,1896.0,663.6,543.01,1412.52,5
RC,0272,HC WHCRE COHCL RUBY LP 2X10 0011,1896.0,663.6,543.01,1412.52,5
RC,0272,HC WHCRE COHCL RUBY LP 2X2 0022,1896.0,663.6,543.01,1412.52,5
RC,0272,HC WHCRE COHCL RUBY LP 2X4 0022,1896.0,663.6,543.01,1412.52,5
RC,0272,HC WHCRE COHCL RUBY LP 3X10 0011,1896.0,663.6,543.01,1412.52,5
RC,0272,HC WHCRE COHCL RUBY LP 3X15 0011,1896.0,663.6,543.01,1412.52,5
RC,0272,HC WHCRE COHCL RUBY LP 3X4 0022,1896.0,663.6,543.01,1412.52,5
RC,0272,HC WHCRE COHCL RUBY LP 4X15 0011,2376.0,831.6,680.49,1770.12,5
RC,0272,HC WHCRE COHCL RUBY LP 4X30 0011,1896.0,663.6,543.01,1412.52,5
RC,0272,HC WHCRE COHCL RUBY LP 4X6 0011,2376.0,831.6,680.49,1770.12,5
RC,0272,HC WIRE COIL CMPLX RUBY SFT 2X1,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 10X35,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 12X40,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 12X60,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 14X60,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 16X60,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 18X57,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 20X60,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 24X57,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 28X60,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 32X60,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 36X60,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 3X12,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 3X20,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 40X60,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 4X10,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 4X15,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 4X20,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 4X30,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 4X35,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 5X12,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 5X20,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 5X30,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 6X20,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 6X30,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 7X25,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 8X25,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 8X40,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL CMPLX RUBY STD 9X30,2500.0,875.0,716.0,1862.5,5
RC,0272,HC WIRE COIL PACK 60CM - MM SP 703,2580.0,903.0,738.91,1922.1,5
RC,0272,HC WIRE GUIDE ASAHI SION RG3 STR,470.4,164.64,134.72,350.45,5
RC,0272,HC WIRE GUIDE TADII 035-018 145,334.05,116.92,95.67,248.87,5
RC,0272,HC WIRE MICRON EMB COIL,252.0,88.2,72.17,187.74,5
RC,0272,HC WIRE NITINOL W PLAT TIP,1145.96,401.09,328.2,853.74,5
RC,0272,HC WIRE NSTR EMB COIL .035-7-6,356.77,124.87,102.18,265.79,5
RC,0272,HC WIRE NSTR EMB COIL .035-7-8,356.77,124.87,102.18,265.79,5
RC,0272,HC WIRE TORANADO EMB MCOIL.,325.25,113.84,93.15,242.31,5
RC,0272,HC WIRE TORNADO EMB COIL,299.38,104.79,85.74,223.04,5
RC,0278,HC ADAPT CLBOY BORST W/SIDEARM,40.32,14.12,11.55,30.04,8
RC,0278,HC CATH GUIDE IMPELLA SMRTASSIST 5.5,90000.0,31500.0,25776.0,67050.0,8
RC,0278,HC CATH UMB ART TRIPLE LM 8F,145.83,51.05,41.77,108.64,8
RC,0278,HC I WIRE COIL CONCERTO 3D 10X30,1732.5,606.38,496.19,1290.71,8
RC,0278,HC I WIRE COIL CONCERTO 3D 12X40,1732.5,606.38,496.19,1290.71,8
RC,0278,HC I WIRE COIL CONCERTO 3D 6X20,1732.5,606.38,496.19,1290.71,8
RC,0278,HC I WIRE COIL CONCERTO 3D 7X30,1732.5,606.38,496.19,1290.71,8
RC,0278,HC I WIRE COIL CONCERTO 3D 8X30,1732.5,606.38,496.19,1290.71,8
RC,0278,HC I WIRE COIL CONCERTO 3D 9X30,1732.5,606.38,496.19,1290.71,8
RC,0300,"HC BBC REACTION WORKUP, EXTENDED",135.19,47.32,38.72,100.72,5
RC,0300,HC BBC THERMAL AMPLITUDE TESTING,1043.04,365.07,298.73,777.06,5
RC,0300,HC BBC TRANSFUSION RX WORKUP,90.12,31.55,25.81,67.14,5
RC,0300,HC BRUCELLA IGG AB,52.75,18.47,15.11,39.3,5
RC,0300,HC BRUCELLA IGM AB,52.75,18.47,15.11,39.3,5
RC,0300,HC CHLAMYDIA TRACH IGG ABS,79.01,27.66,22.63,58.86,5
RC,0300,HC DNA EXTRACT AND HOLD ARUP 3005714,184.8,64.68,52.93,137.68,5
RC,0300,HC LARGE VOLUME FRESH FROZEN PLAS,557.58,195.16,159.69,415.4,5
RC,0300,"HC RICK RICKETTSII IGG,M ABS",309.13,108.2,88.53,230.3,5
RC,0300,HC RITALIN AND RITALINIC ACID,154.55,54.1,44.26,115.14,5
RC,0300,HC SOFIA S. PNEUMONIAE FIA,11.55,4.05,3.31,8.6,5
RC,0300,HC URINE COLLECTION FOR DRUG SCRE,6605.15,2311.81,1891.71,4920.84,5
RC,0306,HC VIRUS TISSUE CULTURE ADDL STDY/ID EACH ISOLATE ARUP 2010866,607.2,212.52,173.9,452.36,5
RC,0360,HC GUIDE BIPLANE BIOPSY FR 8818,1192.95,417.54,341.66,888.75,5
RC,0360,HC OR SURGERY LEVEL 2 - BASE 1ST 15-MINUTE,4972.63,1740.43,1424.16,3704.61,5
RC,0360,HC OR SURGERY LEVEL 2 - PER MINUTE >16,63.86,22.36,18.29,47.58,5
RC,0360,HC OR SURGERY LEVEL 3 - BASE 1ST 15-MINUTE,7693.98,2692.9,2203.56,5732.02,5
RC,0360,HC OR SURGERY LEVEL 3 - PER MINUTE >16,87.53,30.64,25.07,65.21,5
RC,0360,HC OR SURGERY LEVEL 4 - BASE  1ST 15-MINUTE,11904.72,4166.66,3409.51,8869.02,5
RC,0360,HC OR SURGERY LEVEL 4 - PER MINUTE >16,119.94,41.98,34.35,89.36,5
RC,0360,HC OR SURGERY LEVEL 5 - BASE 1ST 15-MINUTE,18419.86,6446.96,5275.45,13722.8,5
RC,0360,HC OR SURGERY LEVEL 5 - PER MINUTE >16,164.4,57.54,47.08,122.48,5
RC,0360,HC OR SURGERY LEVEL I - BASE 1ST 15-MINUTE,3213.79,1124.83,920.43,2394.27,5
RC,0360,HC OR SURGERY LEVEL I - PER MINUTE >16,46.61,16.32,13.35,34.72,5
RC,0361,HC CDPHE TITLE X - VASECTOMY GRANT,803.45,281.21,230.11,598.57,5
RC,0370,HC ANESTHESIA EACH 15 MINUTES,264.81,92.69,75.84,197.28,5
RC,0370,HC ANESTHESIA MAJOR SETUP,509.99,178.5,146.06,379.94,5
RC,0370,HC ANESTHESIA MINOR SETUP,397.14,139.0,113.74,295.87,5
RC,0372,HC REGIONAL ANESTHETIC,248.74,87.06,71.24,185.31,5
RC,0430,HC WC FABRICATION/MODIF ORTHOTICS,93.74,32.81,26.85,269.0,6
RC,0450,"HC EXTRACTION, SINGLE",160.65,56.23,46.01,2133.0,7
RC,0450,HC REGIONAL BLOCK DENTAL,92.11,32.24,26.38,2133.0,6
RC,0450,HC SUTURE WOUND < 5CM,283.82,99.34,81.29,5428.0,6
RC,0450,HC TOOTH REPLANT,516.22,180.68,147.85,5428.0,7
RC,0450,HC TOPICAL SEALANT PER TOOTH,52.48,18.37,15.03,2133.0,6
RC,0471,HC SEMI PVT TRAUMA,34.1,11.94,9.77,25.4,5
RC,0480,HC ELECTRONIC ANALY-LOOP RECORDER,12799.41,4479.8,3665.75,9535.56,5
RC,0510,HC 2-STEP PPD,33.0,11.55,11.32,11.32,2
RC,0510,HC ASYLUM PHYSICAL,660.0,231.0,226.38,226.38,2
RC,0510,HC ATC PHYSICAL,165.0,57.75,56.6,56.6,2
RC,0510,HC CHART REVIEW,495.0,173.25,169.79,169.79,2
RC,0510,HC DISABILITY RETIRE NO PHYSICAL,88.0,30.8,30.18,30.18,2
RC,0510,HC DOT DRUG SCREEN,198.0,69.3,67.91,67.91,2
RC,0510,HC DOT PHY COMPLEX FOLLOWUP,71.5,25.03,24.52,24.52,2
RC,0510,HC DOT PHY ROUTINE FOLLOWUP,44.0,15.4,15.09,15.09,2
RC,0510,HC DOT PHYSICAL (RENEWAL),88.0,30.8,30.18,30.18,2
RC,0510,HC DOT PHYSICAL POST OFFER,357.5,125.13,122.62,122.62,2
RC,0510,HC DOT PHYSICAL(NEW W/DRUG SCREEN,286.0,100.1,98.1,98.1,2
RC,0510,HC DOT/PHYSICAL-PRIVATE,88.0,30.8,30.18,30.18,2
RC,0510,HC DPD FIT FOR DUTY,660.0,231.0,226.38,226.38,2
RC,0510,HC DPD LEAD AND NOISE EXAM,315.7,110.5,108.29,108.29,2
RC,0510,HC DPD/DFD PHYSICAL,302.5,105.88,103.76,103.76,2
RC,0510,HC FAA PHYSICAL,110.0,38.5,37.73,37.73,2
RC,0510,HC FAA PHYSICAL W/EKG,165.0,57.75,56.6,56.6,2
RC,0510,HC FIT FOR DUTY,165.0,57.75,56.6,56.6,2
RC,0510,HC HAZMAT PHYSICAL,319.0,111.65,109.42,109.42,2
RC,0510,HC HAZMAT PHYSICAL W/LAB TESTS,302.5,105.88,103.76,103.76,2
RC,0510,HC IMMIGRATION PHYSICAL < 15 YRS,333.3,116.66,114.32,114.32,2
RC,0510,HC IMMIGRATION PHYSICAL =>15 YRS,418.0,146.305,134.7,152.05,4
RC,0510,HC INTRAWEST CDL PHYSICAL,75.9,26.57,26.03,26.03,2
RC,0510,HC MED REVIEW OSHA QUESTIONARRE,160.23,56.09,54.96,54.96,2
RC,0510,HC ORAL HYGIENE INSTRUCTIONS,48.2,16.87,16.53,16.53,2
RC,0510,HC POST OFFER PHYSICAL,477.51,167.13,163.79,163.79,2
RC,0510,HC PPD/PPD EVAL,274.62,96.12,94.19,94.19,2
RC,0510,HC PRE PLACE PT/OT EVAL,1564.31,547.51,536.56,536.56,2
RC,0510,HC PRE-PLACE POST-OFFER PHYSICA,2075.94,726.58,712.05,712.05,2
RC,0510,HC RAPID DRUG SCREEN,408.98,143.15,140.28,140.28,2
RC,0510,HC REHABILITATION PHASE III SELF PAY PROGRAM,11.55,4.05,3.96,3.96,2
RC,0510,HC REQ EO94/RAPID DRUG SCREEN,7343.4,2570.19,2518.79,2518.79,2
RC,0510,HC RESP EXAM /HAZ EXP,241.03,84.37,82.67,82.67,2
RC,0510,HC RESPIRATOR FIT TEST QUALITATIV,241.03,84.37,82.67,82.67,2
RC,0510,HC RESPIRATOR TRAIN FIT TEST COMB,241.03,84.37,82.67,82.67,2
RC,0510,HC RESPIRATOR USE TRAINING,2954.3,1034.01,1013.32,1013.32,2
RC,0510,HC RETIREMENT PHYSICAL,299.33,104.77,102.67,102.67,2
RC,0510,HC SR UTLY POST OFFER PHYSICAL,396.26,138.7,135.92,135.92,2
RC,0510,HC VISION TEST,10436.21,3652.68,3579.62,3579.62,2
RC,0512,HC ABUTMENT SUPPRT PORCE/NOBLE,1285.2,449.82,440.82,957.47,4
RC,0512,HC ABUTMENT SUPPRT RETAIN POR/NOB,1285.2,449.82,440.82,957.47,4
RC,0512,"HC ADJUST, COMPLETE DENTURE LWR",83.54,29.24,28.65,62.24,4
RC,0512,"HC ADJUST, COMPLETE DENTURE UPR",83.54,29.24,28.65,62.24,4
RC,0512,"HC ADJUST, PARTIAL DENT, LWR",83.54,29.24,28.65,62.24,4
RC,0512,"HC ADJUST, PARTIAL DENT, UPR",83.54,29.24,28.65,62.24,4
RC,0512,"HC ALVEOPLAS/QUAD, NO EXTR",403.77,141.32,129.61,300.81,5
RC,0512,HC ALVEOPLAT/QUAD W/EXTR,277.39,97.09,89.04,217.95,5
RC,0512,"HC AMAL, FOUR+ SURF, PERM",236.69,82.85,75.98,176.33,5
RC,0512,"HC AMAL, ONE SURF, PERM",129.59,45.36,41.6,96.54,5
RC,0512,"HC AMAL, THREE SURF, PERM",200.28,70.1,64.29,149.21,5
RC,0512,"HC AMAL, TWO SURF, PERM",164.93,57.73,52.94,122.87,5
RC,0512,HC ANESTHESIA LOCAL,66.4,23.24,22.78,49.47,4
RC,0512,HC APICOECTOMY SEP PROC EA ROOT,640.46,224.17,205.59,477.14,5
RC,0512,HC APPLIANCE REMOVAL,281.67,98.59,96.61,5428.0,4
RC,0512,"HC BIOPSY, ORAL HARD TISSUE",371.64,130.08,127.47,5428.0,4
RC,0512,"HC BIOPSY, ORAL, SOFT TISSUE",289.17,101.21,99.19,5428.0,4
RC,0512,HC BONE REPLACEMENT GRAFT,481.95,168.69,165.31,823.79,4
RC,0512,HC BRIDGE PORCELAIN/CERAMIC,1067.79,373.73,366.25,795.5,4
RC,0512,HC CARIES RISK ASSESS HIGH RISK,4.28,1.5,1.47,10.03,4
RC,0512,HC CARIES RISK ASSESS LOW RISK,4.28,1.5,1.47,10.03,4
RC,0512,HC CARIES RISK ASSESS MOD RISK,4.28,1.5,1.47,10.03,4
RC,0512,HC COMPOSITE POSTERIOR 1 SURFACE,166.01,58.11,53.29,123.68,5
RC,0512,HC COMPOSITE POSTERIOR 2 SURFACE,217.41,76.1,69.79,162.08,5
RC,0512,HC COMPOSITE POSTERIOR 3 SURFACE,269.89,94.47,86.63,213.78,5
RC,0512,HC CORONECTOMY,372.71,130.45,119.64,5428.0,5
RC,0512,HC CROWN BUILDUP INC ANY PINS,260.25,91.09,83.54,193.89,5
RC,0512,HC CROWN PORC W/SP METAL,674.73,236.16,216.59,753.59,5
RC,0512,HC CROWN PORCELAIN/CERAMIC,1094.56,383.1,375.43,815.45,4
RC,0512,"HC CROWN, FULL CAST NM",838.595,293.515,216.59,746.83,9
RC,0512,"HC CROWN, PORC FULSED TO HNM",536.57,187.8,172.24,888.11,5
RC,0512,"HC CROWN, PORCELAIN",551.57,193.05,177.05,827.46,5
RC,0512,"HC CROWN, PORCELAIN FUSED HNM",539.78,188.93,185.14,948.73,4
RC,0512,"HC CROWN, PORCELAIN FUSED NM",674.73,236.16,231.43,814.86,4
RC,0512,"HC CROWN,FULL CAST NP METAL",641.53,224.54,205.93,619.67,5
RC,0512,HC DENT APPL DESENSITIZING MED,54.62,19.12,18.73,40.69,4
RC,0512,"HC DENT RELINE, FULL LAB",227.05,79.47,77.88,383.71,4
RC,0512,"HC DENTAL PROPHY, ADULT",85.68,29.99,27.5,70.03,5
RC,0512,"HC DENTAL PROPHY, CHILD",63.19,22.12,21.67,47.25,4
RC,0512,"HC DENTURES, COMPLETE LOWER",562.28,196.8,192.86,1211.19,4
RC,0512,"HC DENTURES, COMPLETE UPPER",562.28,196.8,192.86,1211.19,4
RC,0512,"HC DENTURES, IMMEDIATE LOWER",562.28,196.8,192.86,1330.63,4
RC,0512,"HC DENTURES, IMMEDIATE UPPER",562.28,196.8,192.86,1330.63,4
RC,0512,HC DIAGNOSTIC CASTS,99.6,34.86,34.16,74.2,4
RC,0512,HC DIS/PROX WEDGE PROC,625.46,218.92,200.77,465.97,5
RC,0512,HC ENAMEL MICROABRASION,188.5,65.98,64.66,140.43,4
RC,0512,HC EXCISION BENIGN >1.25C,571.91,200.17,183.58,5428.0,5
RC,0512,HC FACIAL BONE COMPLICATED REDUCT,6099.35,2134.78,2092.08,5428.0,4
RC,0512,HC FILLINGS (SEDATIVE),107.1,37.49,34.38,79.79,5
RC,0512,HC GINGIVAL FLAP W/ ROOT PLANING,685.44,239.91,220.03,510.65,5
RC,0512,HC GINGIVECTOMY PLAS PER TOOTH,239.9,83.97,77.01,178.73,5
RC,0512,HC GINGIVECTOMY PLASTY/QUAD,589.05,206.17,189.09,438.84,5
RC,0512,"HC I&D ABCESS, EXTRAORAL",368.42,128.95,118.26,5428.0,5
RC,0512,"HC I&D ABCESS, INTRAORAL",214.2,74.97,68.76,5428.0,5
RC,0512,HC IMPLANT SUPPORTED CROWN,1416.93,495.93,486.01,1055.61,4
RC,0512,HC IMPLANT SUPPORTED PFM CROWN,1410.51,493.68,483.8,1050.83,4
RC,0512,HC IMPLNT MAINTENANCE PROCEDURES,267.75,93.72,91.84,199.47,4
RC,0512,HC IMPLNT SUPPRT RETAIN PORC/HIGH,1481.19,518.42,508.05,1103.49,4
RC,0512,HC INTERIM PARTIAL DENTURE LWR,323.44,113.21,110.94,483.92,4
RC,0512,HC INTERIM PARTIAL DENTURE UPR,320.23,112.09,109.84,478.54,4
RC,0512,HC INTL BLEACHI PER TOOTH,267.75,93.72,91.84,199.47,4
RC,0512,"HC LOWER PARTIAL, ACRYL BASE",562.28,196.8,192.86,923.53,4
RC,0512,HC MAND CLOSED REDUCT,3172.3,1110.31,1088.1,5428.0,4
RC,0512,HC MAX CLOSED REDUCT,3204.43,1121.56,1099.12,5428.0,4
RC,0512,HC MAX OPEN REDUCT,4017.32,1406.07,1377.94,5428.0,4
RC,0512,HC NITROUS OXIDE,63.19,22.12,21.67,47.08,4
RC,0512,HC NONINTRAVEN CONSCIOUS SEDATION,284.89,99.72,97.72,212.24,4
RC,0512,HC ORAL EVALUATION <3YRS OLD,62.12,21.75,21.31,46.28,4
RC,0512,HC ORAL EXAM PERIODIC,47.12,16.5,15.13,35.1,5
RC,0512,"HC ORAL EXAM,LMTD-PROBLEM FOCUSED",69.62,24.37,22.35,51.87,5
RC,0512,HC ORAL HYGIENE INSTRUCTION,50.34,17.62,17.27,37.5,4
RC,0512,HC ORAL/FACIAL PHOTOGRAPHIC IMAGE,66.4,23.24,21.31,49.47,5
RC,0512,HC ORTHODONTIC RETENTION,481.95,168.69,165.31,359.05,4
RC,0512,HC PALLIATIVE TREATMENT,113.53,39.74,38.94,84.58,4
RC,0512,"HC PART DENT, LOWER, CAST BASE",562.28,196.8,192.86,1430.36,4
RC,0512,"HC PART DENT, UPPER, CAST BASE",562.28,196.8,192.86,1430.36,4
RC,0512,HC PERIODONTAL EXAM-COMP/NEW-ESTB,86.75,30.37,27.85,64.63,5
RC,0512,HC PERIODONTAL MAINTENANCE PROC,129.59,45.36,41.6,96.54,5
RC,0512,HC PERIODONTAL SCALING 1-3TEETH,166.01,58.11,53.29,123.68,5
RC,0512,HC PLACE DEVICE IMPACTED TOOTH,469.1,164.19,160.9,349.48,4
RC,0512,HC PONTIC-CAST HNM,1048.51,366.98,359.64,801.61,4
RC,0512,HC PONTIC-PORC FUSED TO NM,509.8,178.43,174.86,794.99,4
RC,0512,HC PREFAB P&C (IN ADD TO CRN),321.3,112.46,103.14,239.37,5
RC,0512,HC PREFAB SS CRN W/RESIN WIND,341.65,119.58,109.67,254.53,5
RC,0512,HC PREFAB SS CROWN PERM TOOTH,307.38,107.59,98.67,238.41,5
RC,0512,HC PREFAB STAINLESS STL CRN PRIMA,257.04,89.97,82.51,191.49,5
RC,0512,"HC PULP CAP-DIRECT, EXCL RESTORTN",78.18,27.37,25.1,60.03,5
RC,0512,HC PULP CAP-INDIRECT EXCL RESTRN,77.11,26.99,24.75,57.45,5
RC,0512,HC PULPAL DEBRIDEMENT PRIMARY,208.85,73.1,67.04,180.08,5
RC,0512,"HC PULPOTOMY VITAL, EXCL RESTRTN",187.43,65.61,60.17,139.92,5
RC,0512,HC RAD EXC LESION UP TO 1.25 CM,374.85,131.2,120.33,5428.0,5
RC,0512,HC RE-EVAL LMTD/PROB FOCUSED/ESTB,64.26,22.5,20.63,47.87,5
RC,0512,HC REBASE COMPLETE UPR DENTURE,281.67,98.59,96.61,486.37,4
RC,0512,HC RECEMENT CROWN,101.75,35.62,32.66,75.8,5
RC,0512,HC RELINE LWR DENTURE LAB,227.05,79.47,77.88,383.71,4
RC,0512,HC RELINE LWR PART DENTURE LAB,224.91,78.72,77.14,383.11,4
RC,0512,"HC REMOVAL FB - SKIN, ETC",332.01,116.21,106.58,5428.0,5
RC,0512,HC REMOVAL OF TORUS MANDIVULARIS,680.09,238.04,218.31,506.67,5
RC,0512,HC REMOVE IMPLANT BY REPORT,688.65,241.03,236.21,513.04,4
RC,0512,HC REPLACE TEETH DENT EA TOOTH,176.72,61.86,60.61,131.66,4
RC,0512,"HC REPLACE TEETH, PER TOOTH",175.64,61.48,60.24,140.53,4
RC,0512,HC RESTOR COMPOS INCL INCTS,290.24,101.59,93.17,216.23,5
RC,0512,"HC RESTOR, COMPOS ONE SURF",152.08,53.23,48.82,113.3,5
RC,0512,"HC RESTOR, COMPOS THREE SURF",230.27,80.6,73.92,171.55,5
RC,0512,"HC RESTOR, COMPOS TWO SURF",188.5,65.98,60.51,140.43,5
RC,0512,HC RETREAT ROOT CANAL ANTERIOR,785.04,274.77,252.0,584.85,5
RC,0512,HC RETREAT ROOT CANAL BICUSPID,910.35,318.63,292.22,680.31,5
RC,0512,HC RETREAT ROOT CANAL MOLAR,1074.21,375.98,344.82,838.86,5
RC,0512,"HC ROOT CANAL, ANT EXCL RESTRTN",696.15,243.66,223.46,518.63,5
RC,0512,"HC ROOT CANAL, BIC EXCL RESTRTN",811.82,284.14,260.59,604.81,5
RC,0512,"HC ROOT CANAL, MOLAR EXCL RESTRTN",978.89,342.62,314.22,729.27,5
RC,0512,"HC SCALE, ROOT PLANE PER QUAD",240.98,84.35,77.35,194.56,5
RC,0512,HC SCREENING OF A PATIENT,55.69,19.5,19.1,41.49,4
RC,0512,HC SEQUESTRECTOMY FOR OSTEO,488.38,170.94,156.77,5428.0,5
RC,0512,HC SINUS LIFT PROCEDURE,2484.72,869.66,797.6,5428.0,5
RC,0512,"HC SURG EXPOS TOOTH, ORTHO",454.1,158.94,145.77,5428.0,5
RC,0512,HC SURG PLCMT.IMPL:ENDOSTEAL IMPL,969.26,339.25,332.46,1436.99,4
RC,0512,HC SURGICAL SPLINT,706.86,247.41,226.9,526.61,5
RC,0512,HC TEMPORARY CROWN FX TOOTH,107.1,37.49,34.38,102.05,5
RC,0512,HC TISSUE CONDITIONING UPR,191.71,67.1,65.76,142.82,4
RC,0512,HC TOP FLUORIDE W/O PROP ADU,31.62,11.07,10.85,23.56,4
RC,0512,"HC TOPICAL FLUORIDE, APF",32.13,11.25,11.02,23.94,4
RC,0512,HC TOPICAL SEALANTS PER TOOTH,52.48,18.37,18.0,39.1,4
RC,0512,"HC UPPER PARTIAL, ACRYL BASE",562.28,196.8,192.86,863.48,4
RC,0512,"HC XRAY, INTRAORAL, COMPLETE",123.17,43.11,39.54,91.76,5
RC,0512,"HC XRAY, PA, EA ADD",22.49,7.88,7.71,16.76,4
RC,0512,"HC XRAY, PA, SINGLE",26.78,9.38,8.6,19.95,5
RC,0512,"HC XRAY, PANORAMIC",104.96,36.74,33.69,78.2,5
RC,0516,HC REGIONAL BLOCK DENTAL,92.11,32.24,31.59,31.59,2
RC,0519,HC  PSA,83.6,29.26,28.67,50.16,3
RC,0519,HC ANNUAL/PREEMPLY EXAM,185.9,65.07,63.76,111.54,3
RC,0519,HC DOT PHYSICALS,88.0,30.8,30.18,52.8,3
RC,0519,HC EAST GRAND FIRE PHYSICAL,247.5,86.63,84.89,148.5,3
RC,0519,HC ETOH BREATH TEST,11.0,3.85,3.77,6.6,3
RC,0519,HC NON-DOT DRUG SCREEN,13.2,4.62,4.53,7.92,3
RC,0519,HC OSHA MED EXAM W CHEST XRAY,255.2,89.32,87.53,153.12,3
RC,0519,HC OSHA MED EXAM W/O XRAY,209.0,73.15,71.69,125.4,3
RC,0519,HC SPIROMETRY WINTER PARK OCC HEALTH,71.5,25.03,24.52,42.9,3
RC,0519,HC VISION TEST,27.5,9.63,9.43,16.5,3
RC,0681,HC TRAUMA TEAM ACTIVATION,38873.98,13605.9,13333.78,29660.85,10
RC,0681,HC TRAUMA TEAM ALERT,38873.98,13605.9,13333.78,29660.85,10
RC,0710,HC 2ND STAGE REC LVL 2 -1 MIN,6.79,2.38,1.94,5.06,5
RC,0710,HC 2ND STG REC LVL 1 -1 MIN,13.63,4.78,3.9,10.15,5
RC,0710,HC APC 3RD STAGE REC LVL 3 -1 MIN,3.4,1.19,0.97,2.53,5
RC,0710,HC PACU 2ND STG REC LVL 3 -1 MIN,3.4,1.19,0.97,2.53,5
RC,0710,HC PACU PER MIN CHARGE,12.75,4.47,3.65,9.5,5
RC,0710,HC PREOP CARE,146.49,51.28,41.95,109.14,5
RC,0720,HC AMNIOINFUSION,334.38,117.04,95.77,249.11,5
RC,0720,HC C-SECTION MODULE,550.26,192.6,157.59,409.94,5
RC,0720,HC C/SECTION HOSPITAL FEE,1575.64,551.48,451.26,1173.85,5
RC,0720,HC DELIVERY ROOM HOSPITAL FEE,1021.89,357.67,292.67,761.31,5
RC,0720,HC LAB/RECOVER >12HRS TO 18HRS,1105.31,386.86,316.56,823.46,5
RC,0720,HC LAB/RECOVER >18HRS TO 24HRS,1399.22,489.73,400.74,1042.42,5
RC,0720,HC LAB/RECOVER >6HRS TO 12HRS,811.71,284.1,232.47,604.72,5
RC,0720,HC LABOR/RECOVERY 6HRS OR LESS,517.47,181.12,148.2,385.52,5
RC,0720,HC MAGSO4 DRIP,182.75,63.97,52.34,136.15,5
RC,0740,HC EEG - STAT,33.44,11.71,9.58,24.91,5
RC,0761,HC DVR CTY COURT- COMP EVAL,734.58,257.11,210.38,547.26,5
RC,0900,HC DUI ALCOHOL BREATH SCREEN,3.3,1.16,0.95,2.46,4
RC,0900,HC DUI EDUCATION,27.5,9.63,7.88,20.49,4
RC,0900,HC DUI PROGRAM,968.0,338.8,277.24,721.16,4
RC,0900,HC DUI URINE DRUG SCREEN,11.0,3.85,3.15,8.2,4
RC,0900,HC DUI URINE ETG PANEL 2911,16.5,5.78,4.73,12.29,4
RC,0900,HC EVAL SELF-ASSESS DEPRESSION,27.5,9.63,7.88,20.49,4
RC,0900,HC LAAM ADMINISTRATION,355.74,124.51,101.88,265.03,4
RC,0906,HC INTEN O/P - CHEMICAL,91.55,32.05,31.4,551.0,5
RC,0920,HC OXYGEN,34.9,12.22,10.0,26.0,5
RC,0940,HC BUPRENORPHINE,59.96,20.99,17.17,44.67,5
RC,1000,HC ASAM LEVEL 3.7 MEDICALLY MONITORED INPATIENT,2361.4,826.49,676.3,1759.24,5
RC,1001,Residential Treatment - Rev Code,,,832.24,832.24,1
RC,1002,HC ASAM LEVEL 3.7WM INPATIENT WITHDRAW MANAGEMENT,2361.4,826.49,676.3,1759.24,6